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HomeMy WebLinkAbout730002_PERMIT FILE_20171231Type of Visit: Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance Reason for Visit: Qf Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access Date of Visit: ] Arrival Time: L , ( Departure Time: County: Region: FarmName:�. f► r . ��.� a NA\ Z O T L- a Mailing Address: Owner Email: Phone: Physical Address: Facility Contact: Timaikill Title: Phone: nil At Onsite Representative: Integrator: Certified Operator: („eyp N Lley\n Certification Number: n Back-up Operator: &A rnp S ( Th to n S Certification Number: _ � �p � � 12 Location of Farm: 1 Latitude: Longitude: Design Current Design Current Design Current Swine Capacity Pop. Wet Poultry Capacity Pop. C*attle C►►apacity Pop. Wean to Finish La er airy Cow Wean to Feeder Non -La er airy Calf Feeder to Finish r Dai Heifer Farrow to Wean Design Current D Cow Farrow to Feeder DrP P,oult , Ca aci P,o P. Non -Dairy Farrow to Finish La ers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Turkeys Other Turkey Poults NJ Other j I 10ther 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) 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) 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 ,0 No ❑ NA ❑ NE ❑Yes,21No ❑NA ❑NE ❑ Yes Z No ❑ NA ❑ NE ❑ Yes E] No ❑ Yes 2f No ❑ Yes [D No ❑NA ❑NE ❑ NA ❑ NE C] NA ❑ NE Page I of 3 21412015 Continued Facili Number: Date of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 2] No ❑ NA ❑ NE a. if yes, is waste level into the structural freeboard? ❑ Yes 0 No ❑ NA ❑ NE Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Hi Spillway?: 1� V Designed Freeboard (in): Observed Freeboard (in): 3 , �5 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 ENo ❑ 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 threat, notify DWR 7. Do any of the structures need maintenance or improvement'? ❑ Yes 6No ❑ 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 ErNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes 20No ❑ 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): 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [TNo ❑ 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 E�_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 E�'No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes E�J"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 ,❑'No ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections []Monthly and 1" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ,E�j No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes EJ'No ❑NA ❑NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE ❑NA ❑NE Page 2 of 3 21412015 Continued Facili ' Number: Date of ins ection: — 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes VNo ❑ NA ❑ NE 25, Is the facility out of compliance with permit conditions related __to^ sludge? If yes, check Yes ZNo ❑ NA ❑ NE the appropriate box(es) below. �� tL. O'1 O) SL pal ❑ 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 ZNo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 2�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: 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 ZrNo ❑ NA ❑ NE ❑ Yes �TNo ❑ NA ❑ NE ❑ Yes ❑"No ❑ NA ❑ NE ❑ Yes (El No ❑ NA ❑ NE ❑ Yes Z�No [:]Yes Ca -No ❑ Yes Ca'No ❑NA ❑NE ❑ NA ❑ NE ❑NA DNE 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). ` �c L t tR,L2_Q_ OLrv�,_d-j 1SL�\3X�\g W001or? Qj 8-as--1d,a'0111 LWV0(43011 mil-it-l''� 0a=0►167�. w©o (011 f) 4-/0-1 03a1 1-33 1• �1 S L 0 3 031 3 -30 -1 16 IAAD &YY,a 3-a3-1S I') 1p ")m MIT. 0 - _. A-7.6 i 1— 0,111m., Reviewer/Inspector Name: ReviewerAnspector Signatui Page 3 of 3 >c.�� mod.-T�p�t4 k,( yovra�31lt� ,t- THA NV,'V0V I Phone: �' ~ 7 ! /- Date: y 7 21412015 t ti Division of Water Resources Facility Number - a a O Division of Soil and Water Conservation O Other Agency Type of Visit: q Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance Reason for Visit: YRoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access Date of Visit: Arrival Time: Departure Time: County: Prso(O Region4aRO-_ Farm Name: �Q� �5-rRor�t�t S� iris Owner Email: Owner Name: UamGS L . _T ho N10,$ Phone: Mailing Address: Physical Address: -)t-33(- s-f -) -l 1 3/ Facility Contact: Title: Phone:.UG S0ti a9 S 0 334 3(P4 ZL 1 9LI Onsite Representative: Integrator: Certified Operator: Le-yori Tho��_ Certification Number: A A 3ca Back-up Operator: Certification Number: _14 LL) F) 1 t0 7 g Location of Farm: Swine Wean to Finish Wean to Feeder Feeder to Finish Farrow to Wean Farrow to Feeder Farrow to Finish Boars Other Other Latitude: Design Current Design Current Capacity Pop. Wet Poultry Capacity Pop. La er Non -La er Design Current Dry Poultry Canneity Pon. Layers Non -Layers Pullets 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? Longitude: Design Current Cattle Capacity Pop. Dairy Cow Dairy Calf Dairy Heifer Dry Cow Non -Dairy Beef Stocker Beef Feeder Beef Brood Cow ❑ Yes ;Ej 'No ❑ NA ❑ NE ❑ Yes 21"No ❑ NA ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes _2TNo ❑ 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) 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 'ED'No ❑ Yes"'No ❑ Yes 2No ❑ NA ❑ NE ❑ NA ❑ NE ❑NA []NE Page 1 of 3 21412015 Continued 5 Facility Number: -jDate of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes"Ea-No a. If yes, is waste level into the structural freeboard? ❑ Yes J'No ❑ NA ❑ NE ❑ NA ❑ NE Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: 2n _orn Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �o ❑ NA ❑ N E (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 EfrNo ❑ 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 threat, notify DWR 7. Do any of the structures need maintenance or improvement? ❑ Yes .2rNo ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Flo ❑ 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 CTNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 2TNo ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes O 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): 09 t qS 13. Soil Type(s): �-Sd1T11P. an -Q%�f 14. Do the receiving crops differ from those designated in the CAWMP? [] Yes ,[Er No [] NA ❑ NE 15. Does the receiving crop and/or land application site need improvement'? [:]Yes 2 No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E�lNo ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ❑ Yes ,E�r No ❑ NA ❑ NE ❑ Yes FZ'No ❑ 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 EfrNo ❑ 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 0 No ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes ,Z No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes JerNo ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑NA ❑NE ❑ NA ❑ NE Page 2 of 3 21412015 Continued lFacility Number: Date of Inspection: 24. Dii"d}}ti e facliliV fail to calibrate waste application equipment as required by the permit? ❑ Yes �No ❑ NA ❑ NE 25. Is -the t�cili ou o ompliance with permit conditions related to sludge? If yes, check ❑Yes Flo ❑ NA ❑ NE the appropriate box(es) below, LA ' a-cp t -K bof h I aI oo AJ ❑ 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? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 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 ,E]*No ❑ NA ❑ NE ❑ Yes '12'No ❑ NA ❑ NE ❑ Yes ErNo ❑ NA ❑ NE ❑ Yes ,13"No ❑ NA ❑ NE ❑ Yes No ❑ NA ❑ NE ❑ Yes �allo ❑ NA ❑ NE 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes E21"No ❑ NA ❑ NE 33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [2]"No ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes ZNo ❑ 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). Next SIod cktu- On or ovC_ la I a I I lg For- bath LcLcoor.s W00aM1-1 1I10a116 pl; l'tol 0a=C71 q3 W000SSS w006ZZSIQ Ottoll10 ol- ►t%9 oa=0141V new f s o; l al,ol�b 01 Scc ynpte d e v n a168 ca�o1 D o r r` .p�-R I -trh m to f) v Rrl ;� �1 � � / I ♦ �- i Lev o o r1 e-e-" b D h o v c-s a n or be-Corf- f a 131 f 11 p�rc.es m� S a S h ovrs0 n e" be-(aom a) 31 r s l Reviewer/Inspector N Reviewer/Inspector S Page 3 of 3 Phone: q 13 9_ 9 1 LIC-4No Date: 21412015 Type of Visit: Wcompliance Inspection O Operation Review Q Structure Evaluation O Technical Assistance Reason for Visit: 0 Routine O Complaint Q Follow-up O Referral O Emergency O Other O Denied Access Date of Visit: Arrival Time:I__L_�S_Gl�_l Departure Time: Q j County: ge-('50 Region: Farm Name: -rho rn CIL M Owner Email: 9=j,2�6 &C-0 m Owner Name: !::� aCxNe j A[ \O ^has• Phone: :3b - Mailing Address: Physical Address: Facility Contact: Onsite Representative: Title: Integrator: Phone: Certified Operator: p h U rS Certification Number:U Back-up Operator: JCuTy-b Man Ma 5 Certification Number: Location of Farm: Latitude: 33 9 a , N 1) S . c6 Ll 5C 1.) REC4 Q L5 f6 Ti Nib c- IA Longitude: Design Current Design Current Design Current Swine Capacity Pop. Wet Poultry C►apracity Pop. Cattle C■apacity Pap. Wean to Finish La er DairyCow Wean to Feeder Non -La er DairyCalf Feeder to Finish DairyHeifer w to Wean Design Current D Cow w to Feeder Dr. P■oultr, Ca aei P,o P. Non -Dairy w to Finish La ers Beef Stocker Non -La ers Beef Feeder !Boars Pullets Beef Brood Cow Turke s r Turke Poults r 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 DW R) 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) 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 Zo ❑ NA ❑ NE [:]Yes [:]No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ Yes �No ❑ Yes XNo ❑ NA ❑ NE ❑NA ❑NE ❑ NA ❑ NE Page I of 3 21412015 Continued 1 Facili Number: Date of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Ye�o ❑ 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: Mum Spillway?: Designed Freeboard (in): � 1 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 _.E iKo ❑ NA ❑ NE waste management or closure plan? If any of questions 4-5 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes oNo ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes E2-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 0 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 --E:rNo ❑ 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): cxq 1 is 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Flo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes JEI io ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ;a No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes _EErr4o ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes E;�No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes . 3-No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes E]'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. 0 Yes ZNo ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [:j"No ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE [DNA ❑ NE Page 2 of 3 21412011 Continued Facili Number: Date of Ins ection: 2 . Did the facility fa il too calibrate waste application equipment as required by the permi . ❑ Yes No ❑ NA ❑ NE 2 . Is the facoQiT afff e with perri iteconditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE the appropriate box(es) below. Pr ❑ 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? 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Otherlssues 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 ❑ Yes No ❑ Yes No ❑ NA ❑ NE ❑NA ❑NE ❑ 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 [1 No ❑ NA ❑ NE 33. Did the Reviewer/Inspector 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 to question ##): Explain any YES answers and/or any additional recommendations or any other comments. Use drawings of facility.to better explain situation's (vise additional pages as necessary). k aUL ! g i-., , ,Ur-q CkUL &V\d) bv4W 1 9L3l 1 fi r n , 1I-�R- IS R110 LJCQL-� C PI 6C'V` - ! 00 Sa S 6 a b'K p a. a,( 0 I-15- IS 00--9t;$I ' t 0 1 0, r 0 00 (0ti3r5 a,(0S 0, a :91 00g315 a, 3s 6151 � 9'0'C0-\zL ake a l ei.(� � A nvn.u.af `?� �e� �o Vas �,- hA&-B-J u-D 01 WAS invx.w� kn<, 15 ig,,5) hMeQA,o tmw enrnlvLn ID) Reviewer/Inspector Name: Reviewer/Inspector Signature Page 3 of 3 Phone: 9 1 q r Date: 21412011 Type of Visit: Ocompliance Inspection Operation Review O Structure Evaluation O Technical Assistance Reason for Visit: 2rRoutine Q Complaint O Follow-up O Referral 0 Emergency O Other O Denied Access Date of Visit: Arrival Time: Departure Time: County: IP('s[7 rU Farm Name: ZC Z D l�:[=.z-a A-C, Owner Email: Owner Name: Phone: Mailing Address: Physical Address: Facility Contact: Title: Phone: Onsite Representative: Certified Operator: 401 Ml1 j fin./) Back-up Operator: Qamu IL n Location of Farm: Latitude: Integrator: Region Certification Number: 1 $3 fJ Certification Number: CO ,? 6r7 Longitude: Design C•urren.t Swine Capacity Pop. Wean to Finish Design Current 11 Poultry C:y Pop. Layer I Cattle airy Cow Design Current Capacity Pop. Wean to Feeder I INon-Layer I airy Calf Feeder to Finish Farrow to Wean Design Current Dairy Heifer Dry Cow Farrow to Feeder D , P.ouIt . Ca aci P.o P. Non -Dairy Farrow to Finish AY1 ILayers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Other NJ Other Turke s 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 DWQ) 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 ❑ NA ❑ NE ❑Yes ❑No ❑NA ❑NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No 0 Yes -E No ❑ Yes .El'*No ❑ NA ❑ NE ❑NA ❑NE ❑ NA ❑ NE Page 1 of 3 21412011 Continued Facili Number: jDate of inspection- Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 0"No ❑ 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): tx f 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 ZNo ❑ 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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes 0"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 [3No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes D/No ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes �Z'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): Q1 t 9,5 cy^_'q A 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ffNo [] NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes 0 No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes (� o ❑ NA ❑ NE acres determination? l7. Does the facility lack adequate acreage for land application? ❑ Yes UNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes �J/No ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ONo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [�J/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 VNo ❑ NA 0 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 ❑ Sludge 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 Yo ❑ NA ❑ NE Page 2 of 3 21417011 Continued Fa lity Number: Date of Inspection: 24. ai tie Lgili fail to calibrate as a pli�ation equipment as required the p rm�if? ❑ Yes ,�o ❑ NA ❑ NE stc)25. Is the facility o�u Hof croompliance with permit con ition� o sludge. if yes, check ❑ Yes N :fNo [3NA ❑ 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 ETNo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ,ff No ❑ NA ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes -n 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? ❑ Yes [ErNo ❑ 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 ❑ Yes 2rNo [DNA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes dNo ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes �No ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [2'No ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes o ❑ 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). ate. rn Cie. m Ia- 3! `a0 1 F Y!5 w00L-13,3 - a. 3s Q, 61 0 0 cc0c) I -1 q 0 1, R 1 P,91 4 q97 De3a 013 -4*, . r-W co0050 o 130 C" 3 b Fw -1: o w (o 3 g I 10 o n o R' O� 13 oao9-of - �= IS- sL oaoa-s I C71,� j r Reviewer/Inspector Name: Reviewer/Inspector Signatui Page 3 of 3 �j_�9lis gbab 4-1 a�1,r7l/4-1 r]115/13 Phone: � 67 9ve�ze' Date: ( 2/4;2 111 Type of Visit: 0 Compliance Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I Y�f I 1 Arrival Time: Departure Time: County: k�__So A_j Region(29-0— Farm Name:N.1Q`meS i homa5 kn.t-rn Owner Email: 33 Owner Name: Phone:. Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: Certified Operator: j� e V 0 rJ T h O m LLS Back-up Operator: Z(tl-e-S h non G Location of Farm: Latitude: Phone: Integrator: Certification Number: J 3 L.) Certification Number: ,n Q q 9 Longitude: Design Current C• rrent Design Current jjDesign Swine Capacity Pop. Wet Poultry Cap city Pop. Cattle Capacity Pap. Wean to Finish Layer I Dairy Cow Wean to Feeder jil INon-Layer Dairy Calf Feeder to Finish ' Dairy Heifer Farrow to Wean Design Current D Cow Farrow to Feeder Drr P.aultr, Ca aci Po Non -Dairy Farrow to Finish Layers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Turkeys Other Turkey Poults Other 10ther 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 DWQ) 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 No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes �' o ❑ NA ❑ NE ❑ Yes ZNo ❑ NA ❑ NE Page 1 of 3 21412011 Continued e Facility Number: - Date of inspection - Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes -,-E]i Ih o ❑ 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: _ ,✓11or Spillway?: Designed Freeboard (in): Observed Freeboard (in): t 1 -t' ' J 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �No ❑ NA 0 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 2No ❑ 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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes F, ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Vrll�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 0'*No ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes XNo ❑ 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 XNo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ZP No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ro ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes ZfNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes ONo ❑ NA ❑ NE Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [2r-�o ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes P��o ❑ 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 FZNo ❑ 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 o ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes gNo ❑ NA ❑ NE Page 2 of 3 21412011 Continued )Facilit Number: -n Date of -Inspection: 24.'d t facjty fail to�calil�ra�te wbste apnplication equipment as required by the permit? 'Anditions ❑Yes ;3/No ❑ NA ❑ NE 25. rs the ci�ttyyoout o1• complia`ntc'e wtt3xit 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 P'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 gfl�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 the drains exist at the facility? If yes, check the appropriate box below ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: ❑ Yes no ❑ NA ❑ NE ❑ Yes V No ❑ NA ❑ NE ❑ Yes 0No ❑ NA ❑ NE 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes R1 No ❑ NA ❑ NE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes Vj o ❑ NA ❑ NE 34. Does the facility require a follow-up visit by the same agency? ❑ Yes [�NNo ❑ NA ❑ NE Comments (refer to question ft Explain any YES answers and/or any additional recommeindatons or any other comments. Use drawings of facility to better explainsituations (use additional pages as necessary). C.ILk- C3C CJgsZ -- o a- -15- l3 p Q, l03 o,oq woo ptl 3 � 3,qo o,aa) Opb 7 0 (P ao r-5 Reviewer/Inspector Name: Reviewer/Inspector Signature Page 3 of 3 Phone: Date: qL 214 2011 Type of Visit: O Compliance Inspection 0 Operation Review p Structure Evaluation Q Technical Assistance Reason for Visit: O 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: Thom -As, FQ r 1M- Owner Email: Owner Name: Phone: Mailing Address:,. Physical Address: Facility Contact: Onsite Representative: Title: Certified Operator: ri 7 Back-up Operator: `,nRes L11D,waj „ Location of Farm: pop Latitude: Phone: Integrator: Certification Number: )� $,V a Certification Number: ! to g 7 Longitude: MENSIMERD Current Swine Capacity Pop. Wean to Finish Design Wet Poultry Capacity Layer Current Pop. Design Current Cattle C►apacity Pop. DairyCow Wean to Feeder Non -La er DairyCalf Feeder to Finish DairyHeifer Farrow to Wean Farrow to Feeder Farrow to Finish Design Dr, l;oultr, Ca �ci Layers Current P,o D Cow ' M Non -Dairy Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Beef Brood Cow Other Other Turke s Turke Pouits Other Discharacs 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 DWQ) c. What is the estimated volume that reached waters of the State (gallons)? ❑ Yes VNo ❑ NA ❑ NE ❑Yes No ❑NA ❑NE ❑ Yes ❑ No ❑ NA ❑ NE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes [:]No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes 9No ❑ 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? 9 Page 1 of 3 21412011 Continued Facility Number: Date of Inspection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ;�l No ❑ 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): 11fi 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ET'�o ❑ 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 JZ"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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes La'No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes J'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 121"No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �o ❑ NA [] NE maintenance or improvement'? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes P I�o ❑ 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 Approved Area 12. Crop Type(s): OZ 9 t I 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes CD'No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes No 0 NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ;2 No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application`? 18. is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check the appropriate box. ❑ WLIP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements D Yes ,Eno ❑ NA ❑ NE ❑ Yes �No ❑ NA ❑ NE ❑ Yes JD No ❑ NA ❑ NE ❑ Yes 0 No ❑ NA ❑ NE []Other: 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 2<o ❑ 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 ZrNo ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes.,eNo - ❑ NA ❑ NE Page 2 of 3 21412011 Continued Facilit Number: Date of Inspection: 24. /Dy.iddtthee facility fail to ` al calibrate waste application equipment as required by the permit? ❑ Yes E No r ,p 3- j ~ I T 25. Is the facility out of compliance with permii conditions related to sludge? If yes, check ❑ Yes 2TNo the appropriate box(es) below. ZL 01 a,e st_ t ❑ 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 �No 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ONO 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 the 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? ❑ NA ❑ NE ❑NA ❑NE ❑NA ONE ❑ NA ❑ NE ❑ Yes 2No ❑ NA ❑ NE ❑ Yes �No ❑ NA ❑ NE [—]Yes �ae&o ❑ NA ❑ NE ❑ Yes PONo ❑ NA ❑ NE Cl Yes o ❑ Yes � o ❑ Yes ONO ❑ NA ❑ NE ❑ NA ❑ NE ❑ NA ❑ NE Comments (refer to question #): Explain any YES answers and/or any "additional reeommendatlonsor any other comments: Use drawings of facility to better explain situations (use additional pages as necessary). 3 S tea.-o t a - a - i 7 3 -a-1 -Ia a �a. 04t q -I� C.o-(s vlz� - 3 - m a Ma.'o r r� 6 KA-Z CJ3- + .ace crn e Jd h1 . _ _mza _cL& In h n v cig- r 4­ _Q_ Reviewer/Inspector Name: ZC Li\P— a- a "- l Revicwer/inspector Signature: QQ I1(� ^��N%MAA` Phone: Date: 4 —1 9 Page 3 of 3 2/4�2011 vane . �err\cx�d � ncde�l nr'��� Date of Visit: Arrival Time: Departure Time: County: dA) Region�� Farm Name: �f� r',P _ L d M F 1•d C 11-1. Owner Email: Owner Name: Phone: 3 4 b Mailing Address: dre , I Physical Ad Facility Contact: Title: Phone: Onsite Representative: Integrator: Certified Operator: �Se V D ! h d/1 k5 10 j .p Certification Number: Back-up Operator: ail MSS 1 a 'ama—S tl(� 11Certification Number: Location of Farm: Latitude: Longitude: Design u -ren 1110slgn Current Design Current Swine Capacity Pop. Wet Poultry Capacity Pop. C•at#le Capacity Pap. Wean to Finish I 11-ayer I Dairy Cow Dairy Calf Wean to Feeder I INon-Layer I Feeder to Finish Dairy Heifer Farrow to Wean Design Current I Dry Cow Farrow to Feeder Dr, P,oultr, C•_a aci_ P,o Non -Dairy Farrow to Finish Xd 60 114 1 Layers Beef Stocker Gilts Non -Layers Beef Feeder Boars Pullets Turke s Beef Brood Cow Oth_e_r Turkey Poults Other Other Discharees 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 DWQ) ❑ Yes E jl to ❑ NA ❑ NE ❑Yes [:]No ❑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 DWQ) ❑ Yes ❑ No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes �@'No ❑ 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 FacilitytNumber: - Date of Ins ection: Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ETNo ❑ NA ONE a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE Structure 1 Structure Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Y Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 2 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 21No ❑ 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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes 1+No ❑ NA ❑ NE 8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ;�r'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 eNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes )27No ❑ NA ❑ NE maintenance or improvement? 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [:]Yes rNo ❑ 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 Approved Area 12. Crop Type(s): 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes C�No ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes [EfNo ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 4n-No ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? ❑ Yes P�tNo ❑ NA ❑ NE ❑ Yes �allo ❑ NA ❑ NE Reguired Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes ,E"No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ,rNo ❑ 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 �' o ❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and I" Rainfall Inspections 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes R 'No 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes El No ❑ NA ❑ NE ❑ Weather Code ❑ Sludge Survey ❑ NA ❑ NE ❑ NA ❑ NE Page 2 of 3 21412011 Continued Facili Number: - Date of inspection: 24. Did the facility fail to calibrate waste application equipment as required by the permit. ❑ Yes [;KNo ❑ NA ❑ NE 25, Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �No ❑ NA C—]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 No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes VNo ❑ NA ❑ NE Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ONo ❑ 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 /No F] 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 ❑ Yes �No ❑ NA ❑ NE permit? (i.e., discharge, freeboard problems, over -application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes P3 No ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 7� 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes VfNo ❑ NA ❑ NE 33. Did the Reviewer/Inspector 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 to question ##)::Explain any YES answers and/or any iddittonal. Vecomntendations or,.any other comments;' ; Use drawings of facility to better explain situations (use additionaljpages a"s`necessary).AV 1­1 $,& a r') rnn >? &L-ke-& B - -03 -- C." 11 L'M"Nd l S b y prod Oc& r Witt a-ck Cq""-q�YS C001-3 v('eweck o� Wr,-Q_ C.t n& Corn j)acC-'eA t v fcc&'t'A ���� �c C�►' -Zl',�c_ �_o ,`+ #.-I 510dy gory q c o+mypke_ied o n U- a I-1 I l 7 P= 51 —cckk, brc;Lt'knTIJ C 0rna ff.4ted 73 1 L ~ Ia Ca 15 S c,� �p M dU�e�r�- 0I AS r`mQCY Gw\O( ant P� --Cu Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of 3 Phone: 917 Date: 214120 l Type of Visit )a Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 2rRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: 4`'�S `/U rArrival Time: Departure Time: jt'-�G County: �rSG'i Region: Farm Name: �r1rY'1 ` ��'�t�f �`s/^� Owner Email: Owner Name: JG�t,°� No,.,G1 Phone: Mailing Address: Physical Address: Facility Contact: Onsite Representative: Certified Operator: Back-up Operator: _ Location of Farm: Title: Phone No.- Integrator• Operator Certification Number: Back-up Certification Number: Latitude: = c = I =16 Longitude: = ° = t = td Design Current Design Current Design Current S�lne Capacity Population Wet Poultry C►opacity Population C►attle Capacity Population ❑ Wean to Finish 10 Layer ❑ Dairy Cow ❑ Wean to Feeder I IE]Non-Layer I I ❑ Dairy Calf ❑ Feeder to Finish I ❑ Dairy Heifer ❑ Farrow to Wean Dry Poultry ❑ Dry Cow ❑ Farrow to Feeder ElNon-Dai ❑ Farrow to Finish Z Layers ❑Non-ers El Beef Stocker ❑ CiitsE El Beef Feeder ❑ Boars ElEl Pullets ❑ Beef Brood Cow ❑ Turke s Other ❑ Turkey Poults ❑ Other ❑ Other I ores: 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 ONo ❑ NA ❑ NE ❑ Yes i❑ No ❑ NA ❑ NE ❑ Yes P/'No ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ,ENO ❑ Yes PNo ❑ NA ❑ NE ❑ Yes ZNo ❑ NA ❑ NE Page 1 of 3 12/2"4 Continued Facility Number: '73 — C2 Date of Inspection 4/ Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Z` o ❑ NA ❑ NE a. If yes, is waste level into the structural freeboard? ❑ Yes eNo ❑ 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 •C_I No ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ZNo ❑ 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, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes ETNo ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Er 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 J!jNo ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes PNo ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ;2/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) 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 2rNo ❑ NA ❑ NE 15. Does the receiving -crop and/or land application site need improvement? ❑ Yes V(No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? []Yes [Z No ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes ZrNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes A!J No ❑ NA ❑ NE t i4 lift), tlb!W Comments (Ae- fer to :question #} Explain afiyxYES5 answers and/or any recommendations or any other comments Use drawings, of facility,to better ezplam sttuattons: (use additional pages ayys'necessary) Reviewer/inspector Name,1IN ; Phone: Reviewer/Inspector Signature: Date: Page 2 of 3 . 12128104 Continued Facility Number: 73 - 2 Date of Inspection 77 -4 Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes allo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ Yes ZNo ❑ NA ❑ NE the appropriate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ,.ET 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 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ;E�No ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes allo ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EfNo ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ONo ❑ NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ENo ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ONo ❑ NA ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes r_1 No ❑ NA ❑ NE 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes Z 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 0 No ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 3 L Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes ZNo ❑ NA ❑ NE General Permit? (iel discharge, freeboard problems, over application) 32, Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes -E�No ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes Z( No ❑ NA ❑ NE Additional'Ciimmetitsandlor Drawin s "" -So.'l Z- 7� fG' Lvvfl A,w/ys,j Page 3 of 3 12128104 e Type of Visit 6Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit fO Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: ?G`G `! 7-Arrival Time: jd %dU Departure Time: a✓� -17G County: Odic'' Region: Farm Namc: J GMP I 1 Lflk c i pCr Owner Email: Owner Name: Phone: Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: Certified Operator: Back-up Operator: Phone No: Integrator: Operator Certification Number: Back-up Certification Number: Location of Farm: Latitude: = o ❑ 6 = Longitude: = ° = 6 = Design Current Deign Current Design Current Swine Capacity Population Wet Poultry C>apac.ity Population Cattle Capacity Population ❑ Wean to Finish ❑ La er ❑Dai 'Cow ❑ Wean to Feeder n-La er aia Calf ❑ Feeder to Finish ❑ Daia Heifer ❑ Farrow to Wean Dry Poultry ❑ Dry Cow ❑ Farrow to Feeder ❑ Non -Dairy ❑ Farrow to Finish y ❑ La ers ❑ Beef Stocker ❑ Gilts ❑ Non -Layer El Beef Feeder ❑ Boars El Pullets ❑ Beef Brood Co ❑ Turkeys Other ElTurkey Points Number of Structures:LIM ❑ Other ❑ Other MEMO" Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? [:]Yes p/ No ❑ NA ❑ NE Discharge originated at: ❑ Structure ❑ Application Field ❑ Other a. Was the conveyance man-made? ❑ Yes ONo ❑ NA ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes OrNo ❑ 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 Q NO ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ;R—No ❑ NA ❑ NE 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes ETNo ❑ NA ❑ NE other than from a discharge? Page I of 3 12128104 Continued FacAty Number: -)3 -C27 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 allo . ❑ NA ❑ NE ❑ Yes R No ❑ NA ❑ NE Structure 5 Structure 6 ❑ Yes ErNo ❑ 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 threat, notify DWQ 7. Do any of the structures need maintenance or improvement`? ❑ Yes •❑i No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes M-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 P-No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes J"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 ] 0 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 allo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes ONo ❑ 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 0"No ❑ NA ❑ NE 18, Is there a lack of properly operating waste application equipment? ❑ Yes .0 No ❑ NA ❑ NE i .ommeferrto;questronp#)� ExplatnNany YES'answcrsiand/or any,recammendations o_ c4 i5- Yr24': �e drawingof factlill better�explain situations. (use additional�pages as necessartyl): nart_e� 3at.is�:_'::e..'n::3.:,a.�"'.9, s i Reviewer/Inspector Name Phone: 9i 9-- 79i Y2fc, Reviewer/Inspector Signature: Date: .3 - 3!/— O 7 Page 2 of 3 1 12128104 ' Continued Facility Number: Date of Inspection 3-3c-d f Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes JZ No ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ONo ❑ NA ❑ NE the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes P"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 ❑ Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 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 review/inspection with an on -site representative? 33. Does facility require a follow-up visit by same agency? ❑ Yes 2�No ❑ NA ❑ NE ❑ Yes L No [:]'NA ❑ NE ❑ Yes /"No ❑ NA ❑ NE ❑ Yes 2No ❑ NA ❑ NE ❑ Yes eNo ❑ NA ❑ NE ❑ Yes ErNo ❑ NA ❑ NE ❑ Yes ZNo ❑ NA ❑ NE ❑ Yes ZNo ❑ NA ❑ NE ❑ Yes 0No ❑ NA ❑ NE ❑ Yes -E No ❑ NA ❑ NE ❑ Yes 2rNo ❑ NA ❑ NE ❑ Yes gNo ❑ NA ❑ NE Additlonal Comments and/ Drawtpgns ` ` ` �iy t a b \Ci 7 y 2-17— & 9 l "sk C"41ys./ I. 2" Page 3 of 3 12128104 �7— r1-68— 67, 3 e /7�� Type of Visit A Compl' ce inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit outine 0 Complaint 0 Fallow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: L= Arrival Time: Departure Time: County: Farm Name: Ci"— } I 11XnL—Ut /] fit! Il �Y1, Owner Finail: Owner Name: Phone: —3( y (oo Mailing Address: Physical Address: Facility Contact: Title: Phone No: Onsite Representative: Integrator: Certified Operator: Operator Certification Number: Back-up Operator: Back-up Certification Number: Location of Farm: Latitude: 0 e = 6 0ti Longitude: = ° = 1 Go 33 $ �Isoc i Design Current Design Current Design C►urrenE Swine Capacity Population Wet Poultry Opacity Population Cattle Capacity Population ❑ Wean to Finish ❑ Layer ❑ DairyCow ❑ Wean to Feeder ❑ Non -Layer ❑ DairyCalf ❑ Feeder to Finish ❑ DairyHeifer ❑ Farrow to Wean Dry Poultry ❑ Dry Cow ❑ Farrow to Feeder ❑ Non -Dairy ❑ Farrow to Finish ❑ Layers ❑ Beef Stacker Gilts N ❑Non -La ers❑ Beef Feeder POBoars ❑ Pullets ❑ Beef Brood Cow ❑ Turkeys Other ❑ Other ❑ Turkey Points I ❑ Other Number of Structures: Discharses & 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 Ej No ❑ NA ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes eNo ❑ 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 ,� la No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes f No ❑ NA ❑ NE 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ElYes 1 No ❑ NA ❑ NE other than from a discharge? Page 1 of 3 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 2<o ❑ NA ❑ NE a. if yes, is waste level into the structural freeboard? ❑ Yes ,�No ❑ NA ❑ NE Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): 3 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ,—�N` IQ o ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed []Yes Zo ❑ 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, notify DWQ 7. Do any of the structures need maintenance or improvement? ElJCJ Yes , No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes Z 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 2 o ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNo ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes 2"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 [2rNo ❑ 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 LNo ❑ NA ❑ NE 17. Does the facility lack adequate acreage for land application? ❑ Yes [2'No ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes O<o ❑ NA ❑ NE i a2 it i e/4f. E�7 #. hi�lV1a ! #' Comments (refer-tolquestton }#)���ExplatnoanytYL-S answers and/or any recommendations or any other comments. Use drawy�ing&of-facEility4o Bette a". plain,situationsra(usc;addittonal pages as necessary,): .. ;�3ha.r3.'i x-,x..'-"v'�,,, Reviewer/Inspector Name Phone: r Reviewer/Inspector Signature: Date: ➢- 7 nP 2 12/2R/ad l'.nniinuad rn Facility Number: Date'of Inspection p Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes VNo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? 1f yes, check ❑ Yes ; N ❑ 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 2 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 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 2rNo ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E 'Ko ❑ NA ❑ NE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Id No ❑ NA ❑ NE 25.� D the facilit fail to c nd t a sluyige survey s require the ermit� O —� G 6. Did e aci ity fai to ave an cti ly rtifie opera or in charge? ❑ Yes ❑Yes 2No 0 No ❑ NA ❑ NA ❑ NE ❑ NE 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes Z Flo ❑ NA ❑ NE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ZNo ❑ 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 [TNo ❑ NA ❑ NE If yes, contact a regional Air Quality representative immediately 3.1. Did the facility fail to notify the regional office of emergency situations as required by ❑ Yes O'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 0'No ❑ NA ❑ NE 33. Does facility require a follow-up visit by same agency? ❑ Yes 0No ❑ NA ❑ NE g�prn A(";,- '� �..4n�,n JU-q* Page 3 of 3 12128104 Division of Water Quality ❑ Division of Soil and Water Conservation ❑ Other Agency Facility Number: 730002 Facility Status: Active Permit: AWS730002 ❑ Denied Access Inspection Type: QgMplugoo Inspegbon Inactive or Closed Date: Reason for Visit: Other County: Region: Raleigh Date of Visit: 09/11/2007 Entry Time:02-54 PM Exit Time: Incident #: Farm Name: James Thomas Farm Owner Email: Owner: James L IholMas Phone: 336-364-2121 Mailing Address: 8109 Oxford Ed Timberlake NC 275839117 Physical Address: Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Location of Farm: Latitude: 36°20'17" Longitude: 78°50'42" 8 miles from Roxboro Hwy. 158 East. Go to Country Store turn around come back toward Roxboro will be 4th driveway on the left (beige siding house/come through woods and you will see the building). Question Areas: Discharges & Stream Impacts Other Issues Certified Operator: James L Thomas Operator Certification Number: 16787 Secondary OIC(s): On -Site Representative(s): Name Title Phone On -site representative Pete Thomas Phone: 24 hour contact name Pete Thomas Phone: Primary Inspector: Joseph Gyamfi Phone: Inspector Signature: Date: Secondary Inspector(s): Inspection Summary: Site visit was conducted to collect GPS data to update farm coordinates in BIMS if necessary, and for creating new reliable location maps in the future. " Mr. Thomas was not available on site, but I left a message for him on phone informing him about this visit and its intended purpose. Page: 1 Permit: AWS730002 Owner - Facility: James L Thomas Facility Number : 730002 Inspection Date: 09/11/2007 Inspection Type: Compliance Inspection Reason for Visit: Other Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard agoon PRIMARY agoon SECONDARY 42.00 Discharges & Stream Impacts Yes No NA NE 1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑ Discharge originated at: Structure ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑ c. Estimated volume reaching surface waters? 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? ONOO 3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a ❑ ■ ❑ ❑ discharge? Other Issues Yes No NA NE 28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? Cl ■ ❑ ❑ 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. 31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? 110011 32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑ 33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑ Page: 2 Division of Water Quality Facility Number 3 `�_ Division of Soil and Water Conservation 0 Other Agency r ype of Visit T Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance eason for Visit( ID Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: o Arrival Time: Departure Time: County: Region: 1-1-Kb Farm Name: Q1�`�r O`J' { GYM) Owner Email: Owner Name: G_ ^�S' —l_�^,- Phone: 3-7 -24 11 Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: j Certified Operator: lO�r✓� •e f alS Back-up Operator: Phone No: Integrator: Operator Certification Number: Back-up Certification Number: Location of Farm: y Latitude: = ° Longitude: ° ❑ l.wulrok, mow. e t►,9 �. i.nctt� C 'C w %A —IN., Swine Wean to Feeder Feeder to Finish Farrow to Wean Farrow to Feeder Farrow to Finish Gilts Boars Other ❑ Other Design Current Design Current Capacity Population Wet Poultry Capacity Population ❑ Layer ❑ Non -La er Dry Poultry ❑ Layers ❑ Non -Layers ❑ Pullets ❑ Turkeys ❑ Turkey Puuets ❑ 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) Design Current Cattle Capacity Population ❑ Dairy Cow ❑ Dairy Calf ❑ Dairy Heifei ❑ DEX Cow ❑ Non -Dairy ❑ Beef Stocker ❑ Beef Feeder ❑ Beef Brood Cow c. What is the estimated volume that reached waters of the State (gallons)? Number of Structures: 1 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 [ PNo ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE ❑ Yes qQo ❑ NA ❑ NE ❑ Yes 1PNo ❑ NA ElNE 12128104 Continued I Facility Number: — Date of Inspection ki 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 2 Structure 3 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): Structure 4 ❑ Yes No ❑ NA ❑ NE ❑ Yes ❑ No ❑ NA ❑ NE Structure 5 Structure 6 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes PNo ❑ NA ❑ NE (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes I!No ❑ NA ElNE 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, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes T No ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes RNo ❑ NA ❑ NE (Not applicable to roofed pits, dry stacks and/or wet stacks) l 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/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 El Evidence of Wind Drift ❑ Application Outside of Area 12. Crop type(s) r, 4 (—�1 b / 1 y7 13. Soil type(s) �Y ' 1 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 1M No ElNA [INE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes No ElNA ❑ 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 7)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): ra— I � � ` ALG � ��,„ .ti c'z t/ /�. � f � ✓�-�� �' 1'�. � d � 'i�'-�o•�pv��r �'�� r � �= �` s 5 Reviewer/Inspector Name {' Phone: ReviewerlInspector Signature: I_ Date: v c) ra 12128104 Continued Facility Number: — Date of Inspection Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes �INo ❑ NA ❑ 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. ElWUP ❑ Checklists ElDesign ❑Maps El Other 21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes �No El 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 ❑ Weather 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 ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 'MNo ❑ NA ❑ NE 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes 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 f3NA VE Other Issues 28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes MNo ❑ 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? "P 30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes PNo ❑ 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 1R No ❑ NA ❑ NE Additional Comments and/or Drawings: Grn 1-4 12128104 Division of Water Quality ❑ Division of Soil and Water Conservation ❑ Other Agency Facility Number: 730002 Facility Status: Active Permit: AWS730 QZ ❑ Denied Access Inspection Type: Compliance Inspection Inactive or Closed Date: Reason for Visit: Routine County: Person Region: Raleigh Date of Visit: 04/17/2007 Entry Time:01:00 PM Exit Time: Incident #: Farm Name: James Thomas Farm Owner Email: Owner: James L Thomas .'4 .kl lscI:LWARAi� Mailing Address: 8109 Oxford Rd Timberlake NC 275839117 Physical Address: Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Location of Farm: Latitude: 36020'17" Longitude: 78°50'42" 8 miles from Roxboro Hwy. 158 East. Go to Country Store turn around come back toward Roxboro will be 4th driveway on the left (beige siding house/come through woods and you will see the building). Question Areas: Discharges & Stream Impacts Waste Collection & Treatment Waste Application Records and Documents Other Issues Certified Operator: James L Thomas Operator Certification Number: 16787 Secondary OIC(s): On -Site Representative(s): Name Title Phone On -site representative Pete Thomas Phone'. 24 hour contact name Pete Thomas Phone: Primary Inspector: Joseph Gyamfi Phone: Inspector Signature: Secondary Inspector(s): Date: Page: 1 r . . Permit: AVVS730002 Owner - Facility: James L Thomas Facility Number: 730002 Inspection Date: 0411712007 Inspection Typo: Compliance Inspection Reason for Visit: Routine Inspection Summary: " Lagoon Sludge survey completed 05117/06, Primary Lagoon: Sludge thickness = 2.56', LTZ = 4.19' - Producer has started sludge treatment with bugs * Irrigation equipment calibration dated 03/30106, 168GPM. To be completed again in 2008. • Please get WUP revised to include year round application on Fescue. Producer says he has a note authorizing him to apply year round but could not find it during inspection. * Soil sample dated 02/06/2007. No lime needed. Cu, Zn, and P levels ok. " Waste analysis: 1217/06 = 2.3 (latest waste sample) New sample sent to Raleigh today • Waste application records were reviewed. Producer to redo the IRR2 for all waste applications after 02/07/07 using the results of the waste sample sent to lab. Waste analysis should be used for applications within 60•days, before or after, of date of sample results. " Waste levels and rainfall recorded with initials. ` Stocking and crop yield records available. Page: 2 Permit: AWS730002 Owner - Facility: James L Thomas Inspection Date: 0411712007 Inspection Type: Compliance Inspection Facility Number: 730002 Reason for Visit: Routine Regulated Operations Design Capacity Current Population Swine Q Swine - Farrow to Finish 200 188 Total Design Capacity: 200 Total SSLW: 283,400 Waste Structures Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard agoon PRIMARY agoon SECONDARY 42.00 69.00 Page: 3 Permit: AWS730002 owner - Facility: James 1- Thomas Facility Number: 730002 Inspection Date: 04/17/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine Discharges & Stream Impacts Yes No NA NE 1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑ Discharge originated at: Stru ctu re ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the State? (if yes, notify DWQ) Cl ■ ❑ ❑ c. Estimated volume reaching surface waters? d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ ■ Cl Cl 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 Waters of the State other than from a Q ■ ❑ ❑ discharge? Waste Collection, Storage & Treatment Yes No NA NE 4. Is storage capacity less than adequate? ❑ ■ ❑ ❑ If yes, is waste level into structural freeboard? ❑ 5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe ❑ ■ ❑ Q erosion, seepage, etc.)? 6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑ or closure plan? 7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑ B. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or ❑ ■ ❑ ❑ improvement? Waste Application Yes No NA NE 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ Cl improvement? 11. Is there evidence of incorrect application? ❑ ■ ❑ ❑ If yes, check the appropriate box below Excessive Ponding? Q Hydraulic Overload? ❑ Frozen Ground? ❑ Heavy metals (Cu, Zn, etc)? ❑ Page: 4 Permit: AWS730002 Owner - Facility: James L Thomas Inspection Date: 04/17/2007 Inspection Type: Compliance Inspection Facility Number: 730002 Reason for Visit: Routine Waste Application Yes No NA NE PAN? ❑ Is PAN > 10%/10 lbs.? ❑ Total P205? ❑ Failure to incorporate manure/sludge into bare soil? ❑ Outside of acceptable crop window? ❑ Evidence of wind drift? ❑ Application outside of application area? ❑ Crop Type 1 Fescue (Hay) Crop Type 2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Orange Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑ Plan(CAWMP)? 15. Does the receiving crop and/or land application site need improvement? ❑ ■ ❑ ❑ 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ ❑ 17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑ 18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑ Records and.Documents - Yes No NA NE 19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ❑ ❑ 20. Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑ If yes, check the appropriate box below. WUP? ❑ Page: 5 Permit: AWS730002 owner - Facility: James L Thomas Facility Number. 730002 Inspection Date: 04/17/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine Records and Documents Yes No NA NE Checklists? ❑ Design? ❑ Maps? ❑ Other? ❑ 21. Does record keeping need improvement? ❑ E ❑ ❑ If yes, check the appropriate box below, Waste Application? ❑ 120 Minute inspections? ❑ Weather code? ❑ Weekly Freeboard? ❑ Transfers? ❑ Rainfall? ❑ Inspections after > 1 inch rainfall & monthly? ❑ Waste Analysis? Annual soil analysis? Crop yields? ❑ Stocking? ❑ Annual Certification Form (NPDES only)? ❑ 22. Did the facility fail to install and maintain a rain gauge? ❑ N ❑ ❑ 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ❑ ■ ❑ 24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ E ❑ ❑ 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? ❑ 0 ❑ ❑ 27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? ❑ ❑ ❑ ■ Other Issues Yes No NA NE 28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ 0 ❑ ❑ 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those Cl ■ ❑ ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. Page: 6 Permit: AWS730002 Owner - Facility: James L Thomas Facility Number: 730002 Inspection Date: 04/17/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine Mhar lca mac Yes No NA NE 31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ Q ❑ 32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ ❑ ❑ 33. Does facility require a follow-up visit by same agency? Page: 7 Type of Visit Co lance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: 1115 Arrival Time: G Departure Time: County: Farm Name: Owner Email: Owner Name: Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: Certified Operator: i zy-i� Back-up Operator: Location of Farm: Wean to Finish Wean to Feeder Feeder to Finish Farrow to Wean 1 ow to Feeder Farrow to Finish Gilts Boars Pullets Other ! I 1■IL.]Other Phone: Phone No: Integrator: &29-- Operator Certification Number: Back-up Certification Number: Latitude: = o =' = Longitude: = o Dairy Cow Dairy Calf__ Dairy Heifer Dry Cow Non -Dairy Beef Stocker Beef Feeder Beef Brood [ Discharees & Stream Imoacts 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 Region: ❑ Yes QNo ❑ NA ❑ NE ❑ Yes E NA ❑ NE ElYes No NA ❑ NE [I Yes qN ❑NA ❑NE ❑ Yes ❑ NA ElNE ElYes /No❑ NA ❑ NE 12128104 Continued ...-::;A Facility Number: -7 3 — D Date of Inspection V Reuuired Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes �NoEDI NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes NA ❑ NE the appropriate box. ❑ Wi1P El Checklists [I 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 I" Rain Inspections ❑]Weather Code 22. Did the facility fail to install and maintain a rain gauge? ❑ Yes .IGNo ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yesn�o� NA ❑ NE 24. Did the facilityfail to calibrate waste application equipment as re required b the permit? ❑ Yes NA ❑ NE Ppq Y 25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes NA ❑ NE 26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ANA ❑ 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 �E] ❑ 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 Comments and/or Page 3 of 3 .12128104 1. • . . ft Facility Number — Date 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? ❑ Yes ❑ No ❑ 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 (ie/ large trees, severe erosion, seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes ❑ No ❑ 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, 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 ❑ Yes ❑ No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes R<o El NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ,�, 2<0 ❑ 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) - re S`Ce-e__. , 13. Soil type(s) 14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes R_TJNo ❑ NA El 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 o A ❑ NE 17. Does the facility lack adequate acreage for land application? El o A El NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes o ❑ NA ❑ NE Comments (refer to question #):' Explain any YES answers and/or: any recommendations or"any othercomments g ,J ,Use'dra►vings�bffacilityta betterexplain situattons.(use`addttional pages`as necessary) Reviewer/Inspector Name Phone: Reviewer/Inspector Signature: 9 .� Date: Page 2 of 3 12,128104 Continued ❑ Division of Water Quality Division of Soil and Water Conservation ❑ Other Agency Facility Number: 75QQ02 Facility Status: Active Permit: AWS730002 ❑ Denied Access Inspection Type: Inactive or Closed Date: Reason for Visit: Routine _ _ _ _ _ County: Person Region: Raleigh Date of Visit: 05110/2006 Entry Time:09.15 AM__ Exit Time: 11:00 AM Incident #: Farm Name: James Thomas Farm Owner Email: Owner: James L ThoWas Phone: 336-364-2121 Mailing Address: 8109 Oxford Edµ Timberlake NC 275839117 Physical Address: Facility Status: 0 Compliant ❑ Not Compliant Integrator: Location of Farm: Latitude: 36°20'17" Longitude: 78'50'42" 8 miles from Roxboro Hwy. 158 East, Go to Country Store turn around come back toward Roxboro will be 4th driveway on the left (beige siding house/come through woods and you will see the building). Question Areas: Discharges & Stream Impacts Waste Collection & Treatment Waste Application Records and Documents Other Issues Technical Assistance Certified Operator: James L Thomas Operator Certification Number: 16787 Secondary OIC(s): On -Site Representative(s): Name Title Phone 24 hour contact name Pete Thomas Phone: Primary Inspector: Inspector Signature: John N Hunt Secondary Inspector(s): Phone: 919-571-4700 Ext.238 Date: Inspection Summary: 20) Older W.U.Plan; limits on window of application for fescue, if updated, should allow for year-round window of applicaiton for fescue. 21) Records are required for 3 years for the General permit. 24) Irrig. calibration and sludge survey are due by Oct. 1, 2006. Calib, performed 3730/06. 81.01%, and 80.88% Page: 1 Permit: AWS730002 Owner -Facility: James L Thomas Facility Number : 730002 Inspection Date: 0511012006 Inspection Type: Operations Review Reason for Visit: Routine Waste Structures Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard agoon PRIMARY 24.00 agoon SECONDARY 42.00 80.00 Page: 2 Permit: AW5730002 Owner - Facility: James L Thomas Facility Number : 730002 Inspection Date: 05/10/2006 Inspection Type: Operations Review Reason for Visit: Routine Discharges & Stream Im.P............acts Yes No NA NE ...................._......_..._..._....._._.......................... .......... . 1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑ Discharge originated at: Structure ❑ Application Field ❑ Other ❑ a. Was conveyance man-made? ❑ ■ ❑ ❑ b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑ c. Estimated volume reaching surface waters? 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 Waters of the State other than from a ❑ ■ ❑ ❑ discharge? Waste Collection, Storage & Treatment Yes No NA NE 4. Is storage capacity less than adequate? ❑ ■ ❑ ❑ If yes, is waste level into structural freeboard? ❑ 5. Are there any immediate threats to the integrity of any of the structures observed (Led large trees, severe ❑ ■ ❑ ❑ erosion, seepage, etc.)? 6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑ or closure plan? 7, Do any of the structures need maintenance or improvement? ❑ MOO 8. Do any of the structures lack adequate markers as required by the permit? (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 maintenance or ❑ ■ ❑ ❑ improvement? Waste Application Yes No NA NE 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑ improvement? 11. is there evidence of incorrect application? ❑ ■ ❑ ❑ If yes, check the appropriate box below. Excessive Ponding? ❑ Hydraulic Overload? ❑ Frozen Ground? ❑ Heavy metals (Cu, Zn, etc)? ❑ Page: 3 Permit: AWS730002 Owner - Facility: James L Thomas Facility Number : 730002 Inspection Date: 05110/2006 Inspection Type: Operations Review Reason for Visit: Routine Waste Application Yes No NA NE PAN? ❑ Is PAN > 10%/10 lbs.? ❑ Total P205? ❑ Failure to incorporate manure/sludge into bare soil? ❑ Outside of acceptable cropndow? ❑ Evidence of wind drift? ❑ Application outside of application area? ❑ Crop Type 1 Fescue (Hay, Pasture) Crop Type 2 Crop Type 3 Crop Type 4 Crop Type 5 Crop Type 6 Soil Type 1 Orange gravelly loam, 2 to 7% slopes Soil Type 2 Soil Type 3 Soil Type 4 Soil Type 5 Soil Type 6 14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑ Plan(CAWMP)? 15. Does the receiving crop and/or land application site need improvement? r ❑ ■ ❑ ❑ 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ ❑ 17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑ 18, Is there a lack of properly operating waste application equipment? ❑ ■ ❑ Records and Documents Yes No NA NE 19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ■ ❑ ❑ 20. Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑ If yes, check the appropriate box below. WUP? ❑ Page: 4 Permit: AWS730002 Owner - Facility: James L Thomas Facility Number : 730002 Inspection bate: 05/10/2006 Inspection Type: Operations Review Reason for Visit: Routine Records and Documents Yes No NA NE Checklists? ❑ Design? ❑ Maps? ❑ Other? ❑ 21. Does record keeping need improvement? ❑ ■ ❑ ❑ If yes, check the appropriate box below. Waste Application? ❑ 120 Minute inspections? ❑ Weather code? ❑ Weekly Freeboard? ❑ Transfers? ❑ Rainfall? ❑ Inspections after > 1 inch rainfall & monthly? ❑ Waste Analysis? ❑ Annual soil analysis? ❑ Crop yields? ❑ Stocking? ❑ Annual Certification Form (NPDES only)? ❑ 22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑ 23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ■ ❑ ❑ 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 fall to secure a phosphorous loss assessment (PLAT) certification? ❑ ■ ❑ ❑ Other Issues Yes No NA NE 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 those ❑ ■ ❑ ❑ mortality rates that exceed normal rates? 30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑ Quality representative immediately. Page: 5 Permit: AWS730002 Owner - Facility: James L Thomas Inspection Date: 05/10/2006 Inspection Type: Operations Review Facility Number : 730002 Reason for Visit: Routine Other Issues Yes No NA NE 31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? Cl 0 ❑ ❑ 32. Did Reviewerlinspector fail to discuss review/inspection with on -site representative? ❑ M ❑ ❑ 33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑ Page: 6 Permit: AWS730002 Owner - FaclIIty: James L Thomas Facility Number : 730002 Inspection bate: 05/10/2006 Inspection Type: Operations Review Reason for Visit: Routine Technical Assistance Needed Provided 34. Waste plan revision or amendment ❑ ❑ 35. Waste plan conditional amendment ❑ ❑ 36. Review or evaluate waste plan w/producer ❑ ❑ 37. Forms need (list in comment section) ❑ ❑ 38. Missing components (list in comments) ❑ Cl 39.2H.0200 re -certification ❑ ❑ 40. Five & Thirty day Plans of Action (POA) ❑ ❑ 41. Irrigation record keeping assistance ❑ ❑ 42. Organizelcomputerization of records ❑ ❑ 43. Sludge evaluation ❑ ❑ 44. Sludge or Closure plan ❑. ❑ 45. Sludge removal/closure procedures ❑ ❑ 46. Waste structure evaluation ❑ ❑ 47. Structure needs improvement ❑ ❑ 48. Operation & maintenance improvements ❑ ❑ 49. Marker check/calibration ❑ ❑ 50, Site evaluation ❑ ❑ 51. Irrigation calibration ❑ ❑ 52, Irrigation system design/installation ❑ ❑ 53. Secure irrigation information (maps, etc.) ❑ ❑ 54. Operating improvements (pull signs, etc.) ❑ ❑ 55. Wettable acre determination ❑ ❑ 56. Evaluate WAD certification/rechecks ❑ ❑ 57, Crop evaluation/recommendations ❑ ❑ 58, Drainage work/evaluation ❑ ❑ 59. Land shaping, subsoiling, aeration, etc. ❑ ❑ 60. Runoff control, stormwater diversion, etc. ❑ ❑ 61. Buffer improvements ❑ ❑ 62. Field measurements (GPS, surveying, etc.) ❑ ❑ 63. Mortality BMPs ❑ ❑ 64. Waste operator education ❑ ❑ 65. Operation & maintenance education ❑ ❑ 66. Record keeping education ❑ ❑ 67. Crop/forage management education ❑ ❑ 68. Soil and/or waste sampling education ❑ ❑ 69. PLAT Assessment ❑ ❑ 70. Other ❑ ❑ Page: 7 Permit: AWS730002 Owner - Facility: James I_ Thomas Facility Number : 730002 Inspection Date: 05/10/2006 Inspection Type: Operations Review Reason for Visit: Routine List Improvements made by Operation Improvement 1 Improvement 2 Improvement 3 Improvement 4 Improvement 5 Improvement 6 Page: 8 Type of Visit gCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access Date of Visit: / j��'S Arrival fTime: Departure Time: ® County: PZISLOPI Region: peo Farm Namc: ��_1 t-5 L ''�tJ�(.a`s,yG�- Owner Email: Owner Name: ��/.rJ��GS �e �l n G �'Wi Phone: Mailing Address: Physical Address: Facility Contact: Title: Onsite Representative: Certified Operator: L.Et1wM►s Ph/one No: Integrator: 714pw Operator Certification Number: Back-up Operator: I Back-up Certification Number: Location of Farm: Latitude: [= a = ' = « Longitude: ❑ ° 0 6 = u Design Current Destgn Current IG'-a.pacity Design Current Swine C,apa�city Population Wet Pon)try1EIcty Population Cattle opuullation . ❑ Wean to Finish ❑ La er ❑ Dai Cow ❑ Wean to Feeder ❑Non -La ei ❑ Dairy Calf ❑ Feeder to Finish ❑ Dairy Heifer Dry,Poultry `' ❑ Dry Cow �' ❑ Non -Dairy I 9 ❑ La ers ❑ Beef Stocket ❑Non -Layers a ❑ Beef Feeder ❑ Pullets El Turkeys El Beef Brood Cow ❑ Farrow to Wean ❑ Farrow to Feeder Farrow to Finish ❑ Gilts ❑ Boars Other ❑ Turkey Poults ❑Other Number of Structures: ❑ Other Discharges & 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 EfNo ❑ NA ❑ NE b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes eNo ❑ 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 L?No ❑ NA ❑ NE 2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ZNo ❑ NA ❑ NE 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes [?No ❑ NA ❑ NE other than from a discharge? 12128104 Continued Facility Number: j —?j Date of inspection Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ZNo ❑ NA ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ;a No ❑ NA ❑ NE the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps El Other 21. Does record keeping need improvement? If yes, check the p ropriate box below. ❑ Yes Flo ❑ NA ❑ NE rr zap- —2.7 6"2.1) ❑ Waste Application ❑ Weekly Freeboard ❑ Aas nalysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification ❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 inute� ections El Monthly and V Rain Inspections El Weather Code I ! fS 22. Did the facility fail to install and maintain a rain gauge? O/oLl ❑ Yes 12<0 ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 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 review/inspection with an on -site representative? 33. Does facility require a follow-up visit by same agency? ❑ Yes P*O ZNA ❑ NE ❑ Yes P'llo ❑ NA ❑ NE ❑ Yes 12<0 ❑ NA ❑ NE ❑ Yes ZNo ❑ NA ❑ NE ❑ Yes P<o ❑ NA ❑ NE ❑ Yes 4�]No ❑ Yes ZNo ❑ NA ❑ NE ❑ NA ❑ NE ❑ Yes ZrNo ❑ NA ❑ NE ❑ Yes 9'No ❑ NA ❑ NE ❑ Yes tL No ❑ NA ❑ NE ❑ Yes YJ No []NA ❑ NE Additidnaf C,,6mmentso-and/or.`. Drawft s x rep �s *t " � P . � g ga yO t 12128104 Facility Number:13 - 2 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 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 Z'No ❑ NA ❑ NE ❑ Yes -R No ❑ NA ❑ NE Structure 5 Structure 6 ❑ Yes P?"No ❑ NA ❑ NE ❑ Yes Z No ❑ NA ❑ NE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? ❑ Yes ;2!fNo ❑ NA ❑ NE 8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes PNo ❑ 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 U No ❑ NA ❑ NE maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need [I Yes ;]-No ❑ NA ❑ NE maintenance/improvement? 11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ZNo ❑ NA ❑ NE ❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) []PAN ❑ PAN > 10% or ] 0 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 ONo ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement'? ❑ Yes ;Z"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 RNo ❑ NA ❑ NE 18. Is there a lack of properly operating waste application equipment? ❑ Yes [dNo ❑ NA ❑ NE ReviewerlInspector Name a � '�� ti, .< s � d ��., �t�-, Phone: [ — Reviewer/Inspector Signature. Date: 7 7 41 12128104 Continued ]Type of Visit Q'Compliance Inspection O Operation Review Q Lagoon Evaluation I Reason for Visit 0 Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access Facility Number Date of Visit: Time, Sam O Not Operational O Below Threshold qre'imitted .0rceTrtified 0 Conditionally Certified 13 Registered Date Last Oper d or Above Threshold: FarmName: .......J;. ne3..... M/.ks................................................................... County:,,.,!�,�._.5.�!................................................ Owner Name: ..................... Mailing Address: Phone No: FacilityContact: .............................................................................. Title:..............------...............------..........--........... Phone No: Onsite Representative: Certified Operator:..14-0119, ,.,,,R'�"�,,,,,, Location of Farm: Integrator:...................................................................................... Operator Certification Number: ` b3 ........ ��............ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 4 66 Longitude • 4 44 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 gaUmin? 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 I Structure 2 Structure 3 Structure 4 Structure 5 Identifier: ......1*4................... ............................................ ................................. ....... Freeboard (inches): Cl� Y6 K _ 12112103 ❑ Yes0 ".v ❑ Yes No ❑ Yes Ej No ❑ Yes Aff No ❑ Yes �No ❑ Yes 1p"N'o ❑ Yes No Structure b Continued Faoility Ntstnber: �22 - Date of Inspection I /III 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ 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? (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 maintenancetimprovement? 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? Waste Annlication 10. Are there any buffers that need maintenance/improvement? 11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Excessive Ponding ❑ PAN AA ,N/. ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc 12. Crop type 13. Do the receiving crops differ with 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? Odor Issues 17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below liquid level of lagoon or storage pond with no agitation? 18. Are there any dead animals not disposed of properly within 24 hours? 19. Is there any evidence of wind drift during land application? (Le. residue on neighboring vegetation, asphalt, 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 Air Quality representative immediately. 7) L'I rO N t° n r�'i{ a WAI (s �t�e eci d �j�,pccl r i.y ❑ Yes ; 'No ❑ Yes �lo Yes ;��o ❑ Yes ❑ Yes ❑,P4 ❑ Yes ❑1❑ Yes�3<0 ❑ Yes Frio ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ;No ❑ Yes 0 No ❑ Yes ,EI'No ❑ Yes zrepo []Yes FNo ❑ Yes ❑ Field Copy ❑ Final Notes 2 oo q s o :1 5"AvK4 1. 2 7— f L.-w- 'S ( -i ,0 i''U. -�C (J A,= Z- Reviewer/Inspector Names u Reviewer/Inspector Signature: Date: 7 12/I2103 Continued Facility Number: = Date of ,Inspection 4 Required Records & Document.~ 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? (iel WUP, checklists, design, maps, etc.) . 23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Waste Application El Freeboard ❑ W ft Analys ❑ 5oilSjam 1' gf fthb0324. Is facility not in compliance with any appli st6ak`criteria in of ect t e time of design? c 7.3 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? (iel 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) 3I. 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 ❑ Rainfall ❑ Inspection After 1" Rain ❑ 120 Minute Inspections ❑ Annual Certification Form ❑ Yes _2-�o ❑ Yes o ❑ Yes 0 ❑ Yes ,0'�i0 ❑ Yes 0No ❑ Yes o ❑ Yes No ❑ Yes .ENo ❑ Yes ,(No ❑ YeseNo ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No 12112103 Type of Visit compliance Inspection Q Operation Review O Lagoon Evaluation Reason for Visit QroRoutine O Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access Facility Number Date of Visit: O Time: �•'vllu-+- 1 10 Not Operational Q Below Threshold Permitted Certified [3 Co itionally Certified [3 Registered Date Last Operated or Above Threshold: Farm Name: County: �rw{ Owner Name: Mailing Address: Facility Contact: Title: Phone No: Phone No: Onsite Representative: Integrator: Certified Operator: Operator Certification Number: Location of Farm: ❑ Swine ❑ Poultry ❑ Cattle ❑ Worse Latitude 00 1 1. Longitude 0 �� �6. Design Current Design Current Design Current Swine Capacity Population Poultry Capacity Population Cattle Capacity Population ❑ Wean to Feeder ❑ Layer I Dairy ELOIN El Feeder to Finish ❑ Non -Layer on-Dai ❑ Farrow to Wean _ �.:.. . arrow to Feeder ❑ Other ZI Farrow to Finish t? Total -Design Capacity ❑ Gilts ❑ Boars T601 SSLW'` Number o1 Lagoons < ❑ Subsurface Drains Present ❑ Lagoon Area Field Area 10 Spray Holding Ponds / Sohd Traps ❑ No Liquid Waste Management System .- M 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 Identifier: �cc. ❑ Yes No ❑ Yes eOINo ❑ Yes Na ❑ Yes No ❑ Yes No ❑ Yes No ❑ Yes ONo Structure 6 Freeboard (inches): 05103101 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 g N seepage, etc.) 6. Are there structures on -site whicb 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) ZN 7. Do any of the structures need maintenance/improvement? ❑ Yes 8. Does any part of the waste management system other than waste structures require maintenance/improvement? El Yes 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? ❑ Yes EllNo Wa is a ARglication 10. Are there any buffers that need maintenance/improvement? ❑Yes No 11. Is there evidencHf over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ON, 12, Crop type .j 's Car , 0 r 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes Z[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 ❑ No 15, Does the receiving crop need improvement? ❑ Yes �No 16. Is there a lack of adequate waste application equipment? ❑ Yes Fe No Required Records &&Documents 17. Fail to have Certificate of Coverage & General Permit or other 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.) 5 El Yes o 19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) 'J G/63 El yes '24 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ��� 6,.o- ❑ Yes 21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ,U'150 22. Fail to notify regional DWQ of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) ❑ Yes ZNo 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes No 24. Does facility require a follow-up visit by same agency? ❑ Yes e No 25, Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ; No 10 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. 6Coinments;(referto questi�o:n#)E�plalnanv Y�ESanswers antllnr`any recommend�ations`or any"ath f eoipments: •: Az Usi `drawings facility 6etter,explain l,pages-aslnecessary). of to situations: (use.... addition a �~ Field Coov ❑Final NotesAL 17/03 _ il/fi/o7 SNO-Z-z t: - Reviewer/Inspector Name Reviewer/Inspector Signature: Date: 05103101 Continued Facility Number: — Z Date of Inspection or Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes R(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 ;d]No 1 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes XO 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 /NNo 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 o 31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes 32. Do the flush tanks lack a submerged fill pipe or a p'ermanent/temporary cover? ❑ Yes No 05103101 State of North Carolina Department of Environment # and Natural Resources Raleigh Regional Office Michael F. Easley, Governor William G. Ross Jr., Secretary Mr. James Thomas NCDE NR NORTH G ROUKA DerIMWMENT or F"VIROMMEN I AND MAMMAL RESOURCES DIVISION OF WATER QUALITY April 10, 2002 8109 Oxford Road. . Timberlake, North Carolina 27583 Subject: Inspection report for facility #:73-2 James Thomas Farm Dear Mr. Thomas: Enclosed is a copy of the inspection report for the subject facility. Please include a copy of this report with your records. If you have any further questions regarding this inspection, please call me at (919) 571-4700 ext. 335. Sincerely, 9awrfwint((J1DD) Hester Environmental Specialist cc: file copy 1628 Mail Service Center, Raleigh, NC 27699.1628 Telephone (919)571d700 FAX (918)571.4718 An Equal Opportunity Affirmative Action Employer 50% recycled110% past -consumer paper Type of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation Reason for Visit O Routine p Complaint p Follow up p Emergency Notification p Other p Denied Access Facility Number Date of Visit: 4/3/Z00Z Time: 1.00 PM i p Not Operational p Below Threshold E Permitted 0 Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: Farm Name: James Thomas Farm County: Perpan............................................— RRO ............ Owner Name: James Pete Thomas Phone No: 910-364-2121 Mailing Address: 8109-0 cford.Rd................................................................................... Tlmherlake.NC .................................................... 27583i.............. FacilityContact:...............................................................................Title:............................................................... Phone No: OnsiteRepresentative: .......................................................................................................... Integrator:....................... Certified Operator: Lexo&&.............................. TJwma;& ............................................ Operator Certification Number: 1&3AO............................. Location of Farm: miles from Rog oro Hwy. 158 East. Go to Country Store turn around come back towardRoxboro will a 4th driveway on he left (beige siding house/come through woods and you will see the building). N Swine ❑ Poultry p Cattle p Horse Latitude ®• ®' ©" Longitude �• ® ® a $ t•DCSi�yn ul 1�t f ga, �:;kaY Et i•e... � 7 ie .= ! a_F �..ft '� ¢. .mot. _ ! ksa. $ ` ».t EB.i° € � % �<�.9 - r ��°, r. i E $ p .1 hd rr ,r �£1 a ��. .i.1•€`k�fSi.�fr`,i} P-SWirl��u ` e ;C �y$C'0 ion#' Y IOultryu9 C y Clt{p� ld liIdt�b11,` ttB+ i g, ' Ca aClt ' Popula iio ",? w�a _Ii+i4•is r}�a=el .s-",d. ..ew-..Y <-d, 's.;I}. ^"tnl4 ,�. .rr=.,Y� Jti... ❑ on arty r{€ 0¢; ii �T 1-1. ZS t' ! ti F * d:.:.,; fry `n'E4l�fY t, �nCapaclty 200` '- 283,400 .; _M Nmb r 00171900 s p a u surface _rains resen ___� a_y Boone Area p pray 5 tea 3 r-611 0drn P,ands,/ Ed�Tra s o LiquidWastemanagements em �3 t�ffi O eeer • � Di payeree ertornrs Fr,canto ❑ on-ayer arrow to can l€ �,.,�., r��?.! �.. s;�.:...w E.a: 4,� 3 �o��'f�!��EP��;•�,� p arrow to Fee er �' p Other r Farrow to Finish � Deng ®Tot3al Gilts ❑ � Boars p 4 scharees & Stream 1. Is any discharge observed from any part of the operation? p Yes ®No Discharge originated at: 0 Lagoon p Spray Field p Other a. If discharge is observed, was the conveyance man-made? p Yes ®No b. 1f discharge is observed; did it reach Water of the State? (If yes, notify DWQ) [)Yes ®No 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 ®No 2. Is there evidence of past discharge from any part of the operation? p Yes ®No 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? E] Yes ®No Waste C91lection &Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway p Yes ®No Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: 1'L;.I.............. SEC .......................................................................................................................................... »............... Freeboard(inches):................22...............................AS...............,................................... ...... .............................. .................... ....... .......... .................................... 05/03/01 Continued Facility Number: 73-2 Date of Inspection l 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes g No seepage, etc.) 6. Are 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 []Yes g No immediate public health or environmental threat, notify DWQ) 7. Do any of the structures need maintenance/improvement? ❑ Yes g No 8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes g No 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? ❑ Yes g No 10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No 11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes g No 12. Crop type Fescue (Hay) 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes g 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 ❑ No 15. Does the receiving crop need improvement? ❑ Yes H No 16. Is there a lack of adequate waste application equipment? ❑ Yes g No Required Records & Documents 17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes g 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 g No 19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) © Yes H No 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes g No 21. Did the facility fail to have a actively certified operator in charge? ❑ Yes g No 22. Fail to notify regional DWQ of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) ❑ Yes g No 23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes H No 24. Does facility require a follow-up visit by same agency? ❑ Yes g No 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes N No o violations or deficiencies were noted ur ng this visit. You will receive no further correspondence about s visit. ❑ rield Gopy ® Ninal Notes ECORD KEEPING APPEARED TO BE IN ORDER. ,AN WAS AMMENDED ON 8/24/99 BY PERSON SOIL AND WATER. WILL CONTACT REP. (JIM HUEY) FOR MORE ETAILED SPRAY IRRIGATION AND HYDRANT INFORMATION CONCERNING THIS FARM. ASTE ANALYSIS WAS TAKEN ON 2/26/01 (2.5) , 6/21/01, 9/13/01 (1.9) , 1/18/02 (3.0). OST RECENT SOIL SAMPLE WAS TAKEN ON 2/2002 Reviewer/Inspector Name - t o "� ��t li �i ". 1w",.•..;� o _� Reviewer/Inspector Signature: Date: Type of Visit Compliance Inspection 0 Operation Review C) Lagoon Evaluation Reason for Visit (outine O Complaint O Follow up 0 Emergency Notification 0 Other ❑ Denied Access Date of Visit: Facility Number Permitted -Certified 0 Conditionaliv Certified [3 Registered Farm Name: Owner Name: Mailing Address: Facility Contact: Title: Onsite Representative: Certified Operator: Location of Farm: Time: :rsD .n Not O erational 0 Below Threshold Date Last Operated or Above Threshold: County: yk Phone No: Phone No: Integrator: Operator Certification Number: Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 06 0 c0 Longitude 0' 0` 01. Design - Current Design Current Design Current Swine Capacity Population Poultry Capacity Population Cattle Capacity Population ❑ Wean to Feeder I JE1 Laver I I IM Dairy ❑ Feeder to Finish 10 Non -Laver I I ❑ 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 ❑ La oon Area JE1 Spray Field Area Holding Ponds 1 Solid Traps ❑ No Liquid Waste Management System = r" Discharges &c 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 l Structure 2 Structure 3 Structure 4 Structure 5 Identifier: r Freeboard (inches): a7 05103101 ❑ Yes .21"No ❑ Yes 9<1 ❑ Yes J No ❑ Yes I3 lVo' ❑ Yes 0.110 ElYes Flo ❑ "Yes Plo Structure 6 Continued Facility Number: —Z Date of Inspection 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes , Yo 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 (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 ZJy 8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ YesNo 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? ❑ Yes No Waste Aoulication 10. Are there any buffers that need maintenance/improvement? ❑ Yes vETNo 11. Is there evidence of over application? ❑ Excessive Pending El PAN PAN ❑ Hydraulic Overload El Yes Yes 9 12. Crop type 1;3C&Le I � (4 L11441 ) 13. Do the receiving crops differ with 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 & Documents 17. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 18. Does the facility fail to have all components of the Certifjdi a �ast Managem nt Plan readily available? (ie/ WUP, checklists, design, maps,'etc.) �0(jJ1 ��8 t )' Ztfv 1 pZ�— 3U 19. Does record keeping need improvement? (iel irrigation, free oard,.)X e:f:pjlysis & sal sam e imports) 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 require a follow-up visit by same agency? 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 0"No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes No ❑ Yes �No ❑ Yes -Ko ❑ Yes < 0es /// ❑ Yes No ElYes No H. El Yes 3No ❑ Yes L-I No G� ❑ Yes ❑ Yes o No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. Comments refer tyo question #} I±,xplaln any Y1gS?answe" ra.andlor.°a"nyinda"ttons or� t'er co'�`iaam�`�e a Us rawiitgs t�e�er:explsin•situations..{use additional n�`ecessa,ry); of�facility ages.a� field Capy ❑ Final.Notes 4 C 1"'C� ir17� V ��• C l„ MAOA4,rK 4 Q M CC'* Reviewer/Inspector Name ReviewerlInspector Signature: Date: 05103101 Continued Facility Number: 73 — z Date of Inspection Qdff Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below liquid level of lagoon or storage pond with no agitation? 27. Are there any dead animals not disposed of properly within 24 hours? 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, roads, building structure, and/or public property) 29. Is the land application spray system intake not located near the liquid surface of the lagoon? 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.) 31. Do the animals feed storage bins fail to have appropriate cover? 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 05103101 El Yes a No ❑ Yes O No ❑ Yes ,❑ No ❑ Yes J2 No ❑ Yes O No ❑ Yes FLIt'No ❑ Yes No Facility Number Z Date of visit: Time: rO Not O erational C Below Threshold ermitted Certified ©-Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ................. f� Farm Name: ..... ...... .... County:. Owner Name .........JA .:........ per.&....AftS.................................... Phone No:...(�� b�.�(0.�.�........................................... .......... .... .... .... FacilityContact:.............................................................................. Title:.............. Mailing Address: l�q}„ ►-K ...................................................................................... Onsite Representative :.,,.,C!t..... -na.�.......................... Certified Operator: ... ,f .eme.�.... 9..................... ..................... ................... Location of Farm: S M F k o7 D �, l $$ eG&-L ............. Phone No:................................................... .... �? Yla�.... �............I..........I......... ��� �...... Integrator: �7%z/ 'EAX4e4 .............................................................. Operator Certification Number: ••••.16.787,•,•,•••.,••••„ swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ® • f 46 Longitude ® • ®4 ©`4 ❑ Dairy 'I ❑ Non -Dairy Discharges & Stream Im act5 1. Is any discharge observed from any part of the operation? ❑ Yes IgNo Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance man-made? ❑ Yes KNo b. If discharge is observed, did it mach Water of the State? (If yes, notify DWQ) ❑ Yes ®'No c. II'discharge is observed. what is the estimated flaw in gal/min? d. Does discharge bypass a lagoon system'? (If yes, notify DWQ) ❑ Yes allo 2. Is there evidence of past discharge from any part of the operation? ❑ Yes KNo 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 51'No Waste Collection & 'Treatment 4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 9 No Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure b Identifier: .......................................................................................................................... ............................................................................. . Freehoard (inches): 5/00 Continued on back Focility umber: %j — z Date of Inspection 2 Printed on: 1/9/2001 5. Are there any immediate threats to the integrity of any of the structures observe ? (ie/ trees, severe erosion, []Yes [XNo seepage, etc.) 6. Are there structures on -site which are not properly addressed and/or managed through a waste management or closure plan? ❑ Yes allo (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 P'No 8. Does any part of the waste management system other than waste structures require maintenance/improvement? [:]Yes $a'No 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level elevation markings? ❑ Yes q'No _Waste Application 10. Are there any buffers that need maintenance/improvement? ❑ Yes ZNo 11. Is there evidence of over application? r I❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes Di`No 12. Crop type 7C„�,CGt 1 O 4tdP�G (gr* s 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 JP No b) Does the facility need a wettable acre determination? ❑ Yes Wo c) This facility is pended for a wettable acre determination? ❑ Yes qNo 15. Does the receiving crop need improvement? ❑ Yes 1qN0 16. Is there a lack of adequate waste application equipment? ❑ Yes XNo Re uired Records & Documents 17. Fail to have Certificate of Coverage & GeneraI Permit readily available? ❑ Yes CA 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.) 1 /AzppO /6 ❑ Yes [gNo 31-3/ // 19. oes record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil a/nereports) Yes ❑ No 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes R'No 21. Did the facility fail to have a actively certified operator in charge? ❑ Yes R No 22. Fail to notify regional DWQ of emergency situations as required by General Permit? (ie/ discharge, freeboard problems, over application) ❑ Yes R[No 23. Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ Yes RNo 24. Does facility require a follow-up visit by same agency? ❑ Yes 0 No 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes CYNo' .: �•yiQlaw�iggs:oi• eitc�es •ire nQtt�1• �ittririg ��js:v�s�t; � ;Yo>j� iv�i�•�ee�iye �o �u>j-t��r' •curies oncience. about: this 'visit: • - • • ,.� ; 1 r 1 la.l 1 E u .. 1 hi3.3 � COtgtteIlts (refer t0;(gnesteon �) a Eatplain any YES answers andlor army recon>�endahons or,;any other cantmenta:� i � Use d ravv & of facility to Wtter eatplarn'si tuahon§ (use'addibonal pages as'necessary). ' ; { " i i ' �t ��9�.,.+,� tiff 11 �f.,;..., lv Reviewer/Inspector Name �� p !� ;���' : � : (9� M, �[{[{' ' � 55 t���{{�i ,6 s 1 � �� .�•,i� � {f .��f:. Reviewer/Inspector Signature: r Date: 02 5100 Facility Number: y3 — Z Date of Inspection D Printed on: 1/9/2001 Odor Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below []Yes U No liquid level of lagoon or storage pond with no agitation? 27. Are there any dead animals not disposed of properly within 24 hours? NCI �%,,,�` ❑ Yes f gNo 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes gNo 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 KNo 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 %No 31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ;ZNo 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes RrNo 5/00 �'Divisepn of boil and!Water Conservauon Operation s a ' C 'Divisioii of Soil and Wateir Conservation Compliance Inspection ; a r -aa .+ 1'�p R p - •.x k ty , 1+ 7 ai r visic�a of4Water Quali Compliance Iixspecbon , . O'OtherrAgency! Operation°RevaewF°' ` v .yi Routine 0 Corn laint 0 Follow-up of DW2 inspection 0 Follow-up of DSWC review 0 Other - Facility Number Z Date of Inspection sit M Time of Inspection a 124 hr. (hh:mm) �ermitted Certified 0 Conditionally Certified 0 Registered Not Operational I Date Last Operated: „- Farm Name: .;�/t)Mi` S T A S.. .M- County:..........r....�/L sa Owner Name:...................................... ......,�........................................................... %C SIB ) ........................... �........................................ Phone No.............................. FacilityContact• .......... Title: ................. .............................................. Phone No:................................................... MailingAddress: ..................................................................................................................... ..................................................................................... .......................... Onsite Representative: ,,.,.. T ..... ;j ki .p A Integrator:......,f, r�Eo� of �� fi( r'......, ............................................. Certified Operator:................................................................................................................ Operator Certification Number:.......................................... Location of Farm: Latitude • Z� �« ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder Farrow to Finish -- 7Zso q a .t- ❑ Gilts ❑ Boars Longitude ®• �� ��� 6 ='�`;' ! 'Design, lInCurrent Point` r '¢ ! �p,` '.,Po ulartion ❑ Layer �i;.j [IDaiq ❑ Non -Layer i ❑ Non- ❑ Other , 661,Destgn Capm ! i AE Ir; ! t ,Total'SSL' Dischary_es & Stream Impacts 1. Is any discharge observed from any part of the operation? ❑ Yes Po 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 Water of the State? (II' yes, notify DWQ) ❑ Yes ❑ No c. If discharge is observed, what is the estimated flow in gal/min'? d. Does discharge bypass a lagoon system? (If ycs, notify DWQ) ❑ Yes ❑ No 2. Is there evidence of past discharge from any part of the operation? ❑ Yes ONo I 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 No Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: Freeboard(inches): ............ ......... .................................... .................................... .................................... 5. Are there any immediate thre�tf S integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No seepage, etc.) T 3/23/99 Continued on back Facility Number: 73 -- Z Date of .Inspection S I J a 6. 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) dNo 7. Do any of the structures need maintenance/improvement? ❑ Yes 8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes PNo 9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes elevation markings? FrNo Waste Application 10. Are there any buffers that need maintenance/improvement? ❑ Yes ONO 11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes 0-No 12. Crop type ES c,tiF_ errs r 13. Do the receiving crops differ with t ose designated in a ertified Animal Waste Management Plan (CAWMP)? ❑ Yes o 14. a) Does the facility lack adequate acreage for land application? ❑ Yes ' 0 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 ;Dlgo 16. Is there a lack of adequate waste application equipment? ❑ Yes N Required Records & Documents Iq IT. Fail to have Certificate of Coverage & General Pirriiit feadily available? ❑ Yes /Q1qo 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 ANo / J / 19. Does record keeping need improvement? (ie/ irfigation, freelYbard, waste analysis & soil sample reports) ❑ Yes 0No 20: Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes a No 21. Did the facility fail to have a actively certified operator in charge? ❑ Yes JO'No 22. Fail to notify regional DWQ of emergency situations as required by General Permit? ❑ Yes �o (ie/ discharge, freeboard problems, over application) 23. Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative? ❑ Yes ,�No 24. Does facility require a follow-up visit by same agency? ❑ Yes 1�0No 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes �I0 'No -*iO a(igtjs;or• dgficienptes iyi� re pQt;e#• ilorritig •this:visit! You wiii-tooiye iio' fufthgr ; . • cot•'resnondence: aatit: this visit: •................................... . Facility Number: 23 — Date of .Inspection Odor Issues 26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes dNNo liquid level of lagoon or storage pond with no agitation? 27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 4No 28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes PJ'No 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 0No 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 31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes N/No 32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes Ali � M g _ 'T"aMAS iE-P-US Titsi S xpr Facility Number 73 2 Date of inspection 2/16/99 Time of Inspection 15:00 24 hr. (hh:mm) (3 Permitted ® Certified © Conditionally Certified 0 Registered JE3 Not O erational Date Last Operated: Farm Name: d ixlcS. 11 httpt175. axp0.................................................................................. County: Rerson ............................................... RRO............ OwnerName: damns.kekc............................ T.Minas....................................................... Phone No: DA 2.64:163.3........................................................... FacilityContact:..............................................................................7'itle:................................................................ Phone No:................................................... !Mailing Address: 8109.1 fordAd........................... .. 1imb."Jake..NC.................................................... 2.7.58.3 .............. Onsite Representative: �'�.t�..a�d.L�Y.9.q.,� b�tiJ<ll�s....................................................... Integrator: indpppmd. l............................................................ Certified Operator:LPyQlx.& ............................... Thomas............................................ Operator Certification Number:1.83.0 ............................. Location of Farm: rry.,.�.S�.la�tsk,,..��.ka. G'�.u�nkrx..StQr.�..k>xrm.a.r:Q.umd..carrxe.ba.�k,.La�axd.l�na�baxa.wi>�.k�..4th..dxa�.�l�,ax. Latitude 36 • 20 12 Longitude 78 • 50 42 Design r Current Swine Capacity Population ❑ Wean to Feeder ❑ Feeder to Finish Farrow to Wean El Farrow to Feeder Farrow to F757 200 200 z is LJ Boars Poultry • Capacity Population Cattle Capacity Population ❑ Layer ❑ Dairy ❑ Non -Layer ❑ Non -Dairy ❑ Other Total. Desigp Capacity 200 Total SSLW 283,400 untber of g- , N ' � )✓a oons 2 rea ❑ S raSubsurface Drains Present ❑La oon ea 'E field Ar ' HoldingPonds./ Solid Traps ' p ' " ❑ 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 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? ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No d. Does 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 & Tr a�nt 4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: mppt<X............ Freeboard (inches): ...............2.0..............................13............... . ►;,1 ® No ®No ®No 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, seepage, etc.) 1 /6/99 ❑ Yes ® No Continued on back Facility Number: 73-2 Date of Inspection 2/16/99 6. 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? 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 12. Crop type ....... .......Fps.cup..{.Caraz�)...... ........................ ........................................................... 13, Do the receiving crops differ with 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? 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? (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/Inspector fail to discuss review/inspection with on -site representative? 24. Does facility require a follow-up visit by same agency? 25. Were any additional problems noted which cause noncompliance of the Certified AWMP? No:violations•or deficiencies:we're•noted-du'ring:this:visit: -You will receive n'6further. : : correspondence about this visit:::: :.:::.:.:::. :.:. .....:...... :.: . • :.:.:.:.:. ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ®No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No ❑ Yes ® No Cominentsr refer to' uesttonl;#.: Ex lain°an '�iYFS'answers'an i/o'r-lan Irecomrmeiidahonsfor an =other comments.l;l` rF,' '.1'ri;'.•,;' I( q .,., ) h t l .y , �.`IP, r. � . +il!tI lllkl.��ilrl-l'L�.II',I'I+I I .i' l I I i..',) � 1 7yj z_.• 1.1.9, i� l'I', I� .,! `,`.r i y{I. ,I, �,i l�.:I II'+dl i 'Use drawin s`Iof facilit tq better explain situations: use additional a es as necessar . �1''�^, ( P g Y) .. _ �_, ... g � �; 1:.3_I ;��=.7 :_� 1.1 irr,�, :.III s lzr h,.; , I I rh.� I �,^. r�lrr,nl , i�rl L1. =,,r r I �a' =t,=I ,,;+!al , .�r, , � � 1 Lrlo_I,In:�=ICI I•I I� �, I,r,.,,,rl 1:. L. 1 � I ,.I 4) Producer aware of need to pump as soon as suitable conditions will allow and thus maintain adequate freeboard in both lagoons. 6) A small wash has developed in the spill way and should be filled and shaped. Not yet a threat to the integrity of the structure. '=.•,1 y i. Reviewer/Inspector Name I� John N Hunt �'il i' Reviewer/Inspector Signature: Date: 1 /6/99 CAWMP Components Permitted Facility; Date: 1�' ' 140_ -r� Completed Certification Form; Date: , I /jlq-,7_ Waste Utilization Plan; Date: z Z ^� Amount of plant available nitrogen p Yced/used annually ( zb� S Ebs) iL Dominant soil series: Os`_g �r Crops to be grown: F���o.,fi- Field Maps Based on usable (Total= Usable= ) Present day format w/RYES or actual records; application windows 2/1 /93; Standard #633 required specifications Emergency Action Plan Odor Control Checklists (effective 1/97) Insect Control Checklist (effective 1/97) / Mortality Checklist (effective 1/97) Type of irrigation: Traveling Gun Solid -Set Small Gun Center Pivot Linear Move Other (description): NRCS irrigation parameters usable field size, max. application rate, max, application rate per cycle (effective 9/1/96) or _ Calibration information or w Land application system design information (after 9/1/96) including parameters, equipment type, system layout and settings Show design needs (storage & treatment calculations) Operation & Maintenance Plan Site schematic Site evaluation, after 2/96 (NRCS NC-CPA-17) includes wetlands determination Hazard classification Construction inspection notes, including liner inspection & observation trench (after 9/1/96) Consideration for emergency spillway (after 6/21/96) REQU RED RECORDS effective 9/1/96 PERMITTED FACILITIES Waste application records (IRR 1 &2) General Permit & COC on site 7 7 Annual soil sample reports for 1999 weekly lagoon level records (Cu index:_ !3 - zS/ ) (Zn index: `36 - ?-% ) Waste analysis -date last taken s 1.9 PAN lbs/1000 gals. for struct re #1 1. 57 PAN Ibs/1000 gals. for structure #2 FACILITY NUMBER _7-3 - z— REVIEWER: FARM NAME: J ,,-c_ DATE: zItcv� TYPE NUMBER # ANIMALS LAGOON - PAN POND - PAN Farrow/Wean sow 2.5= 5.4= 19= Farrow/Feeder sow 4= 6.5= 22= Farrow/Finish sow 10= 26= 91= Wean/Feeder head 1= 0.48= 1.6= Feeder/Finish head 1= 2.3= 7.9= Gilt Developer head 1= 2.5= Boar Stud head 1= 3.7= DESIGNIVOLUME CALCULATIONS: WUP - Days of temporary storage: f8a z /- ` 6 Calcs - Days of temporary storage: Top of dike elevation: T5,3 ft, 1' 25 yr.124 hr. storm in.' Elev. below structural & storm storage: `0 . S ft. 2nd 25 yr.124 hr. storm in. Normal operating water level elevation: ft. Structural freeboard in. (top of permanent storage): Bottom elevation: 6-7-3 ft. Permanent storage volume ft3 Temporary storage volume '2q Y �%�Ift3 IRRIGATION: Operating Pressure (psi) Flow (gpm): Application Rate (in/hr).- Nozzle/Ring Size(s): Design Recorded Design. Recorded Design, Design Design Design Actual Actual Actual Actual Actual Actual Exceeds required volume? Exceeds required volume? FREEBOARD CK. 1 2 3 4 5 Water level reading Top of dike reading Difference Marker reading `Division rif Soil and Water Conservation - Operation Review O':'Division•of Soil and Water Conservation Compliance Inspection ivision of Water Quality Compliance Inspection G Other - Agency -'Operation Review 0 Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DMVC review 0 Other Facility Number 7. Dalu of Inspection Z !� 9 'lime of Inspection 5} Ct� 24 hr. (hh:mm) Off [.+E,D © Permitted © Certified © Conditionally Certified 13 Registered © Not Opera Date Last Operated: Farm Name: ......L,�L}x1!!£� ......rfi.M... S...Ff -M ................. County:........ .',dal........... ............................................................................ Owner Name: Phone iN'o•3.�6 � 2 ..-.......�.33 ..................I..................... FacilityContact: ...............................................................................Title:................................................................ Phone No:................................................... MailingAddress: ............................................................................ Onsite Representative:.JNQ!! A 0" 4.. ...... Integrator: ,r%ks w !7J.7.......................................... Certified Operator: ............................................... . .. ................................... ....... Operator Certification Number: t6 $ ............... Location of Farm: ....................................................................................................... ....... ....... I ............ . ....... ............................................................................................................................................................................................................................................ Latitude Longitude �• �� �i' Design Current Swine Capacity Population ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ?*o ❑ Gilts ❑ Boars Design Current Design Current Poultry Capacity Population Cattle Capacity Population ❑ Layer ❑ Dairy ❑ Non -Layer IM Non -Dairy ❑ Other Totai Design Capacity Total SSLW Number of Lagoons ❑ Subsurface Drains Present JJEI Lagoon Area 10 Spray Field Area Holding Ponds / Solid Traps ❑ No liquid Waste Management System Dischart:cs & Stream Impacts 1. Is any discharge observed from any part of the operation (If yes, notify DWQ)? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. If discharge is observed, was the conveyance than -made? h. If discharge is observed, did it reach: ❑ Surface Waters ❑ Waters of the State c. 11'dischar-e is ohserved. what is the estinimcd flow in-allniinY d. Does discharge hypass a lagoon system? 2. Is there evidence of past discharge from any part of the operation? 3. Were there any 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? Ujt' Sti'IJUre I Structure 2 Structure 3 Structure 4 Structure 5 Identifier: 2 r t r Freeboard (inches): ............ ......1�.�............................ ....'_3 ......... ........................ ❑ Yes Z No ❑ Yes P�No ❑ Yes ER'No ❑ Yes ;21V0 ❑ Yes 21'No ❑ Yes XNo ❑ Yes ;YNo Structure 6 1 /6/99 Continued on back L f~ac's ty Number. — Date of Inspectipn 5_ Are there any immediate threats to the integrity of any of the structures observed? (ic/ 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'? (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? S. 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 top of dike, maximum and minimum liquid level elevation markings? Waste Aunlication z 16 ❑ Yes ff No ❑ Yes O/No ❑ Yes ❑ Yes Z No /No ❑ Yes A No 10, Are there any buffers that need maintenance/improvement? ❑ Yes ONo 11. Is there evidence of over application? ❑ Ponding ❑ Nitrogen ❑Yes ZNo 12. P typr:: ................................................................ ....,....,.,..................................,....,......._......,.,.................................................................. 13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 9No 14. Does the facility lack wettable acreage for land application? (footprint) ElYes No 15. Does the receiving crop need improvement? ❑ Yes No 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 2No 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 01No 19, Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ElYes 7 No 20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ;2(No 21. Did the facility fail to have a certified operator in responsible charge? ❑ Yes ZINo 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 gNo 24. Does facility require a follow-up visit by same agency? ❑ Yes eNo NOA,0a14ions.or: deficienclvis:were noted: driring ffiii.visit::.Yt ut �ll:re 'eive no' further ::::. . :::...... ...... : :........ . Comments (refer to questioq#): Explain any YES answers and/or anyort:commendations'iir.any aother comments Use'd�awings�of.foicilityto�tietter explain situations. (use additional pages as necessary): 'i 1 �l1 P cE,rL avJA*ot< rlr CO To -P.rm-f As s,j, rAGUj coj.:�5treladS ALLOW •;b m4t,47-09r. AMq jArC_ Fi n . sp�r.L W,AY arm s�lo".ti.rj3>= �,ta✓ q„tps�ta- AT' y=;r A rA".Pw r_ twrgWrrrr of— T-pZ; sr4c_rugr_ 4100 � Reviewer/Inspector Name ���� nl -�.l W�f T cl l pi 5'� 1 Reviewer/Inspector Signature: G _ rJ , g �,.,. Date: 2116-112 __ 11/6/99 D• ision of Soil and Water Conservation 0 Other Agency Division of Water Quality 10 Routine O Complaint .0 Follow-up of DW2 inspection O Fallow -up of DSWC review O Other i Date of Insp` ction Facility Number • Time of Inspection E� 24 hr. (hh:mrn) © Registered 13 Certified [3 Applied for Permit' E3 Permitted 193 Not O erational Date .. Last Operated; ,,,,,,,,,,,,,,,,,,,,,,,,,, Farm Name:.......Jrb r+uS �l County.....................as�';a..!z..............................N.Owner Name :......... ............... ...n.............................................. ...... Phone No:�'.b...- Z 6.................................. Jlr�� �33 Facility Contact: ....... F. elbe.....P.f... .due.,atiJl......... 4f"fitle:.........Q N................................: Phone No: .... ..... 1 :-36`�.-z r zt Mailing Address: (} t'D4• k J`'�" �..'...... j� r �2 //I �C. S � ...1R.........................................................................................I......, ''`:t,f!.'........4.................................... 21 M3....... Onsite Representative:........ .............L..!!i °X!t.4 ............................................. Integrator:.................... .................. Certified Operator,......... a ...p ............. �Ev„o!�?............ �.°.�5.......................... Operator Certification Number ......................................... pr- to - TVe a r►�aS . Location of Farm: Latitude �•: Z O ` �" Design ' Cli; SrymeGapactty 'Pcipr z, ❑ Wean to Feeder ❑ Feeder to Finish err: � El Farrow, to Wean ❑ Farrow to Feeder E;rFarrow to Finish ❑ Gilts Z ❑ Boars Longitude'` 0« Design Current 4Destgn ; Curl Capacity „Populat'tan y Cattle, s Capacity vul ❑ Subsurface Drains Present ❑ No Lipuid Waste Manazen r LJ Dairy ❑ Non -Dairy . �M.n Y �ta1.SS 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, dill it reach Surface Water? (If yes, notify DWQ) c. If discharge is observed, what is the estimated flow in gaVmin? 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? Lagoon Area Jp Spray Field Area 4 S fe1f S' System ❑ Yes Er ❑ Yes 03 No ❑ Yes Ly' 0 ❑ Yes Eq<o r 5. Does any part of the waste management system (other than lagoons/holding ponds) require maintenance/improvement? 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? 7/25/97 ❑ Yes Ly'No ❑ Yes M W ❑ Yes s No ❑ Yes 1goo ❑ Yes ,[,�_ L�fNo ❑ Yes Lief iVo Continued on back Facility 1\ unther:'7 ? -- 8. Are there lagoons or storage ponds on site which need to be properly closed'? ❑ Yes No ,Structures (LaLoonti holding Ponds. Plush Pits, etc.) 9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes No Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6 Identifier: ....�.lG�..�`1!! v7l:. S.GCar aS.)+............................................................ I ......... . Freeboard (ft): ...........z. ..rl........... 3 }............................................. 10, is seepage observed from any of the Dyes structures'? : `o 11, Is erosion, or any other threats to the integrity of any of' the structures observed? ❑ Yes No 12.1 Do any of the structures need maintenance/irnl)rovement? ❑ Yes 0 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 maxinturn liquid level markets? ❑ Yes Na Waste Application 14. Is there physical evidence of over application'? ❑ Yes (If in excess of WMP, or runoff entering waters of',the State. notify DWQ) 15. Crop type .......e........................... .......... ............................. ..................... ....... ....................... .......................................... ........................... I ...... ............ 16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWN111)? ❑ Yes , I , 17. Does the facility have a lack of adequate acreage for land application? Cl Yes i < 18. Does the receiving crop need improvement? ❑ yes, ,, 19. Is there a lack of available waste application equipment'? Cl Yes Lilo 20. Does facility require a follow-up visit by same agency? ❑ Yes 2 No 21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'? ❑ Ycs 93 No 22. Does record keeping need improvement? ❑ Yes 2<0 For Certified or Permitted Facilities Only 23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes No 24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes d No 0.1 were any additional problems noted wntcn cause noncompuance of the rermtrr ^:•; ;. „,mow;, ., ;; f No.violations or d'iciencies.were'noted duiring this. visit.•:You.wvill receive lto-further coerespotidek> d4oitt this, visit: - ;lion #) :Explain any YES .answers andlor any r'ecommendations,or any of to better explain `situations (tasr'additiitnal`pa"gE's'as nece.tiarv) a., ,❑ Yes o 7/25/97 Reviewer/Inspector name es eZ<:.; Reviewer/Inspector Signature: Date: DS WC Animal Feedlot Operation Review ❑ DWQ Animal Feedlot Operation Site Inspection routine Q Complaint hnilcrtt'-up of l)1N )inspection 0 Other �:—'-•-�::- xw•,,,,,��„„„m�,,,,R„-._.... _,.�..,,..,��.,. Date o1' 1nspection �� Facility Number � q 24 Time of Inspection 24 hr. (hh:mm) Total Time (in fraction of ltours Farm Status: Registered ❑ Applied for Permit ccc:l.25 for I hr la mint) Spent on Renew � Certified ❑ Permitted or Inspection rinclude.s travel and processing} 113 Not Operational I Date Last Operated:................................................................................................................................................ FarmName:..................5....... .... County:...,....... ............................................. r owner Name:...l.dQ9t.-Q......8 ............................................... Phone No:..9 /a,. . .......................... Facility Coutuct: ..,... Pe ✓.....,% ��--,d' .................. Title ...... �.�!L 1.. ...................... phone No:..7/ e..... .���,.`%......... ✓ flailing Address: /0-9............. ........................... 4eA46>....,..�i�r................................., ,M�257 Onsite Representative: .........Aie e.... Z3ep ........................................... Intel;rator:..............,.,..,............................................ Certified Operator: ................. .................... . Operator Certification Number ......... Location of harm: ` � .... �.I/.T ...i ....U. 'f `.F� f.T..'t•' J .��...1...... .�.yi.CF..... ....... ...Y.�^' .. �K.irMr.'...�t[tCii.lt'L"iTr.!r.... .......:'. Sst...,.��.. ., ?...... � .�c�.4, .. ..... ....d .�.... .... C....' sue- .... ... � : Latitude ��� �` �L° Longitude Type of Operation Swine Design Current Design Current Capacity Population .. Poultry Capacity Population ❑ Layer ❑ Non -Laver ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean Ej Farrow to Feeder arrow to Finish ❑ Other Design Current Cattle Capacity Population ❑ Dairy ❑ Non -Dairy Total Design Capacity a —� Total SSLW '''Number of Lagoons / Holding Ponds =� ❑ Subsurface Drains =resent ❑ Lagoon Area 10 Spra)• Field Area General 1. Are there any buffers that need maintenance/improvement'? ❑ Yes a Ko 2. Is any discharge observed from any part of the operation`? ❑ Yes ❑ No Discharce originiled at: ❑ Lagoon ❑ Spray Field ❑ Other a. ]f di,;char,;e is € bs rved, was the conveyance man -nude'? ❑ Yes 0 No b. If discharge is observed, did it reach Surface Watcr? (If yes. notify DWQ) ❑ Yes ❑ No c. If di.ch:urge is observed, what is the estimated flow in gal/nun'' d. Does discharge bypass a lagoon system'? (1f ye., notify DWQ) ❑Yes ❑ No 3. Is there evidence of past discharge from any part of the operation? ❑ Yes ❑ No 4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes M No 5. Does any pan of the waste management system (other than lagoons/holding ponds) require ❑ Yes WNO 4/30/97 maintcn:urce/improvement'? Continued on hack Facility Number: — '+ 6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes �o 7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes 2<0 8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes QY'N"o Structures (lagoons and/or Holding -Ponds) 9. Is storage capacity (freeboard plus storm storage) Iess than adequate? ❑ Yes No Freeboard (ft): Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 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 any of questions 9-12 was answered yes, and the situation poses an immediate public health or environmental threat, notify D%VQ) 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 eaten g waters of the State, notify DWQ) 15. Crop type 4 - ..........�. �................................................................................................. 16. Do the receiving crops differ witlfihose 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 �J( niy 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/h"poe ow Name al ❑ Yes eNo ❑ Yes eNo ❑ Yes 1 o ❑ Yes ❑ No ❑ Yes ff No ...................... ❑ Yes R<O ❑ Yes ❑ No ❑ Yes IKo ❑ Yes [:1 No ❑ Yes [R o ❑ Yes o ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ❑ No Reviewer/1igrek>r S cc: Divi.vinn of Waier Oualiry y _ Date: � �Vaier Oualily Sertiom Forifiiv AS.CBSS177Bn1 l/uil 4110197 State of North Carolina Department of Environment, Health and Natural Resources ` • Raleigh Regional Office James a Hunt, Jr., Governor ED� N N Jonathan B. Howes, Secretary DIVISION OF WATER QUALITY May 13, 1997 Mr. James Thomas 8109 Oxford Road Timberlake, North Carolina 27583 Subject: Compliance Evaluation Inspection Facility # 73-2 James Thomas Farm Person County Dear Mr. Thomas: On May 8, 1997, Ms. Terri Hollingsworth from the Raleigh Regional Office conducted a compliance inspection of the subject animal facility. This inspection is part of the Division's efforts to determine compliance with the State's animal waste nondischarge rules. The inspection determined that the hog operation was not discharging wastewater into waters of the State and that the waste lagoons had the required amount of freeboard. As a result of the inspection, the facility was found to be in compliance with the State's animal nondischarge regulations. Effective wastewater treatment and facility maintenance are an important responsibility of all animal waste producers. The Division of Water Quality has the responsibility to enforce water quality regulations in order to protect the natural resources of the State. Accordingly, illegal discharges of wastewater to surface waters of the State are subject to the assessment of civil penalties. I would also like to remind you that you are required to have an approved Animal Waste Management Plan by December 31, 1997. This plan must be certified by a designated technical specialist or a professional engineer. I understand you are currently working with the local Soil. and Water Conservation District to develop the Animal waste Management Plan. Please continue in this endeavor to ensure that your management plan is completed in a timely manner and incorporates the new statutory requirements. 3800 Barrett Drive, Suite 101, FAX 919-571-4718 Raleigh, North Carolina 27609 Nif An Equal Opportunity Affirmative Action Employer Voice 919-571-4700 500% recycled/10% post -consumer paper James Thomas page two The Raleigh Regional Office appreciates your cooperation and compliance. If you have any questions regarding this inspection please call Terri Hollingsworth at (919) 571-4700. Sincerely, Judy Garrett Water Quality Section Supervisor cc: Person County Health Department Mr. Jim Huey, Person Soil and Water Conservation Distract Ms. Margaret O'Keefe, DSWC-RRO DWQ Compliance Group RRO Files 6. Js facility not in compliance with any applicable setback criteria? ❑ Yes QKO 7. Did the facility fail to have a certified operator in responsible charge (if inspection after 1/l/97)? [:]Yes E,�EI No 8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes t;<o Structures (Lagoons and/or Holding?on 9. Is structural freeboard less than adequate? ❑ Yes 2'No Freboard (ft): Lan 1 Lagoon 2 Lagoon 3 Lagoon 4 10. Is seepage observed from any of the structures? ❑ Yes lldtvo 11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes CK 12. Do any of the structures need maintenance/improvement? ❑ Yes EK (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 adquate markers to identify start and stop pumping leveIs? 2-les ❑ No Waste apalicatf0n 14. Is there physical evidence of over application? ❑ Yes M'<10 (If in excess of WMP, or runoff entering waters of the State, notify DWQ) 15. Crop type (3 r.1Ll. 16. Do the active crops differ with those designated in the Animal Waste Management Plan? Vj c, ���Y1 � . ❑ Yes ❑ No 17. Does the facility have a lack of adequate acreage for land application? [:]Yes M-Iqo 18. Does the cover crop need improvement? ❑ Yes 2-go I9. Is there a lack of available irrigation equipment? ❑ Yes M-1' 0 For Certified Facilities Only 20. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑ Yes ❑ No 21. Does the facility fail to comply with the Animal Waste Management Plan in any way? ❑ Yes ❑ No 22. Does record keeping need improvement? ❑ Yes ❑ No 23. Does facility require a follow-up visit by same agency? ❑ Yes a�.. -KO 24. Did Reviewer/Inspector fail to discuss review/inspection with owner or operator in charge? ❑ Yes LT�'1va ,Conurieats (refer to question #} I;xIatn'any YES answersaad/oo aay recommendattons or any other cariiments - 4: et�Tbetterexglatu situations.: use�addxttonat`pagesmasdnecessa►"��£` w v 4 Reviewer/Inspector ]Name ' 3 :• a . EM iv Reviwer/Inspector Signature: y ' Date: CO- LA�—� .c: Division of Muter Oualin% !Water Ouaitr Se ion. Facility Assessment Unit 1 1/14/96 ❑ DSWC Animal".Feedlot Operation Review A } EiSWQ Animal Feedlot.Operation Site Inspection [touting O Com laint O Follow-up of DWQ inspection O Fifllow-uo of DSWC review Q Other Date of Inspection • Facility Number Time of Inspection V2.1 Use 24 hr. time Farm Status: ��g� Total Time (in hours) Spent onReview or Inspection (includes travel and processing) FarmName:...:5 County:..--? ...... _.........»..».......... _....... Owner Natne:..4-S J1C� Phone \'o:._.. __ ..............__ ._._ �»...�_ _......__ Mailing Address: Onsite Representative: —L= e J Y—N 5 Integrator: Certified Operator: __ ...._.r.. �....._ Operator Certification Number. Location of Farm: Latitude Longitude �• �� �'� ❑ Not O erational Date Last Operated: .._ .»„,„ ..............»». , ._ _. ».._. _ ....�» _.»..... . __ _ . _ Type of Operation and Design Capacity i .1' 11 )FFe..^ is .' A Fi„N, { 't -i''. a+ w' 'ac k - - -+Vi Si £•F " ::n �-.p +� h-Y�tY: - k I,w A+`. - is ,,u* x 'i.. r v "43 "',Y 5nF"%A .F.M fw• 9Atw{'t +4# Swine " tir.X hNaaiber Poul, Cattle �N Number~ . a, . .x. uutber ;*. , , ❑ Wean to Feeder ❑ Laver.: ❑ Dairy p, ❑ Feeder to Finish ❑Non -Laver ❑Beef Farrow to Wean ��` � arrow to Feeder m;> tiry fi�2 k} Farrow to Finish 2C7� ❑Other T{�}7e of Livestock' ,t+r +"?'_,° ,��,n,3, .c. 5',.:':r .:T�„.Y`- ^ ,'Y"' = e • , �' c w7r..45<.'". .eS,r'";�„�;. `Number oiLagoans�HoldingPondsW" ❑ Subsurface Drains Presents �jc� n-,.'iw s �#x t v#•w ,erc¢•f.y' ^�Y ,R � � caf ���,�� k� �s,"7,'. �u❑Lagoon Area ❑ Spray Field Area -K, i General 1. Are there any buffers that need maintenance/improvettient? ❑ Yes 2<0 2. Is any discharge observed from any part of the operation? ❑ Yes ff�o a- If discharge is observed, was the conveyance man-made'? ❑ Yes EJ-No b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes 2Ni o c. If discharge is observed, what is the estimated flow in gal/min? t� i,- d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ yes 2<0 3. Is there evidence of past discharge from any part of the operation? - ❑ Yes M'No 4. Was there any adverse impacts to the waters of the State other than from a discharge? ❑Yes 0lo 5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes G�No maintenance/improvement? Continued on back OPERATIONS BRANCH - WO Fax:919-715-6048 Jul 20 '95 17:41 P.11f17 tracllixy Mumb�= � � SITS V3NITATION nCOp-D DAT R: 1 M5 Owner. ;re r 5 �r !� `yTaa:tu Nnmr: County. _ loers 6n.1 Aaw i Visiting Sit= JA Phana: ! C - llaB OpQr3toc: 7- 1 h �.a Pfzetae.� .a� 3 6 - -A.i B- L..,. On She Reptmcnmdvo. _,,, ,.,.�. .. P1zoQa• Lac-s%-rco eI►S �. J a e n tSg .. A 6�re7CO. ►'"�� 5 Mailhm Addnas: C Typc of 0peamGan:_ Swinc poultry Cat#lc Dt:fiign CtF=ky: k-16^ Number of Animal4 on Site: I ndMda' 3 4- 0 2-a ' I S Longitude; ? 8 C 5_ a Typt: of Ingpmda : Cmund _-V, Acrial Carclo Ycs or Nc Dacs the Ai�inW Was -,a Ligacn have au ic:ca; is:ttanr: of 1 Fccc i `5 tsw 24 Maui siot:ri eves si AU (Zpprasimnlcly 1 V66t + 71G,%cs or No ral trre n : Pee l;'or i'aciUea WILL Moto :hsa re htrn11. piossa addm;r the ea= lapcons' 4' z-board under 0t,4, culn orals szeiiofl. Wass any :ccl ar-observed kzm- Yew o95'�AvZ. crc.Sion :f (f'4 c!em1: Yc{ ofW 7s adov-vo IdAd IvAnA6IC for lard anpiic-u ion? Yes or v�F is :k= z:)vcr CMp adtgaa W? Yd§ et No rtdJil vnai Ccinm ply: �Z��a�� ^�I`'� iR.�c r -54 P � I+tut to ()19) 715-35 59 T. Io SisrawM of.Ag.xzc I Iu'Iw'H-A .}_' IJua 33 UGS 1 w0aj 01 : E I S-6, 02 -In]' CDENR North Carolina Department of Environment and Pat McCrory Governor James Thomas James Thomas Farm 8109 Oxford Road Timberlake, NC 27583 Dear James Thomas: June 20, 2014 Natural Resources <wr--"j Se�gre ark .SUN 1 3 2014 t4C DENR Relolgh Regional Office Subject: Sludge Survey Testing Dates Certificate of Coverage No. AWS730002 James Thomas Farm Animal Waste Management System Person County The Division of Water Resources (Division) received your sludge survey information on May 23, 2014. With the survey results, you requested an extension of the sludge survey requirement for the two lagoons at the James Thomas Farm facility. Due to the amount of treatment volume available, the Division agrees that a sludge survey is not needed until December 31, 2018. The next sludge survey for the two,lagoons at this facility should be performed before December 31, 2018. Please retain this letter and keep it with your farm records for reference. Thank you for your attention to this matter. Please call me at (919) 807-6340 if you have any questions. Sincerely, ��GG�tc�b4,z � G�C�ta9�za Miressa D. Garoma Animal Feeding Operations Branch Water Quality Regional Operations Section Division of Water Resources, NCDENR cc: Raleigh Regional Office, Water Quality Regional Operations Section Permit File AWS730002 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 Phone: 919-807.64641Internet: htt :/1www.ncdenr. ov1 An Equal Opportunity \ Affirmative Action Employer —Made in part by recycled paper "- hdbc 1. Lagoon Sludge Sunray Farm Revised August 2W6 A. Faun Permit or DWO Identlfrcation Number I I; B. Lopon Identification `rkaY — C. Peraon(s) Tekhg Measuremerb KM— 5 D. Dale of Measurement E. Methods/Devices Used for Measurement of. a. Distance from he lagoon liquid surfs to the top of the sludge layer. b., Distance framAe lagoon liquid wftc_qto atom (sail) of the Woon. a Thlakhess of the a layer if making` a dliect measurement with "co ssmple�°: F. Lagoon Surface Ages (using dimensions at inside top -of !rank): (acres) (Draw a sketch tyf the lagoon an a separate sheet, list dimensions, and aCulate stMw area The lagoon l may have been buAt dililerent than designed, so measurements should be made) G. Estimate number of sampling points: a. Lm than 1.33 acws: 8 Dints b. If more than f M ac. ac ms x e = with 6wimum of 24. (Usire sketch and d ranelans, dwalop a unlferrn pelt th'rat_tw the Be= numberof Ird@reecfims w the esft4ted number of sampllnp Orb needed. lumber the Ira eecdon pobda on the Wpm grid so that data recorded at each can be wally Matched.) H. Conduct sludge survey and record data an "Sludge Surrey Data Sheet" (Appendbc2). Also, at the location of the pump Intake, take measur BwO of distance -from tlquld surface to flop of sludge layer and record It on the OM Shea! (bast row); this m ust be at least 2A it. when Irma. At the time of the surrey, also measure the distance from the Maximum Liquid Level to the Present Liquid Level legaon /1 S (measure at the gauge pole): 0.0 J. Determine the distance from the top of bank to the M WMUm liquid Level ll , 5 0.0 (use lagoon management plan or other lagoon records) ('L Determine the distance from the Mwdrnum Liquid to the MWmum Liquid level: ra(, O.0 (use lagoon menagerneni plan or other lagoon records) . Cakulate the distance from the present thquld surface level to the Minimum Liquid Level _ r J 0.0 (Item K A tus Itam I, assuming the present liquid level Is below the Maxdmum Liquid L.evef) iKl(, Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the r } lagoon bottom (average for oil the messurwW polnW 1 0.0 Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top of the sludge layer (average for all the msasur ameM points): to 0.0 ORam rd from the Sludge Survey Data Sheet the average thickness of the aludge,layer 0.0 calculate the thickness of the existing Liquid Tireatmant Zone (Item N mlrrrm Item L): ' O.O i If Item O Is greater than item P, proceed to the Worksheat for Sludge Volume and Treatment Volume. item 0 Is equal to or fees than Item P, you do not ha to determine volumes. rmpleted by: Date: oZ7 Print Name /Signature Appendix 2. Sludge Survey Data ShBeY Revised August 2008 Lagam IderMcetliorGtCyl-73 -r gal,�1H1+-�S` Completed by Dais: (D v' Z Print Name 9�14tum VV 4a1 k%I Grid Point Distance from figuid surfsm Distam from liquid surlboe nddmass of sludge layer NO. to too of sludi a AD1139mbOMMISOM FL & tn. Ft Ft. a In. Pt Ft. Ain Ft. 1 7, ao 4s,tl 0.0 0.0 2 �.a 0.0 Q,3 0.0 �?..� 0.0 3 & , j 0.'0 (0 10 • � 0.'0 4 �, C� 0.0 `�. a.o 1.� i 0.0 5. � 0,0 -7, � 0.a �� 3 0.0 .g 0.0 -7,� .0.0 0`�, � � 0.0 7 S.� 0.0 �S 0:0 . p 0.0 di S,� 0.0 -7, 7 0.0 a0 9 0.0 0.0 0.0 10 0.0 0.0 0.0 11 0.0 12 0.0 0.0 0.0 13 0.0 0.0 a0 14 0.0 0.0 0.d 16 0.0 0.0 0.0 1B 0.0 0.0 0.0 17 - 0.0 0.0 ' 0.0 18 0.0 0.0 0.0 19 0.0 0.0 0.0 20 0.0 0.0 0.0 21 0.0 0.0 0.0 22 0.0 0.0 0.0 23 0.0 0.0 0.0 'Ali Grid Points and corresponding sludge layer thicknesses must be shown on a sketch attached to this Sludge Survey Data Sheet: I i • E 67.�66�7-1 . pas ppendbc'I. Lagoon Simige Surrey Form ReVlsed August2008 A. Fear Permit orDVVQ ldeuttifrcation Number3- B. t4agaors lder0raflon d. C. Person(s) Taldng Messurwnents D. Data of Measurernpnt s E AModsMovims Used for Measurement of a. Distance from the lagoon Itqutd surface top of the sludge leyar. - �:5g. 00. 96, �-- b.-Distance from the !oon Agvtct surface o the bottom (soil} bfthe isgoon. c. Thickness ofths aloe making a direct Measurement witti , sampler". Lagoon Surface Area WaN dimensions at Inside top of bank): . g� (acres) (Drew a sketch df the iagoon an a separate sheet, get dtmertsicns, and calculate surface area. The lagoon may have been built different than designed so meeeumments should be made} G. EstbnaW number of sampling pobft: a. Loss than 1.33 ac es: U 8e Oir b. If mane than 1.33 sc, acres x e = : , with maximum of 24. (Usirug 4kift and dhnansions, develop a uniform grid that tas the em number of InEerseattcna as the astknated number of sampling points needed. Numberthe Intersection points an the lagoon 9M so that date recorded at each can he easily matched.) H. Conduct sludge survey and record data on 'Sludge Survey Data Sheet" (Appendix 2). MA at the loaatfon of the pump Intake, talcs measuMnenls of die aM,frvm liquid surface to top of sludge layer fend record it on the Data Sheet (last ram; this must beet least 21 ft. when InIgathig. 1. At the time of the survey, also measure the distance from the Maximum Liquid Level to the Present Liquid Level (measure at the iagcon gauge pole): J. Determine the distance *am the top of bank to the Mmdmum Liquid Level (use lagoon management plan or other lagoon records) K. Determine the distance from the Maximum Liquid to the Minimurn Liquid level: (use lagoon management plan or oilier lagoon records) L Calculate the dsW= tram the present liquid surface level to the Minimum Liquid Level (item K Mnus item I, assuming the present lWd level Is below the Maidmurn Liquid L.evei) d. Record from the Sludge Surrey Data Sheet the distance from the present liquid surface level to the lagoon bottom (average for all the measurement points) 1. Record from the Sludge Survey Data Sheet the distance from the present liquid surface laval to the top of the sludge layer (average far all the measurement pouts): I. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer. . Calcuiste the thick lass of the wdsting Liquid Treatment Zone (Item Al minus item Q: . if Item O is greater than Item P, W=eed to the Wcrlushest for Sludge Volume and Tmatment Volume. Item 0 Is equal to or less than item P, you do not have to ire volumes )mpleted by:::�,S Date: Print Name /Swatura 5 0.0 5 0.0 0.0 0.0 5, cP mo Ij 0.0 0.0 A}Psndix Z Sludge Srirvey Data Shear Revised August 200E Lag= IdwAcaffM F is i Completed by: Date: Prfk dame nature (A) (g) (C) (C)-(9) i Grid Point 'Distance from ligald sut•Pac a Dfstanco four ilquid sumacs Thicknm dsludge layer' Na to too of slud a ta. l bottom Ft Mn.- Ft the Ft & En. Ft nths ' Ft & in. FLIferith 1 y,-i 0.0 rp,"1 0.0 0.0 2 s,y 0.0 �'� C.0 j ,� 0.0 3 Lo. `j 0.0 T 1 0.0 . (] 0.0 4 ('p, 0.0 7,1 0.0 j. 0.0 s y ,q 0:0 -7,q 0.0 a, 5 0.0 •a Li , 7 0.0 -7 , a 0.0 a., 5 0.0 7 to.q 0.0 �,lp 0:0 ).a 0.0 5 0.0 , G. 0.0 e 0.0 0.0 0.0 10 0.0 0.0 0.0 11 0.0 0.0 0.0 12 0.0 0.0 0.0. 13 0.0 0.0 0.0 14 QO 0.0 0.0 is 0.0 0.0 0.0 18 0.0 0.0 ao 17 0.0 0.0 0.0 18 0.0 0.0 0.0 19 i 0.0 0.0 0.0 1 20 0.0 0.0 0.0 21 0.0 0.0 0.0 22 0.0 0.0 0.0 23 0.0 0.0 0.0 24 0.0 0.0 O.o 'Aq Grid Points and corresponding sludge layer thicknesses must be shmn on a skstch attached to this Sludge Survey Data Sheet :,I I If f I • Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Alan W. Klimek, P. E., Director Division of Water Quality October-1, 2004 James Pete Thomas James Thomas Farm 8109 Oxford Rd Timberlake NC 27583 Subject: Certificate of Coverage No. AWS730002 James Thomas Farm Swine Waste Collection, Treatment, Storage and Application System Person County Dear James Pete Thomas: On June 11, 2004, the North Carolina Division of Water Quality (Division) issued a revised State General Permit for swine facilities. The General Permit was issued in accordance with the directive of Senate Bill 733 (Session Law 2003-28). In accordance with your application received on January 17, 2003 and in accordance with the directive of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to James Pete Thomas, authorizing the operation of the subject animal waste collection, treatment, storage and land application system in accordance with General Permit AWG100000. The issuance of this COC �? supercedes and terminates your previous COC Number AWS730002 which expires October 1, 2004. This approval shall consist of the operation of this system including, but not limited to, the management of animal waste from the James Thomas Farm, located in Person County, with an animal capacity of no greater than an annual average of 200 Farrow to Finish swine and the application to land as specified in the facility's Certified Animal Waste Management Plan (CAWMP). If this is a Farrow to Wean or Farrow to Feeder operation, there may also be one boar for each 15 sows. Where boars are unneccessary, 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. 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. -Since this is a revised State General Permit, it contains new requirements in addition to most of the conditions contained in the previous 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. Aquifer Protection Section —Animal Feeding Operations Unit 1636 Mail Service Center, Raleigh, North Carolina 27699-1638 One NorthCarolina Phone: 919-733-3221 I FAX: 919-715-05881 Internet, h2o.enr.state.nc.us NaturallyAn Equal Opportunity/Affirmative Action Employer — 50% Recycled110% Post Consumer Paper 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. The issuance of this COC does not excuse the Pernittee 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 2H .0225(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. 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 Water Quality Staff may be reached at (919) 571-4700. If you need additional information concerning this COC or the General Permit, please contact Duane Leith at (919) 715-6186. Sincerely, for Alan W. Klimek, P.E. Enclosures (General Permit AWGI00000) cc: (Certificate of Coverage only for all cc's) RALEIGH Regional Office, Aquifer Protection Section Person County Health Department Person County Soil and Water Conservation District Permit File AWS730002 APS Central Files 'M*R. -20' 03(THU) 13:21 NUDENK KKl} ��u y►� ��t 4rie r. uuc PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES Faellity Number: - _ - - County: & - rti Facility Name: es ACie Th?zrm Certified Operator Name: i� 1. Current liquid levels) in inches as measured fro " rrenjjl uid I i' a lagoon to the lowest point on the top of the dam for lagoons witho sp air , an a current liquid level in the lagoon to the bottom of the spillway for lagoons Iwa �0 Structure 1 Structure 2 Structure 3 re 4 Structure 5 Structure 6 Lagoon Name/Identifier (ID). Spillway (Yes or No): Level (Inches), 2. Check all applicable items Liquid level Is within the designed structural freeboard elevations of one or more structures. Five and 30 day Plans of Action are attached. Hydraulic and agronomic balances are within acceptable ranges. Liquid level is within the 25 year 24 hour storm elevations for one or more structures. A 30 day Plan of Action Is attached. Agronomic balance is within acceptable range, Waste is to be pumped and hauled to off site locations. Volume and PAN content of waste to pumped and hauled is reflected in section III tables. Included within this plan is a list of the proposed sites with related facility number(s), number acres and receiving crop information. Contact and secure approval from the Division of Water quality prior fg_ tmn of waste to a site not covered in the facility's certified animal waste management plan. Operation will be partially or fully depopulated. - attach a complete schedule with corresponding animal units and dates for depopulation - if animals are to be moved to another permitted facility, provide facility number, lagoon freeboard levels and herd population for the receiving facility 3. Earliest possible date to begin land application of waste: 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 knowledge and ability, the Information Is accurate and correct. 3-&-m PS Pe 6- ! o;,n i j Phone' — 3 3&- 3 6 V- 2 4,33 Facillty Owner/Manager (print) PoA Cover Page 2121100 rtR. -20' 03I'MU) t3:21 NURNK KKU ItL:71'I a i I 411p f, UV.1 PLAN OF ACTION (PoA) FOR HIGH FREEBOARD AT ANIMAL FACILITIES THIRTY (30) DAY DRAW DOWN PERIOD I. TOTAL PAN TO BE LAND APPLIED PER WASTE STRUCTURE 1. Structure NamelIdentifier (ID); e if 2. Current liquid volume in 25 yr./24 hr. storm storage & structural freeboard a. current liquid level according to marker inches b. designed 25 yr./24 hr. storm & structural freeboard a Inches c. line b - line a (inches in red zone) = -I inches d. top of dike surface area according to design 0 ftz (area at below structural freeboard elevation) e. lia c x line d x 7.48 gai,,�, floes_ 0 gallons 12 f 3. Projected volume of waste liquid produced during draw down period f. temporary storage period according to structural design _ j $ 0 days g. volume of waste produced according to structural design a ft h. actual waste produced-W _ cuMMt herd # x line g n' certified herd # i. volume of wash water according to structural design ft3 j, excess rainfall over evaporation according to design k. (lines h + i +1) x 7.48 x 30 day = line f 4. Total PAN to be land applied during draw down period I. current waste analysis dated m. (linea a + h x line I = 1000 REPEAL SECTION I FOR EACH WASTE STRUCTURE ON SITE PoA (?0 Day) 2121100 j ft3 �q 4 '7 gallons *a, S' lb/1000 gal. nl•5 ib PAN s VK. -X WI'MU) 13:L1 f"tt,UM KKV lG1,:717 J1i 9114 f. UU9 11. TOTAL POUNDS OF PAN STORED WITHIN STRUCTURAL FREEBOARD AND/OR 25.YR.124 HR, STORM STORAGE ELEVATIONS IN ALL WASTE STRUCTURES FOR FACILITY 1.. structure ID: e')- Lf line m = Ib PAN 2. structure ID: line m = lb PAN 3. structure ID: line m = lb PAN 4. structure ID: line m = lb PAN 5. structure ID: line m = 1b PAN 6. structure ID: _ line rn = lb PAN n. Ilnes 1 + 2 + 3 + 4 + 5 + 6 1b PAN 111. TOTAL, PAN BALANCE REMAINING FOR AVAILABLE CROPS DURING 30 DAYDRAW DOWN PERIOD. DO NOT LIST FIEI.05 TO WMIC" PAN GAN NO I t3C APPUES UUKING TH15 3Q DAY PF.KIOQ. o. tract # p. field # q. crop r. acres s. remaining IRR 2 PAN balance (LWacre) L TOTAL PAN BALANCE FOR FIELD (lbs.) column r x a u. applirabon window' L 6"3 -5'7 3 tq 'state current clop endina aoDlication date or next croo aoolication beainnina date for available receMna crops during 30 day drawn down period tR,. Tonal PAN available for all fields (sum of column t) a Q 3 -S!____ _lb. lb. PAN PaA Iso Day? 2J21100 2 4AK. -4U U�(THUI !J I MIAM KKV ILL-111 011 4110 r, UUJ M IV. FACILITY'S PoA OVERALL PAN BALANCE w. Total PAN to be land applied (line n from section 11) = a 01. 5' lb. PAN x. Crop's remaining PAN balance (line v from section Ill) = 5- 3 l s Ib. PAN y. Overall PAN balance (w - x) = S1 gF. n lb. PAN Lane y must show as a deficit. If line y does not show as a deficit, list course of action here including pump and haul, depopulation, hard reduction, etc. For pump & haul and herd reduction options, recalculate new PAN based on new information. If new fields are to be Included as an option far lowering lagoon level, add these fields to the PAN balance table and recalculate the overall PAN balance. If animal waste is to be hauled to another permitted facility provide information regarding the herd population and lagoon freeboard levels at the receiving facility. NARRATIVE: q j x ' Pa► (30Gay) 2121100 g. Q 4 Ep_1-rl s -V?l V744,w State of North Carolina Department of Environment . IT and Natural Resources Raleigh Regional Office Michael F. Easley, Governor NCDENii William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OR ENVIRONMENT AND NATURAL RESOURCES DIVISION OF WATER QUALITY March 9, 2001 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. James Thomas 8109 Oxford Rd. Timberlake North Carolina, 27583 Subject: Notice Of Deficiency James Thomas Farm Facility # 73-2 Person County Dear Mr. Thomas: On February 27, 2001, Mr. JD Hester from the Raleigh Regional Office conducted a compliance inspection of the subject animal operation. This inspection is a part of the Division's effort to determine compliance with the State's Animal Waste Management Regulation. An inspection of your facility revealed that wastewater from your facility was not actively discharging to waters of the State, nor were any manmade pipes, ditches or other prohibited conveyances observed. However as a result of the inspection the following deficiency was observed: A condition of your Certified Waste Management Plan requires waste samples must be taken within (60) days of application of waste to the fields. Only one waste analysis report was available at the time of the inspection. The most recent sample was taker' on. 3/31/00. Wastes are typically applied throughout the year for this type of waste system and thus a in of three samples will be required annually if indeed waste are applied throughout the year. Keep in mind that waste must be applied to actively growing crops. Please respond to this notice within 30 days of receipt. You should include in your response the actions that you will take to address this deficiency. Thomas Farm NOD Page-2- The Raleigh regional office appreciates your cooperation in this matter. If you have any further questions regarding this inspection, please call JD Hester at (919) 571-4700. Sincerely, il— Kenneth Schuster, E. Regional Supervisor cc: Person County Health Department Person County Soil and Water Conservation District Ms. Margaret O'Keefe/ DSWC-RRO RRO Files State of North Carolina Department of Environment and Natural Resources Raleigh Regional office Michael F. Easley, Governor William G. (Bill) Ross, Secretary Mr. Thomas 8251 Oxford Rd, Timberlake, NC 27583 NCDENR NORTH C.A.ROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Division of Soil and Water Conservation May 14. 2003 SUBJECT: Operation Review Summaries Thomas Farms. Facility #s: 73-2, 73-6. & 73-10 Person County Dear Mr. Thomas. On April 28, 2003, Operation Reviews were conducted on the Thomas family hog farms in Person County. facility numbers: 73-2.. 73-6. and 73-10. These Reviews. undertaken in accordance with G.S. 143-215.10D. were one of two visits scheduled for all registered livestock operations during the 2003 calendar year. The Division of Water Quality will conduct second site inspections. During the Reviews, it was determined that the freeboard level markers were set with the crests of the lagoon spillways, not the low point on the top of the lagoons. This understates your freeboard as the I2 inches required for the structural freeboard component is present from the crest of the spillways up to the low point on the lagoon tops. The actual distance from the spillway crest to the low points may be greater than 12 inches.. but credit is only given for 12 inches. The current markers need to be reset to proper elevations. Until markers are reset with the correct start and stop pumping elevations. 12 inches should be added to every freeboard level reading to account for the structural freeboard present. The resulting freeboard level readings taken using these markers need to include the additional 12 inches of structural freeboard present. Adding the 12 inches to your recorded freeboard levels has your farms in compliance with required freeboard levels for the past year. The high freeboard levels reported to DWQ (Division of Water Quality) were actually below the start pumping elevation. At the request of J D Hester(DWQ), a copy of this letter will be sent to DWQ personnel in the Raleigh Regional Office and Non -Discharge Compliance Enforcement Unit. Keep a copy of this letter with your farm records. The need to update your WUPs(Waste Utilization Plans) to reflect the extended Fescue -pumping window was noted. Robin Watson. your regional NCDA Agronomist. can provide that service to you. He may be contacted at (336) 570-6850 or via email robin.wat.son(),ncmail.net. The Division of Soil and Water Conservation appreciates your cooperation with this Operation Review. Please do not hesitate to call me at 919/571-4700 ext. 257 if you have any questions, concerns or need additional information. Sincerely, ci. Margaret O'Keefe eefe Environmental Engineer 1 cc: Person Soil and Water Conservation District Ken Schuster. Water Quality Raleigh Regional Supervisor Steve Lewis. Non -Discharge Compliance Enforcement Unit. Division of Water Quality DSWC Regional Files 1628 Mail Service Center, Raleigh, NC 27699-1628 Telephone (919)571-4700 FAX (919)571-4718 An Equal Opportunity Affirmative Action Employer 50% recycled110% post -consumer paper Thomas Farm NOD cc� 'Page-2- i The Raleigh regional office appreciates your coeratan n this matter. If you have any further questions regarding this inspection, -please catl` - ' ester at (919) 571-4700. Sincerely, Kenneth Schuster, E. Regional Supervisor cc: Person County Health Department Person County Soil and Water. Conservation Distric Ms. Margaret O'Keefe/ DSWC-RRO RRO Files 6"A /k-xlru V - I a" "j&-, a du 'Zilcto le cy-� NcDA Agronomfc i)ivwoiix 43oo Reedy creek ko-a-dF Raleigh, NC 2707-6465 1919) 733-2655,:'-7`-- Report No: w06278 w' Grower- Thomasjames Copies To. County Extension Director • 8109 Oxford AL USDA -MRCS -Person nmberfake, NC 27583 Analysis R aste qpoIt Farm 73-2 Z/26/oi Person County 0. Labors Residti million unless otherwise no ' swxpk M.- N P K Ca mg S Fe AM Zh Cu B Mo Cl c Total 674 75.1 976 130 28.1 27.0 3.34 o.34 o.77 0.50 1:05 INN Waste Code.- -NH4 Na M Cd A Al Se Li PH SS C-N DM% CM ALB ALS -NO3 196 7,64 Descripfim, OR-N Ww LWm LIq. Urea Recommendations: .,Nukkn6AvWbhIe'for F lbs1100 offi& ElementsCa pp—hwh*on Af '-N A,7- g -F --:-. -:- - 4W" on 0.01 1, Oirts million unleis otfierwise no` 4 7. LgboE!!n Results Mr Sample M- N P K Ca mg S Fe Aft zn Cu B Mo Cl c Total 621 72.6 1033 154 28.2 29.6 7.74 0.31 0.72 0.43 1.22 IN -N Waste Code. -NH4 Na M Cd Pb Al Se Li pH SS C.N DAM CCE% ALE ALS 403 238 7.80 Dlmm�,Ihfow- OR-N Swine Upon LN. Urea Reconimendiflinj tjri i for Firsttr6p Nutrients -Available offi6"Niffiedi, �,f Ibill 000 jqUixim 410AM" Maivd. - N A0i--,;-, K20 Fe �zn MoNa;M, so L. 'IrrigWon .2.6 A97 8.3 0.17, 0.02, T -A T-" 0.01 T� .0. State of, North Carolina IT Department of Environment 4 . and Natural Resources Iva Raleigh Regional Office Michael F. Easley, Governor NCDENF1 William G. Ross, Jr., Secretary NORTH CAROLINA DEPARTMENT OF -+ ENVIRONMENT AND NATURAL RESOURCMS DIVISION OF WATER QUALITY March 9, 2001 CERTIFIED MAIL RETURN RECEIPT REQUESTED Mr. James Thomas _. 8109 Oxford Rd. Timberlake North Carolina, 27583 Subject: Notice Of Deficiency James Thomas Farm Facility #73-2 Person County Dear Mr. Thomas: On February 27, 2001, Mr. JD Hester from the Raleigh Regional Office conducted a compliance inspection of the subject animal operation. This inspection is a part of the Division's effort to determine compliance with the State's Animal Waste Management Regulation. An inspection of your facility revealed that wastewater from your facility was not actively discharging to waters of the State, nor were any manmade pipes, ditches or other prohibited conveyances observed. However as a result of the inspection the following deficiency was observed: A condition of your Certified Waste Management Plan requires waste samples must be taken within (60) days of application of waste to the fields. Only one waste analysis report was available at the time of the inspection. The most recent sample was taken on 3/31/00. Wastes are typically applied throughout the year for this type of waste system and thus a minimum of three samples will be required annually if indeed waste are applied throughout the year. Keep in mind that waste must be applied to actively growing crops. Please respond to this notice within 30 days of receipt. You should include in your response the actions that you will take to address this deficiency. State of North Carolina Department ofEnvironment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Bill Holman, Secretary Kerr T. Stevens, Director NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES December 30, 1999 James Pete Thomas James Thomas Farm JAR � J 8109 Oxford Rd 1 Timberlake NC 27583, Subject: Fertilizer Application Recordkeeping Animal Waste Management System Facility Number 73=2— .Eerson.County Dear James Pete Thomas: 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. IRR1, IRR2, DRY1, DRY2, DRYS, SLUR], SLUR2, SLD1, 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 (919) 733-5083 ext. 571. Sincerely c X Kerr T. Stevens, Director Division of Water Quality cc: RALEIGH Regional Office Person County Soil and Water Conservation District Facility File 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone 919-733-5083 Fax 919-715-6048 An Equal Opportunity Affirmative Action Employer 50% recycled119% post -consumer paper CRAFT Draft - Revised January 20, 1999 JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION ,t Facility Number 7 3 - Z Operation is flagged for wettable Farm Name:_ jAr r__-,y ,, F acre determination due to failure of On -Site Representative: Part 11 eligibility item(s) F1 F2 F3 F4 Inspector/Reviewer's Name: UZ-44-A jj Date of site visit: .7-10_� 11 Date of most recent WUP: .-I z �/ Operation not required to secure WA determination at this tie based on exemption El E2 ( E4 Annual farm PAN deficit: 2/9-7 pounds Irrigation System (s)- -circle : 1 hard -hose traveler; 2. center -pivot system; 3. linear -move system; 4. stationary sprinkler system w permanent pipe; 5. stationary sprinkler system w/portable pipe; fi. stationary gun system w/permanent pipe; 7. stationary gun system wlportable pipe PART 1. WA Determination Exemptions (Eligibility failure, Part II, overrides Part I exemption.) E1 Adequate irrigation design, including map depicting wettable acres, is complete and signed by an I or PE. E2 Adequate D, and D2/D3 irrigation operating parameter sheets, including map depicting wettable acres, is complete and signed by an I or PE. E3 Adequate D, irrigation operating parameter sheet, including map depicting wettable acres, is complete and signed by a WUP. E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be applied to farms that fail the eligibility checklist in Part 11. Complete eligibility checklist, Part II - F1 F2 F3, before completing computational table in Part 111). PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination Requirements. WA Determination required because operation fails one of the eligibility requirements listed below: F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray field(s) according to farm's last two years of irrigation records. F2 Unclear, illegible, or lack of information/map. F3 Obvious field limitations (numerous ditches; failure to deduct required buffer/setback acreage; or 25% of total acreage identified in CAWMP includes small, irregularly shaped fields - fields less than 5 acres for travelers or less than 2 acres for stationary sprinklers). F4 WA determination required because CAWMP credits field(s)'s acreage in excess of 75% of the respective field's total acreage as noted in table in Part Ill. DRAFT Draft - Revised January 20, 1999 Facility Number 73 - 2- Part 111. Field by Field Determination of 75% Exemption Rule for WA Determination TRACT NUMBER FIELD NUMBER'-2 TYPE OF IRRIGATION SYSTEM TOTAL ACRES CAWMP ACRES FIELD % COMMENTS3 ,s 7q r FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP and type of irrigation system. If pulls, etc. cross more than one field, inspectorlreviewer will have to combine fields to calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA determination. FIELD NUMBER2 - must be clearly delineated on map. COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50% of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible by irrigation system. A h ro, North Carolina Cooperative Extension Service NORTH CAROLINA STATE UNIVERSITY COLLEGE OF AGRICULTURE & LIFE SCIENCES 7=21-97 JUL 2 219971 North Carolina Cooperative Extensio ServirdeNRRA(_EI'�'G,j�"""1 Person County Center Rt GIUP�A! n�lG� 304 S. Morgan St., Rm. 123 Roxboro, North Carolina 27573 Sue Homewood Division of Water Quality P.O. Box 29535 Raleigh, North Carolina 27626 Dear Sue, I am writing in regards to James "Pete" Thomas's registration with you on his swine farrow -to -finish operation. You have him registered for 175 sows farrow--to-finish on Highway 158 East of Roxboro. As discussed over our telephone conversation, there was some confusion with the mix up in filling the form out by the farmer. I can verify that James "Pete" Thomas has had a 200 sows farrow -to -finish swine operation for the last 9 years since I have been employed by the NCCES. I would appreciate it if you could change your records to 200 sows farrow -to -finish for Mr. Thomas. Thank you for correcting this. matter. Sincerely, Joey Knight, III Ag. Ext. Agent cc: James Pete Thomas Terri Hollingsworth Employment and program opportunities are offered to all people regardless of race, color, national origin, sex, age, or disability. North Carolina State University, North Carolina A&T State University, U.S. Department of Agriculture, and local governments cooperating. State of North Carolina Department of Environment, Health and Natural Resources James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary November 13, 1996 James Thomas James Thomas Farm 8109 Oxford Rd Timberlake NC 27583 SUBJECT: Operator In Charge Designation Facility: James Thomas Farm Facility ID#: 73-2 Person County Dear Mr. Thomas: Irv- EDE�H� liECE1VO WASHINGTON OFFICE Nov 1 9 1996 p.M06 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. Sincerely, A. Preston Howard, Jr., P.E., Director Division of Water Quality Enclosure cc: Raleigh Regional Office Water Quality Files P,O. Box 27687, W Raleigh, North Carolina 2761 1-7687 Nvf- C An Equal Opportunity/Affirmative Action Employer AW Voice 919-715-4100 11 lip_ .�, 50% recycled/ 10°%o post -consumer paper 1 -73_ z St " of North Carolina D 'p rtment of Environment, H alh and Natural Resources Raleigh Regional Office _ James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary ID E H N R Boyce A. Hudson, Regional Manager Division of Environmental Management September 13, 1995 James "Pete" Thomas Route 1, Box 654 Timberlake, N.C. 27583 Subject: Compliance Inspection Report Thomas Swine Farm Person County Dear Mr. Thomas On September 7, 1995, Mr. Steve Mitchell, from the Raleigh Regional Office conducted a compliance inspection of the subject animal facility. This inspection is a part of the Division's efforts to determine potential problems associated with liquid waste disposal systems. Mr. Mitchell's site visit determined that wastewater from your facility was not discharging to the surface waters of the state, nor were any manmade pipes, ditches, or other prohibited conveyances (for the purpose of willfully discharging wastewater) observed. Although a minor problem, care should be taken when allowing the cattle access to the lagoon area. The damage they cause by encouraging erosion may lead to an illegal discharge. Please continue to properly manage the waste and wastewater generated by this farm to prevent the possibility of an illegal discharge. Effective wastewater treatment and facility stewardship are a responsibility of ail animal facilities. The Division of Environmental Management is required to enforce water quality regulations in order to protect the natural resources of the State. This office would also like to take this opportunity to remind you that you are required to have an approved animal waste management plan 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 Steve Mitchell at (919) 571-4700. Sincerely, - 4 aA,-,,L4 Judy Garrett Water Quality Supervisor cc: Person County Health Department James Poindexter- Person County Soil and Water Conservation District Steve Bennett - Regional Coordinator, Division of Soil and Water Conservation RRO and Central Files 3800 Barrett Drive, Suite 101, Raleigh, North Caroflna 27609 Telephone 919-571-4700 FAX 919-571-4718 An Equal Opportunity Affirmative Action Employer 509E recycled/ 109E post -consumer paper Site Requires Immediate Attention: Facility No. DIVISION OF ENVIRONMENTAL MANAGEMENT ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD DATE: September 7, 1995 Time: Farm Name /Owner : James "Pete" Thomas Mailing Address: Route 1 Box 654, Timberlake N.C. 27583 County: Person Integrator: Phone: On Site Representative: Levon Thomas Phone: 364-2121 Physical Address /Location: NC Hwy 158 Type of Operation: Swine _XX_ Poultry Cattle Design Capacity: 1750 DEM Certification Number: ACNEW Latitude: 36' 20' 18" 36. 20' 12" .13 Number of Animals on Site: ACE DEM Certification Number: Longitude: 78' 50' 54" 78 50' 42" . 90 Elevation: Feet Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot * 25 year 24 hour storm event (approximately 1 Foot + 7 inches) Yes Actual Freeboard: 2_Ft. Was any seepage observed from the lagoon(s)? No Was any erosion observed? No Is adequate land available for spray? Yes Is the cover crop adequate? Mostly Crop(s) being utilized: Coastal Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? Yes 100 Feet from Wells? Yes Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? No Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? No Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other similar man-made devices? No If 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/No Additional Comments: Well operated facility. Primary only one foot of freeboard but seconary has plenty of storage. Cowshave access to lagoons and are causing some erosion r F Inspector Steve Mitchell Signature cc: Facility Assessment Unit Use Attachments if Needed. OPERATIONS BRANCH - WO Fax:919-715-6048 Jul 20 195 17:41 P.11f17 r , S.T—c VISITATION R'-ZMRI3 DATA: k 1995 —P. 10 Owner. �% �s • •` "T o Pam Nor= Agwt Visiting Sits s .1 Phoac; o - �- i?tiaMtor: a-rdkbrn ArPhar�ett4 ► 6 3_(e4 '241 On Site Rermernu dva: �,- Pboaa• . Myslcal Ad&M: Lac ^re a -*a S . S "A 4L a l 5$ •} A _r�� . _ O. w+: e S MaMint 1lddrras: bc-. C Typc of Cyr ateon: Swim Pcultcy caidc 4Des'Sn COpF'= y, l '1s41 Number of AnimalR on Site: 1.-ititada' 3 --o 20 ' 18 • Loaziladcc: 2 S C 5 4 Type of InspwiQa: Cmvnd_ Baal O rcle Yss or Nc €7ecs the k6ivd Ww4 Lagccn h i -% a sci.cat fr-.CtQarr of 1 T'cct + S5 y rar'24 hour scorn evaRit (?tppcotiQrntGT_y I Foot+7 it6ex)Qtai or No a11^r=Saand: a T•-C�e IMIM Far facilities w!Lh =or* t�-= are hignmt, please Addt u the ad Iitgcoas' f-z-board t:ndar N& Cuts weals stedoo. :Vns any scc� ob5crved k-an, � lq=n(s)2 Yes n �v ti:�.� ct as of t� c'.rm1: Yc+ a 1% a4oquam leer! dvaDabla Cot land aWkuLion? Yes or N.o is :h= )vcr crop d*qaaL---? yes c! NO Fa-; to (919) 715-35 S9 0� ilus�jpd ULIS:i WOdj C, - , 1. mja NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality . Beverly Eaves Perdue Coleen H. Sullins Governor Director March 3, 2009 James L Thomas NR l pWa James Thomas FargtGEVv�p DE 8109 Oxford Rd p� VIRT Protection Seclian Timberlake, NC 275If3' MAR 2 0 ZO Subject: Application for Renewal of Coverage for Expiring Animal Waste State Non -Discharge General Permit Dear Permittee: Dee Freeman Secretary Your facility is currently approved for operation under one of the Animal Waste Operation State Non -Discharge General Permits, which expire on September 30, 2009. Copies of the new animal waste operation State Non -Discharge General Permits are available at http://h2o.enr.state.nc.uslaps/afou/al2plications.htrn or. by writing or calling: NCDENR -- DWQ Animal Feeding Operations Unit 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Telephone number: (919)' 733-3221 • In order to assure your continued coverage under the State Non -Discharge General Permits, You must submit an application forpermit coverageto the Division. Enclosed you will find a `Request for Certificate of Coverage Facility Current Covered by an Expiring SlAte Non -Discharge General Permit.' The a lication form must be comaLeLed and returned b April 3, 2009. Please notq, you must include two (2) conies of your most recent Waste Utilization Plan with the application form_ Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty. Operation of your facility without coverage under a valid general permit would constitute a violation of NCGS 143- 215.1 and could result in assessments of civil penalties of up to $25,000 per day. If you have any questions -about the State Non -Discharge General Permits, the enclosed application, or any related matter please feel free to contact the Animal Feeding Operations Unit staff at 919-733-3221. Sincerely, Ted L. Bush, Jr., Chief Aquifer Protection Section Enclosures cc (w/o enclosures): Person County Soil and Water Conservation District Raleigh Regional Office, Aquifer Protection Section AFO Unit Central Files - 730002 .AQUIFER PROTECTION SECTION 1636 Mail Service Center, Raleigh, North Carolina 27699-1636 One Location: 2728 Capital Boulevard, Raleigh, North Carolina 27604 NorthCarolina Phone: 919-733-3221 1 FAX 1: 919-715.0588; FAX 2: 919-715.60481 Customer Service: 1-877.623.6748 n� y,� /�� Internet: www.nmaterouality.om Li ` ` An Equal Opportunity t Affirmative Action Employer State of North Carolina Department of Environment and Natural Resources Division of Water Quality Animal Waste Management Systems • Request for Certificate of Coverage Facility Currently Covered by an Expiring, State Non -Discharge General Permit On September 30, 2009, the North Carolina State Non -Discharge General Permits for Animal Waste Management Systems will expire. As required by these permits, facilities that have been issued Certificates of Coverage to operate under these State Non - Discharge General Permits must apply for renewal at least 180 days prior to their expiration date. Therefore all applications must be received by the Division of Water Quality by no later than April 3, 2009. Please do not leave any question unanswered. Please make any necessary corrections to the data below. 1. Facility Number: 730002 and Certificate of Coverage Number: AWS730002 2. Facility Name: James Thomas Farm 3. Landowner's name (same as on the Waste Management Plan): James L Thomas 4. Landowner's Mailing address: 8109 Oxford Rd City/State: Timberlake, NC Zip: 27583 Telephone Number (include area code): 3363642121 E-mail: 5. Facility's physical address: City/State: (L L ' _ _ Zip: • 6. County where facility is located: Person T 7. Farm Manager's name (If different than the Landowner): i1von Thomas RECEIVED / DENR / DWQ 8. Farm Manager's telephone number (include area code): 3363642633 Aquifer protection Section 9. Integrator's name (if there is not an integrator write "None"): N C' tie MAR 2 O 2009 10. Lessee's name (if there is not a lessee write "None"): 11. Indicate animal operation type and number: N0r-1 0- Swine Cattle Dry Poultry Wean to Finish Dairy Calf' Non Laying Chickens Wean to Feeder Dairy Heifer Laying Chickens Farrow to Finish 200 Milk Cow Turkeys Feeder to Finish Dry Cow Other Farrow to Wean Beef Stocker Calf Pullets Farrow to Feeder Beef Feeder Turkey Poults Boar/Stud Beef Brood Cow Gilts Other Other _ Wet Poultry Horses - Horses Sheep- Sheep Non Laying Pullets Horses - Other Sheep- Other Layers L`l1771&R 10UNTUIXT A T C'T A 'rU t-VXTUY3 A T ni inn Submit two (2) copies of the most recent Waste Utilization Plan for this facility with this application. The Waste Utilization Plan must be signed by the owner and a technical specialist. If a copy of the facility's most recent Certified Animal Waste .1Vlana ement Plan CAWMP has not previously been submitted to the NC Division of Water Ouniftytwo 2 copies of the CAWMP must also be submitted as part of this application. I attest that this application 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. Note: In accordance with NC General Statutes 143-215.6A and 143- 215.6B, any person who knowingly makes any false statement, representation, or certification in any application may be subject to civil penalties up to $25,000 per violation. (18 U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment of not more than 5 years, or both for a similar offense.) Printed Name of Signing Official (Landowner, or if multiple Landowners all landowners should sign. If Landowner is a corporation, ._.._ signature should be by a principal executive officer of the corporation): Name:_ t_ �CL i� P 5 �► III or), Title: VW A e l— Signature: Date: 3 - % 7 - U Came: Title: Signature: Date: -�ECEtiV �D DEkedioR SWWI - Name: Ss Title: tAAR 2 4 2U Signature: Date: THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS: NCDENR — DWQ Animal Feeding Operations Unit 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Telephone number: (919) 733-3221 Fax Number: (919) 715-6048 FORM RENEWAL -STATE GENERAL 02109 ANIMAL WASTE UTILIZATION PLAN 8-a Y-jr37 i Producer: Location: Telephone: James -Thomas 8109 Oxford Rd. Timberlake NC 27583 910-364-2121 Type Operation: Existing Farrow to Finish Swine 44 '91 q�� Number of Animals: 200.00 sows 0 (Design Capacity) - STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon APPLICATION METHOD: Irrigation The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface water and/or groundwater. The plant nutrients in the animal waste should be used.. to reduce the amount of commercial fertilizer required for the crops in 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 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: 1. 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. 2. Soil types are important as they have different infiltration rates, leaching potentials, cation exchange capacities, and available water holding capacities. 3. Normally waste shall be applied to land eroding at less than 5 tons per acre per year. Waste may be applied to land eroding at 5 or more tons per acre annually, but less than 10 tons per acre per year providing that adequate filter strips are established. 4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen. Either of these conditions .� may result in runoff to surface waters which is not allowed • under DWQ regulations. Page: 1 ANIMAL WASTE UTILIZATION PLAN F� . 5. Wind conditions should also be considered to avoid drift and downwind odor problems. 6. To maximize the value of the nutrients for.crop production and to reduce the potential for pollution, the waste should be applied to a growing crop or applied not more than 30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or disking will conserve nutrients and reduce odor problems. This plan is based on the waste application method shown above. If you choose to change methods in the future, you need to revise this plan. Nutrient levels for different application methods are not the same. 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. In some cases you may want to have plant analysis made, which could allow additional waste to be applied. Provisions shall be made for the area receiving waste to be flexible so as to accommodate changing waste analysis content and crop type. Lime must be applied to maintain pH in the optimum range for specific crop production. • 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, ft3, tons, etc.) i 200 sows x 19.9 tons waste/sows/year =,3980 tons AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR 200 sows x 26 lbs PAN/sows/year = 5200 lbs. PAN/year 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, soil type and surface application. Pages 2 Z✓ :-IQ �NiceFsJ stsvelinj Gun C=p4=*, l Wwksher. 2.20.99 CAWMR Wenabte AM Hard Hose Traveling Gun System COMPUTA.TYONAL WORKSHEET 1. Farm Number (Identification) /J� Field Number (Identification) 2. Irrigation System Designation Existing Irrigation System New/ Expanded Irrigation System 3. Number of Travel Lanes # Interior Lanes _ # Exterior Lanes Meet] Length of pull(LI)• # Interior Lanes # Exterior Lanes lfeet] Length of pvlI(L2) Al Interior Lanes # Exterior Lanes rfeet] Length of pull(L3) 4. Wetted Diameter [feet] From field data sheet S. Spacing Hydrant Spacing [feet] [as percent of wetted diameter] G. Hydrant Layout Multiple Hydrants __Single HydrantExcessively spaced Hydrants 7. Read the irrigated area per travel pull for the'given wetted diameter from the appropriate table and column based on nartern snacxnQ anu UnYr-L ,U10 MJ%1QLA—A - ��7�rR�f Ex/r��. S�MT �h� r e S rniA►M�t /Or�rdq �L4n1��s�% '����l.�Sbo 4e,rs sfofo Fir Af /Pd Tij Ar ]rrM✓el Le b 1 � o �. ��- Ise CsJ/fc.s✓� o a. Ss 3 o e,,5--f 7, jo 6 y0j/ o ! l �/0)QA0) /jj9S'Go 60� � d 12910 WA . ee-n_-. �a�:t�:•..� t,n��:,�;.�. ; r.;�+7 aniiavrlT mslz•�2 t�ztx3 nilstr�-r"�' sx��� b�sH . , (n©iss;,Rijn,,)bn-,:)dmul4btsi-i � —C,='���. (lIo�18,�i1f19bIjzs4mi!'v1rr&1 ! f 12'tZ aoilgi-f7it bibugs3 lv,s ri n era 2 noil i 'Ii �rrs32i z:� .._ tic�i3Ln szQQ :sls;z'�2 flc�i35.�i 6l� 5 (LI)kq!O eusun I �1-�3). �._._. z.� � zoh5jx 2 r� � z izv,fl n aans, I:v -LT'a (S-.)[Iugio f{1pod 'r orXEL zsr�h,i zaR3J;II n (EI)lEugIO digmd [Is91L— 7ahsnrz zyru zonsirts _. 15s.1e osb b{ga moz (z:lsmsib bsLA5- r to sfr9ozsq as} _ _ rsgij r;ia�g2 srszb�H _..._� ri35g2 .c iffls?bv,H bsasez vlivimwa _ :n,zb'{H�5i yzi2_...._._ zirz.�ib�H 51gijiu rrrizt;ioa brL.q 1Eds: a3si-Igo-tggs aril rriaz3 w)15m,ib bsllsw, svjt :541 zo3 {iuq IsVbZi IN Fszs erlt bBs5 .t :"�otls�oi 5=1 In..'ru has .Rafns72 l�srsa rsa bsxsd '�� �a.�'41 �>h`�. �'� �C. n� t1't'.� ti 5��1 : � \ � 4\ �"A� 1 "1/a� � ''�.'._._ �' � a� �3ti.,a�1 t�� 7Q1 ��a�9� � a :�� ` ���r�'��. i�����'p ng�., Z 91,�1 ! 0� � •`TC � � � ��.. • v. �� WASTE UTILIZATION PLAN AMENDMENT rr �r For te 1 efe_ o r,� s 7119e1/6r -vt 73 - Z- Date 8- _-2c6— H The Environment Management Commission regulations for animal waste management provides the following information in their Seventh Guidance Memo dated January 9, 2001: Animal waste application on fescue grass may begin on August 1 and end on July 3 L This means animal waste maybe applied to fescue throughout the -year. There are two exceptions. Exceptions: 1. Limit nitrogen application during June and July. It is recommended that you apply no more than 30 lbs. of N per 30 day period during June and July providing there is adequate.soil moisture.* . 2. No nitrogen in December and January during severe winters such as when ground is frozen or when ground is too wet for equipment. Important: Include this Amendment with you Waste'Utilization"Plan. Technical Representative �.1! Date *This information on application rate provided by Carroll Pierce with the Division of Soil and Water Conservation on August 28, 2001. 0 ANIMAL WASTE UTILIZATION PLAN TABLE l: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------- APPLY RESID. APPLIC METH N TIME 874 1a OrB FPG 4.2 94.5 6.93 645.435 I AUG- 874 lb OrB FHH 4.2 20.55 4349.1 I 1210 AUG- v l 3947 3 OrB FHH 14.2 I 1210 1 12.47 1424.2 AUG'- TOTAL15418.73 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future, regulations may require farmers in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. 40 • Producer: Location: Telephone: Type Operation: Number of Animals: (Design Capacity) STORAGE STRUCTURE: APPLICATION METHOD: ANIMAL WASTE UTILIZATION PLAN James Thomas 8109 Oxford Rd. Timberlake NC 27583 910-364-2121 Existing Farrow to Finish Swine Qq 14 200.00 sows D� Anaerobic Waste Treatment Lagoon Irrigation The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface water and/or groundwater. The plant nutrients in the animal waste should be used to reduce the amount of commercial fertilizer required for the crops in 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 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: 1. 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. 2. Soil types are important as they have different infiltration rates, leaching potentials, cation exchange capacities, and available water holding capacities. 3. Normally waste shall be applied to land eroding at less than 5 tons per acre per year. Waste may be applied to land eroding at 5 or more tons per acre annually, but less than 10 tons per acre per year providing that adequate filter strips are established. 4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen. Either of these conditions -• may result in runoff to surface waters which is not allowed under DWQ regulations. Page: 1 ANIMAL WASTE UTILIZATION PLAN -0 5. Wind conditions should also be considered to avoid drift and downwind odor problems. 6. To maximize the value of the nutrients for crop production and to reduce the potential for pollution, the waste should be applied to a growing crop or applied not more than 30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or disking will conserve nutrients and reduce odor problems. This plan is based on the waste application method shown above. If you choose to change methods in the future, you need to revise this plan. Nutrient levels for different application methods are not the same. 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. In some cases you may want to have plant analysis made, which could allow additional waste to be applied. Provisions shall be made for the area receiving waste to be flexible so as to accommodate changing waste analysis content and crop type. Lime must be applied to maintain pH in the optimum range for specific crop production. 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, ft3, tons, etc.) 200 sows x 19.9 tons waste/sows/year = 3980 tons AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR 200 'sows x 26 lbs PAN/sows/year = 5200 lbs. PAN/year 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, soil type and surface application. Page: 2 �c,M csz-3 cww�tp u'�= ACMh.Kiwa �,.a ass Hard Hose Traveling Gun System COMPUTATIONAL W ORKSHEET 1. Farm Number (Identification) Field Number (Identification) 2. Irrigation System Designation Existing Irrigation System New/ Expanded Irrigation System 3. Number of Travel Lanes # Interior Lanes # Exterior Lanes _feet] Length of pull(L1). # hitenor Lanes # Exterior Lanes cetJ Length of pull(L2) n Interior Lanes _`# Exterior Lanes ifeet) Length of pull(i 3) 4. Wetted Diameter [feet] From field data sheet H Spacing [feet) [as percent of wetted diameter] Hydrant 5. =. Spidng - p 6. Hydrant Layout Multiple Hydrants ^Single Hydrant Excessively spaced Hydrants 7. Read the irrigated area per travel pull for the'g" wetted diameter from the appropriate table and column based on pattern. snacina_ and travel lane location. rr.►I �i►�- �X�:�Sn7� s r�' Fno% I�1iA�if`c �irf v� s�vpF.,.� 7o4./ Xv b I e. &r e s (L-Pn j-1A)C /1-L, OA i, o = AHPt Ae--es rowel tw. p,a�(ass,)l•%.s(, a = .4,-.-a C97006a Igjll{3.sc l/ y.�.4160 = ..41 o,118 V ra 0, b - (ATo)(11A0) 3A&� 3-D a• as p 1 r��8a o, 3� �6a��C���� y3sdo � I $ � o•as wA A40 ANIMAL WASTE UTILIZATION PLAN -0 TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERN LEASE (Agreement with adjacent landowners must be attached.) (Required only if operator does not own adequate land. See required specification 2.) TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------ APPLY RESID. APPLIC METH N TIME END 11 TOTAL 10 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. ** Acreage figures may exceed total acreage in fields due to overseeding. * lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial nitrogen (COMM N) supplied. The following legend explains the crop codes used in tables 1 and 2 above: CROP CODE CROP UNITS PER UNIT FHH FPG FESCUE - HAY PASTURE - GRAZED TONS TONS 50 22.5 0 TABLE 1 TOTALS FROM TABLES 1 AND 2 ACRES LBS AW N USED 28.89 5479.635 Page: 4 ANIMAL WASTE UTILIZATION PLAN 0 TABLE 2 0 0 TOTAL 28.89 5479.635 *** BALANCE-279.635 ------------------- *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. 11 • Page: 5 • ANIMAL WASTE UTILIZATION PLAN *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. Acres shown in each of the preceding tables are considered to be the usable acres excluding required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas not receiving full application rates due to equipment limitations. Actual total acres in the fields listed may, and most likely will be, more than the acres shown in the tables. See attached map showing the fields to be used for the utilization of animal waste. SLUDGE APPLICATION: 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. Your production facility will produce approximately 860 pounds of plant available nitrogen per year in the ludge. If you remove the sludge every 5 years, you will have approximately 4300 pounds of PAN to utilize. Assuming you apply this PAN to hybrid bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you will need 14.3333333333 acres of land. If you apply the sludge to corn at the rate of 125 pounds of nitrogen per acre, you will need 34.4 acres of land. Please be aware that these are only estimates of the PAN and land needed. Actual requirements could vary by 25% depending on your sludge waste analysis, soil types, realistic yields, and application methods. APPLICATION OF WASTE BY IRRIGATION The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil structure, soil texture, water droplet size, and organic solids. The application amount should not exceed the available water holding capacity of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the nitrogen needs.of the crop. If surface irrigation is the method of land application for this plan, If is the responsibility of the producer and irrigation designer to ensure that an irrigation system is installed to properly irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and Page: 6 ANIMAL WASTE UTILIZATION PLAN amounts of nitrogen shown in the tables may make this plan invalid. The following table is provided as a guide for establishing application rates and amounts. Tract Field Soil Type Crop Application Rate (in/hr) Applic. Amount (inches) 3947 3 OrB FHH .2 *1.0 874 la OrB FPG .2 *1.0 874 lb OrB FHH .2 *1.0 * This is the maximum application amount allowed for the soil assuming the amount of nitrogen allowed for the crop is not over applied. In many situations, the application amount shown cannot be applied because of the nitrogen limitation.' The maximum application amount shown can be applied under optimum soil conditions. Your facility is designed for 180.00 days of temporary storage and the temporary storage must be removed on the average of once every 6.00 months. In no instance should the volume of the waste be stored in your structure 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. It is the responsibility of the producer and waste applicator to ensure that the spreader equipment is operated properly to apply the correct rates to the acres shown in Tables l and 2. Failure to apply the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid. Call your technical specialist after you receive the waste analysis report for assistance in determining the amount of waste per acre and the proper application rate prior to applying the waste. NARRATIVE F OPERATION • Page: 7 WASTE UTILIZATION PLAN 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 an 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 an 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, climatic conditions, and level of management, unless there are regulations that restrict the rate of application for other nutrients. 4. Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste may be applied to land that is eroding at 5 or more 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 Strip) 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 North Carolina" for guidance.) 7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff does not occur offsite 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 or 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 a depth that would inhibit growth. The potential for salt damage from animal waste should also be considered. Page: 8 WASTE UTILIZATION PLAN `! REQQIRED SPECIFICATIONS 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 the 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 from 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 perennial waters. (See Standard 393 - Filter Strips). 12. Animal waste shall not be applied closer than 100 feet to 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 over -spraying. Animal waste may be applied to prior converted cropland provided they have been approved as a land application site by a "technical specialist". Animal waste shall not be applied on grassed waterways that discharges directly into water courses, and on other grassed waterways, waste shall be applied at agronomic -rates 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. • Berms and structures should be inspected regularly for evidence of erosion, -leakage or discharge. Page: 9 WASTE UTILIZATION PLAN -0 REQUIRED SPECIFICATIONS • 18. If animal production at the facility is to be suspended 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 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. Waste shall be tested within 60 days of utilization and soil shall be tested at least annually at crop sites where waste products are applied. Nitrogen shall be the rate - determining element. Zinc and copper levels in the soils shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted for optimum crop production and maintained. Soil and waste analysis records shall be kept for five years. Poultry dry waste application records shall be maintained for three (3) years. Waste application records for all other waste shall be maintained for five (5) years. 23. Dead animals will be disposed of in a manner that meets North Carolina regulations. Page: 10 ANIMAL WASTE UTILIZATION PLAN • • WASTE UTILIZATION PLAN ,AGREEMENT Name of Farm: James Thomas Fauns 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 North Carolina Division of Water Quality (NCDWQ) 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 NCDWQ upon request. Name of Facility Owner: James Thomas (Please print) Signature: _ ,n _- Date: a Name of Mana er(If different from owner): Signature: Date: Name of Person Preparing Plan: (Please prInt)Jim Huey Affiliation:NRCS Phone No. 919-597-2973 Address (Agency): 304 S. Morgan St. Rm 126 Roxboro NC 27573 Signature: �S Ncc cs Date: 8- -- g_ L1 r "9, Page: 11 •� L+► �`•+� ."0 •�- I` ll Ve 5 � ,'< o rr' GEHTRYS. b ".D+ STORE , .+ caIt w` r /C " atu 8 c+\AraL ` .fa r ° - w L tot' ,s+a Ii A A,° END ."w FIVE _ IIG•1,I C O ` A II" Y , o +tT S ro°[[11D _ a"D FORKS i «,a[ ° s cr 4 `fit it / `W RKS `Q LONGHUA$T 49 no "D •i wW rsy \N\ t 4 ac>• +D no LOo• ° L.wfOn t[AAgwlwLt C�7 •• AAA a AD ♦` ruc 0"a • L• . t`LL T TOD° O l"r F `t p", +O - ' V �ti `�\. 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'Q --t47"i•ky CLt 1LtQ—f-f l t1lF S. f . _ 1 os Zz Ij � • � �' . �•` � 11 it(� t�• d` •',� . � Fes. �/'�r ~.� _• S• ' �-�� _._J I �.! .- I 11 ,,1 — .ems elox D •� oAJ • LJ Animal Waste Management Plan Certification (Please tyoe or print all information that does not reuuire a si,2nature t ristinQ ' :ter:: i`le�i. ":. ". . . : or.: �'EYpariiied '"{please circle -one}. General Information: �--� Name of Farm: r>f,,Prs Facility No: --� Owner(s) name:�,a,r,r Phone i`io: � - 2121 vlailine Address:8 o r-St br/ a-7s83 Farm Location: County_ Farm is located in: Latitude and Longitude. 3C 20 f 8 1 �� Sa ` S Integrator Please attach a copv of a county road map with location identified and describ5j�ek - (Be specific: road names. directions, milepost- etc.): .� Operation Description: Type of Sivine No. of Animals Wean to Feeder _r Feeder to Finish 0 Farrow to Wean .1 Farrow to Feeder A Farrow to Finish .204 .so-J • Gilts • Boars Type of Poi drrr No. of Aairnals _.I Laver Z I Pullets r C"0 Type of Car((/ea `,\'o. "of- Anhttals :1 Dairv\ r Beef ti L� Other Type of Livestock: ;'1► inther of Animals. :«. } ti '=r}- n �Y •`rf,'.''"i..ra'"`tY '.' 'Sn;2� ,i r-.: 3.`3'J +.' Y - a i= xF c aac.nm 3si- li dDesir Grr�> 'Add ordl:DcsiQmC;: rinYcr.t. yate;k�J..i<�a4:; ?,crease available for Application: Required Acreage: Number of Lagoons / Storage Ponds: - 542 Total Capacity: Cubic Feet (0) a) jG 4 333 .are subsurface drains present on the farm: YES or a O (please circle one) If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one) is*ai W lea! *****+jt 1{i******M**MM M*M a+M aia **M Y-[ *f. re 1}[ 1h r' *ai***ai ra se ai**Mrair ai*as*a:a;.*a}*** i,*.Q*** M a. is a** aye i•.*'k it ai Owner / ;N-lanager Agreement I (wtl verify drat all the above information is correct and will be updated upon changing. I (,Lve) understand the operadon and maintenance procedures established in the approved animal waste management plan for the farm named above and will implement these procedures. I (wet know that any expansion to the existing design capacity of die waste treatment and storage system or construction of new facilities will require a new certificaton to be submitted to the Division of Environmental Management before die new animals are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application system to surface waters of the state zither directly through a matt -made conveyance or from a storm avent less severe [ban the '_S-year. 24-hour storm and there must not be run-off from iliz 30plication of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be minimized using technical standards developed by the Natural Resources Conservation Scniee. The approved plan will be tiled at the farm and at the office of the local Soil and Water Conservation Disuict. I (we) know dial any modificadon must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to implementation. A chance in land ownership requires written notification to DEM or a new certification (if the approved plan is chanced) within 60 days of a title trsrisfer. Name of Land Owner: Signarure: Dane: Name of Manager(if different from own_-r): Si -nature: August 1. 1997 Date: Technical Specialist Certification • L As a technical specialist designated by the worth Carolina Soil and Water Consmation Commission pursuant to I: A NCAC 6F .0003. I certify that the animal waste management system for the farm n;tmed above has an animal waste management plan that meets or exceeds standards and specifications of the Division o[ Environmental ianasement (DEMO as specified in 15A NCAC 3H.0317 and the USDA -Natural Resources Conservation Service (MRCS) andfor the North Carolina Soil and Water Conservation Commission pursuant to 15A INC. ?H.0?l; and tag NCAC 5F .000t- .0005. The following elements are included in the plan as applicable. While eacot cate- designates a technical specialist who may sign each certification (SD. SI. WUP. RC. 1), the technical specialist ahould!,gnlly tify parts for which they are technically competent II Certification of Design c% A) Collection. Storage. Treatment SystemDNp Check the appropriaie box .J ExistinL faciliiv without retrofit (SD or WUP) Storage volume is adequate for operation capacity: storage capability- con requirements. ;with �ywe utilization �'t'G r rXr���•�s �.s-fdy,G -- New. e-vanded or retrofitted -facility (SD) re-ket ?1�d - e„Iupcd i -544p.0 .animal waste -storage and treatment structures_ such as but not limited to collection sys(ems. lagoons and ponds. have been designed to meet or exceed the minimum standards and specifications. Name of Technical Specialist (Please Print): F A-rJ X 6: vA ALE Affiliation u5 D A - A) es Date Work Completed: Address (Mencfta a I>e,400/D CAVA I> JeQt-;,N� Phone No.:29 .i' o -/eG Signature: Date: 9 7 B) Land Application Site (WUP) 14 The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is suitable for waste management: hydraulic and nutrient loading rates. Name of Technical Specialist (Please Print):TM�16 E• H VLILY T e o Affiliation V,eCS C C ES Date Work Completed: /-z`'�-�' 304.5.NWr�a.1s+.,� r--4 oSF 5. Mor�'r�s �f•//P Iz3 G— Address (Agency):Roxj&orn,/*�t". _�k�cteLt'L'�.i.?�?.i rhone't).:3G �S7-.zjr73.i:E�r Shinature: C) Runoff Controls from Exterior Lots Check rite anpropriare box -D Facility without exterior lots (SD or WUP or RC) This facility does not contain any exterior lots. Date: -� Facility with exterior lots (RC) Methods to minimize the run off of pollutants from lounging and Heavy use areas have been designed in accordance with technical standards developed by NRCS- • Name of Technical Specialist (Please rlttiliati Address (Agency): Si2naturc: nt): Date Work` Completed: Phone No.: Data: }. Application and Handling Equipment Check the appropriate 110r :7 • • �d' €,cistin4 nr rxnanding facili y with exi�,tine waste �olicatinn etruinment (W P or 1) Animal waste application equipment specified in the plan has been either field calibrated or c%aluated in accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the waste management plan: (existing 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 timing of applications has been established; required buffers can be maintained and calibration and adjustment guidance are contained as part of the plan). Zi Vow. expanded -or sxiidn_g_hcility without existing waste application eauiprttent fnr erav irrigation. (I} Animal waste application equipment specified in the plan has been designed to apply waste as necessary to accommodate the waste management plan: (proposed application equipment can cover the area required bV the plan at races not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications has been established: required buffers can be maintained: caiibration and adjustment guidance are contained as part of the plan). xoinded. nr exits' g fadlity withqut existing wis(CaDQUOH011 eau' men (or land-sp-readin!Z not ins Serrvirr witinn. (WUP or 1) Animal waste application equipment specified in the. plan has been selected to apply waste as necessary to accommodate the waste management plan: (ptoposed' application equipment can cover the area required- bYthe --- plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications has been established; required buffers can be maintained: calibration and adjustment guidance are "contained as part of the plan). Name,of Technical Specialist (Please Print): Jc)_� Affiliation tJCC E5 Date Work Completed: 12-d —9 7 Address (ARency): 3aye., nr` r^AJC- �y.� 3 Phone No.: 33 (a S377 Signature: 6)AA'&1 �%� Date: E) Odor Control. insect_ Control. yfortality Nfanagement and Emergency action Plan (SD Si. 'VVi.1P. RC or I) The waste management plan for this facility includes a Waste Management 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 Best Management Practices to Minimize Odors and Best Management Practices to Control Insects have been selected and included in the waste management plan. Both the Mom&y Management Plan and the EmergencyActionPlan are complete and can be implemented by this facility. lame of Technical Specialist (Please Print): Affiliation j I CCS Date Work Completed: Address (Agency): Persn„ Co. ac e 9 C Phone r 1 V. \o.; `� G - Signature: �� _ _ _Date: F) Writt_en Notice of New or Expanding S�One Farm The follo%in; signature block is only to be used for new or "pending swine fsrms that begin construction after June 21, 1996. If the facility was built before June 21, 1996, when was it constructed or last expanded I (we) certify that i (we) have attempted to cod, tact by Artified mail all adjoining property owners and a11 property owners who own property located across a public road. street,, ot highway from this new or expanding swine farm. The notice was in compliance with the requirements of NCGS 106-365. A copy of the notice and a list of the property owners notified is attacltied. Name of Land Owner: Signature: Name of Manager (if di Signature: A%VC -- august 1. 1997 it -ffrom, owder): �i Date: Date: I. I. Certification of Installation A) Collection. Storaze. Treatment Installation New. ex anded or retrofitted agility (SO Animal waste storage and treatmentsuvctures, such as but not limited to lagoons and ponds. have been installed in accordance with the approved plan to meet or exceed the minimum standards and specifications. For existing facilities without retrofits, no certification is necessary. Name of Technical Specialist (Please Print):Cifr'�4�JK C✓d"�f _ _ Affiliation U5PA--Hows _ _ _ _Date Work Completed: I! - 9e. Address (Agency): 4-oot dAQYd �PAtF.ts� G oZ7G/v Phone o.: 19-2..M /066 Signature: Date:—//-/d -97 B) Land A olication Site (WLT. ) Check- the appmprrare-bo_t: ` :_ The cropping system is in place on all land as specified in the animal waste management plan. l Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system 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 (mondddayh=); the proposed corer crop is appropriate for compliance with the wasteudlization plan. 0 Also check this box if appropriate • if the cropping system as specified in the plan can not be established on newly cleared land within 30 days of this certification, the owner has committed to establish an interim -crop for erosion control; Name of Technical Specialist (Please Prin0:NLes�1�_ Affiliation CC —S Date Work Completed: iz 30S. . ,ti.s sr"xM i 304 S,rn.r Rn IpSf: IP�,.t4.. 33-ST►4'/I�jS-=1 Address (Aden ): R 6 Qre� WC _�x_ �.ctt_1► 7�� 3zgzy Phone No. :334 -sg 7 3 h% Signature: Date: • This folroowine signature block is oni_v to be used when the box for conditional approval in III. B above has been checked. I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan. and if appropriate to establish the interim crop for erosion control. and will submit to DELI a verification of completion from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we) realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement action from DENI. l A ' Name of Land Owner: Signature: Name of Manager (if Signature: a«'C -- AU2ust r. 1997 Date: nt17weron): l - — — — -- — -- -- - Date: _ C) Runoff Controls from Exterior Lots (RC) Facility with exterior lots • Methods to minimize the runoff of pollutants fro lounging and heavy use areas have been installed as specified in the plan. For facili es w/In xte � r lots, o certifcationl is necessary. Name of Technical Special' (Ple. Affiliation Date Work Completed: Address (Agency): Phone No.: Signature: Date: D) Apolication and Handlinz Equipment installation (WL P or I) Check- the as opriate block- nimal waste application and handling equipment specified in the plan is o:: site and ready for use: calibration and adjustment materials have been provided to the owners and are contained as pm of the plan. ;! Animal waste application and handling equipment specified in the plan has not been installed but the 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 plant: required buffets can- be maintained; calibration and adjustment guidance have been provided to the owners and are contained as part of the plan. fD Conditional approval: Animal waste application and handling equipment specified in the 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 can be land applied in acconiance with the cropping system contained in the plan; and calibration and adjustment guidance have been provided to the owners and are contained as part of the plan. Name of Technical Specialist (Please Print):�o Affiliation JUC„C E-S ,3a yam:' � a ���in��� Address (Agency): 7zd Signature: Work Completed: IA—/i-i % Phone `ro. 336-ref "�S tWAr., Z= 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 [ (we) have committed to purchase the animal 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 the conditional certification. I (we) realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement action from DE-M. 1 A Y Name of Land Owner: Signature: Name of -Manager (if different Signature: Date: Date: E) Odor Control. Insect Control and _Mortalitj ;Management (SD. ST. WLTP. RC or i) Iviethods 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 is operational. • Name of Technical Specialist (Please Print): Affiliation „ &C_ ,S Date Work Completed: Address (Agency): tiDRL s 02 N. e A_ S' 7.1 Phone So.: Signature: Date: —/ Please return the completed form to the Division of Water Quality at the following address: n �J Department of Environment, Health, and Natural Resources -, Division Of Water Quality Water Quality Section, Compliance Group -P.O. Box 29535 Raleigh, ivC 27626-0535 Please also remember to submit a copy of tliis form along with the complete animal Waste Management Plan to the local Soil and Water Conservation District Office and to keep a copy in your files with your Animal Waste -Management Plan. ANVC -- Aueust 1. 1997 6 v • -n• � QG William G. Ross Jr., Secretary Ot Y North Carolina Department of Environment and Natural Resources 7 Alan W. Klimek, P. E., Director —i Division of Water Quality January 9, 2003 CERTIFIED MAIL RETURN RECEIPT REOUESTED James Pete Thomas James Thomas Farm 8109 Oxford Rd Timberlake NC 27583 Subject: Application for Renewal of Coverage under the State Non -Discharge General Permit Deaf Permittee: Your facility is currently approved for operation under one of the Animal Waste Operation General Permits. These permits expire on April 30, 2003. The Division of Water Quality (Division) staff is currently in the process of renewing these permits and is scheduled to have the permit reissued by early April 2003. Once the permit is reissued, your facility would be eligible for continued coverage under the reissued permit. The Division has published a public notice regarding these renewed general permits. A copy of the draft animal waste operation general permits and fact sheets are available at the website http://h2o.enr.state.nc.us/ndput or by writing or calling: Non -Discharge Permitting Unit . NC Division of Water Quality 1617 Mail Service Center Raleigh, North Carolina 27699-1617 • Telephone number: (919) 733-5083, ext. 574 In order to assure your continued coverage under the general permit, you must apply to the Division for renewal. Enclosed form. Failure to request renewal of your coverage under a general permit within the time.period specified may result in a civil penalty. Operation of your facility without coverage under a valid general permit would constitute a violation ofNCGS 143- 215.1 and could result in assessments of civil penalties of up to $25,000 per day. If you have any questions about the draft general permits, the enclosed application, or any related matter please feel free to contact Michelle Barnett at 919-733-5083 extension 544. Sincerely, Kim H. Colson, P.E. Cc: Person Soil and Water Conservation District RALEIGH Regional Office, Division of Water Quality Permit File AWS730002 Non -Discharge Permitting Unit 1617 Mail Service Center, Raleigh, NC 27699-1617 Customer Service Center An Equal Opportunity Action Employer Internet http://h2o.enr.state.ne.us/ndpu Telephone (919) 733-5083 Fax (919) 715-6048 Telephone 1 800 623-7748 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 Wayne McDevitt, Secretary Kerr T. Stevens, Director August 6, 1999 James Thomas Farm 8109 Oxford Rd Timberlake NC 27583 Attn: James Pete Thomas 1 � • NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Certificate of Coverage No. AWS730002 James Thomas Farm Swine Waste Collection, Treatment, Storage and Application System Person County Dear James Pete Thomas: In accordance with your application received on February 8, 1999, we are forwarding this Certificate of Coverage (COC) issued to James Pete Thomas, authorizing the operation of the subject animal waste collection, treatment, storage and land application system in accordance with General Permit AWG 100000. This approval shall consist of the operation of this system including, but not limited to, the management of animal waste from the James Thomas Farm, located in Person County, with an animal capacity of no greater than 200 Farrow to Finish and the application to land as specified in. the . Certified Animal Waste Management Plan (CAWMP). 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. 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. 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 An Equal Opportunity Affirmative Action Employer Telephone 919-733-5083 50% recycledl10% post -consumer paper Certificate of Coverage AWS730002 James Thomas Farm Page 2 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) 571-4700. If you need additional information concerning this COC or the General Permit, please contact Sue Homewood at (919) 733-5083 ext. 502. cc -Kerr T. S (Certificate of Coverage only for all cc's) Person County Health Department F, gli Regio al7Off ce,: WateriQuality. Section--� Person County Soil and Water Conservation District Permit File NDPU Files DE14NR RALEfGN RTGia. N L OFF�GF p 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 December 15, 1998 CERTIFIED MAIL RETURN RECEIPT REQUESTED James Pete Thomas James Thomas Farm 8109 Oxford Rd Timberlake NC 27583 Farm Number: 73 - 2 Dear James fete Thomas: IT __T 1 • • mom NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES You are hereby notified that James Thomas Farm, in accordance with G.S. 143-215.1OC, 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 Post Office Box 29535 Raleigh, NC 27626-0535 If you have any questions concerning this letter, please call Sue Homewood at (919)733-5083 extension 502 or Charles Alvarez with the Raleigh Regional Office at (919) 571-4700. Sincerely, for A. Preston Howard, Jr., P.C. cc: Permit File (w/o encl.) Raleigh Regional Office (w/o encl.) P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-7015 FAX 919-733-2496 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 Non -Discharge Permit Application Form (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) General Permit - Existing Liquid Animal Waste Operations The following questions have been completed utilizing information on file with the Division. Please review the information for completeness and make any corrections which 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: James Thomas Farm 1.2 Print Land Owner's name: James Pete Thomas 1.3 Mailing address: 8109 Oxford Rd City, State: Timberlake NC Telephone Number (include area code): 910-364-2121 1.4 County where facility is located: Person Zip: 27583 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): 8 miles from Roxboro Hwy. 158 East. Go to Country Store turn around come back toward Roxboro will be 4th driveway on the left (beige siding house/come through woods and you will see the building). 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: ovoinil 1.9 Date(s) of Facility Expansion(s) (if applicable): 2. OPERATION INFORMATION: 2.1 Facility No.: 73 (county number); 2 (facility number). 21 Operation Descnp Swine operation o`w to Finish 200- Certified Des' Capacity Is the above information correct? ysc no. If no, correct below using the design capacity of the facility The "No. of Animals" should be the maximum numB&7or which the waste management structures were designed. Type of Swine 0 Wean to Feeder 0 Feeder to Finish 0 Farrow to Wean (# sow) 0 Farrow to Feeder (# sow) 0 Farrow to Finish (# sow) No. of Animals Type of Poultry No. of Animals Other Type of Livestock on the farm: 0 Layer 0 Non -Layer 0 Turkey Type of Cattle No. of Animals 0 Dairy 0 Beef R£C Lev �°,ticr� IPiA�cR at11 No. of Animals: 04 _fR .. 1 jov,Disclwt9" per"ttn9 FORM: AWO-G-E 5/28/98 Page 1 of 4 73 - 2 0 2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application system): a f. A; Required Acreage (as listed in the AWMP): 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 NO (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 Farm Siting Act, NRCS Standards, etc.) (Swine Only) YES or NO (please circle one) What was the date that this facility's swine houses and lagoon were sited? 9 o What was the date, that this facility's land application areas were sited? 9egy„ ��„a, 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. Applicants Initials 3.1 One completed and signed original and one copy of 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: 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. 3.3.11 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. FORM: AWO-G-E 5/28/98 Page 2 of 4 73 - 2 Facility Number: 73 - 2 Facility Name: lames Thomas Farm 4. APPLICANT'S CERTIFICATION: I, -.. -m e 5 Pe- ` _o�n to S (Land Owner's name listed in question 1.2), attest that this ap cation for:ZGk�_e S 4_j Lr2!2' (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 wilt be returned to me as incomplete.,, Signature Date 1 - aD - 5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner) 1. Le 1) & IJ / 10 rn lL C (Manauer's name listed in question 1.6). attest that this application for j 14"& ECX- rni (Facility name listed in question 1.1) has been reviewed y 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 p. t �� (� _ 1'i�Q Date —,2 0 — 1, 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 POST OFFICE BOX 29535 RALEIGH, NORTH CAROLINA 27626-0535 TELEPHONE NUMBER: (919) 733-5083 FAX NUMBER: (919) 733-0719 FORM: AWO-G-E 5/28198 Page 3 of 4 RECEIVED WATER Ws~! Uv S>' ' CN FEB Non-Disch&-W RErTWUng 73-2 DIVISION OF WATER QUALITY REGIONAL OFFICES (1/98) Asheville Regional WQ Supervisor 59 Woodfin Place Asheville, NC 28801 (704) 251-6208 Fax (704) 251- 452 Away Macaw Buncombe Madison Burka McDowell Caldwell Mitchell Cherokee Polk Ml Rus+.xrford Oraham Swain Haywood. Transylvania Hmderson Yancey Jackson Fayetteville Regional WQ Supervisor Wachovia Building, Suite 714 Fayetteville, NC 28301 (910) 486-1541 Fax (910) 486-0707 Washington Regional WQ Supervisor 943 Washington Square Mall Washington, NC 27889 (919)946-6481 Fax (919) 975-3716 Beafoet Jones Berde Lenoir Camden Cbowan Martin Pamlico Craven Pasquounk Ckrrrituck - rerquim- ns Dare Pitt Crates Tj rell Gmene Washington Hatford Wayne Hyde Mooresville Regional WQ Supervisor 919 North Main Street Mooresville, NC 28115 (704) 663-1699 Fax (704) 663-6040 Raleigh Regional WQ Sgmnisor 3900 Barrett Dr. Raleigh, NC 27611 (919)571-4700 Fax (919) 733-7072 Clatham Nash Durham Northampton Edgecombe Orange Franklin Person Granville Vance Halifax wake Johnston . warren Lee Wilson Wilmington Region. WQ Supervisor 127 Cardinal Drive Extension Wilmington, NC 28405-3845 (910)395-3900 Fax (910) 350-2004 Aaron Moore Alexander Lincoln Brunswick New Hanover Bladen Richmond Cabar us Mecklenburg Carteret onslow Chu mbaiaad Robeson Catawba Rowan Columbus Peoder Harnett Sampson Cleveland Stanly Duplin Hake Scotland Gaston Union Montgomery h-edell Winston-Salem Regional WQ Supervisor 585 Waughtown Street Winston-Salem, NC 27107 (910) 7714600 Fax (910) 771-4631 Alawance Rockingham Alleghany Randolph Ashe Stokes Caswell Surry Davidson Watauga Davie Vrdkes Farxyth Yadkin Guilford FORM: AWO-G-E 5/2.8J98 Page 4 of 4 40 4; - z'" 7r GENTRYS 'b "+'+ z ti4F STORE ,� '"o►ra g it ca '► � Y .? + " L t%AKt o� ISM v - � • 4 3A tf �± rIORTH eels + 'jj o%r no r. m f O - oRoCc 9 "no f• _ O •ONGNURST -A rY♦ ��ti ° wp oxr alltlgHT 49 �� ° f° Wt H,♦ AD IM5 �YYs` RD ep �w a no l.w7Dh GHURGH T[RkO1+Mnl �• 1 . 7M a 51M o0 " _ no 7 . TALL O TOD* ` 1 �� .. H/ ` Y 4 rl++ O i + � - i + . 7S.t • a • � no i i � . 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TIMEERLAKE t +•,, r y t tpM r DAaL[T no O 9 •�� ORq RO ; to : S a U%� O it 7• •TT[M 91.0 r10 1,t [ tl ` [ 0 4 I1>< V L01, 4 •N ;+ c +� *i FItlo �'1! x•1 SO4" ` O R �Dr4 RO IIDa flea i WAYs[Rt LOOP W R4a ORIAH O� 1 'D C[AHDR[w go NTH aSMtav RD 50 Ito? r 504 ,,,5 ' u �. R/YE,t ,tp1/Ro t ![ Ir,I[«, �`aT q 1AT O O + a ,. R t Y ST K I r►a Y[W O YnHCH[1RR yryLlll 7s•• tit •} L 4 u•a a [ S [wMT ` w „7• Y 57 I*, : +� a RAS71a 11,. HIIH RO r pR" ao • A.IRes ........ . �• ..... +O:[. uwaausad �....... .ro. .... a...... .`.. oy 1 e 01 /j M a+�+iuy 4% N 56��'a�..a�►C,� 1 � r r • I , „ - ZONE A `\ ICJ Ll i ry 11 �� II � II 11 4 11 11 11 11 ' 11 11 �� ':''�♦ N N SAY �F PEEDS STORE �. 1 �► � SR . 11 ,Flow to og •si. -t:r 11 �:� 12 57 - �-- ; 1, ,�ra•'1 r �� ��;1569� , 124 it l�5 j AA :23 'LJ _✓ � TCGT� I ►1'r/7�+�5 ���c a fl r� 22 �. r Mo R/AN c Qu A p NP Perk. I� r k .'�Ii + � /\ ` !II/ /,�� `�( •_� Cfi ockEt _ ✓. 7 � r � 5� + � !� • / J1/�f• � ; \ 1 fir! � `` I!�� . � � %/—y'' . l Animal Waste tManagement Plan Certification (Please tyoe or orint all information till doe; not require a siamatu%i �tistinQ ar::<-i+le�c.:.:;> or: -~ : E.rpanded' "(please circle. one). General Information: Name of Farm:-�r►.�s 1��rY,�sr Facility No: 7S -- Z Owner(s) Name: Mailing Address:-Ofo Phone No:qla-3 �,4 21;z l bc,,IA,6, Mr' 2-7s e3 Farm Location: County Farm is located Latitude and Longitude: 3(,` -7t )' 18 I �Sp -sa ` 54. Integrator: Please attach a copy of a county road map with location identified and describe Mow (Be Specific: road names. directions. milepost, erc.): Operation Descriotion: Type of Swine Xo. of animals :) wean to Feeder r) Feeder to Finish •) Farrow to Wean .) Farrow to Feeder ;M Farrow to Finish 200 sa.0 .) Gilts J Boars Type of pottltrr J Laver 0 Pullets Ai0_ WAIIimals Other Type of Livestock Type of Cattle :3 Dairy _i Be -If gVo. of animals Munher of Animals: XFG/IdiR.V QFCrGrtBR Qnrr- Pre:tottsDesrzn.Catlactr...�ddrtranai::Desien:Cies acr'n . Acreage Available for application: Required Acreage: Number of Lagoons I Storage Ponds. -54a Tomi Capacity: 664-7 Cubic Feet (ft�) Q 3G Q 333 �}3 0-z9s; Are subsurface drains present on the farm: YES or . O (please circle one) If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one) iera itMra se is as f!a.:�tiia �e tN �a lii ai rl�,F �e a!a �t �ja i.ri�.:+�ki,•s.i. 3s a�Mt is ie i�f!e �4 it Y,�rifk aiM oi.;�*a�na.ia ik rc is at is it i�ia is ai ri;srs[�: ax �i ai ai as ax i. x�i�.rx�i i[i�it is Owner 1 Manager Agreement I (we) verify [hat all the above information is correct and will be updated upon changing. I (we) understand the OpeMdon and maintenance procedures established in the approved animal waste manartentent plan for the farm named above and will implement these procedures. 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 nett certification to be submitted to the Division of Environmental Management before the new animals are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application system to surface waters of tide state zither directly through a mail -made conveyance or from a storm event I0SS severe than the 2-5-year. '--l-hour storm and there must not be run-off from the application of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be minimized using technical standards developed by the Natural Resources Conservation Service. The approved plan will be filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know (fiat any modification must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior ro implementation. A change in land ownership requires written notification to DELI or a new certification (if the approved plan is changed) within 60 days of a title u-ansfer. \ame of Land Owner: Signature: _ _ Date: .Name of Manager(if different from owner): Signature: AWC -- August 1. 1V9 Date: r. Technical Specialist Certification L As a technical specialist deaianated by the North Carolina Soil and Water Conservation Commission pursuant to 1-A NCAC bF .0005, 1 certify that the animal waste management system for the farm named above has an animal waste management plan that meets or exceeds standards and specifications of the Division of Environmental Management (DE-NI) as specified in 15A CAC 2H.0317 and the USDA -Natural Resources Conservation Service (i RCS) an(lIor the North Carolina Soil and Water Conservation Commission pursuant to 15A -NCAC 2H.0217 and 15A NCAC bF .0001- .0005. The following elements are included in the plan as applicable. While each category designates a 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. II. Certification of Design A) Collection. Storage. Treatment System_ Check the approprrare box Existing facility without retrofit (SD or WUP) Storage volume is adequate for operation caeacity: sorage capahikEy consistent «ith a-:tste utilizatitin requirements. r r C Xf��•r•� f S�dy•� — 19 New. ecy7andedor retrofitted facility (SD) r'e-�r-e�',�ed -- chle„ped � z s44y.e- .animal waste storage and treatment structures. such as but not limited to collection systems. laaoo_ ns and ponds. have been designed to meet or exceed the minimum standards and specifications. Name of Technical Specialist (Please Print):_Ei?An) r- EVA,yS Affiliation u5 - Aj 4 c-.S Date Work Completed: M - 9 Address {Abency}:-,f4D400l p C4#C A I) IC . Af-FIt�.�/c Phone No.: 2/9 2,r -166 Signature:.-k� - - - - -- - - Date: B) Land Aa lication Site (WUP) The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is suitable for waste management, hydraulic and nutrient loading rates. Name of Technical Specialist (Please Prin[): -teS . I uc t� e Affiliation ecs Date Work Completed: is Address (Agency): 304S./titorini�C. 124 k � 5.��.i r SIR hone _\'o.:3�G--5IV V-.�9�3 Y1: 7\o_k b o - �9C�� z SiLmature: C) Runoff Controls from Exterior Lots Check the approprrare box Z Facility without exterior lots (SD or W' P or RC) This facility does not contain any exterior lots. Date: D Facility with exterior lots (RC) Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in accordance with technical standards developed by `ARCS. Name of Technical Specialist (Please P 'nt): Al'tiliation 7� Address (Agency): Date Work Completed: Phone No.: Si12n;ltur: .• WC •. Au-u;t 1. 1997 Datc: D). Apolication and Handling Equipment Check the appropriate box ia' j,cistine nrsandin� facility with e�,istinsr +vy,�e anolicatinn eouipment (WUP or 1) Animal waste application equipment specified in the plan has been either field calibrated or evaluated in accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the waste management plan: (exisdng 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 timing of appiicadons has been established, required buffers can be maintained and calibration and adjusuneru guidance are c.)ntained as pan of the plan). :I New, xpnnoed. or existing facility wijhQut exising waste a . ion eguinment forrav irrigadoo. (I) Animal waste application equipment specified in the plan bzs been designed to apply waste as necessary to accommodate the waste management plan: (proposed application equipmena can cover the area required by the plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications has been established: required buffers can be maintained: calibration and adjustment guidance are contained as part of the plan). :D New, expanded_ or existing facility +vithout_es sting waste annlicatiort equipment for Egad snr adina not uc;n! st,r_tvirrization. (WUP or I) Animal waste applicadon equipment specified in the plan has been selected to apply 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 either the specified hydraulic or nutrient loading rates: a schedule for timing of applications has been established; required buffers can be maintained: calibratiun and adjustment guidance are -contained as part of the plan). �_ , , Name,of Technical Specialist (Please Print):yo N P Affiliation c �' ICS Soy 6.1>7p��cnsfi- kr-. t Address (Agency): g c'' azf• Signature: lam, Work Completed: /�?^Jy -97 Phone No.: ST : /fS Date: — ` 9 E) Odor Control. insect Control. Mortality iylanagement and Emereencv Action Plan (SD SI. WUP. RC or P The waste management plan for this facility includes a Waste Management Odor Control Checklist. an Insect Control Checklist, a Mortality Managemem Checklist and an Emergency :fiction Plan. Sources of both odors and insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best i`ianagement Practices to Control Insects have been selected and included in the waste management plan. Boni the .%iomt ity Management Plan and the Emergency Action Plan are complete and can be implemented by this facility. Name of Technical Specialist (Please Print): c1 eT /, y' Affiliation 1(' C ES Date �vori: Cumpleted: Address (Agency): ��� s. C. �d„ 's�, �P,� �,��1�. a Pets ., IJ C .;77.f7-? Phone No.: %/r% 9 SiLnature: Yd7 Date: F) Written Notice of New or Expanding Swine Farm The follor.-ing signature block is only to be used for new or expanding swine farms that begin construction after June 2I, 1996. If the facility was built before June 21. 1996, when was it constructed or last expanded I (we) certify that I (we) have attempted to contact by cirdfied mail all adjoining property owners and all property owners who own property located across a public road. street.%o highway from this new or expanding swine farm. The notice was in compliance with the requirements of NCGS I06465.1 A copy of the notice and a list of the property owners nodfied is attached. 1 r ,i Name of Land Owner; i f ! i' � ,T Signature: -Name of Manager (if di Signature: AWC -- .august 1. 199 � ni from o r): Date: Date: III. Certification of Installation A) Collection. Storage. Treatment Installation New. exnanded or retrofitted fac-iiity (SO Animal waste storage and treatment structures. such as but not limited to lagoons -and ponds. have been installed in accordance with the approved plan to meet or exceed the minimum standards and specifications. For existing facilities without retrofits, no certification is necessary. Name of Technical Specialist (Please Print):ey4 Affiliation U pA -i oee,5 _Date Work Completed: / 9& Address (Agency): 4-poi D CARYQ DR e4i-e9A(,_QG a74/0 Phone No.: 9 9-A-M /e66 Signature: A Date:_ //--IS -97 B) Land Apolication Site (WLT) Check the appropriate-bor The cropping system is in place on all land as specified in the animal waste management plan. :1 Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system 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 (tnonth/daylyearh the proposed cover crop is appropriate for compliance with the wasteudiization plan. Q Also check this box if appropriate r if the cropping system as specified in the plan can not be established on newly cleared land within 30 days of this certification, the owner has committed 4o establish an interim crop for erosion control; Name of Technical Specialist (Please " o e. 00:a h. f Affiliation S CC -5 Date Wort: Completed: iz is-4 St Rm.ta. 33 -Sy9-ir9S—NcCC: Address (Agenpy): Rol, rrG ge a,- d �Af C. +-1-IT7A ne 0.:33 -s q 7 -:i 4 73 h%CS S ignature: Date:1.2 -2 This folKwing signature block is only to be used when the box for conditional approval in M. B above has been checked. I (eve) certifv that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan. and if appropriate to establish the interim crop for erosion control. and will submit to DELI a verifiicadoa of completion from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we) realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement action from DEEM. f 4 Name of Land Owner: Signature: Name of Manager (if Signature: AWC .- ,august 1, 1997 ovmer): Date: Date: C) Runoff Controls from Exterior Lots (RC) Facilicv with exterior lots Methods to minimize the run off of pollutants frotry lounsing and heavy use areas have been installed as specified in the plan. 7 For facilities withoidext Name of Technical Specialj6� (Pleasq�Prin Address (Agency): Signature: lots, po certification is necessary. Date Work Completed: Phone No.: te: D) A olication and Handling E uioment Installation (W P or I) Check the�aooprrare mock .2' animal waste application and handling equipment specified in the plan is o . site and ready for use: calibration and adjustment materials have been provided to the owners and are contained as girt of the plan. �! Animal waste application and handling equipment specified in the plan has not been installed but the owner has proposed leasing or third party application and has provided a signed contract: equipment specified in Elie contract agrees .with the requirements of the plan: required buffers can- be maintained; calibration and adjustment guidance have been provided to the owners and are contained as part of the plan. .:.I Conditional approval: Animal waste application and handling equipment specified in the 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 can be land applied in accordance with the cropping system contained in the plan; and calibration and adjustment guidance have been provided to the owners and are contained as pan of the plan. Name of Technical Specialist (Please Print): o e Affiliation uC CEs _Date Work Completed: Address (Agency):. 3,�. M. or9�� � 7� Z 3 Phone NTo.: �3 3 Signature:_., -- Date:_ /�? rl 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 animal 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 13 calendar days following the date specified in the conditional certification. 1 (we) realize that failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement action from DEM. I A Name of Land Owner: Signature: Name of Manager (if different Signature: Date: Date: E) Odor Control. Insect Control and_Mortnlity Mana4ement (SD. SI. WUP. RC or 1) iviethods to control odors and insects as specified in the Plan have been installed and are operational. Tne mortality management system as specified in the Plan has also been installed and is operational. Name of Technical Specialist (Please Print): AffiliationN E-S — ,� _ Date Work; Completed: / r __ C C Address (Agency): o Signature: Phone No.: Date: —I A%VC -- August 1. 1997 Please return the completed form to the Division of Water Quality at the following address: Department of Environment, Health, and Natural Resources Division Of Water Quality Water Quality Section, Compliance Group P.O. Box 29535 Raleigh, NC 27626-0535 Please also remember to submit a copy of this form along with the complete Animal Waste Management Plan to the local Soil and Water Conservation District Office and to keep a copy in your fifes with vour Animal Waste Management Plan. %VC -- august 1. 1997 6 ANIMAL WASTE UTILIZATION PLAN Producer: James Thomas Location: 8109 Oxford Rd. Timberlake NC 27583 Telephone: 910-364-2121 Type Operation: Existing Farrow to Finish Swine Number of Animals: 200.00 sows (Design Capacity) STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon APPLICATION METHOD: irrigation The waste from your animal facility must be land applied at a specified rate to prevent pollution of surface water and/or groundwater. The plant nutrients in the animal waste should be used to reduce the amount of commercial fertilizer required for the crops in 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 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: 1. 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. 2. Soil types are important as they have different infiltration rates, leaching potentials, cation exchange capacities, and available water holding capacities. 3. Normally waste shall be applied to land eroding at less than 5 tons per acre per year. Waste may be applied to land eroding at 5 or more tons per acre annually, but less than 10 tons per acre per year providing that adequate filter strips are established. 4. Do not apply waste on saturated soils, when it is raining, or when the surface is frozen. Either of these conditions may result in runoff to surface waters which is not allowed under DWQ regulations. ANIMAL WASTE UTILIZATION PLAN 5. Wind conditions should also be considered to avoid drift and downwind odor problems. 6. To maximize the value of the nutrients for crop production and to reduce the potential for pollution, the waste should be applied to a growing crop or applied not more than 30 days prior to planting a crop or forages breaking dormancy. Injecting the waste or disking will conserve nutrients and reduce odor problems. This plan is based on the waste application method shown above. If you choose to change methods in the future, you need to revise this plan. Nutrient levels.for different application methods are not the same. 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. In some cases you may want to have plant analysis made, which could allow additional waste to be applied. Provisions shall be made for the area receiving waste to be flexible so as to accommodate changing waste analysis content and crop type. Lime must be applied to maintain pH in the optimum range for specific crop production. 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, ft3, tons, etc.) 200 sows x 19.9 tons waste/sows/year = 3980 tons AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR 200 sows x 26 lbs PAN/sows/year = 5200 lbs. PAN/year 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, soil type and surface application. b ANIMAL WASTE UTILIZATION PLAN TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS-- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------- APPLY RESID. APPLIC METH N TIME 874 la OrB FPG 4.2 94.5 6.93 645.435' I AUG- OCT, MID. FE 874 1lb �OrB FHH 14.2 1210 1 120.5514349.1AUG- OCT,MID.FE 3947 3 jOrB FHH 14.2 1210 1 12.47 1424.2 I AUG- OCT, MID. FE END I TOTAL15418.73 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied while meeting the N,requirements. In the future, regulations may require farmers in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. ANIMAL WASTE UTILIZATION PLAN TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE (Agreement with adjacent landowners must be attached.) (Required only if operator does not own adequate land. See required specification 2.) TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED __--- or -------- APPLY RESID. APPLIC METH N TIME END TOTAL 10 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. ** Acreage figures may exceed total acreage in fields due to overseeding. * lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial nitrogen (COMM N) supplied. The following legend explains the crop codes used in tables 1 and 2 above: CROP CODE CROP UNITS PER UNIT 50 22.5 FHH FPG FESCUE - HAY PASTURE - GRAZED TONS TONS TOTALS FROM TABLES 1 AND 2 ACRES LBS AW N USED TABLE 1 29.95 5418.735 ANIMAL WASTE UTILIZATION PLAN TABLE 2 1 0 1 0 TOTAL .1 29.95 1 5418.735 *** BALANCE 1-218.735 1 ------------------- *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. ANIMAL WASTE UTILIZATION PLAN amounts of nitrogen shown in the tables may make this plan invalid. The following table .is provided as a guide for establishing application rates and amounts. Tract Field Soil Type Crop Application Rate (in/hr) Applic. Amount (inches) 3947 3 OrB FHH .2 *1.0 874 1a OrB FPG .2 *1.0 874 lb OrB FHH .2 *1.0 * This is the maximum application amount allowed for the soil assuming the amount of nitrogen allowed for the crop is not over applied. In many situations, the application amount shown cannot be applied because of the nitrogen limitation. The maximum application amount shown can be applied under optimum soil conditions. Your facility is designed for 180.00 days of temporary storage and the temporary storage must be removed on the average of once every 6.00 months. In no instance should the volume of the waste be stored in your structure 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. It is the responsibility of the producer and waste applicator to ensure that the spreader equipment is operated properly to apply the correct rates to the acres shown in Tables 1 and 2. Failure to apply the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid. Call your technical specialist after you receive the waste analysis report for assistance in determining the amount of waste per acre and the proper application rate prior to applying the waste. ARRATIVE OF OPERATION ANIMAL WASTE UTILIZATION PLAN *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. Acres shown in each of the preceding tables are considered to be the usable acres excluding required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter areas not receiving full application rates due to equipment limitations. Actual total acres in the fields listed may, and most likely will be, more than the acres shown in the tables. See attached map showing the fields to be used for the utilization of animal waste. SLUDGE APPLICATION: 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. Your production facility will produce approximately 860 pounds of plant available nitrogen per year in the sludge. If you remove the sludge every 5 years, you will have approximately 4300 pounds of PAN to utilize. Assuming you apply this PAN to hybrid bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you will need 14.3333333333 acres of land. If you apply the sludge to corn at the rate of 125 pounds of nitrogen per acre, you will need 34.4 acres of land. Please be aware that these are only estimates of the PAN and land needed. Actual requirements could vary by 25% depending on your sludge waste analysis, soil types, realistic yields, and application methods. APPLICATION OF WASTE BY IRRIGATION The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil structure, soil texture, water droplet size, and organic solids. The application amount should not exceed the available water holding capacity of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the crop. If surface irrigation is the method of land application for this plan, it is the responsibility of the producer and irrigation designer to ensure that an irrigation system is installed to properly irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and WASTE UTILIZATION PLAN 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 an 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 an 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, climatic conditions, and level of management, unless there are regulations that restrict the rate of application for other nutrients. 4. Animal waste shall be applied to land eroding less than 5 tons per acre per year. Waste may be applied to land that is eroding at 5 or more 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 Strip) 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 North Carolina" for guidance.) 7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that runoff does not occur offsite 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 or 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 a depth that would inhibit growth. The potential for salt damage from animal waste should also be considered. Page: 8 WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 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 the 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 from 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 perennial waters. .(See Standard 393 - Filter Strips). 12. Animal waste shall not be applied closer than 100 feet to 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 over -spraying. Animal waste may be applied to prior converted cropland provided they have been approved as a land application site by a "technical specialist". Animal waste shall not be applied on grassed waterways that discharges directly into water courses, and on other grassed waterways, waste shall be applied at agronomic rates 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. Berms and structures should be inspected regularly for evidence of erosion, leakage or discharge. Page: 9 WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 18. If animal production at the facility is to be suspended 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 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. Waste shall be tested within 60 days of utilization and soil shall be tested at least annually at crop sites where waste products are applied. Nitrogen shall be the rate - determining element. Zinc and copper levels in the soils shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted for optimum crop production and maintained. Soil and waste analysis records shall be kept for five years. Poultry dry waste application records shall be maintained for three (3) years. Waste application records for all other waste shall be maintained for five ( 5 ) years. 23. Dead animals will be disposed of in a manner that meets North Carolina regulations. Page: 10 NARRATIVE OF. OPERATION. This operation consists of a retrofitted, 2 stage lagoon for a 200 sow farrow to Einish operation. The operator should never allow the water level of the lagoon co go above the start pump stake. Also, always stop waste application immediately should runoff occur. If there are any changes planned for the 3peration that affect the. Animal Waste Management Plan, the operator should contact a technical specialist or the Person SWCD beforehand. ANIMAL WASTE UTILIZATION PLAN WASTE UTILIZATION PLAN AGREEMENT Name of Farm:James Thomas Farms Owner/Manages 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 North Carolina Division of Water Quality (NCDWQ) 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 NCDWQ upon request. Name of Facility Owner: James Thomas (Please print) Signatux Name of Signatur Date: a - 02 er) : Date: Name of Person Preparing Plan: (Please print)Jim Huey Affiliation:NRCS Phone No. 919-597-2973 Address (Agency): 304 S. Morgan St. Rm 126 Roxboro NC 27573 Signature: 6�1�cc�s Date: 02 -.> -" ANIMAL WASTE UTILIZATION PLAN ANIMAL WASTE UTILIZATION AGREEMENT (Needed only If additional land has to be leased, etc.) I, , hereby give permission to apply animal waste from his Waste Utilization System on acres of my land for the duration of time shown below. The fields) on which waste can be applied are shown on the attached map. I understand that this waste contains nitrogen, phosphorous, potassium, and other trace elements and when properly applied should not harm my land or crops. I also understand that the use of waste will reduce my need for commercial fertilizer. Adjacent Landowner: Waste Producer: Technical Representative: SWCD Representative: Date: Date: Date: Date: Term of Agreement: ,19_ to (Minimum of Ten Years on Cost Shared Items) (See Required Specification No. 2.) ANIMAL WASTE UTILIZATION PLAN *** This number must be less than or equal to 0 in order to fully utilize the animal waste N produced. Acres shown in each of the preceding tables are considered to be the usable acres excluding required buffers, filter strips along ditches, odd areas unable to be'irrigated, and perimeter areas not receiving full application rates due to equipment limitations. Actual total acres in the fields listed may, and most likely will be, more than the acres shown in the tables. See attached map showing the fields to be used for the utilization of animal waste. SLUDGE APPLICATION: 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. Your production facility will produce. approximately 860 pounds of plant available nitrogen per year in the sludge. If you remove the sludge every 5 years, you will have approximately 4300 pounds of PAN to utilize. Assuming you apply this PAN to hybrid bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you will need 14.3333333333 acres of land. If you apply the sludge to corn at the rate of 125 pounds of nitrogen per acre, you will need 34.4.acres of land. Please be aware that these are only estimates of the PAN and land needed. Actual requirements could vary by 25%- depending on your sludge waste analysis, soil types, realistic yields, and application methods. APPLICATION OF WASTE BY IRRIGATION The irrigation application rate should not exceed the intake rate of the soil at the time of irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture content, soil structure, soil texture, water droplet size, and organic solids. The application amount should not exceed the available water holding capacity of the soil at the time of irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the crop. If surface irrigation is the method of land application for this plan, it is the responsibility of the producer and irrigation designer to ensure that an irrigation system is installed to properly irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and a� � A► -�a�3 �f � � �17 ova �07 o aFE- -----4 ` 0 FhVIaq � je___ �r o�G ` +d'� J d !1 i CAWW We WWC Acre 11.30.98 CAWMP WETTABLE ACRE COMPUTATIONAL WORKSHEET 1. Farm Number (Identification) �3' �- Field Number (Identification) 7-3 9 y 7 2. Irrigation System Designation `� Existing Irrigation System New / Expanded Irrigation System 3. Type of Irrigation System Stationary Sprinkler ✓ Hard -Hose Traveler Center Pivot Linear -move System 4. Number of Stationary Sprinklers # Interior sprinklers # Exterior sprinklers Number of Travel Lanes # Interior Lanes �— # Exterior Lanes 5. Wetted Diameter L700 [feet] From field data sheet Length of pull [feet] 6. Spacing �2 Q Lateral / Hydrant Spacing [feet] 0 7 [as percentage of wetted diameter] Sprinkler spacing along lateral [feet] [as percentage of wetted diameter] 7. Sprinkler or Hydran gout Multiple Laterals/Hydrants Single Lateral/Hydrant Excessively spaced Sprinklers/Hydrants 8. Read the irrigated area per sprinkler/travel pull for the given wetted diameter from the appropriate tabale and column based on pattern, spacing, and sprinkler/travel lane location. Stationary Sprinklers Acres per Interior sprinkler from Table Column Acres per Exterior sprinkler from Table Column Traveler: Interior Hydrant (travel lane) (a) Acres start end of pull from Table Column (b) Acres middle portion of pull (Pull Length [feet] X Wetted Width [feet]) / 43,560 (c) Acres stop end of pull from Table Column Total acres for Interior pull (Sum: a + b + c) Traveler: Exterior Hydrant (travel lane) 7 • (a) Acres start end of pull from TableFFYO Column 0 (b) Acres middle portion of pull {Pull Length f [feet] X Wetted Width o2Vp [feet])/ 43,560 . 63 (c) Acres stop end of pull from Table ZLD Column CY o�7 Total acres for Exterior pull (Sum: a + b + c) 9. Multiply the tabulated irrigated acreage value per sprinkler or travel pull by the number of sprinklers or pull. of each category in the field. Sum all of these and this is the total irrigated acreage for the field. (a) Acres per Interior Sprinkler or Pull X # Sprinklers or Pulls = Acres _(b) Acres per Exterior Sprinkler or Pull X / # Sprinklers or Pulls = Acres a Total Wettable Acre for field (Sum: 9a + 9b) Wettable Acre Computational Worksheet Completed by: Date �l " CAWMP wettabAc Acm 11-3ags CAWMP WETTABLE ACRE COMPUTATIONAL WORKSHEET 1. Farm Number (Identification) Field Number (Identification) Fie 0(09 2. Irrigation System Designation i/� Existing Irrigation System l r�� New / Expanded Irrigation System 9`` J C 3. Type of Irrigation System Stationary Sprinkler �� Hard -Hose Traveler Center Pivot _ Linear -move System 4. Number of Stationary Sprinklers # Interior sprinklers # Exterior sprinklers Number of Travel Lanes — - # Interior Lanes _ # Exterior Lanes 5. Wetted Diameter 3 d 0 [feet] From field data sheet Z0 d 0 Length of pull [feet] 6. Spacing O Lateral / Hydrant Spacing [feet] g J°� [as percentage of wetted diameter] Sprinkler spacing along lateral [feet] (as percentage of wetted diameter] 7. Sprinkler or Hydrant Layout t/" Multiple Laterals/Hydrants Single LateraVHydrant Excessively spaced Sprinklers/Hydrants 8. Read the irrigated area per sprinkler/travel pull for the given wetted diameter from the appropriate tabale and column based on pattern, spacing, and sprinkler/travel lane location. Stationary Sprinklers Acres per Interior sprinkler from Table Column _ Acres per Exterior sprinkler from Table Column Traveler: Interior Hydrant (travel lane) %3 (a) Acres start end of pull from Table-TiO Column -j&_ 3 �� S; S/ (b) Acres middle portion of pull 3 {Pull Length /000 [feet] X Wetted Width � 0 [feet]} / 43,560 , fg (c) Acres stop end of pull from Table _ . W Column _ 6. 93 Total acres For Interior pull (Sum: a + b + c) Traveler: Exterior Hydrant (travel lane) ,Z Z - (a) Acres start end of pull from a Table 2E?o Column / (b) Acres noddle portion of pull �0 (Pull Length a00 [feet] X Wetted Width aIkD [feet])/ 43,560 (c) Acres stop end of pull from TablegE d Column ?Z Total acres for Exterior pull (Sum: a + b + c) 9. Multiply the tabulated irrigated acreage value per sprinkler or travel pull by the number of sprinklers or pull: of each category in the field. Sum all of these and this is the total irrigated acreage for the field. ��(a) Acres per Interior Sprinkler or Pull X o2 # Sprinklers or Pulls = % Acres 9/ (b) Acres per Exterior Sprinkler or Pull X # Sprinklers or Pulls = Acres o��7jo'l Total Wettable Acre for field (Sum: 9a + 9b) Wettable Acre Computational Worksheet Completed by: d4e.Date:' 4t -7 - .2 A I. JA Sy S.22 S H fF2 OYB 7, �. � rt 3"�r -� rui, 4 /.2 �a. �'r-.a' f S�' 1�E �,•' ,r` � F�; 'S • } � *++,,,��+•y, r t 1 •t r �yn�� P� it { '�tjjy -, ?• L _ "p °' q h,� H• Z f .Z � r` I ��K�I, � -7 ' >.�r5h+'til ��,i+ � L /:; .5 A 2 B. -� �E�ry, • • f r.. :.ar= f' ,,S.T 0'd AIVO ,f n i S �3 tt'� '�4" t4� * •f' {r tr ��Z 2f2$ +5`lffrr r_f:.r i,J`�'�, r�q%�' ,�•i..`r £r- • `isb 2 21� ti�S p l '1A1 -'S , ' ` '(1 A�- J , .� { <i t• :. -, F {rrn- Y {� + J�' `Sy' '�f. u y f Yur .,1 'y, fT� i r - f ' TP` ��•il rz t xc' rr 11• +1 ' � •;=H a r i • �� � r!' y,` � ,, t , k , ; ];, •� r , f � ice;,'' ,� -;,S '] r . — ' ,�pp1ry� .v- •� lTi.,'i*!l�rf >"i 7 ar 1, •-,+' 'J ;Z �'R ! ....S.Z.�� { 13 - yY?-� l� `-'`, Fs i' h!��` ! • ?"3 ,; �1'Yi �• wl 'r1- 70tl 7 P "-I— �i4 �l. .r � 1 Jt - � J r�1 . �"^ r �,� ' _ ' � d 's • ,(�' •- ix ���.Z �B ,. • _ .q �r = X j¢.��.a _i�, # �-� � ''}r � ' I�. xc {�tr '_ p � yti - :'�'�r�,• -r f� ah= rn Ix'r �}.fL•rilN.r �kl'. _y' . �r.y v� 1fi.,. ! .i .� 1 'A�'- 7 fT i 5. �'!�+ K r r- � 3 rs}. .i r •- Yi '� h�r. s4 � ti �4��.��•�A''! `. �.St k�3FjF.f�, yY� 7 °�- � r. ''a -r Yt#�'� ,� a ;r,. r � �, � y ii"fa�`• 3,r.v , .,Zi'' ,,.f-ram. ST'"� 'y' � i� ns, ., �l T � " I��' {-�I<f�1C •'~ f�, ;�, a- n, � f •1 ::+ - n y; 'p�!' t/ ��(Z r f� ��f k � � �j .jd�yj�j'�yd �r Y, 1� -+ -V �� t}. iv. /ir F' j;-• 1 3+n�i ti+".� T ; \'�� ff•�r[.i L. IrL }�t �, �I'�V �SI'7 } v Y I -' o- �r=Y �. K y '• tr �r Ft �y, 6 i" �1r rt r tp`,� t� {� .: tr Vv�r1i • "'�D �' ^r Lr U1 `se;,f ; ��' e ' �� ��r. J2 �:�' 4SP., `' f -"' .+' NA .+ t+ {r r . � l6�r ��+ � ,r,.�• ,�4,r S i _ .�• "rrh .� t �*.'' • .y' ��,�1 ,, '� � � Zt '� fQ N , } �Y ,• 1'1 �• " � S _ "3'1'f!- r'a. ��'�!(` Jy . .{ ''- r L ,rt �1 S 3�..f tq� � it .!1 wSZ��j' F~r •r.> ,r,• •� � •.3. 'I�� � i>; :�� f• }y1i!4'S M�lbl' ;w•f +:A � .. sC. S•R!/7.2�" t\: � '-' '+ f }'"k .�r , -k'la'•� '`•F , . .r , +'," ` zoSL3 r� y its •..,1 �.,.. �, � ,��I�~ ,�.��r .. f �$ """' _ l.t. Ll� s1a SAz� ,2/.t,Q - ' � • > F .I�2$ I.. .. .. i� - i �� ` 9r� :/ ,ill. �i �. i—:7 ....,. • rr ANIMAL WASTE UTILIZATION PLAN TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- ICROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------- APPLY RESID. APPLIC METH N TIME 874 la OrB FPG 4.2 94.5 6.93 645.435 I AUG- OCT,MID.FE 874 Ilb IOrB IFHH 14.2 1210 1 120.5514349.1 AUG- OCT,MID.FE 3947 3 jOrB FHH 14.2 1210 1 12.47 1424.2 I AUG- OCT,MID.FE TEND TOTALI5418.73 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future, regulations may require farmers in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. ANIMAL WASTE UTILIZATION PLAN TABLE 2: ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE (Agreement with adjacent landowners must be attached.) (Required only if operator does not own adequate land. See required specification 2.) TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------ APPLY RESID. APPLIC METH N TIME END TOTAL10 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. ** Acreage figures may exceed total acreage in fields due to overseeding. * lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial nitrogen (COMM N) supplied. The following legend explains the crop codes used in tables 1 and 2 above: CROP CODE CROP UNITS PER UNIT FHH FPG FESCUE - HAY PASTURE - GRAZED TONS TONS 50 22.5 TABLE 1 TOTALS FROM TABLES 1 AND 2 ACRES LBS AW N USED 29.95 5418.735 ANIMAL WASTE UTILIZATION PLAN TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------- APPLY RESID. APPLIC METH N TIME 874 la OrB FPG 4.2 94.5 6.93 645.435 I AUG- OCT,MID.FE 874 lib 1OrB IIHH 14.2 1210 1 120.5514349.1 AUG- OCT,MID.FE 3947 3 jOrB FHH 14.2 1210 1 2.47 1424.2 I AUG- OCT,MID.FE END I TOTALI5418.73 - Indicates that this field is, being overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future, regulations may require farmers in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. ANIMAL WASTE UTILIZATION PLAN TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------- APPLY RESID. APPLIC METH FPG N TIME 874 la OrB 4.2 94.5. 6.93 645.435 I AUG- OCT, MID. FE 874 Ilb OrB IHH 14.2 1210 + 120.551AUG9.1 OCT,MID.FE I 3947 3 OrB FHH 14.2 1210 1 12.47 1424.2 I AUG- OCT,MID.FE END TOTAL15418.73 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied whale meeting the N requirements. In the future, regulations may require farmers in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. r ANIMAL WASTE UTILIZATION PLAN TABLE 1: ACRES OWNED BY PRODUCER TRACT FIELD SOIL TYPE & CLASS- CROP YIELD LBS COMM N ** * LBS DETERMINING PHASE CODE AW N PER ACRES AW N PER AC AC USED ----- or ------ APPLY RESID. APPLIC METH N TIME 874 la FPG 4.2 94.5 6.93 645.435 OrB I AUG- OCT,MID.FE 874 lb OrB JFHH 14.2 I 1210 1 120.5514349.1 AUG- OCT,MID.FE 3947 3 OrB FHH 14.2 T 1210 1 12.47 1424.2 AUG- OCT,MID.FE 1 II I I I I TOTAL15418.73 - Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. NOTE: The applicator is cautioned that P and K may be over applied while meeting the N requirements. In the future, regulations may require fanners in some parts of North Carolina to have a nutrient management plan that addresses all nutrients. This plan only addresses nitrogen. WASTE UTILIZATION PLAN 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 an 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 an 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, climatic conditions, and level of management, unless there are regulations that restrict the rate of application for other nutrients. 4. Animal waste shall be applied to land eroding less than 5 tons per acre per year. waste may be applied to land that is eroding at 5 or more tons, but less than 14 tons per acre per year providing grass filter strips are installed where runoff leaves the field. (See FOTG Standard 393 -Filter Strip) 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 applicaticn does not occur,,.during a season prone to flooding. (See "Weazzer and Climate inNorth Carolina" for guidance.) 7. Liquid waste shall be applied at rates not to exceed the so_l infiltration rate such that runoff does not occur offsite or zo surface waters and in a method which does not cause drift frcm the site during application. No ponding should occur in order to control odor or 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 a depth that would inhibit growth. The potential for salt damage from animal waste should also be considered. Page: 8 Ar WASTE UTILIZATION PLAN REQUIRED SPECIFICATIONS 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 the 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 from 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 perennial waters. (See Standard 393 - Filter Strips). 12. Animal waste shall not be applied closer than 100 feet to 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 over -spraying. Animal waste may be applied to prior converted cropland provided they have been approved as a land application site by a "technical specialist". Animal waste shall not be applied on grassed waterways that discharges directly into water courses, and on other grassed waterways, waste shall be applied at agronomic rates 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. Berms and structures should be inspected regularly for evidence of erosion, leakage or discharge. Page: 9 r/ WASTE 'UTILIZATION PLAN REQUIRED SPECIFICATION 18. If animal production at the facility is to be suspended 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 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. Waste shall be tested within 60 days of utilization and soil shall be tested at least annually at crop sites where waste products are applied. Nitrogen shall be the rate - determining element. Zinc and copper levels in the soils shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted for optimum crop production and maintained. Soil and waste analysis records shall be kept for five years. Poultry dry waste application records shall be maintained for three (3) years. Waste application records for all other waste shall be maintained for five ( 5 ) years. 23. Dead animals will be disposed of in a manner that meets North Carolina regulations. Page: 10 A 73-2 OPERATION AND MAINTENANCE PLAN ------------------------------ This lagoon is designed for waste treatment (permanent storage) with min. odor control. The time required for the planned fluid level to be reached (permanent + temporary storage) may vary due to soil conditions flushing operations, and the amount of fresh water added to the system. The designed 6 months temporary storage is an estimated volume based on: 1) waste from animals; 2) excess rainfall after evaporation; and 3) the largest 24 hour (one day) rainfall that occurs on the average of once every 25 years. The volume of waste generated from a given number of animals will be fairly constant throughout the year and from year to year. This estimate is based on 7 inches of excess rainfall which is equal to or exceeds the highest 6 months excess in a year. The average annual excess rainfall is approximately 8 inches. Therefore, an average of 8 inches of excess rainfall will need to be pumped each year. The 25 year rainfall will not be a factor to consider in an annual pumping cycle, but this storage volume must always be available. A maximum elevation is determined in each design to begin pumping and this is usually the outlet invert of pipe(s) from building(s). If the outlet pipe is not installed on the elevation to begin pumping, a permanent marker must be installed on this elevation to indicate when pumping should begin. An elevation must be established to stop pumping to maintain minimum treatment depth (6 feet). Pumping can be started or stopped at any time between these two elevations for operating convenience as site conditions permit, such as weather, soils, crop, and equipment in order to apply waste without runoff or leaching. Land application of waste water is recognized as an acceptable method of disposal. Methods of application in solid set, center pivot, guns, and traveling gun irrigation. Care should be taken when applying waste to prevent damage to crops. The following items are to be carried out: 1. It is strongly recommended that the treatment lagoon be pre - charged to 1/2 its capacity to prevent excessive odors during start-up. Pre -charging reduces the concentration of the initial waste entering the lagoon thereby reducing odors. Solids should be covered with effluent at all times. When precharging is complete, flush buildings with recycled lagoon liquid. Fresh water should not be used for flushing after initial filling. 2. The attached waste utilization plan shall be followed. This plan recommends sampling and testing of waste (see attachment) before land application. 3. Begin numo-out of the lagoon when fluid level reaches eleva- tion as marked by permanent marker. Stop pump -out when the fluid level reaches elevation ;-.o or before the fluid depth is less than 6 feet deep (this prevents the lose of favorable bacteria). The design temporary storage, less 25 year storm is cubic feet or,,,44 80.gallons. As stated before, this volume will vary considerably from year to year. 4. The recommended maximum amount to apply per irrigation is one (1) inch and the recommended maximum application rate is 0.3 inch per hour. 5. Keep vegetation on the embankment and areas adjacent to the lagoon mowed annually. Vegetation should be fertilized as needed to maintain a vigorous stand. 6. Repair any eroded areas or areas damaged by rodents and establish in vegetation, 7. All surface runoff is to be diverted from the lagoon to stable outlets. 8. Keep a minimum of 25 feet of grass vegetated buffer around waste utilization fields adjacent to perennial streams. Waste will not be applied in open ditches. Do not pump within 200 feet of a residence or within 100 feet of a well. 9. The Clean Water Act of 1977 prohibits the discharge of pollutants into waters of the United States. The Department of Environment, Health, and Natural Resources, Division of Environ- mental Management, has the responsibility for enforcing this law. 0 J,I O r � �� fq ❑ Vol aV!i 54' D qr/ ' w gw .a 4.� GENTRYS . ° °Ran .odo = eNFJaa i STORE f AlkI1l_ LAX ¢� 44Jy O7*t11tr ` R CA • t � w � ♦ p ss � Y � tiO+t tilt _� a • .t VA *L r 7 D aT' 4 Id FIVE C a. 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CrtU4G" RD � i � /{ . a ; STORE 49 r, �7 � rf a fIJ ' r O tr d e[ Iflt d � ° • ' f J[ •o O Oti0 i at q 'o BROOKSOALE olo CAFucNf"`Lt ys N,t "VJf • � o r � IM1rM1 N �J" test � r Of 0, y rt c fG � wiw . � • C'yE'tt GIJ 1•e i • r4,t "A4a •, O a - d 40 11•t[r 41 +y SUR ?EEOS M1e+ 40 ^' :r♦ STORE i YHES IyCr • o jO - 158 TAVERN a C r qp w' 4 M4^+ if d AA<4o ...J OtILOF ^w ` 1 O YO k JJa OLD y • ,� [WfHat ti6 + d Y ,O�r 1W F •. °Rt RO Is t J •a t1t d !rt f e LEVEL ro."D►+``"°- ':� - - IrJ, �.. o R° r 1 RO yd a,4• Jrr k Jy 4'C pA.lt• RD Oo 40 R , CA[tL N•,�Jt �rL•f.✓'O 17A IJ,4''rR.� to : 4r 117y •' " lrlt a M= •f[p L \•[t F° Jt Jt t CEDAAA71ft= C 14, O a -A 51 d ^t ' o GC rr�r C' a F td� tr w•1, f JJ tOrD ^O • nD - i O .f ° r YA •r 1 V41 COVflk 4D • v MlLLN4 v .tADt 1 V6+' O IrS4 e 1C+IOOL � 4D 7 Q� C C[ •rMANt rL0 t*+0 ,tJ, ` watt •�•Rt11[L04p = 9� AlR OR7 MTTIR AM ♦ 1 "Irrr Ilt.o o t• r+ „ TIMIERLAKE P Irit z f . ww � tp,• _ 044ltt 4D 40 aayl OaD*O • S°r � S " BTt.[t CLD .a • a,i • f r f CM_ PO 1134 O•(J LD f O• A VVi. i Q •tt J' '{� ,tp �['[LO aTS IM fO°*N 09 t n3/ ♦ s b.agLRSLODr p W v�o t, CCA.04tw 4o 6 J N Fawltt .D SOUTH tfu[Dat1► ; . I tltt a4Ar ;' y f4T 50i efrEa sO% ' o l i 57 4 ,rt• w 3 �M1t! w,NC„IfT94. W � to a 4 4r'n. tilt VrILLN 4t1t Ga N � t] � aaa♦ * 4 ,It• P r ,t 57 r i JD- Daal 4° r itt w F{T4tt r• S;. - . - . ..... h . Y147t Lod te. , f ....... . . .... 9 ...... : o f ......... . n .♦ EMERGENCY ACTION PLAN DWQHGNE NUMBERS d� J EMERGENCY MANAGEMENYSYSTEM SWCD o-J" MRCS NCCE5 o- s 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. 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 eliminate 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 A 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. 0 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 propertydamage? 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)? h. 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 number: 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, phone number - - , local SWCD office phone number and local NRCS office for advice/technical assistance phone number - - 4: If 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 for you. 5: Contact the contractor of your choice to begin repair of problem to minimize off -site damage. a. Contractors Name: b. Contractors Address: M %.b la IV C- A 7X 93 c. Contractors Phone: o %; 2 December 18, 1996 R 6: Contact the technical specialist who certified the lagoon (MRCS, Consulting Engineer, etc.) .11 a. Name: b. Phone: 7: Implement procedures as advised by DWQ and technical 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. December 18, 1996 Insect Control Checklist for Animal Operations Source Cause BWs to Control insects Site Specific Practices solids Flush system is designed and operated ' sufficiently to remove accumulated solids from gutters as designed. 0 Remove bridging of accumulated solids at lischarge _ Lagoons and Pits • Crusted Solids aK Maintain lagoons, settling basins and pits where pest breeding is apparent to minimize the �P' crusting of solids to a depth of no more than 6 - Jnches over more than 30% of surface. 1 Excessive Vegetative Decaying vegetation Er Maintain vegetative control along banks of ^� Growth Igoons and other impoundments to prevent Feeders Feed Spillage AMIC -November 11, 1996, Page 1 accumulation of decaying vegetative matter along waters edge on impoundment's perimeter. B'Design, operate and maintain feed systems (e.g., �] � bunkers and troughs) to minimize the W cumulation of decaying wastage. M Cleanup spillage on a routine basis (e.g., 7 - 10 day interval during summer; 15-30 day interval F3' Reduce moisture accumulation within and around immediate perimeter of feed storage areas by insuring drainage away from site and/or providing adequate containment (e.g., cov ed bin for brewer's grain and similar high oisture grain products). Inspect for and remove or break up accumulated solids in filter strips around feed storage as needed. iro Wlz�' % i Source Cause BMPs to Control insects Site Specific Practices Animal Holding Areas Accumulations of animal wastes 0 Eliminate low areas that trap moisture along and feed wastage fences and other locations where waste accumulates and disturbance by animals is minimal. /f Q '4i O Maintain fence rows and filter strips around animal holding areas to minimize accumulations of wastes (i.e., inspect for and C&111 remove or break up accumulated solids as needed). Dry Manure Handling • Accumulations of animal wastes 0 Remove spillage on a routine basis (e.g., 7. 10 Systems day interval during summer, 15-30 day interval during winter) where manure is loaded for land .GOt� application or dispotal. O Provide for adequate drainage around manure �i�— 10-1. 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, Departrnent of Entomology, Box 7613, North Carolina State University, Raleigh, NC, 2769S-7613. �H Jr Swine Farm Waste Management Odor Control Checklist Source Cause BMPs to M ulmize Odor Site Specific Practices Farmstead Swine production etative or wooded buffers; �✓ :>1Veotnmended best management practices; G,`0`odjudgment and common sense Animal body surfaces • Dirty manure -covered animals W'Dry floors + Wet manure -covered floors floors; f� W rs located over slotted floors; ��Crape at higlt end of solid floors; manure buildup from floors; 0' Underfloor ventilation for drying Manure collection pits • Urine; 2" Frequent manure removal by flush, pit recharge; • Partial microbial decomposition o Pe. C� Underfloor ventilation Ventilation exhaust fans • Volatile gases; �ffl "F aintenance; L_ _ "' � l/ Dust Ecunt air movement Indoor surfaces • Dust Washdown between groups of animals; 0 Feed additives; O Xftdercovers; Feed delivery downspout extenders to feeder cpvers Flush tanks • Agitation of recycled lagoon ❑ Flush tank covers; Iiquid while tanks are filling ❑ Extend fill lines to near bottom of tanks with anti -siphon vents Flush alleys • Agitation during wastewater ❑ Underfloor flush with underfloor vendlatioa 1 conveyance { ! n + Agitation of recycled lagoon liquid while pits are filling Lift stations • Agitation during sump tank filling and drawdown Outside drain collection • Agitation during wastewater or junction boxes conveyance AMOC -November 11, 1996, Page 3 © Extend recharge lines to near bottom of pits with anti -siphon vents O Sump tank covers _ ❑ Box covers Source Cause BMPs to Minimize Odor Site Specific Practices End of drainpipes at Agitation during wastewater 0 Extend discharge point of pipes underneath VX „, _ MZ lagoon conveyance moon liquid level (" ` Lagoon • Volatile gas • Biological mixing; • Agitation :' per lagoon liquid capacity; C rrect lagoon startup procedures; !mum surface area -to -volume ratio; $' Minimum agitation when pumping; 0 Mechanical aeration; 0 l�:rrwen biological additives Irrigation sprinkler • High pressure agitation; i� gate on dry days with little or no wind; nozzles • Wind drift i uiinium recommended operating pressure; p intake near lagoon liquid surface; QY Pump from second -stage lagoon Storage tank or basin • Partial microbial decomposition; 0 Bottom or midlevel loading; surface • Mixing while filling; 0 Tank covers; • Agitation when emptying 0 Basin surface mats of solids; 0 Proven biological additives or oxidants Settling basin surface • Partial microbial decomposition; 0 Extend drainpipe outlets underneath liquid • Mixing while filling; I vel; • Agitation when emptying Remove settled solids regularly Manure, slurry or sludge • Agitation when spreading; 0 Soil injection of slurry/sludges; spreader outlets . Volatile gas emissions 0 Wash residual manure from spreader after use; 0 Proven biological additives or oxidants Uncovered manure, • Volatile gas emissions while 0 Soil injection of slurry/sludges slurry or sludge on field surfaces drying O Soil incorporation within 48 hrs.; 0 Spread in thin uniform layers for rapid drying; O ftyea biological additives or oxidants Dead animals • Carcass decomposition Proper disposition of carcasses Dead animal disposal • Carcass decomposition 0 Complete covering of carcasses in burial pits; - V pits 0 Proper location/construction of disposal pits Incinerators incomplete combustion 0 Secondary stack burners AMOC -November 11, 1996, Page 4 Source Cause / BMPs to Minimize Odor Site Specific Practices water facilities • Microbial decomposition of organic matter Manure tracked onto public roads from farm access Grade and landscape such that water drains away from facilities access roads 9' Farm access road maintenance Additional Information: Available From: Swine Manure Management; 0200 RuleBMP Packet NCSU, County Extension Center Swine Production Farm Potential Odor Sources and Remedies ; EBAE Fact Sheet NCSU - BAE Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment; EBAE 128-88 NCSU - SAE Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment; EBAE 129-88 NCSU - BAE Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83 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; PRO107, 1995 Conference Proceedings Florida Cooperative Extension AMOC - November 11, 1996, Page 5 Mortality Management Methods (check which method(s) are being implemented) o Burial three feet beneath 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. o Rendering at a rendering plant licensed under G.S. 106-168.7 u Complete incineration / -/'0 A/D, o In the case of dead poultry only, placing in a disposal pit of a size and design approved by the Department of Agriculture o 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 most be attached) ta- 4;6� 1 '0& pop - December 18, 1996 State of North Carolina Department of Environment and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Wayne McDevitt, Secretary Kerr T. Stevens, Director April 27, 1999 James Pete Thomas James Thomas Farm 8109 Oxford Rd Timberlake NC 27583 I T 1 •WAA • NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Application No. AWS730002 Additional Information Request James Thomas Farm Animal Waste Operation Person County Dear James Pete Thomas: The Non -Discharge Permitting Unit has completed a preliminary engineering review of the subject application. Additional information is required before we can continue our review. Please address the following by May 27, 1999: 1. Your Waste Utilization Plan (WUP) list the Yield for Fescue on Tract 874as 4.2 tons per acre. This is higher than recommended in documentation made available to the Division of Water Quality. Please contact your technical specialist to review the Waste Utilization Plan and provide justification that supports the increased yield as shown in the current WUP or revise the current WUP. Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist. Please reference the subject permit application number when providing the requested information. All information should be signed, sealed, and submitted in duplicate to my attention at the address below. The information requested by this letter, must be submitted on or before May 27, 1999 or the Division will return your application as incomplete in accordance with 15A N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit. Please be advised that operation of the subject animal waste management system without a valid permit is a violation of North Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental Management Commission. If you have any questions regarding this request, please call me at (919)_ZU-5083, extension 502. Sincerely;.` ue Homewood Environmental Engineer Non -Discharge Permitting Unit cc: Raleigh Regional Office, Water Quality Permit File P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-0719 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper z ' 3. Begin puma -out of the.lagoon when fluid level reaches eleva- tion Axe as marked by permanent.marker. Stop pump --out when the fluid level reaches elevation 8?6-0. or before the fluid depth is less than 6 feet deep (this prevents the loss of favorable bacteria). The design temporary storage, less 25 year storm is cubic feet or %6C 7Q80. gallons. As stated before, this volume"will vary considerably from year to year. 4. The recommended maximum amount to apply per irrigation is one (1) inch and the recommended maximum application rate is 0.3 inch per hour. 5. Keep vegetation on the embankment and areas adjacent to the lagoon mowed annually. Vegetation should be fertilized as needed to maintain a vigorous stand. 6. Repair any eroded areas or areas damaged by rodents and establish in vegetation. 7. All surface runoff is to be -diverted from the lagoon to stable outlets. 8. Keep a minimum of 25 feet of grass vegetated buffer around waste utilization fields adjacent to perennial streams. Waste.will not be applied in open ditches. Do not pump within 200 feet of a residence or within 100 feet of a well. 9. The Clean Water Act of 1977 prohibits the discharge of pollutants -into waters of the United States. The Department of Environment, Health, and Natural Resources, Division of Environ- mental Management, has the responsibility for enforcing this law. / e-re- -7%oa irs 73-2 OPERATION AND MAINTENANCE PLAN ------------------------------ This lagoon is designed for waste treatment (permanent storage) with min. odor control. The time required for the planned fluid level to be reached (permanent + temporary storage) may vary due to soil conditions flushing operations, and the amount of fresh water added to the system. The designed 6 months temporary storage is an estimated volume based on: 1) waste from animals; 2) excess rainfall after evaporation; and 3) the largest 24 hour (one day) rainfall that occurs on the average of once every 25 years. The volume of waste generated from a given number of animals will be fairly constant throughout the year and from year to year. This estimate is based on 7 inches of excess rainfall which is equal to or exceeds the highest 6 months excess in a year. The average annual excess rainfall is approximately 8 inches. Therefore, an average of 8 inches of excess rainfall will need to be pumped each year. The 25 year rainfall will not be a factor to consider in an annual pumping cycle, but this storage volume must always be available. A maximum elevation is determined in each design to begin pumping and this is usually the outlet invert of pipe(s) from building(s). If the outlet pipe is not installed on the elevation to begin pumping, a permanent marker must be installed on this elevation to indicate when pumping should begin. An elevation must be'established to stop pumping to maintain minimum treatment depth (6 feet). Pumping can be started or stopped at any time between these two elevations for operating convenience as site conditions permit, such as weather, soils, crop, and equipment in order to apply waste without runoff or leaching. Land application of waste water is recognized as an acceptable method of disposal. Methods of application include solid set, center pivot, guns, and traveling gun irrigation. Care should be taken when applying waste to prevent damage to crops. The following items are to be carried out: 1. It is strongly recommended that the treatment lagoon be pre - charged to 1/2 its capacity to prevent excessive odors during start-up. Pre -charging reduces the concentration of the initial waste entering the lagoon thereby reducing odors. Solids should be covered with effluent at all times. When precharging is complete, flush buildings with recycled lagoon liquid. Fresh water should not be used for flushing after initial filling. 2. The attached waste utilization plan shall be followed. This plan recommends sampling and testing of waste (see attachment) before land application. THIS -DESIGN IS FOR A TWO -STAGE LAGOON CLIENTS NAME PETE THOMAS PERSON COUNTY DATE AUGUST 30� 117,715 DISTANCE TO NEAREST NONFARM RESIDENCE 0 FEET NUMBER OF PIGS WEANLING TO FEEDER 0 NUMBER OF PIGS FEEDER TO FINISH ­==> 0 NUMBER OF SOWS FARROW TO WEANLING --- 0 NUMBER OF SOWS FARROW TO FEEDER 0 NUMBER OF SOWS FARROW TO FINISH> 200 DEGREE OF ODOR CONTROL 1.0 (minimum 1.0 cu.. €t. per lb ssiw) (maximum 3.0 cu. ft. per lb sslw) NUMBER OF YEARS OF SLUDGE ACCUMULATION > 0.0 YEARS TOP LENGTH AT NORMAL WATER LEVEL 260.0 FEET TOP WIDTH AT NORMAL WATER LEVEL > 215.0 FEET NORMAL WATER LEVEL ELEVATION 93.3 FEET LAGOON BOTTOM ELEVATION 87.3 FEET Depth of Permanent Water 6.0 feet (minimum depth without sludge = 6 feet) (minimum depth with sludge = 8 feet) FIRST STAGE SIDESLOPES - > 2.5:1 FIRST STAGE FREEBOARD 2.0 FEET Permanent Volume Required 283400.0 cubic feet Permanent Volume Provided 294450.0 cubic feet First Stage Top of Dam Elevation = 95.3 feet aside Dimensions of Lagoon at Top of Dam ,ength = 270.0 feet Width = 225.0 feet ADDITIONAL DRAINAGE AREA IN SQUARE FEET> 0 SQUARE FEET (i.e. pumpout pond & other outside area)•> LENGTH OF PUMPING CYCLE 180 DAYS GALLONS OF FRESH WATER ADDED DAILY > 1900 GALLONS EXCESS RAINFALL ABOVE EVAPORATION > 7.0 INCHES 25YR/24HR STORM RAINFALL 6.1 INCHES LENGTH AT TOP OF ALL TEMPORARY STORAGE > 290.0 FEET WIDTH AT TOP OF ALL TEMPORARY STORAGE => 120.0 FEET TEMPORARY STORAGE LIQUID SURFACE ELEV. > 93.3 FEET SECOND STAGE BOTTOM ELEVATION > 85.0 FEET SEASONAL HIGH WATER TABLE ELEVATION => 84.9 FEET Depth of Temporary Storage = 8.3 feet SECOND STAGE SIDESLOPES 2.5:1 SECOND STAGE FREEBOARD > 2.0 FEET Temporary Storage Required 222813.5 cubic feet Temporary Storage Provided 222992.6 cubic feet Second Stage Top of Dam Elevation = 95.3 feet Inside Dimensions of Lagoon at Top of Dam Length = 300.0 feet Width = 130.0 feet ^!gin Pumping Elevation is 93.82273442419 feet LAGOON SUMMARY SHEET & TYPICAL CROSS-SECTION TWO STAGE LAGOON Top Width Settled Top of Dam: q,5.3 /o %o Construct Top of Dam I L Fill Yardage: Slope Slope 10 Natural.Ground Elev. Cut-off Trench Depth determined by SCS on site Width depends on equipment Pipe Type & Size 8� PVCr Start land application Elev. 93..3 , elev. ----------------------- Bent F• nDort Siap Z•5 �10 /B000e m elev.� Treatment Volume Z44.450 cu. ft. Top of sludge elev. ---------- Sludge Volume L Temporary �1�51 sla Storage Volume 2.5 ..Z•5 cu ft /•5 TK+c-rc GRAY I-1/VER G j o e •T TQT Bottom elev. s,o --' Seasonal High Water elev. 8� Primary Treatment Volume Size: Length SGG mWidth Total Cu. Yds. Temporary Storage Volume Size: Length oo Width _go Excay. /743g Bench Mark Description: Elevation: Loll .c0 General Information Engineering Job Class: Hazard Class: ha ` Animal Type: S(,,! Type operation: rber of Animals: o`ZDO TE: If construction is not started ,thin one year, this plan is not valid until a re-evaluation of the design and flood plain safety hazards are made. Lagoon for Animal Waste PF�-re ,e{p Farm EEes�.� County State U. S. 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