930021_PERMIT FILE_20171231

State of North Carolina IT
Department of Environment,
Health and Natural Resources 4 • •
Division of Water Quality a
James B. Hunt, Jr., Governor � E H N FR
Jonathan B. Howes, Secretary
A. Preston Howard, Jr., P.E., Director
April 3, 1997
Ashley White
White Ridge Farm
Rt 1 Box 81
Norlina NC 27563
SUBJECT: Notice of Violation
Designation of Operator in Charge
White Ridge Farm
Facility Number 93--21
Warren County
Dear Mr. White:
You were notified by letter dated December 5, 1996, that you were required to designate a certified animal waste
management system operator as Operator in Charge for the subject facility by January 1, 1997. Enclosed with that
letter was an Operator in Charge Designation Form specifically for your facility, Instructions for Completing
Application for Temporary Certification as an Animal Waste Management System Operator, and an Application for
Temporary Certification as an Animal Waste Management System Operator. Our records indicate that these
completed Forms have not yet been returned to our office.
As was explained in the previous letter, a training and certification program is not yet available for animal waste
management systems involving cattle, horses, sheep, or poultry (with a liquid waste system). Therefore owners of
these systems were allowed to request that they be issued temporary certifications until December 31, 1997. All that
was required to receive this temporary certification was the completion of the Application Form.
For you convenience, we are sending you additional copies of the Operator in Charge Designation Form specifically
for your facility, Instructions for Completing Application for Temporary Certification as an Animal Waste
Management System Operator, and an Application for Temporary Certification as an Animal Waste Management
System Operator. Please return this completed Form to this office as soon as possible but in no case later than April
25, 1997. This office maintains a list of certified operators in your area if you need assistance in locating a certified
operator.
Please note that failure to designate an Operator in Charge of your animal waste management system, is a violation
of N.C.G.S. 90A-47.2 and you will be assessed a civil penalty unless an appropriately certified operator is designated.
Please be advised that nothing in this letter should be taken as absolving you of the responsibility and liability for
any past or future violations for your failure to designate an appropriate Operator in Charge by January 1, 1997,
If you,_have.questions concerning this matter, please contact our Technical Assistance and Certification Group at
[phone].
Sincerely,
for
Steve W. Tedder, Chief
Water Quality Section
cc: Raleigh Regional Office
Facility File
Enclosures
P.O. Box 29535. 11PA FAX [phone]
Raleigh, North Carolina 27626-0535 ��C An Equal Opportunity/Affirmative Action Employer
Telephone [phone] U17, 50% recycles/105% post -consumer paper

-State of .North Cafolina
Department.of .Environment,
Health and Natural Resources
.,., � .
Raleigh'Regiondl Office
Jdmes B. Hunt,'Jr., GovernorT^
Jonathan B. Howes,,Secretary.. T .
'LJ
. ... E31H H N FR
DIVISION OF WATER QUALITY
June 25, 1997
Mr. Ashley White
Mr. Stuart White
Rt . 1 ' . Box, 82
Norlina., North Carolina 27563
Subject: Notice of Deficiency
Facility #CUDI & 93--7
White Ridge Farm
Warren County
Dear Mr. White:
On June 18, 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 animal operation was not
discharging wastewater into waters of the State and your lagoons
had the -required amount of freeboard. However, the inspection has
identified some management deficiencies that should be addressed.
As a certified facility, you are required to have a copy of your
Animal Waste Management Plan readily available for inspection to
determine compliance with its provisions. You are, also required to
keep appropriate records, as described in the Operator In Charge
training course, documenting your waste management activities.
Ms. Hollingsworth also observed some possible seepage on the
backside of the lagoon at facility 93-7. Due to recent rainfall it
was difficult to verify the excess moist as seepage. I recommend
that you regularly monitor the area, and if necessary consult a
professional engineer, to ensure the integrity of your lagoon.
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 regulation in order to protect the natural resources of the
State.
3800 Barrett Drive, Suite 101, SAW FAX [phone]
Raleigh, North Carolina 27609 NV fC An Equal Opportunity Affirmative Action Employer
Voice 919-571-4700 50% recycled/ 10% post -consumer paper

4T rM sA'shley Whi•f-e
7page
rte
tt `' ...... ..y-7-
a
The Raleigh Regional Office appreciates your cooperation in this
matter. If'you have any questions regarding this inspection please
call -Terri, -Hollingsworth at [phone].
5incerely�.
.. � _ .x. ,Yk� �k� • M M' ^h �'+R4f,..Yb... •-r r M . 1.....r. .. u'7fl'.��'Yk.N � n • 1 .. . ... ur v
I n Schuster, P.E.
Regional -Supervisor
cc: Warren County Health Department
Kim .York, Warren Soil and Water Conservation District
Margaret O'Keefe, DSWC-RRO
DWQ-Compliance Group
RRO Files

Facility Number
Farm Status: []Registered ❑ Applied for Permit
VCertified ❑ Permitted
❑ Not Operational
Farm Name: .......
Land Owner Name:
Facility Conctact:.....
Mailing Address:..
Date Last Operated:
Date of Inspection
Time of Inspection l �y 24 hr. (hh:mm)
Total Time (in fraction of hours ^
(ex:1.25 for 1 hr 15 min)) Spent on Review �J
or Inspection (includes travel and nrneessinol
County: ...... X`!.¢aY!( EzPa.... ........... ..... __......
Phone_...... ............. ......................
Title:.._ t� ................ _. Phone No: ..... ...... ... ....... ............... ...... .........
........................................... .......
............ ....... ........ .........
Onsite Representative:...?'..�i2'.xl Ar. 7/�..1.... M�S�.�ltttegrator:..........................................
Certified Operator: .... P* ... ............ UOperator Certification Number:
Location of Farm:
Latitude = • 0' =" Longitude =• =' = R
-renerai
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
2Io
❑ Yes
❑ Yes
[D<oo
❑ Yes
ji o
9A
[9 o
❑ Yes
❑ Yes
02 N0
❑ Yes
2-'N'o
❑ Yes
M*No
Continued on back

FarilityNumber:..,...—..�.....
•
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?
Structures _(Lagg-osand/or Ilol ing ands)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Freeboard (ft): Structure I Structure 2 Structure 3
...' i........ ............................
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?
❑ Yes lld'<o
❑ Yes W<o
❑ Ycs M-NO,
❑ Yes
Structure.5 Structure 6
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) f
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Applicgtion
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 ..... Kyll..y....�!:!! .. .. ...�IG1(CI...;ms.........................................................................................
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?
19. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
24. Does record keeping need improvement?
Reviewer/Inspector Name W'C ,T
Reviewer/Inspector Signature: {�,t�� Date:
❑ Yes R o
❑ Yes 2Vo
❑ Yes U401
ffles ❑ No
❑ Yes OR014o
❑ Yes &' 4o
❑ Yes 2<0
❑ Yes [�o
❑ Yes cj�Ko
❑ Yes &Ko
❑ Yes M No
93'Y'es ❑ No
❑ Yes " M<O
MlIcs ❑ No
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
Division of Water Quality
,lames B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
A. Preston Howard, Jr., P.E., Director
October 31, 1997
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Attn: Ashley White
White Ridge Farm
Rt 1 Box 81
Norlina NC 27563
�F�s•�
�EHNFi
Of410E
6ENi�R RALE4G�1 REGIONAL�l
Subject: Notice of Violation and Assessment of Civil
Penalty for Violation of N.C.G.S. 90 A-47.2 and
15A NCAC 8F .0201
White Ridge Farm
Facility #: 93-021
Warren County
Case #: OV 97-102
Dear Ashley White:
This letter transmits a Notice of Violation and a notice of a civil penalty assessed against
Ashley White in the amount of $500.00. This assessment is based upon the following facts:
Ashley White operates an animal operation and associated animal waste management
system in Warren County.
As of January 1, 1997, in accordance with N.C.G.S. 90 A-47.2 and 15A NCAC 8F .0201
a certified operator in responsible charge is required to operate the subject animal waste
management system.
In accordance with 15A NCAC 8F .0201(a), the owner of each animal operation having
an animal waste management system must submit a letter to the Certification Commission,
Division of Water Quality (DWQ), Technical Assistance and Certification Group, which
designates an Operator in Charge with the appropriate type of certification. This letter
must be signed by the owner and the certified operator and be submitted to the
Certification Commission by January 1, 1997 for all facilities in operation as of that date.
In November, 1996 and April, 1997, DWQ mailed notices to all animal waste management
facilities who had not designated an operator with the DWQ.
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

Ashley White failed to designate an appropriately certified wastewater treatment operator
in responsible charge of the subject animal waste management system, in accordance with
15A NCAC 8F .0201(a).
Based upon the above facts, I conclude as a matter of law that Ashley White violated or
failed to act in accordance with the requirements of N.C.G.S. 90 A-47.2 and 15A NCAC 8F
.0201. A civil penalty of not more than $1,000 per day may be assessed against a person who is
required but fails to designate an appropriately certified wastewater treatment operator as.
required by N.C.G.S. 90 A-47.5 and 15A NCAC 8F .0500.
Based upon the above facts and conclusions of law, I hereby assess Ashley White a .
$500.00 civil penalty for this violation of N.C.G.S. 90 A-47.2 and 15A NCAC 8F .0201 pursuant
to the authority delegated to me by N.C.G.S. 90 A-47.2 and 15A NCAC 8F .0201.
Please find attached another Operator in Charge designation form. Please complete this
form and return it to:
WPCSOCC
Division of Water'Quality
P.O. Box 29535
Raleigh, NC 27626-0535
If the aforementioned operator designation form is not at the above address within 30 days
of your receipt of this notice, you will be subject to further civil penalties of up to $1,000 for each
day that the operator in charge designation is not submitted. You may contact DWQ's Training
and Certification Group at [phone] for information about designating a certified operator.
Within thirty days receipt of this notice, you must do one of the following:
1. Submit payment of the penalty:
Payment should be made directly to the Department of Environment and Natural
Resources (do not include waiver form). Payment of the penalty will not foreclose
enforcement action for any continuing or new violation(s). Please submit payment
to the attention of:
Mr. Steve W. Tedder
Water Quality Section Chief
Division of Water .Quality
P.O. B'ox 29535 �.
Raleigh, North Carolina 27626-0535
or
2. Submit a.written request for remission or mitigation including a detailed
.-justification for such request:
A request for remission or mitigation is limited to consideration of the
reasonableness of the amount of the penalty and is not the proper procedure for
contesting the accuracy of any of the statements contained in the assessment letter.
Because a remission request forecloses the option of an administrative hearing, such
a request must be accompanied by a waiver of your right to an administrative

hearing and a stipulation that there are no factual or legal issues in dispute. You
must execute and return to this office the attached waiver and stipulation form and a
detailed statement which you believe establishes whether:
(a) one or more of the civil penalty assessment factors in G.S. 143B-282. 1 (b)
were wrongfully applied to the detriment of the petitioner;
(b) the violator promptly abated continuing environmental damage resulting
from the violation;
(c) the violation was inadvertent or a result of an accident;
(d) the violator had been assessed civil penalties for any previous violations;
(e) payment of the civil penalty will prevent payment for the remaining
necessary remedial actions.
Please submit this information to the attention of
Mr. Steve W. Tedder
Water Quality Section Chiet/DWQ
P.O. Box 29535
Raleigh, North Carolina 27626-0535
OR
3. Submit a written request for an administrative hearing:
If you wish to contest any portion of the civil penalty assessment, you must request
an administrative hearing. This request must be in the form of a written petition to
the Office of Administrative Hearings and must conform to Chapter 150B of the
North Carolina General Statutes. You must:
File your original petition with the:
Office of Administrative Hearings
P.O. Drawer 27447
Raleigh, North Carolina 27611-7447
and
Mail or hand -delivery a Copy of the petition to:
Mr. Richard Whisnant
Office of General Counsel
NCDENR
Post Office Box 27687
Raleigh, NC 27611

Failure to exercise one of the options above within thirty days, as evidenced by a date
stamp (not a postmark) indicating when we received your response, will result in this matter being
referred to the Attorney General's Office with a request to initiate a civil action to collect the
penalty. Please be advised that additional assessments may be levied for future violations which
occur after the review period of this assessment.
If you have any questions, please contact Mr. Shannon Langley at [phone],
extension 581.
Sincerely,
L
A. Preston Howard, Jr., P. .
ATTACHMENTS
cc: Regional Supervisor wl attachments
Compliance/Enforcement File w/ attachments
Central Files wl attachments
Public Information Officer wlattachments

STATE OF NORTH CAROLINA
COUNTY OF
IN THE MATTER OF ASSESSMENT )
OF CIVIL PENALTIES AGAINST )
PERNUT NO. )
ENVIRONMENTAL MANAGEMENT
COMMISSION
WAIVER OF. RIGHT TO AN
ADMINISTRATIVE HEARING AND
STIPULATION OF FACTS
FILE NO.
Having been assessed civil penalties totaling for
violation(s) as set forth in the assessment document of the Director of the Division of Water Quality
dated, , the undersigned, desiring to seek remission of the civil
penalties, does hereby waive the right to an administrative hearing in the above -stated matter and
does stipulate that the facts are as alleged in the assessment document.
This the day of , 19
SIGNATURE
ADDRESS

• ►
ANIMAL WASTE MANAGEMENT SYSTEM
QPER ATOR IN _LHAR C'YE
DE,S, GNATION FORM
ANIMAL WASTE MANAGEMENT SYSTEM:
Facility ZI? Number: County:
OPERATOR IN CHARGE
Home Mailing Address.
City State Zip
Certificate _ Social Security T
Work Phone Horne Phone
Signature Date
OWNER
Mailing: Address. City
S tate Zip Telephone#
Signature Date
Please Mail to: WPCSOCC
Division of Water Quality
P. O. Box 29535
Raleigh, N.C. 27626-0535

D VJ,,,KA
Division of Environmental Management
CHAIN OF CUSTODY RECORD "r'
For Investigation of &_'Y % r�Ill.C/I/ pal`
Samples collected and DHi forms
completed by:
Lab Only
Lab'No.?
Station.
No.
Station Location
Datea
Time
No. of
Bottles
1
(.✓G a J K
o k
5o
+
Rel quis ed$iguature):
t
Re y(Sig e):
D to Tim
�.
el
Rec b
Rel
RecASY
Rel
Rec by (Lab)
Method of Shi meat:
Security
Seal
Type and Condition: Lock
by'.-
by:
Broken b
Open by:
van ITOW n►,TV
Lab No
From Through
Receive d bV.I
Date Time
�r
011

.. y

ANIMAL WASTE MANAGEMENT SYSTEM
-OPERATQR INCHARGE
DE.STGNATTON FORM
ANIMAL WASTE MANAGEMENT SYSTEM:
Facility ID Number-: County: �lit�g rr:c n
OPERATOR IN CHARGE. �'• � �� � �-1' 4161-1/- --_
Home Mailing Address•
City /`/or-1� ng Stated Zip Z 7S G3
Certificate #..2,1619_. Social Security #- %� 5-- - 5`0 '�97:30
Work Phone Horne Phone 9/9 �eS iy !P 9)
Signature C Date // - (Y - S%
OWNER \Al ,�e- K Aqe- Fa.r,
Mailing, Address. R+ -1- v Oax Q Z City
State C Zip Z7S`S ! Telephone'l9� ys� -Z81?
Signature Date
Please Mail to: WPCSOCC
Division of Water Quality
P. O. Box 29535
Raleigh,, N.C. 27626-0535

r
„Y CA lfu �
732-
ITZ
EC
EIV
-< ti
VVAlmo ni Al rry ocn-ri0N
ion-Discharge-Campfiancatrrf.�—

: , -
FRIA
�A
'Par

ANIMAL WA TE MANA EMENT SYSTEM.
OPERATOR „TN CHARGE
DOSIGNA—IMN FORM
ANIMAL WASTE MANAGEMENT SYSTEM:
Facility M Number: �3
- 0.2.1 County:
_W rrcr1_
OPERATOR IN CHARGE
�• it C -
�' !a
-f
Home Mailing Address. XT
__
City /yor j � rtig
State N e-
Zip
Z 7 r6-3
Certificate n
Social Security Tr
/'zI— -
rV 9730
Work Phone -
Home Phone
9/9
I�cS 470;7,90__
Signature C
Date
A
Mailing. Address. �-�: _L 0ax— g_Z - City Nor -I; n n
State Al C Zip 22S--6 3 Telephone4( jZl) -ZF 2-
Signature Date
Please Mail to: WPCSOCC
Division of Water Quality
P. 0. Box 29535
Raleigh,, N.C. 275Z4-X35

STATE OF NORTH CAROLINA ENVIROi`,TMENTA L MANAGEMENT
coMMzsszoN
coUNTY of �a rre2 _
IN THE MATTER OF ASSESSMENT ) 'WAIVER OF RIGHT TO AN
OF CIVIL PENALTIES AGAINST ) ADMINISTRATIVE HEARING AND
PERMIT NO. Fg J ; -r- - OZ I ) STIPULATION OF FACTS
FILE NO. 1�6fSe Pt LI✓57-10Z
Having been assessed civil penalties totaling if SOQ. 0a for
violation{s as set forth in the assessment document of the Director of the Division 'of Water Quality
17
dated, ,�: 3 �� 1 �t , the undersigned, desiring to seek remission of the civi.i
penalties, does hereby waive the right to an administrative hearing in the above -stated matter and
does stipulate that the facts are as alleged in the assessment document.
This the 2= 7 day of /410 ✓ , 19E.
SIGNATliRE
ADDRESS
�c
TELEPHONE
ys-6 - 299Y2
Zls( - 3732-

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
Attn: Ashley White
White Ridge Farm
Rt 1 Box 81
Norlina NC 27563
Dear Ashley White:
1 • �
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
June 25, 1998
SUBSECT: Remission of Civil Penalty
White Ridge Farm
Facility #: 93-21
Warren County
OV 97-102
I considered the information submitted in support of your request for remission in
accordance with G.S. 143-215.6A(f) and my delegation under G.S. 143-215.6A(h) and have
decided to remit the entire civil penalty in the amount of $500.00 and hereby close File No. OV
97-102.
Please be advised that a full reduction of the.civil penalty assessment in no way precludes
the Division from taking future enforcement actions against the subject facility should future
violations occur.
Thank you for your cooperation in this matter. If you have any questions about this letter,
please feel free to contact Shannon Langley at [phone], extension 581.
Sincerely,
A. Preston Ho , P.E.
cc: Facility File - Non -Discharge Compliance/Enforcement UnitF,
I
,d2�WQ:Regional-Offlibe
Case file # OV 97-102 JUN 2 9 1998
Central Files
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10% post -consumer paper

(Type of Visit: 0 70'U_'t4i"ne
a Inspection Q Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit: O Complaint O Follow-up O Referral O Emergency O Other O Denied Access I1
Date of Visit: rrival Time:Departure Time:r12 3/n County:
Farm Name(Q., L✓� 14 e Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: 1 Title:
OnsiteRepresentative: �S�1�
Certified Operator:
Back-up Operator:
Location of Farm:
Phone:
Phone:
Integrator:
Certification Number:
Certification Number:
Latitude: Longitude:
Region:
Design Current
Aq..S'ign
Current
Design Current
Swine Capacity P.
Wet Poultry
pa ity
Pop.,
Cattle
Capacity Pop.
Wean to Finish
La er
DairyCow
S v 0
Wean to Feeder
on -Layer
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design
Current
D Cow
Farrow to Feeder
Dr, houitr.
�Ca aci
P,o ,
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other I
riOther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
No ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
Info ❑ 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
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No ❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued
�l .

I`
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 o ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 5-'of
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes 2<o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes Rio ❑ 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 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): }fPSG��
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes E rNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes <o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�0 ❑ NA
❑ NE
18. is there a lack of properly operating waste application equipment?
❑ Yes
VNo ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
P!fNo ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
F?<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 4a "o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes FrjAo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E5 No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

r
Facility Number: q 3 - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ['No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
[] Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail 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 o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes [:]No
[:]Yes ❑ No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments. :(refer to question #); Explain any YES.answers and/or any additional recommendations or any other comments: ► i e'
Use drawings offacility to better explain situations (use additional pages as necessary).
Lk
Reviewer/Inspector Name:
Reviewer/Inspector Signature: (2-,
Page 3 of 3
I
Phone: -Zf/' V Z d 0
Date: - ! ! Z6��
21412011

�' � ` �`
��lil 9agA
^"
Division of Wi�ter Resources
Di{vLisi�sp n uAff,�So�l and W17g�aEer'Cay@g([[g{n§[� s[(gervatian
�
[
��1111lllIyi i( J�j���%�(y�
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 0 Denied Access
Date of Visit: -7 —1 Arrival Time: ® Departure Time: County:
Farm Name: L41/ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Certification Number:
Location of Farm: Latitude: Longitude:
Region:
' �
Design
Dign
'
Cu�r�rent
'
Current
Design
Current
Swine
Capacity
Pop
Wet Poultry
Capacity
Mr
Pop.
Cattle Capacity
Pop.
Wean to Finish
La er
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
IDairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
D . a
Poult ,
Ca ad
fly
�P,o !
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
d
I
Other, . ,
Turkey Poults
Other
I
10ther
Iwgk44.td�luffiW weuwwi NiKlkl
}�i�iBMi§3i34iiHmEfftH4f f3eIlYMI
� 1 3333WN33NuhMrrHiinlrmxuiifl3ifr3iY�l3B3sP{3N
Discharges and Stream Impacts
<No❑
1. Is any discharge observed from any part of the operation?
❑ Yes
4 NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ NA
y
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
No ❑ NA
[] NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
o ❑ 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 21412015 Continued

Facili 'Number: jDate of Inspection: 7"
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ONo
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): o �(
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes N 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 No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta neat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes5N�
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑Yeso NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes "NoNA ❑ 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): �t� fGGQ
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes N ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes N ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes No NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes '
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ILJ No
❑ NA
❑ NE
Required Records & Documents,
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes No ❑ NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ pease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers ❑ Weather
Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 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 ❑ No
❑ NA
❑ NE
Page 2 of 3 21412015 Continued

Facility Numher: - Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes N NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? Ifyes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Vo ❑ NA ❑ NF
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ 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
❑ No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
D Yes
❑ 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
Reviewer/Inspector Name:
Phone: "q ( - GJ 24 o
Reviewer/Inspector Signature: _ 6 (,r ,s4�^
Page 3 of 3
Date: 6 - 7 —t
21412015

(Type of Visit: -ID Co ance Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: -(Z-- Arrival Time: 0�3� Departure Time: 0 � County:
Farm Name: W I J Z ill J� sr; 9-4 6 i2 y Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Lip— W''! �_ Integrator: � 6
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Design Current
Finish
Feeder
PlEeeder
Wet Poultry
La erDai
Non -La er
Design Current
Capacity Pop
Design Current
Cow
Dai Calf
Dairy Heifer
Dry Cow
to Finish
Farrow to Wean
Design
Current
Farrow to Feeder
Dr,, P,oultr,
Ca acit
Ao
Non -Dairy
Beef Stocker
Farrow to Finish
Layers
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Other JEJ
Turke s
Turkey Poults
10ther
Discharses and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
�N0 ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑Yes
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWR)
[] Yes
No NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ No ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facili Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes gNo ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes 0,11 A ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 7No[0:]
A ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes A ❑ 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
❑ 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
❑ No
❑ 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
❑ No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ No
❑ NA
❑ NE
ComTnents (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)._
Reviewer/Inspector Name:
Phone: "-2t�l ZZe t!
Reviewer/Inspector Signature: —5& S' �� F �l1 L,I
Page 3 of 3
Date: i�, --/ Z—/ 7
21412015

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

. _k
(Type of Visit: 4Q Com ce Inspection U Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 0 Arrival Time: i �!T V I Departure Time: County:
Farm Name: [�J� 40— ;JK e 0 awz Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative: J L4 rQ y ( , 4 e Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Wean to Finish
I I Layer
I
I Dairy Cow
Wean to Feeder
I INon-Layer
I
Dairy Calf
Feeder to Finish
Farrow to Wean
ign C►urrent
Dairy Heifer
D Cow
Farrow to Feeder
P Itr,
NaCacit P.o
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
rQ�,
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Poults
Other
Region:
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes o ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes % N ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? /
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes] o NA [] NE
2. Is there evidence of a past discharge from any part of the operation? ❑Yes 1 o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes []No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? 0 Yes No ❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes �No❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Stricture 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Y () 1
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes dNo ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmWN
reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yeso 0
NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes o ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require [:]Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need [] Yes No NA ❑ NE
maintenance or improvement?
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 N
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes I fJ N
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application'?
El Yes �
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes VNo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes No
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? if yes, check the appropriate box below.
❑ YesVNo
❑ N
NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
Bather
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 No
❑ NA
❑ NE
Page 2 of 3
21412015 Continued

Facilit Number: - jDate of Inspection: ; S"-
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❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ��o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [:]Yes No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes [] No
❑ Yes ❑ No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Cbr6 meats (refer to queition #): Explain any YES answers and/or any additional recommendations.or, any othcr;comments.
Use drawings of facility to better explain situations (use additional pages �as necessary).
Reviewer/Inspector Name:
Phone: ' iL Y 2 D p
Reviewer/Inspector Signature:
Date: 7 -- Y / 6
Page 3 of 3 21412015

P, t
(Type of Visit: WCompWnce Inspection U 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: Arrival Time: [MiZE Departure Time: County: Region:
Farm Name :�j � k Ol4fr �j -. nt„%� �j��� Owner Email: �y
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Phone:
Integrator:
Phone:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design
CurrentRSM
Design Current
Design Current
Swine
Capacity
Pap.
Wet Poultry
Capacity Pop.
Cattle Capacity Pop.
Wean to Finish
I
I Layer
jDairy Cow
Wean to Feeder
11
INon-Layer
'"
Dairy Calf
Dairy Heifer
Feeder to Finish
Farrow to Wean
Design Current
Dry Cow
Farrow to Feeder
D . P,ault .
Ca' aci P,o .
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Layers
I
1Beef Feeder
Boars
Pullets
Turke s
Beef Brood Cow
Other
Turke Poults
Other
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No C NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

lFacility Number: 2 3- Z Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
ZNo ❑ 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): r�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
No ❑ NA
❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental
eat, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
N NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
�No
9. Does any part of the waste management system other than the waste structures require
❑ Yes
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
No ❑ NA
❑ NE
maintenance or improvement?
�No❑
1 l . Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift [] Application Outside of Approved Area
r
12. Crop Type(s): Ef9 SC.>✓,.(
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
ON 0 NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
0 <No❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes;I-No
❑ NA
[] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[] Yes
❑ 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 ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections 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 No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: - Z Date of Inspection: -2-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes 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
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
0 Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes [:]No
❑ Yes [—]No
❑ NA ❑ NE
❑ NA ❑ NE
DNA ❑NE
Commenti {refer 0°4ge,stion #):Explain any.YES`answers and/or any additional recomthendations orany.'other comments. -
Usedrawngs of facility tobetter explain situations (use additional pages as necessary).
y
Reviewer/Inspector Name:
Phone: 9l -291 C/ 2-Co
Reviewer/Inspector Signature: 64 $ l?✓ { t .e- i
Page 3 of 3
Date: ;.- — / 0
21412011

Type of Visit: OrCom ' nce Inspection O Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral O Emergency 0 Other 0 Denied Access
Date of Visit: t /t Arrival Time: ? O Departure Time: County: Region:
Farm Name: �j% i `� +Z I�- i �� Q rlZ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: s`j IQ4 • Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Design Current
sign
Current
Design C►urgent
e Capacity Pop.
Wet Poultryacity
EC-Dall
Pop.
Cattle Capacity Pop.
n o Finish
rFecedertto
La er
DairyCow
n to Feeder
on -Layer
DairyCalf
Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dt. P,oultr,
C*.a aci
P,o P.
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turke s
Other
Turkey Poults
Other
JELJOther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
2 N ❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
No ❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ)
❑ Yes
INA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
NA
FNoD
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

Facili Nu ber: cl 3 - Date of Inspection: r
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 540
NooNA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): I
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ONE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a 0 Yes Z rNo❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t eat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ��o
No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes Ef No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes :;Noo
No NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [] Yes ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
U. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
UNo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
N ❑ NA
❑' NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
'7"' ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
0 Yes
[ Ko 0 NA
❑ NE
Re uired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes Rio
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes ❑ No
❑ NA
❑ NE
r the appropriate box.
❑WUP ❑Checklists []Design ❑ Maps 0 Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Mudge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes o
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facili Number: jDate of Inspection: r 4M�I
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes No NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? El Yes o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
24. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA [] NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[3 No
[] NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
Commentss(refer to question #) Explain any YES; answers and/or any additional recommendations,or,iiny;other,c6mtnents:�; K ;
Use<d,�arvins of facility'to better exphain situations (use additional pages as necessary).
t
yR_5 . p t ra �A� moo.. j (2,41i)?q
��� CGjrr 5-���1C� �ivSDr✓ �'11� ?�Q� �035�/
�.��� ��Orti � Yl/�-� 12cf!t �'D ��.1G � •Z c1 �r�-t a � ��r
-c'h1d1 u*IdGr 7�res4a/d PQrrC 5,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
AL4j-�z2 rdweri
Phone:�I
Date:
21412011

5f2N I
E.r
(Type of Visit: V,Com ' nspection U Operation.Review Q Structure Evaluation U Technical Assistance I
Reason for Visit: Routine Complaint O Follow-up Q Referral O Emergency O Other 0 Denied Access
Date of Visit: Arrival Time: r 0 Departure Time: l County: Region:
Farm Name: {i c� Owner Email:
Owner Name: ` ..'� '_ Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Design Current
Design
Current
Design Current
Swine apacity Pop.
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
La er
�'I Dairy Cow
Wean to Feeder
Non -La er
R44y Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
I) , P,o_ultr,
Ca aci
P,o
Non -Dairy
Farrow to Finish
La ers
Beef Stocker
Gilts
Non -La ers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
h'
a. Was the conveyance man-made? ❑ Yes No NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes o ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes No NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? [3Yes �1V ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters []Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

h
Facility Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes o A
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes o ❑ 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 leNo ❑ 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 Io ❑ 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 thr t, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes NA
❑ NE
$. Do any of the structures lack adequate markers as required by the permit?
❑Yesr❑ 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 to ❑ NA
❑ NE
maintenance or improvement?
Waste_Applicatian
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 o ❑ NA
❑ NE
❑ Excessive Pending ❑ 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): ca 566—c -
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes KfNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ETINo NA ❑ NE
l6. 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 Vo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes 't' NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [] YesVNo
5�❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [] Yes❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists [] Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
D Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall InspectirNo
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes❑ NA ❑ NE
Page 2 of 3 21412011 Continued

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

Facility Number
dDivision of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit Co ante 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: D Arrival Time: Departure Time: County:
Farm Name: ��� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: Q f —
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Population
I❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other.
Title:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:
Latitude: 0 0 0 , �„ Longitude: = ° ❑ ,
Design Current
Wet Poultry Capacity Population
❑ Layer I I :::::]i
❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -La ers
❑ Pullets
❑ Turkeys
❑ urkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood Cowl
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes ZrNo ❑ NA ❑ NE
❑ Yes N ❑ NA ElNE
ElYes 5No ❑ NA ❑ NE
❑ Yes N NA El NE
ElYes❑ NA ❑ NE
:�9
❑ Yes ❑ No ❑ NA ❑ NE
12128104 Continued

}
Facility Number: — ?i Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes NA ❑ NE
a. If 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): r
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 thr , notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes Z 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 El Yes No NA El NE
maintenance/improvement?
1 I. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[]PAN ❑ PAN > 10% or l0 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13.
Soil type(s)
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
El NA
El NE
15.
Does the receiving crop and/or land application site need improvement?
El
7NiNo [INA
El NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?[:] Yes
�`NEINA
❑ NE
17.
Does the facility lack adequate acreage for land application?
❑ Yes
--❑ NA
El NE
18.
Is there a lack of properly operating waste application equipment?
El Yes
�VNo ❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments. .
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name
Phone: - '-y
Reviewer/Inspector Signature:
Date: 7--/ -5 / ©>{
.. 0 .�.�
12128104 Cantinued

1
Facility Number: q3 —Q Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes "No'NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes;N>o ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑Other
2I. Does record keeping need improvement. If yes, check the appropriate box below.
❑ Yes ONo ❑ 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 4NoNA
her Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ElYes No ❑ NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ❑ NA ❑ NE
27. 'Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes :�No
o NA ❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ yes ❑ No ❑ NA ❑ NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33. Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
Additional Comments and/or Drawings:
12128104

jl�
Facility Number Z
IV Division of Water Quality
0 Division of Soil and Water Conservation
0 Other Agency
G./6rv-,
Type of Visit 0 Co�outaine
e Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit f; 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: ZL Arrival Time: Departure Time: County:
Farm Name: v -- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: /
Certified Operator: �S' (� `► t-�-� i
Title:
Phone No:
Integrator:
Operator Certification Number:
Bach -up Operator: Back-up Certification Number:
Location of Farm:
Region:
Latitude: = c 0 = 11 Longitude: = ° [� l = "
Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
❑ La er
❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ urkey 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?
Design Current
Capacity Population .
❑ Dairy Cow
ZCrCJ
❑ Dairy Calf
❑ Dairy Heifer
❑ Dix Cow
❑ Non-Dai
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structl
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?
A
f
❑ Yes o ❑ NA El
❑ Yes N ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes 0 NA ❑ NE
[IYes o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
F
12128104 Continued

F'acilitj Number: — z
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes ZNoZNA ❑ 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): 00
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No NA ElNE
(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 environmenta;N'
re , notify DWQ
7. Do any of the structures need maintenance or improvement? El
7No
El NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes
NA El NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 21 No NA ElNE
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 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) Le S6�e—Q
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. is there a lack of properly operating waste application equipment? ❑ Yes
LYN ❑ NA
❑ NE
or
NA
❑ NE
NA
ElNE
NA
ZEl
❑ NE
NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/inspector Name Phone: _7 (-
Reviewer/Inspector Signature: & Date: Z D
12128104 Continued

Facility Number: g — Date of Inspection 2 a
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage &Permit readily available? ❑Yes �NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ A ❑ NE
the appropiiate box. ❑ WUP ❑ Checklists ❑ Design El Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections Eleather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes N A ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes N NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
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
NA
❑ YesPNNA
❑ NE
❑ YesNA
❑ NE
❑ Yes
❑NE
❑ Yes NA
❑ NE
29. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
24. 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?
Comments and/or Drawines:
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
12128104

i
Type of Visit ecompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit VRoutine O Complaint O Follow up O Referral Q Emergency O Other ❑ Denied Access
Date of Visit: 1�'�U Arrival Time: GiOG Departure Time: %- O County: �' '✓n'?
Farm Name: �V_ � � �' �jQr�`Z Owner Email:
Owner Name:-fPl."' ` __��Y 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:
Region: Aa%
Latitude: =1 o =] , = 1{ Longitude: = ° ❑ I ❑
Swine{E#§ t= �.
" ❑ Wean to Finish
❑ Wean to Feeder
ElFeeder to Finish
r`.7¢F_0 -i � �eaR 3a.,_g.-
Designre C9urrent t to- i l De�istgn
Capacity,`Populahon S Wet Poultry : Capacity
..I 4% _ac.., ,.I f l: fi i s �- t.x_
i
a ❑ Layer
❑ Non -Layer
i , a. ' t��
Y xt 5
Dr Poultry_
❑ Layers
❑ Non -Layers
1. ❑ Pullets
.`
❑ Turke s
f.j.1 s. -' ❑ Turkey Poults
g3.y
atCu�rent;
;P.;apulation
c� 3¢s. >, ?.i
f Cattle
$'�l��. �;.
of
Dgn
Capacity
a�Sr1�fF...
- Ril
'C[t .
Population
!�45lluas
4
❑ Dairy Cow
cy
❑ Dairy Calf
iy' Q
_-
"k, - (:
'
El Dairy Heifer
El Farrow to Wean
❑ D Cow
El Farrow to Feeder
❑ Non -Dairy
ElFarrow to Finish
❑ Beef Stocker
❑ Beef Feeder
❑ Gilts
❑ Boars
❑Beef Brood Cow
t
Number of Structures
1
❑ Other
❑ Other
; .
Discharges & Stream Impacts
I. 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 2No ❑ NA ❑ NE
❑ Yes
2FNo
❑ NA
❑ NE
❑ Yes
P-No
❑ NA
❑ NE
❑ NA
❑ NE
❑ YesrNo
❑ Yes
ff No
❑ NA
❑ NE
❑ Yes
F�No
❑ NA
❑ NE
Page I of 3
12128104 Continued

Facility Number: 9 — 2 J Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
[]Yes
.O No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
Z 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
Oc/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes
0-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
0 No
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes ETNo ❑ 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 ONo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes R'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
ETNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
EJ"No
❑ NA
❑ NE
16, Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination ?
❑ Yes
E[ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
0No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
21 No
❑ NA
❑ NE
Comirttents,(refer to gnestion `#) Explain any YESanswers and/or any r.ecommendat�ons or88��anyother comments.... g 1;
Use drawtngs:of facility to better. explain situations. (use addthdrial pagests necesary)s.t$. . a,,� .;
..,
Reviewer/Inspector Name , ; ' ` �` . Phone;
1 1 --
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

A Facility Number: 9 — / Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 4 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes PNo ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21. Does record keeping need improvement? If yes, check the appropriate box below.' ❑ Yes allo []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
/0 No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
ONo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
o
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
ONo
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
P'�No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ETNo
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
kl`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
,
IG 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
VrNo
❑ 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
O'No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
j2rNo
❑ NA
❑ NE
Addjtional,Gomments and/or -Drawings s I4 = t"„
GJ fL--'�P yCr l►�
Sri'i �f�
Page 3 of 3 12128104

a Division of Wate Quality
t
(Facility Number ®- i ®Division of Soil and Water Conservation
® Other Agency
rype of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: JaRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: ri,%,
Farm Name: �� t, Owner Email:
Owner Name: �'� ► ;r % l� �, r Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Region:
Design Current
Design
Current
Design C►urrent
Swine Capacity Pop.
Wet loulffirly,16apacity
Pop.
Cattle Capacity Pop.
Wean to Finish
La er
DairyCow
Wean to Feeder
Non -La er
DairyCalf
Feeder to Finish
DairyHeifer
Farrow to Wean
Design
C►urrent
D Cow
Farrow to Feeder
Dr P,oultr,
Ca 'aci
P,o .
Non -Dairy
Farrow to Finish
Layers
Non -Layers
Pullets
Beef Stocker
Gilts
Beef Feeder
Boars
Beef Brood Cow
Turkeys
Other
Turkey Poults
Other
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 �No ❑ NA ❑ NE
❑ Yes
2] No
❑ NA
❑ NE
❑ Yes
12-No
❑ NA
❑ NE
❑ Yes ,❑/'No ❑ NA ❑ NE
❑ Yes );�] No ❑ NA ❑ NE
❑ Yes PTNo ❑ NA ❑ NE
Page 1 of 3 21412011 Continued

Facili Number: 7f - 2A jDate of Inspection: :17
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
ER No ❑ NA ❑ NE
�No ❑ NA ❑ NE
T� Structure 6
❑ Yes oNo ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
0No
❑ 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
eNo
❑ 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
allo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
2 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
Ej 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
P7No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
12J No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
k/ 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
❑'No
❑ NA
❑ NE
Reijuired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
ET —No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[] Yes
�2-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 [Z 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 No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No
Page 2 of 3
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
21412011 Continued

Facili Number: - 'Z 1 1 fD5ate of Inspection: — !/
24,Did'the facility fail to calibrate waste application equipment as required by the permit? []Yes �TNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes J21No
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 eNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes 0No
Other Issues
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
;2 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?
❑ Yes
WNo
❑ 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
;3'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
2 No
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
ETNo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
E]r�o
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
[:]Yes
ONo
❑ NA
❑ NE
Comments (refer tolquestion #): Explain any YES answers and/or any additional recommendations or;any other comnentst:,
�.
[U'se drawings of facility to better explain situations (use additional 'paiies as necessary).. ` _ ; l , ' $ _ ,k . , ` '�: ,Z�
Soy / vr� ®r b( I-t, A
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: _ 7S,1_ f`1 rG
Date: T — l7 r !J
21412011

Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: p Arrival Time: D p Departure Time: County: Region:
Farm Name: e. 12; �.— Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title: /Phone No:
,
Onsite Representative: Integrator: 6 �
Certified Operator:
Back-up Operator:
Location of Farm:
Operator Certification Number:
Back-up Certification Number:
Latitude: = o = 5 = If Longitude: = ° 0 d = "
Design Current
Current
Design Currenopulation
H—esign
WetPoltry Cpacity
Population
C►attle
Capacity Population
I ZO
❑ Wean to Finish
❑ La er
I
E1,11airyCow
❑ Wean to Feeder
ILI Non -Layer
I
I
❑ Dairy Calf
❑ Feeder to Finish
Dry Poultry
❑ La ers
❑ Daia Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Beef Stocker
El Gilts
❑Non -La ers
❑ Beef Feeder
❑ Boars
❑ Pullets
❑ Beef Brood Co
El Turkeys
Other
❑ Turk e Pouets
❑ Other
❑ Other I INumber
of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
❑ Yes No ❑ NA ❑ NE
❑ Yes ZNOI[E] NA ❑ NE
❑ Yes No NA ❑ NE
❑ Yes/NoEl
❑ NE
❑ Yes ❑ NE
❑ Yes ❑ NE
12128104 Continued

Facility Numbers —
Date of inspection D
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?
El Yes No A [INE
El Yes o ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes o A ElNE
El Yes;No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental thre , notify DWQ
7. Do any of the structures need maintenance or improvement? ElYes:No
No A [I NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
_Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes rKo
A ❑ NE
maintenance/improvement?
11. is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s) %` i7)"` . C +'� i c5'M ajry1 50 F z SC.t. X
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? 541 e n 6 1 A ❑ Yes
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? ❑ Yes
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Cl Yes
❑ Yes
❑, No�❑ NA ❑ NE
9<0 NA ❑ NE
N ❑ NA ❑ NE
l�fo NA ❑ NE
o ❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any recoinmendations or any other' comments'
Use drawings of facility to better explain situations. (use additional pages as.necessary):,
CVW-f f—l)Y �}P� K i y,�, �r0 C e.r'-r
G r n r s n K Iv o e, i-vy -rani ru'l -_
Reviewer/Inspector Name i
Phone:
Reviewer/Inspector Signature: �J4 S' e a t_w fZ 4
Date: 7 Sr 0
/"j
Page 2 of 3 12128104 Continued

Facility Number: —Z Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
Ely e S
N�oN A
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[] Yes
No ❑ NA
❑ NE
the appropriate box.
❑ WUP El Checklists ❑Design [I 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,, [J-120 Minute Inspections ❑ Monthly and I"
Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
IQNo NA
❑ NE
23, If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
o ❑ NA
❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No A
[I NE
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
,.,�o
�No A
❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
o ❑ NA
❑ NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
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?
Additional Comments and/or Drawings:
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
7
❑ Yes ❑ No ❑ NA ❑ NE
r
❑ Yes ❑ No ❑ NA ❑ NE
YI 'L0 ►-oys be 75 lo ltq Oa- J C Co I 4s. )
4 ^ C d i +'1 I'it / C ✓ I^ iv o t4,vs ~ 2 1 S oq'pP b .0- c/ ,
J 01— o! cj d4 �i9 eY0_7 •_ 1.S r�G7� 4`9 2 c d-6 L.) Le-- `/-U s 4. e w
�/ J r A3,_ "45 / /c✓s , nj P e,,,- f::)Li_ I (� AS � 5, rl-, 12.
(2-h ll&7Ofn3 111j' crr134-4'"% ✓'e L,)rj_~ C,)Yvoc-I`�7
Page 3 of 3
12128104

Type of Visit O-Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit JaRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: �r� .Z'""5`-a Arrival Time: i (! ��S Departure Time: /�.do County: 11,411
Farm Name:yY�P ,�r'r�sP cia �p«,5� ,-, Owner Email:
Owner Name: �r'y_ C.,rh•%tf 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:
Region: 1-91?G
Latitude: 0 c = = Longitude: = ° = 6
Design Current
Design Current
Design Current
Swine Capty Population
Wet Poultry Capacity Population
Cattle
Capes ty Population
inish
❑ La er
❑Dai Cow
FEtoleeder
❑ Non- Layer
❑Dai Calf
❑ Feeder to Finish
❑ Dairy Heifer
❑ Farrow to Wean
Dry Poultry
❑ Da Cow
❑ Farrow to Feeder
❑ Layers
❑ Non -Layers
❑ Non -Dairy
❑ Beef Stocker
El Beef Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Pullets
❑ Beef Brood Cow
❑ Turkeys
Other
❑ Turkey Puults
❑ Other
❑ Other I
umber of Structures:
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 RfNo ❑ NA ❑ NE
❑ Yes ONo
❑ NA
❑ NE
❑ Yes 0-14o
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes .0 No
❑ Yes ONo
❑ NA
❑ NE
❑ Yes .0--No
❑ NA
❑ NE
Page 1 of 3 12128104 Continuer)

Facilit}; Number -- )A _ Date of Inspection Zy—O
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
J2'No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure
5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): S`�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
P 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
ONo
❑ 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
ONo
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes
P 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
0No
❑ NA
❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes �TNo ❑ 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 Drifl ❑ Application Outside of Area
12. Crop type(s) Ft-56L P
13. Soil type(s) ,,{
14. Do the receiving crops differ from those designated in the CAWMP? El Yes XJ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
k] No
❑ NA'
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes
allo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes
El -No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes
Z 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):
s
Reviewer/Inspector Name �� o y,rp, f Phone:
Reviewer/Inspector Signature: Date: -?-I C/ - 07
.12128104 Continued

Facility Number: 9� — Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ;2'go ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ,Q No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
2I. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ,0 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
0"No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
JRNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
,B�N'o
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
YJ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
jFKo
❑ 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
No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
)O'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
No
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
�
[__1 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
,E] No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
ErNo
❑ NA
❑ NE
Additional Gommentsandloi Drawin sMZ
Page 3 of 3 12128104
Page 3 of 3 12128104

Division of Water Quality
=1FC11MVIN.Aer Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit
7compliance Inspection
0 Operation Review 0 Structure Evaluation
0 Technical Assistance
Reason far Visit
J2rRoutine 0 Complaint
0 Follow up 0 Referral 0 Emergency
0 Other ❑ Denied Access
Date of Visit: 7 g o5 Arrival Time: g. Departure Time: County: k�)JIW-X ^4
Farm Name: 'i Lf. r'Iz' /2 nC.Owner Email:
Owner Name:
Phone:
Region:
Mailing Address: 'b07 4z0CC.0__ 2A 1(W
Physical Address:
Facility Contact:
Title:
Onsite Representative: Ag a L 1.+A TV— Integrator:
Certified Operator:
Back-up Operator:
Phone No:
Operator Certification Number:
Back-up Certification Number:
Location of Farm: Latitude: = o = I = I[ Longitude: = o = 4 0 "
Design
Swine
Currentf Deeigm Current - Design Current
WetPo�ultry Cattle
C+ap�a�c�ity
Popu lation Cacity Popui Capacity Population
❑ Wean to Finish
❑ La er 0-6airy Cow Zpp
Layet EFDairy Calf
❑ Dai Heifei
Drayo y i • 3 El Da Cow
❑ Wean to Feeder
El Feeder to Finish
❑ Farrow to Wean
El Farrow to Feeder
❑ Non -Dairy
❑ Farrow to Finish
❑ La ers
0-Beef Stocker
❑ Gilts
❑ Non -Layers
El Pullets El Beef Feeder
❑ Beef Brood Cowl I
❑ Turkeys
❑ Boars
Other
❑ Turke Pou Its
❑ Other
❑ Other Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
?fNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑ Yes
❑ 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 adverse impacts or potential adverse impacts to the Waters of the State
❑ Yes
❑ o
❑ NA
❑ NE
other than from a discharge?
12128104
Continued

Facility Number: — Z, ( 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 /11 No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes lNo ❑ 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 VfNo ❑ 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 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
/7 r XZ_ 1 s
12. Crop type(s) C� l4� 1.I fSt�e7l CbQrJ I;-. JGF.;.S CA.,',-_
13. Soil typc(5)'
S7 7 23
14. Do the receiving crops difl-from those designated in the CAWMP?
❑ Yes
)6 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination:
❑ Yes
No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
VNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
Z1 No
❑ NA
❑ NE
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date: 7 . ,S
12128104 Condnued

Facility Number: — Date of Inspection I`51
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes 10 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 appropirate box. ❑ WUP ❑ Checklists g ❑ Maps Other ❑ Design p ❑ .
21. Does record keeping need improvement? If yes cl
k the ppro riate box below. ❑ Yes PNo ❑ NA ❑ NE
��o I
❑ Waste �ication ElWeek)/FreeboarY Waste�Ana lysis ❑ Soil A? �s s ❑Waste Transfers El Annual Certification
❑ ROfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and !" Rain Inspections -❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
10 No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
grNo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
9No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
VNo
❑ 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
y❑ No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
O No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
N
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
A 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
16 No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
V1 No
❑ NA
❑ NE
Additional Comments:find/orDtawin s
7-� F�'C V4 rE p Cmn p' L ,rc ems. c,.! nJ+� T E-c_o 5
g jq- wt 'rFj ' A! A-U_>..► ag L'EJcL S
> Te ; �c : �r: AL 4�, cA �� � Ever %.0 �3� c� G 'TVA td s
G�a�s�- i�(tltlttsYs
a Got `l t_ r `: [r . d� /� )2C ca vt rti,. ��fDxtrT` 1'f' Fall VAg:ovs' Ce—i*4r ,
12128104

Type of Visit (Compliance Inspection Q Operation Review p lagoon Evaluation
Reason for Visiit g(Routine O Complaint O Follow up O Emergency Notification Q Other ❑ Denied Access
bate of Visit: c7 Time: r 3�
Facility Number r 3
Q Not d erational Q Below Threshold
Permitted ©�rtified © Conditionally Certified © Registered Date Last Operated or Above reshold: .........................
FarmName: ................................................................»............................................................ County: ........ '^'.?'4..............................................
OwnerName: ................................................... ........................................................................ Phone No:.......................................................................................
MailingAddress: ..................................................................................................................... ..................................................................................... ..........................
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
Onsite Representative:.... „ t A T W..& „*.-re ,,t , Integrator:
..... .....................................................................................................................................
Certified Operator: ................................................... ............................................................. Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude • 4 66 Longitude • 9 64
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes XNo
❑ Yes //❑10
❑ Yes [PNo
❑ Yes Mo
-
❑ Yes 0 No
❑ Yes )"No
❑ Yes 91NO
Structure 6
Identifier: ..........................................................................................................
Freeboard (inches): 1 =
12112103
Continued

Facility Number: "if -- Z4 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes �No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or 13 Yes No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an to
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes A No
8. Does any part of the waste management system other than waste structures require maintenancelimprovement? ❑ Yes ❑oNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes ®(( No
elevation markings? r
Waste ADDllcation
10. Are there any buffers that need maintenancelimprovement? ❑ Yes /11 No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type i_.o : is 5 ` t z- r't S 1"s_
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 4 No
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?
1$. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. 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.
Reviewer/Inspector Name °"'"
Reviewer/Inspector Signature:
Date:
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes VNo
❑ Yes �NO
❑ Yes E3,No
❑ Yes No
❑ Yes '/WNo
❑ Yes;ZNo
❑ Final Notes
12112103

Facility Number: — •z Date of Inspection
Required Records & Documents
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes 16 No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes ONO
23. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes l o
❑ Wasteaon ❑ Frard ❑Waste ysis ❑ Soil S pli
24. Is faci iti.�� of in compliancerwith any applicable setback criteria in a feet a tiie me of design? ❑ Yes ONo
25. Did the facility fail to have a actively certified operator in charge? ❑ Yes VNo
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes Z:fNo
27. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes O No
28. Does facility require a follow-up visit by same agency? ❑ Yes j'No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ONO
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) ❑ Yes kNo
31.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
32.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
33.
Did the facility fail to conduct an annual sludge survey?
❑ Yes
❑ No
34.
Did the facility fail to calibrate waste application equipment?
❑ Yes
❑ No
35.
Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ Stocking Form ❑ Crop Yield Form ❑ Rainfall ❑ Inspection After V Rain
❑ 120 Minute Insnections ❑ Annual Certification Form
12112103

_, ,V %v
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit outine 0 Complaint 0 Follow up 0 Emergency Notificati n 0 Other ❑ Denied Access
Facility Number Date of Visit: l it Time: b =
Not O erational Below Threshold
crmitted ,[Certified 0 Conditionally Certified © Registered Date Last Operated or Above Threshold:
Farm Name: L4 �` n a -^ County: t...i Aa-c/
Owner Name:
Mailing Address:
Facility Contact:
Onsite Representative:
Phone No:
Title: Phone No:
Integrator:
Certified Operator: A'Sjl-�W h1 i T _ Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' 04 u Longitude 0' 0` f{
Design Current
DesignCurrent Design
Current
Swine Capacity Population
Poultry Capacity Population Cattle Capacity
Population
❑ Wean to Feeder
❑ Layer Dairy
❑ Feeder to Finish
❑ Non -Layer ❑ Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
❑ Gilts
!
❑ Boars
Totdl SSLW; .
Ar
L" Number of Lagoons
❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray
Field Area
p%
Molding Ponds 1 Solid Tr a s
❑ No Liquid Waste Management System ;fig
Discharges & Stream Impacts
t. 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 therc 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:
Freeboard (inches): / -3--Zk
05103101
❑ Yes PNo
❑ Yes PfNo
❑ Yes �No
❑ Yes '0 No
❑Yes ;bNo
❑Yc�No
❑ Yes �2rNo
Structure 6
Continued

Facility Number: — Date of Inspection
5. Arc there any immediate threats to the integrity of any of the structures observed? (icl 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 maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste ADulication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type
13, Do the receiving crops differ 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?
Reauired 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 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?
❑ 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
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes .❑ No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Oyu
Comments (refer to question#) Explain any YES answersndlor any: 'recommendations'nrany other comments.
:Use drawih9s of facility tabetter eirplatn'situations`{use additional pages as necessary):[] Field Copy ❑ Final Notes
Reviewer/Inspector Name
ReviewerAnspector Signature: -'+ Date:
05103101 Continued

C - _
as i 3 rE€EEi' ,iS
Type of Visit .0 compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit XRoutine O Complaint Q Follow up O Emergency Notification Q Other ❑ Denied Access
Date of Visit: ZL -4, Time: =moo
=F,ellit-v Number
Not D erational Below Threshold
PKermitted Q Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above T reshold:
Farm Name: r -re Q' Q G County: "14OZ
Owner Name: _
Mailing Address:
Phone No:
Facility Contact: Title: Phone No:
Onsite Representative: __As+� LF- Integrator:
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine [:]Poultry Cattle ❑ Horse Latitude ' • " Longitude 0 �• �"
C6rrent Design Design,, ,
PoCurrent
R, C al i'Design
POulu1 l ,, culattonCstilin
uSwme
r
. .. ..
❑ Wean to Feeder
,
f
I+" ❑ Layer ❑ Dairy
s". ;
❑ Feeder to Finish
i,
; ❑ Non Lay er F ❑ Non -Dairy
i € E
❑ Farrow to Wean
l •E4
❑ Farrow to Feeder
i El l III I
❑ Other
Farrow to Finish
"�' ` s "' ' ' Total Design Capacity'
❑ Gilts
❑ Boars
'lssl m 1'ti
Number of Lagoons '
" yi
; :1i P",,'❑ Subsurface Drains Present ❑ Lagoon Area JO Spray Field Area
Ho[dFng:Ponds I S6Iid3raps
❑ No Liquid Waste Management System
Discharges R 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 R Treatment
4, Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
❑ Yes _ teNo
❑ Yes VNo
❑ Yes VNo
❑ Yes Nvo
El Yes l Nro'
El Yes
❑ Yes VNo
Structure 6
Identifier:
Freeboard (inehcs):
05103101 � L Continued
2Y a
k7.

Facility Number: '1 3— 21 Date of Inspection Hil�
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes F ' -
seepage, etc.)
5. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes �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? ❑ Yes !"o
8. Does any part of the waste management system other than waste structures require maintenance/improvement? El Yes �J No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ONo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ONo
11. Is there evidence of over applicati n? ❑ Excessive Ponding El PAN [� Hydraulic Overload El Yes EZNo
� tQ7i �s
12. Crop type C , CAS S j it
13. Do the receiving crops differ04 those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ZJ 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 eYN
16. Is there a lack of adequate waste application equipment? El Yes
!r No
Required Records & DQcum�nt ZS�
17. Fail to have Certificate of Coverage eneral Permit or other Permit readily available? ❑ Yes JzNo
18. Does the facility fail to have all components of h Cek?fTd Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.} ❑ Yes o
19. Does record keeping need improvement? (ie/ ifrigation, freeboard, wa to analysis & soil sampi repo s) ❑ es _-LR No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes TTNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes �o
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes 9Ncco
24. Does facility require a follow-up visit by same agency? ❑ Yes
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes [4lo
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Cornments.(refer to question #) Explain anyYES answers.andlor any1'recarinmendations orany other�comments
h .
ilse,drawings of facility to better explain situations (use addid6nal,pages as„necessary,):s icld Copy ❑ Final Notes
7
v,7�
Reviewer/Inspector Name- .77747aC�
Reviewer/Inspector Signature: Date:
05103101 ( I Continued

Facility Number: % 3 — Z% Date of Inspection PP
Odnr 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?
❑Yes 0
No
❑ Yes VT1
❑ Yes Vlo
❑ Yes IN' o
❑ Yes ;dNo
❑ Yes o
❑ Yes tVNO
Additional Comments and/or Drawings: 41
05103101
05103101

ID-Wivision of Water Quality
0 Division of Soil and Water Conservation.
0 Other Agency
Type of Visit ompiiance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit tine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number c` 3 Z t Date of Visit: l % t a� I'iroi: : 3 Printed ciu: 7/21/2000
0 Not Operational Q Below Threshold
,CWermitted 2<ertified 13 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: .... ..••...•.••.•••.••..•
Farm Numc: {�1 �i T��� �-f�, County:...........!
.........................................................�'........................................................... .................................................
Owner Name: Phone No: :SZ...'...` 6.....3.�3�..�.)
Facility Contact:..............................................................................Title:.................................. .... Phone No:
.......................... ...................................................
MailingAddress: ................................................................ ........................................................................................... ......... ...................................... ..........................
Onsite Representative:...1QSiJL c�,3 i�h 1 � Integrator:......................................................................
Certified Operator:................................................................................................................ Operator Certification Number:..........................................
Location of Farm:
[]Swine ❑Poultry.)hCattle ❑ Horse Latitude �' �° ��° Longitude
Swine
Design Current
Canacitv Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ LayerI EEE] airy 2L-2 1� 17$'
❑ Non -Layer I fEOEINon-Dairy
❑ Other
Total Design Capacity
Total SSL W
Number of Lagoons JE1 Subsurface Drains Present ❑ Lagm)n Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impart
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 dischar�,c is observed. what is the estimated flow in gal/min?
d. Doer- discharge hypass a lagoon system'? (il'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? lJd
ruSpillway
Structure I Structure 2 Structure ; ""[[ Structure 4
Identifier: ................�'�D..".............................................. ................... ............... .............................
❑ Yes ,fNo
❑ Yes XNo
❑ Yes A No
❑ Yes 16 No
❑ Yes No
ElYes RNo
❑ Yes P No
Structure 5 Structure 6
Freehoard (inches):
5100
Continued on back

t y
Facility Number: y 3 — z Date of Inspection 1 ! 0 a Printed on: 7/21 /2000
Odor Ismies
26. Does the discharge pipe from -the confinement building to the storage pond or lagoon fail to discharge tit/or below []Yes 01No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes �Z/No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes PNo
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 J:3'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 4:rNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes JZ'No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes 4J No
Additional Comments and/orDrawings: ...
-�-c�MrA f� .�j G� S�/Z�4a� sai�S t c.1�-�a-�5 C a�c��sr p 14 Lar
alrf �oa
l� ,S 7/ Y7 Uc)
s4S 9_cvo41-t- PV waT,;r-"• t`a s 4 Z! S7814-c c r 6 . � lbrIA- 'F1't'LP 1q- Av
Q _ .Z�L - o f bs-/A-U
c-,4 U_ A-6 4 L" kr/ !Z' ES to US — �.:�a i.✓G S
5100
J

`- ,16
Routine 0 Cam ilainl 0 Follow-up of DNNQ ins cction 0 Follow-up of DSWC review 0 Other
Facility Number Date of inspection f `7
Time of Inspection 0' 24 hr. (hh:mm)
0 Registered © Certified [r Applied for Permit 0 Permitted JE3 Not Operational I Date Last Operated:
FarmName: ............................................................................................................... County:.....................................................................................
OwnerName: ................................................... ........................................................................ Phone No:...................:...................................................................
FacilityContact:.............................................................................. Title:.......................... .......................... Phone No:................. ..............................................
MailingAddress: .............................................................................................. ..........................
Onsite Rep resentative:)M.................Y3�J1..!lt.. ................ Integrator:. ................---.......................---•
Certified Operator........................................................................................................ .... Operator Certification Number......................
Location of Farm:
Latitude ' �• it Longitude �• �4 46
Design Current Design Current: Design ;Current '£
[Pe"S'wine Capacity Population Poultry Capacity Population f . Cattle Capacity 'Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Ne►inher of Lagoons 1 Holding Ponds ❑ Subsurface Drains Present ❑Lagoon Area ❑Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
eNo
2. Is any discharge observed from any part of the operation?
❑ Yes
E�No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
❑ Yes
VNo
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
❑ Yes
e'No
c. If discharge is observed, what is the estimated flow in Val/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes
P No
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
PNo
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
�TNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
A No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
PI No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
/PfNo
7/25/97
Continued
on back

,Facility Number.
S. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Layoons,Iiolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
❑ Yes y No
❑ Yes �(No
Structure 5 Structure 6
Identifier:
Freeboard(f ):.........( ............ I......... ...........................................
10.
Is seepage observed from any of the structures?
❑ Yes No
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
No
12,
Do any of the structures need maintenance/improvement?
❑ 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
[o
Waste Application
r
14.
Is there physical evidence of over application?
❑ Yes
❑To
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type 51 . ..../ Q��....� ..........................................................................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
l❑ Yes
No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
No
18.
Does the receiving crop need improvement?
❑ Yes
No
19.
Is there a lack of available waste application equipment?
❑ Yes
[XNo
20.
Does facility require a follow-up visit by same agency?
❑ Yes
0 No
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
ZfNo
22.
Does record keeping need improvement?
❑ Yes
P No
For Certified or Permitted „Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No violations or. deficiencies.werenotedduring this visit.-.You.w'i11 receive nofurther :
. coerespotidence about this.visit:•: • :::
j Ode- cut
❑ Yes Ld No
0 /
❑ Yes P No
❑ Yes P No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: /f'��Gri•-y,� d��-p Dale: y t

L.
Facility Number Date of Inspection !O ? 190
Time of Inspection 41'-,&d 124 hr. (hh:mm)
Permitted 0 Certified Q Conditionally Certified Q Registered [3 Na Operational Date Last /Operated: ..........................
Farm Name: S.-!.....�..... 7'...!.A..Sa..�t!1.......... County:.....+-.^!.................................................
Owner Name: r Phone No:....ry-!.?f.Q.....�.
FacilityContact:.............................................................................. Title:................................................................ Phone No:...................................................
MailingAddress: .............................. I . ..... ........ L ..............................................,.,......,...............................
Onsite Representative:....ACS 1. .....t.nl7!l..T..'.................................................... Integrator:......................................................................................
Certified Operator: ................................. .... .... .................................................... Operator Certification Number:..........................................
Location of Farm:
i
........................................... ................................ ............................................................ ........................................ .... .................. V
Latitude ���° �••
Design Current
Swerve Caaacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts I
❑ Boars
Longitude �• �` �
i Design Current Design , ; „ Cu_ rrent '
i'oultry „ ,'Ca acit PoOiilad6n : Cattle Ca acity Po ulation ..`;
] Layer Dairy 2 0I /_?,,- 1 Sri
10 Non -Layer
;
�❑ Non -Dairy
❑ Other
s =Total Design Capacity
I
,
Tatal'SSLW
'
NumberoF Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray f ield'Area
i 2 _
'Traps } Holding Ponds /`SolidG ,i .; ❑ No Liquid Waste Management System
,0.,,
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes gNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a'. If discharge is observed, was the conveyance man-made'! []Yes JO/No
h. If discharge is observed, did it reach Water of the State? (Iryes, notify DWQ) ❑ Yes 06No
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system'? (Il' yes, notify DWQ) ❑ Yes No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes �No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Vf Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway ❑ Yes Pr/No
Structure ] Structure 7 .. Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(inches):........................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (iel trees, severe erosion, ❑ Yes No
seepage, etc.)
3/23/99 Continued on back

t
' Facility Number: 5'3 - Z1 Date of Inspection
! 2
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ YesXNo
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
T Do any of the structures need maintenance/improvement?
❑ Yes
ZNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
[:]Yes
2"No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
JC2�No'
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
ZNO
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
f'No
12. Crop type SM - G94 i - u e'f S :
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes
;2(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
[Vivo
16. Is there a lack of adequate waste application equipment?
❑ Yes
ZNo
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
0 No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
WUP, design,
❑ Yes
(ie/ checklists, maps, etc.)
,"No
19,
Does record keeping need improvement? (ie'/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
ZNo
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
F
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
;7No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/ discharge, freeboard problems, over application)
❑ Yes
No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
�No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
j(
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes;ZO)
N.0.yiolatigris:or• dU1cie>icles •Were p¢ted. d(rriOg thls:visit' • ;Y:ou'Will •reeeive 00 futtlfer.
corresD&ideince' ahaut:this visit. :::.:.....::::::::................ .
?�) t."krtr;;.fG rnJ rj j PA r 2-7 /►?As+�i�"` , A 40 Ord-
/ CM,PoSTi "J&- �•i�S CpJgj- A.L0 Pass � 8r r C-4-1T41,f��+J1 TNT
2 U�o Docks ��_ LSAA 'r44,s Si t"E._ s.na�_ P004.0:AfG/ wa 2Jnlafr- o$StE�✓F�
C�,I�cl �. r �..� �" rt� S 7 * Tt ✓�T Cl(-C-� �c i'a VIZtP_ ' ff <F TN;
Mf�,r�AoA bF Ar.CfuAL
(Lj; LL. M 1F Lrarlt:`1 �'r►a ; x 'P ( I
Reviewer/Inspector Name P1 f,
Reviewer/Inspector Signature:
a5497
M
Date: 1 01 Z
3/23/99

Facility Number: C �— Z Date of Inspection / z7
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ZNo
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 91"No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, []Yes VJ/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 ZINO
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, ctc.) ❑ Yes XNo
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? El Yes ,/8 No
pion aOmments and or rawin 5 i 't +
'b 3ii,
Z l 1 C� I?. S;r ejC_ STD l7' w f`�� r S �C� F99-U i O ✓ss d-f -TV-
3/23/99

'�'•, r �� �lsCS �1nri1C.d1�C h��iliOn �,_
Fdcltil3► Num>�ars.. � � � �
DATE: ass
owner:J
County: �..IA Ae
Agent Visiting Sit= t.! � n - J � Phone
OPOrator. l Phone: / tf a --
On Site Representativo: -_ _ _ _-- Mono:
i'lsy51ca6 Address: _5R - !.z r -��
Mulling Address: _k 1
Type of0por Upn,, SWIM Pbultry Cattle L
Design Capacity; �220 N=bcr of AnimuL% an Site: r�
�:L.2 t �p * �.Q{I�tuE 'ri r ,ZZ.�� ,_ R
Cimle Yes or No
Docs [be Anili+.t>:1 Waste iagann 1:ave =uTiicient €neetcard of I roc +2S yeur 24 hour storm avent
o z (approximately I Foot 7 lnc!es)(!_ cs r 'lo Aclval Frccl:aw-d: reef Irlc1-
❑; orn, For facllio'es with room tb= ore?agnnll..:J=c addmss the ad -.or 1sgoow' rkcbaatd undo the
We
culru=jlls scctina.
iuZ �, C6 Wns any iecpap observed frost the lxgaotXs)l Ye:t ols))Vn 111L.L., ct0ivn of tt-Ja dam?. 'Yez 0 � v
W Is ad yuuato ]And availtble for Iand applicrrik=%n 1;D ;s the arver crop cdegaaO Na
jr
ti
� Asic4itivltiai C`o1�;T�rirS. .(�[9 ra era.. ���-t..�'�� .�L• +
Fux to [phone]
Sig=ture arAgaSt

SUC V.Cg0j s iVtcd; ,:c Aurndoa
r
1-5
Faail�y Namb�
cow $ITF,Wrr 0 lich-iRpr.OW3 /
L
Owner:���� BUM N$fnc
Caumty: �..Ld A'2
Agent Visii:rg Sites phone;
Phase: ! G - 2M.21
On Site Regr=b tadvo: Mono:
Phy34cai A4d =a:. 52 - !.2 10
z
❑ o a,.,
cz.�.
�a
o
W w =
f=
3
w
a
0
AF1u Mvi Addreas:
Typc of Opcmaipm: Swim poultry•,,,., Cafltc L
ne ig.R Capocity: O N=fxr of Animah on Ut.
1stltode4 -3�-_.4 , _� t o i,Qilgttttdc; rz9
CimlaYcs or No
Dacs Ehc AnimpA Waste Lagann i ave .Eu icicut fi.-tetaard of t not +2S yetx 24 hour storm event
(approtimuuciy I Foot 7 Inches)(!. cs r No Ac€ri r'rrc?:aard: =' rest irtc3-,�
For facilhics with rnem th= Cne?asnc»r, pl=c addmss the ctfxr 1ADMa3' rrccb=d under the
cumm]fts scrW on.
Was wry sL--VAFa%smed f-orn the Inam(S)l Yes 04s))Yas 111c,. ccosion oft�j:4Am?: yal 00
Is aci,r,ua!a lArrei IVOIbIs for land ac03=km7 r ";0 4 the arvc: crop t:degdaf=nt r NO
Addit anal Comment:_&2�G
F%a to (919) 7i5.3559
Sigainre of .Aunt

State of North Carolina
Department of Environment,
Health and Natural Resources
Raleigh Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Ashley White
Route 1, Box 82
Norlina, N.C. 27563
Dear Mr. White:
�EHNR
Division of Environmental Management
September 26, 1995
Subject: Compliance Inspection Report
White Ridge Dairy Farm
Secondary Road1210
Warren County
On September 20, 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.
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 all 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 glan 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,
Judy Garrett
Water Quality Supervisor
cc: Warren County Health Department
Bruce Perkinson - Warren 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 Carolina 27609 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

NCDENIt
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Ashley W. White
White Ridge Dairy Farm
805 Rooker Dairy Road
Norlina, NC 27563
Dear Ashley W White:
Division of Water Quality
Cha,ies Wakild, P.E.
Director
June 4, 2013 ,,
John E: Skvaria, ill
Secretary
Subject: Permit No. AW1930021
White Ridge Dairy Farm
Animal Waste Management System0�'
Warren County
In accordance with your June 4, 2013 request for a zero animal permit, we are hereby forwarding to you
this Permit issued to Ashley W. White authorizing the operation of the subjecf"animal waste management
system. You had requested to drop the animal population at this facility'to zero until such time as the
waste storage lagoon at this facility is properly closed, as you no longer wished to maintain it as an active
cattle farm,
This approval shall consist of the operation of this system including,"but not limited to, the management
of animal waste structures on the White Ridge Dairy Farm, with an annual capacity of no greater than an
annual average of zero (0) cattle.
The Permit shall be effective from the date of issuance until rescinded and replaces the COC No.
AWC930021 issued to this facility on October 1, 2009. You are subject to the conditions of this permit
until the closure of all waste storage basins and the rescission of this permit. You must submit a letter to
the Division of Water Quality to request rescission of the Permit by providing documentation of closure
of all containment basins.
The issuance of this Permit does not excuse the Permittee from the obligation to comply with all
applicable laws, rules, standards, and ordinances (local, state, or federal) nor convey any property rights
in either real or personal property.
Per 15A NCAC 2T. 0111(c), a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards, a 100-ft 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 Permit may result in
revocation of this Permit or penalties in accordance with NCGS 143-215.6A through 143-215.6C, the
Clean Water Act, and 40 CFR 122.41, including civil penalties, criminal penalties, and injunctive relief.
1636 Mail Service Canter, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St. Rale'ph, North Carolina 27604 One
Phone: [phone] FAX: [phone] North Caroli na
Internet: ww rimaterouality.orp Aatf/r+all#
t
An Equal Opportunely 4 Aff rralive Action Employer

If you wish to continue the activity permitted under this Permit after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
This Permit is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection Staff may be reached at [phone]. If you need additional information concerning this
this Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Charles Wakild, P.E.
cc: Raleigh Regional Office, Aquifer Protection Section
Warren County Health Department
Warren County Soil and Water Conservation District
APS Central Files (Permit No. AWI930021)
AFO Unit Notebooks

NORTH CAROLINA C
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES �. f
INDIVIDUAL CATTLE ANIMAL WASTE MANAGEMENT SYSTEM PERMIT wO'
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO r `
Ashley W. White
Warren County
FOR THE
continued operation and maintenance of an animal waste management system for the White Ridge Dairy
Farm located in Warren County, consisting of zero (0) cattle and the application to land as specified in the
Facility's Certified Animal Waste Management Plan (CAWMP).
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The animal waste management system operated under this Permit shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of pollutants
to surface waters, wetlands, or ditches. Application of waste to terraces and grassed
waterways is acceptable as long as it is applied in accordance with Natural Resources
Conservation Service (NRCS) Standards and does not result in a discharge of waste to
surface waters, wetlands, or ditches. If the Facility has a discharge of waste that reaches
surface waters or wetlands resulting from a storm event more severe than a 25-year, 24-
hour storm, it will not be considered to be in violation of this Permit, as long as the
Facility is in compliance with its CAWMP and this'Permit.
2. No discharge of waste shall result in a violation of the water quality standards established
for receiving waters as per Title 15A, Subchapter 2B, Section .0200 of the North Carolina
Administrative Code (NCAC) and Title 15A, Subchapter 2L of the NCAC.
The facility's CAWMP is hereby incorporated by reference into this Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards
(federal, state and local) in effect at the time of siting, design, and certification of the
Facility.
4. Any proposed increase or modification to the annual average that exceeds the thresholds
set by North Carolina General Statues (NCGS) 143-215,1 OB(1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.

Animal waste shall not be applied within one hundred (100) feet of any well, with the
exception of monitoring wells. The allowable distance to monitoring wells shall be
established on a case -by -case basis by the Division.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The collection, treatment, and storage facilities, and the land application equipment and
fields shall be properly operated properly and maintained at all times.
2. A vegetative cover shall be maintained as specified in the Facility's CAWMP on all land
application fields and buffers in accordance with the CAWMP. No waste shall be
applied upon areas not included in the CAWMP.
3. Soil pH on all land application fields must be maintained in the optimum range for crop
production.
ti
Land application rates shall be in accordance with the CAWMP. In no case shall land
application rates exceed the agronomic rate of the nutrient of concern for the receiving
crop. In no case shall land application rates result in excessive ponding or any runoff
during any given application event.
5. If manure or sludges are applied on conventionally tilled, bare soil, the waste shall be
incorporated into the soil within two (2) days after application on the land. This
requirement does not apply to no -till fields, pastures, or fields where crops are actively
growing.
6. Pesticides, toxic chemicals, and petroleum products shall not be disposed of in the animal
waste management system.
7. Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be
discharged into the animal waste management system. Washdown of stock trailers
owned by and used to transport animals to and from the Facility only will be permissible
as long as the system has been evaluated and approved to accommodate the additional
volume. Only those cleaning agents and soaps that are EPA -approved according to their
labels, will not harm the cover crop, and will not contravene the groundwater standards
listed in 15A NCAC 2L may be utilized in the Facility covered by this Permit.
Instruction labels are to be followed when using cleaning agents and soaps.
8. Disposal of dead animalg resulting from normal mortality rates associated with the
Facility shall be done in accordance with the Facility's CAWMP and the North Carolina
Department of Agriculture and Consumer Services (NCDA&CS) Veterinary Division's
statutes and regulations.
9. Unless accounted for in temporary storage volume, all uncontaminated runoff from the
surrounding property and buildings shall be diverted away from the waste
lagoons/storage ponds to prevent any unnecessary addition to the liquid volume in the
structures.

10. A protective, vegetative cover shall be established and maintained on all earthen
lagoon/storage pond embankments (outside toe of embankment to maximum pumping
elevation), berms, pipe runs, and diversions to surface waters or wetlands. Trees, shrubs,
and other, woody vegetation shall not be allowed to grow on the lagoon/storage pond
embankments. All trees shall be removed in accordance with good engineering practices.
Lagoon/storage pond areas shall be accessible, and vegetation shall be kept mowed.
11. At the time of sludge removal from a lagoon/storage pond, the sludge must be managed
in accordance with the CAWMP. When removal of sludge from the lagoon is necessary,
provisions must be taken to prevent damage to the lagoon dikes and liner.
12. Lagoons/storage ponds shall be kept free of foreign debris including, but not limited to,
tires, bottles, light bulbs, gloves, syringes or any other solid waste.
13. The Facility must have at least one of the following items at all times: (a) adequate
animal waste application and handling equipment, (b) a lease, or other written agreement,
for the use of the necessary equipment, or (c) a contract with a third party applicator
capable of providing adequate waste application.
14. No waste shall be applied in wind conditions that might reasonably be expected to cause
the mist to reach surface waters or wetlands.
15. The Permittee shall maintain buffer strips or other equivalent practices as specified in the
Facility's CAWMP near feedlots, manure storage areas, and land application areas.
16. Waste shall not be applied on land that is flooded, saturated with water, frozen, or snow
covered at the time of land application.
17. Land application of waste is prohibited during precipitation events. The Permittee shall
consider pending weather conditions in making the decision to land apply waste.
18. Land application activities shall cease on any application site that exceeds a Mehlich 3
Soil Test Index for Copper of greater than 3,000 (108 pounds per acre) or Zinc. of greater
than 3,000 (213 pounds per acre).
19. Any major structural repairs to lagoons/storage ponds must have written documentation
from a technical specialist certifying proper design and installation. However, if a piece
of equipment is being replaced with a piece of equipment of the identical specifications,
no technical specialist approval is necessary [i.e. piping, reels, valves, pumps (if the
gallons per minute (gpm) capacity is not being increased or decreased), etc.] unless the
replacement involves disturbing the lagoon/storage pond embankment.
III. MONITORING AND REPORTING REQUIREMENTS
l . An inspection of the animal waste collection, treatment, and storage structures, and
runoff control measures shall be conducted and documented at a frequency to insure
proper operation For example, lagoons/storage ponds, and other structures should be
inspected for evidence of erosion, leakage, damage by animals or discharge.

2. Highly visible waste -level gauges shall be maintained to mark the level of waste in each
lagoon/storage pond that does not gravity feed through a free flowing transfer pipe into a
subsequent structure. The gauge shall have readily visible permanent markings. The
waste level in each lagoon with a waste level gauge shall be monitored and recorded
weekly on forms supplied by, or approved by, the Division.
A representative Standard Soil Fertility Analysis, including pH, phosphorus, copper, and
zinc, shall be conducted on each application field receiving animal waste at least every
three (3) years. An analysis of the animal waste shall be conducted in accordance with
recommended laboratory sampling procedures as close to the time of application as
practical and at least within sixty (60) days (before or after) of the date of application,
This analysis shall include the following parameters:
Nitrogen Zinc
Phosphorus Copper.
4. The Permittee shall record 411 irrigation and land application event(s) including hydraulic,
loading rates, nutrient loading rates and cropping information. The Permittee shall also
record removal of solids and document nutrient loading rates if disposed on -site or record
the off -site location(s). These records must be on forms supplied by, or approved by, the
Division.
If, for any reason, there is a discharge from the animal waste management system
(including the land application sites), to surface waters or wetlands, the Permittee is
required to make notification in accordance with Condition III.9. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of
the volume discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste. Also, an estimation of
the volume discharged.
b. Time of the discharge: The length of time of the discharge, including the exact dates
and times that it started and stopped, and if not stopped, the anticipated time the
discharge is expected to continue.
c. Cause of the discharge; A detailed statement of the cause of the discharge. If caused
by a precipitation event, detailed information from the on -site rain gauge concerning
the inches and duration of the precipitation event.
d. All steps being taken to reduce, stop and cleanup the discharge. All steps to be taken
to prevent future discharges from the same cause.
e. Analysis of the waste: A copy of the last waste analysis conducted as required by
Condition III. 3.
6. A copy of this Permit, the Facility's permit, certification forms, lessee and landowner
agreements, the CAWMP, and copies of all records required by this Permit and the
Facility's CAWMP shall be maintained by the Permittee in chronological and legible
form for a minimum of three (3) years.

7. Within fifteen (15) working days of receiving the request from the Division, the
Permittee shall provide to the Division one (1) copy of all requested information and
reports related to the operation of the animal waste management system. Once received
by the Division, all such information and reports become public information, unless they
constitute confidential information under North Carolina General Statutes (NCGS) 132-
1.2, and shall be made available to the public by the Division as specified in Chapter 132
of the NCGS.
8. The Division may require any additional monitoring and reporting (including but not
limited to groundwater, surface water or wetland, waste, sludge, soil, lagoon/storage pond
levels and plant tissue) necessary to determine the source, quantity, quality, and effect of
such waste upon the surface waters, groundwaters or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems,
shall meet all applicable Division requirements.
9. Regional Notification:
' The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than twenty-four (24) hours following first
knowledge of the occurrence of any of the following events:
a. Any discharge to ditches, surface waters or wetlands.
b. Failure to maintain storage capacity in a lagoon/storage pond greater than or
equal to that required in Condition V. 2 of this Permit.
C. Over applying waste either in excess of the limits set out in the CAWMP or
where runoff enters surface waters or wetlands.
Failure of any component of the animal waste management system resulting in a
discharge to surface waters or wetlands.
Any failure of the animal waste management system that renders the Facility
incapable of adequately receiving, treating or storing the waste and/or sludge.
f. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
For any emergency, which requires immediate reporting after normal business hours,
contact must be made with the Division of Emergency Management at 1-800-858-0368.
The Permittee shall also file a written report to the appropriate Division Regional Office
within five (5) calendar days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to correct the problem and to
ensure that the problem does not recur. The requirement to file a written report may not
be waived by the Division Regional Office.

IV. INSPECTIONS AND ENTRY
The Permittee shall allow any authorized representative of Department, upon the
presentation of credentials and other documents as may be required by law and in
accordance with reasonable and appropriate biosecurity measures, to:
a. Enter the Permittee's premises where the regulated Facility or activity is located or
conducted, or where records must be kept under the conditions of this Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this Permit,
c. Inspect, at reasonable times any facilities, equipment (including monitoring and
control equipment), practices, or operations regulated or required under this Permit;
and,
ti
d. Sample or monitor, at reasonable times, for the purpose of assuring permit
compliance, any substances or parameters at any location.
V. GENERAL CONDITIONS
The issuance of this Permit shall not relieve the Permittee of the responsibility for
compliance with all applicable surface water; wetlands, groundwater and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.
2. The maximum waste level in lagoons/storage ponds shall not exceed that specified in the
Facility's CAWMP. At a minimum, maximum waste level for lagoons/storage ponds
must not exceed the level that provides adequate storage to contain a 25-year, 24-hour
storm event plus an additional one (1) foot of structural freeboard except that there shall
be no violation of this condition if: (a) there is a storm event more severe than a 25-year,
24-hour event, (b) the Permittee is in compliance with its CAWMP, and (c) there is at
least one (1) foot of structural freeboard.
3. Any containment basin, such as a lagoon or a storage pond, used for waste management
shall continue to be subject to the conditions and requirements of this Permit until
properly closed. When the containment basin is properly closed in accordance with the
Natural Resource Conservation Service (MRCS) North Carolina Standard for Closure of
Waste Impoundments, February 2005 or any subsequent amendment, the containment
basin shall not be subject to the requirements of this Permit. The Permittee must submit a
letter to the Division to request rescission of the Permit by providing documentation of
closure of all containment basins.
Closure shall also include a minimum of 24 hours pre -notification of the Division and
submittal of the Animal Waste Storage Pond and Lagoon Closure Report Form to the
address identified on the form within fifteen (15) days of completion of closure.

4. Failure of the Permittee to maintain, in full force and effect, lessee and landowner
agreements,. which are required in the CAWMP, shall constitute grounds for revocation
of this Permit.
This Permit is not transferable. In the event there is a desire for the Facility to change
ownership, or there is a name change of the Permittee, a Notification of Change of
Ownership form must be submitted to the Division, including documentation from the
parties involved and other supporting materials as may be appropriate.
The issuance of this Permit does not prohibit the Division from reopening and modifying
the Permit, revolting and reissuing the Permit, or terminating the Permit as allowed by the
appropriate laws, rules, and regulations.
The Groundwater Compliance Boundary is established by 15A NCAC 2L and 15A
NCAC 02T .0111(c). An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to the requirements of 15A NCAC 2L and the Division
in addition to the penalty provisions applicable under the NCGS. ti
VI. PENALTIES
1. Failure to abide by the conditions and limitations contained in this Permit; the Facility's
CAWMP; and/or applicable state law; may subject the Permittee to an enforcement
action by the Division including but not limited to the modification of the animal waste
management system, civil penalties, criminal penalties, and injunctive relief.
The Permittee must comply with all conditions of this Permit. Any Permit
noncompliance constitutes a violation of state law and is grounds for enforcement action;
for Permit coverage termination, revocation and reissuance, or modification; or denial of
Permit coverage renewal application.
3. It shall not be'a defense for a Permittee in an enforcement action to claim that it would
have been necessary to halt or reduce the permitted activity in order to maintain
compliance with the conditions of this Permit.
This Permit issued the 4th day of June, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles Wakild, P.E., Director
North Carolina Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number AWI930021

NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
Ashley W. White
White Ridge Dairy Farm
805 Rooker Dairy Road
Norlina, NC 27563
Dear Ashley W. White:
Division of Water Quality
Charles Wakild, P.E.
Director
June 4, 2013
Subject: Permit No. AWI930021
White Ridge Dairy Farm
Animal Waste Management System
Warren County
John E. Skvarla, III
Secretary
In accordance with your June 4, 2013 request for a zero animal permit, we are hereby forwarding to you
this Permit issued to Ashley W. White authorizing the operation of the subject animal waste management
system. You had requested to drop the animal population at this facility to zero until such time as the
waste storage lagoon at this facility is properly closed, as you no longer wished to maintain it as an active
cattle farm.
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste structures on the White Ridge Dairy Farm, with an annual capacity of no greater than an
annual average of zero (0) cattle.
The Permit shall be effective from the date of issuance until rescinded and replaces the COC No.
AWC930021 issued to this facility on October 1, 2009. You are subject to the conditions of this permit
until the closure of all waste storage basins and the rescission of this permit You must submit a letter to
the Division of Water Quality to request rescission of the Permit by providing documentation of closure
of all containment basins.
The issuance of this Permit does not excuse the Permittee from the obligation to comply with all
applicable laws, rules, standards, and ordinances (local, state, or federal) nor convey any property rights
in either real or personal property.
Per 15A NCAC 2T. 0111(c), a compliance boundary is provided for the facility and no new water supply
wells shall be constructed within the compliance boundary. Per NRCS standards, a 100-ft separation
shall be maintained between water supply wells and any lagoon, storage pond, or any wetted area of a
spray field.
i Please be advised that any violation of the terms and conditions specified in this Permit may result in
revocation of this Permit or penalties in accordance with NCGS 143-215.6A through 143-215.6C, the
Clean Water Act, and 40 CFR 122.41, including civil penalties, criminal penalties, and injunctive relief.
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: wwwmwaterguality.org
One
NorthCarol.ina
Natmully
An Equal Opportunity 1 Affirmat've Action Employer

If you wish to continue the activity permitted under this Permit after the expiration date of this Permit, an
application for renewal must be filed at least 180 days prior to expiration.
This Permit is not automatically transferable. A name/ownership change application must be submitted to
the Division prior to a name change or change in ownership.
This facility is located in a county covered by our Raleigh Regional Office. The Regional Office Aquifer
Protection Staff may be reached at [phone]. if you need additional information concerning this
this Permit, please contact the Animal Feeding Operations Unit staff at [phone].
Sincerely,
for Charles Wakild, P.E.
cc: Raleigh Regional Office, Aquifer Protection Section
Warren County Health Department
Warren County Soil and Water Conservation District
APS Central Files (Permit No. AW1930021)
AFO Unit Notebooks

NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
INDIVIDUAL CATTLE ANIMAL WASTE MANAGEMENT SYSTEM PERMIT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of North Carolina as
amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Ashley W. White
Warren County
FOR THE
continued operation and maintenance of an animal waste management system for the White Ridge Dairy
Farm located in Warren County, consisting of zero (0) cattle and the application to land as specified in the
Facility's Certified Animal Waste Management Plan (CAWMP).
This permit shall be effective from the date of issuance until rescinded and shall be subject to the
following specified conditions and limitations:
I. PERFORMANCE STANDARDS
The animal waste management system operated under this Permit shall be effectively
maintained and operated as a non -discharge system to prevent the discharge of pollutants
to surface waters, -wetlands, or ditches. Application of waste to terraces and grassed
waterways is acceptable as long as it is applied in accordance with Natural Resources
Conservation Service (MRCS) Standards and does not result in a discharge of waste to
surface waters, wetlands, or ditches. If the Facility has a discharge of waste that reaches
surface waters or wetlands resulting from a storm event more severe than a 25-year, 24-
hour storm, it will not be considered to be in violation of this Permit, as long as the
Facility is in compliance with its CAWMP and this Permit.
2: No discharge of waste shall result in a violation of the water quality standards established
for receiving waters as per Title 15A, Subchapter 2B, Section .0200 of the North Carolina
Administrative Code (NCAC) and Title 15A, Subchapter 2L of the NCAC.
3. The facility's CAWMP is hereby incorporated by reference into this Permit. The
CAWMP must be consistent with all applicable laws, rules, ordinances, and standards
(federal, state and local) in effect at the time of siting, design, and certification of the
Facility.
4. Any proposed increase or modification to the annual average that exceeds the thresholds
set by North Carolina General Statues (NCGS) 143-215.1013(1) will require a
modification to the CAWMP and the Permit prior to modification of the Facility.

Animal waste shall not be applied within one hundred (100) feet of any well, with the
exception of monitoring wells. The allowable distance to monitoring wells shall be
established on a case -by -case basis by the Division.
II. OPERATION AND MAINTENANCE REQUIREMENTS
The collection, treatment, and storage facilities, and the land application equipment and
fields shall be properly operated properly and maintained at all times.
2. A vegetative cover shall be maintained as specified in the Facility's CAWMP on all land
application fields and buffers in accordance with the CAWMP. No waste shall be
applied upon areas not included in the CAWMP.
3. Soil pH on all land application fields must be maintained in the optimum range for crop
production.
4. Land application rates shall be in accordance with the CAWMP. In no case shall land
application rates exceed the agronomic rate of the nutrient of concern for the receiving
crop. In no case shall land application rates result in excessive ponding or any runoff
during any given application event.
If manure or sludges are applied on conventionally tilled, bare soil, the waste shall be
incorporated into the soil within two (2) days after application on the land. This
requirement does not apply to no -till fields, pastures, or fields where crops are actively
growing.
Pesticides, toxic chemicals, and petroleum products shall not be disposed of in the animal
waste management system.
Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be
discharged into the animal waste management. system. Washdown of stock trailers
owned by and used to transport animals to and from the Facility only will be permissible
as long as the system has been evaluated and approved to accommodate the additional
volume. Only those cleaning agents and soaps that are EPA -approved according to their
labels, will not harm the cover crop, and will not contravene the groundwater standards
listed in 15A NCAC 2L may be utilized in the Facility covered by this Permit.
Instruction labels are to be followed when using cleaning agents and soaps.
Disposal of dead animals resulting from normal mortality rates associated with the
Facility shall be done in accordance with the Facility's CAWMP and the North Carolina
Department of Agriculture and Consumer Services (NCDA&CS) Veterinary Division's
statutes and regulations.
9. Unless accounted for in temporary storage volume, all uncontaminated runoff from the
surrounding property and buildings shall be diverted.away from the waste
lagoons/storage ponds to prevent any unnecessary addition to the liquid volume in the
structures.

10. A protective, vegetative cover shall be established and maintained on all earthen
lagoon/storage pond embankments (outside toe of embankment to maximum pumping
elevation), berms, pipe runs, and diversions to surface waters or wetlands. Trees, shrubs,
and other woody vegetation shall not be allowed to grow on the lagoon/storage pond
embankments. All trees shalt be removed in accordance with good engineering practices.
Lagoon/storage pond areas shall be accessible, and vegetation shall be kept mowed.
11. At the time of sludge removal from a lagoon/storage pond, the sludge must be managed
in accordance with the CAWMP. When removal of sludge from the lagoon is necessary,
provisions must be taken to prevent damage to the lagoon dikes and liner.
12. Lagoons/storage ponds shall be kept free of foreign debris including, but not limited to,
tires, bottles, light bulbs, gloves, syringes or any other solid waste.
13. The Facility must have at least one of the following items at all times: (a) adequate
animal waste application and handling equipment, (b) a lease, or other written agreement,
for the use of the necessary equipment, or (c) a contract with a third party applicator
capable of providing adequate waste application.
14. No waste shall be applied in wind conditions that might reasonably be expected to cause
the mist to reach surface waters or wetlands.
15. The Per nittee shall maintain buffer strips or other equivalent practices as specified in the
Facility's CAWMP near feedlots, manure storage areas, and land application areas.
16. Waste shall not be applied on land that is flooded, saturated with water, frozen, or snow
covered at the time of land application.
17. Land application of waste is prohibited during precipitation events. The Permittee shall
consider pending weather conditions in making the decision to land apply waste.
18. Land application activities shall cease on any application site that exceeds a Mehlich 3
Soil Test Index for Copper of greater than 3,000 (108 pounds per acre) or Zinc of greater
than 3,000 (213 pounds per acre).
19. Any major structural repairs to lagoons/storage ponds must have written documentation
from a technical specialist certifying proper design and installation. However, if a piece
of equipment is being replaced with a piece of equipment of the identical specifications;
no technical specialist approval is necessary [i.e. piping, reels, valves, pumps (if the
gallons per minute (gpm) capacity is not being increased or decreased), etc.] unless the
replacement involves disturbing the lagoon/storage pond embankment.
III. MONITORING AND REPORTING REQUIREMENTS
1. An inspection of the animal waste collection, treatment, and storage structures, and
runoff control measures shal I be conducted and documented at a frequency to insure
proper operation For example, lagoons/storage ponds, and other structures should be
inspected for evidence of erosion, leakage, damage by animals or discharge.

2. Highly visible waste -level gauges shall be maintained to mark the level of waste in each
lagoon/storage pond that does not gravity feed through a free flowing transfer pipe into a
subsequent structure. The gauge shall have readily visible permanent markings. The
waste level in each lagoon with a waste level gauge shall be monitored and recorded
weekly on forms supplied by, or approved by, the Division.
3. A representative Standard Soil Fertility Analysis, including pH, phosphorus, copper, and
zinc, shall be conducted on each application field receiving animal waste at least every
three (3) years. An analysis of the animal waste shall be conducted in accordance with
recommended laboratory sampling procedures as close to the time of application as
practical and at least within sixty (60) days (before or after) of the date of application.
This analysis shall include the following parameters:
Nitrogen Zinc
Phosphorus Copper
4. The Permittee shall record all irrigation and land application event(s) including hydraulic
loading rates, nutrient loading rates and cropping information. The Permittee shall also
record removal of solids and document nutrient loading rates if disposed on -site or record
the off -site location(s). These records must be on forms supplied by, or approved by, the
Division.
5. If, for any reason, there is a discharge from the animal waste management system
(including the land application sites), to surface waters or wetlands, the Permittee is
required to make notification in accordance with Condition Ill. 9. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of
the volume discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste. Also, an estimation of
the volume discharged.
b. Time of the discharge: The length of time of the discharge, including the exact dates
and times that it started and stopped, and if not stopped, the anticipated time the
discharge is expected to continue.
c. Cause of the discharge: A detailed statement of the cause of the discharge. If caused
by a precipitation event, detailed information from the on -site rain gauge concerning
the inches and duration of the precipitation event.
d. All steps being taken to reduce, stop and cleanup the discharge. All steps to be taken
to prevent future discharges from the same cause.
e. Analysis of the waste: A copy of the last waste analysis conducted as required by
Condition 111. 3.
A copy of this Permit, the Facility's permit, certification forms, lessee and landowner
agreements, the CAWMP, and copies of all records required by this Permit and the
Facility's CAWMP shall be maintained by the Permittee in chronological and legible
form for a minimum of three (3) years.

Within fifteen (15) working days of receiving the request from the Division, the
Permittee shall provide to the Division one (1) copy of all requested information and
reports related to the operation of the animal waste management system. Once received
by the Division, all such information and reports become public information, unless they
constitute confidential information under North Carolina General Statutes (NCGS) 132-
1.2, and shall be made available to the public by the Division as specified in Chapter 132
of the NCGS.
The Division may require any additional monitoring and reporting (including but not
limited to groundwater, surface water or wetland, waste, sludge, soil, lagoon/storage pond
levels and plant tissue) necessary to determine the source, quantity, quality, and effect of
such waste upon the surface waters, groundwaters or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems,
shall meet all applicable Division requirements.
9. Regional Notification:
The Permittee shall report by telephone to the appropriate Division Regional Office as
soon as possible, but in no case more than twenty-four (24) hours following first
knowledge of the occurrence of any of the following events:
a. Any discharge to ditches, surface waters or wetlands.
b. Failure to maintain storage capacity in a lagoon/storage pond greater than or
equal to that required in Condition V. 2 of this Permit.
C. Over applying waste either in excess of the limits set out in the CAWMP or
where runoff enters surface waters or wetlands.
Failure of any component of the animal waste management system resulting in a
discharge to surface waters or wetlands.
e. Any failure of the animal waste management system that renders the Facility
incapable of adequately receiving, treating or storing the waste and/or sludge.
f. Any deterioration or leak in a lagoon/storage pond that poses an immediate threat
to the environment or human safety or health.
For any emergency, which requires immediate reporting after normal business hours,
contact must be made with the Division of Emergency Management at 1-800-858-0368.
The Permittee shall also file a written report to the appropriate Division Regional Office
within five (5) calendar days following first knowledge of the occurrence. This report
shall outline the actions taken or proposed to be taken to correct the problem and to
ensure that the problem does not recur. The requirement to file a written report may not
be waived by the Division Regional. Office.

IV. INSPECTIONS AND ENTRY
The Permittee shall allow any authorized representative of Department, upon the
presentation of credentials and other documents as may be required by law and in
accordance with reasonable and appropriate biosecurity measures, to:
a. Enter the Permittee's premises where the regulated Facility or activity is located or
conducted, or where iccords must be kept under the conditions of this Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this Permit;
C. Inspect, at reasonable times any facilities, equipment (including monitoring and
control equipment), practices, or operations regulated or required under this Permit;
and,
Sample or monitor, at reasonable times, for the purpose of assuring permit
compliance, any substances or parameters at any location.
V. GENERAL CONDITIONS
The issuance of this Permit shall not relieve the Permittee of the responsibility for
compliance with all applicable surface water, wetlands, groundwater and air quality
standards or for damages to surface waters, wetlands or groundwaters resulting from the
animal operation.
2. The maximum waste level in lagoons/storage ponds shall not exceed that specified in the
Facility's CAWMP. At a minimum, maximum waste level for lagoons/storage ponds
must not exceed the level that provides adequate storage to contain a 25-year, 24-hour
storm event plus an additional one (1) foot of structural freeboard except that there shall
be no violation of this condition if. (a) there is a storm event more severe than a 25-year,
24-hour event, (b) the Permittee is in compliance with its CAWMP, and (c) there is at
least one (1) foot of structural freeboard.
3. Any containment basin, such as a lagoon or a storage pond, used for waste management
shall continue to be subject to the conditions and requirements of this Permit until
properly closed. When the containment basin is properly closed in accordance with the
Natural Resource Conservation Service (MRCS) North Carolina Standard for Closure of
Waste Impoundments, February 2005 or any subsequent amendment, the containment
basin shall not be subject to the requirements of this Permit. The Permittee must submit a
letter to the Division to request rescission of the Permit by providing documentation of
closure of all containment basins.
Closure shall also include a minimum of 24 hours pre -notification of the Division and
submittal of the Animal Waste Storage Pond and Lagoon Closure Report Form to the
address identified on the form within fifteen (15) days of completion of closure.

4. Failure of the Permittee to maintain, in full force and effect, lessee and landowner
agreements, which are required in the CAWMP, shall constitute grounds for revocation
of this Permit.
This Permit is not transferable. In the event there is a desire for the Facility to change
ownership, or there is a name change of the Permittee, a Notification of Change of
Ownership form must be submitted to the Division, including documentation from the
parties involved and other supporting materials as may be appropriate.
6. The issuance of this Permit does not prohibit the Division from reopening and modifying
the Permit, revoking and reissuing the Permit, or terminating the Permit as allowed by the
appropriate laws, rules, and regulations.
The Groundwater Compliance Boundary is established by 15A NCAC 21, and 15A
NCAC 02T .0111(c). An exceedance of Groundwater Quality Standards at or beyond the
Compliance Boundary is subject to the requirements of 15A NCAC 2L and the Division
in addition to the penalty provisions applicable under the NCGS.
Vl. PENALTIES
Failure to abide by the conditions and limitations contained in this Permit; the Facility's
CAWMP; and/or applicable state law; may subject the Permittee to an enforcement
action by the Division including but not limited to the modification of the animal waste
management system, civil penalties, criminal penalties, and injunctive relief.
2. The Permittee must comply with all conditions of this Permit. Any Permit
noncompliance constitutes a violation of state law and is grounds for enforcement action;
for Permit coverage termination, revocation and reissuance, or modification; or denial of
Permit coverage renewal application.
It shall not be a defense for a Permittee in an enforcement action to claim that it would
have been necessary to halt or reduce the permitted activity in order to maintain
compliance with the conditions of this Permit.
This Permit issued the 4th day of June, 2013.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
for Charles Wakild, P.E., Director
North Carolina Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number A W I93002 I

C
Nutrient Management Plan For Animal Waste Utilization
This plan has been prepared for:
While Ridge Farm
Ashley lf'hiie
807 Rooker Dairy Rd.
Alorlina, NC 27- 63
1 1-02-2006
This plan has been developed by:
Lart}, PVest
ll'arren SHIUD
820 US Hwy 158 Bus. W
Suite 102
fi'arrenton, .ETC 27589
[phone]
Developer Signature
Type of Plan: Nutrient Management with Manure Only
Ovvner/Manager[Producer Agreement
1 (we) understand and agree to the specifications and the operation and maintenance procedures
established in this nutrient management plan which includes an animal waste utilization plan for
the farm named above. I have read and understand the Required Specifications concerning animal
waste management that are included with this plan.
/SiiIIgpU7'e (Owner)
(manager or producer)
//- 3 -
Date
//-s -el
Date
This plan meets the minimum standards and specifications of the U.S. Department of Agriculture -
Natural Resources Conservation Service or the standard of practices adopted by the Soil and !Water
Conservation Commission.
Plan Approved By:
Technical Speciulist ature Date
Preview Database Version 3.1 Date Prinsed: 1 1-02-2006 Cover Pave l
RECEIVED I DENR / DWQ
Agtaift?r protection Section
k;AR 133 2009

Narrative
November 2, 2006
This Nutrient Management Plan was deveioped for White Ridge Farms for animal waste generated from
dairy animals and waste generated from a swine operation; both animal facilities are located on farm tract
967. This plan was deveioped using the current computer software program availbble to utilize the
nutrients generated from the both types of animal waste. Currently, the dairy animals have been removed
from the farm but there is still waste present in the Waste Storage Pond. PLAT (Phorophous Loss
Assement Tool) portion ofNCANAT computer program was used to develop this plan. Carl Dunn
NCDENR Environmental Engineer (Washington Regional Office) assisted me by determining the
wettable acres and providing a map illustratiing the irrigation pulls, This plan was developed to show
each individual irrigation pull that will occur during an iapplication cycle. Owner/producer Ashley
White desried for this plan to show half of the fields to receive swine waste and the other half to receive
dairy waste. In order for this plan to illustrate applied animal waste derived from two differnt animal
sources, Carl Dunn advised me to split the total acreage between the two different animal types. In this
plan 1 designated half of the fields (not pulls) for each of the two types of animals. By using alternating
fields bewteen two different animal types will addressed all waste that is available. In Fall of 2006 all
fields listed in this NMP will be planted to grasses as indicated by this plan.
414545 Database Version 3.1 Date Printed: 1 1-02-2006 Narrative Page Page 1 of 1

Nutrients applied in accordance with this plan will be supplied from the following
sou rce(s):
Commercial Fertilizer is not included in this plan.
S3
Dairy (Milk Cow) Lagoon Liquid waste generated 1,865,400 gals/year by a 200 animal
Dairy (Milk Cow) Lagoon Liquid operation. This production facility has waste storage
capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
4426
Incorporated
6875
1 njected
7440
Irrigated
4709
Max. Avail.
PAN (lbs) *
Actual PAN
Applied (Ibs)
PAN Surplus/
Deficit (Ibs)
Actual Volume
Applied (Gallons)
Volume Surplus/
Deficit (Gallons)
Year 1
4,709
9233
-4,524
3,657,476
-1,792,076
Year 2
4,709
9233
-4,524
1657.476
-1,792,076
S9
Swine Farrowing-Weanling Lagoon Liquid waste generated 2,402,250 gals/year by a
750 animal Swine Farrowing-Weanling Lagoon Liquid operation. This production
facility has waste storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
3707
Incorporated
6366
Injected
7011
1 rrioated
4029
Max. Avail.
PAN (Ibs) *
Actual PAN
Applied (Ibs)
PAN Surplus/
Deficit (Ibs)
Actual Volume
Applied (Gallons)
Volume Surplus/
Deficit (Gallons)
Year 1
4,029
8754
-4,725
5,219,042
-2,816,792
Year 2
I92
4,029
8754
-4.725
5.219,042
-2.816,7I-
- ---------------------- --- ......--........_........ .....--... -- ....
Note: In source ID. S means standard source, U means user defined source.
* Max, Available PAN is calculated on the basis of (lie actual application method(s) identified in the plan for this source.
414545 Database Version 3.1 Date Printed: 11-02-2006 Source Page Page I of 1

The table shown below provides a summary of the crops or rotations included in this plan for each field. Realistic Yield estimates are
also provided for each crop, as well as the crop's P205 Removal Rate, The Leaching index (LI) and the Phosphorous Loss Assessment
Tool (PLAT) Rating are also provided for each field, where available.
if a field's PLAT Rating is High, any planned manure application is limited to the phosphorous removal rate of the harvested plant
biomass for the crop rotation or multiple years in the crop sequence. Fields with a Very High PLAT Rating should receive no
additional applications of manure. Regardless of the PLAT rating, starter fertilizers may be recommended in accordance with North
Carolina State Universitv guidelines or recommendations. The quantity of P205 applied to each crop is shown in the following table if
the field's PLAT rating is High or Very High.
Planned Crops Summary
11205
Total
Useable
Plat
Removal
(Ibs'acre)
Applied
(Ibs�acre)
[Tact
Field
Acres
Acres
Rating
Ll
Soil Series
Crop Sequence
RYI:
967
l0A
6.04
6.04
Medium
NIA
Vance
Fescue Pasture
4.5 Tons
7
NIA
967
1 IA
6.10
6.101
Low
NIA I
Vance
Fescue Pasture
4.5 Tons
7
NIA
967
1113
2,38
2.38
Low
NIA
Vance
Fescue Pasture
4.5 Tons
1
N/A
967
12A
T23
7.23
Low
NIA
Vance
Fescue I lay
*3.9 Tons
61
NIA
Orchardgrass Hay
*3.9 Tons
57
NIA
967
12B
6.34
6.34
Low
NIA
Vance
rescue Hay
*3.9 Tons
61
NIA
Orchardgrass Hay
*3.9 Tons
57
NIA
967
12C
7.58
7.58
Medium
NIA
Vance
Fescue Hay
*3,9 Tons
61
NIA
Orchardgrass Hay
*3.9 Tons
57
NIA
967
13A
5.31
5.31
Low
NIA
Saw
Fescue Hay
*2.4 Tons
38
NIA
Orchardgrass Hay
*2.4 Tons
35
NIA
967
14A
4.03
4.03
Medium
NIA
Vallee
Fescue Hay
*3.9 Tons
61
NIA
Orchardgrass Ila)
*3.9 Tons
57
NIA
967
1413
3,70
3,70
Medium
N/A
Vance
Fescue tlaV
*19 Tens
61
N/A
Orchardgrass I fay
*3.9 Tons
57
NIA
967
14C
3.37
3.37
Medium
NIA
Vance
Fescue Ilay
*3,9 Tons
fit
NIA
Orchardgrass Hay
*3.9 Tons
57
NIA
967
14D
6.53
6.531
Low
N/A
Vallee
Fescue Hay
*3.9 Tons
61
NIA
Orchardgrass HaN
*3.9 Tons
57
NIA
967
14E
6.53
6.531
Law
NIA
Vance
Fescue Hay
*3.9 Tons
61
NIA
Orchardgrass Hay
*3.9 Tons
57
NIA
967
14F
7,78
7,78
Low
NIA
Vance
Fescue Hay
*3.9 Tons
6I
N/A
Orchardgrass Hay
*3.9Tons
57
NIA
967
5A
5.08
5091
Low
NIA
Vance
Fescue May
*3.9 Tons
61
NIA
Orchardgrass Hay
*3.9 Tons
57
NIA
967
513
5.35
5.35
Lotik
NIA
Vance
Fescue Hay
*3.9 Tons
61
N/A
Orchardgrass Hay
*3.9 Tons
57
NIA
967
6A
4.981
4.981
Medium
NIA
Vance
Fescue Hay
*3 9 Tons
61
1 NIA
414545 Database Version 3.1 Date Printed 11,1212006
PCS gage Page 1 of"2
NOTE: Symbol * means user entered data.

Planned Crops Sunnnary
Tract
Field
Total
Acres
Useable
Acres
Mal
Rating
1 I
Soil Series
Crop Sequence
RYE;
f'2U5
IZcmoval
(Ibslacre)
Apnlicd
(lbsfacre)
Orchardgrass Hay
*3.9 Tons
57
NIA
967
1 8.A
4.821
4.82
Low
NIA
Vance
Fescue Hay
*3.9 Tons
61
N/A
Orchardprass Hay
03.9 Tons
57
N/A
967
8B
3-93
3.93
Low
NIA
Vance
1=escue Has,
*3.9 "ions
61
N/A
Orchardgrass Hay
*3.9 Tons
57
NIA
967
9A
6,341
6.34
Low
N/A
Vance
Fescue Pasture
1 4.5 Tons
7
NIA
967
9B
6.17
6.17T
Low
NIA
Vance
Fescue Pasture
1 4.5 Tons
7
NIA
PLAN TOTALS: 109.59 109.59
LI
Potential Leaching
Technical Guidance
< 2
Loin potential to contribute to soluble
None
nutrient leaching below the root zone.
> _ 2
Moderate potential to contribute to soluble
Nutrient Management (590) should be planned.
nutrient leaching below the root zone.
0
High potential to contribute to soluble
Nutrient Management (590) should be planned. Other conservation practices that improve the soils
nutrient leaching below the root zone.
available water holding capacity and improve nutrient use efficiency should be considered, Examples
> 10
are Cover Crops (340) to scavenge nutrients, Sad-Bascd Rotations (328), Long -Tenn No -Till (778).
and edge -of -field practices such as Filter Strips (393) and Riparian Forest Buffers (391),
PLAT Index
Rating
P Management Recommendation
0 - 25
Lo,,+,
No adjustment needed; N based application
25 - 50
Medium
No adjustment needed; N based application
51 - 100
High
Application limited to crop P removal
> 100
Very Higlt
Starter P application only
414545 Database Version 3.1 Date !Tinted 1$1212006
PCS Page Page 2 ol'2
NOTE: Symbol * means user entered data.

The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan provides an estimate of the number of acres of cropland needed to use
the nutrients being produced. The plan requires consideration of the realistic yields of the crops to be grown, their nutrient requirements, and proper timing of applications to
maximize nutrient uptake.
This table provides an estimate of the amount of nitrogen required by the crop being grown and an estimate of the nitrogen amount being supplied by manure or other by-products,
commercial ferlilizer and residual from previous crops. An estimate of the quantity of solid and liquid waste that will be applied on each field in order to supply the indicated quantity
of nitrogen from each source is also included. A balance of the total manure produced and the total manure applied is included in the table to ensure that the plan adequately provides
for the utilization of the manure generated by the operation.
Waste Utilization Table
Year 1
Tract
Field
Snurce
ID
Soil Series
Total
Acres
Use.
Acres
Crop
RYE
Applic.
Period
Nitrogen
PA
Nutrient
Req`d
(lbs/A)
Comm.
Feri.
Nutrient
Applied
(Ihs/A)
Res,
(lbs/A)
Applic.
Method
Manure
PA
NutricntA
pplied
(lbs/A)
Liquid
NianureA
pplied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
1'
h
IOM
gal1A
Tons
1000 gals
tons
967
10A
S9
Vance
6.04
6,04
Fescue Pasture
4.5 Tons
8/1-7/31
150
0
0
Irrig_
150
89.43,
0.00
540 14
0,00
967
11 A
S3
Vance
6.10
6.10
Fescue Pastore
4.5 Tons
8/1-7/31
150
0
0
Irrig.
150
59A2
0,00
362.47
0.00
967
11B
S9
Vance
2.38
2.38
Fescue Pasture
4,5 Tons
8/1-7131
150
(.)
0
Irrig_
150
89,43
0.00
21284
(1.00
967
12A
S3
Vance
7.23
7.23
Fescue Flay
*3.9 Ton
8/1-7131
* 173
0
0
]trig.
173
68.53
0.00
495,49
0.00
967
1213
S9
Vance
6.34
6.34
Fescue Hap
*3.9 Ton
811-7131
*E73
0
0
Irrig.
173
103.14
0.00
653.90
0.00
967
12C
S3
Vance
7.58
7.59
Fescue Hay'
*3.9 Ton
8/1-7131
* 173
0
0
Irrig_
173
68.53
0.00
519.47
(1.0(1
967
BA
S9
Saw
5.31
5.31
Fescue Hay
*2.4 Ton
8/1-7/31
* 107
0
0
Irrig_
107
63.79
0.00
338.73
0.00
967
14A
S3
Vance
4.03
4.03
Fescue Hay
*3.9 Ton
811-7/31
* 173
0
0
Irrig.
173
68.53
0.00
276.19
0.00
967
14B
S9
Vance
3.70
3.70
Fescue Hay
*3.9 Ton
8/1-7/31
* 173
0
0
Irrig.
173
103.14
0001
3S L.62
0.0o
967
14C
S3
Vance
3.37
3.37
Fescue Iiav
*3.9Ton
8/1-7131
*173
0
0
Irrig.
173
68.51
0.00
230.95
0,00
967
141)
S9
Vance
6.53
6,53
Fescue Ilay
*3.9 Ton
811-7131
*173
0
0
Irrig.
173
103.14
0.00
673.50
0.00
967
14E
S3
Vance
6-53
6.53
Fescue Hay
*3.9Ton
911-7131
*173
()
0
!trig.
173
0,53
0,00
447.52
QOII
967
14F
S9
Vance
7.78
7.78
Fescue Hai
*3.9 Ton
8/1-7/31
*173
0
0
Irrig.
173
103,14
0.00
802.42
0.00
967
5A
S3
Vance
5.08
5.08
Fescue Hap
*3.9 Ton
8/1-7/31
*173
0
0
Irrig.
173
68,53
0.00
348.14
0.00
967
5B
S9
Vance
5.35
5.35
Fescue Hay
*3.9 Ton
8/1-7/31
*173
0
0
Irrig.
173
103141
0.00
551.80
0.00
967
6A
S3
Vance
4.98
4.98
Fescue Hap
*3.9 Ton
8/1-7/31
*173
0
0
Irrig_
1731
68.53
0.00
34129
0,()()
414545 Database Version 3.1 Date Printed: 1 1/2/2006 WUT Page Page 1 of 4

Waste Utilization 'fable
Year I
Tract
Field
Source
n)
Soil Series
Total
Acres
Use.
Acres
Crop
RYF
Applic.
Period
Nitrogen
PA
Nutricnl
Req'd
(lbsrA)
Comm.
Fert
Nutrient
Applied
(IbsrA)
Res,
(lbs1A)
Applic-
Method
Manure
PA
NutrientA
pplied
(lb.VA)
Liquid
ManurcA
pplied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
IN
N
N'
1000
eal/A
Tons
1000 gals
tons
967
8A
S9
Vance
4.82
4.92
Fescue I lay
*3.9 Ton
811-7/31
1173
0
0
brig.
173
103.14
0.00
497,13
0.00
967
8B
S3
Vance
3.93
3.93
Fescue Hav
*3-9 Ton
811-7131
* 173
0
0
brig.
173
68.53
0,00
269.33
000
967
9A
59
Vance
6.34
6.34
Fescue Pasturc
4.5 Tons
811-7131
150
0
0
brig.
150
89.43
0.00
566.97
0.00
967
9B
S3
Vance
6.17
6.17
Fescue Pasturc
4.5 Tons
8/1-7/31
1 SO
0
0
Irrig.
150
59.42
0.00
366.63
0.00
Total Applied, 1000 gallons
8.8 76.52
-
Total Produced. 1000 gallons
4,267.65
"
Balance, 1000 gallnns
-4,608.97
'
Total Applied. tons
-
0,00
Total Produced. tons
,"
0.00
Balance, tons
0.00
Notes: 1. In the tract column. -- symbol means leased. otherwise. owned. 2. Symbol * means user entered data.
414545 Database Version 3.1 Date Printed: 1 1/2/2006 WUI' Paee Pace 2 of 4

Waste Utilization Table
Year 2
Tract
Field
Source
ID
Soil Series
Total
Acres
Use,
Acres
Crop
RYE
Applic.
1'eri4A
Nitrogen
PA
Nutrient
Req'd
(lbslA)
Comm,
Fert.
Nutrient
Applied
(IhslA)
Res,
(lhs,A)
Applic.
Method
Manure
PA
NUtTiC11tA
pplied
0hs1A)
Liquid
ManureA
pplied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
Y
1
N
IN
i000
gal/A
Tons
1000 gals
tons
967
10A
S9
Vance
6.04
6,04
Fescue Pasture
4.5 Tons
8/1-7/31
150
0
0
Irrig.
150
89.43
0.00
540.14
0.00
967
1 lA
S3
Vance
6.10
6.10
Fescue Pasture
4.5 Tans
811-7/31
150
0
0
Irrig.
150
59.42
OM
362.47
0.00
967
1111
S9
Vance
2.38
2.38
Fescue Pasture
4.5 Tons
911-7131
150
0
0
Irrig.
150
89.43
0.00
212.94
0.00
967
12A
S3
Vance
7.23
7.23
Orchardgrass Hay
*3.9 Ton
8/1-7/31
* 173
0
0
Irrig.
173
68.53
0.00
495.49
0,00
967
1213
S9
Vance
6.34
6.34
Orchardgrass Ha%
*3.9Ton
811-7/31
*173
0
0
Irrig.
173
103.14
0.00
653.90
0.00
967
12C
S3
Vance
7.58
7.5S
Orchardgrass Ha)
*3.9 Ton
8/1-7131
* 173
0
0
Irrig.
173
68.53
0_00
51947
0.00
967
13A
S9
Saw
5.31
5.31
Orcharderass Hai•
*2.4 Ton
811-7/31
* 107
0
0
Irrig.
107
63.79
0.00
339.73
0.00
967
14A
S3
Vance
4,03
4.03
Orchardgrass Hai•
*3.9 Ton
8/1-7/31
*173
0
0
Irrig..
173
6&531
0.00
276.19
0,00
967
1413
S9
Vance
3.70
3.70
Orchardgrass Hay
*3.9 Ton
8/1-7/31
*173
0
0
Irrig.
173
103,14
0.00
381.62
0.00
967
14C
S3
Vance
3.37
3.37
Orchardgrass Hay
*3.9 Ton
8I1-7/31
* 173
0
0
Irrig,
173
69.53
0.00
230.95
0.00
967
141)
S9
Vance
6,53
6.53
Orchardgrass Hay
*3.9 Ton
8/1-7/31
* t73
0
0
Irrig.
173
103.14
0,00
673.50
0.00
967
14E
S3
Vance
6.53
6.53
Orchardgrass Ilan
*3.9 Ton
8/1-7/31
*173
0
0
Irrig,
173
68.53
0.00
447.52
OAO
967
141:
S9
Vance
7.78
7.78
Orchardgrass Hay
*3.9 Ton
8/1.7/31
*173
0
0
Irrig.
173
103.14
0.00
902.42
0.00
967
5A
S3
Vance
5.08
5.08
Orchardgrass Hay
*3.9 Ton
811-7/31
* 173
0
0
Irrig.
173
08.53
0.00
348.14
0.00
967
514
S9
Vance
5.35
5.35
Orchardgrass Hay
*3.9Ton
811-7131
*173
0
0
Irrig_
173
103.14
0.00
551.80
0.00
967
6A
S3
Vance
4.98
4.98
Orchardgrass Hay
*3.9Ton
811-7/31
*173
0
0
Irrig.
173
68.53
0.00
341.29
0.00
967
8A
S9
Vance
4.82
4.82OrchardgrassHay
*19Ton
8/1-7/31
*173
0
0
Irrig_
173
103.14
0.00
497.13
0.00
967
813
S3
Vance
3.93
3.93OrcharcigrassHay
*3.9 Ton
8/1-7/31
*173
0
0
Irrig.
173
6&531
0.00
269.33
(00
967
9A
S9
Vance
6.34
6.34
Fescue Pasture
4.5 Tons
911-7/31
150
0
0
Irrig.
50
89.43
0.00
566.97
O.OtI
967
913
S3
Vance
6.17
6.17
Fescue Pasture
4.5 Tons
8/1-7/31
150
0
0
Irrig.5
t
59.42
0.00
366.63
0.00
414545 Database Version 3.1 Date Printed: 1 1/2/2006 WUT Pate Page 3 of

Waste Utilization Table
Year 2
Tract
Field
Source
ID
Soil Series
Total
Acres
Use.
Acres
Crop
RYE
Applic.
period
Nitrogen
PA
Nutrient
Req'd
(lbs/A)
Comm,
Pert.
Nutrient
Applied
(lb5'A)
Res.
(lbs/A)
Applic.
Method
Manure
PA
NutrientA
pplied
(€hslA)
Liquid
NianureA
ppiied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
N
N
1000
gal/A
Tons
loot) gals
tons
Tota€ Applied, 1000 gallons
8.876.52
Total produced, 1000 gapons
4,267.65
Balance. I000 eatlons
4-608.87
Total Applied. Ions
-
0.00
Total Produced. Inns
. ,
0.00
13alnnce• tons
(L00
]Votes: 1. In the tract column. — symbol means leased, othenvise. owned. 2. Symbol * means user entered data.
414545 Database Version 3.1 Date Printed: 1 1/2/2006 WUT Pape Pace 4 of

The Irrigation Application Factors for each field in this plan are shown in the following table. Infiltration rate varies with soils. If
applying waste nutrients through an irrigation system, you must apply at a rate that will not result in runoff. This table provides the
maximum application rate per hour that may be applied to each field selected to receive wastewater. It also lists the maximum
application amount that each field may receive in any one application event.
Irrigation Application Factors
Tract
Field
Soil Series
Application Rate
(inches/hour)
Application Amount
(inches)
967
l0A
Vance
0.35
1.0
967
11 A
Vance
0.35
1.0
967
11B
Vance
0.35
1.0
967
12A
Vance
0.35
1.0
967
12B
Vance
0.35
1.0
967
12C
Vance
0.35
1.0
967
13A
Saw
0.35
1.0
967
14A
Vance
0.35
1.0
967
14B
Vance
0.35
1,0
967
14C
Vance
0.35
1.0
967
14D
Vance
0.35
1.0
967
14E
Vance
0.35
1.0
967
14F
Vance
0.35
1.0
967
5A
Vance
0.35
1.0
967
5B
Vance
0.35
1.0
967 '
6A
Vance
0.35
1.0
967
8A
Vance
0.35
1.0
967
8B
Vance
0.35
1.0
967
9A
Vance
0.35
1.0
967
9B
Vance
0.35
1.0
414545 Database Version 3.1 Date Printed 1 1/2/2006 ]AF Page Page I of 1
NOTE Symbol * means user entered data.

The Nutrient Management Recommendations table shown below provides an annual summary of the nutrient management plan
developed for this operation. This table provides a nutrient balance for the listed fields and crops for each year of the plan.
Required nutrients are based on the realistic yields of the crops to be grown, their nutrient requirements and soil test results. The
quantity of nutrient supplied by each source is also identified.
The total quantity of nitrogen applied to each crop should not exceed the required amount. However, the quantity of other
nutrients applied may exceed their required amounts. This most commonly occurs when manure or other byproducts are utilized
to meet the nitrogen needs of the crop. Nutrient management plans may require that the application of animal waste be limited so
as to prevent over application of phosphorous when excessive levels of this nutrient are detected in a field. In such situations,
additional nitrogen applications from nonorganic sources may be required to supply the recommended amounts of nitrogen.
Nutrient Management Recommendations Test
YEAR
N
(lbs/A)
P2O5
(lbs/A)
K2O
(lbs/A)
Mg
flbs/A)
MnLn
(lbs1A)
(lbs/A)
Cu
(lbs/A)
Lime
(tonslA)
Tract
Field
Req'd Nutrients
Acres
App, Period
Supplied By:
CROP
Starter
Commercial Fert,
Soil Series
Residual
RYE Sample
Date
Manure
P Removal
Rating
BAl..ANCii
NOTE: Symbol + means user entered data.
Date Printed: 11/212006 NMR Page Page 1 of I

The Required Soil Test Values shown in the following table provide a summary of recommended actions that should he taken if soil tests indicate excessive levels of
copper or zinc. Fields that receive manure must have an annual soil analysis for these elements. High levels of zinc and copper can adversely affect plant growth.
Alternative crop sites must be used when the concentration of these metals approach excessive levels. Site life can be estimated by dividing the amount of copper and
zinc to be applied in Ibslacre by 0.036 and 0.0711. respectively and multiplying the result by 0.85. By adding this quantity to the current soil index for copper or zinc, we
can predict life of the site for waste disposal.
In addition to copper and zinc indices, this table also provides a summan, of lime recommendations for each crop based on the most recent soil sample. Application of
lime at recommended rates is necessary to maintain soil pH in the optimum range for crop production .
Rennirorl Coil TPct ValtrPs
Trail
Field
Crop
p}l
Lime Recnm_
(tons/acre)
Cu-1
Copper Recommendation
Zn-r
"Zinc Recommendation
.. . .. ........ ..I .... I ....... _... ......
Date Printed: 1 1-02-2006 STV page Paoe I of I

The following Lagoon Sludge Nitrogen Utilization table provides an estimate of the number of acres needed for sludge
utilization Ibr the indicated accumulation period. These estimates are based on average nitrogen concentrations for each source,
the number of animals in the facility and the plant available nitrogen application rates shown in the second column.
Lagoon sludge contains nutrients and organic matter remaining after treatment and application of the effluent. At clean out, this
material must be utilized for crop production and applied at agronomic rates. In most cases, the priority nutrient is nitrogen but
other nutrients including phosphorous, copper and zinc can also be limiting. Since nutrient levels are generally very high,
application of sludge must be carefully applied.
Sites must first be evaluated for their suitability for sludge application. Ideally, effluent spray fields should not be used for
sludge application. If this is not possible; care should be taken not to load effluent application fields Naith high amounts of
copper and zinc so that additional effluent cannot be applied. On sites vulnerable to surface water moving to streams and lakes,
phosphorous is a concern. Soils containing very high phosphorous levels may also be a concern.
Lagoon Sludge Nitrogen Utilization Table
Crop
Maximum
PA-N Rate
Iblac
Maximum Sludge
Application Rate
1000 gal/ac
Minimum Acres
5 Years .Accumulation
Minimum Acres
10 Years Accumulation
Minimum Acres
15 Years Accumulation
Swine Farrowing-Weanling Lagoon Sludge - Standard
Corn 120 bu
150
13.16
22,22
44A5
66.67
Hay 6 ton R.Y.E.
300
26.32
11.11
22.22
33,34
Sovbean 40 bu
160
14.04
20.83
41.67
62-50
Dairy (Milk Cow) Lagoon Sludge - Standard
Corn 120 bu
150
23.25
82.79
165.59
248,38
Hay 6 ton R.Y.E.
300
46.50
41.40
82.79
124.19
Soybean 40 bu
160
24.80
77.62
155.24
232.86
....... ---------------------- ..._............... - ---- ..-----.._...------------- - - - - - - ...... .
414545 Database Version 3.1 Date Printed: 1 1-02-2006 Sludge Page Page 1 of

The Available Waste Storage Capacity table provides an estimate of the number of days of storage capacity available
at the end of each month of the plan. Available storage capacity is calculated as the design storage capacity in days
minus the number of days of net storage volume accumulated. The start date is a value entered by the user and is
defined as the date prior to applying nutrients to the first crop in the plan at which storage volume in the lagoon or
holding pond is equal to zero.
Available storage capacity should be greater than or equal to zero and less than or equal to the design storage
capacity ofthe facility. If the available storage capacity is greater than the design storage capacity, this indicates that
the plan calls for the application of nutrients that have not yet accumulated. if available storage capacity is negative,
the estimated volume of accumulated waste exceeds the design storage volume of the structure. Either of these
situations indicates that the planned application interval in the waste utilization plan is inconsistent with the
structure's temporary storage capacity.
Available Waste Stora,e Capacity
Source Name
Dairy (Mill: Cow) Lagoon Liquid
Design Storage Capacity (Days)
Start Date
9/1
180
Plan Year
Month
Available Storage Capacity (gays)
1
1
142
1
2
180
1
3
180
1
4
180
1
5
180
1
6
180
1
7
180
1
8
180
1
9
180
1
10
180
1
11
164
1
12
133
2
1
159
2
2
180
2
3
180
2
4
180
2
5
180
2
6
180
2
7
180
2
8
180
2
9
180
2
10
180
2
11
164
2
12
133
* Available Storage Capacity is calculated as of the end of each month.
.................. — -- ............. I. ..... .. ..... ... _............... ..... . _. ....
414545 Database Version 3.1 Date Printed: 11-02-2006 Capacity Page Page 1 of

Available Waste Storage Canacitv
Source Name
ISA,ine Farrow in g-WeanIin g Lagoon Liquid
Design Storage Capacity. (Days)
Stan Date
9/1
180
Plan Year
Month
Available Storage Capacity (Days)
1
l
108
1
2
159
1
3
180
1
4
180
1
5
180
1
6
180
1
7
149
1
8
180
1
9
180
1
10
180
1
11
180
1
12
149
2
1
118
2
2
169
2
3
180
2
4
180
2
5
180
2
6
180
2
7
149
2
8
180
2
9
180
2
10
180
2
11
180
2
12
149
* Available Storage Capacity is calculated as of the Grid of each month.
........... ............... .......... ...... ... .................. ....--...----... ..............
414545 Database Version 3.1 Date Printed: 11-02-2006 Capacity Page Page 2 of 2

Required Specifications For Animal Waste Management
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 that 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 the
waste, he/she shall provide evidence 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 waste production facility to
secure an update of the Nutrient Management Plan when there is a change in the
operation, increase in the number of animals, method of application, receiving
crop type, or available land.
3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs for
realistic crop yields based upon soil type, available moisture, historical data,
climatic conditions, and level of management, unless there are regulations that
restrict the rate of applications 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 eroding at more than 5 tons per acre per year but
less than 10 tons per acre per year provided grass filter strips are installed where
runoff leaves the field (see USDA, NRCS Field Office Technical Guide Standard
393 - Filter Strips).
5. Odors can be reduced by injecting the waste or by disking after waste application.
Waste should not be applied when there is danger of drift from the land
application field.
6. When animal waste is to be applied on acres subject to flooding, waste will be soil
incorporated on conventionally tilled cropland. When waste is 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 and flies.
414545 Database Version 3.1 Date Printed: 11/2/2006 Specification Page 1

8. Animal waste shall not be applied to saturated soils, during rainfall events, or
when the soil 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.
10. Nutrients from waste 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 canal. Animal waste, other than swine waste
from facilities sited on or after October 1, 1995, shall not be applied closer that 25
feet to perennial waters.
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 the fields have been approved as a land
application site by a "technical specialist". Animal waste shall not be applied on
grassed waterways that discharge 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.
...... ... ......... ... . . ..................... ....---............... .................. .............. ......
414545 Database Version 3.1 Date Printed: 1 1/2/2006 Specification Pap-e 2

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.
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 pre -plant 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 nutrient, unless other restrictions require waste to be applied
based on other nutrients, resulting in a lower application rate than a nitrogen
based rate. 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 and maintained for optimum crop production. Soil and waste analysis
records shall be kept for a minimum of five years. Poultry dry waste application
records shall be maintained for a minimum of three 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.
............................................................................. ... ... .. ...................... ... .. I ....... . .. .......
414545 Database Version 3.1 Date Printed: 11/2/2006 Specification Pave 3

Crop Notes
The following crop note applies to field(s): I OA, 1 I A, I 1 B, 9A, 9B
Fescue: Piedmont
Adaptation: 'Fell -adapted.
In the Piedmont, tall fescue can be planted Aug. 20 to Oct. 10 (best) and Feb. 15 to Mar. 20. For
pure -stand broadcast seedings use 20 to 30 lb/ac., for drilled use 15 to 20 Ib/ac. seed. Use certified seed
to avoid introducing weeds or annual ryegrass. Plant seed 0.25" to 0.5" deep for pure stands, 0.25" in
mixture with clovers. Soil test for preplant and maintenance lime, phosphorus, and potassium
recommendations. Apply 40 to 60 lb/ac nitrogen at planting for pure stands only. Do not apply N for
mixtures with clovers but use proper legume inoculation techniques. Apply 150 to 200 lblac. N to
pure -stand fescue for hay production; reduce N rates by 25% for grazing. Apply N Feb. 1 to Mar. 20 and
Aug. 20 to Sept. 30, with equal amounts in each window. Refer to NCSU "Technical Bulletin 305
Production and Utilization of Pastures and Forages in North Carolina for additional information or
consult your regional agronomist or extension agent for assistance.
The following crop note applies to field(s): 12A, 12B, 12C, 14A, 14B, 14C, 14D, 14E, 14F, 5A, 5B, 6A,
8A, 8B
Fescue: Piedmont
Adaptation: Well -adapted.
In the Piedmont, tall fescue can be planted Aug. 20 to Oct. 10 (best) and Feb. 15 to Mar. 20. For
pure -stand broadcast seedings use 20 to 30 ]blac., for drilled use 15 to 20 ]b/ac. seed. Use certified seed
to avoid introducing weeds or annual ryegrass. Plant seed 0.25" to 0.5" deep for pure stands, 0.25" in
mixture with clovers. Soil test for preplant and maintenance time, phosphorus, and potassium
recommendations. Apply 40 to 60 lblae nitrogen at planting for pure stands only. Do not apply N for
mixtures with clovers but use proper legume inoculation techniques, Apply 150 to 200 lb/ac. N to
pure -stand fescue for hay production; reduce N rates by 25% to 50% for grazing. Apply N Feb. I to Mar.
20 and Aug. 20 to Sept. 30, with equal amounts in each window. Refer to NCSU Technical Bulletin 305
Production and Utilization of Pastures and Forages in North Carolina for additional information or
consult your regional agronomist or extension agent for assistance.
- ...................... .. -- - - ............
414545 Database Version 3.1 Dace Printed: 1 1-02-2006 Crop Note Page Page 1 of 2

The following crop note applies to field(s): 13A
Fescue: Piedmont
Adaptation: Well -adapted.
In the Piedmont, tall fescue can be planted Aug. 20 to Oct. 10 (best) and Feb. 15 to Mar. 20. For
pure -stand broadcast seedings use 20 to 30 lblac., for drilled use 15 to 20 lblac. seed. Use certified seed
to avoid introducing weeds or annual ryegrass. Plant seed 0.25" to 0.5" deep for pure stands, 0.25" in
mixture with clovers. Soil test for preplant and maintenance lime, phosphorus, and potassium
recommendations. Apply 40 to 60 lb/ac nitrogen at planting for pure stands only. Do not apply N for
mixtures with clovers but use proper legume inoculation techniques. Apply 150 to 200 Ib/ac. N to
pure -stand fescue for hay production; reduce N rates by 25% to 50% for grazing. Apply N Feb. I to Mar.
20 and Aug. 20 to Sept. 30, with equal amounts in each window. Refer to NCSU Technical Bulletin 305
Production and Utilization of Pastures and Forages in North Carolina for additional information or
consult your regional agronornist or extension agent for assistance.
The following crop note applies to field(s): 12A, 1213, 12C, 14A, 14B, 14C, 14D, 14F., 14F, 5A, 5B, 6A,
8A, 8 B
Orchardgrass: No Comment
The following crop note applies to field(s): 13A
Orchardgrass: No Cornment
414545 Database Version 3.1 Date Printed: 11-02-2006 Crop Note Page Page 2 of 2

a+"yy{i
,,� - $'tom .s• � s
;
xo � ;4' "n4•�, ?Q'� '. � n I'-3C� sa "•.r.. ti`l i "'",^.. w 4s�. r ., .�, �•i . �r �' .
r�y
(.ryys"�"' f'" 1 :. ' r-'�1ir.'iK 1!f►
�y,a✓,.,^-_;% =.1
,r xac;y r ::: i� 4 �I r �S N i i i-•. s;` S. � ''iYa�r �,�,�+tSriF •a � •^' �y o,.� r,_: wd- L
.:•l. J7 { ri3l>• 5 // J� ,�'
a.. ' lL7,.r.i.►' '�°'�" �,�„"' .ti..�! F''6_.i' I .k3:;.',$5{r` �'!t`. / 1 r.....w• r,.�''�,�
y 'i v �."+xr S �+ r V r {w:. �'r.s-'i:Y; •C w,^. r F %
- .3,F.,. , •. �.,t "� ra„r xrr_,° ns o 'r. � ,"""�. J � fr '�i� -�'' � -
� $ '\ �i�,«h islf - � t.:..-v "'�"`��-'a•�st.� p.�-.. -•�M f_f *',�_,, �F5 �"'��„
w i ' ;,,�✓'. i �+s.+.�. ,r/n Y,u� ��� f VAr +�.`�',�J , � ,�«r,r tl' : r.- 4 :' gCaa•+.{+���.
� V a,r Oi' � • _ -i;'r..r��*y r.. inter Y'4kr: '�t�i ����'. ,�. f'3 �r�"•� '�� � �• . t~ 1t���W�,_, � .,,z•F^'
1r yy,,rr
4 , f �j
FM •. ; S �{�•s it I"�5.aa x•"t'°r .-f ' , t, t j- •, r ,'"' 'c�l'
yds.
rr w 'r • • C ��'ia i�•rr"'R r 1..� r+ _ ' 1 l' • i3�'.ti.'4M14
jjs i! �5 ��S�d s��; '��'Ct'� "'''�.L`�" j �•t• Jr�� r -� �t'���M�r 2 j '��. r r r�, �''• f�' I•.,.r � r' "ii
u�Y� ka � lUr• .�YY V.�w 1 ?S M �i / f y
u�\a r ih tt }s fy,4!Jr - Y1 `wA -FY ,. i L+,.. yl ; J �� , - �'', •'�
f37� . � n•tii�r:�L � � ry *,p�r, � ,� •f r � ;� ;
,r^ p rurx.:' %cfrr•'f- r rr gsFr.T;°yL v�1rd�i i �' f �'�',,, '*7i ix {� it i �:,- l 1 —r _ } :'+i+r A x..
1'4` r� r'*�Y,�r�,• {, 5'` f . ra a'u,t�..a- .:"'� ,�R- -,.y +'71
t r.ie •�.. �:• Ee4' ^``'
y ,[-"
'��'4,�r
�'r' r,r'- y�' ita:,^ •C ° ��. ''f� ✓' / � � J �1 k+tn! �, � N,Sr � I: ,�-i,'>v. t., '.'tf•^,. ` i £ ^''u-
`
za:,'•_i� •cr ,,sue
r '� o A. -"fi trik>••'�' ��-.f V �3�' r..y. .r �I" r�r �„•F'.+F� w*'-� r-. ..
•_'_«' •ry .^.� �y- -._ ,Y..��Trr �� ~ + '� S I?��r4 fi .�. � S a�i w+�� -iE ��`` - ,� 5'Z'� e �. 41 i n��+`'".c ',
a< r, yrr. +�t'11 - :} ,t.��„,ry�� .. r , �� � � r �.�, �i„i, ,ri°,•Y� �,,��.3 .
r7"s'c'
rUa- Ap ;V '.s±"'°lr"�'r�,•'c -14�t �,is ?�,,�',`�,•-:.:,.�-=wE ar,•, k' Yn�'. 'M...
�'.� '^�,.y�� r♦ _.;r� � r`Y '�� � ~� Ff ;'k" {� `�, ' i �'� `�� , '�`�"}��,..._.�r^�ew�.•r-rw. � Y�f��9�� i ...
it
..,�+ •.y•:`p�+ ,;,R y '� �L4„'xy;�-�� } :,� F ti � l..+r�f � '44.�—fi.-�...�.�r-.�.fy°;r���_ � �+� _ �"--r,'�� fei ,rH
e e t ? s -
} <,r a + •y"rew': \ �� �` x r^"0 i .• ��. � E y'•a•t r ��� •t,.r t-ry.t,5� S � , f
a clay ny !
�. r r ! - /' 4wAfi ;� l`4T�T - ``✓' .,.�•� •�.✓ F Z l '•>Hp?` t,n
� } � 5 S�•yru t � �..
,.w f parr :.raw".`-`':+•gy*,c.J, 1zf 1 n KkN r d� Y ,� •t.r_3,'
1 c 1 _ 44rV33it'
- •9F .pit,,
°'.�.,,� t ` �'`,: j
r`N`'r�y!`� �:;: ' �x�"���r�'ra''�� p? � �y'�'•" rt"�' :.=t.
AN"
^+�7; 4�f ,rx. yy ', �,4., y:��„ i,-. r, H i'• - -� '�<. '`s:
�t--y :fir• r.` "r�. .u` �:`5
✓. .� �.rrl' "� "I}b *.�', 1� ry e7{,1�
j` Y ' Te>;•'... , a .e i'^ r " r a J {' 'l i"M ,,11 i, 7 i
F 1'
- r,5. I r .••" r K Gt,�, ..� ,r�C �r.�y d�S
vy,� r'. u i�'•%r ;J7ry i L' L x� t a.r rfi"fit I{.Yy c n� r• J 2�'y�5! x i >k yy' R ,
tit
r c' 3x �C ryT 'rrtrh$ . s:v y°
,�`•.... _.. y� a t1: 1i ht' fi rf�"` i.%ai. r `` ,}
i, r "'a x{4r "y r tgi te�<Sz4 II ?24 N/ rNl emu° iwtka
4 �',- � 't � v v.". -t ^i• ,''� S"h r ttr.rF k r J"^,, �r.� r - n * c i,
i:. h r r4! r v�#y' u w t t, ,�
z, -iir -Ty'' i r ti"'� +i. '.•F` rr_ r,G' {•�
L p ;d-
��J - !. � rt'ru. k :.�.,� �� iCb. a• � -�,�i.. ,S�`L .yt 363�r � � � p s , r - µ`ili' I ...r.'f�r :- �v y.f,' f -"vr_.
• l 0. -r. x i s"' rrA"r' r'r y rT q I ,y�,�{"
'S>` f% �E. �'� ^•S i J t � y, .Y M tt I V i SF -,.
{+i >�..f � �r[= � tt •
k. 'ti • J +,.,,- "!>i ,-r �i"il : �, ti" � r ft w.� } ,rr. ��. sr, �. � .F- C c-gr�'r�?� �' � � i.
�ti. _ t .:titer s � Y}r• i} y i[r , r 7S" a�.,, �y •> 'f V� i rs. t- '' t1. r , -.
f �.. 'rJ. 'rFy - Y�i M • ��r it7, f' {'lil.5 r ' I G�� � K •� 1t �r'm r"�r., 1� j,.J�„� ��p� F? �;.
�("4� "h.•! f.. q1 : rSi{ � - ••,r L a S" 3�- ) `r r ■? . �. +.. % %- -f!'i k �rk .iy
. ,, arr`.•_'y Jz: s A '`', , % -rr z �'.Sl4 t 7 LL i�'�+W+��w.�
: ¢
A
g-yJ 1. ,� xs � i� iS`�r.-{ram a• r r..
-a.•r
' ^, 1,. t. �f f y b "err'-� f r-+'' ,f r' 'L°•'iz J� "f.
�r . $• r'^'' } +. •r- _ Y- �-+... r iztf - c � �+" !< - a+� K r , -� %S'r`f-. rM Lt• -ti yir"-r��1.si't 'f""""5..! arr .
}qrx .-r't.� 'r}s' r7t. $�r,rk� ttii i' r:� ' J �r +a ki:P�>n t+'a 'ix'u i,• 5.
r" � -� } •+ � � ssi�J �Y i s- z w r rk'-'� r 3 •��"tYK-as",R yl[ r '. y: - Y;,�'�!. .. - -rr� , r ,,;,,.�s� _
`�-,�.r'+�� 7��riy'z�-� :�t 1°: "`. k�a•• � X-•�T$w�,.l.: �'`$ +':. �`���T.t, 5 r •p-1 ;4'ir;'lk. ' ''N�7��6 "^�.�_4a'rw�wr"�+ k,_;-y, �°�ii rfr _ 'r Y
L ..' 1 yr rry - � fi'-r ',ra,yaw 7 r-i.• =.r SI.4'��k•rrS� iR s .•A" ��,,.�,�r fie `'ter. f,43'� MTU J.,
R y C frKe A¢sj r Jt v w a ?<z LET Tw F� t
a `+ i,� c
r \ Y a V k !r r3A } r i
•',j.. i•'a' .. ` 'is r `.}. r�( '�'x .�t: [�r � �.n'°y"' ' w Y v�"': a.` ,. � i:i-..,:'�'.. _ �. ' .,t 3. k �' 7 �y ' ' ' � I �,"•.'�.�'t"�.a { r` � '
'C...�.;� 3+ ♦ , •wh, ...n..,. . R{*, •. � 'I.. •r, .�1 .K -r Ic .4.rrytll�n-..:'��•., n � :i': . - r

0
IN A
Ashley White
White Ridge. Farm
RtIBox 81
Norlina NC 27563
Dear Ashley White:
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
May 1, 2003
Subject: Certificate of Coverage No. AWC930021
White Ridge Farm
Cattle Waste Collection, Treatment,
Storage and Application System
Warren County
On April 28, 2003, the North Carolina General Assembly ratified Senate Bill 733 which directs the
Division of Water Quality (Division) to extend the expiration date of the Cattle Waste Operation General
Permit AWG200000. Therefore, the General Permit has been re -issued by the Division to extend the
expiration date to October 1, 2004. During the period of this extension the Division will be working with
all interested parties on the development of a new version of the Non -Discharge General Permit.
In accordance with your application received on February 27, 2003 and in accordance with the directive
of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Ashley
White, authorizing the operation of the subject animal waste collection, treatment, storage and land
. application system in accordance with General Permit AWG200000. The issuance of this COC
supercedes and terminates your previous COC Number AWC930021 which expired on April 30, 2003,
This approval shall consist of the operation of this system including, but not limited to, the management
of animal waste from the White Ridge Farm, located in Warren -County, with an animal capacity of no
greater than an annual average of 200 Dairy cattle and the application to land as specified in the
facility's Certified Animal Waste Management Plan (CAWMP).
The COC shall be effective from the date of issuance until October 1, 2004. 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.
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 Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a. period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility. AMM
� NR
Non -Discharge Permitting Unit Internet httpJlh2o.enr.state.nc.uslndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
An.Equai Opportunity Action Employer 50% recycled110% post -consumer paper

Per NRCS standards a 100 foot separation shall be maintained between water supply wells and any
lagoon or any wetted area of a spray field. •
Please be advised that any violation of the terms and conditions specified in this COG 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 [phone]. If you need additional information concerning this COC
or the General Permit, please contact 1 R Joshi at [phone] ext. 363.
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG200000) .
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Water Quality Section
Warren County Health Department
Warren County Soil and Water Conservation District-
Permit File AWC930021
NDPU Files
Ll

OF W A'1R Michael F. Easley, Governor
Q� pG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
j Alan W. Klimek, P. E., Director
`c
Division of Water Quality
O
October 1, 2004
Ashley White
White Ridge Farm
805 Rooker Dairy Rd
Norlina NC 27563
Subject: Certificate of Coverage No. AWC930021
White Ridge Farm
Cattle Waste Collection, Treatment,
Storage and Application System
Warren County
Dear Ashley White:
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 February 27, 2003 and in accordance with the directive
of Senate Bill 733, we are hereby forwarding to you this Certificate of Coverage (COC) issued to Ashley
White, authorizing the operation of the subject animal waste collection, treatment, storage and land
application system in accordance with General Permit AWG200000. The issuance of this COC
supercedes and terminates your previous COC Number AWC930021 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 White Ridge Farm, located in Warren County, with an animal capacity of no
greater than an annual average of 200 Dairy cattle and the application to land as specified in the
facility's Certified Animal Waste Management Plan (CAWMP).
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 kee in
and monitoring conditions in this permit;
If your Waste Utilization Plan has been developed based on site specific information, careful evaluation
of future samples is necessary. Should your records show that the current Waste Utilization Plan is
inaccurate you will need to have a new Waste Utilization Plan developed.
Aquifer Protection Section —Animal Feeding Operations Unit
1636 Mail Service Center, Raleigh, North Carolina 27699-1638 One
North Carolina
Phone: [phone] FAX: [phone] Internet: h2o.en r. stale. nc.us Naturally
An Equal Opportunity/Affirmative Action Employer —50% Recycled110% Post Consumer Paper

The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current NRCS standards are met prior to restocking
of the facility.
Per 15A NCAC 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) 5714700. If you need additional information concerning this COC
or the General Permit, please contact J.R. Joshi at [phone].
Sincerely,
-a/ 1. -
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG200000)
cc: (Certificate of Coverage only for all cc's)
Raleigh Regional Office, Aquifer Protection Section
Warren County Health Department
Warren County Soil and Water Conservation District
Permit File AWC930021
APS Central Files
FTS
�~~ - 20`t

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
Ashley White
White Ridge Fann
Rt I Box 81
Norlina NC 27563
Dear Ashley White:
4 0IT •
A2
NCDENR
NORTH CAROL-INA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 93-21,
Warren_Gounty:
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI, IRR2, DRY1, DRY2, DRY3, 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 [phone] ext. 571.
Sincerel ,
Kerr T. Stevens, Director
Division of Water Quality
cc: Raleigh Regional Office
Warren County Soil and Water Conservation District
Facility File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity AMrmative Action Employer 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
April 6, 1999
CERTIFIED MAIL
RETURNCEIPT REQUESTED
As e�,ite
White Ridge Farm
Rt 1 Box 81
Norlina NC 27563
Farm Number: 93 - 21
Dear Ashley White:
T 0W'J
•
NC
NORTH CAF
ENVIRONMENT
You are hereby notified that White Ridge 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 sixtyy(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 Dianne Thomas at [phone]
extension 364 or Charles Alvarez with the Raleigh Regional Office at [phone].
Sincer, ,
for Kerr T. Stevens
cc: Permit File (w/o encl.)
Raleigh Regional Office (w/o encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
June 25, 1999
Ashley White
I White Ridge Farm
Rt l Box 81
Norlina NC 27563
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
Subject: Certificate of Coverage No. AWC930021
White Ridge Farm
Cattle Waste Collection, Treatment,
Storage and Application System
Warren County
Dear Ashley White:
In accordance with your application received on April 29, 1999, we are forwarding this
Certificate of Coverage (COC) issued to Ashley White, authorizing the operation of the subject animal
waste collection, treatment, storage and land application system in accordance with General Permit
AWG200000. This approval shall consist of the op4�ration of this system including, but not limited to,
the management of animal waste from the White Ridge Farm Farm, located in Warren County, with an
animal capacity of no greater than 200 Dairy 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 CAMMP , 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.
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
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Certificate of Coverage AWC930021
White Ridge Farm
Page 2
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 [phone]. If you need additional information concerning this COC or the
General Permit, please contact JR Joshi at [phone] ext. 363.
Sincerely,
Kerr T. Stevens
cc: (Certificate of Coverage only for all cc's)
WarrenCounty Health Department
Raleigh Regional Office, Water Quality Section
Warren County Soil and Water Conservation District
Permit File
NDPU Files

0:4i,;tieneral rermit - Existing Llquia Animal waste operations
`­�: , Tli'e following'questions have been comp letedd-utilizing information on file with the Division. Please
,�„r`eview the information for completeness and make'any•corrections which are appropriate. If a
��•' ,tique'stion has not been completed by the Division, please complete aOft Do not leave
any question unanswered. VIATER IIAYT'; SF1;1QN .
.r
N • 1.°.,,,- 'GENERAL INFORMATION: - IAPD o n. ii99
!.Name: White Ridge Farm �, -_ -- - .
and Owner's name: AshleyWhite r`cha�e �mt�ttln9
,1.3' Mailing` -address: Rt I Box 81
1Ckty,rState: Norlina NC Zip: 27563
''7eleph6ne Number (include area code): 456-3732
J;!,4 {County.`where facility is located: Warren
`- :.�'
tr1.5 'Facility' Location (Directions from nearest major highway. 'Please include SR numbers for state roads. Please include a
of a county road map with the location of the•farni identified): Us 1 N. cross I-85 turn left an 1210 1 mile on the .'
Pi'int,Farm Manager's name (if different from. Land Owner):
i!".7: Lessee's 1 Integrator's name (if applicable; please circle which type is listed):Feledgebw
' 41.8 ';Date Facility Originally Began Operation: 0 1/0 1/77
�1.91v"'Date(s) of Facility Expansion(s) (if applicable):
:•s ;.
2.' , ' OPERATION INFORMATION:
'�'2 1' -Facility No.: _ __93_ (county number); 2'1 . .{facility number).
�-2' , .2.2 `Operation Description: �Ca�ttle operation
D lry
200- Certified Design Capacity
GIs the above information correct? yes; no. If no, correct below usin the design capacity of the facility
gg
'.;� • the'�"No, of Animals" should be the maximum num er or which the waste management'Structures were designed.
Type af•Swinc No. of Animals Type of Poultry No. of Animals Type of Cattle No, of Animals„
` A 0 Wean+to Feeder 0 Layer 0 Dairy
' 0 Feeder to Finish 0 Non -Layer 0 Beef
.� t0 Farrow to Wean {# sow) 0 Turkey
Farrow to Feeder (# sow)•
' 4.Farrow to Finish (# sow) F
Other Type of Livestock on the farm: No. of Animals:
9& 1 • "� � Pege`•1 of 4 93 - 21

2XAcreage cleared and available for application (excluding all required buffers and areas not covered by'the application
-150.00 Required Acreage (as listed in the AWMP): 76
4,0
Number of lagoons a ponds irclewhich.is. applicable):
I , 5.,Aie subsurface drains present withiw 160'of any of the applic"aiion fields? YES or NO. please circle one)
in'thi vicinity or �nd&i *611�goon(s)? YES o Ai�s*6bsurface drains present e please circle one}
A0,A
r!
U s, is facility meet all applicable siting reqWrements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
YES or NO (please circle one)
lag'o6n were sited? I.T. What wds-the date that,this facility's sWine houses and
What was the date that this* flicility's land.Appltcation areas were sited? 3 REQUIRED ITEMS CHECKLIST
Ab
;]ease9v u
J dnidicate'thaf �o6. I;a e, iikl'dW06'Qlo wJ'Jn'g- re"q'u"ired items, by signing your initials in the space provided next to each
g
il, $X
item
Applicants
Initials
I C completed and signed original and one,copy of thelapplication.for General Permit - Animal
` Waste Operations;
3.Z�-Two.copies.of a general location map; indicating the location of the animal waste facilities and
ir fi I te d locations where animal waste island applied;
hima 43;,� fflb!c6pies of the entire"Certified An I Wasfe:Management Plan (CAWMP). If the facility
....'-do'es'not have a CAWMP, it'mu9t be completed prior to submittal of a general permit
application
]i ion for animal waste operations.
The CAWMP must include the following components. Some of thes
e components may not
have been required at the time the facility was certified but should be added to the
CA WMPfor permitting purposes:
33.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced an"d utilized by the facility.
-(e.g. irrigation,
A
3.3.2 The method by which waste is applied to the disposal fields
A injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land A, applicationfield.
3 3.5 - The crops grown on every land application field,
­116 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
4 33.7 The PAN applied to every land application field. it
3.3.8 The waste application windows for every crop utilized in.the WUP.
3.3.9 The required NRCS Standard specifications.
rE 1.3.10 A site schematic.
-i Z t, , :_ ,
'1
1, :3.3.11 Emergency Action Plan.
3.12 insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
-3.114 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
..additionil components with your submittal,
fill',
IF-
E 5/28/98
Page 2 of 4 93-21
Is
th

I
Facility Number 93 - 21
FacilityNaine:� White Ridge Farm vJY AASt' 01
`�APPL"'ICANT'S CERTIFICATI L
j I„ �,.� S �►' • �— �� '1 �' -�� '� '` '- `19(iJand Owner's name listed in question 1.2), attest that
this. ,applPca �i n for � �Lrr'` (Facility name listed in question 1.1)
h,as'been reviewed'-b-y n1e 'and its accurate atr4complete to the best of my. know edge. I understand that if all required parts of this
application are. not co leted and that if all required supporting information and attachments are not included, this application
package w1ll bereft t e as Inc plete.
q
SPgnatures, Date _ .20
5 MANAGER'S, CERTIFICATION: (complete only if different from the Land Owner)
,r t
„ I,' '., •,.�lT :.: "r' " (Manager's name listed in question 1.6), attest that this
applicatM Sfor . (Facility name listed in question L'
h6s been reviewed^by me an is accurate and compicte to the best o my knowledge. I understand that if all required parts of this.
applicahon#are not.completed and that if all required supporting information and attachments are not included, this application
package wilbbe'retumed as incomplete.
Signature.:.k _
THE COMPLETE'
. a W
w5
.!
45
5 i ej
�44
Date
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: [phone]
FAX NUMBER: [phone].
•..�:..�+
WO=G-E' 5/28/98
'�
Page 3 6f 4
j. ,-19
sly
r
'
RECEIVED !
V'1ATEROtW-11TY, MON
iAPR 2 9199P
Non -Discharge Permitting

WATER QU.„,L iY SEC-PON
ANMHA7, WASTE NANAGe� PLAN CERTSPICATION FOR EXISTING
�Jh '{f Mlil[ Rid n 4
Please return the completed form to the Division of Environme-rxta1.2ianagOman t at
the address on the reverse aide of this form.
Name of farm (PI a print) : G h-!!:
Mailing Address:
/ bZ,% 1d . N. G , :2'Xi G 3 Phone No .
County (of farm):
Farm location: Latitude and Longitude, 3;'*&e /l$°L2'.3L (required) Also,
please attach a copy of a county road map with�ocation identified.
Type of operation (swine, layer, dairy etc.): PAMV
Design capacity (number of animals) 06
Average size of operation (12 month population avg.); S - _
Average acreage needed for land application of waste (acres):
*TechnicalSpecialistCertification
As a technical specialist designated by the North Carolina Soil and Water
Conservation Commission pursuant to 15A NCAC 6F .0005, Y certify that the
existing animal waste management system for the farm named above has an animal
waste management plan that meets the operation and maintenance standards and
specifications of the Division of Environmental Management and the USDA -Soil
Conservation Service and/or the North Carolina Soil and Water Conservation
Commission pursuant to 1SA NCAC 2H.0217 and 15A NCAC 6F _0001-.0005. The
following elements and their corresponding minimum criteria have been verified
by me or other designated technical specialists and are included in the plan as
applicable: minimum separations (buffers); adequate quantity and amount of land
for waste utilization (or use of third party); access or ownership of proper
waste application equipment; schedule for timing of applications; application
rates; loading rates; and the control of the discharge of pollutants from
stormwater runoff events less severe than the 2S-year, 24-hour storm.
Name of Technical Specialist (Please Print)
Affiliation (Agency)
Address: 1.3 3 �'3 S , %�2J � ,_ _ C.( ;✓?ors/ �• G. Phone Na .26-- 3p34.
Signature: d�q�,-•_ - - - Date:
Qvrner/2ianager Agreemantr____..__..---------------------
I (we) understand the operation and maintenance procedures established in the
approved 'animal waste management 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 new certification to be submitted to the Division of Environmental
Management before the new animals are stacked. I (we) also understand that there.
must be no discharge of animal waste from this system to surface waters of the
state either directly through a man-made conveyance or through runoff from a
storm event less severe than the 25-year, 24-hour storm. The approved plan will
be filed at the farm and at the office of the local Soil and Water Conservation
District.
Name of Land owner (Please Print):
Signature:
Date: //C
e?6) '?
Name of Ma-mager, if different from owner (Please print):
Signature:
Date:.
Note: A change in land ownership requires notification or a new certification
(if the approved plan is changed) within Go days of a title transfer.
DEM USE ONLY: ACES€ .,5= S C7
93'al

r b -
P
n M CC K L ON a U a G as^ C O U N T Y
• ! !''
iN. KERR t1R, - , u4: �,.ex PP.eou ]uL
�p
,SERVOIR
6Qk Soo
I • 1104 47
Lift
1 0+
13
r 11� 12ta
!u
1 O ~ rl 4 k . 1319 f-
2,4 e ran OM
JL .lLi. i I 9
`• r Yr
1.] -ud
l71Z � !' MEk
j d u!Z I 111tt ' e4
uu O 17 W
1. I. Q ? b
m 17 tat C Im
Ch a } wch r
�p
D- l
uu
�
ZL < R 1LL4
C s a 1 3 4•,
i lL .Y 1I1]. " tTti a3 + 3 "C. o
\') 1130 um
lli •�.]1L LU2
1 br...'rY lt:s Ink u Y 1 \ 1SL -
d L}4i .f
LIU
jza .4. ] `: Warnw Plow - Im
am
ilm
~ ? rN ryt uu
At I.A
I i uu }3i 4 t11 Y .1 Rd4.—Y NGRUHA CON0i kMI 10tte
} POP.
1
1 Maus+e ! 0 tt 1 1,0] rwJJ21> > y3 .1 , I1 1.4 12Ys
3
]..
tl t.L tl tx 1.1 !t' .1 5332 `.4
WS
/\ �P3 � G �, Tr Ise Cr. Wa/kv,
t tuz t3
lSe 1 • ty 7 150 %5 S
t i11t fK
tIP7 13 L� c�. •. i + 1781 �y
I-1
,a 4 Ll42 Ingo WARRENTON z )ZIL
1111 I 1.0 4 r1 • ;+ 2 fF rW. 906 .l
p LLU 111A -3
1t.r 'y y
1122 jo L44, E
"'•'s 1.l41 a 1 lll7 401 zF—. b
0 Aaf.11 1.4;1 LLl 7 Q -
1➢41 I7 1441. 1.317
, 7 A >• .q, n
O 1 ° ll� 1Li1 ♦ O r07.
J 4 B6 Lb.r'ta
e
t 1.r 1A h Ila LIU I6 � q
C s 1 _ .l S9' teas
'AS " r
.I�t3 1-lIl �] � rovid.nc. R�^K4 Ll4C •~.�_ 1Ma+madiAr. r:
I � a •�
Y lia 113f ~ L11L r"Afton
Geri t
.s .] 51
!1U-1 ti' ry
1!L
� v t
1127 a s 1�Lk ti r 1 U 1l11
r n a ��• JStL 'A P.rkto.m v
n Elb.ron ° A •� t 1 7� . I3a7
l LIu
t LOU B4OrKh r..4 1
a p jj_1 1!!12 gill � ryLIU
1 Shocw L1t 'P 147. 1.7 {
Ch. a lu4 si 1

ANIMAL WASTE UTILIZATION PLAN
Producer:
Location:
Telephone:
Type Operation:
Number of Animals:
(Design Capacity)
STORAGE STRUCTURE:
APPLICATION METHOD:
Ashley White
Rt. 1 Box 81
Norlina NC 27563-9709
456-3732
Existing Dairy Milk Cows
200.00 head
Waste Storage Structure
Irrigation
Xc�
ARC cn��
Nom 2 9 f999
SCkrge pe'")'*n
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:bf 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
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 head x 32.1 tons waste/head/year = 6420 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
200 head x 69 lbs PAN/head/year = 13800 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

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
967
5
57B
SGH
3.5
175
0
6.0
1050
I
AUG-
NOV,MAR-MA
967
16
157B
ISGH
13.5
1175
10
13.0
1525
AUG-
NOV,MAR-MA
967 8
57B
SGH
Q
I
13.5
1175
18.0
11400
AUG-
NOV,MAR-MA
.
967 12
57B
SGH
0
I
�3.5
1175
116.0
�2800
AUG-
NOV,MAR-MA
967 13
57B
SGH
0
li
13.5
1175
14.8
1840
AUG-
NO V , MAR - MA
967 14
57B
SGH
0
I
13.5
1175
136.0
IG300
AUG-
NOV,MAR-MA
967 5
57B
CS
16
192
0
I
16.0
11152
MAR-JULY
967 6
57B
CS
16
192
0
I
�3.0
1576
MAR--JULY -
967 8
57B
CS
16
192
,, Q
I
1
1
18.0
11536
MAR-JULY
967 12
57B
CS
16
192
0
I
�16.0
�3072
MAR-JULY
967 13
57B
CS
16
192
0
li
I
14.8
1921.6
MAR-JULY
967
14
57B
CS
16
1
192
1
d
I
136.0
16912
MAR-JULY
Page: 3

ANIMAL WASTE UTILIZATION -PLAN
I'
967
14
157B
IFHG
12.8
I105
10
I5.0
1525
MAR-
JUNE,AUG-N
9167 9
57B
FHG
0
9.0
T
12.8
1105
1945
MAR-
JUNE,AUG-N
967 10
57B
FHG
0
I
12.8
1105
13.6
1378
MAR-
JUNE,AUG-N
967 11
57B
FHG
0
T
12-.8-1105
18.0
1840
MAR-
JUNE,AUG-N
967 7
57B
FHG
0
I
12.8
1105
16.9
1724.5
MAR-
JUNE , AUG--N
967 15
57B
FHG
0
I
12.8
1105
120.0
12100
MAR-
JUNE,AUG-N
END
I
TOTAL132597.1
- 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.
Page: 4

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
CS
CORN SILAGE
TONS
1.2
FHG
FESCUE HAY - GRAZED
TONS
37.5
SGH
SMALL GRAIN HAY
TONS
50
TOTALS FROM TABLES 1 AND 2
ACRES LBS AW N USED
TABLE 1 200.1. 32597.1
Page: 5

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 0
TOTAL 200.1
i
32597.1
• *** BALANCE ,-18797.1
*** This number must be less than or 4u4`6l7,Va' b in order to
fully utilize the animal waste N produced.
Page: 6

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.
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
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)
967
10
57B
FHG
.35
*.75
967
11
57B
FHG
.35
*.75
967
12
57B
CS
0.35
*.75
967
12
57B
SGH
0.35
*0.75
967
13
57B
CS
0.35
*.75
967
13
57B
SGH
0.35
*0.75
Page: 7

ANIMAL WASTE UTILIZATION PLAN
967
14
57B
CS
0.35
*.75
967
74
57B
SGH
0.35
*0.75
9.67
15
57B
FHG
.35
*.75
967
4
57B
FHG
.35
*.75
967
5
57B
CS
0.35
*.75
967
5
57B
SGH
0.35
*0.75
967
6
57B
CS
0-.35
*.75
967
6
57B
SGH
0.35
*0.75
967
7
57B
FHG
.35
*.75
967
8
57B
CS
0.35
*.75
i
I
967
8
57B
SGH
0.35
*0.75
967
9
57B
FHG
.35
*.75
* 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 I 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.
Page: 8

WASTE UTILIZATION PLAN
REOUXRED SPECIFICATIONS
1. Animal waste shall 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.
S. 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: 9

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: 10

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: 11

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm:White Ridge 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 weer: Ashley White
(Please print)
Signature: Date:
Name of Manager( f different from owner):
Signature:
Date:
Name of Person Preparing Plan: (Please print)Bruce Perkinson
Affiliation:Warren Soil and Water SWCD Phone No. 919-257-
3836
Address (Agency): 133 1/2 South Main St.
Warrenton NC 27589
Signature: - Date: a . 5
Page: 13

ANIMAL WASTE UTILIZATION PLAN
IMAL WASTE UTILIZATION AGRE T
(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:
Date:
Waste Producer: Date:
Technical Representative: Date:
SWCD Representative:
Date:
Term of Agreement: 119_ to
(Minimum of Ten Years on Coat Shared Items)
(See Required Specification No. 2.)
Page: 13

ANIMAL WASTE UTILIZATION PLAN
STATE OF NORTH CAROLINA
COUNTY OF
I, - , a Notary
Public of said County, do hereby certify that
personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this day of
. 19
My commission expires
(SEAL)
Notary Public.
Page: 14

ANIMAL WASTE UTILIZATION PLAN
Waste Utilization - Third Party Receiver Agreement
I,
generated by
hereby agree to apply waste
in a manner that meets the
Waste utilization Standard (633), or use an alternative waste
utilization system that has been accepted in writing by the
Division of Water Quality.
Third Party Receiver: Date:
Term of Agreement: to
(Minimum Ten Years on Cost -Shared Items)
STATE OF NORTH CAROLIA
COUNTY OF
I,
Public of said County, do hereby certify that
, a Notary
, personally appeared before me this day and acknowledged the due
execution of the foregoing instrument.
WITNESS my hand and official seal this day of
, 19
My commission expires
(SEAL)
Notary Public.
Page: 15

r/f y, `i^ ' 7r'1 �'►7it -5 ��d1 i;^"'y-..•
►.�n� 1%?yiy5,^r�4 yr����'''r�••''''' � ��R� i rkS.•,:�5` '.� ';� �'��y � �-5... � r'.t, ".'�,�,.� a'
�fT',;%'s r�;''r''+!}lr'..'Y rT�y yi� `•, C .k�! ." • �a",. + r!`y y, r
'•:`.� M#�. J'rI ;:�:.�titi• ': �';:' �_ L:�:=�"•- �"�P,ii:'' r�'✓i: ?; �"'y :;:r.
-ANA
y, - � c r .:,r � iE. �' r,. ii � t'-•;'•'.•.ri:•:,. `-A�'l l�.w,.-=i • •I�fi 't14 `C•±M� } 'fir + r r..
~ a• 7.' j` :';,'r: 1`r `� �'4C']Str 'r,{�� �.;?�!. :i, M�,�"�{ �r�. .y�i rf l "i a'� • -_.L, �'r}+-`� .`' •
.FCYfit
.r� t �,� �'�'k"i"�'e`i��J'rti, �� '� �vi.�!�;• +.i���.: �e+� !'+x�, RJ{(.,'r, ..
I • Yy! { 'f' �4Li ` V�r 5 �!M' ��' % r = , . S� •. J �_ �. i tom. III'
wr
-. 4- t„ �. , . t , , �'� .-._' �,. - /•f. iY,r'� ram. �- +�a - ;
t•' ,
�c. Ajwf
IN
A rx•: < et �
,.,amp j�.� �•" �! �'1� �" \.� :R:{5a,. ar' Y!ti �r:,.�r -'
��+t. 1�_�' 1 n� T. •i,F' •,.,�•:`., ..�•, her •.�^;: er),1 .1,� �
j2r+/-•. ^ :• fwi�_ y �`�"l'{,� .N. f�.'r, `: � `i.�:^.Li.•ir�� i
1.i ITT �•' •1• !!' :'"f+�''Yr� '' }�`'tii =_1�- ;..{`�i�'.� �'
�.i :+rrtyii �~•'� re : v7f S • �' � 1 kr f� n��
':ate ��, }J,`,-.'',}'• �k�,�; � - � �` I� .t ��• •• � 1 ' i��� „ ���'
.�.�, 4:,\:i � � •ryyr��•Zf. tl l;'7•, '^�yr� tii4'�4 �ary'. `5 ..:'�':i�r'•'!1� L•-'i��L�'+rrr
r r.i.�i l'�,• rM�l'�4''••Z,i�Tt-•'F�•,r � ,Pr � =l�i1r!lt•Qt,�•, •i �
,;{es :.n,: �. f' •:- w• ,�'V��� Ttl r� ' f ,r M1��..�tr.h'�`''�G�q
St ..a. . , r l}',4 4:r r,�SL%�.'�..��4 .r ��e�:��>i•'•�jl.F�Mr'.i
t' t �. ,�!�'...a •:,r•:' fir', r
Y t +'�J,�.,''srr� (�:, y *• ;,-cc--rt� �. '�ria`.�r: �,-c,•i'r',t;- -n,
�:5- et^•`f,F�•'...Y .rtil,'t•+4}"'r pisr�,ti.`•'�G'r fnt�a,' vr!�1�?'�,a�'-'��
[f, .. y`�t, ,5 c%• •�r5i.:.. .r..sii•+ f C. ..,;4 ,'•h.•-�+"-!'�'lY-°�? •�'sti'Ft"`...��'~:tip'.""
•_,}:'r' ir' ...i; - x .f� '4 � '� `y'v ,-i,4, �41. �'. ���i}fir.. �,. fC S r4.w1 J . • ''' „�.�'`,•,Wtl " ��. aka- X i 1i•
Jkk •:ry ,:n'� i�.er �,,r�, ''~ ���`r� 'a#.`•�5�• =.v -�:''.'l`v"� a��' !1 �7 i�r�s,f� � x�''K �� fi �.a'`'
ti i y 'tiYl ; -,k 4t � tl \nX's,.. r � t,b r'�' �- ,� t r ,r. r •�� Y rn,.r,��+; �§:-� �+...
' `3'" !r�jfc'�'`�•; ^ap Y� �F•�n���t-+ s �s, ��'1 " .i„r� � Cc` r � «. f � a5`.+• y� �` y �''� � ^�
y,• � r'�.-3.+4.eti•�•.^. 'G• r,. �,y n tr ,,,._.�•�5.: '� p,y {>�'br�,'h7'��r•'i+ A..�„µf},;��.�i'.
•a`� yy11�4 �: 4 „��t n '� ��►^': -• Y;'� '�-� � �.�S�t,ex�x � '�� `_ t frpl�`-��a;�F ZS � �'r ;7r.�''r wb r•> L� ,y fir• � - � y;
5 '!'i'�`•k �.a, r a. •�� l ti -K,;�r �' �.: 1G ri : `!"r`�il• e�wtii:`at s t r• 4s' - # .ti ,� S� :`.f,
MAC"
. 1 ,r rerr yct��y 'r: !y. s * 1 s .1 ...,yi- 4 f..SiL a 'a75i-,R, l '�. 7C �ti.• '�.n. e
yni!�4� 1' ;'r'��t+S:'y!� �{ ^ t� rr r"'J`•i: f {,yl ••:, r ' . frF1 , y{t��,f
:.: ;}• � �-i4 of{�� *,.;, - •=� �r�' L�°.•ram e .,:s:=.efia ,�... ►t � '� ��, ',�r��i�`. ,y;r�Lt.,�.
-'k�" / �* - k d'::.- �:'15+:ti�+�'"rS'�w+`f'.', r �:�.. Y`r� •'y'^S',f{ 'u r,,�. 1,,} ..a `�, 1, i:�.r
.y�"h .' • e ,., ! ,. a n t're'- 1 •��ti .T7
i':1%r�.3 f .•'V.ay i
•R•rtii� 4j .� ~'��•fk�'�•LIYr;I�•,7:F,.s�.,i�E •.Ea v?'•�* 14j^;` ��,P r �;�.',�-f :.?r`•tv4K•-�'�" ,� ,¢,Y•�r7 �- �r �
a � ..i', � �;�dy�� .���y' t f r� !!, ,t*r-F '•�",,.. ,.r�4 � .. k, y,: �''> S/i'-t"r l;;► i'r «�'1 �,,;4':"t!:�t.1: � r-�i •�tiG;
• :: r '+• YY'� �-t +•' �'� ''cTj +: �i .+r t� '-�.h I'sa r�r z`- r1r:.r;�
+� •� !L ✓,S� I, 3 tS,-.3+ 1 ti fi r t� - 1t t r 11 - �' S y,1'S� ~ .�" rk r'r �'' • s + b'
{�
1"'�',!n'Yr••�.��?�y,' 'M il'Es• a -r;`i 'i�f�'MS���s ri
•• �J \�4w''iLL�.�f ���� �' '� 1:tnlr'� r{-��� �J,'+YM1} ►��+y :1f'I� a` `'�..E R� t�+/�i;�
' z-d �► 'i, , i�q :�4 dui,: �t�fit '�jti!� is j':5 ,. At�i, +t '
s7 .Y:.�yr yr'w, (,� +GC, +..���,+ ,.. ', +� •.r. �•Zb �. L,(
•� e4 f'Y���yy,, •yk•`{ . f t v r • `.� �' t� � �7�?'•, f yy •�r• ~Y t rr ��\ ''1[ .�+r+� 'r' � +i C�:�•:f�` -#•
.. Z ;p. t,y [ . � •'� 1•.-• %!• r.••rWA,�•'.t poll
r �z ��, ��•x'�.t',r� �t
- Y!•tj� •- =f r • aJf ,l' `4� �S�•�' .�t1=1.:
• .. y f! r �rx rAWN �:�i 3�s�`�+t^ti'. �f. !h [ +J �1 �i. •ti �i
� �� :� v' ,. 4 ��:'•: it � `f�e '4.•' �• 'e.�.t.•• � ,�* ~ V C s` r. �;q7_ ;r'
�r.;u ?iw1 -r ti.�, t" ��i'� x ' 4 +li'•i� 'r.i {,k + 7j . ♦ .�i 1 ��Zr, . lr.w• ` ' .,
t) 1 5 x� s A.!;1 1r , t a ..�:ti:..�,;Si Fi'^ ., H .•'�j. y-lr...•3, l: ;1. •�'..
�;ty-•,t,tij ,.t.� 'it-n-'•�', �� i i s � •'•.tip['.«r t��.{'•: ',i.� .*+i'i'-. =�,r'.",•tr rr�.' xt' l!�•' .i�"?`-',}� R��
• t, .i'! r ' �'JR•1,•.•T' t -� •. _ c, :4t,,,,'. ��• r, :..} ,aim- �5..;=•'�` {
`*r1 n ;y?, i' . f r" :ia, •' +:+r:�,:'+�:4''`"r1'. �i:. , L ; J.
:4_ •1 :3~ 4"� F. ' .:�,5 ' �,r ``:+ :i•�rr: �':�cs'} ':•a . +�y
c'':'' t' � ,' �, 5 � i�•`�1 �-4:�. " �-t,���1•'. ,!,Z, ! •�i" ,.•-r �� :� .�`��•."}: 7S''.[ ,1..r.t�i�:"}trJ,
,/ ,.�' v'. r• +��' tt.. r3 :i• l {', �. ,�'' p. ,.�...i:,�..�: ,i ^L'lM':: "• + ..9=. ,i..,!•r- L ♦r.«, i��'
yi 1i'
a
:,lid: ff f„•. �.:r!"-! .•t •. �"..• it.,.. L T n,{ M�` ,.1.-t �.r4 .?"Yr.
fQ:a
� F•% y. ..r' •tf , .,, ! X r; r .t,ta4�1 .r 7•%•• 1 •� :� ["[;•-: S�3r'. r .!-, w•.
,;•+ ,ic ,? n„y.„n-�114:,a�,.r'v''i�iJ;t� r'.d� ,7 •�,. .�.. +, <J
lY'•.4: ��• ��'"••'• :1�"Li.�,T!'�#•
� `R' �`S�r�.'', `Ia. •+' �: ,.'iSt �� r�'. 4, '�� at. �r,• �.r. I y .1`` P 1. L� '9!r,
-i' r" '4•'�.�'• .�..1 •L �Yi S U•� � •i •5�, •. } .i�:4'�JJ �.�.l�r�'t�"C� .,•.l� ,�' Lr .. �
,�.�, kAr. utir ,r f, .• ,_��- ! , l {,. l �,. .•� iP ',. � �_ ., st r �.y'-: ♦ "^ h.
Y. 1•r , t � 1r 1 4' r 't• 4 N ! - .•T• '��' '�'n S � ,. �'. .'� �►• L tc''.s cam, '3�5,
.M '?,..'�,'� 7� •,L 4�:%i�:f�i � y �i.7 y , � - x � d�•' �.i�y,'1J .u. S- '•�;'�A *t�
-.L+,�::'rr �- ' '�'��lri.1,1J •C'4.p�' ••ii� V��,�irtiFi���'�J::i. :`•' =��:`r ..� r�7y �c.:�u�rr;a•f•.•�' ti.1 �'e.,:t^n�'Y:�;�i:;�;jjj;y:��-•..rk' •r
-;1'i ;,� y.- t rr1i .j 4 7 .5. 4". Yyl rctr�.'• v ••+• d't� hJ' '�' }, r- •r• '>C, „y tla•
ti ri^3,�"r •' •'tr, '��t�..1�}• .':�, �, 1', "•r:F'RA.:-�'1 �►.•t�� r rd _:9 x .c.et r.• C.h '1•;rL fa. ..w :SE��-t, r�`5.-"S his. �-
.L�..:, •f.•Cy.s'•'3 ,�,r +i>. ,1 � L }`...,5.'+ � ,' �.�" P.1kZ'�;E ti. ,�, T.� \ :1:r�, •:Z•�-��"ti..� •�• ���tti 1":'' F .
�t� ���'.i-R'•I :Ir 1.. • ; ��[ '„�' 'E.••_ .i�" ..-�:'t.��;� ' rf�•i:•"- •' •.tip: t.ti Tl,'; i�•..• � .,'; , � �i4: ,� ! .'• j , � -t'r �vti + r _:�, . I..t Hi' 4' �i.'1J.. t: � 7. w'.,, L w +ter : s `+ .-. • i.
'�, J.Y �' !'_.:• ,, aa �' , r,S',. l7 `Y'' r$'.`; .+:^, :•�r.y'• ''`f J� 4 .i. "_ tel: y}
,yy -c: 1�'it�ytr.j h :r'�'i-` .:..•�ffl".f f> r � ti\=:'�; �'.: i., ti!�' •a tiY• r,�'Y.�..F' dS'' :i,r .+L. � r7�, t<s•t � 3,'�(�
i t : 7 � '� •a t ^^;` •r K �Y{•. �. �''� Jr'• tir:.+r:, r'1 ,, s"};K.1� �1.' ��� li=!`
2.}tii� + 4 a .;. � J\y�,:i•,t'• �. •L, �? ..ra'., -,:� +,s ^.+tF�f�,;:tyti, y �::1,�. .it '. i r�1 *,t. ��" '�
�Y ;,�t•. h r y �r r • ��.k.: Y, .°: ti 4.r '�, n'r.y.r;'a j ..Yy�9,s,,ti 'f •� :1 . � `., J. ,F•:�� �'•. '.._, r ��f�,
��'',�•i C,•; 4rf} ;4 `9 �;ia ,l'M �. '.L'.- `A T_ t � �'S' tii��.: 't•-r_ ��f�' ti. �.� v,. .�.. ,�..; tr•�'.y, n,,.ti_+.:�� _�
t �7. ,1.�, k:k «ti, .,�jt,.��., K > '1 :. _ .., �Er •4,� `t �,�''ii.` •,:,�y..... "1 •v� SI.'", '. ,fit -_-
....,. ',J':i� 1 w'4i:� � -� �. �'k, J �7.*f' t v. 14 y yf 3 • s • `i4•�t � 'r' ��
'�''� 1; �i{ :1'�.c.c,�F Fi'••~ �, a- �ti3.� Jf ��.rr�.f:,, ,�J�.•r ="•.� .�,.v� r.',y•:.• +:1,;4.` �ri!•

VVAT p qE} }`� v�
sFCnpN
QPR 2 21999
EMERGENCE'` ACTION RLA
111T lung
PH NFNUMBERS
EMERGENCY MAIN .T SYSTEM 2 �7- _'? G
S`VCD .yam - 3
• NRCS — ut-
This plan will be implemented in the event that wastes from your operatt-an 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 acces0ble 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 r;,av not be
possible. Sug-ested responses to some possible problems are listed ;;elow.
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. IMake 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,restartlna pumps.
D: Leakage from flush systems, houses, solid separators -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Ylake sure no siphon occurs.
d. Stop all flows in the house. Flush systems, or solid sepurato
l S. 1996

e. Repair all leaks prior'to restartTnAT pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to
flowing leaks- possible action:
a. Did a small sump or ditch away from the embankment to catch all seepage.
put in a submersible pump. and pump back to lagoon.
b. If holes are caused by burrowing animals. trap or remove animals and fill
holes and compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon
bottom as -soon as possible.
'7. 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 an for �vhai'ciuration?
c. Anv damage noted, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
e. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
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-a"942.
Your phone call should include: your name. facility, telephone number, the details
of the incident from item ? 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 MRCS office for adviceltechnical 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: J /[ r
b. Contractors Address:
c. Contractors Phone: a'/ - "f - j3,V
December I S. I90t)

6: Contact the technical specialist who certified the lagoon (MRCS. Consulting
En;;ineer. etc.)
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.
DecemT e:r [S. 1996

Dairy Farm Waste Management Odor Control Checklist
Cause UMI s to Minimize Odor Site Specific Pracuces
Farmstead Dairy production Vegetative or wooded buffers
¢�Recomurentied best management practices
Good judgment and common sense
PiaVed luts or barn alley Wet mamtrc-covered surfaaces Scrape or flush daily
suI Eaces
Er-i'rvmotc drying wish proper vcntilaliun
( IZuiltinc checks and maintemuice oo wi lerers,
hydraws, lilies, stock larks
Bedded areas a Urine t'l'ronloic drying with proper ventilation
• I'artial microbial dcconiposition Replace wet or manure -covered bedding
Manure dry slacks a Paltial microbial decuniposition Provide liquid drainage for stored mamrre
Slorage tank ur basin Parlial microbial deconiposition ; ❑ 13(afoot or mid -level loading
surface - Mixing while filling ; ❑ T.k covers
• Agitation when emptying ❑ Basin surface mats orsolids;
{inimizc tot runoff and liquid additions
0--ligitale only prior to manure removal
Cl Proven biological additives or oxidunts
Scaling basin surfaces Partial microbial decorohosilion ❑ Liquid drainage from se[lled solids
• Mixing while filling ❑ Remove solids regularly
• Agitation when emptying
Manure, slurry or sludge • Agitation when spreading ❑ Soil injection of slurry/sludges
spreader oullcts 0 Volatile gas emissions , ❑ Wash residual manure from spreader after use
❑ Proven biological additives or oxidants
Uncovered manure,
0 Volatile gas emissions while
❑
Soil injection of slurry/sludges
slurry Or slndgc on field
drying
O
Soil incorporation within 48 hrs
Surfaces
❑
Spread in thin unironn layers for rapid drying
❑
Proven biological additives or oxidants
Mush tanks
J•� Agitation or recycled lagoon
❑
hlush lank covers;
liquid while tanks are filling
❑
Extend fill lines to near bottom of lanks with
anti -siphon vents
Outside drain collection Agitation during wastewater ❑ lox covers
or junction boxes conveyance
AMOC - November 11, 1996, Page I

Source Cruse BMPs to Minimize Udor Site Specific Practices
Lift stations 0 Agitation during stunk tack ❑ Sump lank covers .
filling and drawduwn
End of drainpipes at 0 Agitation during wastewater Cl Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level .
Lagoon surfaces 0 Volatile gas emission; 11ruper lagoon liquid capacity;
• Biological mixing; greet lagoon startup procedures;
• Agitation Cl Minimum surface area -to -volume ratio;
23' Minimum agitation when pumping;
❑ Mcclianical aeration;
❑ Proven biological additives
Irrigation sprinkler •- I ligh pressure agitation;f� igatc on dry days with little or no wind;
nozzles Wind drill 0 Minimum recommended operating procedure;
er-Pump intake near.lagoon liquid surface;
O Pump from second -stage lagoon;
ff-�Fluslr residual manure from pipes at end of
slurrylsludgc pumpings
Dead animals 0 Carcass decomposition Proper disposition of carcasses
Standing water around 0 Improper drainage; Grade and landscape such that water drains
lbcililics Ip Microbial decomposition of away from facilities
organic matter
Mud tracked onto public Poorly maintained access roads Er Farm access road maintenance
roads from farm access
Additional Information : Available From :
Cattle Manure Manageutent ; 0200 Rulc/BMP Packet NCSU, County Extension Center
Dairy L•ducatianal Unit Mam1rC Management System - Lake Wheeler Road Field Laboratory ; EBAE 209-95 NCSU - BAE
Lagoon Design and Management for Livestock Manure -Treatment and Stornge ; EBAE 103-83 NCSU - BAE
Managcnicnt of Dairy Wastcwater ; E13AE 106-83 NCSU - BAE
Calibration of Manure and WasteNvatcr Application Equipment ; EBAE Fact Slice NCSU - BAE
Nuisance Concerns in Animal Manure Management: Odors and Flies ; PRO107, 1995 Conference Proceedings Florida Cooperative Extension
AMOC - November 11, 1996, Page 2

hlsect Control Checklist for Animal Operations
Source Cause BMI's to Control Insects Site Specific ]l'a-aclices
Liquid Systems
Hush Utlticrs • Accumulation of solids f lush system is designed and operated
sufficiently to remove accumulated solids from
gutters as designed.
01--licmove bridging of accumulated solids at
discharge
Lagoons and Pits C1 ustcd Solids GP Ti aintain lagoons, sculling basins and pits wllcrc
pest breeding is apparent to minimize the
crusting of solids to a depth or no more than G -
8 inches over more than 30% of surface.
Excessive Vegetative 0 Decaying vegetation Car Maintain vegetative control along banks of
Growth lagoons and other impoundments to prevent
accumulation of decaying vegetative natter
alongwatees edge on impoundment's perimctcr.
Dry Systems
FCCdCrS 0Fecd Spillige © Design, operate and maintain feed systems (e.g.,
hunkers and troughs) to minimize the
accumulation of decaying wastage.
Cl C1cnn up spillage on a routine basis (e.g, ..7 - 10
day interval during summer; 15-30 day interval
during winter).
Feed Storage 4 Accumulations of I"eed residues O Reduce moisture accumulation within and
around immediate perimctcr of feed storage
areas by insuring drainage away from site
and/or providing adequate containment
covered bin for brewer's grain and similar high
moisture grain products).
O Inspect for and remove or break up accumulated
solids in lister strips around feed storage as
needed.
AMIC - November 11, 1996, Page I

_ Source Cause Bmlls to Control Insects Si(e Specific Practices
Animal i folding Arcas Accumulations of .-inimtl wastes G—Niminatc low areas that trap moisture along
vial feed wastage fences and other locations where waste
accumulates and disturbance by animals is
minintaf.
0--1r aintaiu fence rows and filter strips around
animal holding areas to minimir-e
accumulations of wastes (i.e., inspect for and
remove or break up accumulated solids as
ueedctl).'
Dry Manure I handling Accumulalions 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 hand
application or disposal,
O Provide far adetluale drainage around manure
stockpiles.
C3 Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles stud
manure handling areas as needed.
For more information contact Ilse Cooperative II-xlC11slon Scl'vice, Department orEWontology, Box 7613, Not -Ili Carolina State University,
Raleigh, NC, 27695-7613.
AMIC - November 11, 1996, .Page 2

Mortality Management Methods
(check which method(s) ,ire being implemented)
within 2' U Burial three feet beneath the surface of the around _w i hn _-� hours after
knowledge of the death. The burial must be at least 300 feet from any flowing
stream or public body of water.
-! Rendering at a rendering plant licensed under G.S. 106-168.7
�! Complete incineration
In the case of dead poultry only. placing in a disposal pit of a size and design.
approved by the Department of Agriculture
,J Anv 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 appr6val of the State Veterinarian must be
attached)
December 18. 1996

fi' ?
519'9 N
f46 _ P7 p
.2,t yb. zs
�• • fir.
J v 6
_
83ti5
f ++t
91-Y
4!•8
g2. z
q�� �
44.3
�z•2.
9t -?
/ o o
lXb
Z •
88.7
9- I
�6 s
/o a
/J-B
88-!
rd.�..
y►�. a
%aa
IJ'D
L°o
89• �
8f. q
9=- ja
° •
/.Ta
Z o o
SQ °
a9.7
Qz. o
/ a e
/a"'b
2 O t

OH-IRM 2/15/88
U5 Department of Agriculture
Soil Conservation Service
PLANNED
QUANTITY CALCULATI❑NS
prepared for
W" I -IF E=-: EcF=ZC3Tf--IIE1:R13
in
WARREN County, North Carolina
Designer
: FRANK
EVANS
Checker
_______________
Date
: 05/17/93
Date
,lob
Number 066
WSP
EARTH
FILL
** EXCAVATION x
FILL
Top
Left
Right
Off -CL
CL
Dist
Area
Volume
Area
Volume
idth
SS
SS
(ft)
i
Sta
(ft)
1
(SgFt)
(Cu.Yds)
(SgFt)
(Cu.Yds)
10
2.5:1
3:1
30.0
0+00
11
0.0
,
I
42.9
i
50
i
0.0
i
39.7
10
2.3:1
3.1
29.0
0+50
0.0
i
0.0
i
50
0.0
42.3
10
2.5;1
_:1
30.0
1+00
0.0
2.8
50
t
17.3
74.6
10
2.5:1
3:1
-30.0
1+50
1B.7
32.1
50
34.5
154.7
10
2.5:1
3:1
30.0
2+00
0.0
54.4
50
34.5
264.8
10
2.5:1
3:1
:30.0
i
2+50
i
0.0
64.'5
1
35
34.5
375.0
10
2.5:1
3:1
27.0
i
2+85
i
0.0
1
105.5
F
'
35
F
34.5
526.8
10
2.5.1
3:1
29.0
3+20
1
0.0
128.6
;
LSO
E
34. 3
;
73 4. 0
10
2.5:1
3:1
25.0
.3+70
1
0.0
95.2
50
34.5
979.4
10
2.5:1
3.1
25.0
4+20
0.0
169.8
S5
34.5
1540.9
10
2. 5: 1
3:1
50.0
4+75
0.0
3B 1. 4
30
34.5
1928.9
10
2.5:1
,:,:1
50.0
i
5+05
1
0.0
i
317.0
50
34.5
2494.8
10
2.5:1
3:1
50.0
5+55
0.0
294.2
50
34.5
t
3109.0
10
2.5:1
3:1
50.0
6+05
0.0
369.1
50
34.5
3732.0
10
2.5:1
3:1
50.0
6+55
i
0.0
303.7
50
34.5
4108.5
10
2.5:1
3:1
50.0
7+05
0.0
i
103.0
50
34.5
€
4329.1

!SF EARTH FILL (continued)
05/17/93
page 2
1
** EXCAVATION **
FILL*
Top
Left
Right
Off-CL
;
CL
Dist
;
Area
Volume
;
Area
Volume
.idth
SS
SS
(ft)
Sta
(ft)
;
(SgFt)
(Cu.Yds)
i
(SgFt)
(Cu.Yds)
10
2.5:1
_: 1
50.0
7+55
0.0
135.2
e
55
i
34.5
i
453._:.6
10
2.5:1
�:l
40.0
;
8+10
0.0
65.5
50
;
374.5
4630.4
10
2.5:1
,:1
40.0
;
8+60
0.0
39.0
50
;
34.5
;
4692.4
10
.2.5:1
?:1
40.0
;
9+10
0.0
27.9
35
;
.;4.5
;
47�ti4.1
10
2.5:1
_3:1
40.0
9+45
0.0
36.4

OH-IRM 2/15/88
US Department of Agriculture
Soil Conservation Service
CR❑SS-SECTION DATA
DUANTITY CALCULATIONS
prepared for
W" I iF E IEC Fti C7 T H E iFti E3
in
WARREN County, North Carolina
Designer- : FRANK EVANS
Date ; 05/17/93
Job Number 066
TEMPLATE DATA:
Beginning Elevation = 95
Beginning Station = 0+00
0+00 to +50
+50 to 1+00
1+00 to 1+50
1+50 to 2+00
2+00 to 2+50
2+50 to 2+85
2+65 to .3+20
3+20 to 3+70
3+70 to 4+20
4+20 to 4+75
4+75 to 5+05
5+05 to 5+55
5+55 to 6+05
6+05 to 6+55
6+55 to 7+05
7+05 to 7+55
7+55 to 8+10
8+10 to 8+60
8+60 to 9+10
9+10 to 9+45
ECTION NUMBER 1
Centerline Station 0+00
ORIGINAL DATA:
0.0 / 92.4 50.0 / 92.5
ECTION NUMBER 2
Centerline Station +50
Checker
Date
WSP EARTH FILL
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3,
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2. 5CL 10\3
--. 02353
f t /f t
D/2.5CL10\3
-.02353
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\.3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\73
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.00000
ft/ft
D/2.5CL10\3
0.02353
ft/ft
D/2.5CL10\3
0.02353
ft/ft
ORIGINAL DATA:
0.0 / 92.2 50.0 / 96.9

SP EARTH FILL (continued) 05/17/93
ACTION NUMBER 3
Centerline Station 1+00
ORIGINAL DATA:
0.0 / 91.1 50.0 1 96.5
='ECTION NUMBER 4
Centerline Station 1+50
ORIGINAL DATA:
0.0 / 90.2 50.0 / 94.2 200.0 f 0.0
ECTION NUMBER 5
Centerline Station 2+00
ORIGINAL DATA:
0.0 / 89.8 50.0 / 93.0
:ECTION NUMBER 6
Centerline Station 2+50
ORIGINAL DATA:
0.0 / 89.9 50.0 / 92.4
: E.CT I ON NUMBER 7
Centerline Station 2+85
ORIGINAL DATA:
0.0 / 89.2 50.0 / 91.0
"CTION NUMBER 8
Centerline Station 3+20
ORIGINAL DATA:
0.0 / 89.9 50.0 / 88.5 100.0 f 87.1
ECTION NUMBER 9
Centerline Station 3+70
ORIGINAL DATA:
0.0 / 89.1 50.0 / 88.4 100.0 f 87.4
;ECTION NUMBER 10
Centerline Station 4+20
ORIGINAL DATA:
0.0 / 87.2 50.0 f 96.5 100.0 / 85.8
page 2

NSF' EARTH FILL (continued) 05/17/9-7
:=CTION NUMBER 11
Centerline Station 4+75
ORIGINAL DATA:
0.0 / 86.8 50. 0 / 83S . 5 100.0 / BO. 5
=CTION NUMBER 12
Centerline Station 5+05
ORIGINAL DATA:
0.0 / 87.2 50.0 f 84.6 100.0 J 81.4
3_CTION NUMBER 13
Centerline Station 5+55
ORIGINAL DATA:
0.0 r/ B6.6 50.0 f 84.7 100.0 J 82.6
SECTION NUMBER 14
Centerline Station 6+05
ORIGINAL DATA:
0.0 / 85.3 50.0 ! 83. 7 100.0 / 81.0
=ECTION NUMBER 15
Centerline Station 6+55
ORIGINAL DATA:
0.0 / 86.9 50.0 / 84.6 100.0 / 92.2
ECTION NUMBER 16
Centerline Station 7+05
ORIGINAL DATA:
0.0 / 91.4 50.0 / 88.B 100.0 J 86.3
iECTIDN NUMBER 17
Centerline Station 7-+55
ORIGINAL DATA:
0.0 / 89.5 50.0 / 87.7 100.0 ! 86.6
-.ECT I ON NUMBER 1 B
Centerline Station 8-+-10
ORIGINAL DATA:
0.0 / 91.4 50.0 1 89.5 100.0 / 87.2
page 3

'SP EARTH FILL (continued) 05/17/93
:ECTIEON NUMBER 19
Centerline Station 8{-60
ORIGINAL DATA:
0.0 / 92.3 50.0 / 90.5 100.0 / 88.6
ECTIDN NUMBER 20
Centerline Station 9+10
ORIGINAL DATA:
0.0 / 92.2 50.0 / 92.4 100.0 / 99.4
ECTION NUMBER 21
Centerline Station 9+45
ORIGINAL DATA:
0.0 / 95.5 50.0 / 92.5 100.0 / 90.7
page 4

Dam q r a �` �r/ (19
� So
j(r2 C,otsc) 9zp 9 J� ,
0
i
X-�F Cl+��� ��•z 9yZ
� So
a �
.E
d So
E
E
I`
X-F..(3t.7o 8a•1 88.Y .. 8?•� CI. = zs
Ss /off
Il
i
i
X-1 a tLI4- g�•Z ��•s- SS•8 �L r zr
1
�- !( (.4+7r�83a"' SO
/oo
C- az. �5t �� ; 87• Z � �- � . _ 8 i- �- -
Sb
D Xb /o•

D
X-1?'(7tss�
Ot s
X-ra
X4f9
i.
!l r�
�ii ram• 1�
• �r�
/
o
Y-)-1
y.
oto), _
ifs
Co►wa.�;
s�
i
0
F�
I'
�i
i�
l�
�f
F
8a 8
8 6.3
Sa
/Da
81•,T
87.2
f O
/oJ
fa..r 88, G
se /oLl
5 = a. o�t3S3
.3'= 0.02353

SCS-CPA-026
Conservation Service wune91)
HIGHLY ERODIBLE LAND AND WETLAND
CONSERVATION DETERMINATION
4. Name of USDA Agency or rson Requesting Determination
2 < i
1. Name and Address of Person
W TZ4.1 NtJ IV &.
5. Farm No. and Tract No
SECTION I - HIGHLY ERODIBLE LAND
2. Dale of Request
%3
3. County
04'�_4w
6. Is soil survey now available for making a highly erodible land determination? Yes ❑ No
FIELD NO.(s)
TOTAL ACRES
7. Are there highly erodible soil map units on this farm? Yes No
8. List highly erodible fields that, according to ASCS records, were used to produce an agricultural commodity in any
crop year during 1981-1985.
9. List highly erodible fields that have been or will be conversed for the production of agricultural commodities and,
according to ASCS records, were not used for this purpose in any crop year during 1981-1985; and were not
enrolled in a USDA set -aside or diversion program.
10. This Highly Erodible Land determination was completed in the: Office Field
SECTION 11- WETLAND
FIELD NO(S)
TOTAL ACRES
s �ij
11. Are there h dric soils on this farm? Yes No ❑
12. Wetlands (W), including abandoned wetlands, or Farmed Wetlands (FW) or Farmed Wetlands Pasture (FWP).
Wetlands may be farmed under natural conditions. Farmed Wetlands and Farmed Wetlands Pasture may be
farmed and maintained in the same manner as they were prior to December 23, 1985, as long as they are not
abandoned.
13. Prior Converted Cropland (PC). Wetlands that were converted prior to December 23, 1985. The use, management,
drainage, and alteration of prior converted cropland (PC) are not subject to the wetland conservation provisions unless
the area reverts to wetland as a result of abandonment.
14. Artificial Wetlands (AW), Artificial wetlands includes irrigation -induced wetlands. These wetlands are not subject
to the wetland conservation provisions.
15. Minimal Effect Wetlands (MW). These wetlands are to be farmed according to the minimal effect agreement signed
at the time the minimal -effect determination was made.
16. Mitigation Wetlands (MIW). Wetlands on which a person is actively mitigating a frequently cropped area or a wetland
converted between December 23, 1985 and November 28, 1990.
17. Restoration with Violation (RVWyear). A restored wetland that was in violation as a result of conversion after
November 28, 1990, or the planting of an agricultural commodity or forage crop.
18. Restoration without Violation (RSW). A restored wetland converted between December 23, 1985 and
November 28, 1990, on which an agricultural commodity has not been planted.
19, Replacement Wetlands (RPW). Wetlands which are converted for purposes other than to increase production,
where the wetland values are being replaced at a second site,
20. Good Faith Wetlands (GFW+year). Wetlands on which ASCS has determined a violation to be in good faith and the
wetland has been restored.
21. Converted Wetlands (CW). Wetlands converted after December 23, 1985 and prior to November 28, 1990, In any
year that an agricultural commodity is planted on these Converted Wetlands, you will be ineligible for USDA benefits.
22. Converted Wetland (CW+year). Wetlands converted after November 28, 1990. You will be ineligible for USDA
program benefits until this wetland is restored,
23. Converted Wetland Non -Agricultural use (CWNA). Wetlands that are converted for trees, fish production, shrubs,
cranberries, vineyards or building and road construction. '
24. Converted Wetland Technical Error (CWTE). Wetlands that were converted as a result of incorrect determination
by SCS.
25. The planned alteration measures on wetlands in fields are considered
maintenance and are in compliance
with FSA,
26. The planned alteration measures on wetlands In fields are not considered to be maintenance and It
installed will cause the area to become a Converted Wetland (CW). See item 22 for information on CW+year.
27. The wetland determination'was completed in the office field and was delivered❑ mailedEj to the person on
28. Remarks. ' '
i r � � � ��-�1 L.� jl/�:� i .--�?Y ��G,� r� �- C�'/'/-i i �'[.r C rr&Y-! .
29. I certify that the ahove dererminarian is correct and adequate for use in determining 30. Signal Of SCS DiS; nservationist 131. Date
eligibility for USDA program benefits, and that wellmrd hydrology, hye soils, and _ _ /
hydrophylic vegetation under normal circumstances exist on all areas outlined as �
Werlands. Farmed Wetlands. and Farmed Wetlands Pasture. ""'_'_��_.
Assistance and programs of the sell conservation Service available without regard to rao religion, color, oar, age, or handicap.
SCS Copy

- "/!iD-11Q2115 W07-911 UNITED STATES DEPARTMENT OF AGRICULTURE Form Approved • OMB "Do
w. 71/7HIGHLY ERODIBLE LAND CONSERVATION (HELC) AND WETLAND
CONSERVATION (WC) CERTIFICATION
1. Name of Producer
2. Identification Number,
3. Crop Year
4. Do the attached AD-1026A(s) list all your farming interests by county, and show current
YES
NO
SCS determinations? If "No", contact your County ASCS Office before completing this form.
5. Are you now applying for, or do you have a FmHA insured or guaranteed loan?
6. Do you have a crop insurance contract issued or reinsured by the Federal Crop
Insurance Corporation?
7. Are you a landlord on any farm listed on AD-1026A that will not be in compliance with
HELC and WC provisions?
& Has a HELC exemption been approved on any farms listed on AD-1026A because the
landlord refuses to comply?
9. List here or attach a list of affiliated persons with farming interests.. See reverse for an
explanation. Enter "None", if applicable.
It items 7 or 9 are answered "YES", circle the applicable farm number on AD-1026A.
During either the crop year entered in Item 3 above, or the term of a requested USDA loan:
10. Will you plant or produce an agricultural commodity on land for which a highly erodible
YES
NO
land determination has not been made?
11. Will you plant or produce ari agricultural commodity on any land that is or was a wet area
on which planting was made possible by draining, dredging, filling, or leveling or any other
means after December'23; 4985? r t' . , . • ; - 1 ... tt , ; ; ; , ' , , ..
12- Will you, or have you since November 28, 1990, made possible the planting'of:aly cr6o,,
[aslure, agricultural commodity, or other such crop by-. (a) c&hv're tin do wet-areashY
draining, dredging, filling, leveling, or any other means, or, (b) improving, modifying,,of
maintaining, an existing drainage system?
13. Will you convert any wet areas for fish production, trees, vineyards, shrubs, building, !­ '
construction, or other non-agricultural use?
If answers to items "YES" for any one of these items, sign and date in.item 14,betotN..,Circle,the applicable tract
number on AD-1026A, or list tract number in item 12 on AD-1026A. ASCS will refer this AD•1026
10, 11, 12, or 13 are: to SCS for a determination. DO NOT sign in item 16 until SCS determination is complete.
"NO" for aft of these items or SCS'determinations' are complete, complete Item 16.
! h% f lire information%and the Information on atfached AD-1026A'si to true and correct to the best ofmy
14. Signature
l uc:er o� �eL ,,Y -!! .. JQatQ3Y /
15. Referral To SCS E4 a 4 if a SCS deterrhinatian is needed because ❑ Dale Referred Signature of ASCS Representative
(Qw*MeW by ASCS) "Yes' is answered in item 10, 11, 12, or 13.
NQTF-: tlefore
Ining to t[gm,11bj1e8rf AV-luzb Appenuix.
I hereby ceriffythat the above Informadon, and the information on attached AD-1026A's, is true and correct to the best of my'
knowlredge and beget. it is my responsibility to file a new AD-1026 in the event there are any changes in my farming
aperafto(s). In sfgnhrg this form 1 also certify that I have received and will comply with the compliance requirements on
A&1026 Appendix_
16. Signature of
Producer
SCS COPY

AD-1026 IReversel •'roe-07.911 '' „ • :.., ,
INSTRUCTIONS
FOR ITEM 9.`.
The producer requesting benefits on AD-1026 shall list the applicable affiliated persons with farming interests
In item 9 on AD-if}26 iaccordin to the rules In`tfhe`ftillota win' ble:
IF producer requesting
benefits Is a(an) ..
THEN affiliated persons who must file AD-1026 if they have farming interests are....
individual
NOTE: II the individual
filing is a minor child, the
father and mother shall be
listed as affiliates
spouse with separate farming interests, or who receives benefits under their individual ID number.
minor children yvith separate farming interests, or who receive benefits under their individual ID
number.
estates, trusts, partnerships, and joint ventures that the individual filing or the individual's spouse or
minor children have an interest. ?'
corporations that the individual filing or the individual's spouse or minor children have more than 26% interest.
general partnership '
first level members of the entity
, •;,*,. , ....:.: •,.. • . ::. . ..: . .:.. :: ; .
';ri:;tlslJci,fi=,-i 7-Jttr:'Sf1::;1� r
_ ___ ;r:
,,:1ltlJtr:7 .,. n „ ii:., r:.. +.�.t ... ,ir 4,r: t_J;...f ii:...
,
•.; I',t, ._ 71, l: ., ,,.. '; ,, i:l.•it..'y: ., i.Ji,,tr..,r-.� .�-,•.Ei� :. .._.I1
joint ven ure f I
limited praftnarship
estate , 11
revoCable tr'usti
Indian tribal venture
Indian group
irrevocable trust
corporatlon with " ` ''' `
stockholders
flrsT level members with more than 20% interest ih ihe' corporation. '' ` ' ' ' "`' ' • '"' I :
Slate
none
;.. . , i-....._ .. .... .... ... �..,......
;1s'J :r . ? i:,is ,•ell r.;us, .. a. J, i•1.. i
Church or other
charitable organization
county
tarty
public school I
corporation with no i
stockholders
KEY TO SCS DETERMINATIONS IN ITEMS S THROUGH 13 LISTED ON AD-1026A
E a.
HEL
Highly Erodible Land;
i
..Y.,..Y.,!y
SCS determined highly q(grible land.
SCS determined no highly erodible land.
has not made a'determinatlon.
8.
027'
a Approved Farm Plan (CPA-027):
"Y"
Tract has ian'approved farm plan.
','N"
Tract does not have an approved farm plan.
" W. ,
= HEL flag is "Y". Producer has a 2-year grace period after soil survey is available to obtain an approved farm plan.
10.
A027
- Applying Farm Plan:
Producer is actively applying an approved farm plan. t • l t.;
'•N•'
_ 'r;Pfoducer is NOT actively applying an approvedfarm'plan.
j.
,. ., ..... . .. ..., „! it .i -.-.1•„„.._,..0 .. fS73 .� .. ,.. 4., '..l a.. ,.. .,. ': t
11.
W
= Wetlands:
= SCS determined wetlands on this tract.. (' See footnote.)
"N"
= SCS determined no wetlands on this tract. _
SCS has not made a wetland determination on tftis pact: • - •;,,:.. ,.. i:., _ , t+.. , :�'• _ : _ ., .
"
SCS has determined a wetland does exist on this tract. Contact your local SCS office or ASCS office for dotaftg concernjng the location, of the
r
wetlands and restrictions applylrig to the land according to SC de(am4nvion;bt3�gre planting an agricultur41 f."modily or performing any
J
drainage or manipulation on this tract.;
The following slatemonis are made in accordance with the Privacy Act of 1974 15 USC 552a)- The authority for requesting the information to be supplied on this form is
the Food Security Act of 1985, P,L. 99-198, as amended, and regulations promulgated under the Act.(7 VFR PART.12)., The,irltormation will ba used to determine
eligibility for program benefits and other financial assistance administered by USDA � 'The kiI&mallan may be ltimished to olher.'USDA agencies, iRS,
Department of Justice, or other State and Federal law enforcement agencies, and in response to orders of a omit magistrate or administrative tribunal, Furnishing the
N 5uciai Sucurily iVulnber is voluntary. Furnishing the other requested inlarmation is voluntary; however, failure to,lurnish the correct, complete intbimation will result in a
determination of ';661igibifify for certain program behefils and other fibandal assistance admtnistered by'USDA' awndes: The provisions of criminal and civil fraud
O shi6tos, including 18 11Si; 286, 287, 371, 64 t,' 100 f ; • 15 USC 7t4m, and 31 USC 3729. may be appliri to to Infarmelion provided by the producer on this form.
T Public reporting burden for this collection of information is estimated to average 1s minutes per response, including the time for reviewing instructiorw, searching.existing
E data sources, gathering and maintaining data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any
olilor aspect of this collection of information, including suggestions for reducing the burden, to Department of Agriculture, Clearance 011icer, O1RM, Room 404-W,
Washington, D.C. 20250; and to the Office of Management and Budget, Paperwork Reduction Project (OMB No. 0560-0004), Washington, D.C. 20503. RETURN THIS
COMPLETED FORM TO YOUR COUNTY AGRICUL TURAL STABILIZATION AND CONSERVATION SERVICE (ASCS) OFFICE (address printed ;h item 6 of attached
AD-1026A).
Ail

m
w

ll. S. Department of Agriculture NC•-ENG-34
Soil Conservation Service September 1980
File Code: 210
HAZARD CLASSIFICATION DATA SHEET FOR DAMS
Landowner_ County 1iudrYe_r,-___�.__
Community or Group No. Conservation Plan No.
Estimated Depth of Water to Top of Dam 1 O Ft. Length of Flood Pool Jam% ---Ft.
Date of Field Hazard Investigation
Evaluation by reach of flood plain downstream to the point of estimated minor effect
from sudden dam failure.
Est. Elev. sElevation
Kind of :Improvements: of Breach.
Reach: Length: Width: Slope: Land Use, Improvements Above :Floodwater Above
Flood Plain: Flood Plain
Ft. Ft. f !! Ft. Ft.
.ZZOD /00
2 :68O0
u.5 nro,:
3 .
Describe potential for loss of life and damage to existing or probable future downstream
improvements from a sudden breach e rV -1-
r.
(� .1 .
�>L _ k�.r d--ti d rr� i n r N r n •� d r� cY`7 +� a r ,�
Hazard Classification of Dam (a, b, c) (see NEM-Part 520.21) r
Dam Classification (I, II, III, IV, V)� �•S' 0.1es4
By
Cc
NOTE: 1. Instructions on reverse side.
2. Attach additional sheets as needed.
Date -�

I NST IM CTIQN a
All dams built with technical assistdnce from the Soil Conservation service
must have a hazard assiynaci by thr, per3on responsible for
approving the design. Mo;t farm ponds, except i.i borderline cases, can
be classified after a complete field investigation without dssijoing failure
and making breach studies. This data sheet is to be used for recording
the information obtained through field studies and for documenting the
hazard classification. Where there i�. a possibility for loss of life or
major }property damage from a dam failure, an approved breach routing
Procedure is to be used. (Consult with �.he area engineer.)
Hazard classifications of dams are male by evaluating the possibility
for loss of 1 ife and the extent (if (Jaiiiage that Mould result if the darn
should suddenly breach --that is --it section of the dam be suddenly and
completely washed out. It is to be assumed that, a wall of water will be
released equal to the height of ti,e Skim. this flood wave 'dill be reduced
in height as it moves down the flood plain. The wave height (depth of
flooding) should be evaluated for a !,!Jfiir.ient distance downstream until
the estimated flood level will not cause, significant damage to improvements,
such as homes, buildings, roads, utilities, reservoirs, etc. The breach
flood level will be reduced depending on the valley storage, slope, and
openess of the flood plain; however, in a narrow steep valley slopes
steeper than 10% should be given special consideration. One method of
evaluation is to compare available valley storage (under flood conditions)
to impoundment storage (figured to the tap of the dam) for each reach
evaluated with a .judgment estimate made of the flood wave height at.all
critical points downstream.
Should there be any questions about the hazard classification for a dam,
the area engineer should be cons0 ted before making design commitments.

I. 01". GVl I
. . ....... . . ... ..
C�OL
J)l
%0`' ' J ��; r f ~r fl � 11(\ � ;11 `/. ..- - . _ . 'y�I � . ii F � �*� I �` ^. �f %-1�\,� 'J
fi �± _..� \ �.I, � ,�1� i5�zi � 1 ; .�I 4 � , �`-,r� (r�( r, I• 5zy,
a� � � �ti C
IZR
co
` �� __ r ;
I,aj _ < l � �; /• ' �; � �, �-4 �,w„_a�-r - l _". __;. fi 1tiY,�' ���
1A
VI- I
cz�
jj
gr
DS
V), �T
s6e.

I
X�r

SGS-ING•536 U. S. DEPARTMENT OF AGRICULTURE
Rev. S-7D SOIL CONSERVATION SERVICE
SOIL INVESTIGATION TO DETERMINE SUITABILITY OF PROPOSED POND SITE
FARMER'S NAME A F,-W,W5 _ DISTRICT
DATE _ 1L -3 .. _ , . ._ COUNTY &LA/ -- - - _
S. C. S. PHOTO SHEET NO. WORK UNIT Gtll�/GCEiy%O-- _�
WATERSHED AREA MEAS11REMENTS C LAS-S �7
CROPLAND) ACRES PASTURE ACRES LC) S P 3-40A) pAPit'S N
WOODLAND —ACRES TOTAL ACRES FOND CLASS WORK UNIT CONSERVATIWIST
stcK'CN OF PROPOSED POND SHOWING WHERE BORINGS WERE MADE (Approx. scale 1"= �" feet)
LrKaid rv/err cr point in curler hne o/ dam and ldenfr/y on s4e/ck
M
i
G
s0
2
Ti
^J
S
So
�L
/Y
�►�u�
r
2�
CS-.
SHOW
DF'.I'Tl{
SCALE
BORING NUMBER AND PROFILE
MoAr and 6r! dym-sar and spillway bnnnps firs!- lhrn pandrd orra and boww pit bonnos - senora/d wuh wrharl r-1 !hie.
I Cunhnacd nr1 bac4 where netdasaryl Show waldr !able a/rwhon,f on dam-nlr bonnps.
Vk
IV,
=—W
,S .
Ll
..
`.r�
-
a
C
14-- 36
C
HI
i3URINc;S MADE R&m- ��'� �A—vISIGNATURE & TlTLF

TYPES OF MATERIAL -'ENCOUNTERED IN BORINGS
(Use one of systems below)
UNIFIED CLASSIFICATION
USDA CLASSIFICATION
GW - Wel I graded gravels; gravel, sand mix
g- gravel
GP- Poorly graded gravels
a - sand
GM -Silty gravels; gravel -Sand -silt mix
vfs-very fine sand
GC -Clayey gravels; gravel -sand -clay mix
sl- sandy loam
SW -Well graded sands; sand -grovel mix
fsl-fine sandy loam
SP - Poorly graded sands
l - loam
SM-Silty sand
gl-gravelly loam
SC - Clayey sands; sand -clay mixtures
si - silt
ML - Silts; silty, v, fine sands; sandy orclayey silt
sil -silt loam'w
CL-Clays of low to medium plasticity
cl-clay loam
CH - Inorganic clays of high plasticity
sicl- silty clay loam
MH - Elastic silts
scl -sandy clay loam
OL-Organic silts and silty clays, low plasticity
sic -silty clay
Oil -Organic clays, medium to high plasticity
c-clay
1. Suitable material for embankment is available Flea f:3 NO !indicate where loc"sea on the ikotch an
rw.,.r" stdel
REMARKS: E-„ eo rl v a T A/k Y Fi3 c u4rlES , SOT 'Vo r D P��PA7i�t
AS A D,A 19y A T FAty,=0T -Ti.
2. Explain hasarda requiring special attention in design lSe-amoe. sprow..toca etc,)
-- DePEiuDiN6 oN �rwA � �3oT�Q�t-� C[�tlq�aal .SoM� �i.�/i.rl�
MAY 9 6 •P� 4Z✓ram ,
N� .s a.) , F slC W
GENERAL REMARKS:
r24 25 16 27 lg 30 31 32 33 3+ 35 36 137113 38 40 41 4'l 43 44 46 46 47 4!f ty 5U 51

Engineering Design Worksheet For Wgl7E ,(5,e?,n Li IE -5-
WA KI2c.t,1 T County, North Carolina Date: _
Design basis a Do cows; heifers;
^� months storage; 40, O ZD square feet of feedlot area
11
1. Waste generated:
70D cows x 1.95 cu. ft./cow/day x __IYD days = -70; Zvo cu. ft.
heifers x 1.4 cu. ft./heifer/day x days = cu. ft.
'2. Wash Water:
5 als. da cow x ZOO cows days o
7.48 gals. /cu. ft. —�� y =�� 6yt 8b, yob ¢• cu. ft.
3. Lot Run-off: (Nov - Apr)
* lt_ . /IZ" x .40, 2,o_ __ sq. ft.
4. Excess Rainfall on Waste Storage Pond
R_length x /75- " width = 46, 375 sq• £t•
46375 sq. ft. x ** 6. 5 "/1211
5. 25 Year - 24 Hr. Storm on Waste Storage Pond
6.4 01/12" x &375 sq.ft. =
6. 25 Year - 24 Hr. Storm on Feedlot
61.4_"/12" x jZpzQ sq. ft. =
7. Other Additional Volume
(Outside Undiverted Drainage Area)
TOTAL
D a3o cu. ft.
_ � 5, Iz_y cu. ft.
,2— 733 cu. ft.
_��¢4� cu. ft.
cu. ft.
Z 8? cu. ft.
* Runoff = 36"/year: 1811/6 months
** See Excess Rainfall (Rainfall less Evaporation) Table
Volume = depth [(area of top) +(area of bottom) +(4 x area, of midsection)]
a4 Si 4
P
'O� E(,Z���%7�J-C�r7-s��127.5��-���38,7,5� 0 8'7_1)
8 b &�t z o a -f- .Z7 73/-.3 S 44-

4- rbAMS
AT Cc�f�si ',�G� /��►�
you ago/ z.
?5
�• - 13 ��
ox SBy
A

q�-
96.

tY% u w, ,, l erg • ..._ . _._.._
. (7_.-,a) 4- (z.s .$) (4 7L X7,zs)(14Z2.5))
Y- 7Z106•25
i

SPECIFICATIONS FOR CONSTRUCTION rliF WASTE TREATMENT LAGOONS OR HOLDING PONDS
Cleariri-a: All trees and brush shall be remc+ved from the construction area
before any excavat i rig +fir fill is startea. Stumps will be removed wi th i n
the area of the foundation of the embankment and all e:ccavated areas. AI I
stumps and roots exceedin3 one (1) inch In diameter shall be removed t+� a
rnir,imum depth i:f cane (1) foot. Satisfactory disposition will be made f
all debris. The foundation area shall tie loosened thorou3hly and r•ou3hly
Ieve Ied, with suitable equipment, before placement of any embankment
material.
Cutoff Trench: A cutoff trench shall be e;:cavated as shown on the plans.
DIMENSIONS SHOWN ARE APPROXIMATE, EXACT DIMENSIONS WILL BE DETERMINED L.Y
SC:S PERSONNEL WHEN THE SITE IS QPENED UP DURING CONSTRUCTION. The cutoff
trench shall be t+ackfilled in thin layers, not to e::ceed eight (1) inches
depth. All standing water shall be removed from the trench before
backfillin,3 is started.
onstruction: Construction will consist of excavation, to the neat Iines
and Oracles as planned. In areas of the la rion bottom and side slopes where
giervious material is encountered, the area shall be overe;acavated by 1.5
feet and backfiIled with clayey material. Excavation shall tie by pan,
dragIine and/or backhoe. A bulldozer or either equipment will be used to
dress the slopes. Fill material placed in the embankment shall be free r-f
sod, roots, stories over 6 inches in diameter, ar,d other' object i r,r,ab I e
materials. The fill material shall be placed and spiread over the entire
f i I I area ir, I ayers not to exceed G i riches in th i ckriess. Construction of
the fill shall tie undertaken only at such times that the rn+�Isture content
of the fill material will permit a reast+nab l e degree of Compaction.
Compaction _of all fill material shall be acc,irnp l i shied with a sheep-fr„-yt
pa
ss assin several times over the entire surface of each 8 inch lift.
T+; r+;tect against leaka3e,_the entire :.rn and all e::tavated side
slopes sha I I be c ornEac ted in the same manner as the •f i I I rnater i a l
coo action. _
The primary bdrrow area will be within, the basin itself. Any other areas
will be desi3nated on the plans.
Ve etation: All exposed embankment, spillway, and borrow areas stealI be
seeded to the planned type of ve3etation as soon as possible after
construction.
SPECIAL INSTRUCTIONS
FXCgYAr6 A CtdT dFF ioeCA)e W sAl7'a 0-1-AY A-A7gwlAt- _ ls?e-
iQE/Jlddr .s/,' AgT,5,e44e- 4A)o ALuD 7iE
r 1-. Xra F
:4/V D s d'.0 .r, - b oMA-i L.3i ct AJ F4'D 7X Or e.,CA Y 4--tto•+WIA d 7'b waits
y Tf'OTloN� aSE Q-A PA aoao X_ /Lf,4zct . 6. Ti46C '(.Agl C .
�'T�NT pF .[i�vii✓� 7"0 �E DET�rtiavc� BviC/�✓G G'a•rrdr•RucylinJ
1
Cut Core Where Fill Exceeds 3'
TYPICAL CROSS SECTION

WASTE STIDRAGE PCIND
IiIPERAT I CH\l AND MAINTENANCE F='L.AN
The star -age pond I s composed of two vo I ernes. ft,[a I ower- ..]��_:_ f'E�et Of depth,
i r, the porid is the waste st,.,r-a3e v,., I Lrme. The t-ema i r, i ng +:leptl'r r_.f the pond
a to the erner-3ency sp i I I way l eve l is stot-age f cir a Z5 year-, Z4 tour- ra i ofa I I
that enters the p,r,rr,i. The e I e.vat i 1:1r, tr: start pump, i n,I i s _�O�`r_._ an 3 w i I I be
mar-ked with a p,et,manent rnar-ker. In r.,r-der• to maintain �rncor,th,s 5tQt'aJf-
tyre pi.ncl will reed to tie pumped ,.out cr.rnp I ete ly.
The waste ut i I i at i on p I an sha i I be followed as shown i r, Attachment A.
This requ i r-es sarnp, I es and test i rig ---if waste ( see Attachment 0) b fc,re I arid
app. I i cat i or$. Waste sha I I tie app I i ed rin f i e f ds as shown r,n attached s-.-- i i S
maps.
A fence wi I I tie cc,r,str'ucted to prevent I ivestroc1% frc,m walk:ir,g an the dam
therefc-r-e, preventirig a ha ar'd for the h 1vestock. and dama,3e to the ,darn.
The rout i ne Ina i ntenance of th i s waste st,.ir-age pr,ncl i r,v c, Ives the f ci I I ciw i rr )
1 . Ma i rrter,ance -.if a vegetat i ve cover- on the ernbankinerrt and i n the elner---
1aer,cy sp i I I way: Fescue i s tie i rig estab I i stied or, these areas. De.I i r,
r, i r,,3 the year- after- corestructi on and each year- thereaf tier-, the
embankment and emer-gency sp, i I I way shou I d tie feet i I i zes w i tri 1 ,+1(W)
pounds of 10-1t:1-1cr "per' act-e tr, rnair,tain a vrgor,ous star',d.
�. Ccr,tr-c, I of weeds, brush, and trees cin the embankment arid i r', the
erner-gency sp,i I Iway: this shaI I tie ,1,:,r,e by rnc,wi r,•a, spt-ayi r,;9, ,:,r
ch,c,pp,in9, ot- a cc,nit,ir,atior, of a I three. This wl I I nee,: t-.. t.v
d++r,e at Ieast once each, year- and possibly twice in year's faVor-at,Ie
to heavy qr- c,wth .if vegetations. You may cr,eck: w i tr, the I oc a I
E:.terrs i or, Agency or SCS c,ff ice fr,r- the latest i nfr:r-rnat i ran c,n spr-ay
rnate r i a I and the test -time to., apply them.
Mai r,tenance inspect, cons of th i s waste stc,r-a-,Ie p„?rrd Sh,,1114 tie ma -:Jo dur- 1 n'1
the initial f i I I i ng, at least annual l y, and after- every rna,jo_,r' s tot,rn. I terns;
to tie checf•,ed shc-uId include, as a rninirnuln, the fc,I Ic,win3.
1. Emergency Spillway
a. er ,s1r:n
to. sed i merit at i con
c . weeds, srna I I trees, I cogs, f errces, r,r- rither- robstr'uc t i on that
r-educ a channe I c apac i ty cir may to I acE: f I row.
�. Ernt,ankraeret
a. settlement, cracking or ",jug" holes
to. side slope stability -slumps c,r- bulges
c . er-,.,s i on
d . r-c„ dent ,carnage
e. seer -age ar' either leakage
f. ci:,r,d I t i ,_,n and type of ve,ietat 1 r,n cover-

SEEDI14G RECOMMENDATIONS
-----------------------
AREA TO BE SEEDED: ;E�,O ACRES
USE THE SEED MIXTURE INDICATED:
LBS. FESCUE GRASS @ 60 LBS./ACRE
(BEST SUITED ON CLAYEY OR WET SOIL CONDITIONS)
SEEDING DATES: SEPTEMBER IS TO NOVEMBER 30
LBS. 'PENSACOLA' BAHIA GRASS C 60 LBS./ACRE Z
(SEE FOOTNOTE NO. 1)
SEEDING DATES: MARCH 15 TO JUNE 30
LBS. HULLED BERMUDA GRASS @ 8 LBS./AC.
(SUITED FOR MOST SOIL CONDITIONS)
SEEDING DATES: APRIL 1 TO JULY 31
LBS. RYE GRAIN C 30 LBS./ACRE (NURSERY FOR FESCUE)
LBS. RYE GRASS C 40 LBS./ACRE (TEMPORARY VEGETATION)
SEEDING DATES: DECEMBER 1 TO MARCH 30
LSS.
APPLY THE FOLLOWING:
.R0 ° o LBS. OF 10--10-10 FERTILIZER (1000 LBS./ACRE)
TONS OF
DOLOMITIC LIME (2
TONS/ACRE)
,;ZOO
HALES OF
SMALL GRAIN STRAW
(100 BALES/ACRE)
ALL SURFACE DRAINS SHOULD BE INSTALLED PRIOR TO SEEDING. SHAPE
ALL DISTURhED AREA IMMEDIATELY AFTER EARTH 11OVING IS COMPLETED.
APPLY LIME AND FERTILIZER THEN DISK TO PREPARE A 3 TO 4 INCH
SMOOTH SEEDBED. APPLY SEED AND FIRM SEEDBED WITH A CULTIPACI'ER
OR SIMILAR EQUIPMENT. APPLY MULCH AND SECURE WITH A MULCH
ANCHORING TOOL OR NETTING.
1. PENSACOLA BAHIAGRASS IS SLOWER TO ESTABLISH THAN COM11ON
DEkMUDA GRASS. WHEN USING BAHIA, IT IS RECOMMENDED THAT 8
LDS./ACRE OF COMMON BERMUDA BE INCLUDED TO PROVIDE COVER
UNTIL BAHIAGRASS IS ESTABLISHED.
Z . 40 16s /,9c4-e. o .r7 : //e,/- - -A 6{ a dde d v4
Sew d.

/.. -glp,/ = A s L % Q*�p
i
0/1 V(y -7 7 /, j/ -+ rya
Iry 0,4
!. Apr wHvr�,s-�/moo f`7 fl'17/ 0��

OH-IRM 2/15/88
US Department of Agriculture
Soil Conservation Service
PLANNED
QUANTITY CALCULATIONS
prepared for
WH I T'E EcFRC3-IF HEFZS
in
WARREN County, North Carolina
Designer : FRANK EVANS Checker ---------------
Date : 05/17/93 Date
---------------
Job Number 067
WSF EXCAVATION
Dot
Left
Fight
Off-CL
1
CL
idth
SS
SS
(ft)
1
I
Sta
125
2.5:1
2.5:1
25.0
;
14+.5
125
2.5:1
2.5:1
25.0
;
0+25
125
2.5:1
2.5:1
25.0
;
1
0+40
125
2.5:1
2.5:1
25.0
;
0+90
125
2.5:1
2.5:1
25.0
;
1+40
12.E
2.5:1
2.5:1
25.0
1
1 +90
125
2.5:1
2.5:1
25.0
1
1
2+40
125
2.5:1
2.5:1
25.0
1
:246.+25
** EXCAVATION **
3 ** FILL **
Dist
; Area
Volume
; Area
Volume
(ft)
(SgFt)
(Cu. Yds)
; (SgFt)
(Cu. Yds)
1 1100.5
0.0
11
1
436.6
1
0.0
1145.1
1 0.0
15
;
1090.3
1
0.0
1208.1
0.0
50
1
2866.5
;
0.0
710.2
0.0
50
1
4028.2
1
0.0
; 544.4
i 0.0
50
;
5078.6
1
0.0
590.0
1 0.0
50
;
6248.6
1
0.0
673.6
1 0.0
6
6402.1
1
0.0
I 653.0
�7�1 ((77�1
0.0
1 0. 0
,

a
OH-IRM 2/15/8B
US Department of Agriculture
Soil Conservation Service
CROSS-SECTION DATA
QUANTITY CALCULATIONS
prepared for
WH I 1f'E ECF=<C3THEFR!E3
in
WARREN County, North Carolina
Designer : FRANK EVANS
Checker -----
-------_-
Date : 05/17/93
Date
Job Number 067
WSF EXCAVATION
TEMPLATE DATA:
Beginning Elevation w 8'.5
Beginning Station = 14+.5
14+.5 to +25
C\2.5CL125/2.5
0.00000
ft/ft
+25 to +40
C\2.5CL125/2.5
0.00000
ft/ft
+40 to +90
C\2.5CL125/2.5
0.00000
ft/ft
+90 to 1+40
C\2.5CL125/2.5
0.00000
ft/ft
1+40 to 1+90
C\2.5CL125/2.5
0.00000
ft/ft
1+90 to 2+40
C\2.5CL125/2.5
0.00000
ft/ft
2+40 to 246+.5
C\2.5CL125/2.5
0.00000
ft/ft
ECTION NUMBER 1
Centerline Station 14+.5
ORIGINAL DATA:
0.0 / 88.3 50.0 / 90.5
100.0
/ 91.4
150.0 / 92.3
200.0 ! 94.7
CTION NUMBER 2
Centerline Station +25
ORIGINAL DATA:
0.0 / ee.5 50.0 ! 90.9 100.0 1 91.8 150.0 / 92.2 200.0 ! 95.7
"ECTION NUMBER 3
Centerline Station +40
ORIGINAL DATA:
0.0 / 88.8 50.0 / 91.4 100.0 ! 92.3 150.0 1 92.2 200.0 ! 96.9
=TION NUMBER 4
Centerline Station +90

-iSP EXCAVATION (continued) 05/17/9? page 21
ORIGINAL DATA:
0.0 / 84.6 50.0 / 86.9 100.0 / 88.7 150.0 1 91.1 200.0 / 96.5
EGTION NUMBER 5
Centerline Station 1+40
ORIGINAL. DATA:
.0.0 / 83.1 50.0 / B5.3 100.0 / 88.1 150.0 ! 90.2 200.0 / 94.2
.=ECTION NUMBER 6
Centerline Station 1+90
ORIGINAL DATA:
0.0 / 94.7 50.0 / B6.6 100.0 / BB.0 150.0 ! B9.8 200.0 / 93.0
ACTION NUMBER 7
Centerline Station 2+40
ORIGINAL DATA:
0.0 / S4.6 50.0 ! 87.2 100.0 / 89.1 150.0 ! 89.9 200.0 / 92.4
_'ECTION NUMBER 8
Centerline Station 246.+25
ORIGINAL DATA:
0.0 / B4.4 50.0 ! B7. 1 100.0 / B9.0 150.0 / 89.7 200.0 / 92.0

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Steve W. Tedder, Chairman
December 5, 1996
Ashley White
White Ridge Farm
Rt 1 Box 81
Norlina NC 27563
1DEHNR
Subject: Operator In Charge Designation
Facility: White Ridge Farm
Facility ID #: 93-21
Warren County
Dear Ms, White:
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge by January 1, 1997, for each animal
waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or more horses,
1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management system. Our
records indicate that your facility is registered with the Division of Water Quality and meets the requirements
for designating an OIC.
A training and certification program is not yet available for animal waste management systems involving
cattle, horses, sheep, or poultry. Owners and operators of these systems will be issued temporary animal waste
management certificates by the Water Pollution Control System Operators Certification Commission
(WPCSOCC). The temporary certificates will expire December 3I, 1997, and will not be renewed. To obtain
a permanent certification, you will be required to complete ten hours of training and pass an examination by
December 31, 1997. A training and certification program for operators of animal waste management systems
involving cattle, sheep, horses, and poultry is now being developed and should be available by the spring of
1997. The type of training and certification required for the operator of each system will be based on the nature
of the wastes to be treated and the treatment process(es) primarily used to treat the animal waste.
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. If you do not intend to
operate your animal waste management system yourself, you must designate an employee or engage a contract
operator to be the Operator in Charge. The person designated as the Operator in Charge, whether yourself or
another person, must complete the enclosed application form for temporary certification as an animal waste
management system operator. Both the designation form and the application form must be completed and
returned by December 31, 1996.
If you have questions about the new requirements for animal waste management system operators, please call
Beth Buffington or Barry Huneycutt at 91gn33-0026.
Sincerely,
//?,t, —rC
FOR
Steve W . Tedder
Enclosures
cc: Raleigh Regional Office
Waterritt�rt�ystem w 76 Voice 919-733-0026 FAX [phone]
Operators Certification Commission �� An Equal Opportunity/ATfirmative Action Employer
P.O. Box 29535 Raleigh, NC 27626-0535 50% recycled/10% post -consumer paper

State of North Carolina
Department of Environment,
Health and Natural Resources
James B. Hunt, Jr., Governor
Jonathan B, Howes, Secretary
Steve W. Tedder, Chairman December 5, 1996
Ashley White
White Ridge Farm
Rt 1 Box 81
Norlina NC 27563
De; Ms. White:
ArT�
IDEHNR
Subject: Operator In Charge Designation
Facility: White Ridge Farm
Facility ID #: 93-21
Warren County
DEC 0 S6
DEHNR RALEIGH
REGIONAL OFFICE
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Com,nission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge by January 1, 1997. for each animal
waste management system that serves 250 or more swine,' 100 or more confined cattle, 75 or more horses,
1,000 or more &beep, or 30,000 or more confined poultry with a%quid animal waste management system. Our
records indicate that your facility is registered with the Division of Water Quality and meets the requirements
for designating an OIC.
A training and certification program is not yet available for animal waste management systems involving
cattle, horses, sheep, or poultry. Owners and operators of,these systems will be issued temporary animal waste
management certificates by the Water Pollution Control System Operators Certification Commission
(WPCSOCC). The temporary certificates will expire December 31, 1997, and will not be renewed. To obtain
a permanent certification, you will be required to complete ten hours of uainin.g and pass an examination by
December 31, 1997. A training and certification program for operators of animal waste management systems
involving cattle, sheep, horses, and poultry is now being developed and should be available by the sprung of
1997. Ile type of training and certification required for the operator of each system will be based on the nature
of the wastes to be treated and the treatment process(es) primarily used to treat the animal waste.
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation farm to the WPCSOCC. If you do not intend to
operate your animal waste management system yoxtrself, you must designate an employee or engage a contract
operator to be the Operator in Charge. The person desigmted as the Operator in Charge, whether yourself or
another person, must complete the enclosed application form for temporary certification as an animal waste
management system operator. Both the designation form and the application form must be completed and
returned by December 31, 1996
If you have questions about the new requirements for animal waste management systent operators, please: call
Beth Buffington or Berry Huneycutt at 919/733-0026.
Sincerely,
FOR Steve w. rider
Enclosures
cc: Raleigh Regional Office
Water Quality Files
Water Pollution Control Sysiem ` Voice 919-733-0026 FAX [phone]
Operators Cet7lflcatlon CommlWon NV*jC An Equal Opportunity/Affirmative Action Employer
P.O. Box 29535 Raleigh, NC 27626-0535 50% recycled/ IM post -consumer paper

e
0
Ss;bty RQ 11
G" I-Be.arn (MInimun)
9
I�iVY'� � /r►in , i�iG�� A�
6" I -Beam Safety RG; l Suppor+
POS'- Set I n Concre,te,
Lp' ThkcK Fiber Mesh Concrete,
Sly Pad a Wn►mun op lo' wd.
Concrete S l u m p=
iB" long * + Re -bar- do-;ven
15' de.cp 1rrF0 the, Cut Slopee,
Re-bprs 0, 'L' CGrrfe,rs
--t'i 8 " I.*-
i
� �N • 4e1lATN D�pcvps . ew.J
EQvy>,n �v7► [/j�A Tv fC,eR of
sEc_r�a•�.�-R _
l J/1 Slopes
�q
fLeV, 83,5
6077vrtt of WSP-�
OIEW- CONCRETE SLIP PAD
NOTE To provcnt problerns ;n rrfovl'n9
The, Cory viasm down rhe. 5iip Pad
The pad SHOUI.D NOT be Construmd
Flatter Than jV1. When pss,4blc,
Thf,parlor { orter should be di5Ch&-jed
At or Aleortve,Top of They 5111P pod.
Top of OarrL
211 Slope
or Flo tter
3" h;gh CArb
Section A- A
h 1 iE DA) RY 1A 111,v,e E.✓ C o,
C"CRETE SLIP PAD-PuSHOFF
0 U.S. DEPARTMENT OF AGRICULTURE
Ll SOIL CONSERVATION SERVICE
['
�,7, ` •la Approvod17
b��lprkd_!!�+ 7ttl� �• � Tom.
prarn,_�/
�..�--------------------
�.