920010_PERMIT FILE_20171231

09/26/2000 11:35 FAX [phone]
WAKE SWCD
TO:
Wake Soil and Water Conservation District
Agricultural Services Building
1001 Ouya Drive, Suite D • Raleigh, North Carolin a 27610 • [phone]
Fax: [phone]
FAX TRANSMISSION SHEET
DEPTAGENCY: NA
DATE: 912,100
FAX NUMBER:
NUMBER OF PAGES:
(excluding cover sheet)
FROM:
PHONE NUMBER;
COMMENTS:
04
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09/26/2000 11:35 FAX [phone] WAKE SWCD
Z02
DJ and PJ Hog Farm
Donald H. Jones
Paula P. Jones
1121 Averette Road
Wake Forest, NC 27587-8213
[phone]
August 1, 2000
Ms. Sue Homewood
NCDENR
Division of Water Quality
1617 Mail Service Center
Raleigh, NC 27699-1617
Dear Ms. Homewood,
Please consider this letter a request for Application No. AWS920010 to be removed
from the registration list for animal waste management systems for compliance with the ,0200
and subsequent legislation as enacted by the NC General Assembly_ Our operation has had no
animals on site since February of 1998 and we do not foresee this farm becoming operational in
the future. We have maintained our registration until recently to receive clarification on the
potential impacts of remaining operational versus inactive.
If you have questions regarding this matter, please feel free to contact us at the above
phone number. We will assume we are considered inactive unless we receive correspondence
indicating otherwise.
Thank you for your time and efforts regarding this matter.
Si erely,
Donald H. Jones
Paula P. Jones
cc: Mr. Tom Hill
Wake Soil and Water
Conservation District
Agricultural Service Building
4001 Carya Drive, Suite D
Raleigh, NC 27610

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Donald H. Jones
DJ & PJ Hog Farm
1121 Averette Rd
Wake Forest NC 27587
Dear Donald H. Jones:
I 6ffl?W'J
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
fl -
December 30, 1999'�.
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 92-1.0,
zWake-County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI,IRR2, DRY1, DRY2, DRYS, SLUR1, 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 [phone] ext. 571.
ax
cc: Raleigh Regional Office
Wake County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
An Equal Opportunity Affirmative Action Employer
Sincerel ,
Kerr T. Stevens, Director
Division of Water Quality
Telephone[phone] Fax [phone]
50% recycled/10%a post -consumer paper

'J� a
Type of Visit -Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit JO Routine O Complaint O Fonow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit: t
0 Permitted ,Certified 0 Conditionally Certified [3 Registered
FarmName: ..s >J.... S..../ ..... � 5...�........... I ....................................................
OwnerName: ...must;°............................................................................
Facility Contact:
.. Title:
Time:
Iperational 0 Below Threshold
Date Last Operated or Above Threshold:
Count
y: .................................................
PhoneNo:.......................................................................................
Phone No:
MailingAddress: ..................................................................................................................... ..................................................................................... ..........................
OnsiteRepresentative: ........................................................................................................... Integrator :..................f.................. .....
Certified Operator:.... �fl!:ji......�J...d�;.............................................................. Operator Certification Number........1.6..Z1...............
Location of Farm:
i
V
Swine ❑ Poultry ❑ Cattle
❑ Horse Latitude �• ��
�64 Longitude •
��«
,..
Ca�aci� shy
C rren Design Current
`illation
Swine
;.' Poul Caeac0 Pa nlatio Cattle
:'Pa ul t3onJ _ ei Ca aci Po
❑ Wcan to Feeder
''Mayer
❑ Dairy
eeder to Finish
❑Non -Layer
"-'
❑Non -Dairy
4V
5
❑ Farrow to Wean;
_, ,. ; ;_;. ::.•
❑ Other
❑Farrow to Feeder
❑Farrow to Finish
Total Design Capacity,
r,„
❑ Gilts
❑Boars
'TotaI'SSLW. , ;
+ Number of Lagoons ❑Subsurface Drains Present 1EILagoonArea . ❑Spray Field Area
Holding Poudsl Solid Traps;; ❑ 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?
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
❑ Yes No
❑ Yes No
❑ Yes �o
❑ Yes No
❑ Yes
❑ Yes oo
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: r%...............................................................................................................................................................................................
Freeboard (inches):
8
5/00 Continued on back

Fdcility Number: Date of Inspection a!
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes j No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or �
closure plan? ❑ Yes O i`o
(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? ///p'Yes 00
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes QX0
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level /
elevation markings? ❑ Yes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes 'Phlo!
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes
12. Crop type C
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 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 J-a o
16. Is there a lack of adequate waste application equipment? ❑ Yes No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ Yes ❑ No
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 prio
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports) ❑ Yes Zo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes E�No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes�o
24. Does facility require a follow-up visit by same agency? ❑ Yes "Q'I`10
25, Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 01`0
�i� yi01ati0gs.er 00rjciende$ *Ore JnO ed• 0(Wiag bjs;visit; • Y60 )Villl-00 p 4Q fpftht • •
;comes• orideia& abhul� this visit.
dra of Iacili to tt ty er exp nsx a ons use a , op pages>as;necessary r i . ,• r,;{ • ,. _. ' > >....,.., : l V IA
-��� � � C �°r flvtve-c. �`� 9 0 •
AL
C J
k,,)JJ k, _01�
Reviewer/Inspector Name Gt;�,t.�,�� r �',rFj QD
t,. x .
Reviewer/Inspector Signature: Date: 12-1 r 3 a 1. 5/00

Facility Number: Z — Dale of Inspection L o
Odor issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below ❑ Yes 'PI&o
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes P-No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ?10
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 PTo
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 . NoNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? 0 Yes P'No
Addifional Comments,an or rawings:.
7
5100
J

Type of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation
Reason for Visit p Routine p Complaint p Follow up p Emergency Notification p Other ❑ Denied Access
Facility Number Date of Visit. 11/20/2000 'Time: 11:50 Printed on: 12/21/2000
Not Operational p Below Threshold
13 Permitted X Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: 211JI99B.......
Farm Name: DJ..&-P.J..Hog.Farm....................... ... County:.Wake .................................................. RRO............
Owner Name: Donald.H.............................. dunes........................................................... Phone No: 9.19-.55.6-.46.4.ox.17.3.R.........................................
Facility Contact:.........:.................................................... ..Title: .. Phone No:
Mailing Address: 1121.Av.crelie.Rd................................................................................. Wake.Fozest..Nc ................................................. 27587..............
Onsite Representative: sarm.as..shave..............................................
Certified Operator:Dnaald................................... JAUCS ..................................
Location of Farm:
1/2 miles west of RoTe—s—vilVe on 1121 Averette Road.
Integrator: ..............
Operator Certification Number:IVRI.........
® Swine []Poultry ❑ Cattle ❑ Horse Latitude OW 01 Longitude ®e ' Opt
Design, Current Design Current Design Current "
Swine Capacity ''Popul'ahon Y Capa ' ! Caftle , ',' i Ca'pactty, i Population
Poultr city Populatton�
❑ Wean to Feeder
® Feeder to tuts
❑ at -row to can
❑ Farrow to Fee er
❑ Farrow to Finish
p Gilts
p Boars
❑ Subsurface Drains Present Ilp Lagoon Area llIp Spray Field Area J
❑ O Liquid W aste Management "yytem
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon p Spray Field p 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? (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) p 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? ❑ Yes ® No
Wasa Collection !& Tregjmenr
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway © Yes ® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure C
Identifier:
Freeboard (inches): ...............35............... ..............
S/111} 9-mitimivd nit hark

10 Initial Survev O Follow-up Survey —,(2dc 10 CG(�
Facility Number 2. F Zj Date of Inspection : .0 d
Time of Inspection V-7'36 124 hr. (hh:mm)
❑ Permitted ❑ Certified ❑ Registered U Non -Registered ❑ Inactive Facifi Date Last Operated .
Farm Name: .) !iy..� �r%•,s...........................................
..........,n.__...e............................h--s►---`......................................_.......... County: l
OwnerName Y�NP..:.�� ..1 Jk�........................ _................ .. Phone No: ............................................................... .......................
Facilitv Contact: ..........Title : .................
'lawn address 11 Z ( /-t vtremit1 P -
g.................................................................................I......._...........
Qnsite Renresentatire:...............�.�. �..�.........._...........
�? .� J� IV..5 ........................... _ _-
Certified Operator: .................... ................. ............ ......
Location of Farm:
.......... Phone No: ..............................
Integrator: ......................................................................................
Operator Certification Number :................._.......................
............................................ ........................... ................................................................................ ............................. ....................................................................................
Design Current
Swine Capacity Population
❑ Wean to Feeder {
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
EYFarrow to Finish
C)
❑ Gilts
❑ Boars
t -777d
Design Current Design Current
l� Poultry Capacity Population G Cattle Capacity_ Po uladon
❑ Layer ❑ Dai _
❑ Non -Laver ❑ Non -Dairy j
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Lagoon Area ❑ Lagoon Area ❑ 5prayGeld Area
Holding.Ponds !Solid Traps ❑ No Liquid Waste Management 5 stem
Y
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes [31No
Discharzc originated at lagoon:
a. If discharge is observed. was the conveyance man-made-? ❑ Yes E,2/Ne
❑ Yes 7/No
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 _-,aUmin''.
❑Yes d No
d. Does discharg,_ bypass a lagoon system? (If yL-.s, notify DWQj
❑ Yes �No
3. Is there evidence of past discharge from any part of the operation?
Yes Z,44c
3. Were there any adverse impacts or potential adverse impacts to the WatZLate other than from a discharge?
Collection & Treatment ❑ Yes ❑ No
4. Is storage capacity (freeboard plus storm storage) less than adeouate-y
Structure 1 Saucture 3 Structure Structure -; Structure Structure 6
Identifier:
Frechoard (=nchcs): Z
1h/00

lJ 1
Latitude �- ZZ Longitude
5. Waste Last Added (mm/dd/yy) 100
6. Estimate of lagoon surface area (acres)
, 32-64
7. Height of Embankment (feet)
0
8. Distance to Blue Line Stream (feet)
/-b00
9. Distance to down gradient well without intervening stream (feet)
7 f Shp
10. Distance to WS waters or HQW (miles)
11. Located within 100 year floodplain (Y/N)
0 Yes V No
12. Appearance of Lagoon Liquid
a. SIudge Near Surface 0
b. Lagoon Liquid Dark, Discolored
c. Lagoon Liquid Clear Q
13. Embankment Condition
a. Poorly Built, Trees, Stumps, Erosion Burrows, Slumping, Seepage, etc. 0
b. Construction Specification Unknown But Dam Appears in Good Condition V
c. Constructed and Maintained to Current MRCS Standards
14. Outside Drainage Area .
a. Poorly Maintained Diversions or Large Drainage Area not Addressed in Design
b. Has Drainage Area Which is Addressed in Lagoon Design
c. No Drainage Area or Diversion Well Maintained
15. Liner Status
a. High Potential for Leaking, No Liner, Sandy Soil, Rock Outcrops Present, etc. 0
b. No Liner, Soil Appears to Have Low Permeability 12/
c. Meets Current MRCS Liner Requirements 0
17. Management to Prevent Overflow
a. Liquid Level less than 12 inches from Tap of Dike OR Liquid Level less 0
than 18 inches and No Sprayfield or Application Equipment Available.
b. Liquid Level Greater than 18 inches from Top of Dike with No Application ❑
Equipment and/or Sprayfield Available OR Liquid Level Between 12 and
I8 inches with Application Equipment and Sprayfield Available.
c. Liquid Level Greater than 18 inches from Top of Dike.
Application Equipment and Sprayfield Available
18. Was contact made with on -site representative: p�yes ❑ No
19. Does lagoon require follow-up: 0 Yes �l0
a

Comments (Refer to Question #): Explain any Yes answer and/or any other comment.
�C
Sketch of Site:
Name: Cli.�i1 Cr 14 lv,,-e z.
Signature: 41
�-'

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY RALEIGH REGIONAL OFFICE
February 14, 2000
Mr. Donald Jones
1121 Averette Road
Wake Forest, North Carolina 27587
Subject: Notice of Deficiency
Facility # 92-10
DJ & PJ Hog Farm
Wake County
Dear Mr. Jones:
On December 2, 1999, Charles Alvarez 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 swine operation was not causing any adverse effects on
Waters of the State at the time of the inspection. However, a condition exists that requires you:
attention to comply with the Certified Animal Waste Management Plan for your facility.
No lagoon waste analysis was available to cover part of the annual spray application
period. A waste analysis must be taken within a period 60 days before or 60 days after
spray application. This analysis must be done to comply with the requirements in }our
Animal Waste Management Plan.
Please respond in writing to this office, within 30 days of receipt of this letter, outlining your
plans to correct the above conditions.
The Raleigh Regional Office appreciates your cooperation in this matter. If you have any
questions regarding this inspection please call Charles Alvarez at [phone].
Sincerely,
enneth Schuster, P.E.
Regional Supervisor
cc: Larry Petrovick, Wake Soil and Water Conservation District
Margaret O'Keefe, DSWC-RRO
RRO Files
3800 BARRE" DRIVE, SUITE 101, RALEIGH, NORTH CAROLINA 27609
PHONE O19-571-4700 FAX [phone] t 8
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RIICYCLI<O/10% POST -CONSUMER PAPER

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY RALEIGH REGIONAL OFFICE
February 14, 2000
Mr. Donald Jones
1121 Averette Road
Wake Forest, North Carolina 27587
Subject: Notice of Deficiency
Facility # 92-10
DJ & PJ Hog Farm
Wake County
Dear Mr. Jones:
On December 2, 1999, Charles Alvarez 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 swine operation was not causing any adverse effects on
Waters of the State at the time of the inspection. However, a condition exists that requires you -
attention to comply with the Certified Animal Waste Management Plan for your facility.
No lagoon waste analysis was available to cover part of the annual spray application
period. A waste analysis must be taken within a period 60 days before or 60 days after
spray application. This analysis must be done to comply with the requirements in }our
Animal Waste Management Plan.
Please respond in writing to this office, within 30 days of receipt of this letter, outlining your
plans to correct the above conditions.
The Raleigh Regional Office appreciates your cooperation in this matter. If you have any
questions regarding this inspection please call Charles Alvarez at [phone].
Sincerely,
'Kenneth Schuster, P.E.
Regional Supervisor
cc: Larry Petrovick, Wake Soil and Water Conservation District
Margaret O'Keefe, DSWC-RRO
RRO Files
8800 BARRETT DRIVE, SUITE 101, RALEIGH, NORTH C.AROLINA 27609
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 80% RECYCLED/1 0% PORT -CONSUMER PAPER

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Donald H. Jones
DJ & PJ Hog Farm
1121 Averette Rd
Wake Forest NC 27587
Farm Number: 9�� 2 = 10:?
Dear Donald H. Jones:
ilkf1 ?*W, •
IT
MOM
NCD.ENR
NORTH CAROLINA^DEPARTMENT OF
ENVIRONMENT AND -NATURAL RESOURCES
December 1, 1999
M
W
0
You are hereby notified that DJ & PJ Hog Farm, in accordance with G.S. 143-215.10C, must apply for coverage
under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixth (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
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Dianne Thomas at [phone] extension 364 or
Charles Alvarez with the Raleigh Regional Office at [phone].
Sincerely, .j
for ;Xlk=T: Stevens
cc: Permit File (w/o encl.)
Ralf eigh-Regional'Office_(w/a:encl.)J
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Facility Number ' 2- f Date of Inspection 1 2 l 9
Time of Inspection 24 hr. (hh:mm)
© Permitted Certified [3ConditionallyCertified 0 Registered 10 Not Q erutional Date Last Operated:
Farm Name: ,.i FJ�.�� County:...........h11��t..f..�-................................................
..
..... f...........................�.....................................I—.........................
Owner Name:
.........Q��..{........................ ................... °^'. .... Phone No:..............�. 7........................_......................
.......
Facility Contact: .............................................................................. Title:............... Phone No:
Mailing Address: ......�1.2 t %7,... /(t<.KC....,...'1:.......:...................... ..Tls�.,...
......... ..................
Onsite Representative: ........................................................................................................... Integrator:......................................................................................
Certified Operator:................................................................................................................ Operator Certification Number:..........................................
Location of Farm:
A.
..................................................................................... ....................................................................................................
Latitude �' ®f 2�' Longitude
Design Current '� t ` Design Current. Design °Current
Swine
:Ca achy Population, Poultry Ca achy. Po ulation Cattle Capacity Population,"
❑ Wean to Feeder
eeder to Finish
• Li5b
Q
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other It.' .
't '`Total Design Capacity
j
E
Total"SSLW
Number of,Lagoons . ❑Subsurface Drains Present ❑Lagoon Area ❑Spray Feld Area
( P "f: . ...... ..... .. .. .. .. i 1 i
h ❑ No LiquidHolchpglPonds l Sold ,Traps' Waste Management System
Discharp,es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes [j No
Discharge originatcd at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ZINo
1
b, If 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? (Ili 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
Identifier:
❑ Yes No
❑ Yes [2/No
❑ Yes [2 No .
❑ Yes �io
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Freeboard (inches): ........ .Z.).
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
❑ Yes 0No
3/23/99 Continued on back

F►acilify Number: e Z -- 10 1 Date of Inspection
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 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?
i l . Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type bolt rV
moc�
13. Do the receiving crops differ with those designated in the Certified Anirnal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(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) Cl Yes EdNo
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes M No
❑ Yes VNo
❑ Yes l,3 No
❑ Yes [3/No
❑ Yes ❑1No
❑ Yes D No
❑ Yes E�No
❑ Yes [t�No
❑ Yes E(No
[Yes ❑ No
❑ Yes dNo
❑ Yes eNo
❑ Yes ZN0
❑ Yes El"'No
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 ❑ No
dYes ❑ No
❑ Yes E�No
❑ Yes dNo
(SOS [ Yes ❑ No
❑ Yes dNo
: �'6'yi61ati6tis. or• di f cie.ncies •wire h0fpcj• O(triAg phis;visit' • Y:o(i :wiii •receive Rio: furtht'r ; ;
:. eorresoondence. about this :visit. : ::::::...:... :::: .::::......::::: :
3/23/99

` facility Number: 2— l c3 Date of Inspection tL 1
Oder Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
j/Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
/
G3 No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
31No
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
12�40
30.
Were any major maintenance problems with the ventilation fan(s) noted'? (i.e. broken fan belts, missing or
eNo
or broken fan blade(s), inoperable shutters, etc.)
❑ Yes
3 L
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
R No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
[Yes
❑ No
'Additional'Comments. an or rawlnppS " se'Yii Yi i ' t „ r = 1 r€
7
3/23/99

•
•Kacility Number: —
Date of Ilzspection 0
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
2T
Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
❑ No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
❑ 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
❑ No
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
❑ No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes
❑ No
Additional, omments andor rawtn
29
3/23199

Revised April 20, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number- _- Jd_ Operation is flagged for a wettable
Farm Name: 65 a rJ ; log P, acre determination due to failure of
On -Site Representative: Dz)w,(a Jav*s Part 1l eligibility item(s) F1 F2 F3 F4
Inspector/Reviewer's Name: C. Alva"I
Date of site visit: 1 2 j 2 5q
Date of most recent WUP: Z Z3 q
Annual farm PAN deficit:
pounds
Operation not required to secure WA
determination at this time based on
exemption E1 E2 E3 E4
Operation pended for wettable acre
determination based on P1 P2 P3
Irrigation System(s) - circle #: 1. hard -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system wlpermanent pipe; 5. stationary sprinkler system wlportable pipe;
6. stationary gun system w/permanent pipe; 7. stationary gun system wlportable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part 1 exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D21D3 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 III. (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 ove r:a ppli cation Df wastewater (PAN) on spray
field(s) according tofarm's last two_yearsmflrrigationTecords.-..
F2 Unclear, illegible, -or lack of informationlmap.
F3 Obvious field limitations (numerous ditches; failure to.deduct-required .
buffer/setback acreage; or25% of total acreage. identified.in-CAWMP includes
small, irregularly shaped fields fields less than 5-acres fortravelers-or less -than
2 acres for stationary sprinklers).
J 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 111.

Revised April 20, 1999
Facility Number T Z . � D
Part III. 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
�'I 3
roe-1�`�
3
2
2,
4
` O
• �(�
lo. zq
1fl.-2 q
i
t
FIELD NUMBER' - hvdrant. ouli_ zone. or point numbers may be used in Dlace of field numbers
denendino on CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption; otherwise operation will be subject to WA determination.
FIELD NUMBEW - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres end having received less than 50%
of its annual PAN as documented in the-farm's previous two years' (1997 & J 998) 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.
Part IV. Pending WA Determinations
Pi Plan lacks following information:
P2 Plan revision may satisfy 75%-rule.based on adequate overall PAN deficit and by
adjusting all field acreage to below 75% use rate
P3 Other (ielin process of installing new irrigation system):

0 Division of Soil and Water Conservation ❑ Other Agency
[31jivision of Water Quality
l0_Routine O Complaint O Follow-up of DWQ insVixtion r- O Follow-up of DSWC review O Other
ru�rr� uu � ���irrw�r
Date of inspection 1 1
Facility Number L 6 Time of -Inspection ® 24 hr. (hh:mm)
13 Registered d Certified 13 Applied for Permit 13 Permitted 10 Not Operational I Date Last Operated:
..........................
FarmName: . , N��.........^'i.......................................... County:................ a.......::...................................................
OwnerName:...... a.^r'..................................................................................... Phone No: ............. 262..".12.Yk................ I......................
y ,
Facility Contact: ...!,n /m�, ;.Lp......... lk. .L........................... Title:................. ...... Phone No:
Mailing Address:. f a rr........
Onsite Representative:........ �............... Jp. a �........................................................ IntEgrator:.............. 1.��Ae.......................................................
Certified Operator;.,,,,...... N.'j................. ............... Operator Certification Number...... ....................................
Location of Farm:
..... ...... ......... ..............
Latitude 0 4 46 Longitude ©• =` ®"
Design „p Current
a
Design Current - Design ` Currrent
5wme4 Capacity "Poprrlatton Pouiltry r'"Capacity PapulatYon` Cattle' Capacity PopufaEion
Wean to Feeder
❑ Layer ❑ Dairy
Feeder to Finish d
F
; ❑Non -Layer ❑Non-Dairy
� Farrow to Wean
az P M
❑ Farrow to Feeder
❑ Other
0 Farrow to Finish
Total l}eSl[1`CapaG,ty
❑ Gilts
7f
❑ Boars
o:
. . MKT tal,SSLW
�_-...._......_..._.... ,.:... �... :. .: ..... .. _ ....
.� say .F:.
Number of Lagoons / Holding Ponds
❑Subsurface Drains Present
❑Lagoon Area
❑Spray Feld Area
F
s
❑ No Liquid Waste Management System
x
General
®No
I.
Are there any buffers that need maintenance/improvement?
❑ Yes
2.
Is any discharge observed from any part of the operation?
❑ Yes
(�io
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
No
a. If discharge is observed, was the conveyance man-made?
❑ Yes
(B
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
09<o
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
/
[11No
3.
Is there evidence of past discharge from any part of the operation?
❑ Yes
R No
/o
4.
Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
5.
Does an art of the waste management system other than la oons/holdin ponds) require
YP to Y ( g gP ) �l
❑ Yes
YNO
maintenance/improvement?
WNo
6.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
7.
Did the facility fail to have a certified operator in responsible charge?
0 Yes
E2 No
7/25/97

l
Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Laeoons 1oldinp Ponds, Flush Pits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
[p r
Freeboard (ft): .............. As............. .........
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? ,
❑ Yes Q No
❑ Yes M-go
Structure 5 Structure 6
............................................................................
❑ Yes [Qla
❑ Yes 040
12.
Do any of the structures need maintenance/improvement?
❑ Yes
[D10
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
E(Yes
0 No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes
eNo
(If in excess of or runoff entering waters of the State, notify DWQ)
15,
LWMP,
Crop type �1 �.:''^ ^ f......................... ►e v..L'I..................... .........................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
[al�o
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
Ko
18.
Does the receiving crop need improvement?
❑ Yes
L✓1 No
19.
Is there a lack of available waste application equipment?
❑ Yes
O,o
20.
Does facility require a follow-up visit by same agency?
❑ Yes
IJ NNo
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
22.
Does record keeping need improvement?
ElYes
,,O'NNo
03ivo
For Certified or Permitted Facilities OnI
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. ere any additional problems noted which cause noncompliance of the Permit?
No.vialations•or. deficiencies:we're-noted'dur.ing this.visit.' You:will receiv_em' 6,furth:er
:. • c6rresppndeii0 d out this; visit:• :
rp
%e.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
❑ Yes ❑'5-5
❑ Yes Dl<o
❑ Yes EiKo
7/25/97H
Date: 10 1 Z 2 qp

12/;_611997 18:V 9192501058 WAKE SWCD/USDA NRCS
'o '�`1�ik'.:�yaF e,+�• 'rxp12DSWC Animal Feedlot Operation Review
ar [] DWQ Animal Feedlot Operation Site Inspection
MA!
Follow-uu of
Facility Number
Furm status: 0 Registered Q Applied for Permit
Certified [3 Permitted
WC review O Other
Date of inspection
PAGE @2
1
Time of inspection I b:1C 1 24 hr. (hh.mm)
Total Time fin fraction of hours
(ex:1 25 for 1 hr 15 ruin)) Spent an Review
or lospection (includes travel and processing)
0 Not U veradonal Date LastOperated; .... ....................................................................................... ........... .......... ....................... —
Farm Name: Counly:....... -WM.................................................................
a1►..AAK........ ..........................
Owner Name: MI�.................................:............................. i hone ,Nn. ,... 6� .... ....i..... lay ...................... :...........
.........
Facility Contact:.. +V ...4�M.............-...........,............... Titie:....L�1�. .1... ��.....__............. No:.......�...�..., ........�.
Mailing Atictreys:.....,1 �Z- .....l iR�TI'F... :....................�k�....��s f.....htG.,........!���7......,...,..._.........H..................
...........
.........................
Onsite Reprrsentutive:...... ! ... U.f �............................................ Integrator:...... N �,�lli[r.
IS ..
Certified Operator: �R'!�!�?�........ ....... ...............................:................... -- Operator Certiticutio�n Number:....{�7�IlQW..................
Lwation of Form:
......................................... 1� ..,.........,.... ,...............................................................,,,,................,,........
�!4iF>�1�1..a�t. �R,
Latitude Longitude
Type of Operation Design Current ry Design. Current Design Current
Swine Capacity 'Poptilatlota - Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer Dairy
Feeder ro Finish (0 Dion -Layer 0 Non -Dairy
❑ Farrow to Wcan
p Farrow to Feeder Total Design Capacity
E) Farrow to Finish
Other Total SSLW
:`Number of Lagoons ! Holding Ponds T I Subsurface Drains Present ❑ l,ag("i Ares TO Spray Field Area A
I. Are (here any buffers that need mainienance/improvenium?
2. is any discharge observed -from any part of the operation'!
nischarge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
i
u. if discharge is observed, was the conveyance man-made'
b. li discharge i% observed, did it reach Sur face Water'.' !If ye-,, notify DWQ)
c. if discharge is observed, what is the estimated flow in gal/min?
Cf. Ewes Lliscltafgr bypu%s a lagnon system,' (if yes. notify 0WQ)
3. I: there evidence of past discharge from any pan of the operation?
4. Were there any adve w irnpact.'c to the waters of the State other than from a discharge'!
S. Dode any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvrntcn[?
4130/97
[] Yes
% No
[] Yes
50 No
0 Yes
❑ No
0 Yeti
0 No
C3 Yes 0 No
0 Yes ® No
0 Yes [M No
0 Yee 0 No
C:uuinued orn hack

12f-6/1997 18: 07"... 9192501058: -. WAKE SWCD/USDA. NRCS -
_ _
PAGE
03
Pac lity Number: qz _ Ip
I
6. Is facility not in compliance with any -applicable setback criteria in effect at the time of design?
❑ Yes
ja No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
14 No
�
S. Arc there lagoons or storage ponds on site which need to be properly closed?
I
❑ Yes
® No
s
t
StrugturSs (I,agonns andlur 1FIt<Iding lwondsl
t
;
9. is storage capacity (freeboard plus storm storage) less than adequate?
I
❑Yet
JXNo
!.
h1.
Fieeboard (fr): Structure I Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
`
10. Is seepage observed from any of the structures? -
❑ Yes
No -
-
11. Is erosion,.or_any other threats to the integrity of any of the structures observed?
❑ Yes
® No
12. Do any of the structures nerd maintenance/improvement
❑ Yes
No -
-
(if any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the Structures lack adequate minimum or maximum liquid level markers?
Yes
❑ No ,
Wa;.1te Application
14. Is there physical evidence of over application?
❑ Yes
® No
(if in excess o�f�W",MP. or runoffenteringwaters of the State, notify DWQ)
15. Crop type i eft!IV��L...."....1�R[>i11.,..�... 0' i1a.4-........ ' ..............................................................................,.................................
1f
16, Do the receiving crops differ with those designated in the: Animal Waste Management flan (AVVMP)?
Yes
_ ® No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
19 No
18. Does the receiving crop need improvement? 1
❑ Yes
PO No
19. Is there a lack of available waste application equipment"
❑ Yes
No
,k I
{
20. Does facility require a follow-up visit by same agency?
1AYes
❑ No
! i`
21. Did Reviewer/Inspector fail to di. review/inspection with on -site representative? _per, jupa�
Yes
❑ No
i
/cuss
For Certified Facilitieti Only -tf
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
0 Yes
0 No
E
23. Were any additional problems noted which cause noncompliance of the Certified.AWMP?
❑ Yes
❑ No
- 24. Does record keeping need improvement?
❑ Yes
❑ No
� N
I
# 13 AUIM WU 49 AJW6 440
it ZQ - To CZAP ►�°� cetrl ftt4Yl�
4.
-m co1,d(. ter, LVIzom �,� m� r��s Wrrlllsl 9 6416
>. ` :;,
Reviewer/Inspector Name "`^' `'... ""AW
Reviewer/Inspector Signature: i Date:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97
I

Me
❑DSWC Animal Feedlot Operation Review'
�� � a �� � �WQ�Anlmal Feedlot�Operatlon�Slte Inspection �� ��` �r ���
Routine O Complaint O Follow-up of QWQ inspection O Follow-up of DSWC review O Other
EFacility Number 2 /v
Date of Inspection tj
Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: ElRegistered ❑ Applied for Permit (ex:1.25 for 1 hr 15 min)) Spent on Review Z -
❑ Certified ❑ Permitted lor Ins colon includes travel andprocessing)
❑ Not Operational Date Last Operated: .................. ..................................................................................................................................
FarmName .........k �i.. ...i..a ...... %2!Py....... . k!.:7r................................................ County:............. '`..!1��.............................., ..................
Land Owner Name:.......joiamq'. .. _..., ...................'.5.................................................. Phone No:. ... ��S�i. ......1 ��� .....�.
Facility Conctact:....... a!:A......... cJ.otg�;.................. ................ Title:......... ..`.`.'..^..��..n................... Phone No: ...3�..:.�.�r,6.y�........................
Mailing Address:............1..1 2 1........../7 rP. c �<......../...........................................14.......Z!:��'�.........Arr:............�..al.a r?.i�.............
OnsiteRepresentative: ....... V'Q 2dd............. j'P. V9-.$............................................... Integrator:......................................................................................
Certified Operator:....,a.......................... ......... J2J'.}..QF................ ........ ............. Operator Certification Number: ................... .................. _...
Location of Farm:
................................................................. ... q..`.�t. .............. .....................................................n.........................................................................................................
................ uK.pE.......................................�t.yn'.........I't ............. Ay.........�7.° !'. � N.................................
Latitude �' �� ��= Longitude
or vneration anti
Wean to Feeder
Other
X'Number ofLagoaas°/ Holding Ponds 1 s ❑ Subsurface Drains Present
,: k Lagoon Area ❑ Spray Field Area r ;
s. <r <.. .... . .,.. .......
GenCral
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 maintenance/improvement?
❑ Yes M-Igo
❑ Yes ❑ No
❑ Yes [+3No
❑ Yes EYRo
❑ Yes
[9/No
❑ Yes
GKNo
❑ Yes
Q No
ff-Yes
❑ No
Continued
on back

acility`Number:........1
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?
8. Are there lagoons or storage ponds on site which need to be properly closed?
nuctureW,agoous andlgr Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure 1 Structure 2 Structure 3
!...+..... ............ ....... -...... ............................
10. Is seepage observed from any of the structures?
Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(if any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes MN_O
❑ Yes ❑ No
❑ Yes UNo
❑ Yes 10"No
Structure 5 Structure 6
Waste,_AVOicalion
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
................cs......... .............................................. ..............................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
for Cer iced Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
✓�, 4",evor )eak arf Sje
&J,ct 5+c I S jP. J e)
µ a lrlrrL�r� c f
.. Nd So ud s
Zi 8
4Apy
of
t7ev-
� atv9et('
41f6sa T'ro.vt e-,(4mnre YOdG
f64j rlvw
............................
❑r Yes 21lo
❑ Yes ErNo
❑ Yes 2INo
EEKYes ❑ No
❑ Yes Mf o
❑ Yes ❑ �No
❑ Yes [2�4o
❑ Yes O%io
❑ Yes 2'�o
❑•Yes [--"N//o
El yes M<0
[:]Yes [:]No
❑ Yes ❑ No
❑ Yes ❑ No
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: 7 ZS`)9
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
November 13, 1996
Donald H. Jones
DJ & PJ Hog Farm
1121 Averette Rd
Wake Forest NC 27587
SUBJECT: Operator In Charge Designation
Facility: DJ & PJ Hog Farm
Facility ID#: 92-10
Wake County
Dear Mr. Jones:
EDF=HNfZ
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 91gn33-0026.
Sincerely,
A, Preston Howard, Jr., P.E., Director
Division of Water Quality
Enclosure
cc: Raleigh Regional Office
Water Quality Files
P.O. BOX 27687,N)wf u Raleigh, North Carolina 2761 1-7687 An Equal Opportunity/Affirmative Action Employer
Voice 919-715-4100 W1. recycled/10% post -consumer paper
\)

-1995 15:26 FROM DEM WATER QUALITY SECTION TO
RRJ P.02/02
Site Requires Immediate _Atttn ' n NO
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS(S>ITE VISITATION RECORD
DATE:'- ' 1995
Time:
F= Name/Owner:
Mailing Address:
County-
Integrator: `r t vtil (" Nil'
On Site Representative:
Physical Address/Locatign: '
C
hone:
Type of Operation: Swine � Poultry Cattle
Design Capacity: (,t N k N/ Number of Animals on Site: 'N �
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: 3t.1; Longitude: ' —. Elevation-
s Feet
Circle Yes or No
Does the A-rumal Waste Lagoon have sufficient freeboard of I Foot + 25 ye 24 hour storm event
(approximately I Foot + 7 inches) esbr No Actual Freeboard: �t. Inches
Was any seepage observed from the lagoon(s)? Yes or Io ,Was any erosion observed? Yes or IN (ol
Is adequate land available or spray`(�Y or No ,Is the cover crop adequate? Yes ar No
Crrop(s) being utilized: _. ���"
Does the facility meet SCS rnutimum setback criteria? 200 Feet from Dwellings? Y�e�s or No
100 Feet from. Wells? e or No
`C a^imal waste stockpiled within 100 Feet of US'GS Blue Line Stream? Yes o CNo..
1Z al mal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line'? Yes o `'o
animal waste discharged into waters o the state by roan -made ditch, flushing systems, or other
sirr:i;ar man-made de -Ices? Yes o No If Yes. Please Expl:Liri.
++e5 I►ic f�ic ffity waintain adequate Taste managerne;u records (volumes of manure, land applied.
spray irrigated on spccl 1c acreage with over p '? Yes • No
Additional Corrlments:(
cc: Facility Assessment Unit Use Attachments if Needed.
TOTAL P . 02