660055_PERMIT FILE_20171231

warF9
QG
September 10, 2004
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Wayland Baugham
PO Box 437
Rich Square, North Carolina
Dear Mr. Baugham:
27869
Michael F. Easley, Govemor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Subject: Notice of Violation
Permit No. AWS 660055
Wayland Baugham Jr. Farm
Northampton County
Alan W. Klimek, P.E. Director
Division of Water Quality
The Raleigh Regional Office received a phone call from you on September 9, 2004, reporting that one
of your waste lagoons had only 17 inches of available freeboard. This is less than the required 19 inches of
freeboard that both of your lagoons are designed for. A copy of a Plan of Action ( POA) was faxed to .you
on the same date. Please complete the POA and send it to the attention of Buster Toweil of the Raleigh
Regional Office. Our fax number is 919-571-4718.
Please note that the lack of adequate freeboard at your facility is a violation of your Certificate of Coverage
(COC) and General Permit, and as such may be subject to civil penalties of up to $ 25.000.00 per day.
Within ten days of your receipt of this Notice you should respond in writing with the following
information:
1. All land application records from January 1, 2004 to the present time.
2. Freeboard records for the same time period.
3. Rainfall records from January 1, 2004 through the present.
4. A copy of your most current Waste Utilization Plan (WUP), and waste analysis.
If you have any questions regarding this Notice you should contact Buster Towell at (919) 5714700.
S'ncerely,
S. erman, Supervisor
Aquife Protection Section
Cc: Tony Short, Northampton Soil & Water Conservation District
Ms. Betsy Gerwig, RRO-DSWC
DWQ/Aquifer Protection Section Compliance Unit
RRO Files
Aquifer Protection Section - Raleigh Regional Office
One
1628 Mail Service Center Raleigh, NC 27699-1628 Phone [phone] Customer Service 1-877-623-6748 N Caro pia
3800 Barrett Dr. Raleigh, NC 27609 FAX [phone] Internet hftpJ1h2o.enr.stata.nc.u9
�tu�a 1/
An Enual 0wortunIMAMmaWe Action Emokrver— 50% RecrcW10% Post Consumer Parser ✓✓

MAR-16-2009 11:00 PM
P. 2
Notification of Change of Ownership
Animal Waste Management Facility
(Pinata type or print all iatannadon drat does not mgWre a signaturs)
In aceordu ce with the requirements of 15A NCAC 2H ,0217(a)(1)(H)(4i) this form is official
notification to the Division of Water Quality (DWQ) of the transfer of ownership of an Animal Wasu
Mngetnent Facility. This fora must be submntdd to DEM no later than 60 days following the nnsfea
of ownership.
General InfgMadm.
Name of ftm- acuity No:..,9G�
Previous Owners) Name: Jdcr hone No: a`; - 5314 I'I
New Owner($) NAM! L L G phone No: q�y- (-5`tr' 52 o 7'
Maihing Address:
Farrar o1s.• o Fourtataa Digit hlyt �ologic Unit:_
Latitude and Longitude; 4 ,,�# / ?7 1..g ._ county; rk 4hR>N, 0
Please attach a copy of a county road map th location idendW and describe below (Be apecifle: road
names, directions, milepom ttta.):
4��s�sr�pti�:
r of SWM No. of AniMdiJ Ijrpit of Park 7 Ne. of Afibrds Apt of Carrie No. of Animals
0 onto Feednr D LAW 7 Dairy
giewet 0 Finish 0 PaAats 7 Huai
0 Po".0 to Wien
0]Fbww to Reeder
12 Phtrow to Milli: Other 7jpe of Livruorkr. Neember of Animals., .
Amble Available for Applicadon: Acroage.
Numbat of Lagooru / Stomse Ponds • Tota1 Ct acit r: f ! , �9 Cubic Feet (0)
•#**+�!!#!#!��*!#!#**i* ##Ili*MiM##Mi�M!>1RiMii�lliM #s•!il•RlRwrlliM*If!*i•#•#w#i####*##>N>Ris#��f
Owner / Manager Agreement
I (we) vtr W that all the above ipfatmadon is torrent and will. be updated upon Rating. I (we) understand the operation end
malntaaant o prvcadums established ka the approved anivW was monlemettt plan foe the farm named above and will
hapletaaai thecae pnomwta. I (we) known that nay expaaaioa to eha adatiae desiso equity of the waste treatt:reat and
uompa sym m or nooswction of ww► feallida wM requim a new cetdficatian to bo ettbmiced to the Division of Water
Qudlcy (p Q) bd= to now atsimais meta W& I (" understand that there must be no discharge of animal waste from
dta ataraga at tg Puadan symm to sotthee water of ft state either directly deet o a teen -trade conveyance or ham a twin
event ins revue dm to 25-your, Z"att am cad ftm must not be ran aff ftom the application of mizad waste. I (we)
uVk"taad that run-o!f of pollstestta from lounging and heavy uss atom mart be mimimistd retina tadmical standards
developed by sirs Nenttal Raaonmer Coumvation Swrviae. The approved plan wrill be fiW at the tbtm and at tat office of the
IOW Soil NW watts Coaservaiou Dlstdcc. I (we) know tint any moditiawlon mutt be approrod by a technical gmddfst and
atebmkW to the $oil and Wamr Coaaarva4an District prior to implamae dad A obaase in lard ewneship tegnim; written
eodfienaos m t)WQ or a W* mdfla dw (if the approved plan is dwSod) within 60 days of a rifle transfer.
Nance of New Land Owner • m A 0V a
Simu ttm e1 '" Dater df 'a� f. r boo$
Name ai Mansgat•(if
Date:..,��'
Please sign and renLkn this form tot N. C. DivWon Of Water Quality
Water Quality Section, Compliance Group
Raleigh, NC 17QWlSyl."i

NCDENR
North Carolina Department of Environment and Natural Resources
Beverly Eaves Perdue
Governor
DMJ Group, LLC
DMJ Farms 2
PO Box 5
Drewryville, VA 23844
Dear DMJ Group, LLC:
Division of Water Quality
Colleen H. Sullins
Director
March 20, 2009
MAR 2 5 2009
Dee Freeman
Secretary
Subject: Certificate of Coverage No. AWS660055
DMJ Farms 2
Animal Waste Management System
Northampton County
In accordance with your Notification of Change of Ownership received on March 16, 2009, we are hereby
forwarding to you this Certificate of Coverage (COC), authorizing the operation of the subject animal
waste management system in accordance with General Permit AWG100000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the DMJ Farms 2, located in Northampton County, with an animal capacity of no
greater than an annual average of 1000 Feeder to Finish swine. If this is a Farrow to Wean or Farrow to
Feeder operation, there'may be one boar for each 15 sows. Where boars are unnecessary, they may be
replaced by an equivalent number of sows. Any of the sows may be replaced by gilts at a rate of 4 gilts
for every 3 sows.
The COC shall be effective from the date of issuance until September 30, 2009, and shall hereby void
Certificate of Coverage Number AWS660055 dated October 1, 2004. You are required to continue
conducting annual surveys of sludge accumulation in all lagoons at your facility; the one-year extension
in Condition 111.19 does not apply.
Pursuant to this COC, you are authorized and required to operate the system in conformity with the
conditions and limitations as specified in the General Permit, the facility's CAWMP, and this COC. An
adequate system for collecting and maintaining the required monitoring data and operational information
must be established for this facility. Any increase in waste production greater than the certified design
capacity or increase in number of animals authorized by this COC (as provided above) will require a
modification to the CAWMP and this COC and must be completed prior to actual increase in either
wastewater flow or number of animals.
Please carefully read this COC and the enclosed State General Permit. Enclosed for your convenience is a
package containing the new and revised forms used for record keeping and reporting. Please pay careful
attention to the record keeping and monitoring conditions in this permit.
If your Waste Utilization Plan has been developed based on site -specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Blvd., Raleigh, North Carolina 27604 One
Pho6e: 919-733-32211 FAX: [phone] Customer Service: 1-877-623-6748 NorthCarolina
Internet: www.ncnraierquality.org '�'j����� /
Al Equal Opportunity V Affirmative Action Employer � �/ "/'y

The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 2T .0111(c) a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards a 100-foot separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
Per 15A NCAC 02T .1306, any containment basin, such as a lagoon or waste storage structure, shall
continue to be subject to the conditions and requirements of the facility's permit until closed to NRCS
standards and the permit is rescinded by the Division.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If you wish to continue the activity permitted under the General Permit after the expiration date of the
General Permit, an application for renewal must be filed at least 180 days prior to expiration.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the staff member listed below for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection staff may be reached at [phone]. If you need additional information concerning this
COC or the General Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Coleen H. Sullins
Enclosures (General Permit AWG100000, Record Keeping and Reporting Package)
cc: (Certificate of Coverage only for all cc's)
Northampton County Health Department
Northampton County Soil and Water Conservation District
Raleigh Regional Office, Aquifer Protection Section
AFO Unit Central Files
Permit File AWS660055

WASTE UTILIZATION PLAN
Producer: DMJ FARMS 2
Location: SR 1118 1 mile west of NC 305
Telephone: [phone]
Type Operation: Topping
Number of Animal Units: 1000
The waste from your animal facility must be land applied at a specified rate to
Prevent pollution of surface and/or ground water. The plant nutrients in the
animal waste should be used to reduce the amount of commercial fertilizer
required for the crops on the fields where the waste is to be applied. This
waste utilization plan uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle. Annual soil tests are strongly
encourages so that all plant nutrients can be balanced for realistic yields of
the crop to be grown..
Several factors are important in implementing your waste utilization plan in
order to maximize the fertilizer value of the waste and to ensure that it is
applied in an environmentally safe manner. Always apply waste based on the
needs of the crop to be grown and the nutrient content of the waste. Do not
have different infiltration rates, leaching potentials, cation exchange
capacities, and available water holding capacities. Normally waste shall not be
applied to land eroding at greater than 5 tons per acre per year. With special
precautions, waste may be applied to land eroding at up to 10 tons per acre per
year. Do not apply waste on saturated soils or on land when the surface is
frozen. Either of these conditions may result in runoff to surface waters which is not
allowed under DEM regulation. Wind conditions should also be considered to
avoid drift and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste should be
applied to a growing crop or applied to bare ground not more than 30 days prior
to planting. Injecting the waste or disking will conserve nutrients and reduce
odor problems.
The estimated acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements should be
based on the waste analysis report from your waste management facility.
Attached you will find information on proper sampling techniques, preparation,
and transfer of waste samples to the lab for analysis.
This waste utilization, if carried out, meets the requirements for e :t
Compliance with 15A NCAC 2H. 0217 adopted by the Environmental Management fp D r
Commission.
RECEIVED ! DENR ! DWQ
Aquifer Protection Section
MAR 3 0 2009

Amount of Waste Produced Per Year(gallons,"�ons, etc.)
1000 animals X 751 gal. waste/animal/year = 751,000 gals. waste/year.
Amount of Plant Available. Nitrogen (PAN) Produced Per Year
1000 animals X 2.3 lbs. PAN/animal/year = 2300 lbs. PAN/year. (PAN from N. C.
Tech. Guide Std. 633)
Applying the above amount of waste is a big job. You should plan time and have
appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to
be grown and surface application:
Table 1 ACRES OWNED BY PRODUCER
Tract
Field
Soil Type
Crop
Real
Yld./Ac
Lbs. N
per
acre
Acres
Lbs.N
Used
Months
Applied
2860
2
Craven
Fescue
hay
3.8T x
50#N
190
9.3 x
75$
1325
Feb -May
Sept -Nov
2
Lenoir
Fescue
hay
4.5T x
50#N
225
2 x 75�
338
4
Craven
Fescue
hay
3.8T x
50#N
190
2 x 75%
285
4A
Craven
Comm
ber hay
4.2T x
50#N
210
2.6 x
75%
409
May -Aug
5
Craven
Corn
115 x
1.5
172.5
4.1 x
75%
707
Mar -June
Total Table 1 14.9 3064
Total Needed 3064
Amount of N Produced 2300
Surplus or Deficit -764
* This N is from animal waste only. If nutrients from other sources such as
commercial fertilizer are applied, they must be accounted for. N must be based
on realistic yield expectation.
NOTE: The applicator is cautioned that P and K may be over applied while
meeting the N requirements. This plan only addresses Nitrogen.
NOTE: waste to be sprayed on corn and fescue and common bermuda hay crops
NOTE: The Waste Utilization Plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient rich and
will require precautionary measures to prevent over application of nutrients or
other elements.

IE
i I-- PIIIIA-&Ll,
4c
07,
la
17
4 Ag,
ML
ou
e"t
Wt

See attached map showing the fields to be used for the utilization of waste
water.
Application of Waste by Irrigation
Field Soil Type Crop Application Application
No. Rate(In/Hr) Amount(In-)
2
Craven
Fescue
0.4
1.0
4
Craven
Fescue
0.4
1.0
4A
Craven
Fescue
0.4
1.0
5
Craven
Corn
0.35
1.0.
This table is not needed if waste is not being applied by irrigation, however a
similar table will be needed for dry litter or sludge.
Your facility is designed for 90 days of temporary storage and the temporary
storage must be removed on the average of once every 3 months.
In no instance should the volume of waste being stored in your structure exceed
Elevation 98.4.
Call the local Natural Resources Conservation Service (formerly Soil
Conservation Service) or Soil and Water Conservation District office after you
receive the waste analysis report for assistance in determining the amount per
acre to apply and the proper application rate prior to applying the waste.

REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff,
drift, manmade conveyances, direct application, or direct discharge
during operation or land application. Any discharge of waste which
reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has a notarized agreement for use of adequate.
land on which to properly apply the waste. If the producer does not
own adequate land to properly dispose of waste, he/she shall provide a
copy of a'notarized agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for waste
application. It is the responsibility of the owner of the facility to
secure an update of the Waste Utilization Plan when there is a change
in the operation, increase in the number of animals, method of
utilization, or available land.
3. Animal waste shall be applied to meet but not exceed, the•Nitrogen
needs for realistic crop yields based on soil type, available moisture,
historical data, climate conditions, and level of management, unless
there are regulations that restrict the rate of application for other
nutrients. Actual yields may be used in lieu of realistic yield tables
at the discretion of the planner.
4. Animal waste shall be applied on land eroding less than 5 ton per
acre per year. Waste may be applied to land that is eroding at more
than 5 tons but less than 10 tons per acre per year providing grass
filter strips are installed where runoff leaves the field. (See FQTG
Standard 393-Filter Strips)
5. Odors can be reduced by injecting the waste or disking after waste
application. Waste should not be applied when there is danger of drift
from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it
will be soil incorporated on conventionally tilled cropland. When
applied to conservation tilled crops or grassland, the waste may be
broadcast provided the application does not occur during a season
pone to flooding. (See "Weather and climate in N.C." for guidance.)
7. Liquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site or to
surface waters and in a method which does not cause drift from the site
during application. No ponding should occur in order to control
odor and flies.
B. Animal waste shall not be applied to saturated soils, during rainfall
events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a
manner that the crop is not covered with waste to depth that would
prohibit growth. The potential for salt damage from animal waste
should also be considered.

10. Waste nutrients shall not be applied in fall or winter for spring
planted crops on soils with a high potential for leaching. Waste
nutrient loading rates on these soils should be held to a minimum and
a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of a
crop or forages breaking dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall comply
with the following: The outer perimeter of the land area onto which
waste is applied from a lagoon that is a component of a swine farm
shall be at least 50 feet from any residential property boundary and
any perennial stream or river other than an irrigation ditch or canal.
Animal waste other than swine waste from facilities sited on or after
October 1, 1995, shall not be applied closer than 25 feet to surface
water. This distance may be reduced for waters that are not perennial
provided adequate vegetative filter strips are present (See Standard
393-Filter Strips).
12. Animal waste shall not be applied closer than 100 feet from
wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings
other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and
public right-of-ways.
15. Animal waste shall not be discharged into surface waters, drainageways
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland provided it has been approved
as a land applications site by a "technical specialist". Animal waste
applied on grassed waterways shall be at agronomic rates and in a
manner that causes no runoff or drift from the site.
16. Domestic and industrial waste from washdown facilities, showers,
toilets, sinks, etc., shall not be discharged into the animal waste
management system.
17. A protective cover of appropriate vegetation will be established on
all disturbed areas (lagoon embankments, berms, pipe runs, etc.l_ Areas
shall be fenced, as necessary, to protect the vegetation. Vegetation
such as trees, shrubs, and other woody species, etc. are limited to
areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Lagoon berms and structures should be inspected
regularly for evidence of erosion, leakage, or discharge.
18. it animal production at the facility is to be or terminated,
the owner is responsible for obtaining and implementing a "closure
plan" which will eliminate the possibility of an illegal discharge,
pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should be
inspected on a regular basis to prevent breakdowns, leaks, and spills,
A regular maintenance checklist should be kept on site.

20. Animal waste can be used in a rotation that includes vegetables and
other crops for direct human consumption. However, if animal waste is
used on crops for direct human consumption it should only be applied
preplant with no further applications of animal waste during the crop
season.
21. Highly visible permanent markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of all
waste treatment lagoons. Pumping shall be managed to maintain the
liquid level between the markers. A marker will be required to mark
the maximum storage volume for waste storage ponds.
22. Soil tests shall be made every two years and a liquid waste analysis
be taken at least twice each year consistent with waste utilization
plan. Poultry litter shall be tested prior to application. Soil
and waste analysis records shall be kept for five years.
23. Dead animals will be disposed of in a manner that meets NC regulations.

WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: DMJ Farms. LLC; Fac. No.: 66-55
Owner / Manager Agreement
I (we) understand and will follow and implement the specifications and the operation and
maintenance procedures established in the approved animal waste utilization plan for the
farm named above. I (we) know that any expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a new
certification to be submitted to the Division of Environment Management (DEM) before
the new animals are stocked. I (we) also understand that there must be no discharge of
animal waste from this system to surface waters of the state from a storm event less
severe than the 25-year, 24-hour storm. The approved plan will be filed on -site at the
farm office and at the office of the local Soil and Water Conservation District and will be
available for review by DEM upon request.
Name of Facility Owner: DMJ FARMS, LLC
(Please print)
g -91713-
Signature: ///Iy 7 Date:
Name of Manager (If different from owner):
Signature:
Date:
3 -/ ACV$
Name of Technical Specialist: (Please print) M. Kevin Weston
[e-mail]
Affiliation: Murphy -Brown, LLC_
Address (Agency): PO Boa 856
Warsaw. NC 28398
[phone], [phone] Fax
Signature: � .P,lc�r..- ,-� Date:

Feb J 2000, 10:05PM NCDA&CS - Agronomic Div. 9197332837
04/08/2008 23:23 4346584186 MILES
)D
Owe 11 .
page 1
PAGE B1
733
I
i
y
I
I "
5 .015N -ed -e ;
I f
i
E

Feb q8 2000 10;05PM NMAKS - Agronomic Div. 9197332837 page 2
34/08/2008 .23:23 4346584186 MILES
n PAGE 02
PLAN OF CTION (POA) FOR HIGH FREEBOARDAT ANIMAL FACILITIES
THIRTY (30) DAY DRAW DOWN P RIOD
i. TOTAL PAN TO BE
D APPLIED PER WASTE STRUCTME
1. Structure Na
eAdentifier (ID):
2. Current liqu
volume in 25 yr.124 hr, storm storage & structural
freeboard
a, curr
liquid level according to marker
inches
b. desig
25 yr.124 hr. storm 8 structural freeboard�9
inches
c. line b
line a (inches in red zone) n
inches
d. top of
ike surface area according to despn
I
� i g � fe
(area
t below structural freeboard elevation)
e. ,fig
line d x 7.48 g ns =
gallons
b
3. Projected
of waste liquid produced during draw
own period
f, tempo
r
ry storage period according to structural c
esign o days
g. volurn
o of waste produced according to structura
design VA 8A, if 'P 110eV
h. actual
waste produced Guffent hard # x 160
g tt3
certified herd #
1. volum
of wash water according to structural desi
n fe
j. exces
rainfall over evaporation according to desi�n
/ fta
k. (lines
+ 1 +i) x 7,48 x 30 days =
f si77. 310 gallons
line f
4. Total PAN
be land applied during draw down period
I. curren
waste analysis dated
Ibl1000 ga
,
M. li
+ k x line 1 = f
��/ lb PAN
1
0
i
f
REPEAT. SECTION 1 R EACH WASTE STRUCTURE ON SIT
Il. TOTAL POUNDS F PAN STORED WITHIN STRUCTURAL REEeOARD AND�OR 26
HR. STORM STDELEVATIONS IN ALL WASTE STRUC RES FOR FACILITY
PoA (30 Day) s 110 1 j
i

Feb P8 2000 10:05PM NMAKS - Agronomic Dv, 9197332837
94/08/2998 23:23 4346584186 MILES
page 3
PAGE 03
1. structure ID: IDA7;� - BOW d
2. structure ID:
3, structure ID:
4. structure ID:
5. structure ID:
6, structure ID:
n. line l +24,.
+4+6+6 =
NI. TOTAL PAN E RE§MMNt3 FOR AVAILABLE CROPS
PERIOD. DO NOT LIELDS,TO WHICH PAN CAN NOT BE APPU
line m = 192,&l lb P
line m =
lb P
line m=
lbP
line rn =
lb P
line m =
lb P
line rn =
lb P
I q
lb PAN
(RING 30 DAYDRAW D4IIMIN.
ES DURING THIS
30 DAY PER
'OR
:� _
TOTAL PAN
SALANCe
FIELD
'
�..
MR UPOW
Mil_
(
i�r�AMM
MEME
�M
MM1=00MMIMMIMMMIMMIMM
_
-M
MMIMMIMM
1819te current crop am
crops during 30 day dr
v. Taftl PAN
IV. FACILITY'S PoA
PoA 130 Day) V21410
application rule or next crop application Degitining pate for aysliacle receiving
down period
tileble for s6 fields (sum of column tj � Ib. PAN
IERALL PAN BALANCE
7

page 4
Feb Q8 2000 10:05PM NCDA&C S - Agronomic Div. 9197332837
84/08/2008 23:23 _ 4346504186 MILES
w. Total PAN 14be land applied (line n from section 11)
X. Crop's real ring PAN balance (fin* v from section 1
y. Overall PAN lame (w - x) a
Lino y mwt show ss dlMicit. ff Ilns y does not show as a d
including pump and ul, depopuW ion, herd reduction, etc.
reduction options, kuiaia new PAN based on now inforn
Included as an optio for lowering lagoon level, odd these fit
recalculate the overa PAN balance. If animal waste Is to be
facility provide Info tlon regarding the herd population an
receiving facility.
NARRATIVE:
Doy5 D t*11e.04, LVI/I
4 Orel
n� - 4; S ,
PGA 130 DAY) W21M 3
PAGE ' 04
�1 lb. PAN
/ lb. PAN
/6 lb: P N
kit, list course of action hall t
or pump & haul and herd
Lion. N now f Ids are to be
to to the PAN balance table t
d
ouled to another pormhftd
lagoon freeboard levels at 111�
ca yi wPI klf

08/23/2908 19:59 4346584186
MILES
pc)fi R5 d �i w95"� 4 OmTa - G�
—7h��,e5
PAGE 01
- qlq 71s9

08/23/2008 19:59 4346584186 MILES PAGE 62
t
1. TOTAL PAN
1
E
3. P
4. Total PA
REPEAT SEC
(Click on the
POA (30 Day) 2/21100
i
LAN OF ACTION (POA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
30 DAY DRAW DOWN PERI D
BE LAND APPLIED PER WASTE STRUCTURE
e Name/ldentifier (ID): - �
s pie
liquid volume in 25 yr./24 hr, storm storage & struct iral freeboard
0. current liquid level according to marker
Rinches
b. designed 25 yr./24 hr. storm & structural fre card
Inches
c. line b - line a (inches in red zone) _
I
_inches
d. top of dike surface area according to design
(area at below structural freeboard elevation)
ftz
I
e. line c/12 x line d x 7.48 gallonsW 1
I
M gallons
id volume of waste liquid produced during draw dow� period
k
f, temporary storage period according to structural design
Ili
days
I g, volume of waste produced according to struct0ural design
Ift3
h. current herd # L�sZJ certified herd ©
actual waste produced = current herd # I line g ;
',�`�77� to
certified herd
1
i. volume of wash water according to structural Oesign
I .Jft3
j. excess rainfall over evaporation according to design
) L / fN
k, (lines h + i + j) x 7.48 x 30 days/line f=
gallons
iN to be land applied during draw down perlod
I. current waste analysis dated
Ilbs/1000
m. ((lines e + k)11000) x line l w
0 lbs. PAN
i I FOR EACH WASTE STRUCTURE ON SITE.
Structure tab shown below)

08/23/2008 19:59 4346584186 MILES PAGE 03
1. TOTAL PAN
1
2.
3.
4. Total Pi
REPEAT SEC
(Click on the
PoA (30 Day) 2121100
i
7
kN OF ACTION (PoA) FOR HIGH FREEBOARD kT ANIMAL FACILIITIES
30 DAY DRAW DOWN PERT
;E LAND APPLIED PER WASTE STRUCTURE
Namelldentifier (0): &on
quid volume in 25 yr.124 hr. storm storage $ struct ral freeboard
a. current liquid level according to marker I 7n inches
f
b. designed 25 yr.124 hr. storm & structural freeboard inches
c. line b - line a (inches in red zone) _ -.3 inches
d. top of dike surface area according to design I
(area at below structural freeboard elevation)
e. line c/12 x line d x 7.48 gallons/ft3
i
volume of waste liquid produced during draw down period
f. temporary storage period according to structural design
g. volume of waste produced according to struc�ral design
h. current herd # certified herd
actual waste produced = current hem $ line g =
certified herd
i. volume of wash water according to structural design
i
j. excess rainfall over evaporation according to {design
k. (lines h + i + j) x 7.48 x 30 days/line f=
to be land applied during draw down period
I. current waste analysis dated
m. ((lines e + k)M000) x line I
I FOR EACH WASTE STRUCTURE ON SITE.
Structure tab shown below)
gallons
�AGloL�/l! n
days piewy �I
0ft' 1,1pv17
ft'
gallons
"JWM-
0 lbs.
gal.

08/23/2008 19:59 4346584186 MILES PAGE 64
11. TOTAL POUN S OF PAN STORED WITHIN STRUCTURAL
HR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUC'
1.
Struct we ID:
op? j-) -
2,
Structi ire ID:
Ami-
3.
Stru re ID:
4.
Struct re ID:
5.
Shict re ID:
B.
Stru re ID:
n. lines 1 +2+3+4++5+5=
Ill. TOTAL PAN REMAINING FOR AVAILABLE CROPS
PERIOD. DO NOJkLAMCE
LIST FIELDS TO WHICH PAN CANNOT BE APi
:BOARD ANDIOR 2S YR.124
S FOR FACILITY
line m =
� 3'3r y � Ib PAN
line m =
S Ib PAN
line rn =
lb PAN
line m =
lb PAN
line m =
lb PAN
line m =
lb PAN
2OY Ib PAN
40 30 DAY DRAW DOWN
DURING THIS 30 DAY PERIOE
1 M,1146
F"',
oi�■■■�r
r=�•a•�rr.�
.
Kfff ■
,c.�.��w
'State current cro ending application date or next crop application be inning Cate tar avaiiaDie
receiving crops d 'ng 30 day draw down period. II
v. T tall PAN available for all fields (sum of column t� +D lb. PAN
IV. FACILITY'S P A OVERALL PAN BALANCE j
PoA (30 Day) 2/21/00
i
i

08/23/2008 19:59 4346584186 MILES PAGE 05
� Ib. PAN
AN to be land applied 01111119 ne m section n)ili lb. PAN
remaining PAN balance ( b. PAN
PAN balance (vr - x) o '
ere
Line y must shownFdeficit.ef
� not haul and deficit, list
ction apt ons, urse-0 action r�ecalcuate�new PANS
haul, depopulation as an
based on new info It decacfields uate the oveto be draldl PAN ba atnf animal wlas�teQs tovbe h tiled to
fleids to the PAN u tion and lagoon freeboard levels at 1
another permutedinformation regarding the herd IMP
receiving facility,
n eks b
LBW *1 5(eytj s.
h,o_q,d i 0 �j LveA-kw
r i2A y5 a
&CI 2,01 (and I' o>>
PoA (30 Day) 2121/00

2T _ 1
Type of Visit: J0 Co ance Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other c 0 Denied Access
Date of Visit: �Arrival Time: 0 Departure Time: [� County: Region:
r
Farm Name: 4� ►'rl J ), Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: __ M A V V` I e-5
Certified Operator:
Back-up Operator:
Title: Phone:
Integrator:
Certification Number:
Certification Number:
Location of Farm: Latitude: Longitude:
lam{
Design
Current
91�1161 IN iiil�l�a l�ililll'
Design Current
t r, t � }' ,1,
rElt &W 1NtIf f ilwlw
Design Current
Swine
Capacity
Pap.
Wet Poultary
Capacity Pap
Cattle
-a ity
Mr.
vsrr
Ir sni �
rtit
nllrr r rt�trinrarlr
1Amy 14 u su�s,l gill wul4
NNIX UM 3
l4�i d41iiHAN
�
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Nan -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
D . I'oult .
Ca sce' o P.
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
F-To—ther
I
10ther
uwimmMn.lHlMfltawervtH8
urstF4MwuuuM+wM�4M.WBlhh%inluNPS!ien
l�a�wY4.wwlwAR1N15nimwenw&wiwM.u.�T�s.wiai
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
[] Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a: -'Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWR)
❑ Yes
rNo ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ YesrNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes❑
NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility, Number: 6 - Date of Inspection:
Waste Collection & Treatment
Cj, e w4 S i f /1 y i 7
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
0 Yes
❑ No ❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
*e
❑ No ❑ NA
❑ NE
Structure II Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: k%rd T
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in); 13
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
I N ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta
rest, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
o ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
No ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑ Yes
No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
No ❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application
Outside of Approved
Area
12. Crop Type(s): P S C4,Z
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ YesX;XT❑
NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
o ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
o ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No ❑ NA
❑ NE
Re aired Records & Documents
19. Did the facility fail to have the Certificate of Coverage &Permit readily available?
❑Yes
o ❑ NA
gNo
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists [:]Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfer ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield El120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes E6 No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: - Date of Inspection: 3 —,Z rf
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ YesVNo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes gNo NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA 0 NE
❑Yes ❑No ❑NA ONE
❑ Yes 0 No
❑ Yes ❑ No
❑ Yes ❑ No
f o A j- o 1- 6a`� P f%ro " 4 t .7 cti l3 /d n c- �L h I e f
�f (An be ?efAA F+zrvec�
C
�/b►rri�r�-�`bhS-7
AD
p
P
Neu lvMJ4e Dke
s 4-0
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Phone: "7� 1r W Z_6e
Date:
21412015

- 2, l -
Type of Visit: AD Coroutine
nee Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: Q Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: r Arrival Time: Departure Time: County:
Farm Name: `]� Owner Email:
—o
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: M A 4 h'1 I f L•S
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region:
Design C►urrent
Desi
U
11111yesign Current
Swine
Capacity Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
Layer
Dair Cow
Wean to Feeder
Non -La er
I
lf
Feeder to Finish
'''
Dai Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dr. P.oultr,
Ca acity
P,o
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
on -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
OtherITurkeZ
Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes /No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes o ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesV
❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

acilit Number: - Date of Inspection: —
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑ NA
6No
❑ NE
a. if yes, is waste level into the structural freeboard?
❑ Yes
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure
5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta hreat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes [:],NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit'? ❑ Yes No NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement`?
11. Is there evidence of incorrect land application'? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): �✓ 42
13. Soil Type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes VNo
❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement`? El Yes❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ;;/o ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes gN ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available'? ❑ Yes o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No DNA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis [:]Soil Analysis ❑ Waste Transfe Weather Code
❑ Rainfall ❑ Stocking [:]Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

s
Facili Number: , - Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
N ❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check
[—]Yes
No ❑ NA
❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑YesVN
NA
❑ NE
Other issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No [DNA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
[:]Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #):; Explain any YES answers and/or any additional recommendations or any other,comments.;
Use drawings of facility to better Jexplain situations (use additional pages as necessary).
I2-/)t
P� 1b
Reviewer/inspector Name:
Reviewer/inspector Signature: (,r _ � .e
Page 3 of 3
Phone: 7I (-
Date: .3 — 1v
21412015

t _
3 ... Z5 -.
Type of Visit: Qf Com nce inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up C) Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time; County:
Farm Name: D -- I S -j— Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: /1l of- &I i i{ � f integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current Design Current
Swine Capacity Pop. Wet PoU Capacity Pop. Cattle
Wean to Finish Layer Dairy Cow
Design Current
Capacity Pop.
Wean to Feeder
I
INon-Layer
Ell Dairy Calf
Feeder to Finish
Farrow to Wean
Dai Heifer
Design Current D Cow
Farrow to Feeder
Farrow to Finish
t
Dr, Roultr� Ca aciP,o Non -Dairy
Layers Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other
Turkeys
Turkey Poults
Other
Discharges and Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes �No[3 NA ❑ NE
❑ Yes ,❑ N ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes rNo[o]
NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesNA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ YesNA ❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Facilit 'Number: fV I Date of Inspection: 3--
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes allo Q NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes �No❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): (/
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes OrNo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t .eat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑Yes o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [:]Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA [3 NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): ro j-C4_Q
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ej ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes N ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable E] Yes�No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ZNo
NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ YesNA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Y c s Lallo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ]udge Survey
22. Did the facility fail to install and maintain a rain gauge? [:]Yes o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412014 Continued

Facili Number: jDate of Inspection: r
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑YesgNo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes gNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No [3 NA [3 NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations.or: any other comments..
Use drawings of facility to better explain situations (use additional pages as necessary
511,Jr-S'u•vel 6-(6--1f
0 z- .G1
F% s`(2--
C'nj 61 r'41 o n/ -fir z S- ( 9
Reviewer/Inspector Name:
Phone: 7�/ L12_d G
Reviewer/Inspector Signature: 1, S 491'2 e— / Date: -4-17
Page 3 of 3 21412014

(Type of Visit: OrCo nce Inspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit: eRoutine 0 Complaint 0 Follow-up O Referral 0 Emergency O Other O Denied Access
Date of Visit: _ —�J Arrival Time: /A_�_O_j Departure Time: 8 County: Region:
Farm Name: �� j1� "� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title: Phone:
OnsiteRepresentative:integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
Design Current
Design Currglum
ent
Design Current
$wine
Capacity Pop.
Wet Poultry :Capacity Pop.
Cattle Capacity Pop.
Wean to Finish
La er
Dai Cow
Dai Calf
Wean to Feeder
Layer
Feeder to Finish
Dai Heifer
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
aci IL P.
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ YesV�'❑
NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
[] NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation? 1❑
Yes9/0
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ YesgNo NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): G '2 ((
"nnt
5. Are there any immediate threats to the integrity
itegrity of any of the structures observed?
❑ Yes
No NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No. ❑.NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental th eat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
' No ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
No ❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes �No❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):f�
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �No❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
rNo❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes YNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes dl(0010 NA ❑ NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - ��` Date of Inspection: —
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �No
[DNA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes o NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes ❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
[DNA ❑ NE
Comments (refer to.question ##): Explain. any YES answers and/or any additional recommendations or any other comments.'
Use.drawngs of facility to better explain situations (use additional pages as necessary).
,5 / 14 J5,e Sk rVQ--
f �- i
P� / a , i. 7,?
P ';� 1 -g6
Reviewer/Inspector Name:
Reviewer/Inspector Signature
Page 3 of 3
t';4 c,/G !fi v
L3 Lj l0w I I
Phone: 7� �� V z-o[j
Date: — Z / -IT
21412011

`Type of Visit: .11 Co lance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit: j0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 2- �rl Arrival Time: Departure Time: � County:
i
Farm Name: I, S� ) �� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: ^ i � it i � e., Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Swine
Wean to Finish
Design Current Design Current
Capacity Pop. Wet Poultry C►►specify Pop.
Layer
Design Current
Cattle Capacity Pop.
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
Des Farrow to Wean ign Crren ut
Farrow to Feeder D P.oulta Ca acit P.o
Farrow to Finish Layers
Gilts Non -La ers
Boars Pullets
Turkeys
Other TurkeyPou Its
Other Other
Dai Heifer
D Cow
Non-Dalry
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharses and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes 0 /No ❑ NA ❑ NE
❑ Yes o [DNA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes o
❑ Yes INo
❑ Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412011 Continued

Facie Number; - Date of Inspection: L
Waste Collection & Treatment
<No❑
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
21 NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
VNo ❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): y r�
5. Are there any immediate threats to the integrity of any of the structures observed?
[:)Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes PN ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): _ L e S
13, Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes o ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records &_Documents
19, Did the facility fail to have the Certificate of Coverage & Permit readily available? [:]Yes jN0q
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps [:]Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Trans2o[:]
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall InspectionsSludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Factlit Number: ., - Date of Inspection:77Z
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes P NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [] Yes o ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
Comments (refer to question #): Explain any YES answers and/or any additionalrecommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary)
w- S"iA v !3 1� r! C- D 3
7-(' - -z--jI Z__
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: l._ �� �!%( I Date: �1 2 5 �r•3
Page 3 of 3 21412011

(2t 2'2/(Z 1
(Type of Visit: &VRPoutine
;fance inspection Q Operation Review Q Structure Evaluation Q Technical Assistance
sit:Reason for ViQ Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: County:
Farm Name Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: g �i ; �� Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Region:
Design
Current Design Current
Design Current
Swine Capacity
Pop. Wet Poultry C Pacify Pop.
Cattle Capacity Pop.
Wean to Finish
La er
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Dai Heifer
Feeder to Finish
Farrow to Wean
Design Current
D Cow
Farrow to Feeder
Dr. Poutt , Ca .aci P,o
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Beef Feeder
Gilts
Non -La ers
Boars
Pullets
Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharses and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ��o ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) [:]Yes N ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes yNo ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
2
21412011 Continued

Facilit Numbet•: CV&- Date of Inspection: 71 1 Z--
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 0<0 NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes Eo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): %
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes P3 No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes o ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
'
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes
No NA
❑ NE
maintenance or improvement?
:No
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
[—]Yes
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved
Area
12, Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
hio NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
o ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[3 Yes
N [] NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box.
❑ W UP ❑ Checklists []Design [:]Maps ❑ Lease Agreements []Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections 'ZffSlud a Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

lFacility Number: jDate of inspection: /
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey [] Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes N NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? if yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes []No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the ReviewerlInspector fail to discuss review/inspection with an on -site representative? ❑ Yes []No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑.NA ❑ NE
Comments (refer toquestion ##):. Explain any YES answers and/or any additionalrecommendations or. any other comments,�°�_�
Use drawings of facility to better explain situations (use additional pages as necessary). ?'
i
g�y ,z.
2- i
p� z-tl-3
r� `�.- t 13
& a
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 .. 21412011

Type of Visit .f Compl' ce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visi Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other [3 Denied Access
Date of Visit: Ll�I' f Arrival Time: ® Departure Time: County: Region:
Farm Name: �� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Phone:
Integrator:
Phone No:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location or Farm:
Back-up Certification Number:
Latitude: =] o [--] ' E-1 Longitude: 0 ° = i = «
Design Current
SIS19MIC-Ur1rent
Design Current
Swine C►apacity Pnpulation
Wet Poultry Capacity Population Cattle
Capacity Population
❑ Wean to Finish
❑ Layer
I
I
❑ Daia Cow
❑ Wean to Feeder
I IE] Non -Layer
I
I
❑ Dairy Calf
❑ Feeder to Finish
I
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Da Cow
❑ Farrow to Feeder
Non-Daity
❑ Farrow to Finish
❑ La ers
❑ Beef Stacker
❑ Gilts
❑ Non -Layers
❑Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Turkey Pouets
ther
Number of Structures:
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes N ❑ NA ❑ NE
El Yes:No JZ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
NA ❑ NE
NA ❑ NE
NA ❑ NE
12128104 Continued

Facility Number:
Date of Inspection X��W
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): /
Observed Freeboard (in): tP O r t s
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
Yes ❑ No A ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
ElYes ONo _NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El Yes No El NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNIE] NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphors ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) .f �e
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
E} No El NA
El NE
15. Does the receiving crop and/or land application site need improvement?
ElYes
'VEl NA
ElNE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
❑ Yes
VNo❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application`?
❑Yes
�o ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment`?
❑ Yes
No ❑ NA
❑ NE
. k l 31
Comments�j.refer to uestion # Ex lain an YES aimswefs and/or an `recommendattohslor an other�mm coents
IP
sUse drawings oftactlityjo better explain situations. (use atlditioria[ pages as necessary):, � �,^�,r
44
Jk
Reviewer/inspector Name Phone:
Reviewer/Inspector Signature: Date: �/Z_—Z(2-pt 0
12128104 Continued

M
Facility Number: SS Date of Inspection Z ZDIo
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes ZO No NA ❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes o ❑
❑ NE
the appropriate box.
ElWUP ❑Checklists ❑Design ❑Maps ❑Other
21.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes No ❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V
Rain Inspections ❑ ather Code
22.
Did the facility fail to install and maintain a rain gauge?
El Yes No NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes NA
El NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
El YesVNo�n NA
El NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El Yes NA
El NE
26.
Did the facility fail to have an actively certified operator in charge?
El Yes NA
[I NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
AdditlonalrCainments anti/orDrarvlrigs;r,��'.�
12128104
12128104

Type of Visit Co nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visi Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: /��' Arrival Time, Departure Time: � County:
1 Farm Name: J rn Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address: —
Facility Contact:
Onsite Representative:
Title:
Integrator:
Phone No:
r
Certified Operator: &7 ' Operator Certification Number:
Back-up Operator:
Location of Farm:
Buck -up Certification Number:
Region:
Latitude: 1= o =1 Longitude: 0 ° =1
Design311ROUrrent g
gn C•Capacity
Population Wet Poultry city Population Cattle Capacity Population
❑ Wean to Finish
❑ La er
I
❑ Dairy Cow
❑ Wean to Feeder
❑ Non -Layer
❑ DairyCalf
El Feeder to Finish
❑Dair ) leifer
❑ Farrow to Wean
Dry Poultry
❑ Dry Cow
❑ Farrow to Feeder
ElNon-Dairy
❑ Farrow to Finish
❑ Lavers
❑ Beef Stacker
❑ Gilts
❑ Non -Layers
❑ Beef Feeder
❑ Boars
❑ pullets
❑ Beef Brood Cow
❑ Turke s
Other
❑ Turkey Poults
❑ Other
Number of Structures:
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made`?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes ONo ❑ NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes o NA ❑ NE
❑ Yes N�iLJ NA ❑ NE
❑ NA ❑ NE
El NA ❑NE
12128104 Continued

Facility Number — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus stone storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1
Identifier:
Structure 2 Structure 3 Structure 4
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): rl 2
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA ❑ NE
ElYes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes .F 1 o NA ❑ NE
❑ Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes �To NA ElNE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes Zo ❑ NA ❑ NE
maintenance or improvement?
WasteApplication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 7rNo ❑ NA ❑ NE
maintenance/improvement?
11, Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[:]PAN [-IPAN > 10% or ] 0 ]bs ❑ 'Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
.INo NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No NA
ElNE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes
No ❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
f
ElNE
18. Is there a lack of properly operating waste application equipment?
ElYes
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: ��'t✓ Date:
12128104 Continued

Facility Number; (Q — f Date of Inspection
Required Records & Documents
19, Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes o A ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box. ❑ WUp ❑ Checklists ❑ Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ ther Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No NA ❑ NE
23, If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes F[3NA
El NA El NE
26. Did the facility fail to have an actively certified operator in charge? ❑ YesEl NA El NE
27, Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal'?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comnien'tsandlor Draw ings
Page 3 of 3 12128104

it
L
f Visit ZCo lance Inspection 0 Operation Review 0 5tructure Evaluation 0 Technical Assistance
for Visi Routine O Complaint O Follow up Q Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: G. Arrival Time, rtt p Departure Time. County:
Farm Name: I.rJlfly Z.A� c L9�Sl� JV" Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Phone:
Title: Phone No:
++�� 7 Integrator:
Certified Operator:-i4r^r t',•�}L�^ �'t Operator Certification Number:
Back-up Operator:
Back-up Certification Number:
Region:
Location of Farm: Latitude: 0 n = . ❑14 Longitude: = ° = d ❑ 4i
igCurrent :sign
ffQkhn Current
Swine Capacity Prop [anon Wett)PouItry Opacity Popto
CattCapacity Pop lation
❑ Wean to Finish
❑ La er
iry Cow
❑ Wan to Feeder
❑Non -La er
iry Calf
eeder to Finish
Dry Poultry �1
Dairy Heifer
❑ Farrow to Wean
❑ Dry Cow
❑Non- Dairy
❑ Farrow to Feeder
ElFarrow to Finish
❑ LaV ers
❑ Beef Stocker
Gilts
ElNon-Layers
❑ Pullets
El Turkeys
❑ Beef Feeder
PE113oars
❑Beef Broad Cow
Other
❑ Turke Poults
1.
❑ Other
❑ Other
Number of Structures:
Discharges & Stream Impacts
�NoO
1. Is any discharge observed from any part of the operation?
❑ Yes
NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
12 NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
El Yes
VNo NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
N NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No NA
❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
o ❑ NA
❑ NE
other than from a discharge?
12128104 Continued

Facility Number: j�� —SAS
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA El NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes o ❑ NA ❑ NE
❑ Yes 4a 1 o NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No , ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? El Yes No NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [I Yes No El NA El NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ YesN�XNo
❑ NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. []Yes ❑ NA ❑ NE
❑ Excessive Pond ing ❑ Hydraulic Overload ❑ Frozen Ground ❑ heavy Metals (Cu, Zn, etc.)
[:]PAN ❑ PAN > 10% or 10 lbs []Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) f ,2 16-0— l-fV L�"'
13.
Soil type(s)
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
N El NA
El NE
15.
Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
El NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination',[]
YesFNo
❑ NA
El NE
17.
Does the facility lack adequate acreage for land application?
El❑
NA
El NE
18.
Is there a lack of properly operating waste application equipment?
El Yes❑
NA
❑ NE
IReviewee/Inspector Name Phone: I
Reviewer/Inspector Signature _!�/1� �/ Date: /-p/ ? /lLs�
12128104 Continued

r
Facility Number: t � -5s Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Mans El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain inspections ❑ Weather Code
❑ Yes No ❑ NA ❑ NE
ElYes No ❑ NA ❑ NE
22.
Did the facility fail to install and maintain a rain gauge?
El Yes
N'No,
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
No
❑ NA
❑ NE
24.'
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
�
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
El
No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑Yes
No
❑ NA
[I NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
o
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA ❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA ❑ NE
offad:D aivi
Add, „ $ r
y d�t tf: " qp rr F
4.X
`
12128104

Y.-d. :....... 2-.,<<'r' � .1' _E..._ 7. � - t s�� . ��.Y. a�+� c�'=A LEA"'-���[ s.sS• a.'Y.Tilr.i .ta h ._
Type atvisit oCo=outine'
'Inspection O Operation Review O Lagoon Evaluation
Reasonfor Visit O Complaint O Follow up O Emergency Notification O Other
❑ Denied Access
TaciliNumber Date or visit: 2 D Time: © Printed on: 7/2l/200C
ty
Not Operational Q Below Threshold
ermitted p Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: Zf_.....County: _._ .._ _ . �. .. ... ..._.. _
Owner Name: --... //. .... _...._........................................ — _ _...... Phone No: Z7. Z._�Sj _ "6V 1..._.
Facility Contact: ...................Title:............ .. _ .......... _ ...... Phone No: _.....,......... _._.. .......
MailingAddress. -----................................. _..._...... _...._..... .... - �-—....... /... `/- __..........__._ _._ _. -..,
Onsite Representative: ........ . .......... ..............._............................................. .......... ............ Integrator:.
Certified Operator . .4. ........................................................ Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ` 1 Longitude [�• 4 C
Design Current Design Current Design Current
Swine CaRacity Population Poultry Capacity Population Cattle Capacity Population
❑ W to Feeder ❑ Layer ❑ Dairy
seder to Finish 1 ❑ Non -Layer I I I[] Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity I
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons 1 2 ❑ Subsurface Drains Present {] Lag. nn Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
bischarLes & Stream Impacts
1.- Is any discharge observed from any part of the operation? 0 Yes
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. Irdischarge is observed, was the conveyance titan -made'? ❑ Yes
b. If discharge is observed. did it reach Water of the State? (If yes, notify DWQ) ❑yes
c. II' discharge is observed. what is the estimated flow in gal/min?
d. Dees discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes
2. Is there evidence of past discharge from any part of the operation? ❑ Yes
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes /t/
Structure I StruLturc 2 Structures Structure 4 Structure 5 Structure 6
ldcnti ricr: t 1
Fret:hn�r1 (in�hz,i:

a Facility Number: Date of Inspection Z Printed on: 7/2112000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ��
closure plan? El Yes 21N
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancelimprovement? ❑ Yes N
8. Does any part of the waste management system other than waste structures require maintenance/'improvement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes o
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes Q"No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ N�70
15. Does the receiving crop need improvement? ❑ Yes
16. Is there a lack of adequate waste application equipment? ❑ Yes ❑No
Required Records & Documents
/
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
No
1.8.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes..
NN
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
ElYes
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
FNo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
23.
Did ReviewerAnspector fail to discuss review/inspection with on -site representative'?
❑ Yes
N
24.
Does facility require a follow-up visit by same agency?
❑ Yes
o
25.-Were
any additional problems noted which cause noncompliance of the Certified AWMP?
El Yes
No
'No -yiWhti00s'0- dtf cjencies -wore plated. 006f1g �h}s'visjt; - Yo0 will •t4'6o6Ve ii6 fu ft. h. er• ; ;
corres&idence'. about this visit
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
C ,, CQ e_ - " O " ,¢ d l n C ov 9q J V / 6,� can c/ p� , A
Reviewer/Inspector Name
Reviewer/] nspec tor Signature:
Date: _�Z 9/f/_?'`5/00

Facility Number SS
Division of Water.Qualttyr
a..
O Division of Soil and Wate`CC6' servatton
0 Other Agency
Type of Visit l�Com nce Inspection 0 Operation Review Structure Evaluation Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: 3 9 Arrival Time: �Departure Time: County: Region:
Farm Name: _ Wt`ty tiq-n 4 AE�jb/ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: I Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Latitude: [= I = Longitude: [= °
"Design -`,"Current:;
D
vine: ;Capacity Population '
Wet Poultry: Ca
] Wean "to Finish
❑ Layer
] Wean to Feeder
❑ Non -Layer
] Feeder to Finish
] Farrow to Wean
Dry Poultry
] Farrow to Feeder
_. ..
-• �.
LJ Gilts
❑ Boars
i� :Current
ty,. Populatio
' Design Curl
nCattle
El
Popul
�` DairyCow
,- ElDai Calf
El Dairy Heifer
❑N D
w on- ai
r:
❑ ry
Beef Stocker
f❑ Beef Feeder
❑ Beef Brood Cow
I=
" Number of Structures .
-- � — - -_ _ ... -
La ers
❑
ElNon-Layers
El Pullets
ElTurkeys
❑ Turke Poults
ElF 1.
Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes j2rNo ❑ NA ❑ NE
❑ Yes o NA ❑ NE
El Yes No ❑ NA ❑ NE
ElYes No �[] NE
El Yes o NA El NE
❑ Yes o El NA ❑ NE
12128104 Continued
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes j2rNo ❑ NA ❑ NE
❑ Yes o NA ❑ NE
El Yes No ❑ NA ❑ NE
ElYes No �[] NE
El Yes o NA El NE
❑ Yes o El NA ❑ NE
12128104 Continued

Facility Number:
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Lam!
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes "NoNA ❑ NE
❑ Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes o ❑ NA ❑ NE
❑ Yes �00 NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes o NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No - NA ❑ NE
maintenance/improvement?11. Is there evidence of incorrect application? If yes, check the appropriate box below. ElYes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) 4�_p r6r"g
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ENo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No ❑ NA
El NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ?
El
NA
❑ NE
17. Does the facility lack adequate acreage for land application?
EliNo.
No NA
El
18. Is there a lack of properly operating waste application equipment?
El Yes
❑ NA
❑ NE
Comments (refer to question ##): Explain any YES answers and/or any recommendations or any other; comments ;;,
Use drawings of facility to better explain situations. (use additional pages' as' necessary):`-' ,
/7t,7S ..S a n � r .i IS fi0_ F4 �✓? �y/S � m Q rc,4 40lp , j -a esr—P
{L-f)
13 L(
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: �. S �`di-rGL Date: ( j
Page 2 of 3 12128104 Continued

Facility Number: k— Date of Inspection 13 17
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
o NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No ❑ NA
❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does rec -keeping need improvement? If yes, check the appropriate box below.
es ❑ No ❑ NA
❑ NE
aste Application ❑ Weekly Freeboard ❑ W ste Analysis [I Soil Analysis El Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield 20 Minute Inspections ❑ Monthly and I"
ther Code
Rain Inspections �NoO
22. Did the facility fail to install and maintain a rain gauge?
El Yes
NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
ElYes
DIw❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No NE
25. Did the facilityfail to conduct a sludge survey as required b the permit?
g Y q Y P
❑ Yes
❑ No �AEI
NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
,�,
(_ <o !J NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
�o ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings:
Page 3 of 3 12128104
Page 3 of 3 12128104

QF Division of Water Quality
Facility Number �� �j� O Division of Soil and Water Conservation
_..... _ .. Q Other Agency.
YtlYY III IIYIIIIIIIIII
Type of Visit t�Com ' nce Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Vii's`itt Routine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: _""�`1 /-01- %�1 �' _ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: 4 �'+� _ �� Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Latitude: 0 0 = I = 11 Longitude: = o = 1 0 11
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -La eY
Dry Poultry
❑ La ers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ TurkeyPoults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made'?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cowl
Number of Structures: ='
b. Did the discharge reach waters of the State`? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system'? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ NA El NE
❑ Yes gNo , ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
INA El NE
NA ❑ NE
INA ❑NE
12128104 Continued

Facilit� Number: S
Date of inspection `I I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): "-el
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes No NA El NE
El Yes o ❑ NA El NE
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmentENo
at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ YesEl NA ❑ NE
8. Do any of the stuclures lack adequate markers as required by the permit? El Yes
NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require El Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No NA ❑ NE
maintenance/improvement?
It. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or l0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) ,s'64--e
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ NA El NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[] Yes FNo
❑ NA [I NE
17. Does the facility lack adequate acreage for land application? El NA El NE
18. Is there a lack of properly operating waste application equipment? El Yes NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
4,4� sti II1..,s S/w �J­_ 3, (3 k, -eels' �1 � P�
AL
IV
Reviewer/Inspector Name Phone: 74�
Reviewer/inspector Signature: Date:
I2128104 Continued

Facility Number: — f Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ONo C 'NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes o �NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ eather Code
22. Did the facility fail to install and maintain a rain gauge? El No 0 NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss reviewhrispection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
al Comments and/or Drawings:
❑ YesPoEl
A ❑ NE
❑ YesA ❑ NE
❑ YesA ❑ NE
❑ YesA ❑ NE
❑ Yes ❑ No [DNA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
12128104

i_�_-"
=fiqcilityN'pml}er sS
Division of Water Qualit y
0 Division of Soil and Water Conservation
O Other Agency
L
Visit Qrcoin nce Inspection 0 Operation RaieW 0 Structure Ewalualion 0 Tec:hnical Assistance
for Visit Routine 0 Complaint 0 Follovo up 0 Referral 0 Emergent-i 0 Other ❑ Denied Access
Date of Visit: 1 Arrival
Time: j Departure Time: County: Region:
Farm Name: ) %✓1 s 4 Z--- Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title:
Phone:
Integrator:
Phone No:
Certified Operator: 41 Al h iM a _ I f Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Back-up Certification Number:
Latitude: = 0 0 ❑ Longitude: = ° =
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
❑ Non -La et I F�A
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifej
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (if yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes o ❑ NA ❑ NE
❑ Yes A�oEq
NA El NE
El Yes A ❑ NE
❑ Yes rNN
A El NE
El YesA ❑ NE
ElYesA ❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment /
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ..NA ❑ NE
a. If es, is waste level into the structural freeboard'? Yes ���001 NA NE
Y ❑❑
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o ❑ A ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed El Yes:N�o ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat tify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes No ❑ A El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area.
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
❑ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application'?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
A.
Reviewer/Inspector Name Z-47 Phone: r �
Reviewer/Inspector Signature: Date: L d
12128104 Continued

I
Facility Number: - & — 'S Date of Inspection U�
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes;N>o ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspectio;No
❑ W ther Code
22. Did the facility fail to install and maintain a rain gauge? El Yes El A ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes o NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No NA
❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
ErNo ❑ NA
❑ NE
26. Did the facility fail to have an actively certified operator in charge?
❑ Yes
A
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
o ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (icl discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

of Visit O Q6mpli fce Inspection Q Operation Review Q Lagoon Evaluation
Reason for Visit _pAoutine O Complaint O Follow up O Emergency Notification O Other 1 ❑ Denied Access
Facility Number Date of Visit: D Time:
O Not Operational O Below Threshold
ernvtted 13 Certified [3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .........................
FarmName: ... .......�.�`,..5.��... .............. ........................... County:.....................................................................................
OwnerName: ................................................... ........................................................................ Phone No:................................................................................. _» .
FacilityContact: ............................................................................... Title:................................................................ Phone No:...................................................
MailingAddress: ................................................................................................................................................. ..........................
Onsite Representative: ........................................................................................................... integrator:... C1 ..Q.r` :.........
Certified Operator: �✓�!'. �+ .... Operator Certification Number:......,,,,,,.
�...... ....... 7.........................................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • ' 66 Longitude • 4 64
Discharees & Stream Im acts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes J.d o
❑ Yes o
❑ Yes Lino
❑ Yes
2. Is there evidence of past discharge from any part of the operation? ❑ Yes Q No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes o
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structu c I Structure 7f Structure 3 Structure 4 Structure 5 Structure 6
Identifier: !i.........................................................................................................
Freeboard (inches):
5/00
Continued on Lack

Facility Number: — j Date of Inspection ® Printed on: 10/26/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes U<O
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13. Do the receiving crops differ(vith those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination? '
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment'?
Required Records & Documenk
17. Fail to have Certificate of Coverage & General Permit readily available?
18, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19, Does record keeping need improvement'? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Igspector fail to discuss review/inspection with on -site representative?
24. Does facX require a follow-up visit by same agency?
25. WeXany additional problems noted which cause noncompliance of the Certified AWMP?
yiglatignjs'or- &Ci, elenries Ore noted• dieting �his'visit; - Y60 will •tj OOiye fjo fufthor • • , -
eorrespondence. about" this .visit. • . • . • • • • .
❑ Yes 131O
❑ Yes • No
❑ Yes o
❑ Yes 1d�O
❑ Yes o
❑ Yes
❑ Yes J`' "0
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
El Yes o
❑ Yes No
❑ Yes Er&<0
❑ Yes Ego
❑ Yes
❑ Yes Ja:
❑ Yes No
❑ Yes o
❑ Yes
❑ Yes No
Comments {refer to, question #} Explain any YES answers and/or any recommendationsnor any other comments
g .
Use drawings;of facility.to better explain -situations. (use additionalpages as.necessary)
ALI
tJ
Reviewer/Inspector Name ,/-
Reviewer/Inspector Signature: / Date: % `0 Z 5100

Facility Nhmber: Date of Inspection � Printed on: 10/26/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes o
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes:>NoZ
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes N
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes o
32. Do the Mush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
I Additional Uomments anu/or'Urawings:
5100

ivision of Water Quality Z�
0 Division of Soil and: Water Conservation
i �•3
0 Other Agency
Type of Visit O��i�anceection O Operation Review Q Lagoon Evaluation
Reason for Visittine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
L - ::1 Facility Number
Date of Visit: Time: ® Printed on: 7/21/2000
Q Not Operational 0 Below Threshold
0 Permitted ertified [3 Conditionally Certified © Registered Date Last Operated or Above Threshold: .........................
Farm Name: ..... y.L'-.......F.!..`?.......................................................... n outv: ....................................................................................
C
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
Facility Contact: ................................... .. •Title Phone No
MailingAddress:........................................................................... .. ............................................................................................................................ ..........................
.
Onsite Representative: ................................................................................... lntegratort��
. � // S
................... * .... ....................................................
Certified Operator: !r!O orator Certification Number.
P�.................................................... p.........................................
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 4 "
w
Longitude
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ We Feeder JE1 Layer ❑ Dairy
ceder to Finish ❑ Non -Layer IM Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lags+Om Area ❑ Spray Field Area
Holding Ponds 1 Solid Traps JE1 No Liquid Waste Management System
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation'!
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made''
b. If discharge is ohscrved, did it reach Water of the State? (If yes, notify DWQ)
c. if discharge is observed. what is the es1i1natcd flow in galhnin?
d. Does discharge Bypass a lagoon system'? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & 'Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate'?
Structure I StruL//lure 2 Structure 3
Identifier: ...... 3. a...+.................................................................
❑ Yes No
❑ Yes No
❑ Yes
❑ Yes ZNo
❑ Yes Q N/
El Yes ld-o
❑ Spillway ❑ Yes Z
Structure 4 Structure 5 Struct
Freeboard (inches):
5100 Continued on back

)Facility Number: j� --, J� Date of Inspection 3r7 Printed on: 7/21/2000
5. Are there any immediate threats to the integrity of any of the structures observed'? (iel trees, severe erosion,
seepage, etc.)
6. Arc there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan!
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop types ,
13. Do the receiving crops differ widthose designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination'?
15. Does the receiving crop need improvement'?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available'?
(ic/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement'? (ic/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge'?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
24. Does facility r quire a follow-up visit by same agency?
25. Were problems noted which cause noncompliance of the Certified AWMP?
P''&Mola4igtis:or• dtfeWn' " S' mere poled.dii-Afiii �this:visit.- Ybu Will-reeeiye fio' further. -
:: corresAonde' ce: about: this visit. : '
Comments (refer to question#): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
❑ Yes No
Cl Yes No
❑ Yes ONo
❑ Yes
'� o
❑ Yes
o
ElYes
o
❑ Yes
No
❑ Yes No
❑ Yes ono
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes No
❑ Yes ;No
ElYes EJ N
❑ Yes
❑ Yes No
❑ Yes No'
❑ Yes
❑ Yes lYo
❑ Yes _�o
AL
Reviewer/Inspector Name
Reviewer/Inspector Signature:
M
Date:
5100

IType of Visit 'CompiL4DKlnspection O Operation Review O Lagoon Evaluation
Reason for Visit-CfRoutine O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
Fac ' y Number Date of Visit: `+�-' Time:
Not Operational O Below Threshold
ermitted [3 Certified [3 ConditionallyCertified[3 Registered Date Last Operated or Above Threshold: ............
FarmName: .L�`'{ � k . !:.....1?..�i'.7 . �............................................ County:......................................................................
Owner Name: --------------------------------- ----------------------------- Phone No -
---------------------------------------- --
Mailing
Mailing Address:
FacilityContact: .............................................................................. Title:................................................................ Phone No:......................
Onsite Representative:........................................................................................................... Integrator:....................................................
Certified Operator : ................................................... ............................................................. Operator Certification Number:.............
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 4 " Longitude �• �4 «
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes
❑ Yes flNo
❑ Yes
❑ Yes eNo
❑ Yes
Yes No ,0'N
❑
❑ Yes ❑ No
Structure 6
Identifier:
Freeboard (inches):
12112103
='tit f
Continued

Facility Number. -- j �' Date of Inspection 7 O
S. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes
2_14
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
❑ Yes
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
[]Yes
No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
�No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
❑ Yes
;eo
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement?
❑ Yes
XNo
11. Is there evidence of over application? If yes, check the appropriate box below.
❑ Yes
o
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type elp A c} 1 t
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
9No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes
b) Does the facility need a wettable acre determination?
❑ Yes
❑ No
c) This facility is pended for a wettable acre determination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
El Yes
No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes o
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional 0 Yes ❑ No
Air Quality representative immediately.
Reviewerfinspector Name `"
Reviewer/Inspector Signature:
❑ Field Copy ❑ Final Notes
Date:
12112103 Continued

Fablity Ndrnber:(ek _ � Date of Inspection Im t
Required Records &_Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25. Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified AWMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Stocking Form ❑ Crop Yield Form ❑ RainfaIl ❑ Inspection After I" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
❑ Yes
❑ Yes No
ElYes Leo
❑ Yes o
❑ Yes o
❑ Yes zo
❑ Yes
❑ Yes
❑ Yes
❑ Yes e2r5o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
12112103

Type of Visit (D Co lance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
cility Number Date of Visit: 6� Time: I
a
Not O erational Q Below Threshold
Permitted 1,Ce/rtifiedl _�0' anditionally er�tified ©Registered Date Last Operated or Above Threshold:
Farm Name: yt/ vr� r" County:
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:
Certified Operator: �✓�`/ N .Q t'►�
Location of Farm:
Title:
Phone No:
Phone No:
Integrator:
Operator Certification Number:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 �* Longitude 0' • 44
Design Current
Design Current
Design Current
Swine Capacitv Population
oultry Ca aci Po ulatiom->- Cattle
Ca acity. Po " utation
❑ an to Feeder
10 Laver 10 Dairy
i'
I
Feeder to Finish
❑ Non -La cr ❑ Non -Dairy
❑ Farrow to Wean
❑Other
❑ Farrow to Feeder
W
- ❑ Farrow to Finish
Total Design Capacity
I :
❑ Giltsi.
❑ Boars is
Total SSLW
�� ...:
Number of Lagoons.
❑Subsurface Drains Present ❑ La oon Area
❑ Spray Field Area
Holding S
❑No Liquid Waste Management S stemP
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (Ifyes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (lf yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & "Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier;
Freeboard (inches);
I}
05103101
❑ Yes �o
❑ Yes
;a4o
❑ Yes o
❑ Yes No
❑ Yes o
ElYes o
El Yes. No
Structure
Continued

Facility Number: Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes /No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes;No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ID
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
1 I . Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes o
12. Crop type i
13. Do the receiving crops differ wit those designated in the Certified Animal Waste Management Plan (CAWMP)? ElYes No
14, a) Does the facility lack adequate acreage for land application? ❑ Yes No
b) Does the facility need a wettable acre determination? ❑ Yes KNo
c) This facility is pended for a wettable acre determination? ❑ Yes
15. Does the receiving crop need improvement? El Yes
16. Is there a lack of adequate waste application equipment? ❑ Yes
ReauiredRecords & Dc m t.
17, Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes �.
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes , �o
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes ICJ N
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes VNo,"-
22.
21. Did the facilityfail to have a actively certified operator in charge? Yes Y p g ❑ Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes VNo
24. Does facility require a follow-up visit by same agency? ❑ Yes
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
.��
lJCortiinentsi(referitoiquestioin#) NExplain any YESanswers andlorany recommendation o an "other'""c mments.,
LUseYdrrarvibgs'�6f�faciliO4t6lbetteriiiplain situations. (use additiona[ [,pages ees`sary) -fin*±
._ �,. El Field Copy El Final Notes
,-
r
-- --- s„
Reviewer/Inspector Name k '4
Reviewer/Inspector Signature: Date: aj
05103101 Continued

rw
❑ Division of Soil and Water Conservation ❑ Other Agency
❑ Division of Water Quality
10 Routinc 0 Complaint O Follo,,r--up of D«VQ inspection 0 Follow-up of DSWC review' 0 Other
Date of Inspection
Facility Number
„• ,» -- __ - Time of lnspectimo , 24 hr. (hh:mm)
E3 Registered © Certified © Applied for Permit © Permitted © Not Opera Date Last Operated: ,
Farm Name:.. � .r ............ W —... ra-tirJ-7 County: 1%���''L. !.............................
Owner Name: ................................................... ................................. Phone No:
Facility Contact: ................................................. ...... ...... Title; Phone No
Mailing Address ....................................................
a`.tf .C(. e
Onsite Representative:W,l..f. ...-J..Q....... �7 .UG 7 ........ Integrator: ......................................................................................
Certified Operator;............................................................................... Operator Certification Number ........................
Location of Farm:
C
C
Latitude • ' 44 Longitude • �° �"
Swine
Design. : Current
Capacity Population
Pbultry.:'•
Design Current
Capacity Population Cattle
Destgn Current
Capacity Population '
❑ Wean to Feeder
❑ Layer
❑ Dairy
-; Feeder to Finish
Q
ElNon-Laver❑Non-Dairy
❑ Farrow to Wean
❑Other
El Farrow to Feeder
TotaMeMgn Capacity
❑ Farrow to Finish
❑ Gilts
Xx
Total SSLV1'f
❑ Boars
Number, of Lagoons' I Hoidmg Ponds`
^N
❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
❑ No Liquid Waste Management System �
General
I. Are there any buffers that need maintenance/improvement? ❑ Yes JzNo
2. Is any discharge observed from any part of the operation? 11Yes ❑ No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes VNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes PdNo
c. If discharge is observed, what is the estimated flow in gal/niin?
d. Does discharge bypass a lagoon System'? (If yes, notify DWQ) El Yes (o
3. Is there evidence of past discharge from any part of the operation? Selves ❑ No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes �XNo
5. Does any part of the waste manacement system (other than lagoons/holding ponds) require Yes ❑ No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
7, Did the facility fail to have a certified operator in responsible charge? p,Yes ❑ No

Facility Number• —
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,Ilolding Ponds, Flush Pits, t!gj
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Stnlctnre l Structure 2 Structure 3 Structure 4
E
i-
Yes ❑ No
Structure 5 Structure 6
Identifier: Q. �:..�.>... ........................................ ... .
'..
Freeboard {ft}: .,r....,....... .............
10.
Is seepage observed from any of the structures?
❑ Yes
[(No
1 I .
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
INo
12,
Do any of the structures need maintenance/improvement?
❑ Yes
0No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
VNo
NVaste Application
14. Isthere physical evidence of over application?
❑ Yes
XNO
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type ..rE.5 l/11........................................................................................................................................................................................................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
El Yes
6 No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
ONO
18.
Does the receiving crop need improvement?
❑ Yes
ONO
19.
Is there a lack of available waste application equipment?
❑ Yes
f(] No
✓❑
20.
Does facility require a follow-up visit by same agency?
)?I Yes
No
21,
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
No
22.
Does record keeping need improvement?
XYes
❑ No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
J17No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
E2(No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
ZN0
0• No violations,or deficien' de's were ntited-during this:visit.• :You.will receive•na further
correspondence about' :
this'. . ;: , .. .
3 Per- 14 /-Ia [ s (/u P [PE 7V t✓ti ( h CYr LA) h1- llu j SGi- / K, l ti 77)
p,c_
�JC(A,t;--. aAL)
. U F ii-�-3T�� +� �j� i �(llr' tGl1[l� �� . 7/25197 T
Reviewer/Inspector Name ' 1
Reviewer/Inspector Signature: A %7161��i(
Date: V1/-)— 11? S(

DSWC Animal Feedlot Operation Review
DWQ Animal Feedlot Operation Site Inspection
10 Routine O Complaint O Follow-up of DWQ inspection O Follow-up of DS'VVC review O OtherL �
Ditto tii`lnspcctirtn + ILl
Facility Number
Time of inspection ' 24 hr. (hh:mm)
Total Tinre (in fraction of hours
Farm Status: (] Registered ❑ Applied for Permit Iex:1.25 for I hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection (includes travel and processing)
Not Operational Date
/Last Operated: ...................................................................................................................................
Farm Name:...` (J t' H /yJ S t�% .. County: ...............................................................1.....................
...................................................................y ........
OwnerName: ................................................... ........................................................................ Phone No:............,.,....,..,..............,.................,................:..............
Facility Contact: ............................................................ .. 'Title:....... . Phone No: ..........................
MailingAddress:.........................................................................................
On -site Represent ,
P A ,&. !!/!J?........... `jpN!...... integratcfr:...11f..j..... .'.. ........,....�.................
Certified Operator: .....................:. Operator Certification Number .....
Location of Farm:
Latitude �� �' �:� Longitude �• �` O.c
T e O >....a
YP of P eration Design Cd�rent Design Current ` Design Current
Swine Capacity :Population Ptiutfry Capacity. Population << Cattle ", Capacity Popiilahan :'
❑ Wean to Feeder
Feeder to Finish
'
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Other
amber:. of
General
1. Are there any buffers that need maintenance/improvement?
Subsurface Drains Present �JU Lagoon Area
2. Is any discharge observed from any part of the operation?
Discharge originated at; ❑ Lagoon ❑ Spray Field ElOther
a. If discharge is observed, was the conveyance man-made'?
zk
b. If discharge is observed, did it reach Surface Water'? (If ycs, notify DWQ)
c. If dkcharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'? (if yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenance/improvement?
peay Field.Area
❑ Yes �/No
❑ Yes ZrNo
❑ Yes"No
❑ Yes , o
❑ Yes
11<0
❑ Yeses"
0
❑ Yes
27No
es
❑ No

v
r
Facility Number: — 1
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes Z No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes 9'No
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ❑/No
Structures ( Lagoons an(/or 11olding Ponds) �]]
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes [] No
Freeboard (ft): 1.Stri ure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
.... I.......5........................................................................................................................................................................................................
10.
Is seepage observed from any of the structures?
❑ Yes
�] No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
No
12.
Do any of the structures need maintenance/improvement?
VYes
❑ No
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes
E
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type rC !7 L {,1
.........................................................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ YesEj'NO
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For Certified Facilities Only _
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
❑ Yes No
❑ Yes 12<o
❑ Yes 1,d No
❑ Yes Ef No
❑ Yes ;�No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
j
VvC_
E arU
j 2� ANC csh/,ts/¢ v6-f}; r
DG
N ��
6-.
191-64A
rV R &TYrVFLI �
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: i }
cc: Division of Water (luality. Water Daaliif Section. Facilitv AS.Se$Slneltt Unit 4Y3f /07

` Division of Soil and Water Conservation - Operation Review
Division of Soil and Water Conservation- Compliance Inspection Y
[� Divtsi6n of Water Quality - Compliance Inspection
]:Other Agency Operation Review
Cf Routine 0 Corn faint 0 Follow-up of DWQ inspection 0 Follow -tip of DSWC review 0 Other
..l
Facility NumberI Date of Inspection
t
Time of Inspection 24 hr. (hh:mm)
[3 Permitted © Certified ❑ Conditionally Certified ❑ Registered JE3 Not Operational 1 Date Last Operated: .........................
Farm Name: ........ County:..............................................................
Owner Name :............................................. .... Phone No:
Facility Contact: ... c J�....�..-...Y�. .
.............................................................Title• ..................... .......... ..................... Phone No:
MailingAddress: .................................................................................................................................................
Onsite Repretieniative: ,V..11/T `%+f!,!,}.............!„r�%�'Gltt<T.�.t ..�•►,�'•!....V.....�! — Integrator:.,...........................................,........................................
1'
Certified Operator:,,,,., ........ Operator Certification Number: ..........................................
............................................................................
Location of Farm:
T
Latitude 00 i ,: Longitude » : �..
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder kj
Layer ❑ Dairy
❑ Feeder to Finish Non -Laver IM Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts
❑ Boars Total SSLW
Number of Lagoons ❑Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds 1 Solid Traps ❑ Nu Liquid Waste Management System
Discharges & Stream Im pacts
1. Is any discharge observed from any part of the operation? ❑ Yes Itj No
Discharge oriainatcd at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, Was the conveyance man-made'? ❑ Yes No
b. If discharge is observed, did it mach Water of the State? (f f yes, notify DWQ) ❑ Yes No
c. I1 discharge is observed. what is thr estimated flow in galhnin'?
d. Does discharge bypass a lagoon systcm? (If ves. notify DWQ) ❑ Yes r No
2. Is there evidence of past discharge from any part of the operation'? ❑ Yes No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes No
Waste Collection & 'Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate'? ❑ Spillway ❑ Yes i o
Structure I Structure 2 Structure 3 Structure 4 Structure 5 StrUCtUrc 6
fdentificr:
Z O �Ld
Freeboard(inches I: ..........t... ................ ............z-............................................... ......... .......................... ................................................1...................
5. Are there any immediate threats to the inter=rity of any of the structures observed? (icl trees. severe erosion, ❑Yes �i io
seepage. etc.)
3/23/99 Continued on buck
9

racttity Number: (l _ Date of Inspection !/
16. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes [�No
(If any of questions 4-6 was answered yes, and the situation poses an /
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? Oyes ''!lo
8. Does'any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes 0
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes [,No
`'Waste A Dplication
10. Are there any buffers that need maintenance/improve men t? ❑ Yes VNo
11. Is there evidence of over application? ❑ Excessive Ponding (j PAN ❑ Yes 1176
12. Crop type /
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes �TNo
14. a) Does the facility lack adequate acreage for land application'? ❑ Yes No
b) Does (he.facility need a wettable acre determination'? ❑ Yes No
c) This facility is pended fora wettable acre determination'? Yes ❑ No
15. Does the recet in crop need improyyyment? /❑ Yes ;2�No
16. Is there a lack of adequate waste application equipment? ❑ Yes [JIo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
[]�No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
�3No
19. Does record kec need improvement,.', (ie/ irrigation. freeboard, waste analysis & soil sample reports)
H o f N it S UPS T �v
❑ Yes
Z'No
-.0
Is facility inVm the t►me
❑ Yes
ONo
20. not Lance with any appl►cabfc satfiack cntcria in c6ect at offieOW,_
21. Did the facility faii to have a actively certified operator in charge?
❑ Yes
2190
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
;] No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
['No
!!�
24. Does facility requ: rc a follow-up visit by same agency?
❑ Yes
No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
0
%
NQ•violatiigiis;or• &ficiengpe •mere noted. tlpring this visit' - Y:oix i�ii!•reeeive fio further
corre*dence' about this :visit: '
5 i` an
Comments (refer;t0 question #)'.Explain y YES answers and/or any reconxmendattons or Any other commen#s , 4
i
EUse�drawtngs of facthty to better, expin sttuatto'ns. (use addihonal gages as necessary},�w
4116 AVT f--OfZ �T C6 i L5 . 11/c t-3 Ir> 4)
W� 2 k a&) � . 5 7-0G`� 14) rc G- /z A t';rL. r ,v • t,(�fl s r/L y I U 1�- 16
/7, lC � �� v � � �, �-� �b�v 1 �v s 1 cam. � F/ e ,� h � d � 6 //
✓� r .v ,j� w,;? /Its e J(Co I i 4✓t/ .
f&AU lG1VeP A-MlYi
-
Reviewer/Inspector Name
,.w
Reviewer/Inspector Signature: Z, Date:
' a `
3/23/99

Facility Number: — ' Date of inspection
i, "Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
27,
Are there any dead animals not disposed of properly within 24 hours'?
❑ Yes
No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
Po
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
❑ Yes
( No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
c: broken fan blade(s), inoperable shutters, etc.)
❑ Yes
No
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
E No
32,
Do the flush tanks lack a submerged rill pipe or a permanent/temporary cover'?
❑ Yes
�No
�fV0 �U�� Pn 5L (41h5
V
�D �O F/PC ; - kw 5 -(-
3/23/99
S

0B/18/2004 22:13 2525398844 BAUGHAM PAGE 01
;)rx-od-20 J4 IN U+ III Hrl !&NK XXU h Hn NU. 1 y 1 Ub f l 4! l b !', t!f
PLAN OF ACTION (PaA) FOR HIGH FREEBOARD AT ANIMAL F CILtTIES;
Willy Numter. .T_ - . County;
Facility
< r
Certified Operator Name: >B®a � ti operatov 6. y16/
1. Current liquid levels) In inches as measured from the Current liquid level In tki0ji' aan tc the
lowest point on the top of thi dam for lagoons without spillways; and,from the current-1 luld level
In the lagoon to the bottom of the spillway far lagoons with splllwaya.
i
i
Struahue t Structure 2 Structure 3 Structure 4 Struature 8 Structured
I
Lagoon Narnelldentifler (ID): _
� I
Spillway (Yee or No):
Level (inches):
i
I
2. Check all applicable items
Liquid level Is within the desIgned structural freeboard elevations of one or more structures. Five
and 30 day Plana of Action are eitt shad. Hydraulic and agrbnomio balances are within
acceptable ranges.
1
liquid level is within ft 25 year 24 hour stoma elevations for one or rnore structures. A 30 day
Plan of Action Is attached. Agronomic balance is within acceptable range.
1
Waste Is to be pumped and hauled to off site locations, Volume and PAN content of waste to
pumped and hauled ie reflected In section III tables. , Induded within thia plan is a list of the
proposed sites with related facility number(s), number acres and receiving crop Inforrrodon.
Contact and secure dpproval.from the Division of Water Quality prier to tranafar of waste
to a site not covered in the facility's certified animal waste management plan.
Operation will be partially or fully depopulated. I
- attach a complete schedule with corresponding animal units and dates for depopulation
if animals are to be moved to another permitted facility, provlde facility number, lagoon
freeboard levels and herd population for the receiving facility,
3. Earliest possible date to begin land application of waste: 4
j
I hereby certify that I have reviewed the Information listed above and included within the attached Plan
of Action, and to the best of my kix Wedge and ability, the lrafkirmafiori is accurate arnkd carrecL
C1 L3 & Lr ft A A 2M 7x .__ Phone' 4P r)
Ilty OwnerlAllanager (print)
PoA Cesar Page 2 1100 k

0B/1B/2004 22:13 2525398844 BAUGHAM PAGE 02
YC., .,a_cuuw inu ua.aa hrl uenx KKu rAX NO, 18195714718 P. 0s
:I
FLAN OF ACTION (POA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
THIRTY (30) DAY DRAW DOWN PERIOD
� I
i
1. TOTAL PAN TO 13E LAND APPLIED PIER WASTE STRUCTURE
1. Structure Namelldentifier (10): 16
I --try
2. Current 10ild volurne'in 25 yr.124 hr. storm storage & strucAural freeboard
a. current liquid level according to marker r ' inches
b. designed 25 yr.124 hr. storm & structural freeboard, 3#11 incises
c, line b - line a (inches in red zone) _ "-" 3 Inches
d. top of dike surface area sood ding to design .I K Rx
(area at below structural freeboards elevation)
i;
e. j(ne-c x lined x 7.48 a - '� V 7-14gailans
12 f
3. Projected volume of waste liquid produced during oraw down period
I
f, temporary storage period according W structural design , _- days
g, volume of welts produced according to structural'design 4 ft3
h. actual waste produoed - Guant.herd N x line g - � 4 ft'
j certified herd 0
i
i. volume of wash water according to structural daslgn' W
). excess rainfall over evaporation according to design
k. Ones h + i +1) x 7.48 x 34.das _
line f
1
4. Total PAN to be land applied during draw down period
I. current waste analysis dated Uy o
I
m, ffines e x line I -
1000
� f
ii
REPEAT SECTION 1 FOR EACH WASTE STRUCTURE ON SITE
,
.i
ftA (W Day) 29JI !? ( 1
gallons
_r__ e - lb/1000 gal.
D lb PAN

08/18/2004 22:13 252539B844 BAUGHAM ! PAGE 03
4t,r-ua-2uu4 11% ua; Qc- Hn ur_1VIt xKj MX HD. 191957141,18 P. 04
If. TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL PREESOARD ANDIOR 25 YR.124
MR. STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY
1. structure ID: 5-1
2. structure I D:,_ , - -f " -r-
line m = / 'IQ. -3 a' lb PAN
line m - 4 lb PAN
3. structure ID: ; ,line m = lb PAN
4, structure ID: _ ilne In „ Ib PAN
5. etnxftro ID;line m o lb PAN
6, Micture ID: 'line m = lb PAN
n, Ilnss1 t2+3+4+5*6 tqo. IbPAN
I I
Ill. TOTAL PAN BALANCE REMkNIN0 POR AVAILABLE! CROPS DURING 30 DAYDRAW DOWN
PERIOD. DI.O NOT BT FIELDS TO WHICH PAN CAN NOT BE APPUIES DURING THIS 30 DAY PERIOD.
a. tract #
p. field #
q, drop
r, acres
s, remaining
IRR-2 PAN
balance
(lbtacre) i
t. TOTAL PA14
ISALANCE
FOR FIELD
(tbs.)
ooluinn r x
u,
appicaWn
window'
k
too
E
`
f
Ij
i i
f
E
I
�
i
'Sty current crop ending application data or next crop applicaOon beginning date for avallable receiving
crops during 30 day drawn down period
v, Total PAN available for all fields (sum of column t) _ � �_� ,W w Ib. PAN
j .�
PDA (30 Day) 2121100 1 2

09/18/2804 22:13 252539BB44 BAUGHAM PAGE 04
,Xr UV-eUU4 iMU UU-W.� t1!'1 Uthr, Kral r11A W. 1210$0f14flb r, Ub
i
1V. FACILITY'S PoA OVERALLI PAN BALANCE
W. total PAN to be IarWapp sled (line n from aection 11) = ! � 0 3 � _ lb. PAN
x. Crap's romalnlnp PAN balance (line v from section lli) 2 2 y � lb. PAN
Y. Overall PAN balance (w - x) _ 1 2 1 y. C �- lb. PAN
Line y must show as a deflclt. If line y does not show as a deficit, llst course of action here
Including pump and haul, depopulation, herd reduction, eta. IFor pump & haul and herd
reduction options, recalculate new PAN based on new Inforn"on. if new fields are to be
Included as an option for low4r ng lagoon love), add these fields to the PAN balance table and
recalculate the overall PAN balance. If animal waste Is to be hauled to another permitted
fadiky provide Information re®arding the herd population and Lagoon freeboard levels at the
receiving facility.
I,
NARRATIVE:
I �
PaA (30 Day) W21 /00 1 3

08/18/2004 22:13 2525398844 i BAUGHAM PAGE 05
89P-3S-2004 THU 09:39 AM 7ENR ROD FAX NO, 181%T14718 P. Uv
PLAN OF ACTION (P4) FOR HION FREEBOARD AT,ANNAL FACILITW.6
THIRTY (30) DAY DRAW DOWN PERIOD
1. TOTAL PAN TO B@ LAND APPLIOD FOR WASTE STRUCTURE
1. Structure Namelldentmer (10). / s
I
2, Current liquid volume in 25 yr.124 hr. storm storage & at: cLiral freeboard
a. current liquid level according to marker _. 17, inches
I
b. designed 25 yr.124 hr. storm & a tctural freebosrd! ! G inches
c, line b - line a (Inches in rod zone) _ �" Inches
R
d. top of dike surface area according to design
(area at below structural freeboard elevation)
e. J= x line d x 7.48�n!lmlll!
12
3_ Projected volume of•wosto liquid produced during Craw down period
f. temporary storage period according to struotural design 1?0 days
g. volume of waste produced a000rdirlg to structural design I G It Y-7, fP
h. actual waste prudtiwed nUggntt haEd _# x line g = 4 OP'J • y R'
certified hard #
i. volume of wash ouster according to structural design ft3
�3Cric s
sas
�. excrelntall01,
+�r evaporation according to design _
I
k, (lines h + i +i) x 7.48 x 30 days b�_ gallons
i line f
4. Total PAN to be land aipplied during draw down period +
1. current waste an�lysls dated tZ 0 y 1b11000 gal.
m. Ulnas a k) x Hine I .L,:j4,'lb PAN
Iwo I
I /d /'/ C ♦f fr/
REPEAT SECTrON 1 FOR EACH WASTE STRUCTURE ON SITE
PnA (30 Day) =1100 j 1

NORTH CAROLINA
Department of Environmental Quel

It

f

r7-..
'
C IS��A L OL�
�' � �� RIG r�
�
�
0-21 CIP
k
3000

April 6, 2000
%� \ �`.
Mr. Ken Schuster
1628 Mail Service Center
Raleigh NC 27699-1628
Dear Mr. Schuster, ti ./
am writing this letter on behalf -of Mf;tTom.Hollowell and Mr.
Waylon Baugham, Jr. Both have received Notices of Violations from
your office (66-38, 66-83, and
Mr. Hollowell called me on the morning of�Friday, February 25th and
informed me that he had to have a plan within 24 hours.
had been out of the office on Thursday the 241h dealing with a
family illness. A fax was sent to our office on that Thursday
regarding the requirements in this 24-hour plan. I only briefly read
the requirements having just seen the material. Later that morning
Mr. Baugham's son and wife came into my office requesting the 24-
hour plan. I told Mr. Hollowell and the Baughams that there was'no
way that I could do these plans within 24 hours. That day I had
scheduled with our Area Engineer to visit 8 pond sites to be repaired
under the Emergency Conservation Program (ECP). We had
attempted to schedule this meeting for over two months. So it was
physically impossible for me to visit these sites and write these plans
within the 24-hour time period.
told Mr. Hollowell and Mr. Baugham that I accept responsibility for
this action. I am the only technical specialist in this office- therefore
was the only one available to write their plans. And I noted to them
that a site visit was needed to adequately write the plans.
The Natural Resources Conservation Service, an agency of the USDA, is an Equal [opportunity Employer.

My recommendation to both of the mwas to pump their lagoons
down to a safe level. This would be done under their original waste
management plans.
The following week, they both reported that the lagoon levels were
down and that no runoff occurred from the lagoons or from the
spray fields.
I have discussed this ratter with BusterTowell and with my
supervisor, Bill Harrell in Goldsboro. Bill indicated that we had
teleconference training on this special plan writing which was
conducted by Carroll Pierce. Again I was not here to receive that
training because of personal ratters. Bill asked if I had since written
a plan. I told him that I had not; my understanding was that the plan
ha d to be done wi thi n the 24- hou r ti me per! od.
I want to assure you thatI take full responsibility for these actions.
These landowners did as they were directed. I believe that it would
be unfair to impose anything upon them. I am prepared to meet
with you or with any other persons necessary to clear up this matter
Sincerely,
Tony S hort
DistrictC onservationis t
Technical S pecialist
Copy: Bill Harrell
Tom Hollowell
Waylon Baugham, Jr.
The Natural Resources Conservation Service, an agency ofthe USDA, is an Equal Opportunity Esmployer.

illl�v NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH REGIONAL OFFICE
Division of Water Quality
March 28, 2000
Mr. Wayland Baugham Jr.
P.O. Box 437
Rich Square, North Carolina 27869
Subject: Notice of Violation
Recommendation To Enforce
Baugham Swine Farm
Facility # 66-55
Northampton County
Dear Mr. Baugham:
On February 15, 2000, Mr. Buster Towell of the Raleigh Regional Office
conducted a site visit to the subject swine operation. During this inspection Mr.
Towell noted that both lagoons on site had approximately 12 inches of freeboard.
Mr. Towell returned to your farm on February 22, 2000, and noted that one lagoon
had between 12 and 14 inches of freeboard and the other lagoon had 16 inches.
During the visit Mr. Towell advised you to seek assistance from your local Soil and
Water Conservation District to help you develop a 24 hour Plan of Action (POA), to
aid in the management of wastewater at your facility. As of this writing the Raleigh
Regional Office has not received a POA from you pertaining to this facility.
Please note that the lack of sufficient freeboard in your waste lagoons is considered
a violation of your Certified Animal Waste management Plan (CAWMP), and as
such may be subject to civil penalties.
The Raleigh Regional Office is considering an enforcement action against you for
the above violations of your Certified Animal Waste Management Plan. If you have
justification that these violations were caused by circumstances or events beyond
your control you should include them with your written response within fourteen
days of receipt of this Notice. Your response will be reviewed and forwarded to the
Director for his consideration. in the absence of any justification, the Director will
proceed with the enforcement action.
l'1 E.RIF'A .'.:
1 D 1 U
1628 MAIL SERVICE CENTER, RALEIGH, NORTH CAROLINA 27699-1628
PHONE[phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLE0)10% POST -CONSUMER PAPER

Mr. Wayland Baugham
Page 2
If you have any questions regarding this Notice please contact Mr. Buster Towell at (919) 571-
4700.
Sincerely,
zL
Kenne4Schhus, P.E.
Regional Water Quality Supervisor
cc: Northampton County Health Department
Mr. Tony Short, Northampton Soil & Water Conservation District
Ms. Margaret O'Keefe, RRO-DSWC
DWQ Nondischarge Compliance Group
RRO Files

I Fast Track Freeboard NOV Checklist I
I Date
Time
z I If / Sty IZ/ S?I
qn§ �i
facilit Name
S&v
y
�qifty Location JZ
Name of Owner tv'q V 6V M
Address of Owner 10- 40 2
(z D j4j (4,* -'r
Name of Cert. Operator J e r,-
Integrator______
Type of _Facility_ (sow, feeder to finish, etc.) FttJ ew
Number of animals onsite
Number of animals certified for 9 t?
Freeboard level sen z 4W I z
Notes-.
kh Pq lks-��tt- Lam X V Ft �t 'r <"'k N ri-i S4,V
d
Inspector's Signature
Date

08/23/2004 12:00 2525398844 1
BAUGHAM
PAGE 17
TFh I�0
/3��r}

0B/23/2004 12:00
252539BB44
BAIJGHAM
PAGE 01
I
WAST�u
Producer: Wayland Baugham Jr.
Location: SR 1118 1 mile west of NC 305
Telephone: [phone] j
Type Operation: Topping f
Number of Animal Units: 1000
UTILIZATION PLAN
The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface
and/or ground water. The plant nutrients In the animal waste should be used to reduce the amount of
commercial fertilizer required for the crops on the fields where the waste Is to be applied. This waste
utilization plan uses nitrogen as the llrrtiting nutrient. Waste should be analyzed before each application
cycle. Annual soil tests are strongly encouraged so that all plant nutrients can be balanced for realistic
yields of the crop to be grown.
Several factors are important in Implementing your waste utilization plan in order to maximize the fertilizer
value of the waste and to ensure that It is applied In an environmentally safe,manner. Always apply waste
based on the needs of the crop to be grown and the nutrient content of the` waste. Do not apply more
nitrogen than the crop can utilize. 5011 types are important as they have different infiltration rates, leaching
potentials, cation exchange capacities, and available water holding capeclties_ Normally waste shall not be
applied to land eroding at greater than 5 tons per acre per year. With special precautions, waste may be
applied to land eroding at up to 10 tons per acre per year. Do not apply waste on saturated soils or on land
when the surface is frozen. Either of these conditions may result in runoff to,surface waters. Elther of these
conditions may result in runoff to surface waters which is not allowed under DEM regulations. Wind
conditions should also be considered to avoid drift and downwind odor problems. To maximize the value of
nutrients for crop production and to reduce the potential for pollution, the waste should be applied to a
growing crop or applied 10 bane ground not more than 30 days priorto planting. Injecting the waste or
disking will conserve nutrients and reduce odor problems.
The estimated acres needed to apply 'the animal waste is based on typical nutrient content for this type of
facility. Acreage requirements should be based on the waste analysis report from your waste management
facility. Attached you will find information on proper sampling techniques, preparation, and transfer of waste
samples to the lab for analysis.
This waste utilization plan, If canted out, meets the requirements for compllance with 15A NCAC 2H.0217
adopted by the Environmental Management Commission.
i

08/23/2004 12:00 2525398844 BAUGNAM PAGE 02
Amount of Waste Produced Per Year'(gallons, tons, etc.)
1000 animals X 751 gal. wastelanimal/year a 761,000 gals, was"ear
Amount of Plant Available Nitrogen (PAN) Produced Per Year
1000 animals X 2.3 lbs. PAN/animal year = 2300 lbs. PAN/year. (PAN from N. C. Tech. Guide Std. 633)
Applying the above amount of waste is a big job. You should plan time and 1have appropriate equipment to
apply the waste in a timely manner. .
The following acreage will be needed for waste application based on the crop to be grown and surface
application: '
ACRES OWNED BY PRODUCER
Tract
Field
Soil Type
Crop
Real
Yid. /Ac
Lbs. N
per
acre
Acres
; I
Lbs.N
Used
Months
Applied
2860
2
Craven
fescue
hay
3.8T x
500
190
9.3 x
75�
1325
Feb -May
Sept -Nov
2
Lenoir
Fescue
hay
4.5T x
500
225
2 x 75%
338
4
Craven
Fescue
hay
3.8T x
500N
190
2 x 75%
265
4A
Craven
Comm
ber hay
4.2T x
500
210
2.6 x
!75%
409
JMay-Aug
5
craven
Corn
115 x
1.25
143.75
4.1 x
175$
442
Mar-Juraa
i
I
I
I'
i
I
I'
Total Table 1 '14.9 2799
Total Needed 1 2799
Amount of N Produced 1 2300
Surplus or Deficit , -499
I
" This N is from animal waste only, If nutrients from other sources such as commercial fertilizer are applied,
they must be accounted for. N must be based on realistic yield expectation,
i
NOTE: The applicator Is cautioned that P and K may be over
pp y applied while meeting the N requirements.
This plan only addresses Nitrogen.'
NOTE: waste to be sprayed on com'and fescue and common bermuda hay crops
� I
NOTE: The Waste Utfllzation Plan must contain provisions for periodic land application of sludge at
agronomic rates. The sludge will be Nutrient rich and will require precautionary measures to prevent over
application of nutrients or other elem nts.
see attached map showing the fields to be used for the utilization of I Vam water.
I
I

-. •1 '1 '�i ��; �J r :e � H ,.,. '..�i.r, ��*l. ;,Es yr+ "*�r
Mom{ - "� 'yS w.. ;G A`'t'_',;�=+fir 1'': •',.Y.' �Y��•,��• S ],

08/23/2004 12:00 2525398844 ; BAUGHAM
PAGE 04
Ill�i
Application of Waste by Irrigation
Field Soil Type Crop Application Application
No. Rate(In/Hx) Amount(In.)
2
Craven I
Fescue
0.4 11
1.0
4
Craven I
Fescue
0.4 11
1.0
4A
Craven
Fescue
0.4 1
1.0
5
Craven I
Corn
0.35 1
1.0
I
I,
�i
If
11
li
'
I
I
This tablets not needed if waste is not being applied by irrigation, however a similar table will be needed for
dry lifter or sludge.
Your facility is designed for 90 days of temporary storage and the temporary ry storage must be removed on
the average of once every 3 months.)
In no instance should the volume of i ste being stored in your structure exceed Elevation 98.4,
Call the local Natural Resources Conservation Service (forrnedy Soil Conservation Service) or Soil and
Water Conservation District office after you receive the waste analysis report for assistance In determining
the amount per acre to apply and the proper application rate prior to applying the waste.
i
I

88/23/2004 12:00 2525398844 BAUGHAM i i PAGE 05
2.
3.
4_
5.
B.
T.
8.
I
I
REQUIRED SPECIFICATIONS
Animal waste shell not reach surface waters of the state by runoff, I
drift, manmade conveyances, direct application, or direct discharge
during operation or land application. Any discharge of waste which
reaches surface water is prohibited.
There must be documentation in the design folder that the
producer either owns or has a notarized agreement for use of adequate!
land on which to property apply the' waste. If the producer does not
own adequate land to property dispose of waste, he/she shall provide a
copy of a notarized agreement w t� 1' a landowner who is within a
reasonable proximity, allowing him her the use of the land for waste
application. (t is the responsibility 4f the owner of the facility to
secure an update of the Waste Utilization Plan when there is a change '
in the operation. Increase in the number of animals, method of
utllization, or available land. i I
Animal waste shall be applied to'meet but not exceed, the Nitrogen
needs for realistic crop yields based on soil type, available moisture,
historical data, climate conditions, and level of management, unless
there are regulations that restrict the rate of application for other
nutrients. Actual yields may be used In lieu of realistic yield tables
at the discretion of the planner.
Animal waste shall be applied on land eroding less than 5 ton per
acre per year. Waste may be applied to land that is eroding at more
than 5 tons but less then 10 tons per acre per year providing grass
filter strips are installed where runoff leaves the field. (See FOTG
Standard 393-Fllter Strips)
Odors can be reduced by injecting1he waste or disking after waste i
application. Waste should not be applied when there is danger of drift
from the IMgation field.
f
When animal waste is to be appliW on acres subject to flooding, It
will be soil incorporated on conventionally tilled cropland. When
applied to conservation tilled crops `or grassland, the waste may be I
broadcast provided the application does not occur during a season
prone to flooding. (See "Weather and climate in N.C." for guidance.) ;
I,
t_iquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site or to
surface waters and in a method which does not cause drift from the site
during application. No ponding should occur in order to control
odor and flies_
Animal waste shall not be applied to saturated soils, during rainfall
events, or when the surface is frozen. i

09/23/2004 12:00 2525398844 I EAUGHAM PAGE 06
I
9. Animal waste shall be applied on actively growing crops in such a
manner that the crop is not coveted with waste to depth that would
prohibit growth. The potential for salt damage from animal waste
should also be considered.
j
10. Waste nutrients shall not be applied In fall or winter for spring
planted crops on soils with a high potentlal for leaching. Waste
nutrient loading rates on these soils should be held to a minimum and
a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of a
crop or forages breaking dormancy.
11. Any new swine fadlity sited on on after October 1, 1905 shall comply
with the following. The outer perimeter of the land area onto which
waste Is applied from a lagoon that is a component of a swine farm .
shall be at least 50 feet from any, residential property boundary and ,
any perennial stream or river other than an irrigation ditch or canal.
Animal waste other than swine waste from facilities sited on or after,
October 1, 1995, shall not be applied closer than 25 Beet to surface
water. This distance may be reduced for waters that are not perennial
provided adequate vegetative filter strips are present (See Standard
393-Filter Strips). i
;
12. Animal waste shall not be applied) closer than 100 feet from
wells.
�j
13_ Animal waste shall not be applied. closer than 200 feet of dwellings
other than those owned by the landowner.
14. Waste shall be applied In a manner not to reach other property and
public right-olways. s E J
15. Animal waste shall not be discharged into surface waters, drainageways�
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland; provided it has been approved
as a land applications site by a "technical specialist". Animal waste
applied on grassed waterways shall be at agronomic rates and in a
manner that causes no runoff or drip from the site.
i
16. Domestic and Industrial waste from washdown facilities, showers,
toilets, sinks, etc., shall not be discharged into the animal waste
management system. I i
17. A protective cover of appropriate vegetation will be established on
all disturbed areas (moon embankments, berms, pipe runs, etc.). Areas
shall be fenced, as necessary, to protect the vegetation. Vegetation
such as trees, shrubs, and other woody species, etc. are limited to
areas where considered appropriate. Lagoon areas should be kept m " ed
and accessible. lagoon berms and structures should be inspected
regularly for evidence of erosion, leakage, or discharge.

08/23/2004 12:00 2525398844 13AUGHAM PAGE 07
18. If animal production at the facility
the owner Is responsible for obtair
plan" which will eliminate the pose
pollution and eroslon. [
to be orterminated,
1 and implementing a "closure
ity of an Illegal discharge,
19. Waste handling structures, pipirig', pumps, reels, etc., should be
Inspected on a regular basis to preirent breakdowns, leaks, and spills,
A regular maintenance checklist! ould be kept on site.
20_ Animal waste can be used In a rotation that Includes vegetables and
other crops for direct human consumptlon. However, If animal waste is
used on crops for direct human consumption N should only be applied
preplant with no further application of animal waste during the crop
season.
21 _ Highly visible permanent marlmers�shall be installed to mark the top any
bottom elevations of the temporary{ storage (pumping volume) of all
waste treatment lagoons. Pumping shall be managed to maintain the
liquid level between the markers.l, A marker will be required to mark
the maximum storage volume for waste storage ponds.
22. Soil tests shall be made every two, years and a liquid waste analysis
be taken at least twice each year,conslstent with waste utilization
plan. Poultry litter shall be tested prior to application. Soil
and waste analysis records shall be
kept for five years.
21 Dead animals will be disposed of In a manner that meets NC regulatic
1

08/23/2004 12:00 2525398B44 ., BAUGHAM
PAGE 08
i
I
i
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Wayland Bougham, �Jr.
Owner/Manager Agreement
I (we) understand and will follow and Implement the specification and the operation and maintenance
procedures established In the approved arilmal waste utlllzation plan for the farm named above. I (we) know
that any expansion to the eAsting design capacity of the waste treatment and storage system or
construction of new facilities will require a new certification to be submitted to the OtvIsIon of Environmental
Management (DEM) before the new animals are stocked. I (we) atso understand that there must be no
discharge of animal waste from thls'system to surface waters of the state f'om a storm event less severe
than the 25-year, 24-hour storm. Tfie' approved plan will be filed on -site at the farm office and at the office of
the local Soil and Water Conservation Distrlct and will be available for review by OEM upon request.
Name of Faclitty Owner: Wayland Baugham, Jr_
Signature: Dater
Technical Representative: Tony Short
Affiliation., Natural Resources Conservation Service f
Address Agency: P.O. Box 218
Jackson N,C.27845
232-534-2591

Grayer~ &mgb m, WvyL mdJr. Cops ro m
P. 0. Box 437 m
;•'�'_ 'psi 1118 Boton Rd
"" ■ 6kh Squwe., RC 2799 m
' aste nalyszs R-pot Fay'
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Sw*le ID.- N P 9 Ca S Pe m" A Cu I& Cl v- C ,
S TOrd 30.2 19.6 243 162 34.3 15A 2.62 o.34 0.86 oa7 2.79 ti
RV -N w
Waste Code. -N f4 m
As -NO3 Na m Cd A At se M PH Ss C-N DN% CM A
- DejffVim. - - —OR -- - 253 - -- - — -- - - 7.41 ---
to
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Cam To.
1118 BOW Rd
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ale M.
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p K Ca mg S Fe Nn Sn Cx
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33.3 485 109 25.8 158 2.% 0.48 1.43 0.89
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IN-S
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G.-N DM% CCE%
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' '�eK^-.�
... ..p . i 1 - ' 2:riii:: d4',.'ec iyiefi4iiy'
_

m
Form lRR 2 Lagoon Liquid irrigation Field Reoord
One Form for Each Feld Per q-rop Cycle m
m
A
Tract # FM # L Facilily Number
Field Size (acres) = (A)
m
Farm Owner Inigatlon Operator CD
(1
Ormees Add k Irrigation O k k N
Owner's Phone $ i i Opus
Pne & i K3
Ln
w
From Animal Waste Mmagement ran e m
env T� ---- Recortnt PAN
lQed
-- — - - !_ ibfacre) = to) — —ZZLZ
M (31 (41 (M (91 (71 (81 (01 1101 (111
Mri atiorl
Date
Inwiddq)
� t Tune
(hr )
End Time
ovoln)
Toth Mixift s
(3) - CZ)
S of 5pdnkbm
Operating
Flow Rate
fin)
Total Volume
ems)
(4) x (5 " (6)
Vahmne Per
Acre (gairac)
Cn + (A)
- r
Waste Analysis
PAN (tb11000 g
PAN Appfied
Mrac)
1(8) x (4)1 + 1.000
Nitrogen Baiance
(bl )
oc
:va
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Crop Cycle Totals
Owners Signattme Operators Signature
Certified Operator (Print)
Operator Certification *
yes Your w*mW waste managsmenl plan for sa mkv bequency. Ala ndnt nwn, xrasts analysis Is required within W days of laved appocaUcn eventA
' =. *w e.- U,n�.VWMiWM try M**M4161a taftmm (10) horn (B). Continue subtracting oottum (10) from cohmrn () r) lo9oWing each appFcation event.
to
c
3
0
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Form IRR-2
Trod a
FjeM Stye (acres) = (a)
co
i
N
LO
i
N
CD
A
f9
Farm Owner Irrigation Operator CD
Operatoes
Owners Address IrrigetlionAddress "'
cn
Owners Phone ll operators Phone tl Lnn
Lo
CD
From Antmd Waste hbnagenmd Plan r m
Recommended PAN a
Crop Type ----Loadh9 (IWame) = (e) -- -
cal (5) 161 m (a) rirn H11
•
Lagoon Ligt Irrigation Field Record
2 60 Once- Form for Each Field Per �,rop Cycle
Fly Number
aopy
Dais
(mrnlddlj�l)
Start Titrs
(hr:rrrM)
End Time
(luxnin)
Tofu Minutes
(3)- (2)
of Sprirdclera
Opefetirt9
FlowRate
Igav�}
ToW Vokmw
(�� (B)
Vduam Per
C� + (A)
Wastet
PAN (W1000 gaq
PAN AppRed
[[8) (9(1}l.�
AMrogen Balance
((bloc)
1 � �Q
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ss ,is
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Crop Cycle Totals
Oman s S4nat rre Operator's Signature
Certified Opm*x PdnQ Dpetakw Cefificaborn 9
' See your ammo) waste management plan kt umplWg trequency, At a inkib um, waste anetysis is required within 64 days ofland app"ion events.
t Emer the valb& rsomed trial subtrec.Gnp column (10) from M). Cwdk%m stnbtrac&V oohemut (10) ftomcetumn (11) foHaMnp each appicalbn event-
W
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rVRm [%R-2
hN
(il
t
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CD
ca
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Tract I Field 0 Facifdy Number
Field Size (acres) = (A) •"•'
Farm Owner Irrigation Operafor m
Owners Address lrripation operator's
Address
N
Owners Phone 0 Operaaars Phone a Ln
Lagoon Irrigation Fields Record
One Form for Each Field per Crop Cycle
From Waste lion Plan
CD
G" Type 4"W"wM' Pm L"Ov m
pbPwe} = tel a
OEM
mml_
a.*.
0071JGl
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D
57
m
1 NCDA Wage Annylysis or Equivalerd or NRCS Estimate, Ter! dcad Guide Section 633.
' EnW Me value mceked by subkraeling cokum (10) born fB). Continue subkaeGng cola mr (10) tom cdumn (1 Q following each irrigal'ion eveni, w

FoRm IRR-2 lagoon Irrigation Fields Record
One Farm for Each Fietd per Crop Cycle
Trad0 Fidel N FadMy Number 771
Field Size (acres) =;Aj
Farm Owner brigdion Operator
Owners Address irrigation operaloes
Address
Owner's phone it Operators Phone N
From Waste UMatlaaii Plan
GoPTNO ft=nm W*d PAN (00fte
pWmA s m__ ., -� _ __- ---111 F 171 _ ---' In $41 m _m-.-- , —in-- _ -.- ._ty-- _ ift nee--114V
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ow noes 5ignatuTe
Cedirsed Operator (Print)
Operator's Signaktre
Gperator's CeMcalion No_
r MCRA Waste Anaytysia or Equivalent or NRCS Estimate. Technical Guide Section 633.
' Enter Bm va3ue recafad by subtracting cobxm (10) from 18). Continue mA* dilnq cojumn (10) from caterm (11) Wowing each arig'ation event.
m
m
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013/23/2004 12:00 2525398844 � � BAUGHAM
PAGE 15
2004
Daily, i ainfalllWeekly Lagoon Levo! Roeord .I
arm: , I I
July Freeboard
s1 rr
Q"
August Fraeboalyd
M SAT
am+durae
Choi*
MON TUES WED TN R FRI 8AT
SUN MON TUE3 WED THUR
a
a
,
0
fa
,
„
12
1 1�
I
1
I1
12 ,a
18
la
J-
q
j
1a
,a
1
1a
:,
,.
la
20
21
22
2Aj
22
2.
I ,
2e in
1
a
29
a
20
m
�
21
a,
Beptember f2n:eboard I
Sgue"M
October
Proaboard
I
LIfaIPI
8UM MON TVE9 WED TH R FRI I3AT
aa1*
SUN MON TUES
WED TWR FRI SAT
�i
i�
ao
�
e
r
a
��
„�
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a
r
a
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it
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08/23/2004 12:00 2525398844 i BAUGWAM PAGE 16
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I
1
f

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
October 18, 2000
WAYLAND BAUGHAM JR.
WAYLAND BAUGHAM JR. FARM
PO BOX 437
RICH SQUARE NC 27869
U d
OCT 2 T
1 DFt{NR RNLElGN REG44N L pFFICE
Dear Wayland Baugham Jr.:
IT
4 • •
As L11L
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWS660055
Wayland Baugham Jr. Farm
Swine Waste Collection, Treatment,
Storage and Application System
Northampton County
In accordance with your application received on September 19, 2000, we are forwarding this Certificate
of Coverage (COC) issued to Wayland Baugham Jr., authorizing the operation of the subject animal
waste collection, treatment, storage and land application system in accordance with General Permit
AWG100000. This approval shall consist of the operation of this system including, but not limited to,
the management of animal waste from the Wayland Baugham Jr. Farm, located in Northampton County,
with an animal capacity of no greater than 1000 Feeder to Finish and the application to land as specified
in the Certified Animal Waste Management Plan (CAWMP). Please pay particular attention to
Condition V.3 of the Swine Waste Operation General Permit requiring at a minimum, maximum
waste level for lagoons/storage ponds must not exceed the level that provides adequate storage to
contain the 25-year, 24-hour storm event plus an additional 1 foot of structural freeboard.
The COC shall be effective from the date of issuance until April 30, 2003...Pursuant to this COC, you
are authorized and required to operate the system in conformity with the conditions and limitations as
specified in the General Permit, the facility's CAWMP, and this COC, with no discharge of wastes to
surface waters. An adequate system for collecting and maintaining the required monitoring data and
operational information must be established for this farm. Any increase in waste production greater than
the certified design capacity or increase in number of stocked animals above the number authorized by
this COC will require a modification to the CAWMP and this COC and shall be completed prior to
actual increase in either wastewater flow or number of animals.
The facility's CAWMP meets all requirements in place at the time of certification. However, it appears
that the irrigation system on site may not adequately cover all acreage listed in the Waste Utilization
Plan. The owner should begin to address this inconsistency as soon as possible.
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]B
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWS660055
Wayland Baugham Jr. Farm
Page 2
Please be advised that any violation of -the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
Upon notification by the Division of this COC's expiration, you shall apply for its renewal. This request
shall be made within 30 days of notification by the Division.
This COC is not automatically transferable. A name/ownership change application must be submitted to
the DWQ prior to a name change or change in ownership.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual non -discharge permit by contacting the engineer listed below for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
The subject farm is located in the Raleigh Regional Office. The Regional Office Water Quality Staff
may be reached at (919) 5714700. If you need additional information concerning this COC or the
General Permit, please contact Stephanie Milani at [phone] ext. 544.
Sincereiv_
cc: (Certificate of Coverage only for all cc's)
Northampton County Health Department
Raleigh Regional Office, Water Quality Section
Northampton County Soil and Water Conservation District
Permit File
NDPU Files

State of North Carolina
Department of Environment •
and Natural Resources A&4
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary NCDENR
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
September 6, 2000
CERTIFIED MAIL -
RETURN RECEIPT REQUESTED
Wayland aug am Jr.
Wayland Baugham Jr. Farm
PO Box 437
Rich Square NC 27869
Farm Number: 66 - 55
Dear Wayland Baugham Jr.:
You are hereby notified that Wayland Baugham Jr. Farm, in accordance with G.S. 143-215.1 OC, must apply for
coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty 60 days to
submit the attached application and all supporting documentation. In accordance with Chapter 626 of 1995 Session Laws
(Regular Session 1996), Section 19(c)(2), any owner or operator who fails to submit an application by the date
specified by the Department SHALL NOT OPERATE the animal waste system after the specified date. Your
application must be returned within sixty (60) days of receipt of this letter. Failure to submit the application as required may
also subject your facility to a civil penalty and other enforcement actions for each day the facility is operated following the
due date of the application.
The attached application has been partially completed using information listed in your Animal Waste Management
Plan Certification Form. If any of the general or operation information listed is incorrect please make corrections as noted on
the application before returning the application package. The signed original application, one copy of the signed application,
two copies of a general location map, and two copies of the Certified Animal Waste Management Plan must be returned to
complete the application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
1617Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Stephanie Milam at [phone] extension 544 or
Charles Alvarez with the Raleigh Regional Office at [phone].
Sincere ,
or Ken tevens
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An, Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Wayland Baugham Jr.
Wayland Baugham Jr. Farm
PO Box 437
Rich Square NC 27869
Dear Wayland Baugham Jr.:
1 � •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999 �!' s
JAN
j;1=GlM,1I OF�l�•
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 66�_55
Northampton--C—oun ya
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI, IRR2, DRY1, DRY2, DRY3, SLURI, SLUR2,
SLDI, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from.you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
Sincerely,
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Northampton County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

-# j Y S
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RALEIGH REGIONAL OFFICE
Division of Water Quality
August 14, 1998
CERTIFTED MATT.
RETURN RECEIPT RFQJJESTED
Mr. Wayland Baughn
P.O. Box 437
Rich Square, North Carolina 27869
Subject: Notice of Violation
Second Notice
Facility # 66-55
Northampton County
Dear Mr. Baughn:
On July 27, 1998, Mr. Buster Towell of the Raleigh Regional Office conducted a
compliance inspection of the subject swine facility. The following violation was
noted:
State law required all swine operations with a capacity of 250 head or more to
designate a certified Operator In Charge by January 1, 1997. At present, the
Division of Water Quality has not received a designation for your facility.
A Notice of Violation dated, September 4, 1997, reminded you to designate an
OIC for your swine facility. Failure to Designate an Operator In Charge is a
violation of 15A NCAC 2H..0224 and is subject to civil penalties of up to
$ 1,000.00.
Please respond to this Notice in writing within fourteen days of your receipt with
your plans to correct this matter. Questions should be directed to Mr. Buster
Towell at [phone].
Sincerely,
enneth c us er., P.E.
Regional Water Quality Supervisor
cc: Northampton County Health Department
Mr. Bo McMinn, Training and Certification Unit
DWQ Non -Discharge Compliance Group
Mr. Tony Short, Northampton Soil and Water Conservation District
3800 BARRETT DRIVE, SUITE 101, RALEIGH, NORTH CAROLINA 27BOD
PHONC OID-371-4700 FAX [phone]
AN EQUAL OPPORTUNITY / AFPIRMATIVE ACTION EMPLOYER - 50% RECYCLE0/10% POST -CONSUMER PAPER

f❑Div` n of Soil and Water Conservation ❑ Other Agencyu
[vision of Water Quality'
%
Routine O Complaint O Follow-up of DWQ inspection O Follow-uE of .DSWC review O Other
Date of Inspection I : VUJ
_Pawcy Number
Time of Inspection 24 hr. (hh:mm)
Registered [3 Certified © Applied for Permit 13 Permitted 13 Not Operational I Date Last Operated:.......
Faris) Name'i''�`�! 1�1 c��!-r h County:.}'iaJ r/><i�.•,.................................
Owner Name: . ' .. Phone No: ZSZ y
........5.......".............. ...............
Facility Contact: .... ...... .. . Title: .. Phone No: ...............................
t q
Mailing Address:........d... � . p. .. j 011. ... 5.. 9:.:.c..........�'t/C Z-7 4./......................................... ..........................
�" , ......... .
Onsite Representative:..4!...`i �L. ...................................................... . .......... �':,�.. !........................................ Integrator:....4 '. f.. ' {,Y
�� / ,per ...........
Certified Operator;.....p!. -- r.j ............................... -. ... Operator Certification Number, .........................................
Location of Farm: S [Z 1/
Latitude =•=, =« Longitude =• =' ="
Design Current
' K Destgn3 Current
:Design Curtremt
Swwe"'
Capacity
Population
". Poultry 4 Capacity Population;
CatEle Capacity
,•Population
❑ We Feeder;
❑ Layer
❑ Dairy
eeder to Finish
p p p
❑ Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Des"...
❑ Gilts
«
a .
�
❑
T 13SSfLW��z
ota
L.Boars.:"..:
.:�
ltutber agnp
I Holding Ptnds ©
❑Subsurface Drains Present
❑ Lagoon Area ❑ Spray Field Area
V.
❑ No Liquid Waste Management System
M`
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
cf. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
b- Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25197
❑ Yes Rr�No
❑ Yes o
❑ Yes No
❑ Yes No
G
ElYes o
ElYes No
❑ Yes No
:es
es
es No
❑ No

T—:
cuityNumbeir: —�
G _s"
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons.tiolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1
Identifier:
Freeboard (ft): ..............:......+.....
Structure 2 Structure 3 Structure 4 Structure 5
3 .;..�...................................................................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
r
15. Crop typeG}-
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
0, No.vitalkioni-or. deficieacies.were,ho'ted,during this:visit.- YodwiH receiive'ito-ftirilier
;�.•comes'pQzidehce:alioutthis:visit:-:
❑ Yes No
❑ Yes No
Structure 6
❑ Yes No '
❑ Yes , No
❑ Yes ld'No
❑ Yes No
❑ Yes ❑ No
❑ Yes No
❑ Yes o
ElYes O
❑ Yes o
❑ Yes o
El Yes o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
�%n , . -� S (, u r r �h �. f (Il U L S �Q c� Jr '�7 `` C �r �, E=� o� i =rt cf 1. F
l--,-4 � r� V o�^/ s tY� q r c s i F V tp 4-O b,* Lr tJSs --h— n Q. ?r 4 U x4,t,
7/25/97

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Govemor
Wayne McDevitt, Secretary
�EHNR
DIVISION OF WATER QUALITY
September 4, 1997
CERTIFIED MAIL
REJURN RECEIPT REQUESTED
Mr. Wayland Baughn
P.O. Box 437
Rich Square, North Carolina 27869
Subject: Notice of Violation
Wayland Baughn Swine Farm
Facility # 66-55
Northampton County
Dear Mr. Baughn:
On August 12, 1997, Mr. Buster Towel] of the Raleigh Regional Office conducted an inspection
of the subject Swine facility as a part of the Division's effort to determine compliance with the
State's Animal Waste Non -Discharge Regulations.
The inspection found your primary waste lagoon to have approximately 12 inches of available
freeboard. Waste lagoons are required to maintain a minimum storage capacity of I foot plus the
amount of rainfall in a 25 year124 hour storm event, which in your area equals approximately 19
inches..
The above violation constitutes a failure to follow your waste management plan which is a
violation of Title 15A NCAC, 2H .0217 (d). Failure to follow your waste management plan could
result in an enforcement action or require that your facility apply for and receive an individual
nondischarge permit.
38M Barrett Drive, Suite 101. #* FAX [phone]
Raleigh, North Carolina 27409 NW
Vfr C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/ IEM post consumer parer

Mr. Wayland Baughn.
Page 2
The inspection also revealed that you have not yet designated a Certified Operator for your swine
facility. State law required that as of January 1, 1997, animal facilities that have 250 or more
swine designate an Operator In Charge . Failure to do so is a violation of 15A NCAC 2H .0224
and may result in the assessment of civil penalties.
Please respond in writing to this Notice within 14 days of receipt outlining your plans to correct
the violations noted. If you have not yet done so, you should immediately designate an Operator
In Charge. For additional information regarding training and examinations for certification you
should contact your local Cooperative Extension Agent.
If you have any questions concerning this Notice you may contact Mr. Buster Towell at (919)
571-4700.
Sincerely,
4
Kenneth Schuster, P.E.
Regional Supervisor
cc: Northampton County Health Department
Mr. Tony Short, Northampton County Soil and Water
Conservation District
Ms. Margaret O'Keefe, DSWC--RRO
DWQ Compliance Group
RRO Files
NOV.66-55

Facility Number s
Farm Status: C31legistered Applied for Permit
❑ Certified ❑ Permitted
Date of Inspection
Tithe of Inspection j 1-0 U 124 hr. (hh:mm)
Total Time (in fraction (d' hours
(ex:1..25 for 1 hr 15 rnin)) Spent on Review ' �
or inspection (includes travel and processing)
Not{) erational Date Last Operated: ................................................................................................................................................
J
Farm Name:.!ay..l:�''.5. <l!�...``...n.......�./1�C. Cc.►tiff#y':i1,D+`..............
// h Q� �`.............
OwnerNamt:..y+.L^...:.....?!�.s..�r.h.. Phone No: ... .................
FacilityContact::?..�:!ti'1..��........................................... i illc:................................................................ Phone No...................................................
Mailing Address:.........�....�..�...�...y3..�.............Y...t..��L��.�2.t!�...........— .t/L.........................?...���'..� ..........................
OnsiteRepresentative:.f fl.frR"'. 66Integrator:..�'.'..�:f e fvr.................................................
..........................................
Certified Operator: ... ev ��''4.49K— ........... Operator Certification Number: ...................
Location of Farm: rj 0 1 41l'►~t f ZP ,
.. .......I..... ................... ........... ...............
Latitude ' Q° 0« Longitude • ` 46
Type of Operation
Swine _
Design CurrentM Uesign :.::.Current Design ` Current
Capacity Population Poultry - Capacity,, Population '- Cattle Capacity 'Population
El W an to Feeder
ET Feeder to Finish
o e-O
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Other
-Number':of agog . '/ Holding Ponds
General
I. Are there any buffers that need maintenance/improvement?
Subsurface Drains Present JI© Lagoon Area I❑ Spray Field Area
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field Other '��I &4X Rare 6-3-
a. If discharge is observed, was the conveyance man-made?
b. If' discharge is observed. did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaUtnin?
d. Does discharge bypass a lagoon system'? (if yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement'?
4/30/97
❑ Yes No
Yes ❑ No
❑ Yes 3lvo
❑ Yes Id'Na
Yes ❑ No
Yes ❑ No
❑ Yes 'o
❑ Yes �o
Continued on back

Facility Number:
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ;es
es o
7. Did the facility fail to have a certified operator in responsible charge? ❑, No
8. Are there lagoons or storage ponds on site which need to be properly closed? ElYes IdNo
Structures (Lagoons and/or Iloldin = fonds
9. Is storage capacity (freeboard plus storm storage) less than adequate? Yes ❑ No
Freeboard (ft): Structure 1 Structure 2/ Structure 3 Structure 4 Structure 5 Structure 6
1
l.z...".. �� ..... .................................................
10. Is seepage observed from an}�of the structures. ❑ Yes 0"No
11. Is erosion, or any other threats to the integrity of any of the structures observed? AO-)S%b 11 Yes ❑ No
12. Do any of the structures need maintenance/improvenent'? GK S � t Ofr-
(I# any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify D"'Q)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Annlication
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop hype j,.. S�rfr'.<.. /...... .. �r` ..........................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
dues m i 44-
Reviewer/inspector Name
o,., &7 &* s, d
d (�Cs ) -. - � ►a v---
c140s J ) 16% Pi- lcej
es ❑ No
es ❑ No
❑ Yes ✓❑ No
❑ Yes No
❑ Yes
l�d'N o
[;N
❑ Yes
❑ Yes
No
Yes
❑ Noo
ElYes
i o
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Ctr
Reviewer/Inspector Signature:
Date: _ R- /Z - 9Z
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

.
P f:,
�.' JAMES B. HUNTJR.•
r.q
r60VERNOR
k4' S
t•�ll'e'
MWAYNE MCflEVITTh� m
M
t "6 '
y.:
�• sa •f
I t
l
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
April 17, 1998
Wayland Baugham Jr.
Wayland Baugham Jr. Farm
PO Box 437 V
Mich Square NC 27869
Subject: Classisfication of Animal Waste Management Systems
Facility: Wayland Baugham Jr. Farm
Facility ID #f: 66-55
County: Northampton
Dear Mr. Baugham Jr.:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, was enacted by the North Carolina General Assembly on
June 21, 1996, This bill requires that a certified operator be designated as the Operator in
Charge by January 1, 1997, for each animal waste management system that serves 250 or
more swine, 100 or more confined cattle, 75 or more horses, 1,000 or more sheep, or 30,000
or more confined poultry with a liquid animal waste management system. Our records indicate
that your facility is registered with the Division of Water Quality and meets the requirements
for designating an OIC.
A training and certification program is available for animal waste management system
operators. For information on the training programs please contact your local Cooperative
Extension Agent. Operator certifications are issued by the Water Pollution Control Systems
Operators Certification Commission (WPCSOCC). For information on the certification
process, please contact the Technical Assistance and Certification Group at [phone].
The type of training and certification required for the operator of each system is based on the
nature of the wastes to be treated and the treatment process(es) primarily used to treat the
animal waste. There are two types of animal waste management systems, Type A and Type
B. Type A animal waste management systems are generally used to treat waste generated by
monogastric animals which produce a low -fiber waste. Type B animal waste management
systems are generally used to treat waste generated by ruminants and other animals which
produce a high -fiber waste. The type of training and certification an operator receives should
correspond with the type of system(s) they intend to operate. For more information on the
classification of your system please contact the Technical Assistance and Certification Group,
As the owner of a registered animal operation with an animal waste management system, you
must designate an Operator in Charge and must submit the enclosed designation form to the
WPCSOCC. If you do not intend to operate your animal waste management system yourself,
you must designate an employee or engage a contract operator to be the Operator in Charge.
The person designated as the Operator in Charge, whether yourself or another person, must
possess a currently valid certificate of the appropriate type.
Sincerely,
Xtpj'
Joseph•$. -McMinn,-,&
Techn'cal2AsSistancegnd 'fi Unit
cd/AW O1C Designation is '2'�
Enclosure
cc: Raleigh Regional Office L
n
���Water Qualtty Files
I DEFNR MEIGH REGION' OFFlCJ
WATER POLLUTION CONTROL SYSTEM OPERATORS CERTIFICATION COMMISSION
P.D.Bax 29535, RALEIGH, NORTH CAROLINA 27626.0535
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY IAFFI RMATfVE ACTION EMPLOYER - 50% RECYCLED/I a% POST -CONSUMER PAPER

State of North Carolina
Department of Environment,
and Natural Resources
Division of Water Quality
a
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
MEiVt0RANDU'IVI
TO: Regional Water Quality Supervisor
FROM: Shannon Langley
SUBJECT: Application for special agreement
A7W - - . V 9D
4 p0NCDEr4m
7
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANo NATURAL RESOURCES
Please find attached a copy of application for special agreement for facility numbers
Any comments that the regional office can provide on the issuance of a special agreement to this
facility by the EMC would be greatly appreciated. Please provide any comments in writing (e-
mail messages are acceptable) to me as soon as possible.
Thank you for your timely assistance in this matter. If you have any questions, please call me at
733-5083, ext. 581.
t ATTACHMENT
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Afrirmative Action Employer 50 % recycled/10 % post -consumer paper
�I

i
State of North Carolina
Department of Environment and Natural Resources' {~
Division of N ater Quality r
APPLICATION FOR A SPECIAL AGREEMENT
(INFORMATION REQUIRED FOR ANIMAL OPERATIONS REQUESTING A SPECIAL AGI EEMENT)
I. GENERAL INFORMATION:
1. Applicant (Owner of the Facility): `r rl J,1 o L'-
2. Facility No.:._�
3. Facility Name: f �t.�j r ;� £j 1`� i.! (� %7 �� 7-1•► {r ,
-4. Print or Type Owner's or Si_anins Official's Name and Title (the person who is
t and nll j' �.Cs�.1vnJllJle 1V1 the 1aca.. LJ 4� its
5. Mailing Address: C '
City: R ; -A ij (i r- State: zip:2 —2
Telephone No.:
6. County where facility is located: l' 0 r %1 ,, CZ _
7. Operation Type (Swine, Poultry, Cattle): , fS U) , , 12/
8. Application Date: . U --
II. ELIGIBILITY FOR A SPECIAL AGREEMENT:
As per Senate Bill 1217 which was ratified on June 21, 1996, the Environmental Management
Commission (EMC) may enter into•a special agreement with an operator who registered by
September 1, 1996 with their local Soil and Water Conservation District office and who makes
a good faith effort to obtain -an approved animal waste management plan by December 31,
1997, This special agreement shall set forth a schedule for the operator to follow to obtain an
::rnroved animal waste managerent plan ley a date certain and shall provide that the EMC shall
not issue a notice of violation for failure to have an approved animal waste management plan so
long as the operator complies with the special agreement. Operators who did not register by
September 1, 1996 with their local Soil and Water Conservation District office or who can not
document that they made a good faith effort to obtain an approved animal waste management
plan by December 31, 1997, will not receive a Special Agreement from the EMC. These
facilities will be subject to civil penalties, criminal penalties, injunctions and all other
enforcement tools available to DWQ.
1. Date facility requested assistance from their local Sol] & Water Conservation District
FORM SPAG 1/98 Page 1 of 4

'_. Efforts made since February 1, 1993 to develop and implement a certified animal
waste management plan (Use additional streets if necessary). This summary must
include: 4
A. All contacts made with technical specialist
B. Dates and types of plans developed
C. Contracts signed
D. Fundsexpended
E. Improvements made to the system
F. Animals removed and not retoacked at the facility
G. Other actions taken
FORIM SPAG 1/98 Page 2 of 4

II. PROPOSED SCHEDULE FOR OBTAINING CERTIFICATION:
Please list each of the specific things that will be done at your facility to implement a
certified animal waste management plan and the date you will have each activity
completed. This must include a review of the possibility of not restocking animals that
are scheduled to be removed from the facility until such time as a certified plan can be
implemented. Please also list the date on which animals were most recently restocked at
this facility. The EMC reserves the right to deny any proposed schedules that are
excessively long. (Use additional sheets if necessary).
Applicant's Certification:
I. I , attest this application for a Special Agreement
with the EMC has been reviewed by me and is accurate and complete to the best of my
knowledge. I understand if all required parts of this application are not completed and if all
required supporting information and attachments are not included, this application package will
be returned as incomplete. Furthermore. I attest by my -signature that I_fully understand that if
this facility is found to be ineligible to enter into a special agreement with the EMC nothing in
this document removes my responsibility and liability for comJ21ving with all North Carolina
General Statutes and Regulations. I understand that the failure to meet an;, dates that are agreed
upon by myself and the EMC will result in appropriate enforcement actions b6ing taken by the
EMC.
Print Name of Owner
Date
Signature of Owner
FORM SPAG 1/98 Page 3 of 4

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Steve W. Tedder, Chairman
Wayland Baugham Jr.
Wayland Baugham Jr. Farm
PO Box 437
Rich Square NC 27869
Dear Mr. Baugham:
A 4
� E N R
Subject: Classification of Animal Waste Management Systems
Facility: Wayland Baugham Jr. Farm
Facility ID #: 66-55
County: Northampton
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 2I, 1996. This bill
requires that a certified operator be designated as the Operator in Charge (OIC) by January 1, 1997, for each
animal waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or more
horses, 1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management
system. Our records indicate that your facility is registered with the Division of Water Quality and meets
the requirements for designating an OIC.
A training and certification program is available for animal waste management system operators. For
information on the training programs please contact your local Cooperative Extension Agent. Operator
certifications are issued by the Water Pollution Control Systems Operators Certification Commission
(WPCSOCC). For information on the certification process, please contact the Technical Assistance and
Certification Unit at [phone]. The type of training and certification required for the operator of each
system is based on the nature of the wastes to be treated and the treatment process(es) primarily used to treat
the animal waste. There are two types of animal waste management systems, type A and type B. Type A
animal waste management systems are generally used to treat waste generated by monogastric animals
which produce a low -fiber waste. Type B animal waste management systems are generally used to treat
waste generated by ruminants and other animals which produce a high -fiber waste. The type of training and
certification an operator receives should correspond with the type of system(s) they intend to operate. For
more information on the classification of your system please contact the Technical Assistance and
Certification Unit.
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. If you do not
intend to operate your animal waste management system yourself, you must designate an employee or
engage a contract operator to be the Operator in Charge. The person designated as the Operator in Charge,
whether yourself or another person, must possess a currently valid certificate of the appropriate type.
Sincerely,
�U4
Joseph B. McMinn, Supervisor
Technical Assistance and Certification Unit
cd/AW OIC Designation
Enclosure
cc, Raleigh Regional Office
Water Quality Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
David W. Johnson
Johnson Farm �� —%
PO Box 276
Rich Square NC 27869[=9MEG�IONAL
OFFICE
Dear Mr. Johnson:
EDEHNF:Z
SUBJECT: Notice of Violation
Designation of Operator in Charge
Johnson Farm
Facility Number 66--55
Northampton County
You were notified by letter dated November 12, 1996, that you were required to designate a
certified animal waste management system operator as Operator in Charge for the subject facility by
January 1, 1997. Enclosed with that letter was an Operator in Charge Designation Form for your
facility. Our records indicate that this completed Form has not yet been returned to our office.
For your convenience we are sending you another Operator in Charge Designation Form for your
facility. Please return this completed Form to this office as soon as possible but in no case later
than April 25, 1997. This office maintains a list of certified operators in your area if you need
assistance in locating a certified operator.
Please note that failure to designate an Operator in Charge of your animal waste management
system, is a violation of N.C.G.S. 90A-47.2 and you will be assessed a civil penalty unless an
appropriately certified operator is designated. Please be advised that nothing in this letter should be
taken as absolving you of the responsibility and liability for any past or future violations for your
failure to designate an appropriate Operator in Charge by January 1, 1997.
If you have questions concerning this matter, please contact our Technical Assistance and
Certification Group at [phone].
Sincerely,
)"a 0. pt
for Steve W. Tedder, Chief .
Water Quality Section
bb/awdesletl
cc: Raleigh Regional Office
Facility File
Enclosure
P.O. Box 29535, IPA FAX [phone]
Raleigh, North Carolina 27626-0536 �C An Equal Opportunity/Affirmative Action Employer
Telephone [phone]% recycles/100/. post -consumer paper

M E M O R A N D U M April 29,.1996
To: Bob Sledge, Supervisor
Compliance Group
Through: Ken Schuster, P.E.
DEM Regional Supervisor
Through: Judy Garrett, RRO WQ Supervisor
Through: Charles Alvarez, RRO Animal Waste Engineer
From: - Buster Towell, Environmental Tech.fyr—
Subject: Loss of Deemed Permitted Status
Baugham's Hog Farm
Facility # 66-55
SR 1118 Northampton County
The above referenced Swine operation is owned and operated by Mr.
and Mrs. Wayland Baugham. A discharge was observed at this facility
on March 26, 1996. Please find attached. the following related
Items:
1. Loss of Deemed Permitted Letter for Director's signature.
2. NOV from the RRO, dated March 28, 1996.
3. Inspection Form, Maps, and photos.
Please contact Buster Towell if additional information is needed.
I

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr„ Governor
Jonathan B. Howes, Secretary
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
MR. WAYLAND BAUGHAM JR.
POST OFFICE BOX 437
RICH SQUARE, NORTH CAROLINA 27869
Subject: Notice of Violation
Notice of Intent to Revoke Deemed Permit
Baugham's Hog Farm
Farm Number 66-55
Northampton County
Dear Mr. Baugham:
IDEEHNF;Z
You are hereby notified that, having been deemed permitted to have a
nondischarge permit for the subject animal waste disposal system pursuant to 15A
NCAC 2H .0217, you have been found to be in violation of your 2H .0217 Permit.
On March 26, 1996, Mr. Buster Towell of the Raleigh Regional Office conducted an
inspection,at your facility that revealed that waste was overflowing from one of
your lagoons. The waste flowed downhill at a rate of approximately 5 gallons per
minute and into an adjacent low lying area where it formed a large pond and then
continued to flow into a small ditch which is an unnamed tributary to Urahaw
Swamp which is classified as C NSW waters within the Chowan River Basin.
In accordance with the requirements of NCAC 2H .0213, you are hereby given
notice that sixty (60) days following your receipt of this letter, the Division of
Environmental Management intends to revoke your permit unless the following
conditions are completed:
1. Immediately eliminate the discharge of wastewater or correct the violation.
2. Make any modifications needed to ensure there will be no future discharges .
3. Submit an approved animal waste management plan and have the attached
certification form completed. One copy of the plan must be sent to your local
Soil and Water Conservation District. The certification form and two '(2) copies
of your plan must be returned to the address below:
Division of Environmental Management
Water Quality Section Operations Branch
P.O. Box 29535
Raleigh, NC 27626-0535
3800 Barrett Drive, Suite 101, FAX [phone] S
Raleigh, North Carolina 27609 Nw, C An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10% post -consumer paper

Failure to comply with the above conditions will result in permit revocation and
therefore, the existing animal waste management system serving your animal
operation will be in operation without a permit as required by North Carolina
General Statute 143-215.1.
Your approved animal waste management plan must explain how you. will collect,
store, treat and land apply your animal waste in an environmentally acceptable
manner. To assist you in the development of this plan and to provide the required
certification that the plan is acceptable, you should contact your local
agricultural agencies such as the Soil and Water Conservation District, the USDA
Natural Resource Conservation Service, the North Carolina Cooperative Extension
Service or a technical specialist designated pursuant to the rules adopted by the
Soil and Water Conservation Commission.
If we have not received the requested animal waste management plan and
certification within 60 days of receipt of this letter or if there are additional
discharges to the surface water a civil penalty of up to $10, 000 may be assessed
and you may be required to apply for an individual nondischarge permit from the
Division. This permit, if issued, will contain monitoring and reporting
requirements determined to be necessary by the Division.
Although we will make every effort to work with you in correcting the problems
found at your facility, please be advised that nothing in this letter should be
taken as preventing the Division from taking appropriate enforcement actions for
either these violations or other past or future violations.
If you have any questions concerning this matter please do not hesitate to contact
either Ms. Judy Garrett, Water Quality Regional Supervisor for our Raleigh
Regional Office at [phone] or Mr. Shannon Langley at [phone], ext.
581.
Sincerely,
A. Preston Howard, Jr., P.E.
ATTACHMENTS
cc: Regional Water Quality Supervisor
Mr. Tony Short, Northampton County Soil and Water Conservation District
Ms. Pat Hooper, Environmental Engineer, NCDSWC, WARO
Northampton County Health Department
Compliance\Enforcement File

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
A7
IDE=.HNF:;Z
Division of Environmental Management
March 28, 1996
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Mr. Wayland Baugham•Jr.
P.O.-Box 437
Rich Square, North Carolina 27869
Subject: Notice of Violation
Baugham's Hog Farm
Facility # 66-55
SR 1118 Northampton County
Dear Mr. Baugham:
On March 26, 1996, Mr. Buster Towell of the Raleigh Regional
Office conducted an inspection of the subject animal operation.
This inspection is a part of the Division's efforts to determine
potential problems associated with liquid waste storage and
disposal systems from confined animal operations.
The inspection revealed that waste was overflowing from one of
the two lagoons on site. The waste ran downhill and into a low area
where it continued to flow into a small ditch which is an unnamed
tributary to Urahaw Swamp, classified as C NSW waters within the
Chowan River Basin.
The above referenced discharge is a violation of North
Carolina General Statute 143-215.1(a) which states:
143-215.1(a) " No person shall do any of the following things
or carry out any of the following activities until or unless
such person shall have applied for and received from the
Commission a permit therefor and shall have complied with such
conditions, if any as are prescribed by such permit.
1. Make any outlets into.waters of the State;"
This Office is issuing you this Notice of Violation regarding
this matter, and you are hereby required to immediately eliminate
the illegal discharge which is subject to $ 10,000,00 per day, per
violation.
3800 Barrett Drive, Suite 101, FAX [phone]
Raleigh, North Carolina 27609 N%4F C - An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/10°% post -consumer paper

Wayland Baugham
Page 2
In addition to the Notice of Violation, the Raleigh Regional
Office will recommend to the Director that the subject animal
facility lose Deemed Permitted Status which will require the
immediate development of an animal waste management plan. For
assistance in this matter you should contact your local Soil and
Water Conservation District Office or any licensed Professional
Engineer.
Please respond in writing to this Notice no later than April
20, 1996, outlining your plan to permanently eliminate the
discharge from your animal facility. You should also seek
assistance in the development of the required waste management plan
and report any progress made thus far.
If you have any questions or concerns regarding this Notice,
please contact either Mr. Buster Towell or Ms. Judy Garrett at
[phone].
Sincerely,
r
Kenneth Schuster, P.E.
Regional Supervisor
cc: Dr. Boone Mora, Northampton County Health Department
Mr. Tony Short, Northampton Soil and Water Conservation
District Office
Ms. Pat Hooper, Environmental Engineer, DSWC-WARO
Compliance Group
RRO Files

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`1« ZVS
Facility Number: t4-
Division of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date: 3 - 2 6 - 9.4
Time: 1 a o s`
Gener llnforniation:
Farm Name:_ZM9 , 10n � &W f}r4 n v 2 , County: 4/6 r-1 �U 4-u-,
Owner Name: 59ir,lr Phone No:_5'W- 2-1/ 7-}
On Site Representative: S)9^^ _ _ Integrator: /l
Mailing Address: F 0 13 a Y _S/3 7 12r c.4 S 42„4-
Physical Address/Location: aD 14,m f ) • S' R /// ?
Latitude:/ 1i I P 3 Longitude: 7? / / � / 3 s
Operation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Sow ❑ Layer ❑ Dairy
• Nprsery ❑ Non -Layer ❑ Beef
eeder 0c,
OtherType of Livestock: Number of Animals:
Number of Lagoons: (include in the Drawings and Observations the freeboard of each lagoon)
Facility_Impection:
Lagoon
Is lagoon(s) freeboard less than 1 foot + 25 year 24 hour storm storage?:
Is seepage observed from the lagoon?:
Is erosion observed?:
Is any discharge observed?
❑ Man-made C1 Not Man-made
Cover Crop
Does the facility need more acreage for spraying?:
Does the cover crop need improvement?:
( list the crops which need improvement)
Crop type:_EaS a4 _ Acreage: 3 L. 7
Setback Criteria
Is a dwelling located within 200 feet of waste application?
Is a well located within 100 feet of waste application?
Is animal waste stockpiled within 100 feet of USGS Blue Line Stream?
Is animal waste land applied or spray irrigated within 25 feet of Blue Line Stream?
AOI -- . January 17,1996
Yes O'�No❑
Yes ❑ No
Yes NN
Yes �]' No ❑
Yes ❑ No
Yes ❑ No
Yes ❑
No
Yes e ❑
No
Yes ❑
No
Yes ❑
No

Maintenance
Does the facility maintenance need improvement?
Is there evidence of past discharge from any part of the operation?
Does record keeping need improvement?
Did the facility fail to have a copy of the Animal Waste Management Plan on site?
Explain any Yes answers: 4C . �� A c�� � � / c��sr,4 ^-t i., 4 G•'qs� e
t ;44 pq-) PT J Jn r f Grl,w A4-eot . 44 r k A4e re.
Signature: i ^i- �& i
cc: Facility Assessment Unit
Drawings or _ Observp i2ns:
Yes0No 1:1
Yes 0--'No ❑
Yes ZJ'No ❑
Yes UNo ❑
Date: 3- z L._ ? C
Use Attachments if Needed
AOI -- ,January 17,1996
1 �

RF0 P.02/02
1,1K)YLtin d Q, ,, e. J
J'�—za—i995 15: 26 FROM
Site Rewires Immediate Anensrrn
Facility No.
DIVISION OFINVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERA'I`IONS S M VISITATION RECORD
DATE: rl R ' , 1995 _
Tune: (913 6
Farm Names Owner �?�►+�.Ss-; � �,,/�y�•y., d � a� e �2
Mailing Address:
DEM WATER QUALITY SECTION TO
ql[
County:.�' 1Y I L�1 U!'-, ---
integx-u= Phone:On Site Rernesentadve: _ _ _ Phone:
Physical Address/Location:
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Sire: 300 � v �
DEM Cemfication Number: ACE DEM Certification Number: ACNFW
Latitude: ��-' SLongitude: 9 ' 3 Elevarion: Feet
Circle Yes or No
Does the Animal Waste Lagoon hav sufficient. freeboard of 1 Foot + 25 year 24 hour storm event
(apprwd nately 1 Foot + 7 incites) or No Actual Freeboard: Vic. Inches
Was any seepage observed from the lagoon(s)? Yes or N Was any erosion observed? Yes`or DO
Is adequate land available for spray'? Yes or No is the rover crop adequate? Yes or No
Cmp(s) being.utilized: L e,61jT %[Cr_ v' ^ �_cj ✓�y c� f=i g/dj —
Does the facility meet SCS mm=um setback criteria'? 200 Feet from Bweluags?(G�or Na
100 Feet from Wells? 6� or No
_hc animal waste stockpiled within 100 Feet of USGS Slue Line -Stream? -Yes or ]$%
anunal waste land applied or spray irrigated within 25 Feer of a USGS Niap Blue Litre'? Yes or 49
'a animal waste discharged into waters of the stare by [pan -made ditch, flashing system, or csther
man-made devices? es � r No If 'Yes. Please Explain.
�Jr lcS ific facility rtiaintain adequate waste ma.[iagerucnr rrcoids (volumes of ruanure, land applie&
spray i-rz gared on specific acreage with cover crop)? Yes 0110
Additional Comments: Z S - 1 2. l -3
d f 1 a- d -j • r S i, i0 S i
J. e, -t44 .� �, mow" �I d .
r .. _... t �:I:+: 1gndCUrC
cc: Facility Assessment Urdt Use Attachments if Needed"
�\ TurRL F.02

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Wayland Baugham Jr.
PO Box 437
Rich Square NC 27869
Dear Wayland Baugham Jr.:
NCDENR
NORTH CA.ROLINA DEPARTMENT OF
ENVIRONMENT ANo NATURAL RE50URCE5
July 24, 1998
�i
Subject: Denial of Special Agreement
Wayland Baugham Jr. Farm
Farm Number: 66-55
Northampton County
�CP �
I considered the information submitted in your application received on February 27, 1998
for a Special Agreement with the Environmental Management Commission (EMC) and in
accordance with the authority delegated to me by the EMC, I have determined that the subject
facility is not eligible to enter into a Special Agreement. This determination was based on your
failure to make a good faith effort to implement a Certified Animal Waste Management Plan
(CAWMP) for this facility by December 31, 1997. Therefore, if still in operation, the subject
animal waste management system is being operated without a valid permit and is subject to a civil
penalty of up to $10,000.00 per day for each day of operation after December 31, 1997.
If your facility is no longer in operation or has reduced its animal numbers below that
automatically required to develop a CAWMP, please return the enclosed form certifying that fact.
If you wish to contest this decision, you must request an administrative nearing within 30
days of your receipt of this letter. This request must be in the form of a written petition to the
Office of Administrative Hearings and must conform to Chapter 150B of the North Carolina
General Statutes.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10 % post -consumer paper

S
��arm Number: 66-55
Denial of Special Agreement
Page 2
You must:
File your original petition with the:
Office of Administrative Hearings
P.O. Drawer 27447
Raleigh, North Carolina 27611-7447
and
Mail or hand -deliver a Copy of the petition to:
Office of General Counsel
NCDENR
Post Office Box 27687
Raleigh, NC 27611
Please be advised that nothing in this letter should be taken as removing from you either
the responsibility or liability for failure to comply with the State's environmental laws. By copy of
this letter, I am requesting that our regional office staff visit your facility to determine if your
facility is still in operation. If you have any questions, please contact Mr. Shannon Langley at
[phone], extension 581.
Sincerely,
A. Preston Howard, r.,
ATTACHMENT
cc: ian . �atr Quality5upetsvisor
Shannon Langley
Public Information Officer
Facility File

REQUEST FOR REMOVAL OF REGISTRATION
The following farm does not meet the 2H .0200 registration requirements. Please inactivate this
facility on the registration database.
Facility Number:
Farm Name:
Owner:
Mailing Address:
County:
This Operation is:
pasture only (no confinement)
dry litter poultry operation
out of business/no animals on site
closed out per NRCS standards
below the threshold (less than 250-swine, 100-confined cattle, 75-horses, 1000-sheep or
30.000-poultry with a liquid animal waste management system)
Comments:
I am aware that even though I may qualify to be removed from the animal operations registration database, the
Director of the Division of Water Quality (DWQ) may still require me to obtain a Cenified Animal Waste
Management Plan (CAWMP) or an individual permit for this facility. This decision will be made based on this
facility's actual or potential impacts on surface waters of the State of North Carolina. I am also aware that should 1,
in the future, decide to repopulate this facility at or below the originally registered number of animals, I am required
to obtain a CAWMP and request reactivation of the facility from the DWQ prior to stocking animals. Any expansion
to this facility would require me to apply for. and obtain a permit prior to expansion.
Signature:
Date:
Please return completed form to: DENR-DWQ
Water Quality Section
Non -Discharge Compliance Unit
P.O. Box 29535
Raleigh, NC 27626-0535
RR-2198

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Wayland Baugham Jr.
Wayland Baugham Jr. Farm
PO Box 437
Rich Square NC 27869
Dear Wayland Baugham Jr.:
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
February 11, 1998
Subject: Request for Status Update
Certified Animal Waste Management Plan
Wayland Baugham Jr. Farm
Facility Number: 66-55
Northampton County
In accordance with State Regulations (15A NCAC 2H .0217(a)(1)(E)) adopted by the Environmental
Management Commission on February 1, 1993, the owner of the subject facility was required to submit a
Certification Form for the facility's animal waste management system by December 31, 1997.
This letter is to advise you that this office has no record of having received the required Certification for
the subject facility. Please provide this office with an explanation as to why this Certification was not
submitted as required. This explanation must be received within 30 days following the receipt of this letter.
Any existing facility owner which did not submit the required certification by the deadline is no longer
deemed permitted to operate their animal waste management system. Therefore, if the certification was not
submitted as required and the facility is still in operation, this facility is being operated without a valid
permit. N.C.G.S. 143-215.6(b) allows the Secretary of the Department of Environment and Natural
Resources to take appropriate enforcement actions for this violation for as long as the violation continues.
As per Senate Bill 1217, which was ratified on June 21, 1996, the Environmental Management
Commission (EMC) may enter into a special agreement with facilities that did not meet the December 31,
1997 deadline. These special agreements can only be issued to facility owners which signed up for assistance
with their local Soil and Water Conservation District Office by September 1, 1996 and which can
demonstrate that they made a good faith effort to meet the December 31, 1997 deadline. The special
agreement, if issued, would contain a specific schedule for the facility to follow to develop and/or implement
an approved animal waste management plan. Attached is an application for a special agreement between the
EMC and the subject facility. If you can demonstrate that this facility can meet the conditions for a special
agreement, you may send this request along with your explanation as to why the plan has not been developed
and implemented. This request would also be due within 30 days from receipt of this letter.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

Also attached is a form (Form RR 2/98) that must be filled out if the facility is no longer in operation or is
below the threshold established inl5A NCAC 2H .0217(a)(1)(A). Facilities which maintain the number of animals
below certain thresholds are not required to be certified. These thresholds are:
100 head of cattle
75 horses
250 stAine
1000 sheep
30,000 birds with a liquid system
Please submit taus form if the subject facility is not operating or is below the threshold limit established in 15A
NCAC 2H.0217(a)(1)(A).
Please submit all responses to this matter to the following address:
Attn: Shannon Langley
Division of Water Quality
P.O. Box 29535
Raleigh NC 27626-0535
Once your response is received, it will be evaluated in detail along with any supporting information that
you may wish to submit. Following this review, you will be advised of the results of the review and of any
additional actions that must be taken to bring your facility into compliance.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with the requirement to develop and implement a certified animal waste
management plan by December 31, 1997. Please also be advised that the submittal of a request for a special
agreement does not assure that one will be issued. Each facility will be reviewed on a case by case basis and
appropriate actions will be taken to bring each facility into compliance.
Thank you for your inunediate attention to this issue. If you have any questions concerning this matter,
please do not hesitate to contact Mr. Shannon Langley of our staff at [phone] ext. 581.
Sincerely,
A. Preston Howard,
cc: Facility File — Non -Discharge Compliance/Enforcement Unit
DWQ Regional Office
Shannon Langley
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycledA0% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
David W. Johnson
Johnson Farm
PO Box 276
Rich Square NC 27869
SUBJECT: Operator In Charge Designation
Facility: Johnson Farm
Facility ID#: 66-55
Northampton County
Dear Mr. Johnson:
EDEHNR
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study
Commission on Agricultural Waste, enacted by the 1996 North Carolina General Assembly,
requires a certified operator for each animal waste management system that serves 250 or more
swine by January 1, 1997. The owner of each animal waste management system must submit a
designation form to the Technical Assistance and Certification Group which designates an
Operator in Charge and is countersigned by the certified operator. The enclosed form must be
submitted by January 1, 1997 for all facilities in operation as of that date. Failure to designate a
certified operator for your animal waste management system is a violation of 15A NCAC 2H
.0224 and may result in the assessment of a civil penalty.
If you have questions concerning operator training or examinations for certification, please
contact your local North Carolina Cooperative Extension Service agent or our office.
Examinations have been offered on an on -going basis in many counties throughout the state for
the past several months and will continue to be offered through December 31, 1996.
Thank you for your cooperation. If you have any questions concerning this requirement please
call Beth Buffington or Barry Huneycutt of our staff at 919/733-0026.
Sincerel
A. Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc. Raleigh Regional Office
Water Quality Files
P,O, Box 27687, V 4C
Raleigh, North Carolina 27611-7687 An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 50% recycled/100%o post -consumer paper

M�a
THIS DESIGN IS FOR A TWO -STAGE LAGOON
CLIENTS NAME
COUNTY
TODAYS DATE
DISTANCE TO NEAREST NONFARK RESIDENCE
NUMBER OF PIGS WEANLING TO FEEDER
NUMBER OF PIGS FEEDER TO FINISH
NUMBER OF SOWS FARROW TO WEANLING
NUMBER OF SOWS FARROW TO FEEDER
NUMBER OF SOWS FARROW TO FINISH
DEGREE OF ODOR CONTROL
(minimum 1.0 cu. ft. per lb sslw)
(maximum 3..0 cu. ft. per lb sslw)
NUMBER OF YEARS OF SLUDGE ACCUMULATION
TOP LENGTH AT NORMAL WATER LEVEL
TOP WIDTH AT NORMAL WATER LEVEL
NORMAL WATER LEVEL ELEVATION
LAGOON BOTTOM ELEVATION
Depth of Permanent Water 6.2
(minimum depth without sludge = 6 feet)
(minimum depth with sludge = 8 feet)
FIRST STAGE SIDESLOPES
FIRST STAGE FREEBOARD
Permanent Volume Required 135000.0
Permanent Volume Provided 144018.6
Wayland Baugham
Northampton
12/10/97
2000 FEET'
0
1000
0
0
0
1.0
0.0 YEARS
293.0
FEET
95.0
FEET
:,9810
FEET
91.8
FEET
2.0:1
1.0 FEET
cubic feet
cubic feet Morn
First Stage Top of Dam Elevation= 100.5 feet
Inside Dimensions of Lagoon at Top of Dam
Length = 297.0 feet Width = 99.0 feet
ADDITIONAL DRAINAGE AREA IN SQUARE FEET
(i.e. pumpout pond & other outside area)
LENGTH OF PUMPING CYCLE
GALLONS OF FRESH WATER ADDED DAILY
EXCESS RAINFALL ABOVE EVAPORATION =----_--__>
25YR/24HR STORM RAINFALL =------------------>
LENGTH AT TOP OF ALL TEMPORARY STORAGE
WIDTH AT TOP OF ALL TEMPORARY STORAGE
TEMPORARY STORAGE LIQUID SURFACE ELEV.
SECOND STAGE BOTTOM ELEVATION =------------=>
SEASONAL HIGH WATER TABLE ELEVATION
Depth of Temporary Storage = 5.0
SECOND STAGE SIDESLOPES
SECOND STAGE FREEBOARD
Temporary Storage Required 65297.8
Temporary Storage Provided 67251.7
Second Stage Top of Dam Elevation =
Inside Dimensions of Lagoon at Top
Length = 152.0 feet Width =
Begin Pumping Elevation is
Stop Pumping Elevation is
Volume to be pumped =
feet
�63' 8 �-
0 SQUARE FEET
90 DAYS
0 GALLONS
6.3 INCHES
6.7 INCHES
148.0 FEET,
99.0 FEET
101.0 FEET
96.0 FEET
96.0 FEET
1.0:1
2.0 FEET
cubic feet
cubic feet
103.0 feet
of Dam
103.0 feet
101.0'feet
'96.0 feet
40140 cubic feet
13.4

I
2.
3.
4.
STEADY STATE LIVE WEIGHT
0 head weanling-to-feeder x 30 lbs. =
0
lbs•
1000 head feeder -to -finish x 135 lbs. =
135000
lbs.
0 sows farrow-to-weanling x 433 lbs. =
0
lbs.
0 sows farrow -to -feeder x 522 lbs. =
0
lbs.
.0 sows farrow -to -finish x 1417 lbs =
0
lbs.
TOTAL STEADY STATE LIVE WEIGHT (SSLW) =
135000
lbs.
SLUDGE ACCUMULATION
Sludge accumulates at the rate of 0.080 cu. ft. per year
per pound of STEADY STATE LIVE WEIGHT in swine.
.Years of sludge accumulation in design? 0.0
Sludge Volume = 0.0 cubic feet
REQUIRED LIQUID VOLUME OF LAGOON
Design for 1.0 cu. ft. per pound SSLW
Total Volume = (SSLW *.Design factor) + Sludge Volume
Total Volume = 135000.0 cubic feet
NORMAL LAGOON LIQUID LEVEL
Maintain normal lagoon liquid level at elevation
98.0
feet
Construct lagoon bottom elevation 91.8 feet
Lagoon size for normal lagoon liquid volume using prismodial
formula
SS/END1 SS/END2 SS/SIDE1 SS/SIDE2
DEPTH
2.0 2.0 2.0 2.0
6.2
AREA OF TOP
LENGTH * WIDTH =
293.0 95.0
AREA OF BOTTOM
Lb * Wb =
268.2 70.2
AREA OF MIDSECTION
(Lm * Wm)
27835.0 (AREA OF TOP)
18827.6 (AREA OF BOTTOM)
280.6 82.6 23177.6 (AREA OF MIDSECTION)
CU. YD. = (AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM] * DEPTH/6
27835.0 92710.2 18821.6 1.033
VOLUME OF LAGOON AT NORMAL LAGOON LIQUID LEVEL = 144018.6 CU. FT.

VOLUME NEEDED = 135000.0 CU. FT.
6D Vcj G ;
THE INSIDE EDGE DIMENSIONS OF THE FIRST STAGE AT THE
TOP'OF DIKE ELEVATION ARE:
ARE 297.0 FEET BY 99.0 FEET
5. DIKE
Place spoil as a continuous dike to elevation 99.0 feet.
6. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
first stage lagoon (top of dike)
Length * Width =
297.0 99.0 29403 square feet.
second stage lagoon (top of dike)
Length * Width =
152.0 103.0 15656 square feet.
Additional Drainage Area
0 square feet
TOTAL DA 45059 square feet
Pumping cycle to be 90 days.
6A. Volume of waste produced
Volume = 135000 SSLW * 0.0101481 gallon/lb. SSLW/day * 90
days in the pumping cycle / 7.48 gallons per.cu. ft.
Volume = 16483.9 cubic feet
6B. Volume of wash water
This is the amount of fresh water used for washing floors or
volume of fresh water used for a flush system. Flush systems
that recycle the lagoon water are accounted for in 6A.
Volume = 0 gallons/day * 90 days in the pumping
cycle divided by 7.48 gallons per cu. ft.
Volume = 0.0 cubic feet
6C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest
amount.
Volume = 6.3 in * DA /. 12 inches per -foot
Volume = 23656.0 cubic feet

Dili', S;
��6D.-.Volume'of 25 year - 24 hour storm
Volume'= 6.7 inches / 12 inches per foot * DA
Volume = 25157.9 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
6A. 16483.9 cubic feet
6B. 0.0 cubic feet
6C. 23656.0 cubic feet
6D. 25157.9 cubic feet
TOTAL 65297.8 cubic feet
7. SECOND STAGE DESIGN
SS/END1 SS/END2
1.0 1.0
SS/SIDE1 SS/SIDE2 DEPTH
1.0 1.0 5.0
AREA OF TOP (BELOW FREEBOARD)
LENGTH * WIDTH =
148.0 99.0 14652.0 (AREA OF TOP)
AREA OF BOTTOM
Lb * Wb =
138.0 89.0 12282.0 (AREA OF BOTTOM)
AREA OF MIDSECTION
(Lm * Wm) _
143.0 94.0 13442.0 (AREA OF MIDSECTION)
CU. YD. _ [AREA TOP + (4*AREA MIDSECTION) + AREA BOTTOM) * DEPTH/6
14652.0 53768.0 12282.0 0.833
VOLUME OF SECOND STAGE BELOW FREEBOARD = 67251.7 CU. FT.
VOLUME NEEDED = 65297.8 CU. FT.
THE SECOND STAGE FREEBOARD IS = 2.0 FEET
THE INSIDE EDGE OF THE SECOND STAGE AT ELEVATION 103.0 FEET
ARE 152.0 FEET LONG BY 103.0 FEET WIDE
8. BEGIN PUMPING ELEVATION
TOTAL REQUIRED TEMPORARY STORAGE
6A. 16483.9 cubic feet
6B. 0.0 cubic feet
6C. 23656.0.cubic feet
TOTAL PUMPED VOLUME 40139.8 cubic feet
DEPTH OF WASTE = TOTAL PUMPED VOLUME / SURFACE AREA AT
BOTTOM OF SECOND STAGE
DEPTH 40139.8 CU. FT. / 12282.0 SQ. FT

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- TYPES OF MATERIAL ENCOUNTERED IN BORINGS
(Use one of systems below) '
UNIFIED CLASSIFICATION
USDA CLASSIFICATION
GW - Well graded' gravels; gravel,- sand' mix
g - gravel
GP -Poorly graded gravels
s - sand !. ,
GM -Silty gravels; gravel -sand -silt mix
vfs - very fine sand
GC -Clayey gravels; gravel -sand -clay mix
sl 1 sandy loam
SW- Well graded sands; send-grdvel mix.,
fsl -fine sandy loam
SP - Poorly graded sands
1- loam
SM - Silty sand
gl -gravelly loam
SC - Clayey sands, Band=clay mixtures `
si - silt ' t
ML - Silts; silty, Y. fine sands; sandy or clayey silt
sil -silt loam
CL - Clays of low to medium plasticity
cl -clay loam r
CH -Inorganic: clays of high plasticity
sicly- silty clay loam
MH - Elastic silts
act -sandy clay loam
OL - Organic silts and silty clays, low plasticity
sic -silty clay
OH -Organic clays, medium to high plasticity
c -clay
14 Suitable material for embsnkm_ ent is available`. ❑Yea [:D No (indicate where loaned on the skekh,od ..
no"M Sao)
REMARKS: '
i
2. Explain hazards requiring special attention in design 1Seeraoe. sp!tnp,. ro,* del I
—1h"j- A fod"
.. 1rV r-!e.a .54,Ve is , uawo el a
CP. we o 4
. l I
GENERAL REMARKS: i
24
26
128
[27
128129
1 301131.132
33 11
U-11
M6
1361137
381139
40
41
42
43
44
45
46
47
48
49
50
51
•I
Ir
�
',1
i'
kb)

Producer: Wayland Baugham, Jr.
The purpose of this plan is to provide guidelines for
carrying out the routine operation and maintenance work
needed to keep this swine waste management system
functioning as planned. Routine maintenance is considered
to be normal good care of the system. Good maintenance adds
to beauty, usefulness, and permanence.
A. Maintenance
The routine maintenance of the lagoon involves the
following:
1. Maintenance of a vegetative cover on the
embankment top and side slopes: tall fescue is being
established on these areas. Beginning in 1998'and
each year thereafter, the embankment should be, "'
fertilized with 800 pounds of 10-10-10 per acre to
maintain a vigorous stand.
2. Control of brush and trees on the embankment.
This may be done by mowing, spraying, or chopping,
or a combination of all three. This will need to be
done at least once each year and possibly twice in
years favorable to heavy growth of vegetation.
Maintenance inspections of the lagoon should be made
during the
initial filling of the lagoon and at least annually.
Items to be checked should include, as a minimum, the
following:
I. Waste Inlet Pipes, Overflow Pipes
a. condition of pipes
(1) separation of joints
(2) cracks or breaks
2. Pool Area
a. undesirable vegetative growth
b. floating or lodged debris
1

3. Embankment
a. settlement', cracking or "jug" holes
b. side slope stability - slumps or bulges
C. erosion and rodent damage
4. Transfer Pump
If transfer pumps are used on site, they will be
properly maintained.
B. Operation
Your animal waste management facility was designed for a
total of 1000 topping hogs. The lagoon contains both
permanent and temporary storage. The permanent storage
is not to be pumped in order to ensure that anaerobic
action will occur. The design includes permanent
storage of one cubic foot per pound of steady state live
weight.
The temporary storage portion of the lagoon includes
capacity for the volume of waste produced over 150 days,
the amount of rainfall in a 25 year 24 hour storm event,
and rainfall in excess of evaporation. Your facility is
designed for 90 days of temporary storage; therefore,
it will need to be pumped every five months. Begin
pump -out of the lagoon when fluid level reaches
elevation 98.8 on the east lagoon and 101.0 on the west
lagoon as marked by permanent markers. Stop pump -out
when the fluid level reaches elevation 96.0.
The attached waste management plan should be followed.
This plan recommends sampling and testing of waste
before land application. The waste material should be
analyzed before each application cycle to determine its
nutrient content. A soil test of the area of
application should be made annually to insure the waste
is applied as reasonably and practically possible to
recommended rates.
The Clean Water Act of 1977 prohibits the discharge of
pollutants into waters of the United States. The -
Department of Environment, and Natural Resources,
Division of Environmental Management, has the
responsibility for enforcing this law.
2

Swine Farm Waste Management Odor Control Checklist
Source . Cause BMPs to Minimize Odor Site Speciise Practices
Farmstead • Swine production ❑ Vegetative or wooded buffers;
❑ recommended best management practices;
❑ Good judgment and common sense
Animal body. surfaces • Dirty manure -covered animals ❑ Dry floors
Floor surfaces + Wet manure -covered floors ❑ Slotted floors;
❑ Waterers located over slotted floors;
❑ Feeders at high end of solid floors;
❑ Scrape manure buildup.from floors;
❑ Underfloor ventilation for drying
Manure collection pits • Urine; ❑ Frequent manure removal by flush, pit recharge,
• Partial microbial decomposition or scrape;
❑ Underfloor ventilation
Ventilation exhaust fans • Volatile gases; ❑ Fan maintenance;
Dust ❑ Efficient air movement
Indoor surfaces • Dust p Washdown between groups of animals;
❑ Feed additives;
❑ Feeder covers;
❑ Feed delivery downspout extenders to feeder
covers
Flush tanks
Agitation of recycled lagoon
❑
Flush tank covers;
liquid while tanks are filling
❑
Extend fill lines to near bottom of tanks with
anti -siphon vents
Flush alleys
• Agitation during wastewater
❑
Underfloor flush wide underfloor ventilation
conveyance
Pit recharge points
• Agitation of recycled lagoon
❑
Extend recharge lines to near bottom of pits
liquid while -pits arefilling
with anti -siphon vents
Lift stations
• Agitation during sump tank
❑
Sump tank covers
filling and drawdown
Outside drain collection
Agitation during wastewater
❑
Box covers
orjunction boxes
conveyance
.�
AMOC vember 11, 1996, Page 3

Source Cause liXPs to Minimize Odor Site Specific Practices
End of drainpipes at • Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagoon. conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emissions; ❑ Proper lagoon liquid capacity;
• Biological mixing; ❑ Correct lagoon startup procedures;
• Agitation ❑ , Minimum surface area -to -volume ratio;
❑ Minimum agitation when.pumping;
❑ Mechanical aeration;
❑. Proven biological additives
Irrigation sprinkler • High pressure agitation; ❑ irrigate on dry days with little or no wind; .
nozzles Wind drift ❑ Minimum recommended operating pressure;
❑ Pump intake near lagoon liquid surface;
❑ Pump from second -stage lagoon
Storage tank: or basin • Partiai microbial decomposition; ❑ Bottom or midlevel loading;
surface • Mixing while filling; ❑ Tank covers;
• Agitation when emptying ❑ Basin surface mats of solids;
❑
Proven biological additives or oxidants
Settling basin surface
Partial microbial decomposition;
❑
Extend drainpipe outlets underneath liquid
•
Mixing while filling;
level;
:, - •
Agitation when emptying
❑
Remove settled solids regularly
Manure, slurry or sludge •
Agitation when spreading;
❑
Soil injection of slurry/sludges;
spreader outlets •
Volatile gas emissions
0
Wash residual manure from spreader after use;
❑
Proven biological additives or oxidants
Uncovered manure, •
Volatile gas emissions while
❑
Soil injection ofslurry/sludges
slurry or sludge on field
drying
❑
Soil incorporation within 48 hrs.;
surfaces
_
❑
Spread in thin uniform layers for rapid drying;
❑
Proven biological additives or oxidants
Dead animals •
Carcass decomposition
❑
Proper disposition of carcasses
Dead animal disposal •
Carcass decomposition
❑
Complete covering of carcasses in burial pits;
pits
❑
Proper location/constmction of disposal pits
Incinerators •
Incomplete combustion
0
Secondary stack burners . r
AWE' 'tovember11, 1996, Page

• i
Source
Cause
BMPs to Minimize Odor
Site Specific Practices
Standing water around - . Improper drainage; 0 Grade and landscape such that water drains
facilities - Microbial decomposition of away from facilities - --- -
organic matter
Manure tracked onto - Poorly maintained access roads Farm access road maintenance - - -
public roads from farm
access
Additional Information:
Available From:
Swine Manure Management; 0200 RulelBMP Packet
NCSU, County Extension Center
Swine Production Fans Potential Odor Sources and Remedies ; EBAE Fact Sheet
NCSU - BAE—
Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment; EBAE 128-88
NCSU - BAE
Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment; EBAE 129-88
NCSU - BA£
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 10343
NCSU - BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet
NCSU - BAE - --
Controlling Odors from Swine Buildings; PIH-33
NCSU - Swine Extension
Environmental Assurance Program ; NPPC Manual
NC Pork Producers Assoc
Options for Managing Odor; a report from the Swine Odor Task Force
NCSU Agri Communications
Nuisance Concerns in Animal Manure Management: Odors and Flies; PROI07, 1995 Conference Proceedings
Florida Cooperative Extension -
a
A.' -- - November 11, 1996, Page 5
FA

Insect Control Checklist for Animal Operations --
Source Cause
BMPs to Contra] Insects Site Specific Practices
-
Systems
Flush Gutters • Accumulation of solids
_Liquid
❑ Flush system is designed and operated
sufficiently to remove accumulated solids from
gutters as designed.
0 Remove bridging of accumulated solids at
discharge
Lagoons and Pits Crusted Solids
❑ Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the
crusting of solids to a depth of no more than 6 -
8 inches over more than 30% of surface.
Excessive Vegetative • Decaying vegetation
0 Maintain vegetative control along banks of
Growth
lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along water's edge on impoundments perimeter.
Dry Systems
Feeders • Feed Spillage ❑ Design, operate and maintain feed systems (e.g.,
bunkers and troughs) to minimize the
accumulation of decaying wastage.
❑ Clean-up spillage on a routine basis (e.g., 7 - 10
day interval during summer, 15-30 day interval
during winter).
Feed Storage Accumulations of feed residues © Reduce moisture accumulation within and
around immediate perimeter of feed storage
areas by insuring drainage away from site
andlor providing adequate containment (e.g.,
covered bin for brewer's grain and similar high .
moisture grain products).
© Inspect for and remove or break up accumulated
solids in filter strips around feed storage as
needed.
V"" '-wember 11, 1996, Page I

Source
Cause
BIAPs to Control Insects. Site Specific Practices
Animal. Holding Areas
• Accumulations of animal wastes ❑
Eliminate low areas that trap moisture along
and feed wastage
fences and other locations where waste
accumulates and disturbance by animals is
minimal.
O
Maintain fence rows and filter strips around
animal holding areas to minimize
accumulations of wastes (Le., inspect for and
remove or break up accumulated solids as i
r
i -
needed).
Dry Manure Handling
• Accumulations of animal wastes ❑
Dove spillage on a routine basis (e.g., 7 -10
Systems
day interval during summer, I5-30 day interval
during winter) where manure is loaded for land
application or disposal.
❑
Provide for adequate drainage around manure
stockpiles.
0
Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
manure handling areas as needed.
For more information contact the Cooperative Extension Service, Department of Entomology, Box 76I3, North Carolina State University,
Raleigh, NC, 27695-76I3.
i
AMiC - Y -mber 11, 1996, Page 2

Alurtali(y Management Methods
(check which inctifod(s) are being implemented)
❑ Burial three feet betncath the surface of the ground within 24 hours after
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
❑ Rendering at a rendering plant licensed under G.S. 106-168.7
❑ Complete incineration
❑ In the case of dead poultry only, placing in a disposal pit of a size and design
approved by the Department of Agriculture
❑ Any method which in the professional opinion of the State Veterinarian- would
make possible the salvage of part of a dead animal's value without endangering
human or. animal health. (Written approval of the State Veterinarian must be
attached)
December 18, 1996

r
EMERGENCY ACTION PLAN
PHONE NUMBERS
llWQ - 7/ - Y7,04
EMERGENCY MANAGEMENT SYSTEM i
SWCD '3N - - Z �/ -
NRCS I IV - z m
This plan will be implemented in die event that wastes from your operation are leaking,
overflowing, or running off site. You should not wait until wastes reach surface waters or
leave your property to consider that you have a problem. You should make every effort to
ensure that this does not happen. This plan should be posted in an accessible location for
all employees at the facility. The following are some action items you should take.
1. Stop the release of wastes. Depending on the situation, this may or may not be.
possible. Suggested responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable. rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B: Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. '.Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. Evaluate the application rates for the fields where runoff occurred.
C:--Leakage from the waste pipes and sprinklers -action include: ._.._ _.._ .'_......._.... _ _..
a. Stop recycle pump.
b. Stop irrigation pump.
c.. Close valves to elindnate further discharge.
d. Repair all leaks prior to restarting pumps. ;
D: Leakage from flush systems, houses, solid separators -action include-.
a. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators..
December 18. 1996

e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to
flowing leaks- possible action:
a. Dig a small sump or ditch away from the embankment to catch all seepage,
put in a submersible pump, and pump back to lagoon."
b. if holes are caused by burrowing animals, trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as soon as possible.
2. Assess the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters? `
b. Approximately how much was released and for what duration?'
c. Any damage noted, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
li. How much reached surface waters?
3: Contact appropriate agencies.
a. During normal business fours, call your DWQ (Division of Water Quality)
regional office; Phone - . After hours, emergency numb&:' 919-733-3942.
Your phone call should include: your name, facility, telephone number, the details
of the incident from item 2 above, the exact location of the facility, the location or
direction of movement of the spill, weather tend wind conditions. The corrective
measures that have been under taken, and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number
C. Instruct EMS to contact local Health Department. '
d. Contact CES, phone number" ' ' : - , local SWCD office phone number
and local NRCS ofike for advice/technical assistance phone number.'- -
4: If none of the above works call 911 or the Sheriff's Department and explain your
problem to them and ask that person to contact the proper agencies for you.
5: Contact the contractor of your choice to begin repair of problem to minimize off -site .
damage.
a. Contractors Name: 'an/�—
b. Contractors Address:
c. Contractors Phone:` 1 a-g-
i
2
December 18, 1996

6: Contact the technical specialist who certified the lagoon (NRCS, Consulting
Engineer, etc.)
a. N a ►ju 06.f-
b. Phone:
7. Implement procedures as advised by DWQ and tecluiical assistance agencies to
rectify the damage, repair the system, and reassess the waste management plan to
keep problem's with release of wastes from happening again.
9
3 December 18, 1996

•w
State of North Carolina ICC cc
Department of Environment and Natural ResojaEiCENED
Division of Water Quality
Non -Discharge Permit Application Form SEP 9 2000
(THIS FORM MA Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) iSY SC�10N
General Permit - Existing Animal Waste Op,�y &A- £pgimitUn�
The following questions have been'completed utilizing information on rile with the Division. Please.
review the information for completeness and make any corrections that are appropriate. If a
question has not been completed by the Division, please complete as best as possible. Do not leave
any question unanswered.
1. GENERAL INFORMATION:
1.1 Facility Name: Wayland Baugham Jr. Farm
L2 Print Land Owner's name: Wayland Baugham Jr.
1.3 Mailing address: PO Box 437
City, State: Rich Square NC Zip: 27869
Telephone Number (include area code): 539-2403
1.4 County where facility is located:
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a
copy of a county road map with the location of the farm identified): SR 1118 Bolton Rd. 1 mile W. of 305.
1.6 Print Farm Manager's name (if different from Land Owner):
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed):
1.8 Date Facility Originally Began Operation: 1/l/1980
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.1 Facility No.: _66_ (county number); _55 (facility number).
2.2 Operation Description: Swine operation
`Feeder to Finish
1000- Certified Design Capacity
Is the above information correct? yes; no. If no, correct below'using the design capacity of the facility
The "No,.of Animals" should be the maximum number for which the waste management structures were designed.
Type of Swine No. of Animals Type of Poultry " No. of Animals Type of Cattle, No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 Feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# 5ow)
Other Type of Livestock on the farm: No. of Animals:
FORM: AWO-G-E 7/7/99 Page 1 of 4 66 - 55

K]
2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 32.5 ; Required Acreage (as listed in the AWMP): 19.9
2.4 Number of lagoons/ storage ponds (circle which is applicable):
2.5 Are subsurface drains present within 100' of any of the application fields? YES or O (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or O please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine harm Siting Act, NRCS Standards, etc.) (Swine Only)
YES r NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited? Q
What was the date that this facility's land application areas were sited? /9Y -5�
REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
3.1 One completed and signed original and one copy bf the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit
application for animal waste operations.
The CAWMP must include the following components. Some of these components may not
have been required at the time the facility was certified but should be added to the
CAWMP for permitting purposes:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications.
3.3.10 A site schematic.
3.3.1 1 Emergency Action Plan.
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
Applicants Initiafs
�//g
FORM: AWO-G-E 7/7/99 Page 2 of 4 66 - 55

Facility Number: 66 - 55
Facility Name: Wayland Baugham Jr. Farm
4. APPLICANT'S CERTIFICATION:
(Land Owner's name listed in question 1.2), attest that
this application for (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as incomplete.
Signature
Date
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
(Manager's name listed in question 1.6), attest that this
application for (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING. INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
FAX.NUMBER: [phone]
FORM: AWO-G-E 7/7/99 Page 3 of 4 66 - 55

OPERATIONS BRANCH - WQ Fax:[phone]
E, E) e p a rt m e n' c)f nvirormenl,
Hled-fh and Natural Resources
jcmes B. 'Hunt, Jr.. Governor
Joncinct'i 8, Howes. Secretary
Stever.'. J, Levitcs, DecL-,ty Secretcry-
--Avisicrl of E-nvlmnmenta! Marc—emc—if
Wafer Quoli+,,, Sccticn
P.O. Box
Rale+cb. N.C, '276r,5,3�7j
Z 'D 5 IN, C,!,\J T H 15 SH E T:
ai
Y�z
An Equal GQpertuny Affirmative i-,ction Employer

OPERWIONS BRANCH WO Fax:[phone]
Rug 22 '96 16:24 P. 02/03
el�
nuts VED
AUG 1 5 1996
FAPH IMS ASSESSMENT UNIT

OPERATIONS BRANCH - Wo Fax:[phone] Aug 22 '96 16:24 P.03/03
'i:PLAN
T ..UTILIZ MI..,:
WAS E
amp {
owtvbr /Manager Agreement
I (we) understand and will follow and implement the specification and the
operation and maintenance procedures established in the approved animal
waste utilization plan for the farm named above. I (we) know that any
expansion to the existing design capacity of the waste treatment and
storage system or construction of new facilities will require a new
cer.-Itication to be submitted to the Division of Erxvironmental Management
(DEMIt before the new animals are stocked. I (we) also understand that
,�.:rere Mtlst:_ be no discharge of animal waste from this system r-o surface
citer-F; cf 1--he. ..ate L:rom a stc)rm event less severe than the 25-year, 24-
the -!It roved plan will he filed can -mite at the .tarns office and
c:1` e:!YF locai Soil. and Water Conservation District and will, be
available for review by DEM upon request.
Name of Facility owner., (Please print)
C..gnatitre: - '---"-�%G}� _i s�._G'.%�!A'?�f i'-T � --- Date_
Mann.aer (If d_ E 17F gent from owner:
t;a!:.+� � " .-� �. 1f � �{ AC
Date
presentative . Tony Short
Conservation Service
-�nc:y _ ?,C. Box. 218
TackSn n N.C. 27945
/
Date: 1F/

State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne\McDevitt, Secretary
A. Presto Howard, Jr., P.E., Director
October 24, 1997
Wayland Baugham Jr. 11
Wayland Baugham Jr. Farm
PO Box 437
Rich Square NC 27869
Subject: Removal of Registration
Facility Number 66-55
Northampton County
Dear Wayland Baugham Jr.:
\1
This is to ack-nowledge receipt of your request that your facility no longer be registered as an animal waste
management system per the terms of 15A NCAC 2H .0217. The information you provided us indicated that your
operation's animal population does riot'exceed the number set forth by 15A NCAC 2H .0217, and therefore does not
require registration for a certified animal' waste management plan.
Under 15A NCAC 2H .0217, your facility is deemed permitted if waste is properly managed and does not
reach the surface waters of the state. Any system determined to have an adverse impact on water quality may be
required to obtain a waste management plan or an individual permit. You are reminded that a discharge of wastes to the
surface waters of the state will subject you to a civil penalty up to $10,000 per day.
Shyou decide to r of animals housed a[ your facility beyond the threshold limits listed
below,
increase the numbe
, you will be required to obtain a certified animal waste management plan prior to stocldng animals to that level.
Threshold numbers of animals which require certified animal waste management plans are as follows:
Swine % t 250
Confined Cattle \ 100
Horses 75
Sheep 1,000
Poultry with a li uid waste system 30,000
If you have questions regarding this letter or the status of your operation please call Sue Homewood of our staff
at [phone] ext 502.
4
f
lr
cc: RaiGighIWaterQualitrRzgional_ Offic
Northampton Soil and Water Conservation District
Facility File
P.D. Box 29535, Raleigh, North Carolina 27626-0535
An Equal Opportunity Affirmative Action Employer
Sincerely,
A. Preston Howard, Jr., P.E.
Telephone [phone] Fax [phone]
50% recycled/10% post -consumer paper

Insect Control Checklist for Animal Operations
511111-ce Cause _ --- JUMPS fo Cnlrlrul lusecls- - _ - - Site Specirc Practices
FIu411 C; UCTS • Accumulation of solids
Systems
1r Flush system is designed and operated
sufficiently to remove accumulated solids from
,glitters as designed -
Remove bridging of accumulated solids at
discharge
Lagoons and HIS • Crusted Solids Maintain lagoons, settling basins and pits where
pest breeding is apparent to nsinimizc the
crusting of solids to a depth of no more than 6 -
8 inches over more than 30% of surface.
Excessive Wgulalive Decaying vcgelation Maintain vegetative control along hanks of
t;nlnvdt lagoons and other impoundments to prevent
accumulation of decaying vegetative matter
along water's edge on impoundment's perimeter.
Dry Systems
i cc 1c1. - Feud Spillage f-V Design, operate au11 maintain feet! sysleats—
bunkers and troughs) to minimize the
V
ccunudatian of decaying wastage.
lean up spillage on a routine basis (e.g., 7 - 10
clay interval during summer; 15-30 clay interval
daring winter).
Feed Slurage • Accuowlations of feed residues Reduce moisture accumulation within and
around inunediale perimeter of iced storage
areas by insuring drainage away froin site
providing adccplale containmentjan(Vor
covered bin for brewer's grain and siatilar high
moisture grain products).
O Inspect firr and remove or break up accumulated
solids in filter strips. ronnttf feed storage as
needed.
AMIC - Novcmltcr 11, 1996, l'agc 1

Source Cruse
BMPs to Control Insects. Site Specific Practices
Animal I folding Areas Accumulations of animal wastes ❑
Eliminate low areas that trap moisture along;
and feed wastage
fences and other locations where haste
accumulates and disturbance by animals is
minimal.
❑
Maintain fence rows and filter strips around
animal holding areas to minimize
accumulations of wastes CLe., inspect for and
remove or break up accumulated solids as
needed).Dry
Manure I l:mdfing Accumulations of animal wasttx ❑
Remove spillage on a routine Basis (e.g., 7 -1 a
Systems
day interval during summer,15-30 day interval
during winter) where manure is loaded for land
application or disposal.
❑
Provide for adequate drainage around.manure
stockpiles.
❑
Inspect for and remove or break up accimudated
wastes in filter strips around stockpiles and
mantlre handling areas as needed.
For more hil'Onnation contact flit: Cooperative Extension Scrvice, Departinent of Cntontolagy, Box 7613, Norih Carolina State I Iniversity,
Itairigli, NC, 27695-7613.
AAIIC' anher It, 1996, Punt 2

Source Cease DNIPs to Minimize Odor Site Specific Practices
Standing water around • Improper drainage; Grade and landscape such that water drains
facilities a Microbial decomposition of away front facilities
organic matter
Manure iracl:cd 07110 • Poorly maintained access roads &arrn access road maintenance
pUblic rodd4 aunt farm
access
Additional Information: Available From:
Swine Manure Management ; 0200 RuiclBMP Packet NCSII, County limension Cenlcr
Swine Production Fann Potential Odor Sources and Remedies ; EBAE Fact Sheet NCSIJ - IIAE
Swinc Production Facility Manure Management: I'it Recharge - Lagoon Treatment; EBAE 128-88 NCSIJ - EIAE
Swine Production Facility Manure Management: Underfloor Flush - Lagoon. Treatment; EBAE 129-88 NCSIJ - BAE
Lagoon Design and hanagement for Livestock Manure Treatment and Storage ; EBAE 103-83 NCSIJ - HAI'
Cabbratiun of Matntre and Wastewater Application Equipment ; EBAE I -act Sheet NCSIJ - IIAI:
Cowrolling Odors from Swinc Buildings; PIII-33 NCSIJ - Swine Exlension
E nvirunniental Assurance Program ; NI'I'C Manual NC Park: Producers Assoc
Options fur Managing Odor; a report from the Swinc Odor Task Force NCSIJ Agri Communications
Noisanc:e C'nnecras in Animal Manure Managetent: Odors anti Flies; PRO107, 1995 Conference Proceedings I=lurida Cooperative Exiensl6n
ANI(W* - lduvendwr 11. 1996, Page 5

Mortality Management N-lethods
(check which method(s) are being implemented)
Burial three feet beneath the surface of the Around within 24 hours after
kno' wledee of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
J Rende:imz at a rendering plant licensed under G.S. 106-168.7
.� Complete incineration
O .In the case of dead poultry only, piacing in a disposal pit of a size and design
approved by the Department of Agriculture
Z Any method which in the professional opinion of the State Veterinarian would
make possible the salvage of part of a dead animal's value without endangering
human or animal health. (Written approval of the State Veterinarian must be
attached)
De,:emt e-- K 100tl

r
EMERGENCY ACTION PLAN
111-IONE NUMBERS
DWQ av
EMERGENCY MANAGEMENT SYSTEM
SWCD
NRCS S y _1 � r /
This plan will be implemented in the event that wastes from your operation are leaking,
overflowing, or running off site. You should not wait until wastes reach surface waters or
leave your property to consider that you have a problem. You should make every effort to
ensure that this does not happen. Tlus plan should be posted in an accessible location for
all employees at the facility. The following; are some action items you should take.
1. Stop the release of wastes. Depending on the situation, tlus may or may not be.
possible. Suggested responses to sonic possible problems are listed below,
A. Lagoon overflow -possible solutions are;
a. Add soil to berm to increase elevation of darn.
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
c. Make sure no surface water is entering lagoon.
B: Runoff from waste application Geld -actions include: '
a. Immediately stop waste application.
b. '.Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. 'Evaluate the application rates for the fields where runoff occurred.
C Leakage from the waste pipes and sprinklers -action include:.._..--:--.-- .:.......... _ . _..
a. Stop recycle pumj).
b. Stop irrigation pump.
c.. Close valves to elinunate Further discharge.
d. Repair all leaks prior to restarting pumps.
D: Leakage from flush systems, houses, solid separators -action include:
a. Stop recycle pump.
b. Stop irrigation pup.
c. Make sure no siphmon occurs.
d. Stop all flows it, the house, flush systems, or solid separators,
1 December 18, 1996.

e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to -
flowing leaks- possible action:
a. Dig a small sump or ditch away from the embankment to catch all seepage,
put in a submersible pump, and pump back to lagoon."
b. If holes are caused by burrowing animals, trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as soon as possible.
2. Assess the extent of the spill acid note any obvious damages.
a. Did the waste reach any surface waters?
b. Approximately how much was released and for what duration?` •
c. Any damage noted, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the sill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
It. How much reached surface waters?
3; Contact appropriate agencies.
- a. During normal business hours, call your DWQ (Division of Water Quality).
regional office; Phone - After hours, emergency numbe'r:• 919.733-3942.
Your phone call should include: your name, facility, telephone number, the details
of the incident from item 2 above, the exact location of the facility, the location or
direction of movement of the spill, weather and wind conditions. The corrective
measures that have been under taken, and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number. -
c. Instruct EMS to contact local Health Department. '.
d. Contact CES, plione number' '- ', - , local SWCD office.pltone number.
and local NRCS office for adviceltechnical assistance phone number
4: Ir none of the above works call 911 or the Sheriffs Department and explain your " ,
problem to them and ask that person to contact the proper agencies '
5: Contact the contractor of your choice to begin repair of problentyl6 fi
damage. j,
a. Contractors Name:
b. Contractors Address. YI�YJ 1h jIYrYy ..
c. Contractors Phone: ILI L
2 December 18, 1996

U
G: Contact the technical specialist who certified the lagoon (NRCS, Consulting
Engineer, etc.)
a. Name:
b. Phone: �� Y — 2.19r
7: lmplernent procedures as advised by DWQ and tecludcal assistance agencies to
rectify the damage, repair the system, and reassess the waste management plan to
keep problems with release of wastes from happening again.
3 December 1901996
��,.ir �, ��`5•r"' `:',fie; . .

O
0
O

WASTE UTILIZATION PLAN
Producer: Wayland Baugham Jr.
Location: SR 1118 1 mile west of NC 305
Telephone: [phone]
Type Operation: Topping
Number of Animal Units: 1000
The waste from your animal facility must be land applied at a specified rate to
prevent pollution of surface and/or ground water. The plant nutrients in the
animal waste should be used to reduce the amount of commercial fertilizer
required for the crops on the fields where the waste is to be applied. This
waste utilization plan uses nitrogen as the limiting nutrient. Waste should be
analyzed before each application cycle. Annual soil tests are strongly
encouraged so that all plant nutrients can be balanced for realistic yields of
the co-op to be grown.
Several factors are important in implementing your waste utilization plan in
order to maximize the fertilizer value of the waste and to ensure that it is
applied in an environmentally safe manner. Always apply waste based on the
needs of the crop to be grown and the nutrient content of the waste. Do not
apply more nitrogen than the crop can utilize. Soil types are important as they
have different infiltration rates, leaching potentials, cation exchange
capacities, and available water holding capacities. Normally waste shall not be
applied to land eroding at greater than 5 tons per acre per year. With special
precautions, waste may be applied to land eroding at up to 10 tons per acre per
year. Do not apply waste on -saturated soils or on land when the surface is
frozen. Either of these conditions may result in runoff to surface waters.
Either of these conditions may result in runoff to surface waters which is not
allowed under DEM regulations. Wind conditions should also be considered to
avoid drift and downwind odor problems. To maximize the value of nutrients for
crop production and to reduce the potential for pollution, the waste should be
applied to a growing crop or applied to bare ground not more than 30 days prior
to planting. Injecting the waste or disking will.conserve nutrients and reduce
odor problems.
The estimated acres needed to apply the animal waste is based on typical
nutrient content for this type of facility. Acreage requirements should be
based on the waste analysis report from your waste management facility.
Attached you will find information on proper sampling techniques, preparation,
and transfer of waste samples to the lab for analysis.
This waste utilization plan, if carried out, meets the requirements for
compliance with 15A NCAC 2H.0217 adopted by the Environmental Management
Commission.

Amount of Waste Produced Per Year(gallons, tons, etc.)
1000 animals X 751 gal. waste/animal/year = 751,000 gals. waste/year..
Amount of Plant Available Nitrogen (PAN) Produced Per Year
1000 animals X 2.3 lbs. PAN/animal/year = 2300 lbs. PAN/year. (PAN from N. C.
Tech. Guide Std. 633)
Applying the above amount of waste is a big job. You should plan time and have
appropriate equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to
be grown and surface application:
Table 1 ACRES OWNED BY PRODUCER
Tract
Field
Soil Type
Crop
Real
Yld./Ac
Lbs. N
per
acre
Acres
Lbs.N
Used
Months
Applied
2860
2
Craven
Fescue
hay
3.8T x
50#N
190
9.3 x
75%
1325
Feb -May
Sept -Nov
2
Lenoir
Fescue
hay
4.5T x
50#N
225
2 x 75%
338
4
Craven
Fescue
hay
3.8T x
50#N
190
2 x 75%
285
"
4A
Craven
Comm
bey hay
4.2T x
50#N
210
2.6 x
75%
409
May=Aug
5
Craven
Corn
115 x
1.5
172.5
4.1 x
75%
707
Mar -June
Total. Table 1 14.9 3064
Total Needed 3064
Amount of N Produced 2300
Surplus or Deficit -764
* This N is from animal waste only. It nutrients from other sources such as
commercial fertilizer are applied, they must be accounted for. N must be based.
on realistic yield expectation.
NOTE: The applicator is cautioned that P and K may be over applied while%
meeting the N requirements. This plan only addresses Nitrogen.
NOTE: waste to be sprayed on corn and fescue and common bermuda,hay crops,
NOTE: The Waste Utilization Plan must contain provisions for periodic land,
application of sludge at agronomic rates. The sludge will be nutrient rich and
will require precautionary measures to prevent over application of nutrients or'
other elements.

'AJ
oil
R
Kl�
11 jo
All
_40
-14T
ly
i Ic Lw
j 3 Rh

see attached map showing the fields to be used for the utilization of waste
water.
Application of Waste by Irrigation
Field Soil Type Crop Application Application
No. RateflnfHrl Amount(In.)
2
Craven
Fescue
0.4
1.0 --
4
Craven
Fescue
0.4
1.0
4A
Craven
Fescue
0.4
1.0
5
Craven
Corn
0.35
1.0
This table is not needed if waste is not being applied by irrigation, however a
similar table will be needed for dry litter or sludge.
Your facility is designed for 90 days of temporary storage and the temporary ,
storage must be removed on the average of once every 3 months.
In no instance should the volume of waste being stored in your structure exceed
Elevation 98.4.
Call the local Natural Resouxces Conservation Service (formerly Soil
Conservation Service) or Soil and Water Conservation District office after you
receive the waste analysis report for assistance in determining the amount per
acre to apply and the proper application rate prior to applying the waste.

REQUIRED SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff,
drift, manmade conveyances, direct application, or direct discharge
during operation or land application. Any discharge of waste which
reaches surface water is prohibited.
2. There must be documentation in the design folder that the
producer either owns or has a notarized agreement for use of adequate.
land on which to properly apply the waste. If the producer does not
own adequate land to properly dispose of waste, he/she shall provide a
copy of a notarized agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for waste
application. It is the responsibility of the owner of the facility to
secure an update of the Waste Utilization Plan when there is a change
in the operation, increase in the number of animals, method of
utilization, or available land.
3. Animal waste shall be applied to meet but not exceed, the Nitrogen
needs for realistic crop yields based on soil type, available moisture,
historical data, climate conditions, and level of management, unless
there are regulations that restrict the rate of application for other
nutrients. Actual yields may be used in lieu of realistic yield tables
at the discretion of the planner.
4. Animal waste shall be applied on land eroding less than 5 ton per
acre per year. Waste may be applied to land that is eroding at more
than 5 tons but less than 10 tons per acre per year providing grass
filter strips are installed where runoff leaves the field. (See FOTG
Standard 393-Filter Strips)
5. Odors can be reduced by injecting the waste or disking after waste
application. Waste should not be applied when there is danger of drift
from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it
will be soil incorporated on conventionally tilled cropland. When
applied to conservation tilled crops or grassland, the waste may be
broadcast provided the application does not occur during a season
prone to flooding. (See "Weather and climate in N.C." for guidance.)
7. Liquid Waste shall be applied at rates not to exceed the soil
infiltration rate such that runoff does not occur off site or to
surface waters and in a method which does not cause drift from the site
during application. No ponding should occur in order to control
odor and flies.
8. Animal waste shall not be applied to saturated soils, during rainfall
events, or when the surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a
manner that the crop is not covered with waste to depth that would
prohibit growth. The potential for salt damage from animal waste
should also be considered.

10. Waste nutrients shall not be applied in fall or winter for spring
planted crops on soils with a high potential for leaching. Waste
nutrient loading rates on these soils should be held to a minimum and
a suitable winter cover crop planted to take up released nutrients.
Waste shall not be applied more than 30 days prior to planting of.a
crop or forages breaking dormancy.
11. Any new swine facility sited on or after October 1, 1995 shall comply
with the following: The outer perimeter of the land area onto which
waste is applied from a lagoon that is a component of a swine farm
shall be at least 50 feet from any residential property boundary and
any perennial stream or river other than an irrigation ditch or canal.
Animal waste other than swine waste from facilities sited on or after
October 1, 1995, shall not be applied closer than 25 feet to surface
water. This distance may be reduced for waters that are not perennial
provided adequate vegetative filter strips are present (See Standard
393-Filter.Strips).
12. Animal waste shall not be applied closer than 100 feet from
wells.
13. Animal waste shall not be applied closer than 200 feet of dwellings
other than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and
public right -of --ways.
15. Animal waste shall not be discharged into surface waters, drainageways
or wetlands by a discharge or by overspraying. Animal waste may be
applied to prior converted cropland provided it has been approved
as a land applications site by a "technical specialist". Animal waste
applied on grassed waterways shall be at agronomic rates and in a
manner that causes no runoff or drift from the site.
16. Domestic and industrial waste from washdown facilities, showers,
toilets, sinks, etc., shall not be discharged into the animal waste
management system.
17. A protective cover of appropriate vegetation will be established on
all disturbed areas (lagoon embankments, berms, pipe runs, etc.). Areas
shall be fenced, as necessary, to protect the vegetation. Vegetation
such as trees, shrubs, and other woody species, etc. are limited to
areas where considered appropriate. Lagoon areas should be kept mowed
and accessible. Lagoon berms and structures should be inspected
regularly for evidence of erosion, leakage, or discharge.
18. If. animal production at the facility is to be or terminated,
the owner is responsible for obtaining and implementing a "closure
plan" which will eliminate the possibility of an illegal discharge,
pollution and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should be'
inspected on a regular basis to prevent breakdowns, leaks, and spills,
A regular maintenance checklist should be kept on site.

20. Animal waste can be used in a rotation that includes vegetables and
other crops for direct human consumption. However, if animal waste is
used on crops for direct human consumption it should only be applied
preplant with no further applications of animal waste during the crop
season.
21. Highly visible permanent markers shall be installed to mark the top and
bottom elevations of the temporary storage (pumping volume) of all
waste treatment lagoons. Pumping shall be managed to maintain the
liquid level between the markers. A marker will be required to mark
the maximum storage volume for waste storage ponds.
22. Soil tests shall be made every two years and a liquid waste analysis
be taken at least twice each year consistent with waste utilization
plan. poultry litter shall be tested prior to application. Soil
and waste analysis records shall be kept for five years. ,
23. Dead animals will be disposed of in a manner that meets NC regulations.

WASTE UTILIZATION PLAN AGREEMENT
Name of Farm: Wayland Baugham, Jr.
Owner/Manager Agreement
I (we) understand and will follow and implement the specification and the
operation and maintenance procedures established in the approved animal waste
utilization plan for the farm named above. I (we) know that any expansion to
the existing design capacity of the waste treatment and storage system or
construction of new facilities will require a new certification to be submitted
to the Division of Environmental Management (DEM) before the new animals are
stocked. •I (we) also understand that there must be no discharge of animal waste
from this system to surface waters of the state from a storm event less severe
than the 25-year, 24-hour storm. The approved plan will be filed on -site at the
farm office and at the office of the local Soil and Water Conservation District
and will be available for review by DEM upon request.
Name of Facility Owner: Wayland Baugham, Jr.
Signature: l �r�.�c�/.ia , Date: /06f
-�^•-�
Technical Representative: Tony Short
Affiliation: Natural Resources Conservation Service
Address (Agency: P.O. Box 218.
Jackson N.C. 27845
252-539-25 '
Signature: Date:

Anirtial Waste Nlanagertient Plan Certification
(Please (vue or print all inl'rntnatiun dmt does not require a sittnatur •)
E:dtits �r ..: •..;.,,. ......... : �.w;l..:a... , �;,: r.. ..� ..
s r.; Nest :"< or: L•s alidld' ( lesrse circ[e,atte) ,.;.:.:::,,::�:,• <:: : �:;;,�.. .� �� ` 1:`
a) information:
Name of Farm: 4Facility Into:
Owner(s) Name: 37 phone No: ZTi - S ? - Z lro,?
Mailing Address: U(xa- 2 7gi, 9 _
Farm Location: , it Count,*- Farm is located in:•
Latitude and Longitude: 3i e 1 �z° /Q f�°" integrator: �—
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): _ G�c ai'` / ice• % re �,, 7— e C -ibc
O eratl n Description:
Type of 5ivirte No. of Animals
D Wean to Feeder
Feeder to Finish
O Farrow to Wean
Farrow to Feeder
U Fanow to Finish
Gilts
a Boars
T'%.pe of f'or+kry No. of A►rfrnals T;rpe of Cattle No. of Anfinals
3 Laver � _ 3 Dniry
:3 Pullets Z Beef +
Other Type of Lfvcsrock:„r. Nutrther ofAsil#ials:
* �Q•7
Acreage Available for Application:_ .3 � � •,�, _ Required Acreage.
Number of Lagoons 1 Storage Ponds : Total C a pac I ty 6 Cubic Feet (0)
Are subsurface drains present on the farm: YES or t O (plt:ase circle one)
It YES: are subsurface drains present In the area or the LAGOON or SPRAY FIELD (please circle one)
Owner 1 Mannger Agreement
I (tvel verifv that all die above Information Is currect and will be updated upon changing. I (cve) understand the operntion
and malntNnance procedures established in die approved animal waste management plait rot die farm named above and twill
implem'entthese procedures. I (we) know that any expan%tun to tine existing deslo capitelty of die waste treatment and
storage system or construction of nety facilities will require a new certitication to be submitted' to the Division of
Environmental Manneentent before the new animals are stocked, I (toe) understand that there must be no discharge or
tudmal waste from the storage or application system to surface %voters of tie state elther directly dirough a man-made
conveyance Or from a storm event less severe than the 23-year, 24-#tour storm and there must not be run-orr from die
application of animal waste. I (we) understand that ton -off of I1ullutants front lounging and heavy use areas must be
minimized using technical standards developed by die Natural Resources Conservation Service. The approved plan Will be
tiled at the ram and at the office of the local Soil and water Conservation biSWct. I (noel know float any modification
must be approved by a technical specialist and submitted to doe Soil arid Water Conservation District prior to
implementation. A change in land ownership requires written notification to DEEM or $I new certification (if the approved
plan is changed) within 60 days of tt title transfer.
.Name of Land Owner : W
Signature: Date:____ 9-- 3.98 _
Name of Nlanager(if different from owner):
Signature: Datat_
AWC -- august 1, 1991 t ,

Tecllnica•1 Specialist Certification
L • Asra technical specialist designated by the North Carolina Soil and Water Conservation Conimisslun pursuant to 15A
NCaC,617 ,0005. I certify. that the animal waste management system for the firm named above has an anitnal waste,
management, plan that meets or exceeds standards and specification4 of the Divislon' of Environmental Manager-
{DE.Iv) as specified in 15A NCAC BHA? 17 and the USDA -Natural Resources Conservation Service (NtCS) and/or 1
North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0317 and 15A NCAC 61F .0001
.0005, The following elements are included In the plan as applicable. While each category designates n technical specialist
who may sign each certification (SD, SI, WUP, RC, 1), the technical specialist should only certify parts for which they are .
technically competent.
H. Certification of Design
A) Collection. Storm
►t'. Treatment 5vstetn
Check the appropriare box
Existing facility w't iuut retrofit '(SD or NVUP)
Storage 'volume ig adequate for operation capacity: storage capability conslitent tvith waste utilization
requirements,
J 'LJew. etpaUded or retrgfitted facility_ (SD)
.animal waste -sturage and treatment structures: such as but not limited to collection systems, Ingdoits and kinds.
have beest designed to meet or exceed the minimum standards and specifications,
Name of Technical Specialist (Please Print): ) ONy k? a-ML 40
Affiliation 12 cs T Date Work Completed: k=tt=EL 4-ft-"I
Address (i
Signature:
dne No.:__S" I Y- 2-Xf
.te!
B) Land Ayylication Site (VVUP)
The plan provides for minimum separations (buffers); adequate amount or land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): NLI
Affiliation lygt r _ r_ Date Work Completed• SP -49. 476,;�
Address (Agency): !lo /S Alt Phone No.:
Signature: Date:
C) Runoff Controls frotn Exterior Lots
Check the appropriate bo_r
Facility withgut exterior low (SD or WUP or RC)
This facility does not contain any exterior lots.
0 Facility with exte 'nr lots (RC)
Methods to minimize the tun off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by 14-RCS.
Name of Technical Specialist (Please Print): 16�U S
Affiliation Date Work Completed:
Address (Agency): p^ L Phone No.: S - 2
Signature: f Date: if --to '
AWC -- august 1. 1997

4
I
D). Application and Handling EauiLrtenl
Cheek the appropriate ha.t
Esisliav nr expanding facility with existing waste application equipment MUP or 1)
Animal waste.- application equipment specilied in the plan has been elthet field calibrated or evaluated in ± .'
accordance with existing design charts and tables and Is able to apply waste as necessary to accommodate the t
waste management plan: (existing application equipment can cover the area required by the plant at rates not to
exceed either the specitied hydraulic or nutrient loading rates, a schedule for'timing of applications has been
established; required buffers can be maintained and calibration and adjustment guidance are cantained as part of
the plan).
ZI New-expanded.nr gxistingi' v w' ell wo n t t v irrigation. (1)
Animal waste application equipment specified in the plan has been designed to appl} waste as necessary to
accommodate the waste management plan: (proposed application equipment can cover the area required by the
plan at rates not to exceed eidter the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established: required buffers can be maintained: calibration hnd adjustment guidance are
contained as part of the plan), t' t;r ; •..
D N—dw, expanded, nr existing facility without existing wasttr,ayillicalion ecsuiriment ftor land ipreading not usltt,r
svr;iv iRigatinn. (1VUP or 1)
Animal waste application equipment specilied In the plan has been selected to apply waste as necessary to
accommodate the waste management plait: (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates: a schedule for tinting of
applications has been established; required buffers can be maintained; calibrmlutiand adjustment gulda4d are
• contained as part of the plan). ;
Narne•of Techrilcal Specialist (Please Print): T-01V
Affiliation U Date WorkCotnp!eted: y—
Address (Agency): D 24 r-s OW C Phone1No.:_SEPV—a!CV�
Signature: Data+:. `/io l5 e
E) Odor Control. Insect Control, iviortality itilana entent and Ertiergency ActionPan SD
S1. WUP. RC or I)
The waste management plan for this facility includes a Waste 4lanagement Odor Control Checklist. an Insect
Control Checklist. a Mortality Management Checklist and an Emergency Action Plan, Sources of both odors and
Insects have been evaluated with respect to this site and Hest Management Practice! (o Mtinintize Odors and Best
Management Practices to Control Insects have been selected and Includes! In the waste management plan.-. Both the
Mortality Management Plan and the Emergency Action Plan are complete and can bd implemented by this facility;
Name of Technical Specialist (Please Print): r(rb ou S/
Affiliation_t) A-t,�_ Date Work Completed:
. Address (Agency): 0014 401 Z, A't . Phone No.:y r l
Signature: ' ! Date:.. C—'ea
I
F) Written Notice of New or Ex ending Swine Far
The rollowing signature block Is only to be used for new or expanding swine farmo that begin construction after' ,Tune
31. 1996. If the facility was built befnre June 11. 1996, when eras It constructed or last
expanded
1 (we) certify that t (we) have attempted to contact by certified mail all adjoining property owners and all property owners -
who own property located across a public road. street, or highway from this new or expanding !wine farm, The notice was
�JA
In compliance with the requirements of VCOS 106-305. A copy of the notice and a list of the property owners notified is
attached. '
Name of Land Owner:
Signature: bate:
Name or Manager (if different from owner):
t
Signature: Date:.
AWC -. Awnist 1, 1997 J

, r4YN9i•f .
III. SCertiJic.•ation of Installation
A) Collection. Storage. Treatment Installation
e% e.% a ded retrofitted facility (SO I
Anintal waste storage and treatment structures. such as but not limited to lagoons and ponds. have been insta.
In accordance with the approved plan to meet or etceed the minimum standards and specifications.
For existing facilities without retrofits, no certiftcatiotl is necessary.
Name of Technical Specialist (Please Print): .iqq dam' `
Affiliation 1Z41 Date Work Completed: 0— 2 O
Address'(Agency): Aw% C— Phone No.: V'A.
Signature:
Date:' / r
B) Land Application Site (WUP)
Check the appropriate box
The cropping system is in place on all -land as specified in the animal waste management plan.
`J Conditional Approval: all required land as specified in the plan Is cleared for landn •rite cropping system
pP � p P p 8• PP S Y
as specified in the waste utilization plan has not been established and the owner has Committed to establish the ;
vegetation as specified In the plan by (monthldaylyehr);' the''pwposed cover crop is
appropriate for compliance with the waste utillzadon plan.
Q Also check this box if appropriate
it the cropping system as specified in the plan can not be established on newly cleared land within 30 �
of this cerdncation, the owner has committed to establish an interim crop for erosion control:
Name of Technical Specialist (Please Print): 7-bN4 S l
Affiliation N2 C1 Date Work Completed:.,' 1k-L7,zf 7
Address (i
Signature:
This following signature block is only to be used when the box for conditional approval In I11. B
above lids been checked.
I (we) certify that I (eve) have committed to establish the cropping system as specified In my (out) tvdue utilization pin".
and if appropriate to establish the interim crop for erosiou control. and will submit to DE.M g verification of completion
from a Technical specialist within 15 calendar nays following the date specified in the condidunal certification, I (we)
realize that failure to submit this verification is a violation of the waste management plan aad will subject me (us) to an
enforcement action from DEM.
Name of Land Owner:
Signature: Dote#�
Name of Manager (if different from owner):
Signature: Date:..
3
A%VC -- Au2U0 1. 1997

(RC)
T` ueility witij exterior lot,
'Methods to minindze die run off of pollutants front lounging and heavy use nre:ts have been installed as specified
the plan.
VY For facilities ivilhout exterior lots, no certification is necessary,
i of Technical Specialist (Please Print):
AffiliationT Date Wort: Completed:
Address (Agency): Phone No.:
Signature: Date:
D) Application and Handiln ' E ui ment Installation (WUP or i)
Check tlfe appmprt.are block
A Animal waste application and handling equipment specified in the plan Is o:l site and ready for use:
calibration and adjustment materials have been provided to flat owners and art+ contained 'as part of else plan.
J Animal waste application and handling equipment specified in the plan has not been Installed but dia owner
has proposed leasing or third party application and has provided a signed contract: equipment specified In
the contract agrees with the requirements of the plan. required buffers can be malmainedi calibratlon grid
adjustment guidance have been provided to the owners and are contained as part of the plan.
ZJ Conditional approval: Animal waste application and handling equipment 1pecilied In die plan has
been purchased and will be on site and installed by (month/day/year): there is adequate
storage to hold the waste until the equipment Is installed and until the waste cart be land Applied in
accordance with the cropping system contained in the plan; and calibration and Ildjusunent guidance have
been provided to the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): wib jkAj—
Affiliation_ _NlL-_ Date Work Completed:
Address (Agency): no a tn, IVC Phone No,: SW ? sal/
Signature: Date:. iv/g t
The following signature block is only to be used when the box for conditional approval In III D
above has been checked.
I (we) certify that I (we) have committed to purchase the aninial waste application and handling equipment as
specified In my (our) waste management plan and will submit to DEM a verification of delivery and. installation
from a Technical Specialist within 15 calendar days following.the date specified In die conditlonat certification. I
(we) realize that failure to submit this verification Is a violation of the waste management plat and will subject me
(us) to an enforcement action from DEM.
Fame of Land Owner:
Signature: Date:
I� Name of Manager (if different from owner):
Signature:
Date:
E) Odor Control. Insect Control and Mortality Management_I'SU, SIB WUP, RC or 11
Methods to control odors and Insects as specified in the Plan have, been Installed and are operational. The
mortality management system as specified in the Plan has also been Installed and lei operational, -
Name of Techtdcal Specialist (Please Print):
Affiliation A C 1 Date Wort: Completed: T �+
Address (Agency): Phone 'No.:
Signature: Date: rb
J
A►V C •» August 1. 1997

f
Please return the completed form to the Division of Water Quality at the following address:
Depprtment of Environment, Health, and Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29535
Raleigh, NC 27626-0535
Please Disn remember to submit a copy of this forth along with the complete Animal Waste
Management Plan to the local Sail and Water Conservation District Office. and to keep a copy
in your tiles with your Animal Waste Management Plan.
1
AWC -- August 1. 1997 ri

gr t
Message Confirmation Report JAN-31-201011:30 AM SUN
Fax Number : 4346583205
Name BLUEROSEINC
Name/Number
19195914718
Page
0
Start Time
JAN-31-2010 11:29AM SUN
Elapsed Time
00,001,
Made
STD G3
Results
[No Answer]
H6sage Confirmation Report jM-29-2C10 01:17 PM FRI
Fax Number 4346583205
rums T eu EROSE a
Mama/Nuuber t 19195914718
Pago 9 0
start Time [ JAN-29-2010 01116PH 'RI
zlapaad TIM W W
Nude t 8T0 63
Results [No Answer[
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PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES
FIVE fM DAY DRAW DOWN PERIOD
30
I. TOTAL VOLUME TO BE LAND APPLIED PER WASTE STRUCTURE
1. Structure Name/Identifier (0): _QM T a - 6r1GLJ IV-1 6& -
2. Current liquid volume in structural freeboard
a. current liquid level according to marker
b. designed structural freeboard zone
(Normally 12 inches or greater)
c. line b - line a (inches within structural freeboard) =
d. top of dike surface area according to design
(area at below structural freeboard elevation)
e. line c x line d x 7.48 aly lo3 s
12 ft
/10 inches
a inches
inches
S' ft2
i�939 9 gallons
3. Projected volume of waste liquid produced during draw down period
f. temporary storage period according to structural design 9 D days
g. volume of waste produced according to structural design e17�1 (v ft3
h. actual waste_ produced = current herd # x line g = 96(oa 3Y ft3
certified herd #
i. volume of wash water according to structural design
j. excess rainfall over evaporation according to design
3z)
k. (lines h + i + j) x 7.48 x Zdays =
line f
30
4. Total volume of waste to be land applied during0day draw down
0 ft3
1Y�13 ft3
6f,520 gallons
I. total volume to be land applied line e + line k = 13 7k? g9 gallons
REPEAT SECTION I FOR EACH WASTE STRUCTURE ON SITE WITH A LIQUID LEVEL WITHIN
THE STRUCTURAL FREEBOARD ELEVATIONS
11. TOTAL VOLUME OF WASTE STORED WITHIN STRUCTURAL FREEBOARD ELEVATIONS
FOR ALL WASTE STRUCTURES FOR FACILITY
PoA (s Day) 2/21/00 1 1

1. structure ID: 6ge-e 9
2. structure ID:
3. structure ID:
4. structure ID:
5. structure ID:
6. structure ID:
line I = 13-7, 7 3 7 gallons
line I
gallons
line I = gallons
line I = gallons
line I = gallons
line I =
gallons
n. lines 1+2+3+4+5+6 = 137,-7�99 gallons
o. line n = Jr, 7 acre -inches
27,154
c
III. TOTAL ACRES AVAILABLE TO RECEIVE WASTE DURING DAY DRAW DOWN PERIOD''Z
While this section deals with hydraulic loading capacities, applications cannot exceed
agronomic rate for receiving crop according to its certified waste plan
2 Fields with no remaining PAN balance, no receiving crop, and/or completely saturated are
not considered available to receive waste
p. tract #
q. field #
r. soil type
s. crop
t. acres
u. remaining
IRR-2 PAN
balance
(lb/acre)
v. maxlmum
application
rate (Inthr)
w. maximum
application
amount
(inches)
g6�
CQwvcr
7D
lqo
9
1,0
lno,/_
- r we
o`��V
JqD
f
110
q
CO2AV,A
fz�C✓C
'l7
x. total acres available during fday draw down (sum of column t) = 13i'J acres
IV. FACILITY'S PoA OVERALL HYDRAULIC LOAD TO BE LAND APPLIED PER ACRE
Y. line o = 3$ inches per acre to be applied within & days
line x 30
PoA (5 Day) 2/21100 2
3aVM

If unable to land apply hydraulic load listed in line y, list course of action here Including pump
and haul, depopulation, herd reduction, etc. For pump & haul and herd reduction options,
recalculate new hydraulic load based on new information.
Plan to land apply hydraulic load:
1. Describe moisture conditions of fields? (e.g./ Is there water standing in field; does irrigation
equipment mar down in field; "trafficability" across soils; will soils absorb application without runoff ,
etc.) (Id 51ildlnj W044 1
lupernJ Dvc5 nol n1d)e down 60 r /5 u)1,11 '41) 5c�wb f}�Ip/rc�a t/or�
2. Date and amount of last rainfall event?
3. Dates of last waste application event per field 1
D D�dQ �IQ1p( 1 �. ��c3�Gham{ 4 170VA l
4, Given optimum soil and weather conditions, is irrigation equipment capable of applying the
volume in line "n" at appropriate seasonal (i.e. winter) application rates within days?
yc5 3a
-3o
5. Irrigation schedule for next a days - include daily schedule; proposed application rates and
amounts per irrigation event; changes made in gun sizes, nozzles, V rings, operating time, travel
speed, etc. to meet proposed changes in application rates and amounts; and any other information
for consideration
�C d u1�
7LO
�Op�Y
Io
o'P-m�l Q�
-JIVIWSIW
�,2,4 Vt1 Tirrit
o5s jLJtA
►Y?d.
O%Ys
b,q 5fd p rn Lot tf-I i4 lqr7d
Z4,1d &4d J 4n.-
PoA (5 Day) 2121100 3

State of North Carolina i'� �— — - —�
Department of Environment�r__.. T
and Natural Resources —
Division of Water Quality A
James B. HunJr.,Governor �- --p-
Bill Holman, Secretary -_I�GcGICIV.II pFFlC
Kerr T. Stevens, Director EGIGJ ` L OFFiN
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
MR. WAYLAND BAUGHAM JR.
P. O. BOX 437
RICH SQUARE, NC 27869
Dear Mr. Bauaham:
11t
DE
14ORTH C.AROLINA DEPARTMENT OF
'IRONMENT AND NATURAL RESOURCES
January 4, 2001
SUBJECT
Assessment of Civil Penalties
for Violation of GS 143.215.1
and 15A NCAC 214.0217
Farm #66-55
Northhampton County
File No. PC 00-029
This letter transmits notice of a civil penalty assessed against Wayland Baugham Jr. Farm
in the amount of S636.38 including S136.38 in investigative costs. Attached is a copy of the
assessment document explaining this penalty.
This action was taken under the authority vested in me by delegation provided by the
Secretary of the Department of Environment and Natural Resources. Any continuing violation(s)
may be the subject of a new enforcement action, including an additional penalty.
Within thirty days of receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the order of the Department of
Environment and Natural Resources (do not include waiverfonn).
Payment of the penalty will not foreclose further enforcement action for
any continuing or new violation(s).
Mailing Address: Telephone [phone] Location:
1617 Mail Service Center Fax [phone] N. Salisbury St.
Raleigh. North Carolina 27699-1617 State Courier #52-01-01 Raleigh. NC 27699-1617
An Equal Opportnnin•/Affirmative Action Employer
509r' recycled / 1017c post -consumer paper
htrp: //h2o. en r. state. n c. its

Please submit payment to the attention of:
Mr. Joe Albiston
NCDENR
DWQ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
i`
2. Submit a written request for remission or mitigation including a detailed
justification for such request:
A request for remission or mitigation is limited to consideration of the
reasonableness of the amount of the penalty and is not the proper procedure for
contesting the accuracy of any of the statements contained in the assessment
Ietter. Because a remission request forecloses the option of an administrative
hearing, such a request must be accompanied by a waiver of your right to an
administrative hearing and a stipulation that there are no factual or legal issues in
dispute. You must execute and return to this office the attached waiver and
stipulation form and a detailed statement which you believe establishes whether:
(a) one or more of the civil penalty assessment factors in G.S. 143B-282. I (b)
were wrongfully applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage resulting
from the violation;
(c) the violation was inadvertent or a result of an accident;
(d) the violator had been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining
necessary remedial actions.
Please submit this information to the attention of:
Mr. Joe Albiston
NCDENR
DWQ
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
MW
3. Submit a written request for an administrative hearing:
If you wish to contest any portion of the civil penalty assessment, you must
request an administrative hearing. This request must be in the form of a written
petition to the Office of Administrative Hearings and must conform to Chapter
150B of the North Carolina General Statutes. You must file your original petition
with the:

Office of Administrative Hearings
6714 Mail Service Center
Raleigh, North Carolina 27699-6714
AND
Mail or hand -deliver a Copy of the petition to:
Mr. Dan McLawhorn
NCDENR
Office of General Counsel
1601 Mail Service Center
Raleigh, NC 27699-1601
Failure to exercise one of the options above within jhjM days, as evidenced by a date
stamp (not a postmark) indicating when we received your response, will result in this matter
being referred to the Attorney General's Office with a request to initiate a civil action to collect
the penalty. PIease be advised that additional assessments may be levied for future violations
which occur after the review period of this assessment.
If you have any questions, please contact Mr. Joe Albiston at [phone], ext. 581 or
Mr. Jeff Poupart at [phone], ext. 527.
Sincerely,
Kerr T. Stevens
ATTACHMENTS
cc: Regional Supervisor w/ attachments
Compliance/Enforcement File w/ attachments
Central Files w/ attachments
Public Information Officer w/ attachments

STATE OF NORTH CAROLINA ENVIRONMENTAL MANAGEMENT
COMMISSION
COUNTY OF NORTHAMPTON
IN THE MATTER OF ASSESSMENT ) WAIVER OF RIGHT TO AN
OF CIVIL PENALITIES AGAINST ) ADMINSTRATIVE HEARING AND
PERMIT NO. ) STIPULATION OF FACTS
FILE NO: PC 00-029
Having been assessed civil penalties totaling
for
violation(s) as set forth in the assessment document of the Director of the Division of Water Quality
dated, , the undersigned, desiring to seek remission of the civil
penalties, does hereby waive the right to an administrative hearing in the above -stated matter and
does stipulate that the facts are as alleged in the assessment document.
This the
day of
,20
SIGNATURE
ADDRESS
P. O. BOX 437
RICH SERE, NC 27869
TELEPHONE

STATE OF NORTH CAROLINA NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND
NATURAL RESOURCES
COUNTY OF NORTHAMPTON
File No. PC 00-029
Lei THE MATTER OF )
WAYLAND BAUGHAM JR. )
)
FINDINGS AND DECISION
FOR VIOLATION OF ) AND ASSESSMENT OF
G.S. 143-215.1 AND 15A NCAC 2H .0217 ) CIVIL PENALTIES
Acting pursuant to delegation provided by the Secretary of the Department of
Environment and Natural Resources, I, Kerr T. Stevens, Director of the Division of Water
Quality (DWQ), make the following:
I. FINDINGS OF FACT:
A. Wayland Baugham Jr. owns and operates the Wayland Baugham Jr. Farm, a swine
operation in Northampton County.
B. Wayland Baugham Jr. Farm was deemed permitted as a nondischarge facility on
February 1, 1993 in accordance with 15A NCAC 2H .0217.
C. Deemed permitted facilities are required to have a Certified Animal Waste
Management Plan (CAWMP) under 15A NCAC 2H .0217. The CAWMP for
Wayland Baugham Jr. Farm states that in no instance should the volume of the
waste stored in the lagoon be within the 25-year, 24-hour storm storage or one
foot of freeboard except in the event of the 25-year, 24-hour storm.
D. The CAWMP for Wavland Baugham Jr. Farm requires that the waste level in the
lagoon does not exceed nineteen (19) inches.
E. DWQ staff from the Raleigh Regional Office inspected Wayland Baugham Jr.
Farm on February 15, 2000 and observed that the waste level of the lagoon was
sixteen (16) inches which exceeded the level specified in the CAWMP.
F. The costs to the State of the enforcement procedures in this matter totaled
$ I 36.38.

Based upon the above Findings of Fact, I make the following:
II. CONCLUSIONS OF LAW:
A. Wayland Baugham Jr. is a "person" within the meaning of G.S. 143-215.6A
pursuant to G.S. 143-212(4).
B. A permit for this animal waste management system is required in accordance with
15A NCAC 2H .0217 and G.S. 143-215.1.
C. The above -cited failure to maintain the liquid level in the lagoon at the level
specified in the CAWW is a violation of the 15A NCAC 2H .0217 nondischarge
deemed permit and G.S. 143-215.1.
D. Wayland Baugham Jr. may be assessed civil penalties pursuant to G.S_ 143-
215.6A(a)(2) which provides that a civil penalty of not more than ten thousand
dollars (S 10,000.00) per violation may be assessed against a person who violates
or fails to act in accordance with the terms, conditions, or requirements of a
permit required by G_S. 143-215.1.
E. The State's enforcement costs in this matter may be assessed against NAME
Wayland Baugham Jr. pursuant to G.S. 143-215.3(a)(9) and G.S. 143B-
282.1(b)(8).
F. The Director, Division of Water Quality, pursuant to delegation provided by the
Secretary of the Department of Environment and Natural Resources, has the
authority to assess civil penalties in this matter.

Based upon the above Findings of Fact and Conclusions of Law, I make the following:
III. DECISION:
Wayland Baugham Jr. is hereby assessed a civil penalty of:
S sac), no for failing to maintain the liquid Ievel in the lagoon at the
level specified in the CAWIVIP as required by 15A NCAC 2H
.0217
S SO a . Ob TOTAL CIVIL PENALTY, which is -9 percent of the
maximum penalty authorized by G.S. 143-215.6A.
S 136.38 Enforcement costs
S_ TOTAL AMOUNT DUE
As required by G.S. 143-215.6A(c), in determining the amount of the penalty I considered
the factors listed in G.S. 14313-282.1(b), which are:
(1) The degree and extent of harm to the natural resources of the State, to the public
health, or to private property resulting from the violation;
(2) The duration and gravity of the violation;
(3) The effect on ground or surface water quantity or quality or on air quality;
(4) The cost of rectifying the damage;
(5) The amount of money saved by noncompliance;
(6) Whether the violation was committed willfully or intentionally;
(7) The prior record of the violator in complying or failing to comply with programs
over which the Environmental Management Commission has regulatory authority;
and
(8) The cost to the State of the enforcement procedures.
(Date) Kerr T. Stevens, Director
Division of Water Quality

t 21 tstf(
Type of Visit: � Cyrffpliance Inspection U Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit. 0 Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: &I. � �� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title: Phone:
Integrator:
Certified Operator:�'� �'Yir P—S Certification Number:
Back-up Operator:
Certification Number:
Location of Farm: Latitude: Longitude:
Design
Current
Design
C*urrent
Design
Current
Swine Capacity
Pop.
Wet Poultry
C►opacity
Pap.
Cattle
Capacity
Fop.
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -La er
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
1]r. P,ouItr.
Ca aci
P,o ,
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
WNo ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
El Yes
No NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Number: - Date of Inspection:
Waste Collection & Treatment /
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes O NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure 1
Identifier: r a}�
Spillway?:
Designed Freeboard (in):
G f�
Observed Freeboard (in): l�
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
—�
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental hreat, notify DWQ
7. Do any of the structures need maintenance or improvement'? [] Yes No [] NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes �Noo NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZN ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):S(�
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
th t
❑ Yes [244
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ YesFN;o
❑ NA
l
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
XNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes 7
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes No
❑ NA
❑ NE
b
e appropna a ox.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below, ❑ Yes dNo ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transf s ❑Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facilit Number: - ,j" Date of inspection: Z
24. Did the facility fail to calibrate waste application equipment as required by the permit'? ❑ Yes <No
NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 2No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal'?
29. At the time of the inspection did the facility pose an odor or air quality concern'?
]f yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the.facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional',recammendati6ns or,any oilier coinntents ?�
Use drawings of facility to better explain situations (use addittonalp a es as necessary).,�;r'
!!V, , j V Sl f rae y
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412011

L(7 1 r a
s
Type of Visit )nomplia spection 0 Operation Review 0 Structure Evaluation Q Technical Assistance
Reason for Visit 019outine 0 Complaint Q Fallow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: % 2 Arrival Time: ® Departure Time: County: Region:
Farm Name: _ 12m sT Azt2-- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: %i2 & — %'7 [_'P_ S
Sack -up Operator:
Title:
Phone No:
Integrator: 0 12:)� S
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = e = 6 = H Longitude: = ° = i
DesIncil
MyRop
Current
Swin1111WCG _ain__ulation
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Design Current
Wet Poultry C•_apacip_uh
❑ Layer
❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turke s
❑ Turkey Poults
❑ Other
Design C*urrent
Cattle Capaci �pul� rion
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ZNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes No ❑ NA ❑ NE
c, What is the estimated volume that reached waters of the State (gallons)? /
d. Does discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes (__1NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State [:1 Yes No ❑ NA ❑ NE
other than from a discharge?
Page 1 of 3 12128104 Continued

�1
Facility Number —
Date of Inspection
I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 7 1�
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes ;o�
A ElNE
❑ Yes ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre -notify DWQ
7. Do any of the structures need maintenance or improvement'? ❑ Yes - No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑yes No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
4. Does any part of the waste management system other than the waste structures require ❑ Yes ffNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZrNo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[:]PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)psG1,z.(_
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No
El NA El NE
15. Does the receiving crop and/or land application site need improvement? [:]Yes
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
L
er/Inspector Name Phone:�� �� z�y
er/Inspector Signature: uC- Date:
Page 2 of 3 12128104 Continued

i
Facility Number: Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 4NoINA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes;;No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design [I Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rain Inspections ❑ ther Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes No NA ElNE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
AdditionaWomments.and/or Drawin s '' i
g .. via � _ � re . c
�9
# �
�` } �s
� A..� �� �"4 -
`- "
y` _ � �; '
Page 3 of 3 12128104