680006_PERMIT FILE_20171231

0��rIncident Report
Report Number: 200702372
Incident Type: Other
On -Site Contact:
Category: Incident
First/Mid/Last Name:
Incident Started: 07/26/2007
Company Name:
County: Orange
Phone:
City:
Pager/Mobile Phone:
1
Farm #:
Responsible Party:
Reported By:
Owner:
First/Mid/Last Name:
Brent Bogue
Permit:
Company Name:
Facility:
Address:
Nres Swcd Office
First Name: Rowland
306d Revere Rd
Middle Name:
City/State/Zip:
Hillsborough NC 27278
Last Name: Walters
Phone:
919644107 ext3
Address 7119 High Rocks Rd
Pager/Mobile Phone:
1
City/State/Zip: Mebane NC 2
Phone: [phone]
Material Category: Estimated Qty: UOM
Chemical Name
Reportable Qty. lbs. Reportable Qty. kgs.
DD:MM:SS Decimal Position Method: Unknown
Latitude: +36*08'15" 36.137500 position Accuracy: Unknown
Longitude: 79'13'53"-79.231300 Position Datum: NAD83
Location of Incident: Carl -Beth Dairy, 7119 High Rocks Rd, Mebane NC
Address: 7119 High Rocks Rd
City/State/Zip Mebane NC 27302
Report Created 09/24/07 10:54 AM Page I

Cause/Observation-
Carl-Beth Dairy Farm Storage Pond Closure Notification
Action Taken:
Would visit site when closure begins late August 2007
Incident Questions:
Did the Material reach the Surface Water? Unknown
Surface Water Name?
Did the Spill result in a Fish Kill? Unknown
If the Spill was from a storage tank indicate type.
Containment? Unknown
Cleanup Complete? Unknown
Water Supply Wells within 1500ft : Unknown
Event Type
Incident closed
Referred to Regional Office - Primary Contact
Requested Additional Information
Referred to Regional Office - Additional Contact
Directions:
Take 70W through Hillsborough to Effland Cedar Grove Rd.
Turn Right on Effland Cedar Grove Rd
Go to Lebanon Rd and turn Left
Go about 400meters, Take immediate Right onto High Rocks Rd
Go through second intersection (Mill Creek Rd)
Farm is on right, about 112 a mile.
Comments:
Owner is Mr. Rowland Walters. Cell: 336-212-4296
* Facility has been out of operation since 1995
` Mr. Rowland shall be pumping the water very soon and gradually until
contractor gets ready to take out the sludge and do the earthworks later
in August 2007. Brent shall notify me (our office) again when sludge
removal and earthwork are set to begin.
Conveyance:
Estimated Number of fish?
(Above Ground or Under Ground)
Groundwater Impacted : Unknown
Event Date Due Date Comment
2007-09-24 12:00:00 Spoke with Brent again this morni
2007-08-22 09:20:00 Talked to Brent this morning, Cont
Report Created 09/24/07 10:54 AM
Page 2

Report Entered 2007-07-26 10:17:00
Incident Start 2007-07-26 09:00:00
Report Received 2007-07-26 09:00:00
Standard Agencies Notified:
Agency Name Phone First Name M.I.
Other Agencies Notified:
Agency Name Phone First Name M.I.
` Owner is Mr. Rowland Walters.
Last Name Contact Date
Last Name Contact Date
DWQ Information:
Report Taken By: Report Entered By: Regional Contact:
Joseph Gyamfi Joseph Gyamfi Joseph Gyamfi
Phone:
DatefTime: 2007-07-26 09:00:00 AM 2007-07-26 10:17:00 AM
Referred Via: Phone Phone
Did DWQ request an additional written report? 2007-09-24 12:00:00 AM
If yes, What additional information is needed? Spoke with Brent again this moming... He indicated that Contractor had beg
Report Created 09/24/07 10:54 AM
Page 3

fl W,ar�Incident Report
_0
Report Number: 200702372
Incident Type: Other
On -Site Contact:
Category: Incident
First/Mid/Last Name:
Incident Started: 07/26/2007
Company Name:
County: Orange
Phone:
City:
Pager/Mobile Phone:
Farm #:
Responsible Party:
Reported By:
Owner:
First/Mid/Last Name:
Brent Bogue
Permit:
Company Name:
Facility:
Address:
Nres Swcd Office
First Name: Rowland
306d Revere Rd
Middle Name:
City/State/Zip:
Hillsborough NC 27278
Last Name: Walters
Phone:
9196441071 ext3
Address 7119 High Rocks Rd
Pager/Mobile Phone:
1
City/State/Zip: Mebane NC 2
Phone: [phone]
Material Category: Estimated Qty: UOM
Chemical Name
Reportable City. lbs. Reportable City. kgs.
DD:MM:SS Decimal Position Method: Unknown
Latitude: +36*08'15" 36.137500 Position Accuracy: Unknown
Longitude:--79°13'53"-79.231300 Position Datum: NAD83
Location of Incident: Carl -Beth Dairy, on High Rocks Rd
Address: 7119 High Rocks Rd
City/State/Zip Mebane NC 27302
Report Created 07/26/07 11:01 AM
Page I

:♦
Cause/Observation:
Lagoon Closure Notification
Action Taken:
Would visit site when closure begins late August 2007
Incident Questions:
Directions:
Go 70W through Hillsborough to Effand Cedar Grove Rd.
Turn Right on Effland Cedar Grove Rd
Go to Lebanon Rd and turn Left
Go about 400meters, Take immediate Right onto High Rocks Rd
Go through second intersection (Mill Creek Rd)
Farm is on right, about 112 a mile.
Comments:
" Owner is Mr. Rowland Walters. Cell: 336-212-4296
Facility has been out of operation since 1995
Mr. Rowland shall be pumping the water very soon and gradually until
contractor gets ready to take out the sludge and do the earthworks later
in August 2007. Brent shall notify me (our office) again when sludge
removal and earthwork are set to begin.
Did the Material reach the Surface Water? Unknown Conveyance:
Surface Water Name?
Did the Spill result in a Fish Kill? Unknown Estimated Number offish?
If the Spill was from a storage tank indicate type. (Above Ground or under Ground)
Containment? Unknown
Cleanup Complete? Unknown
Water Supply Wells within 1500ft : Unknown Groundwater Impacted : Unknown
Event Type
Incident closed
Requested Additional Information
Referred to Regional Office - Primary Contact
Report Entered
Event Date Due Date Comment
2007-07-26 10:17:00 " Owner is Mr. Rowland Walters.
Report Created 07/26/07 11:01 AM
Page 2

Incident Start
2007-07-26 09:00:00
Report Received
2007-07-26 09:00:00
Standard Agencies Notified:
Agency Name Phone
First Name M.I.
Last Name Contact Date
Other Agencies Notified:
Agency Name Phone
First Name M.I.
Last Name Contact Date
DWQ Information:
Report Taken By:
Report Entered By:
Regional Contact:
Joseph Gyamfi
Joseph Gyamfi
Joseph Gyamfi
Phone:
Daterrime: 2007-07-26 09:00:00 AM
2007-07-26 10:17:00 AM
Referred Via: Phone
Phone
Did DWQ request an additional written report?
If yes, What additional information Is needed?
Report Created 07/26/07 11:01 AM Page 3

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State of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water QuaiiEy
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
December 15, 1997
Carl Walters
Carls-Beth Farm
7119 High Rock Rd
Efland N C 27343
Subject: Removal of Registration
Facility Number 68-6
vrangc %.Junty
Dear Carl Walters:
This is to acknowledge receipt of your request that your facility no longer be registered as an active animal
waste management system per the terms of 15A NCAC 2H .0217. The information you provided us indicatedthat your
operation's animal population does not exceed the number set forth by 15A NCAC 211.0217, 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.
Should you decide to increase the number of animals housed at your facility beyond the threshold limits listed
below, you will be required to obtain a certified animal waste management plan prior to stocking animals to that level.
Threshold numbers of animals that require certified animal waste management plans are as follows:
Swine
250
Confined Catde
100
Horses
75
Sheep
1,000
Poultry with a liquid 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.
Sincerely,
4'R
A. Preston Howard
cc: tMaigh-Water Quality -Regional -Office --
Orange Soil and Water Conservation District
Facility File
e
P.U. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] fFix,,9 `-715-6
An Equal opportunity Afrwmative Action Employer 50%a recyclecl/109a post -co_ er paper

-Stat6 of North Carolina
Department of Environment,
Health and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary _
Steve W. Tedder, Chairman
November 6, 1997
Carl Walters
7119 High Roof Road
Efland NC 27243
Subject: Operator In Charge Designation
Dear Mr. Walters:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission
on Agricultural Waste, was ratified by the North Carolina General Assembly on June 21, 1996.
This bill required that a properly certified operator be designated as the Operator in Charge 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.
The deadline for designating an Operator in Charge for animal waste management systems
involving cattle, horses, sheep, or poultry was January 1, 1997. Because a training and
certification program was not yet available for these systems, you were allowed to apply for and
were issued a temporary animal waste management certificate from the Water Pollution Control
System Operators Certification Commission (WPCSOCC). Because you applied for and were
issued a temporary certificate, you were allowed to be designated as the Operator in Charge of an
animal waste management system.
Your temporary certificate expires December 31, 1997, and is not renewable. Our records indicate
that you have not obtained a permanent animal waste management system operator certification. If
you intend to remain the Operator in Charge of the facility for which you were designated, you must
obtain a permanent animal waste management system operator certification of the appropriate type
before your temporary certification expires on December 31, 1997. To obtain a permanent
certification, you must be 18 years of age, complete ten hours 'of approved training, and pass an
examination. If you do not intend to remain the Operator in Charge, a properly certified animal
waste management system operator must be designated as Operator in Charge of the facility prior to
the expiration of your temporary certification.
This year's final training program for both Type A and Type B animal waste management systems
is scheduled for December 10 and 11, 1997, at the Hunt Horse Complex in Raleigh. If you would
like information about this training program, please contact your local cooperative extension agent
or call Dee Ann Cooper at 919/515-6968. For those enrolled in this training and registering with
Ms. Cooper prior to December 1, an exam will be offered at the Hunt Horse Complex on December
11, beginning at 1:00 pm.
Water Pollution Control System Operators Certification Commission
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
i
L •

In addition to the training and testing at the Hunt Horse Complex; examinations for permanent
certification will be offered on December 11, 1997, in Williamston, Kenansville, Raleigh
(Wake Tech), Wentworth, Salisbury and Morganton. This examination date will be the last
opportunity to obtain permanent certification before your temporary certification expires. if you
need additional information or have questions concerning the examinations for certification, please
call Beth Buffington at 919/733-0026. For additional information about other training
opportunities, please contact your local cooperative extension agent or call David Crouse at
919/515-7302.
Sincerely, NA
Joseph B. McMinn, Supervisor
Technical Assistance and Certification Unit
cc: Regional Office
Water Quality Files
sharedfolder/beth/animalwaste/tempcertfollowup

El DSWC Animal Feedlot Operation Review
❑DWQ Animal Feedlot Operation Site Inspection
Routine,-��tO Coin laint4,O Follow-up of DWQ inspection • 0 Follow-up of DSWC review O Other
Date of Inspection 0ay
Facility Number'
Time of Inspection 24 hr. (hh:mm)
Total Time (in traction of hours
Farm Status: ❑ Registered ❑ Applied for Permit (ex:1.25 for l hr IS min)) Spent on Review 0
Certified ❑ Permitted . - or Inspection (includes travel and processing)
0 Not Operational Date Last
,�Operated: ....................................................................................................
Farm Name: i- .- %J. '� .........�1/..�.. � `f Countv:.....................................................................................
.......... ........................................
Owner Name: --........ .......... ........... Prone No: ---
Facility Contact: .................... ..... Title:................ ... Phone No:
MailingAddress: ................................................ ...................................................................................................................................
Onsite Representative: „ ,(,.,,,,,.,.. Integrator..
Certified Operator:................................................................................................................ Operator Certiiicution Number:.........................................
Location of Farm:
C
C
Latitude 4 :j Longitude • C .4 -
Type of Operations
Design Curicnt..,,j Design Current Design Current
Swine P Y 1P.. , Y.,. P Y. - .p ;Capacity Population
' Ca acit Po uiation Poultr -Ca acit Po ulation Cattle
❑ Wean to Feeder ❑ Layer JE1 Dairy
❑ Feeder to Finish ❑ Non -Layer ID Non -Dairy
❑ Farrow to Wean
El Farrow to Feeder Tatal Design Capacityti°
[] Farrow to Finish
Totat
El Other SSLW
Number oELaz: .� .goons I Holding Ponds ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
razz? . x.sa
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes �(No
2. Is any discharge observed from any part of the operation? ❑ Yes VNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes z No
c. If discharge is observed• what is the estimated flow in gal/nun?
d. Does discharge bypass a lagoon system" (If yes, notify DWQ) ❑Yes /No
3. Is there evidence of past discharge from any part of the operation'? ❑ Yes VNo
4. Were there any adverse impacts to the waters of the State other than from a discharge'? ❑ Yes &No
5. Does any part of the waste management system (other than lagoons/holding ponds) require. Yes �No
4/30/97 maintenance/in-tprovement?
Continued on back

rri
Facility Number: 6.. 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?
$ Are there lagoons or storage ponds on site which need to be property closed?
Structures (Lagoons and/or Holding Ponds)
9. Is storage capacity (Freeboard plus storm storage) less than adequate?
Freeboard (ft): Struct�prI Structure 2 Stntcture 3 Structure 4
..................�...i.................... ...... ............................. ................................................................................
❑ Yes 9'No
❑ Yes VNo
❑ Yes PINo
❑ Yes Structure 5 YNo
ctre 6
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 �ny-df 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)
15. Crop type .... V4`1.-71.y`4-.LF'..........
........ ............................................................................................................................
16.. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
t7. 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 -tip visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
For Certified ,Foci ties 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?
Reviewer/Inspector Name
..............................
❑ Yes A No
❑ Yes ONO
❑ Yes INO
/I Yes ❑ No
❑ Yes �No
❑ Yes � No
❑ Yes No
❑ Yes m No
❑ Yes t/ No
❑ Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Reviewer/Inspector Signature:
Date:
ti 1 %--o
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources ` •
James B. Hunt, Jr„ Governor IDEEHNF;Z
Jonathan B. Howes, Secretary
Steve W. Tedder, Chairman Decembers, 1996
Carl Walters
Carls-Beth Farm
7119 High Rock Rd
Efland NC 27343
Subject: Operator In Charge Designation
Facility: Carts -Beth Farm
Facility ID #: 68-6
Orange County
Dear Mr. Walters:
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 not yet available for animal waste management systems involving
cattle, horses, sheep, or poultry. Owners and operators of these systems will be issued temporary animal waste
management certificates by the Water Pollution Control System Operators Certification Commission
(WPCSOCC). The temporary certificates will expire December 31, 1997, and will not be renewed. To obtain
a permanent certification, you will be required to complete ten hours of training and pass an examination by
December 31, 1997. A training and certification program for operators of animal waste management systems
involving cattle, sheep, horses, and poultry is now being developed and should be available by the spring of
1997. The type of training and certification required for the operator of each system will be based on the nature
of the wastes to be treated and the treatment process(es) primarily used to treat the animal waste.
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 complete the enclosed application form for temporary certification as an animal waste
management system operator. Both the designation form and the application form must be completed and
returned by December 31, 1996.
If you have questions about the new requirements for animal waste management system operators, please call
Beth Buffington or Barry Huneycutt at 919n33-0026.
Sincerely,
FOR
Steve W. Tedder
Enclosures
cc: Raleigh Regional Office
Water Quality Files Aw.
Water Pollution Control System NV4Fc
w-1"W Voice 919-733-=6 FAX [phone]
Operators Certification Commission AnEqual Opportunity/AffErmative Action Employer
P.O. Box 29535 Rafefgh, NC 27626-0535 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Mr. Carl Walters
Carle -Beth Farm
7119 High Rock Road
Efland, NC 27243
•XFWAA
•
A �
�EHNF 1
DIVISION OF ENVIRONMENTAL MANAGEMENT
November 16, 1995
Subject: Compliance Inspection
Carls-Beth Dairy Operation
Facility No. 68-6
Orange County
Dear Mr. Walters:
On November 8, 1995, Ms. Vanessa Manuel from this office conducted a compliance
inspection of the subject facility. This inspection is a part of the Division's
efforts to determine potential problems associated with waste disposal systems.
Ms. Manuel's site visit determined that wastewater from this facility was not
discharging to the surface waters of the State. No manmade pipes, ditches, or
other prohibited conveyances (for the purpose of willfully discharging
wastewater) were observed. To prevent possible erosion impacts to the dam of
your holding pond, we recommend that you consider denying animal access to the
holding pond area.
Effective wastewater treatment and facility stewardship are a responsibility of
all animal facility operators. The Division of Environmental Management is
required to enforce water quality regulations in order to protect the natural
resources of the State.
This office also reminds you that, if not already accomplished, an approved
animal waste management plan must be incorporated by December 1997. This plan
must be certified by a designated technical specialist or a professional
engineer. For a listing of certified technical specialists or assistance with
your waste management. plan you should contact your local Soil and Water
Conservation District.
The Raleigh Regional Office appreciates your cooperation in this matter. If you
have any questions regarding your inspection please call Ms. Manuel at 919-571-
4700.
Sincerely,
k- n
Ju y Garrett
Regional water Quality Supervisor
CC; Orange County Health Department
Orange County Soil and Water Conservation District
Facilities Assessment Unit
38M Barrett Drive, Suite 101, Raleigh, North Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Site Requires Immediate Attention:
Facility No. &',f-ep'
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIO S SITE VISITATION RECORD
DATE: 1995
Time:
Farm Name/Owne
Mailing Address:
County:
Integrator:
On Site Representative:
Physical Address/Location:
Phone: q f 9
Phone;
Type of Operation: Swine Poultry Cattle
Design Capacity: _315 Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: ' " Longitude:
Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of I Foot + 25 year 24 hour
storm event (approximately 1 Foot + 7 inches) Yes or No
Actual Freeboard: -IFt. Inches
Was any seepage observed from the lagoon (s) ? Yes or No
Was any erosion observed? Yes or I(0 }
Is adequate land available fors ray`?/Yes or No
Is the cover crop adequate? es r No
Crop (s) being utilized
Does the facility meet SCS minimum setback criteria?
200 Feet from Dwellings? �e�lbr No
&or
100 Feet from Wells?✓✓No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes ore
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue
Line? Yes or To
cc: Facility Assessment Unit Use Attachments if Needed.

Site Requires Immediate Attention:
Facility No.. AR-6
Is animal waste discharged into waters of the state by allo
madeditch, flushing
system, or other similar man-made devices? Yes orIf Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure,
land applied, spray irrigated on specific acreage with cover crop)? Yes or No
41mccx E d/¢Kae/
Inspector Name
Signature
fdU /aU'a 4
cc: Facility Assessment Unit Use Attachments if Needed.