800016_PERMIT FILE_20171231

f
ti—-'OsIbur a Dairy/Facility 80-16
NOTICE OF VIOLATION
January 7, 2011
Page 2
Violation 11:
Failure to conduct the required Waste Analysis at least within sixty (60) days (before or after) of
the date of application. This is a violation of General Permit Condition 1I1.5, 111.11, and IIL 12,
and the CAWMP.
Required Corrective Action for Violation II:
In the future, conduct the required Waste Analysis at least within sixty (60) days (before or after)
of the date of application in accordance with the permit.
Violation III:
Failure to conduct the required Annual Soil Analysis. This is a violation of General Permit
Condition II1.4, III.11, and II1.12, and the CAWMP.
Required Corrective Action for Violation III:
In the future, conduct the required Annual Soil Analysis in accordance with the permit.
Violation IV:
Failure to designate a certified animal waste management system operator with a valid
certification to be in charge of the animal waste management system. This is a violation of
General Permit Condition 1I.16, and IL 17, and the CAWIvIP.
Required Corrective Action for Violation IV:
Designate a certified animal waste management system operator with a valid certification to be
in charge of the animal waste management system by February 7, 2011.
Violation V:
Failure to notify the Division of Water Quality of emergency situations (inadequate storage
capacity in the Storage Pond) as required by permit. Failure to notify DWQ is a violation of
General Permit Condition 111.13, and the CAWMP.
Required Corrective Action for Violation V:
In the future, report by telephone to the Mooresville Regional Office or the Division of
Emergency Management as soon as possible, but in no case more than twenty-four (24) hours
following first knowledge of the occurrence of any emergency event in accordance with the
permit.
The Division of Water Quality requests that, in addition to the specified corrective actions;
please submit a written response to this Notice by January 21, 2011. Please include in your
response all actions taken to correct the noted violations, and prevent recurrence in the future.
Failure to comply with conditions in a permit may result in a recommendation of enforcement
action, to the Director of the Division of Water Quality who may issue a civil penalty assessment
of not more than Twenty -Five Thousand Dollars ($25,000) against any "person'' who violates or
fails to act in accordance with the terms, conditions, or requirements of a permit under authority
of North Carolina General Statute 143-215.6A.

'i
Osborne Dairy/Faciliry 84-16
NOTICE OF VIOLA NON
January 7, 2011
Page 3
Should you Have any questions concerning this Notice, please contact Mr. Bealle or me at (704)
663-1699.
Sincerely,
Andrew H. Pitner, P.G.
Aquifer Protection Section Regional Supervisor
enclosure: Compliance Inspection Report dated December 7, 2010
cc: Division of Soil and Water Conservation, Mooresville Regional Office
Division of Soil and Water Conservation, Winston-Salem Regional Office
Rowan Soil and Water Conservation District
jb
Central Permit File AWC800016
Regional Permit Pile AWC800016

9
Division of Water Quality
Division of Soil and Water Conservation
[ Other Agency
Facility Number Facility Status: Permit: .aV;f -;GL DerieC Access
Inspection Type: Cgm*1iarce !r,5cec1irn _ _ inactive or Closed Gate:
Reason for Visit: i7,%Jne County: Rr;yar. Region: McdreG,Jlli
Date of Visit: 12!0%:2010 Entry. Time: 01 00 PM Exit Time: 02-30 PM _ Incident #:
Farm Name: Osborne Dal
Owner: G & M MUErg Cc Inc
Owner Email:
Phone: 7C4-873-5758
Mailing Address: 4000 Taylorsville Hwy atatesvilte NC 2662518u2
Physical Address: ,85 Hamos_DairY Rd _ Cleveland NC 27013Qla.0
Facility Status: n Compliant 19 Not Compliant Integrator:
Location of Farm: Latitude: 35`4631" Longitude: 80°38'Q9"
From intersection of Cool Springs Fed. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sicn on left. General location: north of Cleveland.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and.Documents Other Issues
Certified Operator:
Secondary OIC(s):
Operator Certification Number.,
On -Site Representative(s): Name Title Phone
24 hour contact name Jeffrey C. McNeely Phone: [phone]
On -site representative Robert S. Melton Phone: [phone]
Primary Inspector: .lames Bealle Phone: [phone]
Ext 21E
Inspector Signature: Date:
�b1 a
Secondary Inspector(s):
Page: 1

Permit: AWC3000t6 Owner - Facility: G & M Milling Co Inc Facility Number: 800016
Inspection, Date: 1210712010 Inspection Type: compliance Inspection Reason for Visit: Routine
Inspection Summary:
06116107 > Waste Analysis > N = 3.9 Lbs/1000 Gallcns
11103iC6 > Waste Analysis > N = 1.5 Lbs11000 Gallons
05/17/07 > Soil Analysis
4. Facility Operators advised to pump down Storage Pond ASAP!
21. Waste Application, Weekly Freeboard, Rainfall, and > 1" Rainfall/Montnly Inspections records not maintained, NOV to follow.
21. Failure to conduct Waste Analysis at least wlte iin sixty (60) days (before or after) of the date of aoplication; NOV to follow.
21. Failure to conduct 2009 Annual Soil Analysis, NOV to follow.
26. Failure to designate a certified animal waste management system operator with a valid certification to be in charge of the animal
waste management system, NOV to follow.
31. Failure to notify DWQ of emergency situations as required by Permit; NOV to follow.
jb
Page: 2

Permit- A;vC800015
Inspection Date: 12,07/2C1C
Owner - Facility: G & M Pfli€ling Co Inc
Inspection Type: C,,r-oliance !nsoec;ior
Facility Number: 800016
Reason for Visit: Rouline
Regulated Operations �esigr. Capacity Current Population
Cattle
Cale wiry Calf ; 2C
20
Cattle - Cair/='eifer 50
_ _ 5
raitl-� - Dry Cow 1 � 20
15
Cattle - fvlilk Cow 200
50
Total Design Capacity: 200
Total SSLW: 365.000
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Taste Pond V1IP1 T1S.0G 15.00
pane

Permit:.AVVC800016 Owner - Facility: G 3 M btiiling Cc Inc Facility Number: 800016
Inspection Date: 12107/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Yes
No
NA
NE
Discharges & Stream impact
1. Is any discharge ocser/ed from any pa of the operation?
ngnn
Discharge originated at
n
Structure
n
Application Field
n_
Other
nn®n
a. Was conveyance man-made?
b Did discharge reach Waters of the state? (if yes, notihy DWQ)
n
n
®
n
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
nn®n
2. Is there evidence of a past discharge from any part of the operation?
n
®
n
n
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
n
®n
n
discharge?
Yes
No
NA
NE
Waste Collection, Storage & Treatment
®n
n
n
4. is storage capacity less than adequate?
n
If yes, is waste level intc structural freeboard?
5. Are there any immediate threats to the integrity of any of the structures observed (I.e.1 large trees, severe
n
®
❑
n
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management n
®
n
n
or closure plan?
7, Do any of the structures need maintenance or improvement?
n®nn
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
®❑
n
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
n
®
❑
n
improvement?
Yes
No
NA
NE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
®
n
n
improvement?
n®nn
11. Is there evidence of incorrect application?
if ves, check the appropriate box below
n_
Excessive Hording?
n
HvdrauUc Overload?
n_
Frozen Ground?
n_
Heavy metals (Cu, Zn, etc)?
Page: 4

Permit: AWC300016 Cwner - Facility: 3 & ibl 14ling Co Inc
Facility Number : 8CO016
insaectfon Gate: 210712010 lnspecticn "'ypp: Ccm liarce Insrectirn
Reason for Visit: Routine
Waste Application
`•'e` No NA NE
PAN?
r
Is PAN > U/o110 !bs.?
Failure to incorporate manurE'sludgs into bare soil?
n
Outside of acceptable crop window?
n
Evidence of wired drift?
rl
Application outside of application area?
rl
Crop Type 1
Com (Silage)
Crop Type 2
Fescue (Hay)
Crop Type 3
Small Grain Cover
Crop Type 4
Timothy, Orchard, &
Rye Grass
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
n 0 0
Plan(CAVVIVIl
15. Does the receiving crop and/or land application site need improvement?
n ®n n
16_ Did the facility fall to secure and/or operate per the irrigation deslgn'or wettable acre determination? n n ® n
17. Does the facility lack adequate acreage for land application?
n n n
1 S. Is there a lack of properly operating waste application equipment?
Records and Documents
Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit rea--ily available'7
n is ! i
20. Does the facility faii to have al! components of the CAVYl readily available?
n In n n
If yes, check the appropriate box below.
Vr jlj fir?
M
Page: 5

Permit: AWC800016 Owner - Faci}ity: G & M Milling Cc Inc Facility Number: 800016
inspection Date: 12107!2Q10 Inspection Type: Compliance inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
n
Checklists?
n
Design?
Maps? n
Other? n
21. Does record keeping need improvement? ® n 7 rl
If yes, check the appropriate box below.
Waste Application?
120 Minute inspections? rl
Weather code?
Weekly Freeboard?
Transfers? n
Rainfall?
Inspections after > 1 inch rainfall & monthly?
Waste Analysis?
Annual soil analysis?
n
Crop yields?
n
Stocking?
n
Annual Certification Form (NPDES only}? —
22 Did the Faci€ity fail to install and maintain a rain gauge?
n
®
n
n
23. If selected, did the facility fait to instal€ and maintain a rainbreaker on irrigation equipment (NPDES only)?
n
n
®
n
24 Did the facility fail to calibrate waste application equipment as required by the permit?
n
®
n
n
25 Did the facility fail to conduct a sludge survey as required by the permit?
❑
n
®
n
25 Did the facility fail to have an actively certified operator in charge?
®n
n
n
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
n
n
�`
n
Other Issues
Yes
Np
NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
n
®
❑
❑
29. Did the facility fat€ to properly dispose of dead animals within 24 hours and/or document and report those
n
®❑
n
mortality rates that exceed normal rates?
30 At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air
to
E
n
n
Quality representative immediateiy
Page: 6

Permit: AWCH0016 Cwner - Fatuity: G &'*v1 bulling Co inc Faciiitv dumber : 8CC0'.5
Inspection mate: 9 i= G7.2C 10 Inspection Type: Compiiance Inspection Reason for Visit: Routine
Otht-r?ssues Yes No NA NE
31. ❑Id `f1c dC,Ilty fall :o nctif/ reglCr,21 :�V Q of emergenov slt'.:3ticns as re,.uJred bV Perrnii' ® IrD n n
32. Dr d Reviewer/Inspector `all to Jscuss reVlewlirlspection wlth cn-site re,"presentati`/e? i__i ® n n
33. Goes fac'rty require a follow-uc visit by some agency? ❑ ®n n
34. Are subsurface drains present on ;his farm? n ® M ni
If yes, check the appropriate bex below
Spray Field rl
Lagoon / Storage Pond n
Other n
Page:7

ALA
HCENR
North Carolina Department of Environment and Natural Resources
Division of �Nater Quality
Beverly Eaves Perdue Coleen H. Suilins
Governor Director
CERTIFIED MAIL
RETURIN RECEIPT REQUESTED
G & Al Nlilling Co., Inc.
Osborne Dairy
4000 Tavlorsville Hwy
Statesviile, NC 28625 .
Dear G & M Milling Co., Inc.:
Dee Freeman
Secretary
AQUIFER PROTECTION SECTION
January 7, 2011
Re: NOTICE OF VIOLATION
NOV-2011-PC-0025
15A N.C.A.C. 2T .1304
Osborne Dairy/Facility 80-16
General Permit A WC800016
Rowan County
On December 7, 2010, staff of the North Carolina Division of Water Quality (DWQ), Aquifer
Protection Section (APS), inspected the Osborne Dairy and the permitted waste disposal system.
This inspection follows the change in ownership that occurred in 2009, and discussions regarding
the permit requirements in February, 2010. We wish to thank Robert, S. Melton, who was
present and assisted during the inspection.
As a result of this inspection, you are hereby- notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A North Carolina
Administrative Code 2T .1304, you have been found to be in violation of your permit as follows:
Violation 1:
Failure to maintain the required Waste Application, Weekly Freeboard, Rainfall, and > 1"
Rainfall/Monthly Inspections records. This is a violation of General Permit Condition III.1,
IIL2, I1I.3, III.6, I1I.11, and I1L12, and the Certified Animal Waste Management Plan
(CAWMP).
Required Corrective Action for Violation I:
In the future, maintain the required Waste Application, Weekly Freeboard, Rainfall, and > 1"
Rainfall/Monthly Inspections records in accordance with the permit.
Division of Waler ClualO 'Aquifer Protection Section ' Mooresvlile Regional Office
610 East Center Ave, we. Suit_ 301, Mooresville, North Carolina 28115
Phone: [phone] Fax: 7�A-663-6040 l Customer Service: 1-67"-623-6i 48
Internet: www.ncwaterquality.org
NorthCarcllna
,Xat orally

Osborne Dairy/Faciiity 80-16
NOTICE OF VIOLATION
,January 7, 2011
Page 2
Violation II:
Failure to conduct the required Waste Analysis at least within sixty (60) days (before or after) of
the date of application. This is a violation of General Permit Condition III.5, III.11, and III.12,
and the CAWMP.
Required Corrective Action for Violation II:
In the future, conduct the required Waste Analysis at least within sixty (60) days (before or after)
of the date of application in accordance with the permit.
Violation III:
Failure to conduct the required Annual Soil Analysis. This is a violation of General Permit
Condition III.4, III.I 1, and 111.12, and the CAWMP.
Required Corrective Action for Violation III:
In the future, conduct the required Annual Soil Analysis in accordance with the permit.
Violation IV:
Failure to designate a certified animal waste management system operator with a valid
certification to be in charge of the animal waste management system. This is a violation of
General Pernit Condition 1I.16, and 11,17, and the CAWMP.
Required Corrective Action for Violation IV:
Designate a certified animal waste management system operator with a valid certification to be
in charge of the animal waste management system by February 7, 2011.
Violation V:
Failure to notify the Division of Water Quality of emergency situations (inadequate storage
capacity in the Storage Pond) as required by permit. Failure to notify DWQ is a violation of
General Permit Condition I11.13, and the CAWMP.
Required Corrective Action for Violation V:
In the future, report by telephone to the Mooresville Regional Office or the Division of
Emergency Management as soon as possible; but in no case more than twenty-four (24) hours
following first knowledge of the occurrence of any emergency event in accordance with the
permit.
The Division of Water Quality requests that, in addition to the specified corrective actions,
please submit a 1Axitten response to this Notice by ,January 21, 2011. Please include in your
response all actions taken to correct the noted violations, and prevent recurrence in the future.
Failure to comply with conditions in a permit may result in a recommendation of enforcement
action, to the Director of the Division of Water Quality who may issue a civil penalty assessment
of not more than Twenty -Five Thousand Dollars (S25,000) against any "person" who violates or
fails to act in accordance with the terms, conditions, or requirements of a permit under authority
of North Carolina General Statute 1.43-215.6A.

Osborne Dairy/Facility 80-16
NOTICE OF VIOLATION
January 7, 2011
Page 3
Should you have any questions concerning this Notice, please contact Mr. Bealle or aie at (704)
663-1699.
Sincerely,
Andrew H. Pitner, P.G.
Aquifer Protection Section Regional Supervisor
enclosure: Compliance Inspection Report dated December 7, 2010
cc: Division of Soil and Water Conservation, Mooresville Regional Office
Division of Soil and Water Conservation, Winston-Salem Regional Office
Rowan Soil and Water Conservation District
Central Permit File AWC800016
Regional Permit File AWC800016
jb

gy
El Division of Water Quality
r j Division of Soil and Water Conservation
L Other Agency
Facility Number: 8100015 Facility Status: A~iva Permit:.?' if,4000'6_ _ 0. Deni&C access
Inspection Type: :,m_-liarce.'.ngJec:icn
Reason for Visit: F'cytj,' _ _ County
Inactive or Closed Gate:
Rc''v Region: Moore5ville
Cate of Visit: 12' 7,2C10 Entry Timer,00 PM Exit Time: 02-30 PNI Incident #:
Farm Name: Osl.orne 02iry Owner Email:
Owner: G .g, M Milling Co Inc Phone: [phone]
Mailing Address: 4000 Tavforsville Hwy _ Stat2sviile NO 286251842 _
Physical Address: 385 Ramos Da; Rd C Igveland NC 270/39190
Facility Status: n Compliant ® Not Compliant Integrator:
Location of Farm: Latitude: 35°46'31" - Longitude: 6O°38'09"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 3/4 mi south on Hobson Rd Look
for sicn on left. General location: north of Cleveland.
Question Areas!
Discharges & Stream Impacts Waste Ccilection & Treatment Vdaste Application
Records and Documents Other Issues
Certified Operator:
Secondary OIC(s):
On -Site Representative(s): Name
24 hour contact name Jeffrey C McNeely
On -site representative Robert S. Melton
Primary Inspector: James Bealle
Inspector Signature:
Secondary Inspector(s):
Operator Certification Number:
Title
Phone
Phone: [phone]
Phone: [phone]
Phone: [phone]
Ext.216
Date:
Page: 1

Permit: AWC800016 Owner - Facility: G 3 M Milling Cc Inc Facility Number: 800016
Inspection Date: 12/07/2010 Inspection Types Ccmollance Inspection Reason for Visit: Routine
Inspection Summary:
C6115/07 > Waste Analysis > N = 3.9 l i1000 Gallons
11/03/06 > Waste Analysis > N =1.5 Lbs/ 1000 Gallons
05117r07 > Soil Analysis
4. Facility Operators advised to pump down Storage Fond ASAP!
21. Waste Application, Weekly Freeboard, Rainfall, and > 1" Rainfalllhlonthly Inspecfions records not maintained; NOV to fcllcw.
21. Failure to conduct Waste Analysis at least within sixty (SO) nays (before or after) of the date of appiicaticn; NOV to follow.
21. Failure to conduct 2009 Annual Soil Analysis, NOV to follow.
26. Failure to designate a certified animal waste management system operator with a valid certification to be in charge of the animal
waste management system, NOV to foliow.
31. Failure to notify W4 of emergency situations as required by Permit, NOV to fallow.
jb
Page:2

Permit. ,:WC8000115 Owner - Faci6ty: G & rv1 :lilfinp Co Inc Facili*1 Number: 800015
inspection Date: 12!Q712C1G inspection Type: �cr �liance lnsrectiec Reason for Visit: Routine
Rest fated Operations Des:gn. Capacity Current Peptulatir;n
Cattle
Cattle - Uai:,/ Calf i 2?
20
Cattle - Dairy Heifer } 50
5
FW ZC Cattle Dry CoCow,:5
Cattle - Milk COW 200
00
Total Design Capacity: 2.90
Total SSLW: 365,000
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
asle Pond Wp1 19.00 15.00
Page

Permit: AWC800016 Owner - Facility: G & M Milling Cc Inc Facility
Number: 000016
Inspection Date: 12/07/2010 Inspection Type: Compliance Inspection Reason for Visit: RcLiOre
Discharges & Stream Im acts
Yes
No
NA NE
1. Is any discharge cbser/ed from any part or''he operation)
n
o
❑ I]
Discharge criginated at:
n
Structure
n
Application Field
n
O�f1er
nn
Is
a. 4Vas conveyance man-made?
b Did discharge reach Waters of the State? (if yes, notify DWQ)
rl
n
® n
c, Estimated volume reaching surface waters?
d Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
n
® n
2. is there evidence of a past discharge from any part of the operation?
❑
®n
n
3. VVere there any adverse impacts or potential adverse impacts to Waters of the State other than from a
n
®n
n
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA NE
4. is storage capacity less than adequate?
®
n
❑ n
n
If yes, is waste level into structural freeboard?
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
n
®n
n
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
Ono
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
n®nn
8 Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
n
®
n n
dry stacks and/or wet stacks)
9. Does any part of Me waste management system other than the waste structures require maintenance or
n
®❑
n
improvement?
Yes
No
NA NE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
®
rl n
improvement?
11. Is there evidence of incorrect application?
n
®
0 n
If ves, check the appropriate box below.
n
Excessive Pon61ng?
n
Hvdraulic Overload?
n
Frozen Ground?
r
n
Heavy metals (Cu, Zn, etc)?
Page:4

e
Permit: AWC300016 Owner • Facility: G 1 Ivi ;rlillinc Co inc
Facility Numoer : 80CG13
Inspection Date: 111071291-c Inspection "'ype: Ccrrollan�-e Inz3recticn
Reason `or`lisit: °octine
Waste Application
Yos No NA ,NE
is PAiV > iC%iiG !bS.?
n
-otal P2O5?
1-1
Failure to i^cerporatn- manure/sludge into bare soil?
n
Outside of acceptable crop window?
I-1
Evidence of wind drift?
n
Application outside of application area?
Crop Type 1
Com (Silage)
Crop Type 2
Fescue (Hay)
Crop Type 3
Small Grain Cover
Crop Type 4
Timothy, Orchard, &
Rye Grass
Crop Type 5
Crop Type 6
Soil Type I
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
n ® n n
Plan(CAWMP)?
15. Does the receiving crop and/or land application site nod improvement?
n ®n n
15. Did the facility fail tc secure and/or operate per the irrigation design or wettable acre determination?
n n ® n
17. Goes the facility lack adequate acreaee for €and application?
n n n
1 B. Is there a sack of properly operating waste application equipment?
❑ E5
Records and Documents
Yes No NA NE
19. Did the facifity fail to have Certificate of Ccverage and Permit readily available?
❑ n n
20. Does the facility fail to 'gave all components of the CAVti1MP readily available?
n
If yes, check the appropriate box below
Paqe: 5

Permit: AVVC800016 Owner - Facility: G & M !Milling Co Inc Facility Number : 800016
Inspection Date: 12107!2010 Inspection Type: Compliance Inspecuon Reason `or Visit: ,—Routine
Records and Documents Yes No NA NE
Checklists? n
n
Design? —
Macs? n
Other? n
2 1. Does record keeping need improvement? ® n n n
If yes, check the appropriate box below.
Waste Application?
Ell
120 Minute inspections?
n
Weather code?
Weekly Freeboard?
Transfers?
n
Rainfall?
Inspections after > 1 inch rainfall & monthly?
Waste Analysis?
Annual soil analysis?
Is
Crop yields?
n
n
Stocking?
—
Annual Certification Form (Nf DE5 only)?
n
22. Did the facility fail to install and maintain a rain gauge?
n
® n n
23. if selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
n
n ® n
24. Did the facility fail to calibrate waste application equipment as required by the permit?
n
® n n
25. Did the facillty fail to conduct a sludge survey as required by the permit?
n
Q ® Q
26. Did the facility fail to have an actively certified operator in charge?
®
n n n
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
n
n g n
Qtherlssues
Yes
No NA NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
n
® n n
29 Did the facility fail to properly dispose of dead animals within 24 hours andlor document and report those
n
® In n
mortality rates that exceed normal rates?
30, At the time of the inspection did the facility pose an air quality concern? If yes, contact a regionai Air
n
Q n n
Quality representative immediately.
Page 6

.f
Permit: AVVC300016 Owner Faciiity: G & M Millirg Cc Inc Facility dumber : 800016
Inspection Cate: 12(0712010 inspection Type: Ccmpiiarue Insaeclicc Reason for Visit Routine,
Othar Issues Yes tic ,vat NE
31. Cid the iacIllt fall :o no,14y reglcnal D'J'IQ of er"crgenCf siC--BilCns as required by Permit? � n n
32. Did Reviewerllrspectcr `ail Io dis0uss revievi/lnspebor, with on -site re.cr=seniative?
33. Oces iac;lily require a ouaw-u: Visit by some agency?
34 Are subsurface drains present or, this farm?
check the appropriate Lax Lelew.
Spray Field
Lagoon / Storage Pond
Other
n
n
n
Page- 7

I
Type of Visit: V Compliance Inspection V Operation Review Q Structure Evaluation Q Technical Assistance I
Reason for Visit: *Routine 0 Comglaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ® Arrival Time: Departure Time: �� County: R&�& Region VSDO-1
Farm Name: - Cj A ikAW3 �, G%),, [A-c— _ Owne ai
Owner Name: cs>%
Mailing Address: `
Physical Address:
Facility Contact:
Title:
Phone:
Onsite Representative: Integrator:
4
Certified Operator: AACertification Number:
Back-up Operator: Certification Numbe
Location of Farm: Latitude: Longitude:
F �
-try±
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f�r ��3'!a �a
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Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ 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 DWQ) ❑ Yes ❑ No ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes N A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Y ❑ NA ❑ NE
of the State other than from a discharge?
1 y Page I of 3 21412011 Contdnued

Facifi Number:. -T jDate of inspection:
Waste Collection & Treatment
(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes NA ❑ NE
a. If yes, 's wa to level into the structural freeboard? ❑ Yes ❑ Noep�NE
S uct 1 Structure 2 Structure 3 Structure 4 Structure 5 Struc e 6
tifier:'
ap away.t:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o NA FINE
(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 o ❑ 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? ❑ Ye 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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
❑ Yes ❑ NA ❑ NE
❑ Y
NA ❑ NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Y&\4 No [] NA ❑ NE
❑ Excessive Ponding [] Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
[] PAN 0 PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate ManurelSludge 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a Iack of properly operating waste application equipment?
Reauired Records & Documents-
19. Did the facility fail to have th Certificate o vcrage ermit readily available?
20. Does the facility -fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
P El Checklists ❑ Design ❑ Maps ❑ Lease
oes ord keeping nee eelyd
aste Application Weekly Freeboard
1 Rainfall—}5tocliCropYield i
22. Did the facility fail to install and maintain a rain gauge?
❑ Y
NA ❑ NE
❑ Yes ❑ N NE
❑ Yes N A ❑ NE
❑Y ❑NA ❑NE
❑ Yes �iro ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
ropriate box below. ❑ s [:]No
ante Analysis So' Analysis aste Transfers
n ly`and 1" Rainfall Insp tions
❑ Yes
23. If selected, did the facility fail to install and maint;rainbreakers on irrigation equipment?
\ Page 2 of 3
❑ NA ❑ NE
Weather Code
❑ Sludge Survey
❑ Yes ❑ No ❑ NA ❑ NE
— on nued

,w Facility Number: -
Date of Inspection: '`+-
24. Did the facility fail to calibrate waste application equipment as required by the permit? es N ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes ❑ No ❑ 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 0 ❑ N ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PL Yes No ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑Yes a ❑ NA ❑ NE
and report mortality rates that were higher than normal? *I
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
o ❑ 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
o ❑ 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
a ❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ A
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Y s
o ❑ NA
❑ NE
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone:
Date:
Page 3 of 3 21412011

Date of Visit: df i Arrival Time: Departure Time: EFPa ountyfiz'�Nm Region: Y 1-Z>
Farm Name: -OE * ✓ter Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Represental
Certified Operator
Back-up Operator,
Location of Farm:
Latitude: Longitude:
.y��+--�,:
s�
1. �'" � ti''d'✓� �
1 -'� �. 5►�
�a. � � 1
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1
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��
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rl �S!
i � '� '.E � ,�1� r
�Liw "'?'-_� ��� lt"5r,� (.. �� ,i:� �1��'Y"',
`
;�'t"�'� �� �;z
U.
�
�
.t ■ ` -- �.
■
,
--
Discharges and Stream Impacts
I. 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 ❑ No45!;PNA_0 NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes E] No 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 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 NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412011 Continued

FaciliNumber: jDate of Inspection:
We sig Collection & Treatment
4. Is Itorage. capacity, (structural plus storm storage plus heavy rainfall) less than adequate? Y o ❑ NA ❑ NE
`P a. If yes, is waste level into the structural freeboard? [:]Yes [:]No ❑'NE
v y 17 Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
/ Identifier:
(� Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threa in grity of any of the structures observed?
❑ Yes
No ❑ NA
❑ NE
(i.e., large trees, severc erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
tzQ 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 environme rest, notify DWQ
7. Do any of the structures need maintenance or improvement?
❑ Yes
o ❑ NA
[] NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
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
❑ Y s
❑ No ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need No ❑ NA ❑ NE
maintenance or improvement? 0
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
. r I
❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
P
N NA ❑ NE
❑ N NE
❑ Yes ❑ ❑
❑ Yes NA ❑ NE
❑ Ye No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No NA ❑ NE
20. Does the facility fail ave all compon is of the CAWMP readily a table? If es, check ❑Yes [] NA ❑ NE
the appropriate 4 `v' WUP Checklists Design Maps ease AgreementsPO24oes record keepingiq ment? If yes, ch�the appropriatew. Yes ❑ No ❑ NA
Yield
22. Did the facility fail to install and maintain a rain gauge?
=IMYyis eather Code
and 1"Rainfall Inspections Sl a Survey
❑ o [D NA [] NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? [:]Yes [:]No A ❑ NE
Page 2 of 3 21412011 Continued

FacUlty Number: jDate of Inspection.
24. Did the facility fail to calibrate wa is Lion equipment as required by the permit? ❑ Yes o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No 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 F NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NE
Other Issues
28. Did the faci ose o ca ani ith 24 hours and/or document
❑ Yevo
NA
❑ NE
and report mortality rates that were higher t ah normal?
24. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Ye
NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergeniy situat' s required by theC4o
NA
r
❑ NE
permit? (i.e., discharge, freeboard problems, over-Qp' ion)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
[] NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Y
No ❑ NA
❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative?
El Ye
o N
❑ NE
34. Does the facility require afollow-up visit by the same agency?
❑Yes
o ❑ NA
❑ NE
f6
0----�
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature:
Date:
Page 3 of 3 21412011

1
Water Resources
Environmental Quality
August 21, 2017
Daniel L. Knox
Amity Hills Farm
550 Knox Road
Cleveland, NC 27013
rC�OO p47
_.._.,._..' ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Re: COMPLIANCE INSPECTION
Amity Hills Farm/Facility 80-17
General Permit AWC800017
Rowan County
Dear Mr. Knox:
On July 19, 2017, staff of the North Carolina Division. of Water Resources (DWR), Water
Quality Regional Operations Section (WQROS), inspected the Amity Hills Farm and the
permitted waste disposal system. We wish to thank you for being present and assisting during
the inspection.
The enclosed report should be self-explanatory; however, should you have any questions
concerning this report, please contact me at [phone].
Sincerely,
James B. Bealle III, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources
enclosure: Compliance Inspection Report dated July 19, 2017
jb
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704-663.1699

Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800017 Facility Status:
inpsection Type: Compliance Inspection
Active Permit: AWC800017 Denied Access
Inactive Or Closed Date:
Mooresville
Reason for Via It-
Routine
County: Rowan Region:
Date of Visit:
07/19/2017 Entry Time: 02:30 pm
Exit Time: 4:30 pm Incident S
Farm Name:
Amity Hills Farm
Owner Email:
Owner:
Daniel Luke Knox
Phone: [phone]
Mailing Address:
550 Knox Rd
Cleveland NC 270138817
Physical Address:
2035 Mt Tabor Church Rd
Cleveland NC 270139200
Facility Status:
■ Compliant ❑ Not Compliant
Integrator:
Location of Farm:
Latitude: 35° 40' 55" Longitude: 80" 45' 59"
From the intersection
of Umberger Rd. and Mt. Tabor Church Rd.,
travel approximately 2 miles west on Mt. Tabor Church Rd. Dairy
will be on the left. General location: southwest of Cleveland near
the Rowanliredell line.
Question Areas:
Dischrge & Stream Impacts
Records and Documents
Waste Cal, Star, & Treat Waste Application
Other Issues
Certified Operator: Harry Phillip McLain Operator Certification Number: 991884
Secondary OIC(s):
On -Site Representativels): Name Title Phone
24 hour contact name Daniel L. Knox Phone : [phone]
On -site representative Daniel L. Knox Phone : [phone]
Primary Inspector: James Be a Phone: [phone] Exi
Inspector Signature: Date: Z f1
Secondary Inspector(s):
Inspection Summary:
12/15/16 > Waste Analysis > N = 5.09 Lbsl1000 Gallons
02/02/16 > Waste Analysis > N = 7.16 Lbsl1000 Gallons
02/04/16 > Soil Analysis
14. Waste applied to fields/crops not included in the CAWMP by Registered Manure Hauler AWH490002 as per third party
agreement. Associated waste application records reviewed fallowing the inspection.
Jb
page: 1

Permit: AWC800017 Owner - Facility : Daniel Luke Knox Facility Number: 800017
Inspection Date: 07/19/17 Inppection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Cattle
Cattle - Dairy Heifer
160
Cattle - Milk Cow
300
Total Design Capacity: 300
Total SSLW: 420,000
Waste SLtructures
Designated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Waste Pond POND1 19.00 42.00
page: 2

Permit: AWC800017 Owner - Facility : Daniei Luke Knox Facility dumber: 800017
Inspection Date: 07/19/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at:
Structure
Application Field
Other
a. Was conveyance man-made?
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
c. 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 observable adverse impacts or potential adverse impacts to Waters of the
State other than from a discharge?
Waste Collection Storage & Treatment
4. Is storage capacity less than adequate?
If yes, is waste level into structural freeboard?
5. Are there any immediate threats to the integrity of any of the structures observed (I.eJ large
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect application?
If yes, check the appropriate box below.
Excessive Ponding?
Hydraulic Overload?
Frozen Ground?
Heavy metals (Cu, Zn, etc)?
PAN?
Is PAN > 10%110 lbs.?
Total Phosphorus?
Failure to incorporate manure/sludge into bare soil?
Outside of acceptable crop window?
Evidence of wind drift?
Application outside of application area?
Yes No Na No
❑ IN ❑ ❑
❑❑■❑
❑ IN ❑ ❑
❑ IN ❑ ❑
Yes No Na No,
❑
❑■❑❑
f■I lsto
❑ IN ❑ ❑
[ME la
Yes No Na Ne
❑■❑❑
page: 3

Permit: AWC800017 Owner - Facility : Daniel Luke Knox Facility Number: 800017
Inspection Date: 07/19/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes No NoLle
Crop Type 1
Corn (Silage)
Crop Type 2
Fescue (Hay, Pasture)
Crop Type 3
Small Grain Cover
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
0 ❑ ❑
❑
Management Plan(CAWi
15. Does the receiving crop and/or land application site need improvement?
❑ El
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑ ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑ E ❑
❑
18. Is there a lack of properly operating waste application equipment? -
❑ E ❑
❑
Records and Documents
Yes No Na No
19. Did the facility fail to Have Certificate of Coverage and Permit readily available?
❑E
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑M
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
E ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWC800017 Owner - Facility : Daniel Luke Knox Facility Number: 800017
Inspection Date: 07/19/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Crop yields?
120 Minute inspections?
Monthly and 1" Rainfall Inspections
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
(NPDDS only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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?
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
Otherlssues
28. Did the facility fail to properlydispose of dead animals within 24 hours and/or document
and report mortality rates that exceed normal rates?
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 regional DWQ of emergency situations as required by 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 1 Storage Pond
Other
If Other, please specify
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 on -site representative?
34. Does the facility require a follow-up visit by same agency?
Yes No Na No
ri
El
❑■❑❑
❑ ❑ E ❑
❑ ❑ E ❑
Yes No Na No
❑ ■❑ ❑
❑ E ❑ ❑
❑■❑❑
❑ N ❑ ❑
El
❑ E ❑ ❑
❑■❑❑
❑■❑❑
page: 5

,.
F LE
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
Dear G & M Milling Co., Inc.:
September 2, 2015
Donald R. van der Vaart
Secretary
Re: COMPLIANCE INSPECTION
G & M Milling Co., Inc./Facility 80-16
General Permit AWC800016
Rowan County
On March 26, 2015, staff of the North Carolina Division of Water Resources (DWR), Water
Quality Regional Operations Section (WQROS), inspected the Osborne Dairy and the permitted
waste disposal system. We wish to thank Jeffrey C. McNeely, who was present and assisted
during the inspection.
The enclosed report should be self-explanatory; however, should you have any questions
concerning this report, please contact meat [phone].
Sincerely,
Ile
James B. Bealle 111, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources, NCDENR
enclosure: Compliance Inspection Report dated March 26, 2015
jb
Mooresville Regional office, 610 East Center Avenue, Mooresville, North Carolina 28115
Phone: [phone] Internet: www.nodertr.gov
An Equal Opportunily 1 Affirmative Action Employer— Made in part by recycled paper

Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 Facility Status:
In section T e• Compliance Inspection
Active
Permit: AWC800016 C] Denied Access
Inactive Or Closed Date:
P yP
Reason for Visit Routine County:
Rowan Region: ' Mooresville
Date of Visit: 03/26/2015 Entry Time: 01:30 pm Exit Time: 2:30 pm Incident #,
Farm Name: Osbome Dairy
Owner Email:
Owner: G & M Milling Co Inc
Phone: [phone]
Mailing Address: 4000 Taylorsville HWy
Statesville NC 286251842
Physical Address: 385 Hamps Dairy Rd
Cleveland NC 270139190
Facility Status: Compliant ❑ Not Compliant integrator:
Location of Farm: Latitude:
35' 46' 31" Longitude: 80° 38' 09"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd.
Look for sign on left. General location: north of Cleveland.
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat
M Waste Application
Records and Documents Other Issues
Certified Operator: Jeffrey Carrol McNeely Operator Certification Number: 1000643
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Jeffrey C. McNeely Phone : [phone]
On -site representative Jeffrey C. McNeely Phone: [phone]
Primary Inspector: James
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
11/17/14 > Waste Analysis > N = 1.42 Lbs11000 Gallons
06/27/14 > Waste Analysis > N = 1.87 Lbs11000 Gallons
06/27/14 > Soil Analysis
jb
Phone: [phone] EX
Date:
page: 1

Permit: AWC800016 Owner -Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 03/26/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Cattle
Cattle - bairy Calf
20
15
Cattle - Dairy Pfeifer
50
0
Cattle - Dry Cow
20
5
Cattle - Milk Cow
200
40•
Total Design Capacity: 290
Total SSLW: 366,000
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Waste Pond WP1 19.00 36.00
page: 2

Permit: AWC800016 Owner -Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 03/26/15 Inssection Type: Compliance Inspection Reason for Visit: Routine
Dlscha_r_-ges & Stream Impacts
Yoe No Na No
1. Is any discharge observed from any part of the operation?
❑
M ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑ 0
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
❑ M
❑
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 observable adverse impacts or potential adverse impacts to Waters of the
❑
■ ❑
❑
State other than from a discharge?
Waste Collection Storage & Treatment
Yes
No Na No
4. Is storage capacity less than adequate?
❑
M ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large
❑
0 ❑
❑
trees, severe.erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
M ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
❑
❑
to roofed pits,, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑0
❑
❑
maintenance or improvement?
Waste Application
ves No Na NN
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ 00 ❑ .
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 1WWII 0 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manurelsludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWC800016 Owner - Facility : G & M Milling Co Inc Facility Number: 800016
Inspection Date: 03/26/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes No Na No
Crop Type 1
Corn (Silage)
Crop Type 2
Fescue (Hay)
Crop Type 3
Small Grain Cover
Crop Type 4
Timothy, Orchard, & Rye
Grass
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
0 ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
❑ 0
❑
determination?.
17. Does the facility lack adequate acreage for land application?
❑
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
❑
❑
Records and Documents
Yes
No Na No
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑0
❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
. ❑ ❑
If yes, check the appropriate box below.
WU P?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
■ ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWC800016 Owner -Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 03/26/15 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No Na No
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
❑ ■
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
M ❑
❑
25, Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
❑ M
❑
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?
❑
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
❑0
❑
Other Issues
Yes, No Na No
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
❑
❑
and report mortality rates that exceed normal rates?
29: At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
M ❑
❑
contact a regional Air Quality representative immediately. .
30. Did the facility fail to notify regional DWQ of emergency situations as required by 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
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
E ❑
❑
CAWM P?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
❑
❑
page: 5

Water Resources
ENVIRONMENTAL QUALITY
January 10, 2017
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
r7a=
IA MG��RY
" (;nvernnr
DONALD R. VAN DER VAART
Secretary
S. JAY ZIMMERMAN
Re: COMPLIANCE INSPECTION
G & M Milling Co., Inc./Facility 80-16
General Permit AWC800016
Rowan County
Dear G & M Milling Co., Inc.:
Direclor
On November 22, 2016, staff of the North Carolina Division of Water Resources (DWR), Water
Quality Regional Operations Section (WQROS), inspected the Osborne Dairy and the permitted
waste disposal system. We wish to thank Jeffrey C. McNeely, who was present and assisted
during the inspection.
The enclosed report should be self-explanatory; however, should you have any questions
concerning this report, please contact me at [phone].
Sincere
t
s nvironmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources
enclosure: Compliance Inspection Report dated November 22, 2016
jb
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704 663 1699

Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 Facility Status: Active
Permit: AWC800016 ❑ Denied Access
Inppection Type: Compliance Inspection
Inactive Or Closed Date:
Reason for visit: Routine County:
Rowan Region: Mooresville
Date of Visit: 11/22/2016 Entry Time: 0130 pm Exit Time: 5:00 pm Incident #
Farm Name: Osbome Dairy
Owner Emalt:
Owner: G & M Milling Co Inc
Phone: [phone]
Mailing Address: 4000 Taylorsville Hwy
Statesville NC 286251842
Physical Address: 385 Hamps Dairy Rd
Cleveland NC 270139190
Facility Status: Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude:
35' 46' 31" Longitude. 80° 38' 09"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 3/4 mt south on Hobson Rd.
Look for sign on left. General location: north of Cleveland.
Question Areas:
Dischrge & Stream Impacts Waste Col, Star, & Treat
Waste Application
Records and Documents Other Issues
Certified Operator: Jeffrey Carrot McNeely Operator Certification Number: 1000643
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Jeffrey C. McNeely Phone : [phone]
On -site representative Jeffrey C. McNeely Phone: [phone]
Primary Inspector: Jam Phone: [phone] Ex1
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
09/20/15 > Waste Analysis > N = 0.77 Lbs11000 Gallons
11/17/14 > Waste Analysis > N = 1.42 Lbs11000 Gallons
06/27/14 > Soil Analysis
C.
page: 1

Permit: AWC800W6 Owner - Facility: G 8, M Milling Co Inc Facility Number: 800016
Inspection Date: 11/22/16 Inppection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Cattle
Cattle - Dairy Calf
20
0
Cattle - Dairy Heifer
s0
0
Cattle - Dry Cow
20
0
Cattle -Milk Cow
200
0
Total Design Capacity: 290
Total SSLW: 365,000
Waste Structures Observed
Diaignated
Type Identifier Closed Date Stan: Date Freeboard Freeboard
Waste Pond VVP1 19.00 48.00
page: 2

Permit: AWC800016 Owner -Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 11/22/16 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges $ Stream Impacts
Yes
No No No
1. Is any discharge observed from any part of the operation?
❑
❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
❑ E
❑
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)
❑
❑ M
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
M ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
M ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatment
Yes No No No
4. Is storage capacity less than adequate?
❑
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (LeJ large
❑0
❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed andlor managed through a
❑
M ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
0 ❑
❑
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑M
❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
M ❑
❑
maintenance or improvement?
Waste Application
Yes No No No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ ■ ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑M ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
Cl
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWC800016 Owner - Facility : G & M Milling Co Inc Facility Number:' 800016
Inspection Date: 11/22/ 6 Inppection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Crop Type 1
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
determination?
17. Does the facility lack adequate acreage for land application?
1 B. Is there a lack of properly operating waste application equipment?
Records and Documents
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available?
If yes, check the appropriate box below.
WUP?
Checklists?
Design?
Maps?
Lease Agreements?
Other?
If Other, please specify
21. Does record keeping need improvement?
If yes, check the appropriate box below.
Waste Application?
Weekly Freeboard?
Waste Analysis?
Soil analysis?
Waste Transfers?
Weather code?
Rainfall?
Stocking?
Yes No Na No
Corn (Silage)
Fescue (Hay)
Small Grain Cover
Timothy, Orchard, & Rye
Grass
❑■❑❑
❑■❑❑
❑ ❑ M ❑
❑N ❑ ❑
Yes No Na No
❑■❑❑
❑ E ❑ ❑
❑ N'❑ ❑
page: 4

1
Permit: AWC800016 Owner- Facility : G & M Milling Co Inc Facility Number:
800016
Inspection flats•. 111/22/16 Inpsection Type: Compliance Inspection Reason for Visit:
Routine
Records and Documents
Yes
No Na No
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1"Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
00
❑
23, If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
❑ ■
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
0 ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
❑ M
❑
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?
❑
M ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
❑ M
❑
Otherlssues
Yes No Na No
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
■ ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
M ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by 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
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or ❑ ■ ❑ ❑
CAWM P?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ 0 ❑ ❑
34. Does the facility require a follow-up visit by same agency? ❑ 0 ❑ ❑
page: 5

(Type of Visit: IM Compliance Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: outine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access I
Date of Visit: Arrival Time: O ` Departure Time: p '��unty: Region: V ry
Farm Name: Owner Email:
�A r:jjEOwner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: j� Integrator:f
Certified Operator: w �� Certification Number:
Back-up Operator:
Location aif.Farm:
Latitude:
Certification Number:
Longitude:
�%~, C'. F $
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4-A
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Discharges and Stream Im actsand StreamFacts
1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the,waste manage-ment.systeM.? (If yes, notify-DWQ) ❑ Yes NorNA
NE
2. Is there evidence of a past discharge, from„any part.of the operation?- ❑ Yes o NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes NE
of the State other than from a discharge?
Page 1 of ' 21412011 Continued

Facility Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacil'r(structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
' )'�7 Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the inte ty of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are -there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes [ NE
❑ Yes ❑ No NE
Structure 5 Structure 6
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or envirol
7. Do any of the structures need maintenance or improvement? ❑ Yes
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes
(not applicable to roofed pits, dry stacks, and/or wet stacks)
threat, notify DWQ
�p ❑ NA ❑ NE
No _DNA ❑ NE
9. Does any part of the waste management system other than the waste structures require ❑ Yes` 'qNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes n NA
maintenance or improvement?
I I. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Ye o ❑ NA
❑ 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):
❑ NE
aNE
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
[]Yes
"❑ NA
rl NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ YV�_
h7_N!!E7
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Y
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Y
❑ NE
Required Records & Documents ��-
19. Did the facility fail to have the Certificate of
available?
20. Does the facility fail to have all components of the CAWMP readily available?
the appropriate box.
❑ ec is ❑ Design Maps Leas eements
21. D record keeping need improvement? If. es, c at x
... - .. C-te-Tr�ns
.. No NA, ❑ NE ., .
Waste Application eekly Freeboard a Analysis oil alysiers - ea er Code
❑fall ❑ S yng Yield Mtnu a Inspections onthly and 1" Rainfall Inspections udge Survey i
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 A ❑ NE
Page 2 of 3 21412011 Continued

r Facility Number: -I 113ate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
[] Failure to complete annual sludge survey - ❑ Failure to develop a POA for sludge levels
es F-I No
Yes
NA ❑ NE
v`
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? Yes o ❑ NA ❑ NE
27, Did the facility fail to secure a phosphorus loss assessments PLAT ce Yes ❑ No ❑ NE
28. Did the faci ' affFo properly dispose of d i ours and/or doc
and report mortality rates that were higher iban 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 emjgjaX situations as required by the ❑ Yes NA
permit? (i.e., discharge, freeboard problems, over -application)
G
V 31, Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes NA
-�' ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes � ❑ NA
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes NA
r34. Does the facility require a follow-up visit by the same agency? Yes ❑ NA
r
L`� Rat
c�i
Reviewer/Inspector Name:
Phone:
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
- yr-.
Reviewer/Inspector Signature: - Date:
Page 3 of 3 21412011

Assistance
for Visit: ! Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: :3 Departure Time: �: ounty: Ra W� _ Region:
Farm Name: d S tot\ .� h_C Owner Email:
Owner Name: G r A `1 c- C C!5 kNc Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:��
-- --
C
Certified Operator:'
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design "Current
Design Current Design Current
°
Swine Capacity Pop w:
Wet Poultry M1
C pacify Pop
Cattle
Ca�p9acrty
.
.
,Pop
Wean. to Finish
La er
iry Cow
Wean to Feeder
Non -La er
iry Calf
Feeder to Finish
° '
Heifer
Farrow to Wean
Design , Curirerit
Claw
2p"
Farrow to Feeder
D ' ,°P,oultr.,
Ca" aci Pop. `
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
V
Boars
Pullets
Beef Brood Cow
Turkeys
a
;
'Other
Tur ey Pouts
Other
Other4
Discharges and Stream Impact
1. Is any discharge observed,from any part of the operation? ❑ Y o NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [—]Yes []No A ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes []No A ❑ NE
a What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) ❑ Yes ❑ N ❑ 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 21412011 Continued

Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ YesNoKA
NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑No' ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ' -, ►' - v�
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): ' t
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes12��o ❑ 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 ❑ 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 ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Ycs 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
❑ Yesb!g=NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yeso ❑ 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 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): GC �1+.� f `�� `
auk
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Ye o ❑ 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;;R�No ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes o ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes o ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certi ermit readily available?
❑ Yes W,0 NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes I__I� DNA
❑ NE
the appropriate box.
❑ WUP s Design ❑ Maps ❑ Lease
Other:
21. Do cord keeping need impr ent? If yes, check the appropriate box below. ❑ Yes ❑ NA ❑ NE
Waste Application Weekly Freeboard �E7-Waste Analysis oil Analysis ste T aransfers ❑ Weather Code
❑ Rainfall ocking Crop Yield ❑ 4--Minute Inspections onthly and V Rainfall Inspections udge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes o ❑ NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No _jR:5A' ❑ NE
Page 2 of 3 21412011 Condnued

! Facility Number: - Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit Ye No
0
25. Is the facility out of compliance with permit conditions related to sludge? If yes, chec ❑ Yes [:]No
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:
❑NA ❑NE
_;��A ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes�o NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ N ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dea ith 24 hours and/or document ❑ Yes o ❑ NA ❑ NE
and report mortality rates that were higher an normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes o7 ❑ NA
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
❑ NA
permit? (i.e., discharge, freeboard problems, over- pfT1cation) -
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ElLagoon/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?
❑ Yes o ❑ NA
❑ Yes lw NA
❑ Yes o ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
C`I NE
34 Does the facility require a follow-up visit by the same agency? ❑ Yes NA ❑ NE
Comments (referto questlori #j: Ekplain any YES'answers and/or any additional recommendations or any other comments
Use_drawidgs'of,facility to better explain situations (use additional pages as necessary):.
1, Ci U� V,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone:
Date:
Page 3 of 3 21412011

�v 16
-MA 0
Randy Osborne Dairy
Randy Osborne
385 Hamps Dairy Rd.
Cleveland, NC 27013
VED I DENR I DVS Facility No. SO-16
�r protedlon 5aa� n -
APR 01 20 Rowan County, North Carolina
Certified Animal Waste
Management Plan
(0200 Permitting Plan)
For a herd size of:
200 Milk Cows
20 Dry Cows
50 Heifers
20 Calves
In Cooperation with the
Rowan Soil and Water Conservation District
October 9, 2001 (� d
D
APR 6 2�09

. r
~` NEEDMORE Farm Location Map z
o Randy Osborne Dairy ORE ° RD.
Facility No. 80-16 o Z
C-OT Randy Osborne � O u.a 385 Hamps Dairy Lane
Cleveland, NC 27013
f
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cc
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AUR U5� 00k SPRINGS rn
Cr. rFLEMI
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ARRY
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�Q RQ.RI
RI)REDM ILDEBRAND �.�
44
' r _ Creek 4� LNG RD.
�I�iNJ RD.

,k
4 V.
Farm Site Map
A
-1w
Randy Osborne Dairy
Facility No. 80-16
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
IK
ZZ Alt
".4 . ZA
sJ
'TR
let
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4k
IT
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Ulf

Nutrient Management Plan For Animal Waste Utilization
This plan has been prepared for:
Randy Osborne Dairy
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
704-278-0013
08-28-2002
This plan has been developed by:
C. Lipe Barrier, Jr., Environmental Spec. II
DSWC
Iredell SWCD
444 Bristol Dr.
Statesville, NC 28677-2942
704-873-6761 Ext. 3
A
Developer Signature
Type of Plan: Nitrogen Only with Manure Only
Owner/Manager/Producer Agreement
I (we) understand and agree to the specifications and the operation and maintenance
r 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.
- • Q2
Si Lure (owner) Date
Signature (manager or producer) 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:
Techtural Specialist Signature Date
----------------------------------------------------------------------------- ------------------------------------------
671391 Database Version 2.0 Date Printed: 08-28-2002 Cover Page 1

Map and Field Legend
Randy Osborne Dairy Farm
Field Number Acres Land Use
Tract 18877
1
13.0
Cropland/Hayland
2
26.0
Cropland/Ha_vland
3
4.5
Pasture,
4
3.0
Pasture j �' s c. ..�� ,�_ d. kv Ir t(-e-f
5
2.0
Hayland
b
4.0
Pasture
9.0
Grazed Woods
7
4.0
Pasture
4.0
Grazed Woods
8
3.0
Pasture
2.0
Grazed Woods
9
11.0
Pasture
10
30.5
Cropland/Hayland
Tract 18966
1 1.5 Cropland
2 30.5 Cropland
133 Acres Available for Spreading of Animal Waste
tj
1
i f
I 1 4

--0
- eW"
Rt
Vk
r
;;4j•4� ,�Y�; ,,,, Field Location Map
1
Randy Osborne Dairy
Facility No. 80•-16
Randy Osborne
S6t i' �' -�' 385 Hamps Dairy Lane
a Cleveland, NC 27013ft
t'
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. Gall Soil Survey Mai
Randy Osborne Dairy -
��; sAB;��:hJ,:� Facility' No. 80-16 33Sri a R ,
e pJf j t
We-
Randv Osborne
3$5 Hamps Dairy Lane b .�
i ff q1 2 % �\yS �ip r q 'may
r
Cleveland, NC 27013
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1l
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6 '� G

Narrative
The Randy Osborne Dairy
This Nutrient Management Plan is for 200 milk cows and 90 dry cows, heifers and calves.
Animal Waste collected from the freestalls and mitkmg areas will be managed as a slurry, stored
in the Waste Storage Pond and spread twice each year. Animal Waste Solids will be collected from
lounging areas, stock trails and feeding areas and spread as needed. Collected waste will be spread
on to cropland, hayland and pasture by tank spreader and solids spreading.
The dairy calves are grown in hutches placed on a 6 inch gravel bed. The waste is washed into the
gravel though the year as needed. When gravel becomes saturated, usally once each year, it will be
spread on to farm roads and heavy use areas where sufficient grass buffers are present, such as pasture
or hayland.
It is important for this farm to establish a waste sampling history for planning the utilization of the
available nutrients from the animal waste produced. Waste samples will be taken and processed
for each slurry application to support adquate nutrient application and for accurate record keeping
as required by the regulations. Dairy solids should by sampled quarterly or each time of spreading.
------------------------------------------------------------------------------------------------------------------------
�� �' 671391 Database Version 2.0 Date Printed: 08-28-2002 Narrative Page I of 2

Narrative
Randy Osborne Dairy Animal Waste Sources
Ul - Randy Osborne Dairy Solids
Mills Herd Lounging Area
93 lbs./head/day x 200 Head x 365 days x 10% confinement divided by 2000 lbs./ton = 340 tons
Stock Trail used by Milk Herd
93 lbs./head/day x 200 Head x 365 days x 2%time use divided by 2000 lbs./ton = 68 tons
Dry Cows and Heifer Feeding Area
20 Dry Cows x 93 lbs./Head/Day x 365 days x 10% access divided by 200 lbs./ton = 34 tons
50 Heifers x 67 lbsJhead/day x 365 days x 10% access divided by 2000 lbs./ton = 64 tons
Total Dairy Solids = 504 tons
504 tons of Dairy Solids x 4.3 lbs.hon of PAN = 2167 Ibs. of PAN
U2 - Randy Osborne Dairy Slurry
79,698 cu. ft. of animal waste, runoff water and wash water are produced per 180 days x 2 -180 day
periods x 7.48 gals./cu.ft. = 1,192,282 gal. per year available for land application.
1,192,281 gals. of Dairy Slurry x 10 lbs. Plant Available Nitrogen (PAN)/1000 gals. = 11,922 lbs.
PAN
See Randy Osborne Waste Storage Pond Design of support information
-------------------------------------------------------------------------------------•-----------------------------------
671391 Database Version 2.0 Date Printed: 08-2$-2042 Narrative Page 2 of 2

vA .
Nutrients applied in accordance with this plan will be supplied from the
following source(s):
Commercial Fertilizer is not included in this plan.
Ul
Randy Osborne Dairy Solids waste generated 504.90 tons/year by a 270
animal Dairy (Milk Cow) Solid o eration.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
2171
Incorporated
2879
Injected
N/A
Irrigated
N/A
Actual PAN Applied
(Pounds)
Actual Quantity Applied
(Tons)
Surplus/Deficit (Tons)
Year 1
2,483.75
577.61
-72.71
Year 2
2,483,75
577.61
-72.71
U2
Randy Osborne Dairy Slurry waste generated 1,192,282 gals/year by a 200
animal Dairy (Milk Cow) Liquid Manure Slurry operation. This production
facility has waste storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
11921
Incorporated
16256
Injected
18423
Irrigated
10837
Actual PAN Applied
(Pounds)
Actual Volume Applied
(Gallons)
Volume Surplus/Deficit
(Gallons)
Year 1
26,658.25
2,062,626
-870,344
Year 2
33,858.75
3,382,899
-2,190,617
This plan includes a User Defined Source to determine the total pounds of PAN in lieu
ofNRCS Standardvalues. Refer to North Carolina Cooperative F-x--tcnsion Senice publication AG-439-42
entitled "Soil Facts: Use of On -Farm Records for Modifying a Certified Animal Waste Management Plan" for
guidance on using on -farm records to develop a User Defined Source.
----------------------------------------------------------------------------------- -----------------------
Note: In source ID. S means standard source. U means user defined source.
671391 Database Version 2.0 Date Printed: 08-28-2002 Source Page 1 of I

The Waste Utilization table shown below summarizes the waste utilization plan for this operation. This plan provides an estimate of the number ofacres 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 estivate 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 fertilizer and residual from previous clops. 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.
Depending on the requirements of the crop and the nutrient content of the waste, some nutrients will likely be over or udder applied if animal waste is being
utilized. Waste should be analyzed before each application cycle and annual soil tests are required if animal waste is being applied. Soil tests should be
used to balance the nutrient application amounts with the realistic yields of the crop to be grown. 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
V RORTTtiliMtion Tahle Year 1
Tres!
Field
Source
I.D.
Soil Series
Tidal
Acre
Use.
Ams
Cr
RYE
Applic.
Period
Nitrogen
PA
Nutrient
Regd
Como
Fart
Nutrient
Applied
Rs.
(lbs A)
Mpli�.
Me<hod
Manure
PA
Nutrient
Applied
Liquid
Manure
Applied
(acre)
Solid
A4anure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
N
IbslA
1000
gall0
tcnns
1000 Is
tons
18877
1
U2
Mecklenburg
13.00
13.00
Orchardgtass May
3.5 Tons
811-7/31
155
0
0
Broad,
4
0.00
0
0.00
0.00
18877
1
U2
Mecklenburg
13.00
13,00
Small Grain, Silage
8.8 'tuns
9/ 1-3/31.
98
0
0
Broad
49
4.90
0
63,71
0.00
18877
2
U2
Iredell
26.00
26.00
Small Ciraun. Silage
8.3.rons
9/1.3/31
85
0
0
Broad.
43
4.25
0
110.52
0.00
18877
2
U2
lredell
26.00
26.00
Cam, Silage
15.7 Tons
2I15-6/30
160
0
0
Broad.
160
16.00
0
416,07
0.00
18877
2
U2
Iredell
26.00
26.00
OrchardgTass Hay
2A Tons
8/1-7/31
99
0
0
Broad.
99
9.90
0
257.44
0-00
18877
3
Ul
Hiwassee
4.50
4.50
Fescue Pasture
4A Tars
8/1-7/31
147
0
0
Broad
74
OAO
17
0.00
76,92
18877
4
U l
Iredell
3.00
3.00
Fescue Pasture
2.7 Tons,
811-7,131
83
0
0
Broad.
42
0.00
10
0.00
2895
18877
5
Ul
IrLdell
2.00
2.00
Orchardgmss Pasture
2.1 Tons
8.'1-7/31
65
0
0
Broad.
33
0.00
8
0.00
•15.11
18877
6
Ul
Pacolet
13.00
4.00
Fescue Pasture
3.8 Torts
VI-7/31
127
0
0
Broad.
12-1
0.00
30
0.00
118.14
18877
7
111
1 Pacolet
8.00
4.00
Fescue Pasture
3.8 Tom
8/1-7131
127
0
0
Broad,
1 127
0.00
30
0.00
118,1.1
--------------------------------------- ----- -------------------------- ------------------- ---- ------------ --- ---------------- -
671391. Database Version 2.0 Date Printed: 8/281t)2 WUT Page 1

Waste I Itilization Table
Year 1
Tray
Field
Source
I.D.
Soil Series
Taal
Acre
t:se.
AcTe%
Crop
RYE
Applic.
Period
Nitrogen
PA
Nutrient
Req'd
Comm.
Fact.
Nutrierd
Applied
Res.
(lbs%A)
Applic
Method
Manure
PA
Nutrient
.Applied
Liquid
Manure
Applied
(acre)
Solid
Manure
Applied
(acre)
Liquid
-Manure
Applied
(Field)
Solid
'Manure
Applicvl
(Field)
K
N
N
11rs/A
1000
} aliA
tons
1000 pMa1s
taus
18877
8
Ul
Paarld
3.00
3.00
Ksme Pasture
3.8 Tans
811-7131
127
0
0
Broad
127
0.00
30
0-00
88.60
18877
9
U1
I Pacold
11,00
11.00
Ordiardgrass Pasture
3.1 Tags
811-7131
103
0
0
Broad.
52
0.00
12
0.00
131.74
19877
10
U2
Cecil
30.50
30.50
Ordmrdgass Hay
3.5 Tons
8/1-751
155
0
0
Broad.
0
0.00
01
0.00
0.00
18877
10
U2
C061
30,50
30.50
Small Grain, Silage
9.6 Tons
9/1-3131
107
0
0
Broad.
54
5.35
0
163.20
0.00
---18W
I
1 U2
1 Paa"let
1.50
1.50
Small Grant, Silage
9.0 Torts
9/1-3/31
89
0
0
Broad
89
0.00
0
0.00
0.00
-18966
1
U2
Pacolet
1.50
1.50
Conn. Silage
17.8 Tons
2115-6130
194
0
0
Broad
194
19.59
0
29.38
0.00
--18966
2
U2
Cecil
30,50
30.50
Sinai) Grain, Silage
9.8 Tons
9/1-3131
109
0
0
Broad
109
11.00
0
335.64
0.00
-18966
2
U2
Cecil
30.30
30.50
Com, Silage
20,5 Torts
2115-6130
223
0
0
Broad.
1 223
22.51
0
696.67
0.00
Tao] Applied, 1000 gallons
2,062.63
'�� . R,
Lagoon Uquids
Total Produced, 1000 gallons
1,192.28
Balance. 1000 galloons
-870 34
Total Applied, tuns
4=_4
577,61
Manure Solids
Total Prodttoed, tons
-€
504.90
Balmy q. t®s
< �_
-72.71
Nuke: 1. Tit the trail calm m, symbol _ means leased, otherwise, awned. 2. Svtttbol' mca ns user entered data.
-------------- ------------------------ -- ---- . -- ---------------------v--------------------------------------------------- ------ ---------
671391 Database Version 2.0 Date Printed: 8/28/02 WUT Page 2

Wtieta T Ttil;-tnf;nn Tal-ila
Naar ?
Tract
Field
Source
I.D.
Soil Series
Total
Acre
Use.
Acres
Crop
RYE
applic.
Period
Nitregai
PA
Nutrient
Req'd
Conn.
Feat.
Nutrient
Applied
Rts.
(Ibs/Al
Applic,
Method
hianum
PA
Nutrierrt
Applied
Liquid
Manure
Applied
(acre)
Solid
,Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
N
lbs1A
1000
l/A
tons
1000 Its
tons
18877
1
U2
Mecklenburg
13.(]0
13.00
Ordnardgrass Hay
3.5 Tuns
8/1-7/31
155
0
0
Broad.
155
15,50
0
201.53
0.00
18877
4
U2
Nleddenburg
13.00
13.00
Small Grain. Silage:
8.8 Tots
9/1-3131
98
0
0
Broad.
49
4.90
0
63.71
0.00
18877
I
U2
N.I d lerbtu•g
13.00
13.00
Corn, Silage
18.6 Tons
2/15-6/30
203
0
01
Broad,
2031
20.30
0
263,95
0.00
18877
2
U2
lredell
26.00
26,00
Snnall Grain, Silage
8.3 Tons
9/1-3131
85
0
0
Broad.
43
4.25
0
110.52
0.00
19877
2
U2 I
hill
26.00
26.00
I Orchardgmw I lay
2.4 Tuns
8i I -7/31
99
0
0
Broad.
0
0.00
0
0.00
0.00
12877
3
UI I
Hiwassea
4.50
4.50
FeswePasture
4.4'rons
8/1-7/31
I47
0
0
Broad.
74
0.00
17
0.00
76.92
18877
3
U2
Hiwassee
4.50
4.50
Corn, Silage
22.2 Tons
2/15-6/30
242
0
0
Broad,
242
24,20
0
108.92
0.00
12877
4
Lll
Iredell
3.00
3.00
F.e Pasture
2-7 Tons
8/1-7/31
83
0
0
Broad.
42
0.00
10
0.00
28.95
18877
4
U2
Iredell
3.00
3.00
COm. Silage
14.2 Tans
2/15-6/30
145
0
0
Broad.
145
14.50
0
43.51
0.00
18877
S
U1
iredell
2.00
2.00
Orchardgm% Pasture
2.1 Tuns
811-7/31
65
0
0
Broad.
33
0.00
8
0.00
15.11
13877
5
U2
lredell
2.00
2.00
Corn, Silage
14.2'rors
2115-6/30
145
0
0
$road.
145
14.50
0
29.01
0.00
It877
6
U1
Pacolet
I3.00
4.00
Fescue Pasture
3.8 Tons
811-7/31
127
0
0
Broad,
127
0.00
30
0.00
118.1.4
18977
7
UI
Pa.nlet
8,00
4,001
Fescue Prruure
3.8 Tons
811-7/31
127
0
0
Broad.
127
0.00
30
0.00
118.14
19877
8
Ul
pwolet
5,00
3.00
Fewue Pastrlre �.�<..-
3.8 Tuns
8/1-7/31
127
a-`, -0
0
Broad.
127
0.00
30
0.00
88.6(1
19877
9
Ul
Pacolet
11.00
1 1.00
0rcliardgrass Pasture ; j ,, :
'> 3.1 Tons
8il-7/31
103
0
0
Broad.
52
0.00
12
0.00
131.74
19977
9
U2
Pacolef
11.00
11.00
Corn, Silage
17.4 Tans
2115-6/30
190
0
0
Broad.
190
19.00
0
209.04
0.00
19877
10
L12
Cecil
30.50
30,50
Ordrardgrass Hay
3.5 Tons
811-7/31
135
0
0
Broad,
155
15.50
0
472.93
0.011
18877
10
U2
Cecil
30.50
30,50
Small Grain, Silage
9.6 Tons
9/1-3/31
107
0
0
Broad,
54
5.35
0
I63.20
0.01)
19877
10
• U2
Cecil
30.50
30.50
Com, Silage
20.0 Tons
2/15-6/30
218
0
0
Broad,
218
21.80
0
665.01
0.011
-19966
1
U2
Paevict
1,50
1.30
Small Grain, Silage
8.0 Timis
911.3/31
89
0
0
Broad.
89
0.00
0
0.00
0.01I
�19966
1
1 UZ
Pawlct
1.50
I.50
Corn. Silage
17.8 Tons
2'15-6/30
1�r41
0
0
Broad,
194
19.59
0
29.31:
0.00
-19966
2
U2
Ceei1
30.50
30.50
Small Grain, Silage
1 9.8 Tans
911.3/31
I (19
01
0
Broad.
1091
11.00
0
335.6
0.0
671391
Database Version 2.0
� wG 4's OL
�yz
"77
, ss e e--
� `58�I
1(
3. C����
�•��i -
1
3eD�c-
5 �
--------------- --- ------------ --- ---- .-------------------------------------------- ----
Date Printed: 8/28102 W Page 3
f,-3/3r
q -3 31 73 /4s
ilk Ib, /v ii L

Y
Wade i Ttili72tinn Tahle
Year Z
-
Tract
field
-
Source
I,D,
Soil Series
Total
Acre
Use.
A--
Crop
RYI
Applic,
Period
Nitropt
PA
Nutrient
Reu'd
C'onun.
Fert.
Nutrient
Applied
Rts.
(16s:/A)
Applie,
Metliod
Nlannrc�
Pal
Nutrient
Applied
Liquid
Manum
Applied
(acre)
Solid
tvfanurc
Applied
(acre)
Liyuid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
[Q"N
N
INIVA
I WO
gaV
tons
1000 Is
tons
18966
2
U2
Cenil
1 30.50
30.50
Corn, Silage
20.5 Titus
2r15-6/30
213
0
0
Broad.
1 223
22,51
0
686.67
0.00
/
Total Applied, 1000 gallons
3,382.90
L Y
1agom Liquids
`1'dnl Produces, 1004 gallons
1,192.28
:.
Balance_ 1000 gallons
-2,190.62
Total Applied, tuns
' ` *'
577,61
Manure Solids
Total Produced, tans
�:rt KJ
-�.�
504.90
Balance. tons
ti- .,
-72.71
Notes: 1. In the tract column. svnnbol means leased, otherwise, ounEed. 2. Syrn6ol • means user entered data.
-----------------------------------------------------------------------------------------------------------------------.----------------------------------------_..----
671391 Database Version 2.0 Date Printed: 8128/02 WUr Page 4

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 of the 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 Storap-e-C.anacity
Source Name I Randy Osborne Daiq Slurry
Design Storage Capacity Days
Start Date 9/ 1
180
Plan Year
Month
Available Storage Capacity (Days ,
1
1
149
1
2
155
1
3
124
1
4
94
1
5
180
1
6
150
1
7
119
1
8
88
1
9
58
1
10
180
1
11
180
1
12
149
2
I
118
2
2
159
2
3
128
2
4
180
2
5
180
2
6
150
2
7
119
2
8
88
2
9
58
2
I0
180
2
11
150
2
12
119
* Available Storage Capacity is calculated as of the end of each month.
------- - - -- -- _- _
671391 Database Version 2.0 Date Printed: 08-28-2002 Capacity Page 1 of 1

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, MRCS 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).
---------------------------------------------------------------------------
178040 Database Version 2.0 Date Printed: 8/28/02 Specification Page 1

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.
S. 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 1.00 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.
------------------------------------------------------ ----------------------------------------------------------------
_� 178040 Database Version 2.0 Date Printed: 8/28/02 Sveclfication Page 2

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.
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.
---------------------------------------------- --- -- -- - -
'�.� I78040 Database Version 2.0 Date Printed: 8/28/02 Stsecification Page 3

- 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.
--------------------------------------------------------------------------------------------------------------------------
] 78040 Database Version 2.0 Date Printed: 8/28/02 Specification Page 4

APT
+
Farm Site Map
k� , �, �_- T Randy Osborne Dairy
Facility No. 80-16
AN
• -N
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
YN
lit
N
T
A WOW
'JA No +
, V1.i5
ohs, 10
X
A
44 �,
SONlot X�
'01
LO now to
.1 Aswtom, 04A I
G-
. 'Wi
SA
xim
W6
x Z"
lcx j j 7 AN
'0 N
1A
IN
q wo
I 'U
-74\4�
lit! M,
Y t zff.
41-A
41 'r
64,5ye
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r! All no
T. )A
r 41'
/9 S,
' )e
7t
not,

Al j
CATEGORY
EXAMPLES
ACTION
CONTACTS
Obvious Threat
Complete structural failure;
1. If there 1� any potential threat to life or
Sheriff — 704-638-3000
full or partial loss of a Waste
property, c intact 911 or Sheriffs Dept.
Storage Pond wall resulting in a
release of waste
2. Report �-ailure to Division of Water Quality
DWQ at 704-663-1699,
(DWQ) - pt ovide operation name, location,
or Emergency Management at 704-838-
problem, jiime of spill, phone numbers
0911
return cabs l registration/certification
number
I
3. Make al attempts to stop the discharge and
Local. Contractor -- J. Fred Barbee Grad.
1252 Campbell Rd.
contain th4 waste on the farm
Woodleaf, NC 27054
704-278-2651
4. Contao(the technical specialist who
Tech. Spec. — 704-873-6761, ext. 112
certified thi Waste Storage Pond
Cel PH — 704-639-5923
Impending Threat
Structural damage from
1. Report 4ailure to DWQ - provide same
DWQ at 704-653-1699
overtopping; leakage or seepage
information i as above
or Emergency Management at 704-663-
from base or sidewalls of Waste
1699
Storage Pond; waste discharging
from underground tiles
I
Tech. Spec. — 704-873-6761, ext. 112
2. Make ail attempts to stop the discharge;
Cel PH — 704-639-5923
Failure to immediately address
reinforce tR eak area of structure until a
&clalist
Local Contractor — J. Fred Barbee
these may result in complete
technical can assess situation
Grading
structural failure
704-278-2651
Other Discharges
Runoff from spray fields, broken
1. If wastf, is leaving property use same
Same as for "Impending Threat" category
pipes, leaking pumps, discharges
contacts a for the previous category
from houses and other
maintenance deficiencies
2. Addres; maintenance deficiencies
Lack of Storage
Anticipated single storm events
1. Contact DWQ for regulatory approval for
DWQ at 704-663-1699
Capacity
exceeding 25 yr.24 hr. frequency
emergent~ pumping
such as approaching hurricanes;
Or extended rainfall periods
resulting in waste water levels
above the start pump marker
-
X

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Waste Storage Overflow
Runoff From Waste
Leakage From Waste
Leakage From Base or
Application
Sidewall of Storage Pond
Add soil to berm to increase
Immediately stop waste
Stop recycle (flushing
I Dig q small well or ditch to
elevation of dam
application
system) pump
catch all seepage, put in
submersible pump, and pump
Pump wastes to fields at an
Create a temporary diversion
Stop irrigation pump
back into Waste Storage Pond
acceptable rate
or berm to contain the waste
on the field
Close valves to eliminate
If holes are caused by
• •all additionalflow tothe
furtherdischarge
burrowing animals, trap or
lagoon -Incorporate
toreduce
removeand fill holes
runofffurther
Separatepipes tocreate an
andcompact• _
Call a pumping contractor
air gap and stop flow
soil
Make sure no surface water
Other holes may be likevAse
is entering lagoon
temporarily plugged with clay

Dairy Fans Walks Marragpiment Odor CmW CheMW
Source Cause BMPs to Minimize Odor Site Specific -Practices
Farmstead • Dairy production Vegetative or wooded buffers
If Recommended best management practices
G( Good judgment and common sense
Paved lots or barn • Wet manure -covered I Scrape or flush daily
alley surfaces surfaces 11 Fromote drying with proper ventilation
l( Routine checks and maintenance on waterers,
hydrants, pipes, stock tanks
Bedded areas • Urine Y 5F Promote drying with proper ventilation
a Partial microbial W Replace wet or manure -covered bedding
decomposition
Manure dry stacks
•
Partial microbial
17 Provide liquid drainage for stored manure
decomposition
Storage tank or
•
Partial microbial
0 Bottom or mid -level loading
basin surface
decomposition
0 Tank covers
•
Mixing while filling
Nr Basin surface mats of solids
•
Agitation when emptying
ffif Minimize lot runoff and liquid additions
21' Agitate only prior to manure removal
lie Proven biological additives or oxidants
Settling basin
•
Partial microbial
O liquid drainage from settled solids
surfaces
decomposition
0 Remove solids regularly
•
Mixing while filling
•
Agitation when emptying
Manure, slurry, or-
_ •
Agitation when spreading
_
0 Soil injection of slurry/sludges
sludge spreader
•
Volatile gas emissions
F1 Wash residual manure from spreader after use
outlets
19 Proven biological additives or oxidants
AMOC - November 11, 1996, page I

Dairy Farm Wade Management OdorCo*d Cheddid
Source Cause BMPs to Minimize Odor _ Site Specific Practices
Uncovered manure, • Volatile gas emissions while ❑ Soil injection of slurry/sludges -
slurry, or sludge on drying ❑ Soil incorporation within 48 hours
field surfaces ffiJ Spread in thin uniform layers for rapid drying
If Proven biological additives or oxidants _
Flush tanks • Agitation of recycled lagoon ❑ Flush tank covers
liquid while tanks are filling ❑ Extend fill lines to near bottom of tanks with
anti -siphon vents
Outside drain • Agitation during wastewater ❑ Box covers
collection or junction conveyance
boxes
Lift stations • Agitation during sump tank ❑ Sump tank covers
filling and drawdown
End of drainpipes at • Agitation during wastewater ❑ Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level
Lagoon surfaces
• Volatile gas emission
• Biological mixing
• Agitation
❑ Proper lagoon liquid capacity
❑ Correct lagoon startup procedures
❑ Minimum surface area -to -volume ratio
❑ Minimum agitation when pumping
❑ Mechanical aeration
177 Proven biological additives
Irrigation sprinkler •. High pressure agitation ❑ Irrigate on dry days with little or no wind
nozzles • Wind drift Cl Minimum recommended operating procedure
❑ Fump intake near lagoon liquid surface
❑ Pump from second -stage lagoon
Cl Flush residual manure from pipes at end of
slurry/sludge pumpings
AMOC - November 11, 1996, page 2

Dairy Farm Waste Mamgpnud Odor Conti CheWst
Source Cause BMPs to Minimize Odor Site S '1;c Practices
Dead animals • Carcass decomposition S5 Proper disposition of carcasses
Standing water e 1 mproper drainage if Grade and landscape such that water drains away
around facilities • Microbial decomposition of from facilities
organic matter
Mud tracked onto • Poorly maintained access WoFarm access road maintenance
public roads from roads
farm access
f
Additional lnfonnation: Available From
Cattle Manure Management; .0200 Rule/BMP Packet NCSU, County Extension Center
Dairy Educational Unit Manure Management System ---Lake Wheeler Road Field Laboratory; EBAE 209-95 NCSU----BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83 NCSU--BAE
Management of Dairy Wastewater; EBAE 106-83 NCSU—BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU—BAE
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings Florida Cooperative Extension
M
AMOC - November 11, 1996, page 3

Insect Contnal Chedd'Ist far Animal Opons
�- Source _ _ Cause _ BMPs to Control Insects Site Specific Practices
Liquid Svstems
Flush gutters • Accumulation of solids O Flush system is designed and operated sufficiently
to remove accumulated solids from gutters as
designed
17 Remove bridging of accumulated solids at
_ discharge
Lagoons and pits Crusted solids O Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the crusting
of solids to a depth of no more than 6 to 8 inches
over more than 30 percent of surface
Excessive vegetative • Decaying vegetation Maintain vegetative control along banks of
growth lagoons and other impoundments to prevent
accumulation of decaying vegetative matter along
water's edge on impoundment's perimeter.
Dry Svstems
Feeders Feed spillage M Design, operate, and maintain feed systems
(e.g., bunkers and troughs) to minimize the
accumu lat ion of decaying wastage
I( Clean up spillage on a routine basis (e.g., 7- to. 10-
day interval during summer; 15- to 30-day interval -
during winter)
AMIC - November 11, 1996, page I

Inset# COI" Choddst for Animal Operefiom
Source Cause
BMPs to Control Insects Site Specific Practices
Feed storage Accumulations of feed
11 Reduce moisture accumulation within and around
residues
immediate perimeter of feed storage areas by
ensuring drainage is away from site and/or providing
adequate containment (e.g., covered bin for
brewer's grain and similar high moisture grain
products)
Inspect for and remove or break up accumulated
solids in filter strips around feed stora a as needed
_
Animal holding areas * Accumulations of animal
F4 Eliminate low areas that trap moisture along fences
wastes and feed wastage
and other locations where waste accumulates and
disturbance by animals is minimal
d Maintain fence rows and filter strips around animal
holding areas to minimize accumulations of wastes
(i.e., inspect for and remove or break up
accumulated solids as needed
Dry manure handling • Accumulations of animal
61 Remove spillage on a routine basis (e.g.,
systems wastes
7- to 10-day interval during summer; 15- to 30-day
interval during winter) where manure is loaded for .
land application or disposal
Rf Provide for adequate drainage around manure
stockpiles
a/ inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and manure
handling areas as needed
For more information contact:
Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University, Raleigh, NC 27695-7613.
AMIC - November 11, 1996, page 2

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

Nutrient Management Plan For Animal Waste Utilization
This plan has been prepared for:
Randy Osborne Dairy
Randy Osborne
385 Hwnps Dairy Lane
Cleveland, NC 27013
fL�I��E:�►l��
Type of Plan:
12-11-2001
This plan has been developed by:
C: Lipe Barrier, Jr., Environmental Spec.11
DSWC
Iredell SWCD
444 Bristol Dr.
Statesville, NC 28677-2942
704-873-6761 Ext. 3
Developer Signature
t
Nitrogen Only with Manure Only
Owner/Manager/Producer Agreement
I (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.
C
Signature (owner) Date
Signature (manager or producer) 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 Specialist Signature
Date
------------------------------------------ •---------- '-'------- '--'--------------'-- '-----------------------------
864778 Database Version 2.0 Date Printed: 12-11-2001 Cover Page 1

The Randy Osborne Dairy
This Nutrient Management Plan is for 200 milk cows and 90 dry cows, heifers and calves.
Animal Waste collected from the freestalls and milking areas will be managed as a slurry, stored
in the Waste Storage Pond and spread twice each year. Animal Waste Solids will be collected from
lounging areas, stock trails and feeding areas and spread as needed. Collected waste will be spread
on to cropland, hayland and pasture by tank spreader and solids spreading.
The dairy calves are grown in hutches placed on a 6 inch gravel bed. The waste is washed into the
gravel though the year as needed. When gravel becomes saturated, usally once each year, it will be
spread on to farm roads and heavy use areas where sufficient grass buffers are present, such as pasture
or hayland.
It is important for this farm to establish a waste sampling history for planning the utilization of the
available nutrients from the animal waste produced. Waste samples will be taken and processed
for each slurry application to support adquate nutrient application and for accurate record keeping
as required by the regulations. Dairy solids should by sampled quarterly or each time of spreading.
------------------------------------------:----------------------:----:----------------------------------- ------
U4778 Database Vernon 2.0 Date Printed. 12-11-2001 Narrative Page 2 of 3

A. DESIGN VOLUMES
1. Normal Runoff for 365 day period,
Use average runoff values In Ag. Waste Management Flel Field Manu a1 for Rowan County
Surface Unsurfaced
Normal Runoff Runoff Normal
Try 6 Months
OCT through MAR :Surface Runoff Depth: 12.45
Drainage Area: 15,169 sgft
Surface Runoff = 12.45 15,169 sqft = 15 738 cult
12" ift
2. Waste volume
Volume = 200 cows x 14 gaVdaylcow x 160 days X 50% confinement
7.48 gal Icuft
Volume = 33,B80 cuff
3. Wash Water Volume
Parlor and Washroom Water
200 oms x 5 gaVdaylcow X
4. 25yr - 24hr runoff
CN=95
Rainfall c 5.5'
Runoff = 4.91"
25yr - 24hr runoff ¢ 4.91" X 15,169 sgft
12 !if
S. Rainfall minus evaporation on pond surface
160
days = F 24,0ti4 cult
6,207 cuft
Randy Osbome WSP1 Page 1

6.26yr - 24hr rainfall on pond surface
Rainfall = 5.5" = 0.6 feet
7. Freeboard + Emergency Spillway stage = Ofeet
B. SUMMARY OF DESIGN VOLUMES
1. Surface Runoff for 6 months
15738 cuft
2. Waste Volume
33690 cuft
3. Wash Water Volume
24064 cuft
4. 26 yr - 24 hr Runoff
6207 tuft
TOTAL
79,698 cult
5. Rainfall minus evaporation on pond surface
0.87 feet
6. 25yr - 24hr rainfall on pond surface
0.50 feet
7. Freeboard + Emergency Spillway Stage
1.00 feet
TOTAL
2.4 feet
C. Sizing Waste Storage Pond "AS GUILTS" Volume
177 ft X 106 ft top width (to top of dam)
Slope : < zsEiE>i Z5€:1
€a 2 :1 Slope
5iope:1 148.0
ft X
81.0
ft e� mid section:1 Slope
f0....:;'
ft X
:»;?. sf>:f:a:c:ft
bottom Width
Depth
Tap
Bottom Mid Area
Volume = 8 16 ((
16102
} + (
8450 ) + 4 ( 11,988 }�
Volume = 96,672 tuft
Exceeds the
180
days loading
VOLUME NEEDED =
79,698
cult
Normal Pump out Volume =
15,738 + 33,6W +
= 89,924 cult per
= 672,630 gallons per
Maximum Pond Level (Pump -out Elevation)
0.50 + 1.00 +
= 1.9 below top of dam
24,064 0.9 x 177
180 days = 182,346 tuftper year
180 days = 1,363,945 gallons per year
6,207 / ( 166 x 97 )
x 106
Randy Osborne WSP1
Page 2

4:5 rani fJ ::,u 14:.
U. . OP TURE�'�' NC--ENG-12
Soil Conservation Se s.xce Rev. 6/82
EARTHWORK COMPUTATION SHEET
EARTH EMBANKMENT
~J Name IUC L A Al L1h' Ip 1k�
Address
Embankment: Top Width ` Side Slopes
STATION
FILL l�,. 0
HEIGHT c
(Feet)
END AREA
(Sq. Ft.)
SUM OF
END AREAS
(Sq. Ft.)
DISTANCE
( Feet)
DOUBLE
VOLUME
(Cu. Ft. )
X *—
Level
C,
'..i .'..,• is •••'�:•
.T'"'::': s.
.+• •j.�
XSe�i 3
2•C2
46 q-
123c
�c'
91;
II
111RKE"`
+� a
L6 f f
? "VZ
-7 2 2 Z-�
I. Double Volume of Fill + 2 - _ FJ12- Cu.- Ft.
2. Volume of embankment fill (line 1 t 27) Cu. Yds.
3. Allowance for settlement (5 or 10% of line 2) Cu. Yds.
4. Total cubic yards'(line 2 + line 3) = Cu. Yds.
` Computed by Date sr
Checked by Date

`_ ``. _���i r� ^'�, •f'r l j Jf'I'/ \'.,,iL�,,� (\\.\ 5 r= ^- - --' �..i`' \~ 1 ''��- '.Ct" !' �/ ; -
�,/�s� •. t J j - •, �:`
�. �c`!l+-'t=' i��17r1f�li +���i"- ✓i JGr� Topographic .l�lf.�
�
it003 Rand
Y Osborne Fair
y
Facility No. 80-16
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
759
f f.11. 530 4�r
:'A ,nr0 -E°T
-D
i'
3959
3958
39570w" N.
SCE I S31 / R I T O�Z ILl S GOVERN MEYi aplti TlMG O-133D 1a80—Sd8/,
s !/ 33000m.E. 3t}" 3 7' 3G '
ROAD CLASSIFICATION �'oh
Primary highvia,v, Light -duty road, hard or g5
hard surface improved surface
Secondary highway,
hard surface ....- -_ Unimproved road_..====r==
Interstate Route 0U. S. Route 0State Route

OPERATION AND MAINTENANCE PLAN
3.
.0200 Certification Plan
Randy Oebo=e Dairy
Ibis Animal Waste Management System consists of the following components:
E. WASTE STORAGE POND
2. AGITATIONS AND APPLICATION SYSTEM
3. CONTAMINATED LIQUID COLLECTION SYSTEM
4• VEGETATED DIVERSIONS
5. VEGETATED BUFFERS
b. LIVESTOCK EXCLUSION
7• STOCK TRAILS
a. General Comments
All animal waste slurp and contaminated water (wash, parlor, and runoM will be scraped from the
dairy free stalls or piped, and stored in the WASTE STORAGE POND for up to 180 days. All
waste contained in WSP's will be tank hauled and spread on cropland, hayland and pasture at
agronomic rates. Animal waste solids be collected from feeding areas, cattle trails and lounging area
and spread as necessary on to hayland and pasture.
:. This Animal Waste Management System is designed to prevent discharge of Animal Waste
Contaminates to surface waters from the twenty-five (25) year, twenty-four (24) hour storm, as
required under the Non -discharge regulations.
The milk cowherd is confined to free stalls about 50% of the time with the remaining time spent in
lounging areas. A gravel stock trail connects the free stalls with the lounging area. Runoff from the
lounging area and stock trail flows through a grass filter. Dry cow and older heifers are pastured and
fed at a fence line feeder with pasture serving as grassed filter. Day old to 200 lb calves are grown in
outdoor hutches with pasture serving as a grassed filter.

OPERATION AND MAINTENANCE PLAN
.0200 Certification Plan
OVERVIEW
The FRE.ESTALL BARN WASTE STORAGE POND is designed to store the average feedlot
runoff and wastewater for a 6 Month (180 day) period A permanent marker is set indicating the
level of storage available prior to infringing on the 25 year, 24 hour storm capacity. This elevation is
2.8 feet below the top of the clam. The emergency spillway is planned 1.0 foot below the top of the
dam. The WASTE STORAGE POND consists of an earthen darn, and curbing for discharging
contaminated water into the WSP. Curbs and pipe are used to get waste from the freestall barn and
parlor into the pond.
OPERATION
The level of management for the entire system will determine the service life of the WSP'S. Over
time it is expected that some solids vaill accumulate in the WSP'S. The accumulated solids can
reduce the usable capacity to a point, which requires removal of the solids, IF adequate waste
agitation is maintained. In contrast, poor management will result in the rapid accumulation of
solids, which will reduce the usable capacity of the WSP to the point that some form of dredging
will be required. It is recommended that the WSP be completed emptied once the removal process is
started. Repeated stops, and reagitations results in increased settling and reduction of capacity.
MAINTENANCE
Vegetation on the dams should be inspected periodically and reseeded as needed to maintain 2
vigorous stand. The dam should be mowed at least annually to prevent woody growth. Mowing
operations must take place only when the sod of the dam is dry. The vegetation should not be
mowed to a height of less than four (4) inches at any time. Any evidence of sloughing or seepage
should be reported to the Iredell Soil & Water Conservation District office.
OVERVIEW
The AGITATION AND APPLICATION SYSTEM consists of properly agitating each slurry pond
prior to pumping the animal waste. Have certified operator complete proper records for all waste
applied to land identified in the Nutrient Management Plan. Waste will be land applied using
irrigation and slurry tank spreader.

OPERATION AND MAINTENANCE PLAN
.0200 Certification Plan
OPERATION
Removal of the slurry should be 'initiated prior to the liquid level reaching the full storage level
marker in the structure. When the liquids level in the WSP reaches the marker, liquids must be
removed by pumping to a spreader tang for land application. Do not apply in such a manner as to
cause runoff or erosion. Do not apply on frozen or saturated soils. The initial step in each
application operation is to properly agitate the waste in each storage pond. Consult owner's manuals
for recommended operational procedures for all agitation and irrigation equipment.
MAINTENANCE
Fields that receives waste application should have soil tested annually, It is recommended that waste
and soil sample results be used in conjunction with each other.
OVERVIEW
The CONTAMINATED LIQUID COLLECTION SYSTEM consists of a concrete scrape lane
from the fitestall lot to the WSP. An additional concrete scrape lane is installed up to the dry cow
feed alley. This scrape lane will collect runoff, waste, silo leachate. The heifer feed alley has a
concrete scrape lane and chute into the WSP. Daily scraping of the waste into the pond will be
needed The silo and driveway drainage is collected in a culvert, carried under the concrete freestall
area and discharged in -to a diversion draining to the north and discharging in to a grassed filter area.
MAINTENANCE
The roof and gutters and outlets in the free stall area will be repaired to reduce runoff water
collected Inspect the concrete components of the CONTAMINATED LIQUID COLLECTION
SYSTEM for cracks or other damage, and make repairs or replace as needed. Keep the culvert inlet
clear of debris to ensure drainage at all times. In periods of cold and subfreezing temperatures,
inspect the pipe inlet for accumulation of ice.
OVERVIEW
The VEGETATED DIVERSION will be located north the WASTE STORAGE POND and will
convey non -contaminated runoff around the slope.
2

OPERATION AND MAINTENANCE PLAN
.0200 Certification Plan
MAINTENANCE
The vegetation in the diversions should be inspected periodically and reseeded as needed to insure a
vigorous stand. It is essential that neither vehicles nor livestock be allowed to create travel lanes
within the diversions. The diversions should be mowed at least annually to prevent woody growth.
The diversions may be control grazed or mowed for hay. Grazing and mowing operations must
take place only when the soils are cry, 'and vegetation should not be grazed or mowed to a height of
less than four (4) inches. If sedimentation has reduced the capacity of the channel, contact the
Iredell Soil and Water Conservation District for technical assistance in correcting this problem.
Only contaminated water needs to drain into these waste storage ponds.
OVERVIEW
The VEGETATED BUFFERS serve a two -fold purpose; they filter sediment from exposed feeding
and lounging areas and provide the necessary setbacks for waste application operations. Their width
is based on slope of land and proximity to streams. These areas can be control grazed or mowed for
hay to prevent unwanted growth. These buffers are used in lieu of adding contaminated runoff
storage structures.
MAINTENANCE
Inspect the buffer periodically for sediment accumulation and erosion within the buffer. If grazing
does take place caution should be practiced to prevent overgrazing. Grass should be a minimum of
six (6) inches. These buffers should have at least 80% ground cover. Specified width must be
maintained.
OVERVIEW
LIVESTOCK EXCLUSION will be installed according to NRCS standard 382 (Fencing), mere
recommended by the technical specialists. LIVESTOCK EXCLUSION will be installed at locations
as indicated on plan maps. The grassed filter areas below the fence line feeders do need to be
excluded.
3

-11-
OPERATION AND MAINTENANCE PLAN
.0200 Certification Plan
MAINTENANCE
Inspect the LIVESTOCK EXCLUSION periodically for mechanical damage or rot. If fencing wire
becomes loose, re -tighten to original specifications. If fence posts are rotted or damaged in any way,
replace damaged posts with a post, which meets the original specifications. Flood damage along the
South Yadkin River will also need to be repaired.
The STOCK TRAIL (S) improve access to forages and water by rneans of a stabilized trail which
reduces erosion often caused from such walkways. The STOCK TRAIT. (S) will be placed at
locations indicated on sketch. It consists of an area graded, covered with a geoteardle material and
gravel placed on top. These areas are in field 6 Tract 4054 leading to the dry cow feeding lane and in
field I for the heifer cows to travel across drain that is near the commodity shed. Trail will also be
needed at dry cow feed alley at small heifer bam.
The travel lane should be graded if necessary to allow proper drainage. Each trail is planned to be
12.5 feet wide. A geoteatile material of adequate strength will be placed on the soil surface. The
geotex-tile material should be overlapped a min. of 18". The depth of gravel *W need to be
calculated for the particular area to be used. At these locations it will be 9" thick compacted. Refer
to the specific design for the amount of gravel needed. Each trail should have a broad based dip
across it to prevent runoff from running down the trail for a long distance. These should be located
about 75 feet apart
Inspect the STOCK TRAM (S) periodically for any soft spots or damaged areas. If the gravel gets
thin, more should be applied to the recommended depth. The designed depth should be maintained
over the entire area for it to remain structurally sound
4

OPERATION AND MAINTENANCE PLAN
.0200 Certification Plan
& GENERAL COMMENTS
PESTICIDE USE
Extreme care should be exercised with the use of all herbicides so that desirable vegetation is not
adversely affected. It is a violation of law to use any pesticide in a manner not permitted by its
labeling.
REPAIRS
Notify the Rowan Soil and Water Conservation District if repairs or major modifications are
required for any of the components of this Waste Management System. This plan is for only the
number of animals and acres listed in this plan. Please notify the TECHNICAL SPECIALIST (S)
that signed your Waste Utilization Plan and Certification form if operational changes take place
3

Bealle, James
From:
Larick, Keith
Sent:
Thursday, February 11, 2010 1:54 PM
To:
Bealle, James
Cc:
Jdshi, J.R.
Subject:
RE: Facility 80-16
Attachments:
AWC80001 6.docx
Here you go. This one had a change of ownership, so it wasn't with all of the mass renewals.
JR - if you go under the "mass renewal" folder from the permit renewal, it is in a folder called "Mailed COCs— Non mass
renewal"
Keith
------------
Keith Larick
Animal Feeding Operations Unit Supervisor
Division of Water Quality
[phone]
www.ncwaterguali_y.org
Please note my new email address: keith.larick2ncdenr.gov
E-mail correspondence to and from this address may be subject to the North Carolina Public Records Law and may be
disclosed to third parties.
From: Joshi, J.R.
Sent: Thursday, February 11, 2010 1:34 PM
To: Larick, Keith
Cc: Bealle, James
Subject: Facility 80-16
This is one of your files. James Bealle was asking for a copy of its COC. I couldn't locate it on the shared drive. I wonder if
it was ever issued...
9 R. Yoshi
NC-DENR Division of Water Quality
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699.1636
Phone: [phone], Fax: [phone]
New email address: iaya.ioshi(a7ncdenr.gov
DISCLAIMER: All a -mails sent to and from this account are subject to the North Carolina Public Records Law and may be disclosed to third parties.

AS�r...r�.
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
October 1, 2009
G&M Milling Co Inc
Osborne Dairy
4000 TaylorsviIle Hwy
Statesville, NC 28625
Dee Freeman
Secretary
Subject: Certificate of Coverage No. AWC800016
Osborne Dairy
Cattle Waste Collection, Treatment,
Storage and Application System
Rowan County
Dear G&M Milling Co Inc:
In accordance with your renewal and change of ownership requests, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to G&M Milling Co Inc, authorizing the operation of the subject.
animal waste management system in accordance with General Permit AWG200000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Osborne Dairy, located in Rowan County, with an animal capacity of no greater
than the following annual averages:
Dairy Calf. 20 Dry Cow: 20 Beef Brood Cow:
Dairy Heifer: 50 Beef Stocker Calf: Other:
Milk Cow: 200 Beef Feeder:
The COC shall be effective from the date of issuance until September 30, 2014, and shall hereby void
Certificate of Coverage Number «PERMIT_ NUMBER» that was previously issued to this facility.
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. Please pay careful attention to the
record keeping and monitoring conditions in this permit. Record keeping forms are unchanged with this
General Permit. Please continue to use the same record keepingforms.
orms.
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capital Blvd., Raleigh, North Carolina 27604
Phone: [phone] FAK 919-715-05881 Customer Service: 1-877-623-6748
Internet: www.ncwaterquality.org
An Equal Opportunity 1 Affirmative Action Employer
One
NorthCarolina

If your Waste Utilization Plan (WUP) has been developed based on site -specific information, careful
evaluation of future samples is necessary. Should your records show that the current WUP is inaccurate
you will need to have a new WUP developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
Iaws, 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.
Per 15A NCAC 2T .0105(h) 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, then 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 Animal Feeding Operations Unit for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
In accordance with Condition 11.22 of the General Permit, waste application shall cease within four (4)
hours of the time that the National Weather Service issues a Hurricane Warning, Tropical Storm Warning,
or a Flood Watch associated with a tropical system for the county in which the facility is located. You
may find detailed watch/warning information for your county by calling the Greenville/Spartanburg, SC
National Weather Service office at [phone], or by visiting their website at:
www.erh.noaa. og v/er/M//
This facility is located in a county covered by our Mooresville Regional Office, The Regional Office
Aquifer Protection Staff may be reached at [phone]. If you need additional information
concerning this COC or the General Permit, please contact the Animal Feeding Operations Unit staff at
[phone].
Sincerely,
for Coleen H. Sullins
Enclosure (General Permit AWG200000)
cc: (Certificate of Coverage only for all ccs)
Mooresville Regional Office, Aquifer Protection Section
Rowan County Health Department
Rowan County Soil and Water Conservation District
APS Central Files (Permit No.AWC800016)
AFO Notebooks

Dwision of Water Quahty
Facility Number , ® Q Division of Soil and ,Water Conservation
T
t r Q Othe"r. Agency'` -
Type of Visit: 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 0 Denied Access
Date of Visit: Arrival Time: ® Departure Time: County: ' Region: APD
Farm Name: �S�d �� � t Owner Email:
Owner Name: t"` V V Y C;) t 1 �tPhone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title: Phone:
Integrator:
rtification Number:
rtiflcation Number:
Longitude:
;. i Design Current Design Current Design Current
_:swine!,..-,.._" Capacity^ .Pop ,Wet Poultry .. Capacity. Pop: Cattle Capacity Pop
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder y.
Farrow to Finish
Gilts
Boars
Other
Other
La er
Non -La er
b Y Desigii Current 't
nry Pnultr "ra�►acity Pnn.
05
'„ji.
F.
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
[-]Yes
[-]No A
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
❑ Yes
❑ No
❑ 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) ❑ Yee�[D
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Ye
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Ye
❑ NE
of the State other than from a discharge?
Page l of 3 21412011 Continued

Facility Number: jDate of Inspection:
t,�;T ,
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes IVo NA ❑ NE.
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:. �^
Designed Freeboard (in):
Observed Freeboard (in):
h
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes -J!�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-j;Z]A'o' ❑ NA ❑ NE
waste management or closure plan? Z��--
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 o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ YesX'-70
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[] NA ❑ NE
maintenance or improvement?
Waste Application r�-
10. Are there any required buffers,
maintenance or improvement?
oror co altematives that need ❑ Yes fNo ❑ NA
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ NA
❑ 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 ❑ Eviden
ce of Wind. Drift ❑QApplication Outside of A roved Area
12. Crop Type(s):
13. Soil Type(s):
c
14. Do the receiving crops differ from those designated in the CAWMP?
n
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate'acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ NE
❑ NE
❑ Yes 20o
❑ NA
❑ NE
❑ Yes 'Rg;ZLo
❑ NA
❑ NE
" ❑ Yes o
❑ NA
❑ NE
❑ Yes
❑ NA
❑ NE
❑ Yes '�I<
D NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily avat a ❑ Ye o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes o D NA ❑ NE
the appropriate box.
❑W1JP ❑Checklists ❑ Design [] Maps ❑ Lease Agreements ❑Other.
21. Des record keeping need im rovement? If yes, check th appropriate box below. ❑ NA ❑ NE
ste Applicationekly Freeboard Waste Analysis Soil Analysis Waste Weather Code
Rainfall tucking tg rop Yield 13j;U-Minute Inspections .ENonthly and V Rainfall Inspections -E]7§'-Lldge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected, did the facility fait to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑ NoNA ❑ NE
Page 2 of 3 21412611 Continued

Facili Number: jDate of Inspection:
•I 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 pen -nit conditions related to sludge? If yes, check ❑ Yes No ❑ 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 ❑ NE
Other Issues
28. Did the facility fail to pr ispose of dead a�a]s with 24 hours and/or document
Yes o
❑ NA
❑ NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emer-gQncy situations as required by the
❑ Yes o
❑ NA
❑ NE
permit? (i.e., did S h rge, freeboard problems, over -at c '
3 I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ NA
❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes�N
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[] NA
❑ NE
Comments (refer to question #):-Explain any YES answers and/or any additional recommendations'or any other coinments. ;
Use drawings of facility to better explainsituations (use.additional pages as necessary).
Ls/i A^
o 2. 5/ t3
Q �
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature:
Date:
Page 3 of 3 21412011

ti
i3ealle, James
From: Jeff McNeely <[e-mail]>
Sent: Wednesday, August 06, 2014 9:32 AM
To: Bealle, James
Subject: Fwd., viewReportoetails.aspx
Attachments: W008223,pdf, ATT00001.htm
385 Hamps dairy lane, Cleveland nc
Sent from my Whone
Begin forwarded message:
From: Jeff McNeely <gmmillingco_,bellsouth.net>
Date: August 6, 2014 at 9:23:06 AM EDT
To: MILL <gmmillingcoRmbellsouth.net>
Subject: viewReportDetails.aspx
http://www.neagr.gov/ay,rono__mi/PALS/Reports/viewReportDetails.aspx?Param=955778S$4$$3 $
$0$$W008223

NCDABCS Agronomic Division Phone: (919} 733-2655 Website: www.ncagr.govlagronomil FY14-VV008223
¢N1J�U4F,b Client: Burt Bell Advisor., i
_ Predictive
115 Farmwood Dr.
Waste Repnort Statesville, NC 286778554
N Iredell County
Sampled: Received: 06/27/2014 Completed: 07/02/2014 Farm. Links to Helpful Information
Sample Information
Nutrient and Other Measurements
Nitrogen (N) (ppm) P (ppm) K (ppm) Ca (ppm) Mg fppm) S (ppm) Fe (ppm) Mn (ppm) Zn (ppm) Cu (ppm) B (ppm) Na (ppm) C {ppm)
Sample ID: 1
Total N 186 734 333 207 54.1 246 7.21 2.88 3.22 0.55 227
Waste Code: LSD
Description:
Total KjeldahlN 560 - ------------- ---------- --- ----------- -- -- ----- - ----------- -------------- ------------
Dairy Liq. Slurry
pH DM (%) SS (10-$S/cm) EC (mS/cm) CCE (%) ALE(1000 gal.) C.N
Inorganic N
NH4-N 7.04
Comments:
NO3-N
Organic N Ni (ppm) Cd (ppm) Pb (ppm) At (ppm) Se (ppm) Li (ppm) As (ppm) Cr (ppm) Co (ppm) Cl (ppm) MO fppm)
Urea
Estimate of Nutrients Available for First Crop (lb 1 1000 gal.) Other Elements (lb 11000 gal.)
Application Method
N P2O5 K2O Ca Mg S Fe Mn Zn Cu 8 Mo Cl Na Ni Cd Pb Al Se 0
Broadcast
1.87 3.56 7.34 2:77 1.73 0,45 2.05 0.06 0.02 0.03 T 1.89
Understanding the Waste Report ` - additional information: www.ncagr.gov/agronomi/pdffiles/uwaste.pdf & www.ncaqr,gov/agronomVpdffiles/wasteguide.pdf
Nutrient concentrations and other data on this report are provided so that waste materials can be applied at agronomic rates, thereby supplementing or reducing fertilizer application and
preventing environmental contamination. In reading the Laboratory Results section, remember that materials with < 15% dry matter (generally liquids) are analyzed as received; all
other wastes are dried first. Values in the Estimate of Nutrients Available for First Crop section are based on the type of waste and method of application you specify and reflect the
fact that only 40-60% of the nitrogen and 70-100% of other nutrients become available within one year of application. The remainder may or may not ever become available.
` ppm = parts per million; S = siemens; mS = millisiemens; T = trace (<0.005 lb/unit); EC = electrical conductivity; CCE = calcium carbonate equivalence; ALE = agricultural lime
equivalence; pH = acidity or basicity-, DM% = % dry matter [for semi -solid and solid waste samples, this value facilitates conversion of dry -basis concentrations (ppm) back to wet -basis
of original sample}; C:N ratio = carbon: nitrogen ratio.
North Carolina
wi
Tab@mxoTrum FundCarwnisslon
Reprogramming of the laboratory -information -management system that makes this report possible is being funded
through a grant from the North Carolina Tobacco Trust Fund Commission.
Thank you for using agronomic services to manage nutrients and safeguard environmental quality.
- Steve Troxler, Commissioner of.4griculture.

Division of Water,Qual1ty a ' C
r i�acility1Nninber
�'
i3 `
,'
Division Water Conservation
Sii"oiE
of and t
xc.'isi���-A
ey
§%F
Type of visit: 0 Complianee Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: AN Routine 0 Complaint 0 Follow-up ' Q Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: �� Departure Time: O :$0 County: - Region: YA*
Farm Name: S N vie �, VY`C Owner Email:
Owner Name: CAA Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative{{: Integrator:
Certified Operator: y " , Certification Number:
Back-up Opera r: l Certification Number:
Location of Farm. -qS:�---a. Latitude: Longitude:
f f
LL G
.'•
r
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
. ,Other
Other
Design 'Current ; , ` 4 j Design C
'apaclty ' Pop Wet Poultry Capacity
Layer
Non -La er
r
Design, C
Dry Poultry :Capacity
Non-L
Pullets
Turke s
alurkey Poults
1. Other
rrent„ Design Current.
op ;_ ,A Cattle h Capacity Pa,
rrent
021
e
I
I
j
r..
a
. f T_
Discharaes and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o [] NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes [:]No A ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ No-Z�,—TA ❑ NE
c. What is the estimalcd`volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (if yes, notify DWQ) ❑ Yes ❑ No A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yesg,o
0 A ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters El ❑ NA ❑ NE
of the State other than from a discharge?
1
Page 1 of 3 21412011 Continued

Facili Number: - Date of —Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus,storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3
Identifier:
SpiIlway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 4
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?
0 Yes ❑ NA
❑ Yeses ❑ NA
Structure 5 Strucfi re 6
❑ Yes o ❑ NA
0 Yes ��013 NA
1
❑ NE
❑ NE
m
❑ NE
If any of questions 4-6 were answered.yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes lse ❑ 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 4h o ❑ 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 Wi d Drift Application Outside o pproved Area
12. Crop Type(s): C
13. Soil Type(s): l7""- �t�
14. Do the receiving crops differ from those designated in the CAWMP?.
Yes No
❑ NA
❑ NE'
15. Does the receiving crop and/or land application site need improvement?.
❑ Yes No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes�lo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Ye10
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes: ] o
—`
❑ NA
❑ NE
Required Records & Documents'
19. Did the facility fail to have the C ea r y avar a e?
Yeso
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes�o
❑ NA
❑ NE
the appropriate box.
ERVFLRL-__❑Checkli esign ease Agreements ❑Other;
21. Does record keeping n vergef yes, check the appropriate box below. ❑ NA ❑ NE
Waste Application klyoFlr-Vbo�rd Waste Analysis Soil AnalysisgV-asEteT*ransers �ather Code
rnfall}tticking op Yield linute Inspections Monthly and 1" Rainfall Inspections lodge 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 ❑ Now ❑ NE
Page 2 of 3 21412011 Continued

Vacility Number: Date of Ins ection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ` �^► ❑ Yes o ❑ 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 to provide documentation of an actively certified operator in charge? qpiWo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments '(PLAT) certification? Yes ❑ No ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yeso
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__: o
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 ❑ YeV-0
permit? (i.e., discharge, freeboard problems, over-app icatton
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Ye
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or GAWMP? ❑ Yes K-wo
33. Did the Reviewer/Inspector fail to discuss reviewtinspection with an on -site representative? ❑ Yes
34. Does the facility require a follow-up visit by the same agency? ❑ Yes J�ENo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
[DNA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Coinni.ents,,,(refer to question ft Explain :any YES ansv0m andlor,any additional i ecorrimendations or any other comments., ',
Use,drawirigs of facility to _better:explaiirsituations.(use additional pages.as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
l
Phone:
Date:
21412011

G&MMilling Co., Inc.
4000 Taylorsville Hwy D
Statesville NC 28625 Y
h OCT
October 10, 2012
NC 1
Phone [phone]
..1� i.,l... l800-849-5758
f + Fax [phone]
1 5 2012J
,s�`er C-r_tEsctir�n ---
Violation 1- Johnny Moore and I, Jeff McNeely will take a more active role in watching
the freeboard along with our new renter David Leatherman. G&M is also in the process
of repairing and/or replacing guttering on the farm buildings.
Violation 2- G&M will make monthly calls to David Leatherman, the renter, to make
sure the amount have been recorded. G&M will keep monthly measurement at the mill
along with weekly records at the farm.
Violation 3- G&M will have an analysis within 30 days or less from this date. Johnny
Moore has accepted the responsibility to take this sample in the future, and he is a
certified operator.
Violation 4- the DWQ phone number will be on the recording calendar at the farm.
Everyone mentioned so far in this documents aware to report if an emergency occurs
within the 24 hour time period.

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles WaUd, P.F. Dee Freeman
Governor Director Secretary
CERTIFIED MAIL AQUIFER PROTECTION SECTION
RETURN RECEIPT REQUESTED September 28, 2012
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
Re: NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
NOV-2012-PC-0336
15A N.C.A.C. 2T .1304
Osborne Dairy/Facility 80-16
General Permit AWC800016
Rowan County
Dear G & M Milling Co., Inc.:
On September 12, 2012, staff of the North Carolina Division of Water Quality (DWQ), Aquifer
Protection Section (APS), inspected the Osborne Dairy and the permitted waste disposal system.
This inspection follows the change in ownership that occurred in 2009, and discussions regarding
the permit requirements in February, 2010. We wish to thank David D. Leatherman, who was
present and assisted during the inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A North Carolina
Administrative Code 2T .1304, you have been found to be in violation of your permit as follows:
Violation I:
Failure to maintain waste level in the Storage Pond to provide for adequate storage capacity.
This is a violation of General Permit Condition V.2, and the Certified Animal Waste
Management Plan (CAWMP).
Required Corrective Action for Violation I:
Continue to follow the proposed actions outlined in the Plan of Action (POA) dated September
14, 2012, and received in the Mooresville Regional Office on September 14, 2012. Take all
necessary additional steps to insure waste level remains in compliance with the permit.
Division of Water Quality / Aquifer Protection section 1 Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 26115
Phone: [phone] Fax: [phone]
IMemel: www,nrwaterquality.org
o e
NhCarolina
Naturally
An F.nual Oooertunity 1 Aff maVve Action Emolover

Osborne Dalry/Facility 80-16
NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
' September 28, 2012
Page 2
Violation II:
Failure to maintain the required Weekly Freeboard, and > 1" Rainfall/Monthly Inspections
records. This is a violation of General Permit Condition III.1, I11.2, III.11, and III.12, and the
CAWMP.
Required Corrective Action for Violation 11:
In the future, maintain the required Weekly Freeboard, and > 1" Rainfall/Monthly Inspections
records in accordance with the permit.
Violation III:
Failure to conduct the required Waste Analysis at least within sixty (60) days (before or after) of
the date of application. This is a violation of General Permit Condition III.5, Ill. It, and I11.12,
and the CAWMP.
Required Corrective Action for Violation III:
In the future, conduct the required Waste Analysis at least within sixty (60) days (before or after)
of the date of application in accordance with the permit.
Violation IV:
Failure to notify the Division of Water Quality of emergency situations (inadequate storage
capacity in the Storage Pond) as required by permit. Failure to notify DWQ is a violation of
General Permit Condition 1II.13, and the CAWMP.
Required Corrective Action for Violation IV:
In the future, report by telephone to the Mooresville Regional Office or the Division of
Emergency Management as soon as possible, but in no case more than twenty-four (24) hours
following first knowledge of the occurrence of any emergency event in accordance with the
permit.
The Division of Water Quality requests that, in addition to the specified corrective actions,
please submit a written response to this Notice by October 15, 2012. Please include in your
response all actions taken to correct the noted violations, and prevent recurrence in the future.
The Division of Water Quality is considering a Recommendation for Enforcement against G &
M Milling Co., Inc.IFacility 80-16 for the referenced violations. Should you have justification
that the violations were caused by circumstances beyond your control, or have additional
explanations, please include the supporting documentation in the written response. We will
review your response and forward it to the Division Director as an attachment to the
Recommendation for Enforcement. The Director of the Division of Water Quality may issue a
civil penalty assessment of not more than Twenty -Five Thousand Dollars ($25,000) against any
"person" who violates or fails to act in accordance with the terms, conditions, or requirements of
a permit under authority of North Carolina General Statute 143-215.6A.

Y} e a 4pa y �rV-',3� 'z is a z y
't t s �iDrVi$1o11 of Water Quality =, �` u4 74 G e� �4r
Facility 1Vumberk 1 I:Drvision of Soil¢and Water Conservatio
* Other Agency
Type of Visit 10 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit O Routine 0 Complaint A&Follow up 0 Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: I Arrival Time: Departure Time: �7:� _ . County:
Farm Name: �c� w1' Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
r:
Back-up Operator: LAO`% C� fk� `
` Phone:
Phone No:
Region: kkksz�
Integrator: Q,­78-" 973- S-7
Operator Certification Number: q�
Back-up Certificati rd rNum�e�r
Location of Farm:
Latitude: o ❑ Longitude: = ° ❑ 4 = 4i
6�0 l Y "VV
(�_
VT
�\
?
v 1y
Swine
Wean to Finish
U Feeder to Finish
[--]Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
Other
❑ Other
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
I 1 JE1 Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Puilets
❑ Turke s
❑ Turkey Poults
❑ Other
Cattle
Design Current
Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Daia Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stacker
❑Beef Feeder
❑ Beef Brood Cow
Number of Structures:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made? ❑Yes ❑ jNo❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑ ❑ 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 j
rE01
ElNE
2. Is there evidence of a past discharge from any part of the operation? ElYes [INE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ElYes ❑ NE
other than from a discharge?
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure L Structure 2 Structure 3 Structure 4
3 es ❑No El NA ❑NE
Yes ❑ No ' ❑ NA ❑ NE
Structure 5 Structure 6
Identifier: v''�-/
Spillway?:
Designed Freeboard (in): Oq
Observed Freeboard (in): =S
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �Io ❑ 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? _JL(Jes ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes o ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ElYes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance a e ❑ Yes ❑ No ❑ NA NE
maintenance/improvement?
IL 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.)
❑ FAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drib ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated, in the CAWMP?
❑ Yes
❑ No
❑ NA
NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
❑ Yes
❑ No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Reviewer/InspectarName Phone:
+..
Reviewer/Inspector Signature: Date:
12128104 Continued

rVLFacility
Number: — Date of Inspection 0
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA
the appropirate box.
❑ WUP El Checklists El Design El Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certi
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather C
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
25.
Did the facility fail to conduct a sludge survey as required by the pennit?
❑ Yes
❑ No
❑ NA
26.
Did the facility fail to have an actively certified operator in charge?,
❑ Yes
❑ No
❑ NA
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑
and report the mortality rates that were higher than nonnal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑
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
❑
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss rev iewlinspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑
NE '
NE
NE
lion
NE
NE
NE
NE
NE
NE
NE
Addihoaal Comments undlor Drawin u's
.tr. .�'�
1,2128104

111c�+ 4-�\ 'fir
zzQ ,
A
t
�,

Faciiity'Nulhbeo '�o,, r:'
r_
ar
�•Dtvtsioii of,Wa�
;Q Division of.Soil
Q _OtherAgency�
t yell yr '•r.� ,� 6` c r 3�" %c ti: � ��,yd ` Jp
u',"���'_
d;Water Onse' A0n, aw , ,y .^
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
Hate of Visit: 1waA.7— I Arrival Time: 8.2: , Departure Time: County:'Region:
Farm Name: ' C Owner Email:
Owner Nam"�1 Nti Y ✓� �� , �` t_ _ - - - Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone No: _
Onsite Represent: , C/ Integrator:
77
Certified OperatoP_ �-'` _ Operator C 'fication Number:
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: = e Longitude:
LA
Swine
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
Design Current . Design Current
Capacity Population Wet Poultry Capacity Population
FEILayer
Non -Layer
I EEE]
Dry Poultry
❑ Layers__
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Dischary_es & 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
Cow 2�
Calf 2A
Heifer Sc7
ow
LJ Non-Uairy
❑ Beef Stockei
0-Beef Feeder -
El Beef Brood Cow
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
El Yes 4 ❑ NA ❑ NE
❑ Yes ❑ No -U[:a& ❑ NE
❑ Yes ❑ No �A ❑ NE
❑ Yes o A ❑-NE
❑ Yes No ❑ N ❑ NE
❑ Yes ��o ❑ NA ❑ NE
i
12128104 Continued

Facility Number:
Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
❑ NA ❑ NE
❑ NA ❑ NE
Structurg 1 Structure 2 Structure 3 Structure 4 re 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes �o ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health ore tal threat, notify DWQ
7. Do any of the structures need maintenance or improvement'? Y ❑., No ❑ NA El NE
8. Do any of the stuctures lack adequate markers as required by the permit? El yes ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks) �_�-
9. Does any part of the waste management system other than the waste structures require ElYe� ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Flo ❑ 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 Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s) �{.g r 4o T� `� ©i�7
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement? —1--J Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination', El Yes
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
1.470
�-f1S%� 2 -.� �"� � ►'� �..,� ll try C'�`�,�1.�
❑ Yes
❑ Yes
Reviewer/Inspector Name ,� 7 ' ' �,, `� ,�s` { r'
Phone:
ReviewerlInspector Signature: Date:
❑ No ❑ NA ❑ NE
o ❑NA El NE
❑ No -fA ❑ NE
".r< ❑ NA ❑ NE
❑ NA ❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Re uired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ yes - �o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes o ❑ NA ❑ NE
the appropirate box. ther
21. Does record keeping need im W rovement? If yes, ch the appropriate box below.At=�F'k a s ❑ No ❑ NA ❑ NE
❑ Waste Applicatio ekly Freeboar aste Analysis ❑ Soil Analysis El Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ t20 Minute Inspection M nthly and V Rain Inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes Wo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No INA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes 10 ❑ NA ❑ NE
❑ Yes ❑ No �iA El NE
El�
Yes '�No ❑ NA ❑ NE
❑ Yes ❑ No �NA ❑ NE
■ yes
1►�.o
EINA
■
■ Yes
►i<.
■ NA
■
■ Yes
Z.
■ NA
■
El No
El NA
[03
E
4
■NA
■
Additional Gommeutstand/or Drawrngs
�jr)
J cam.
���
> eA�
VIV N:1 �iA
12128104

Animal Waste Management System Operator Designation Form
Facility/Farm Name: G + 0--
WPCSOCC
NCAC 15A 8F .0?A1
C�S�an,v� 1�Ja..s
Permit #: w C. TO
QQ I le Facility ID#: ' 0 �! (— County: RA v-j
Operator In Charge (OIC)
Name: L p
First Middle last Jr, Sr, etc.
Cert Type / Number: A W 8 a. iL D 1 �L Work Phone: ( 202 ) } g 3, 2L
Signature: Date: _ . -Zt8 - 1 01 oZ
"I certify that I agree to Moesignation as the Operator in Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities set forth in 15A NCAC 08F .0203 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
Back-up Operator In Charge (Back-up OIC) (Optional)
First Middle Last Jr, Sr, etc.
Cert Type / Number: Work Phone:
Signature: Date:
" I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities set forth in 15A NCAC 08F .0203 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Owner/Permittee Name: (, A 6v% "�
Phone #: C? S Fax#: ( 7y YI 57 Y 3
Signature: Date: 9 ` �a /.I—
( er a agent)
Mail or fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax: [phone]
(Retain a copy of this form for your records)
Revised MOW

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Sep 2712 08:28p G & M Milling 7048735743 p,1
r
G & M Milling Co.
4000 Taylorsville Hwy
Statesville NC 28625
Ph. 704-873-5758
Fax [phone]
Email: [e-mail]
FAX COVED SHEET
DATE: q �al 1�
TO:
FROM: -
FAX #
PAGES �4/includes cover

f.
Sep 2712 08;28p G & M Milling 7048735743 p.2

Wafers Agricallural Laboratories, Inc.
P.D. Box 382 257 Newton Hwy
CL Camilla, GA 31730
[phone] FAX [phone]
sovm �rl sFa r, s Soil Analysis Report cfC+W: JOKWY MOORS
2904 OAs O AVF- RepeEved; 01126ittitx
NCDA Index old (pe MOaRE
STATERALM NC 2=5 Procazsad: 01r27fZ014
` #.ab Nurreba! rn b tp �'� 0 �I 2 Ra ® Xn-W AIrN h�rfAf i:i►-i B576 Hk!!6 Sdf Clsss
183 21I 337 337
�nt37ZG t t
C its - ibSJA OwTorWA []N 0205
rC C 0.0 190 0 0 0 20 0 0 0 3
gg62 C E?A l i18, ;; 1Q1.--: itl:9.. 1._. � 6 _t1-e'j 3Z j 24 �it3' d ' . `'. .• 4
.,..
Recomnrsndalions - IWA L!rre-74nelR 0 MO ® ® Q see Mare
Crop COROGRPJ14 0.3 190 0 0 d 0 a 0 0 a
989281IZrC r26 i g6: ;• »` .E.. i6:'1'.....3T.(� 6:9-� ,t;8 28
ns - IbsJA ume-�orda a p205, M�g, Q ® Q e Sea Nab
crap capes GRAIN a3 160 0 0 0 0 0 6 0 3
55 'Sz .r, 10. ' S 3T ; 6.8 . ,t,� i. 7�"' � >�: 72 y` 23 4 .1� 85 6fi '1° ST.a `.1�3.:pt-A!!iN``
Recammenda .. ns 1kwJA Tona►A r .®> M�] Q ,1 Q ® SedNpts
Crop CORN GAWN 0.0 160 20 40 0 0 0 0 0 S
96024 2r, 237• 1 7776°C-,771 11. t' %< 13. 6 6Ei' '203 �. ., iA� 22 i 6t ':+},,• 4rti s yL}.'e':;4 .
A -
Ra=mmm(katlens -1bsJA Q rE <"�.3 ® JR Q g Ef © ® Sea i�
Crop COIN G1tAW 0A 160 30 so 0 20 2 0 0 8
96S242ZC ihe., ; tt)8 `55 -2S:0 . Sni - 7:2' -' -0 & V _ -14 271 271 497 :i .: ::fir . 252 7.g
m Rt3Commandatlorm -JWA d 9 Q ® See None
— Crop CCf2! I GRAIN:0.0 IGO 0 40 a 20 0 0 0 3
ZE ''4TS:fi.3 1.4, ' 73�773, t862C 14'_ ;
C7 Recom ndathms - tbsJA t irree Tons1A QN P205 K20 ® Cu Q taf 0 see Mote
Crop C RN GRAIN 0.0 160 120 40 0 20 0 0 0 a
' t#1 IFIIC yq 'r 27 43 }..23A _ 40.1 i ,7. ° '1.i 32 W (. 1w t e76, .,527 119 98.•-f .x5,8.:. }.236 . , IVl1N ;
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p Crop CORN GRAIN 0.0 160 BO 60 0 0 0 0 0 3
N
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C MQ LabarAaq CertNeWan Humber $35
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Reprogramming of the 4boratOty4W* n-=nagDfwIR sylstam that makes this report possIble Is being funded
th ugh a grant from t o Borth Caroline Tobacco Trust Fund Cemmisdom
TkmrlrWu for uring tqg mtc sen tea ro name nutrkwl and mfWuard enaimmwnud quok
�r SMve ThWer, COArmkiloner OfAgderlbw

Sep 2712 02:28p
G & M Milling
7048735743 p,1
i, v LS � ;1T;-ma .f".,
4UOOTa�ri�r�v%i.lc 7ir�3, -
Statesville NC 28625
Ph. 704-873-5758
Fax [phone]
Et1Lai1=_ illll)f�ITil-i.i'1_ri-,cll.sniith,n�t
FAX COVER SHEET
T1ATF,: �j� v 1
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FROM:
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NCDAaCSAgron*mlcDivision Phone: [phone]
Wehsits: www.ncagrgoviagronamil
Repo* No. FY12-YW03797
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McLain Farms
Page 9 of 10
h
Sample Information
Nutrient and Qther thmmurernents
Q
Mogan (N) (PAmJ P (ppm)
K (ppm) Ce (ADm) M14 (mm)
S (ppm) Fe (rum) Ma (mm)
Zn (ppm)
Cu (AADI) 8 (AAm) A(a (Afars} C ftm)
Sampfe ID: 268
TOM 63.8
713 176 109
48A 17.3 1-61
1.35
0.69 0.46 169
WaM Code. LSD
Descrlptlon:
Tolelit 1MY N 247....................
....................... .............
........................
..,..._,............................
.......... .
'
Dairy Liq. Slurry
DM i%) SS (10-5S/cm)
EG (MS/cm)
CCE (%1
AL1=(1000 gar,) C:N
Inorganic NPW
NH4-N 7.52
;
Comments:
NO3 N
----------------------------..._...,1
.._.................
. .. .............. ................
'n
prgamc N Ni (ppm)
Cd (ppm) Pb (mm) Al (ovm)
Se (pprn) L1(ppm) As (ppml Cr (ppm) Co fgpm) CI fpprn) Mo (uPM)
M
Urea
CD
0
ts9mate of Nutrients Available far First Crop Qb 11000 gat)
Other Ftementa (M 1 tOOO gei.)
Application Method
N P20a K20 Ca Mg
S Fe Mn Zn
GU 8 No
Cl Na
Ni Cd Pb Af Se Lr
Broadcast
0,88 ae5 5.71 1.02 0.64
0.28 0.10 %01 0-01
T T
1.40
Agronomist's Comments:
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Manure Records
Date
Field
Dafry
O er i
Loads
Loads
1 way
Pump
FU40
in
out
Truck Mcs
11/2/11
Carson
Melton
Lee
10
11/2111
Woodleat barber
Melton
Lee
i
!
11/3/11
Woodleaf barber
Melton
Lee
16
27
{
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Truck NiC7
i
11/2 11
15t
Melton
Perry
15
11 2 11
RYR
Melton
Pery
15
31
58 Total loads split 3 ways _ _
1

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1,1ailure iiecords
Date itl aalry ° rO �' i^s Loa :Dads 1 gray P mp 'ut
Truck Wi
11/211
Gm
Felton
Lee
is
11/2k11
_
ftdleaf bratber
IMe,,on
Lee
1
r7
11/3.11
)ftdleaf barber
Melon
Lee
15
37
71
I
Truck MCA
11/2111
11/Z11
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L
RI
NI ton Pear
MOn Peer
16
15
1
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FI{ � (%) SS(4-S&` ,) cc (mS'rm)
XE ALE (1010 gal-) C`N
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ti(pAn) Crio m) Atom) AtrwmtSojpprV cf(pprn)
Ascm) Crfpp) CC.(ppm) Ct(MM MoADM
Urea
i
f�ttinlsle 4f l�vfAlnsa Aiaitsbi: fu; Fltst Cnp (Ib / SDO 0aia
tiller n% (Ib I10O0 gal.)
dpp�t ion Motivo
N A20s Kr0 i
C3 Mg S F+ A+n Pn Ca 8 Mo
CI Na Ni Cd Pb Ai 5e j
rcaiast
0.88 D.85 5.71
Z 0.64 328 0.11 . 0.01 Cci T T
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AgnxtomislsCvnme�:
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Sep Z712 02:35p G & M Milling 7048735743 p,18
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Sep 1412 04:00p G & M Milling 7048735743
p.1
G & M Milling Co.
4000 Taylorsville Hwy
Statesville NC 28625
Ph. 704-873-5758
Fax [phone]
Email: illin ca bellsouth.net
FAX COVER SHEET
DATE:
TO: �-f►t e S
FROM:
FAX
PAGES A includes cover
MEMO: :C C N� k � A
\�, 1 f A c� (4 -T In ,a
r Jam- c � 14
1-3

San 1412 114:01 n G & M M;llinn 704R7374
n.?
PLAN OF ACTION (PoA) FORM for HIGH WA5TE LEVELS
IN STRUCTURES AT ANIMAL FACILITIES'
'Facility Number: County: �a ua fJ /J
Faclllty Name: Ft ti -4 .o ^ ,3 ls.: - k -, .
Certified Operator Name: J In nA4 1'h0Q a -4­— Operator #: A L r ar
Date that High Waste Level Was tnitially Reported -to DWCL-�-
DWq Contact Name;—
'~[' 1� t F 44 C. I ti y S ,1 t i2 A nr S �` -r. •- ..- o .+ ` r 7
Current Situation J � -
4 a f.,.c 1L o � is 'J-� � -� � � L4 P .I k tvt r—N
1. List the current waste level(s) as measured from the waste level in the lagoon/storage pond to the
lowc:,t "-in"n-tho top�^f.the. Hl irn for Str-lLrtU.r?s-with out spillways; and from the waste level in the
structure to the bottom of the spillway for structures with spillways. Also list the quantity of waste
above the maximum liquid mark (also called "start pump").
Structure 1 Structure 2 Structure 3 Structure 4
Structure Name[D:
Spillway (yes or ro): e--5 --•
Waste Level (inches):
Above Maximum Mark (inches): b
Dam is Slumping or Seeping (yes or no): jj �0
Mitigating Factors
2, Brief summary (incl. date, type, and amount) of precipitation events contributing to high waste level:
3. Date of most recent waste application event: F-4L,rax'/i 'd q t lb-
4. Perthe Certified Animal Waste Management Plan (CAWMP), how is animal waste land -applied at
your facility.(e.g. solid spreader, irrigation, honey wagon, slurry truck)?
ui. ftll� "'rILVLys—
Evaluation of Waste Management System
5. If applicable, has the cattle lot and barns been inspected for Veaking drinkers? Have repairs been
made?'.
6. If applicable, is there enough guttering on the barns to exclude fresh water from the waste
structure? If not, when is installation or repairs to be made? 4-4 t9 S rU e e-
n ,o )riin U

8ep-14 1-2 04:01 r, . - 3 tl<i'.1 mjifiny...--
7040735743 . - p.3 - -
J. If appllcable, Is Lhe divuision ditch around the ,vaste strochirp functioning properiv and excluding all
fresh water from the structure? -/,e 5
8. Describe all methods err1pluycd to contain the waste or to axrh.irla it frnm Surface waters (e.g. berm,
ditch, retention hole, alternate application method, removal of cattle to pasture): �} i
W 'p- �14" �e_ SJn.0- k 4 ij :n� � cc4i�c` -Fa A1
P r u posed egy
9. Describe moisture conditions in the field (e.g. standing -water, application equipment mars down in
fleld, "trarfiLdUilityr' across the coil, soils able to aF:cnrh application without runoff, application fields
frozen and/or snow covered}: ` fx 4 OS j%_A _p Ae y /.1c ces S, to
C-Av P fie
J.D. Given optimum soil and weather cgnditions, what is the earliest possible date that land application
could commence? �} S $ acaN A S PK-4 w ev % _ ­ 5_,J n ^ f Ikov.c.,.a-
1 S +4,p P o s.� -F ,7 �C' IL -it (� .K Li 1.
A S S»J,' 4 j PJSS, ble
11. Do you have a waste analysis obtained within 60 days of application? y-, 5
12. Propw Proposed receiving crop(s), acreage, and application windos):
*
13. Is waste to be pumped and hauled to an off -site location? if so, list the volume and PAN content of
ine waaLc 6v iDIe ho.IeJ c.F- ectl co t6o-propocori cito(O with their related facility number, number of
acres, receiving crop information, etc. Contact and secure approval from the Division of Water
Quality proor to transfer of wasta.tn n cite not covered l.n the facilfty's certifGd oninial vrasto plan.
l hereby cartify that i havn reviewed the information listed above, and to the best of my knowledge
and ability, the information is accurate and correct.
� M r f�'1'0.P L Phone:
FacWty Owner/Man ger (print)
Date: 9 — l 3 -- I �-
ity Owner/Manager (sig ture)
•.. • ••• - - ..- I nne r--- %A�r'7 r1ln

Manure Records
I

Facility -Number- 1
Fhwes�on of Water Qua�ety
DwEs�on of Soil and'Water Conservation ;
Dther
IType of Visit • ,*Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance I
Reason for Visit *Routine O Complaint O Follow up 0 Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: I t-2/im Arrival Time:
,� ���^^ Departure Time: County:-,
Farm Name: Ug ''�"y'C` ` Owner Email:
Owner Name: _ 'y 1- �� �, Cd �� C" r Phone:
Mailing Address:
Physical Address:
Facility Contact:
nsite Representativ
Certified Operator:
V �
k- Operat
Location of Farm:
Design Current
Swine Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
El Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Cilts
Other - . .
❑ Other
Region: il&P—i—D
Title: Phone No:
Integrator: _
—� Operator Certification Number:
�406;up Certification Number:
Latitude: ❑ ❑ Longitude: ❑ ❑
Design Current,
Wet Poultry Capacity Population
❑ Layer
❑ Non -Layer
Dry Poultry
❑. Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pou Its
❑ Other
Cattle
Dairy Cow
bay iry Calf
J)ai!XHeifei
Dry Cow
Non -Dairy
Beef Stocket
Beef Feeder
Design Current
Capacity PopsLjfiei
Number of Structures:
Diseharses & 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?
is
❑ Yea— No ❑ NA ❑ NE
❑ Yes ❑ No iA ❑ NE
❑ Yes ❑ No, ' A ❑ NE
❑ Yes ❑ No1 ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes NA ❑ NE
12128104 Continued

4
Facility Number: — Date of Inspection "
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Y No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No J!SA ❑ NE
AtructuKe 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed freeboard (in):
Observed Freeboard (in): 41
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?
❑ NA ❑ NE
❑ NA ❑ NE
If any of questions 4-6 were. answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance,or improvement? 43 s ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? `C❑l YYless�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),Vo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ 4Yeso❑ ❑ NE
maintenancelimprovement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑El 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 ❑ Eviden of Wind Pzfft� [:]Application Outside of Area
12. Crop type(s) Gary' 60
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?
ans. ❑ No ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable.acre determination: ❑ Yes ❑ No JKNA ❑ NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑Yc' El NA ❑NE
❑ Ye No ❑ NA ❑ NE
°.f' .'•�h iE.. :��.[sy `: �: `A �.� :'�.. V43r.. — 91:t" :fair- _ :..tea,.'!'. :... ,...r ss it?
1 L-�5k�
Reviewer/InspectorName <` t ' rz T �" ''s,'? t«.' Phone:
Reviewer/Inspector Signature: Date:
I
Continued

1
%, Facility Number: -- Date of Inspection
Required Records & Documents
19. Did the facility fail to have Certificate of Covera mit 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 appropirate box. � ' s estgn Maps r
2 t. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ NA ❑ NE
rite Applica Weekly Freeboard rite Analysis Analysis aste Transfers Annual Certificatior
Rainfall 12-9 ocking op Yield ❑ 120 ns ections.• El Monthly and I" Rain Insp�tiou — Weath o e
�i P Y
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes Z,No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes--�o X'NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes4T9zo ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑•No :P:NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ( ❑ Yes x<
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? ❑ Yes ❑ No .ff�4A ❑ NE
Other Issues
28.. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Rio ElNA ❑ NE
29. Did the facility fail to properly dispose of d d animals within 24 hours and/or document ❑ Yes�o ❑ 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] NA ElNE
If yes, contact a regional Air Quality representative immediately ���.
31. Did the facility fail to notify the regional office of elder ep�t y�tua��t�s as required by ❑ Yes`,�0❑ NA ❑ NE
General Permit? (ie/ discharge, freeboard problems, over applicalion)
32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative? El Yes ❑ NA El NE
33. Does facility require a follow-up visit by same agency? ❑ Yes NA ❑ NE
kddihotialComments aind/oi.Daivings
a4��+VV\ <-, m
a V � -
61
FZ'4eA4zkq"'iCr�(9 aovz�k wj\'-Ic-�
12128104

CERTIFIED MAIL
RETURN RECEIPT REQUESTED
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
Dear G & M Milling Co., Inc.:
AQUIFER PROTECTION SECTION
January 7, 2011
Re: NOTICE OF VIOLATION
NOV-2011-PC-0025
15A N.C.A.C. 2T .1304
Osborne Dairy/Facility 80-16
General Permit AWC800016
Rowan County
On December 7, 2010, staff of the North Carolina Division of Water Quality (DWQ), Aquifer
Protection Section (APS), inspected the Osborne Dairy and the permitted waste disposal system.
This inspection follows the change in ownership that occurred in 2009, and discussions regarding
the permit requirements in February, 2010. We wish to thank Robert S. Melton, who was
present and assisted during the inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A North Carolina
Administrative Code 2T .1304, you have been found to be in violation of your permit as follows:
Violation I:
Failure to maintain the required Waste Application, Weekly Freeboard, Rainfall, and > 1"
Rainfall/Monthly Inspections records. This is a violation of General Permit Condition Ill. 1,
III.2, II1.3, II1.6, 111.11, and III.12, and the Certified Animal Waste Management Plan
(CAWMP).
Required Corrective Action for Violation 1:
In the future, maintain the required Waste Application, Weekly Freeboard, Rainfall, and > 1"
Rainfall/Monthly Inspections records in accordance with the permit.

Osborne Dairy/Facility 80-16
NOTICE OF VIOLATION
January 7, 2011
Page 2
Violation II:
Failure to conduct the required Waste Analysis at least within sixty (60) days (before or after) of
the date of application. This is a violation of General Permit Condition 1I1.5, I11.11, and III.12,
and the CAWMP.
Required Corrective Action for Violation II:
In the future, conduct the required Waste Analysis at least within sixty (60) days (before or after)
of the date of application in accordance with the permit.
Violation III•
Failure to conduct the required Annual Soil Analysis. This is a violation of General Permit
Condition III.4, III.11, and 111.12, and the CAWMP.
Required Corrective Action for Violation III:
In the future, conduct the required Annual Soil Analysis in accordance with the permit.
Violation IV:
Failure to designate a certified animal waste management system operator with a valid
certification to be in charge of the animal waste management system. This is a violation of
General Permit Condition II.16, and 11.17,,and the CAWMP.
Required Corrective Action for Violation IV:
Designate a certified animal waste management system operator with a valid certification to be
in charge of the animal waste management system by February 7, 2011,
Violation V:
Failure to notify the Division of Water Quality of emergency situations (inadequate storage
capacity in the Storage Pond) as required by permit. Failure to notify DWQ is a violation of
General Permit Condition III.13, and the CAWMP.
Required Corrective Action for Violation V:
In the future, report by telephone to the Mooresville Regional Office or the Division of
Emergency Management as soon as possible, but in no case more than twenty-four (24) hours
following first knowledge of the occurrence of any emergency event in accordance with the
permit.
The Division of Water Quality requests that, in addition to the specified corrective actions,
please submit a written response to this Notice by January 21, 2011. Please include in your
response all actions taken to correct the noted violations, and prevent recurrence in the future.
Failure to comply with conditions in a permit may result in a recommendation of enforcement
action, to the Director of the Division of Water Quality who may issue a civil penalty assessment
of not more than Twenty -Five Thousand Dollars ($25,000) against any "person" who violates or
fails to act in accordance with the terms, conditions, or requirements of a permit under authority
of North Carolina General Statute 143-215.6A.

Osborne Dairy/Facility 80-16
NOTICE OF VIOLATION
January 7, 2011
Page 2
Should you have any questions concerning this Notice, please contact Mr. Bealle or me at (704)
663-1699.
Sincerely,
Andrew H. Pitner, P.G.
Aquifer Protection Section Regional Supervisor
enclosure: Compliance Inspection Report dated December 7, 2010
cc: Division of Soil and Water Conservation, Mooresville Regional Office
Division of Soil and Water Conservation, Winston-Salem Regional Office
Rowan Soil and Water Conservation District
Central Permit File AWC800016
Regional Permit File AWC800016
jb

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 Facility Status: Active Permit: AWC800016 _ ❑ Denied Access
Inspection Type: Compliance Inagectmon . Inactive or Closed Date:
Reason for Visit: AQljtjoQ ..... County: Rowan Region: Mooresville _
Date of Visit: 12/07/2010 Entry Time:01:00 PM Exit Time: 02:30 PM Incident A,
Farm Name: Osborne Dairy Owner Email:
Mailing Address: 4000 Tavlorsville Hwy Statesville NC 286251842
Physical Address:
Facility Status: ❑ Compliant 0 Not Compliant Integrator:
Location of Farm: Latitude: 35046'31" Longitude: 80°38'09"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Jeffrey C. McNeely Phone: [phone]
On -site representative Robert S. Melton Phone: [phone]
Primary Inspector: James Sealle Phone: [phone]Ext.2162
Inspector Signature:
Secondary Inspector(s):
Date:
Page: 1

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number. 600016
Inspection Date: 12/07/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
06/15/07 > Waste Analysis > N = 3.9 Lbs/1000 Gallons
11/03/06 > Waste Analysis > N = 1.5 Lbs/1000 Gallons
05/17/07 > Soil Analysis
4. Facility Operators advised to pump down Storage Pond ASAP!
21. Waste Application, Weekly Freeboard, Rainfall, and > 1" Rainfall/Monthly Inspections records not maintained; NOV to follow.
21. Failure to conduct Waste Analysis at least within sixty (60) days (before or after) of the date of application; NOV to follow.
21. Failure to conduct 2009 Annual Soil Analysis; NOV to follow.
26. Failure to designate a certified animal waste management system operator with a valid certification to be in charge of the animal
waste management system; NOV to follow.
31. Failure to notify DWQ of emergency situations as required by Permit; NOV to follow,
is
Page: 2

El
Permit: AWC800016 owner - Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 12/07/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Q Cattle -Dairy Calf
20
20
Cattle -Dairy Heifer
50
5
Q Cattle -Dry Cow
20
15
Q Cattle -Milk Cow
200
60
Total Design Capacity: 290
Total SSLW: 365,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed freeboard
kaste Pond WP1 19.00 15.00
Page: 3

Permit: AWC800016 Owner- Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 12/07/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ■ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ❑ ■ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
❑
E ❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■
❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
01311
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA NE
4. Is storage capacity less than adequate?
■
❑
❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
❑
■
❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
❑
■
❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
■
❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑ ❑
improvement?
Waste ApRilication Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 4

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc
Facility Number: 800016
Inspection Date: 12/07/2010 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
Is PAN n 10%/10 lbs.?
❑
Total P205?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Corn (Silage)
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
7
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Records and Documents
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available?
If yes, check the appropriate box below.
WU P?
Fescue (Hay)
Small Grain Cover
Timothy, Orchard, &
Rye Grass
❑ ■ ❑ ❑
❑ ■ ❑ ❑
■❑
Page: 5

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 1210712010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? ❑
Design? ❑
Maps? ❑
OtheO ❑
21. Does record keeping need improvement? ■ ❑ ❑ ❑
If yes, check the appropriate box below
Waste Application? ■
120 Minute inspections? ❑
Weather code? ■
Weekly Freeboard? ■
Transfers? ❑
Rainfall? ■
Inspections after > 1 inch rainfall & monthly? ■
Waste Analysis? ■
Annual soil analysis?
■
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
❑
■ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑ ❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
❑
■ ❑
26. Did the facility fail to have an actively certified operator in charge?
■
❑
❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
❑
■ ❑
Vaa
Nn
N3 • NF
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 6

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc
Inspection Date: 12107/2010 Inspection Type: Compliance Inspection
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
34. Are subsurface drains present on this farm?
If yes, check the appropriate box below.
Spray Field
Lagoon 1 Storage Pond
Other
Facility Number: 800016
Reason for Visit: Routine
Yes No NA NE
IN
Page: 7

Division of Water Quality
Facility Number (6 O Division of Soil and Water Conservation. �.
0 Other Agency
Type of Visit ® Compliance Inspection O Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit70'Routine O Complaint O Follow up 0 Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: t� ' r,J Arrivai'rime: Departure Tine: County: _1� .. Region:
Farm Name: w �'eL��� "' . ' _ Owner Email:.-------.___ ---- .—
Owner Name Phone: ---
flailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative:
Certified Operator:_
Back-up Operator: _ _-
Locution of Farm:
C
Design Current
Swine Capacity Population
❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Other
titude:
Phone No:
Integrator:...__------•----._
Operator Certification Number:
Back-up Certification Number:
5
Design Current
Wet Poultry Capacity Population ' Cattle
❑ Layer
❑ Non -La et
-Dry Poultry
LJ Non -La ers
❑ Pullets
Poults
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
M
Design Current
Capacity Population
eff—aiLy Cow
90
GO
R%Pairy Calf
ZO
ZO
Heifer
O
Cow
v
❑ Non -Dar
❑ Beef Stoeket
❑Beef Feeder
❑ Beef Broad Cow
Number of Structures:
E�
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?
❑Y
o ❑ NA ❑ NE
❑ Yes [:]No NE
ElYes ❑ No t APO NE
❑ Yes ❑ No. 0 NE
❑ Ye o ElNA ElNE
❑Y o ❑NA ❑NE
12128104 Continued

4
Facility Number: — Date of inspection—�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structura l Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 4
s Vo ❑ NA ❑ NE
Yes NA ❑ NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed ❑ Yes�qNo ❑ 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 '�Wo ❑ NA ❑ 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 o NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Ye No ❑ NA
maintenance/improvemen` t?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes,� o ❑ NA
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Area..
12. Crop type(s)
13. Soil type(s)
❑ Yes ko ❑ NA
❑ Yes *V ❑ NA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination'![] Yes ❑ No A
17. Does the facility lack adequate acreage for land application? ❑ Yes o El NA
14. Do the receiving crops differ from those desi
in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
18. Is there a
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Reviewer/Inspector Name a ., 4:.t ,� ^.� .,x7� �.s' xw c.,:,�.. ,i. ! a
Reviewer/Inspector Signature:
z.,•.d , !.1, r �iii t..�$ Phone:
Date:
12128104 Continued

h
Y
Facility dumber: — Date of Inspection �]
Reg aired _Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes, check ❑ Yes ❑ NA ❑ NE
the approprrate box. c is s esign vv
21. Does record 1� Ring_ e mprovement? If yes. check the appropriate box b w. Yes ❑ No ❑ NA ❑ NE
rite A l ."eekl Fre r ante Analysi ;oil nalysis rite Transfer Annual Certification
ainfall �tocking ' I clop Yiel 20 Minute Inspection onthly and V Rain Inspections al eather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ No ❑ NA
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? El Yes [INo A
24. Did the facility fail to calibrate waste application equipment as rewired by the permit? ❑ Yes o ElNA
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑Yes NoA
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWN4P?
29. Did the facility fail to properly dispose of de tthm 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 emer =enc situ U s as required by
General Permit? (iel discharge, freeboard problems, over app nation)
32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative?
Os ❑ No NA
❑ Yes ❑ N NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
r r\\ rrrt►
33. Does facility require a follow-up visit by same agency? ❑ Ye o NA ❑ NE
�"ltl0riAl COmrr1e11t5`i1BCuOC, DYaWings �. •+ ';-, , i ;, F , � �! '' 4s : t r� �n ; .u� ,%
C�
12128104

Bealle, .lames
From:
Bealle, James
Sent:
Monday, December 20, 2010 7:55 PM
To:
Hudyncia, Joseph
Subject:
FW: Facility # 80-16
fyi...
jb
E-mail correspondence to and from this address may be subject to the
North Carolina Public Records Law and may be disclosed to third parties.
James Bealle <jarnes.bealle(cr)ncdenr.aov>
,..
Environmental Specialist
NCDENR{MRO)IDWQ/APS
From: Jeff McNeally [mailto:[e-mail]]
Sent: Thursday, December 16, 2010 9:57 AM
To: [e-mail]; [e-mail]
Cc: Bealle, .lames; [e-mail]
Subject: Facility # 80-16
Hello, My name is Jeff McNeely with G & M Milling. I own this farm now, and I leasing it to Andrew and
Robert Milton. I need either Chris or Larry to contact me as quickly as possible on a plan of action form
I received from James Bealle at DWQ. We are not running over, but we are high. We are trying to get the waste
haulers back as fast as possible. Please call me at 704-873-5758w or 704-902-4958m or email.
Thanks, Jeff McNeely

Dec 2Y 1 U 1 U:19a v 2S< ivl Milling
(>(Oct,
AAdf35/4;i p,1
PLAN OF ACTION (PoA) FORM for HIGH WASTE LEVVELS
IN STRUCTURES ATANIIVIAL FACILITIE
Facility Number: t_ - County:_____T�Jc����
Facility Name: iM r
Certified operator Name: Operator tt:.
LJd IC ltiak [116l7 W...: s�-LA•: el irr-,.. �r,iti911�1 RPnnrr P.fl t.0-DWO: f 1 '%.--/ <rl
DWQ Contact Name: � 4e,.-e-f �-.s 14', _
Current Situation
I. List the current waste ievei(s) as measured from the vjaste level in tf e lagoon/storage pond to the
lo.:esr point no.thPteri.n.L;.he dam for structures without spillways; and from the waste level In the
structure tU Lyle bottotrt oFil;C' ;1�' a`, rcf ctrL ttLtre5 With .rQdlvvays- Alsc0 IISL'r
above the maximum liquid mark (also called "start pump").
Structure I Structure 2 Structure 3 Structure
Structure NamePD:
Spillway (yes cr no): �-es _
N�Alaste Level (inchesj:
Above Maximum Mark (inches):
Dam is Slumping or Seeping (yes or no): _
Mitigative Factors
2. Brief summary (incl. date, type, and amount) of precipitation events contributing to high waste level:
;Z �^a . � -�� � � ,� e � ti �, `il,�-J G� E: 4 =� i �a �-i' S,�...,-r� o � ,r.-.- ,�--( (n $ r j �--1'-� f�l � ,✓-f :.+;J
3. Date of most recent waste application event:
i
4- Per the Certified Animal Waste Management plan (CAWMP), how is animal waste land -applied at
your -facility (e.g. solid spreader, irrigation, honey wagon, slurry truck)?
Evaluation of waste rvlana emtm
S. If--oppl;calse.,hasthe -rrla Ir.r and barns been inspected for leaking drinkers? Have repairs bv-&a
made? t!!i5 (�5�l1-n
b. If appl,CaNe iS there-e nou-G' a;.:; : E o ^z s h.� ,r.rn,, o c..cl!T+.� frocl, a �s rrc;rn the `.vastc
Structure? if not, when Is InsLalydltu, 1 Ut ; cl. -1 — ro—+4—
5 S+. e, .EY I r! . • - _._ l

Dec 29 10 10:20a G & M Milling
7048735743 p.2
n ditch around the waste Structure r inctioning properly and excluding all
�. s� pprlicaF�Eo, .022 jver5io .. _ .. .•. - - -
frcGh water irrnrra the str�_ir. acre?- �I,r 4 _. i
i
methods employed to contain the Naste or to ej of cattlelto Pasture)-.�1�tarc.(P.�'•.beCjn,.
S. Describe all lication method, removac?
ditch, retention hole, aite`nate app' i `„ e v, t ��
V r 0 P o-ec1 5tratc application equipment mars t]v"vn In
standing-water1iapP � I,catic:n fields
�- Descr's5e moisture conditions in the field (e.g• application without runoff, app
field, "trafficability" across the soil, soils able to -absorb
frozen and/or snow covered): t
possible date that land application
�.ue 1 `
1D. Given optimum soil and wea�thSconditions,.�ti,A�s the ear 1e5 pn1W
could cOrnmence7 W ,yam.. �to�� -4 -d0�.. .
L -two
;, •, �.= L 0 60 das of application? +. 4—' S
11. i O yvu have �vastr' analv.�i�s obtained within y
and application window(5)'12—
d receiving,cro s), acreage, }. 5 a •^ � {o
� list the volume and PAN content
13, is waste to be pumped and hauled to an off -site loc s withtheirrelated facility number, number of
the waste to be hauled as well as the proposed site(s) )
acres, receivingcrop information, etc. Contact and secure app
royal from the Division of 4'Yate' ;an.
Quality na r tv transfer of waste to a site not covered in the facility's certified animal waste p
have reviewed the information listed above, and to the best of my. knowledge
1 hereby certify that I ha
a abi it , the information is accurate and correct phone. •�
cility-Owner Manager (print)
Date,
F ty owner/Manager {si nature} '+
... , --,,I nnn Gnrn�•r�ar?n1ri

NCDENR F1 I LE
North Carolina Department of Environment and Natural Resources
Beverly. Eaves Perdue
Governor
G&M Milling Co Inc
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
Dear G&M Milling Co Inc:
Division of Water Quality
Coleen H. Sullins Dee Freeman
Director Secretary
October 1, 2009
Subject: Certificate of Coverage No. AWC800016
Osborne Dairy
Cattle Waste Collection, Treatment,
Storage and Application System
Rowan County
In accordance with your renewal and change of ownership requests, we are hereby forwarding to you this
Certificate of Coverage (COC) issued to G&M Milling Co Inc, authorizing the operation of the subject
animal waste management system in accordance with General Permit AWG200000.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management
Plan (CAWMP) for the Osborne Dairy, located in Rowan County, with an animal capacity of no greater
than the following annual averages:
Dairy Calf- 20 Dry Cow: 20 Beef Brood Cow:
Dairy Heifer: 50 Beef Stocker Calf: Other:
Milk Cow: 200 Beef Feeder:
The COC shall be effective from the date of issuance until September 30, 2014, and shall hereby void
Certificate of Coverage Number (<PERMIT_NUMBER>> that was previously issued to this facility.
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. Please pay careful attention to the
record keeping and monitoring conditions in this permit. Record keeping fortes are unchanged with this
General Permit. Please continue to use the same record keeping forms.
1636 Mail Service Center, Raleigh, North Carolina 27699-1636
Location: 2728 Capita) Blvd., Raleigh, North Carolina 27604 One�1 t
Phase: 919-733-3221 4 FAX: [phone] Customer Service: 1-877-623-6748 Nbr' lCarol.ina
Internet: www.ncwaterquality.org [ A. c�I J� ]atur f / l
„�, s; i n.,,,,.,..,�,�., nre....nr.,s ,. �r;n� �,n�„„e. � l` "

n�_
r
, �
If your Waste Utilization Plan (WUP) has been developed based on site -specific information, careful
evaluation of future samples is necessary. Should your records show that the current WUP is inaccurate
you will need to have a new WUP 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.
Per 15A•NCAC 2T .0105(h) 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, then 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 Animal Feeding Operations Unit for information on this
process. Unless such a request is made within 30 days, this COC shall be final and binding.
In accordance with Condition IL22 of the General Permit, waste application shall cease within four (4)
hours of the time that the National Weather Service issues a Hurricane Warning, Tropical Storm Warning,
or a Flood Watch associated with a tropical system for the county in which the facility is located. You
may find detailed watch/warning information for your county by calling the Greenville/Spartanburg, SC
National Weather Service office at [phone], or by visiting their website at:
www.erh.noaa. og_ v/er/gsp/
This facility is located in a county covered by our Mooresville Regional Office. The Regional Office
Aquifer Protection Staff may be reached at [phone]. If you need additional information
concerning this COC or the General Permit, please contact the Animal Feeding Operations Unit staff at
[phone].
Sincerely,
-4a
v.
for Coleen H. Sullins
Enclosure (General Permit AWG200000)
cc: certificate of Coverage only for all ccs)
ooresville Regional Office, Aquifer Protection Section
Rowan County Health Department
Rowan County Soil and Water Conservation District
APS Central Files (Permit No.AWC800016)
AFO Notebooks

0
Permit Number AWG200000
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
CATTLE WASTE 1 AdNAGENfENT SYSTEM GENERAL PERMIT
This General Permit is issued pursuant to North Carolina General Statutes 143-215 et seq., may apply to any
cattle facility in the State of North Carolina, and shall be effective from October 1, 2009 until September 30,
2014.
All activities authorized herein shall be consistent with the terms and conditions of this General Permit.
Holders of Certificates of Coverage (COC) under this General Permit shall comply with the following specified
conditions and limitations:
I. PERFORMANCE STANDARDS
Any discharge of waste that reaches surface waters or wetlands is prohibited except as otherwise
provided in this General Permit and associated statutory and regulatory provisions. Waste shall
not reach surface waters or wetlands by runoff, drift, manmade conveyance, direct application,
direct discharge or through ditches, terraces, or grassed waterways not otherwise classified as
state waters.
The waste collection, treatment, storage and application system operated under this General
Permit shall be effectively maintained and operated as a non -discharge system to prevent the
discharge of pollutants to surface waters or wetlands. 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 or wetlands.
Facilities must be designed, constructed, operated, and maintained to contain all waste plus the
runoff from a 25-year, 24-hour rainfall event for the location of the facility. A facility that has a
discharge of waste that results because of a storm event more severe than the 25-year, 24-hour
storm will not be considered to be in violation of this General Permit if the facility is otherwise
in compliance with its Certified Animal Waste Management Plan (CAWMP) and this General
Permit.
Any discharge or application of waste to a ditch that drains to surface waters or wetlands is
prohibited except as follows: (a) discharges from the ditches are controlled by best management
practices (BMPs) designed in accordance with NRCS standards; (b) the BMPs have been
submitted to and approved by the Division of Water Quality (Division); (c) the BMPs were
implemented as designed to prevent a discharge to surface waters or wetlands; (d) the waste was
removed immediately from the ditch upon discovery; and (e) the event was documented and
reported in accordance with Part III.13. of this General Permit. Nothing in this exception shall
excuse a discharge to surface waters or wetlands except as may result because of rainfall from a
storm event more severe than the 25-year, 24-hour storm.
2. This Permit does not allow the Permittee to cause a violation of any of the water quality
standards established pursuant to Title 15A, Subchapter 2B of the North Carolina Administrative
Code and Title 15A, Subchapter 2L of the North Carolina Administrative Code.
February 20, 2009

Permit Number AWG200000
The facility's COC and its CAWMP, are hereby incorporated by reference into this General
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.
The Permittee must assess and record, -on an ongoing basis, the effectiveness of the
implementation of the CAWMP. The Permittee must make "major changes," "revisions," or
"amendments" to the CAWMP, as defined in Section VII, "Definitions," of this Permit, in order
to address any changes needed to maintain compliance with the facility's COC and this General
Permit. "Major changes," "revisions," and "amendments" to the CAWMP must be documented,
dated, and included as part of the CAWMP. "Major changes" and "revisions" to the CAWMP
shall be submitted to the appropriate Division Regional Office within thirty (30) calendar days of
the "'major change" or "revision." "Amendments" are not required to be submitted to the
Division Regional Office unless specifically requested by the Division. If field, riser or pull
numbers are changed, an explanation shall also be submitted and include a description of how the
new numbers relate to the old numbers.
Any violation of the COC or the CAWMP shall be considered a violation of this General Permit
and subject to enforcement actions. A violation of this General Permit may result in the Permittee
having to take immediate or long-term corrective action(s) as required by the Division. These
actions may include but are not limited to: modifying the CAWMP; ceasing land application of
waste; removing animals from the facility; or the COC being reopened and modified, revoked
and reissued, and/or terminated.
4. Any proposed increase or modification to the annual average design capacity from that
authorized by the COC will require a modification to the CAWMP and the COC prior to
modification of the facility. For all new and expanding operations, no collection, treatment or
storage .facilities may be constructed in a 100-year flood plain.
Facilities located in watersheds sensitive to nutrient enrichment may be notified by the Division
to conduct an evaluation of the facility and its CAWMP to determine the facility's ability to
comply with the NRCS nutrient management standard as it relates to phosphorous. This
evaluation will not be required until such time as the permittee is notified by the Division. The
evaluation must be documented on forms supplied by or approved by the Division and must be
submitted to the Division. This evaluation must be completed by existing facilities within twelve
(12) months of receiving notification from the Division.
For facilities located in watersheds sensitive to nutrient enrichment, all fields with a "HIGH"
phosphorous -loss assessment rating shall have land application rates that do not exceed the
established crop. removal rate for phosphorous. There shall be no waste application on fields
with a "VERY HIGH" phosphorous -loss assessment rating.
No COC will be issued to any new or expanding facility located in a watershed sensitive to
nutrient enriched until the applicant has completed and submitted a phosphorous loss assessment
to determine if the new or expanding facility can comply with the NRCS phosphorous standards.
If prior approval is received from the Director of the Division of Water Quality (Director),
facilities that have been issued a COC to operate under this General Permit may add treatment
units for the purpose of removing pollutants before the waste is discharged into the
lagoons/storage ponds. Prior to any approval, the Permittee must demonstrate to the satisfaction
of the Director that the new treatment unit will not interfere with the operation of the existing
treatment system and that a process is in place to properly manage and track the pollutants
removed.
February 20, 2009

Permit Number AWG200000
If prior approval is received from the Director, facilities which have been issued a COC to
operate under this General Permit may add innovative treatment processes to the systems on a
pilot basis in order to determine if the innovative treatment process will improve how the waste
is treated and/or managed. Prior to any approval, the Permittee must demonstrate to the
satisfaction of the Director that the innovative treatment process will not interfere with the
operation of the existing treatment system and that a process is in place to properly manage and
track the pollutants removed.
Animal waste shall not be applied within 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 REOUIREMENTS
The collection, treatment, storage facilities, and the land application equipment and fields shall
be properly operated 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 or upon areas where the crop is insufficient for nutrient
utilization. However, if the CAWMP allows, then waste may be applied up to thirty (30) days
prior to planting or breaking dormancy.
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. '
6. Animal waste shall not be directly applied onto crops for direct human consumption that do not
undergo further processing (e.g., strawberries, melons, lettuce, cabbage, apples, etc.) at any time
during the growing season, or in the case of fruit bearing trees, following breaking dormancy.
Application of animal wastes shall not occur within thirty (30) days of the harvesting of fiber and
food crops for direct human consumption that undergoes further processing.
7. 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, or prior to the next
rainfall event, whichever occurs first. This requirement does not apply to no -till fields, pastures,
or fields where crops are actively growing.
S. No material other than animal wastes of the type generated on this facility shall be disposed of in
.the animal waste collection, treatment, storage or application systems. This includes but is not
limited to pesticides, toxic chemicals and petroleum products.
February 20, 2009

Permit Number AWG200000
Domestic and/or industrial wastewater from showers, toilets, sinks, etc. shall not be discharged
into the animal waste collection, treatment, storage, and application system_ . Washing machines
located near the milking parlors and used exclusively for washing rags used during milking;
waste milk; and wash vats required to be connected to the animal waste collection, treatment,
storage and application system by Grade A Pasteurized Milk Ordinance Part 11, Section 7, Item 5r
are exempt from this requirement. 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 not expected to harm the receiving crop, and will not contravene the groundwater
standards listed in 15A NCAC 2L may be utilized in facilities covered by this General Permit.
Instruction labels are to be followed when using cleaning agents and soaps.
10. - 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.
Disposal of dead animals whose numbers'exceed normal mortality rates associated with the
facility shall also be done in accordance with the facility's CAWMP and NCDA&CS Veterinary
Division's Statutes and regulations provided that: 1) burial of such animals shall be done in
consultation with the State Veterinarian of the NCDA&CS Veterinary Division's Statutes and in
compliance with NCDA&CS regulations; 2) all such burial sites must be mapped, and the dates
and numbers of the animals buried by species and type must be recorded; and 3) the map is
submitted to the appropriate Regional Office Aquifer Protection Section within fifteen (15)
calendar days of burial.
In the event of a state of emergency declared by the Governor, disposal of dead animals shall be
done in accordance with requirements and guidelines dictated by the State Veterinarian
according to G.S. §106-339.4. The Division may require groundwater monitoring when there is
massive burial of animals. All burial sites of such animals- must be mapped, and the dates and
numbers of the animals. buried by species and type must be recorded.
11. Unless accounted for in temporary storage volume, all .uncontaminated runoff from the
surrounding property and buildings shall be diverted away from the waste storage structures to
prevent any unnecessary addition to the liquid volume in the structures. Runoff from lounging
areas to the waste storage ponds or lagoons shall be prevented unless included in the CAWMP.
12. A protective vegetative cover shall be established and maintained on all earthen lagoon/storage
pond embankments (outside toe of embankment to maximum liquid level), 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.
13. 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 structure is necessary,
provisions must be taken to prevent damage to the structure dikes and liner.
14. 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.
15. 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.
February 20, 2009

Permit Number AWG200000
16. The Permittee shall designate a certified animal waste management system operator with a valid
certification to be in charge of the animal waste management system. The waste management
system shall be operated by the Operator in Charge (OIC) or a person under the OIC's
supervision.
17. In accordance with 15A NCAC 8F .0203(2)(2), the OIC or a designated back-up OIC of a Type B
Animal Waste Management System shall inspect, or a person under the supervision of an OIC or
designated back-up OIC shall inspect, the land application site as often as necessary to insure that
the animal waste is land applied in accordance with the CAWMP. In no case shall the time
between inspections be more than 120 minutes during the application of waste. A record of each
inspection shall be recorded on forms supplied by, or approved by, the Division and shall include
the date, time, sprayfield number and name of the operator for each inspection. Inspection shall
included but not be limited to visual observation of application equipment, spray fields,
subsurface drain outlets, ditches, and drainage ways for any discharge of waste.
The Permittee may assert as an affirmative defense in any enforcement action alleging
noncompliance with the requirements imposed in this condition that such noncompliance was
due to circumstances beyond the Permittee's control. A notation shall be made on the form
indicating the inspection affected by such circumstance and an explanation setting forth the
circumstances claimed to have been beyond the Permittee's control shall be submitted with the
form.
18. The Director may require any permittee to install and operate flow meters with flow totalizers
based on the facility's violations and/or incomplete or incorrect record keeping events..
19. No waste shall be applied in wind conditions that might reasonably be expected to cause the mist
to reach surface waters or wetlands or cross property lines or field boundaries..
20• The Permittee 'shall maintain buffer strips or other equivalent practices as specified in the
facility's CAWMP near feedlots, manure and feed storage areas and land application areas.
21 • Waste shall not be applied on land that is flooded, saturated with water, frozen or snow covered
at the time of land application.
22. Land application of waste is prohibited during precipitation events. The Permittee shall consider
pending weather conditions in making the decision to land apply waste and shall document the
weather conditions at the time of land application on forms supplied by or approved by the
Division.
Land application of waste shall cease within four (4) hours of the time that the National Weather
Service issues a Hurricane Warning, Tropical Storm Warning, or a Flood Watch associated with
a tropical system including a hurricane, tropical storm, or tropical depression for the county in
which the permitted facility is located. Watches and warnings are posted on the National
Weather Service's website located at: www.weather.gov. More detailed website information
can be found on Page 2 of the Certificate of Coverage. Watch and warning information can also
be obtained by calling the local National Weather Service Office that serves the respective
county, which can be found on Page 2 of the Certificate of Coverage.
The Director may require any permittee to install, operate and maintain devices on all irrigation
pumps/equipment designed to automatically stop irrigation activities during precipitation. This
decision will be based on the facility's compliance history for irrigation events.
February 20, 2009

Permit Number AWG200000
23. 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).
24. All waste application equipment must be tested and calibrated once in the first two years after
issuance of the COC and then at least once every two years thereafter. The results must be
documented on forms provided by, or approved by, the Division.
25. Any major structural repairs to waste structures must have *ritten documentation from a
technical specialist certifying proper design and installation. However, if a piece of equipment is
being replaced with apiece 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
structure embankment or Liner.
26. Crops for which animal waste is land applied must be removed from the land application site andVi' properly managed and utilized unless other management practices are approved in the CAMP.
27. In accordance with NRCS North Carolina Conservation Practice Standard No. 359 "Waste
Treatment Lagoon", an operator may temporarily lower waste levels to provide irrigation water
during drought periods and to provide additional temporary storage for excessive rainfall during
the hurricane season and in preparation for the following winter months. All conditions of
NRCS NC Standard No. 359 must be satisfied prior to lowering waste levels below designed stop
pump levels.
III. MONITORING AND REPORTING REOUTREMENTS
An inspection of the waste collection, treatment, and storage structures, and runoff control
measures shall be conducted and documented at a frequency to insure proper operation but at
least monthly and after all storm events of greater than one (1) inch in 24 hours. For example,
lagoonslstorage ponds, and other structures should be inspected for evidence of erosion, leakage,
damage by animals, or discharge. Inspection shall also include visual observation of subsurface
drain outlets, ditches, and drainage ways for any discharge of waste.
Monitoring and Recording Freeboard Levels
a. 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 storage structure with a waste level gauge shall be monitored and
recorded weekly on forms supplied by or approved by the Division.
The Director may require more frequent monitoring and recording of waste levels based on
the facility's compliance history for freeboard violations.
b. Any' facility which experiences freeboard violations in any two consecutive years
following the issuance of this General Permit, or as determiried necessary by the Director,
shall monitor and record waste levels as follows:
February 20, 2009

Permit Number AWG200000
In addition to the facility's existing waste -level gauges, automated lagoon/storage pond
waste -level monitors and recorders (monitored and recorded at least hourly) must be
installed on all treatment and storage structures covered by a COC issued under this
General Permit to measure and record freeboard. This equipment must be properly
maintained and calibrated in a manner consistent with manufacturer's operation and
maintenance recommendations. This automated equipment must be in place no later than
ninety (90) days following notification from the Director. The Director may determine
that installation of automated waste level monitors is not required if the Permittee can
demonstrate that preventative measures were taken to avoid the violations and that the
violations resulted from conditions beyond the Permittee's control.
If an automated level monitor(s) becomes inoperable, the Permittee shall:
report the problem by telephone to the appropriate Division Regional Office as soon
as possible, but in no case more than 24 hours following first knowledge of the
problem; and,
ii. make any needed repairs to the equipment as quickly as possible, and take and record
daily waste levels at the same time every day until such time as the automated
equipment is placed back into operation.
The Director may require new or modified waste -level gauges at any facility if it is
determined that the existing gauges are not adequate to accurately indicate actual waste
levels, or the various waste levels required to be maintained by this General Permit or the
facility's CAWNIP.
Monitoring and Recording Precipitation Events
a. Precipitation events at facilities issued a COC to operate under this General Permit shall be
monitored and recorded as follows:
A rain gauge must be installed at a site that is representative of the weather conditions at
the farm's land application site(s) to measure all precipitation events. The precipitation
type and amount must be recorded daily for all precipitation events and maintained on site
for review by the Department of Environment and Natural Resources (Department). Daily
records do not need to be maintained for those days without precipitation events.
b. The Director may require that an automated rain gauge and recorder must be installed on
site to measure and record all precipitation events. This equipment must be properly
maintained and calibrated in a manner consistent with manufacturer's operation and
maintenance recommendations. This automated equipment must be in place no later than
ninety (90) days following receipt of notice from the Director.
If an automated rain gauge(s) becomes inoperable, the Permittee shall:
i. report the problem 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 problem; and,
ii. ' make any needed repairs to the equipment as quickly as possible, and take and record
all rainfall events until such time as the automated equipment is placed back into
operation.
February 20, 2009

Permit Number AWG200000
A representative Standard .Soil Fertility Analysis, including pH, phosphorus, copper, and zinc,
shall be conducted on each application field receiving animal waste in accordance with NCGS
143-215.1OC(e)(6). As of the effective date of this General Permit, the Statute requires that the
analysis be conducted at least annually.
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. Every reasonable effort shall be made to have
the waste analyzed prior to the date of application and as close to the time of waste application as
possible. This analysis shall include the following parameters:
Nitrogen Zinc
Phosphorus Copper
6. 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 of on -site, or record the off -site
location(s). These records must be on forms supplied by, or approved by, the Division.
7. A record shall be created and maintained of all transfers of waste between waste structures on the
same site not typically operated in series. Such record shall include at least the identity of the
structure from which the waste was transferred, the identity of the structure receiving the waste,
the date and time of transfer and the total volume/quantity of waste transferred.
8. The Permittee must maintain monthly stocking records for the facility and make the records
available to the Department. Pastured animals not contributing waste to the animal waste
management systems should not be counted on the monthly stocking records.
9. If, for any reason, there is a discharge from the waste collection, treatment, storage and
application, systems (including the land application sites), to surface waters or wetlands, the
Permittee is required to make notification in accordance with Condition 111, 13. The discharge
notification shall include the following information:
a. Description of the discharge: A description of the discharge including an estimate of the
volume/quantity discharged, a description of the flow path to the receiving surface waters
or wetlands and a site sketch showing the path of the waste.
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, 5. above.
f. A waste sample, obtained within seventy-two (72) hours following first knowledge of the
discharge to surface waters or wetlands, from the source lagoon/Storage pond, shall be
analyzed for the following minimum parameters:
February 20, 2009

Permit Number AWG200000
Fecal coliform bacteria Five-day biochemical oxygen demand (BODS)
Total suspended solids Total phosphorous
Ammonia nitrogen (NI13-N) Total Kjeldahl nitrogen (TKN)
Nitrate nitrogen (NO3-N)
Monitoring results must be submitted to the Division within thirty (30) days of the
discharge event.
10. In accordance with 15A NCAC 02T .0108(c), The Division may require any 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 animal waste upon the surface waters, groundwater or wetlands. Such monitoring,
including its scope, frequency, duration and any sampling, testing, and reporting systems, shall
meet all applicable Division requirements.
11. A copy of this General Permit, the facility's COC, certification forms, lessee and landowner
agreements, the CAWMP and copies of all records required by this General Permit and the
facility's CAWMP shall be maintained by the Permittee in chronological and legible form for a
minimum of three (3) years. Records include but are not limited to: soil and waste analyses, rain
gauge readings, freeboard levels, irrigation and land application event(s), past inspection reports
and operational reviews, animal stocking records, records of additional nutrient sources applied
(including but not limited to sludges, unused feedstuff leachate, milk waste, septage and
commercial fertilizer), cropping information, waste application equipment testing and
calibration, and records of removal of solids to off -site location(s). These records shall be
maintained on forms provided or approved by the Division and shall be readily available at the
facility (stored ai places such as the farm residence, office, outbuildings, etc.) where animal
waste management activities are" being conducted for the life of this General Permit, unless
otherwise specified in this General Permit.
12. Within fifteen (15) working days bf 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 NC G.S. 132-1.2, and shall be made available to the public by the Division as
specified in Chapter 132 of the General Statutes.
13. . 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.
Any discharge that poses a serious threat to the environment or human safety or health.
C. Failure to maintain storage capacity in a lagoon/storage pond greater than or equal to that
required in Condition V. 2: of this General Permit.
d. 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 collection, treatment, storage and land
application system resulting in a discharge to surface waters or wetlands.
February 20, 2009

Permit Number AWG200000
Any failure of the waste treatment and disposal system that renders the facility incapable
of adequately receiving, treating or storing the waste and/or sludge.
g. A spill or discharge from a vehicle transporting waste or sludge to the land application
field which results in a discharge to surface waters or wetlands.
h. A spill or discharge from a vehicle transporting waste or sludge to the land application
field which results in a discharge that poses a serious threat to surface waters, wetlands, or
human health or safety.
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.
14, The Director may require any permittee to file an anngal certification report based on the
compliance history of the facility. If required, the report must be filed on forms provided by the
Division.
15. The Director'may require facilities to submit additional reports and/or certifications based on the
facility's compliance history.
16. In the event of a discharge of 1,000 gallons or more of waste to surface waters or wetlands, the
Permittee must issue a press release to all print and electronic news media that provide general
coverage in the county in which the discharge occurred setting out the details of the discharge.
The press release must be issued within forty-eight (48) hours after it is determined that the
discharge has reached the surface waters or wetlands. A copy of the press release and a list of
the news media to which it was distributed must be kept for at least one (1) year after the
discharge and must be distributed to any person upon request.
17. In the event of a discharge of 15,000 gallons or more of animal waste to surface waters or
wetlands, a public notice is required in addition to the press release described in Condition III 1.6.
The public notice must be placed in a newspaper having general circulation in the county in
which the discharge occurred and the county immediately downstream within ten (10) days of the
discharge. The minimum content of the notice is the name of the facility, location of the
discharge, estimated volume of waste entering state waters, time and date discharge occurred,
duration of the discharge, identification water body that was discharged into including creek and
river basin if applicable, actions taken to prevent further discharge, and a facility contact person
and phone number.
18. If a discharge of 1,000,000 gallons of wastewater or more reaches surface waters or wetlands, the
appropriate Division Regional Office must be contacted to determine in what additional counties,
if any, a public notice must be published. A copy of all public notices and proof of publication
must be sent to the Division within thirty (30) days of the discharge.
10 February 20, 2009

Permit Number AWG200000
19. All facilities, which are issued a COC to operate under this General Permit, shall conduct a
survey of the sludge accumulation in all lagoons/storage ponds every year. The survey report
should be written on forms provided or approved by the Division and shall include a sketch
showing the depth of sludge in the various locations within each structure. This survey frequency
may be reduced if it can be demonstrated to the satisfaction of the Division that the rate of sludge
accumulation does not warrant an annual survey.
If the sludge accumulation is such that the structure does not satisfy the criteria set by NRCS NC
Conservation Practice Standard No. 359, a sludge removal or management plan must be
submitted to the appropriate Division Regional Office within ninety (90) days of the
determination. The plan shall describe removal and waste utilization procedures to be used.
Compliance regarding sludge levels must be achieved within two (2) years of the determination.
20. If required by 15A NCAC 02T Section .1300, the Division may notify the permittee to conduct
compliance water quality monitoring on surface and/or groundwater during the period of this
General Permit. This monitoring will not be required until such time as the Division notifies the
permittee. A monitoring plan shall be established within the time specified by the above
referenced rules. All monitoring must be performed using standard sampling protocol, tested at a
laboratory approved by the Division, and results must be submitted to the Division.
IV. INSPECTIONS AND ENTRY
The Permittee shall allow any authorized representative of the Department, upon the presentation
of credentials and other documents as may be required bylaw and in accordance with reasonable
and appropriate biosecurity measures, to:
a. Enter the Permittee's premises where a regulated facility or activity is located or conducted,
or where records must be kept under the conditions of this General Permit;
b. Have access to and copy, at reasonable times, any records that must be kept under the
conditions of this General Permit;
C. Inspect, at reasonable times any facilities, equipment (including monitoring and control
equipment), practices, or operations regulated or required under this General Permit; and,
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 a COC to operate under this General 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.
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 the 25-year, 24-hour storm event plus
an additicnal 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,
11 February 20, 2009

Permit Number AWG200000
In addition to the above requirements, for new and expanding farms with lagoon and storage
pond designs completed after September 1, 1996, storage must also be provided for the heavy
rainfall factor for the lagoons/storage pond. In case of lagoons/storage ponds in series that are
gravity fed, the 25-year, 24-hour storm event and/or the heavy rainfall factor storage requirement
for the system may be designed into the lowest lagoon/storage pond in the system. However,
adequate freeboard must be designed into the upper lagoons/storage ponds to allow sufficient
storage to prevent the waste level from rising into the structural freeboard while the storm water
is draining into the lowest structure in the system.
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 General Permit until properly
closed. When the containment basin is properly closed in accordance with the MRCS NC
Conservation Practice Standard No. 360 "Closure of Waste Impoundments," February 2008 or
any subsequent amendment, the containment basin shall not be subject to the requirements of this
General Permit. The Permittee must submit a letter to the Divisiorl to request rescission of the
COC 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.
This General Permit allows for the distribution of up to four cubic yards of manure per visit to
individuals for personal use. The Permittee must provide the recipient(s) with information on the
nutrient content of the manure. Distribution of greater quantities must be to individuals or
businesses- permitted to distribute the waste, or to be land applied to sites identified in the
Permittee's CAWMP.
The Permittee must inform the recipient(s) of his/her responsibilities to properly manage the land
application of manure. Record keeping for the distribution of manure up to four (4) cubic yards
per visit to individuals for personal use is not required.
The annual permit fee shall be paid by the Permittee within thirty (30) days after being billed by
the Division. Failure to pay the fee accordingly constitutes grounds for revocation of its COC to
operate under this General Permit.
6. 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 its COC to operate
under this General Permit.
7. A COC to operate under this General 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. This request shall be
submitted within sixty (60) days of change of ownership. The request will be considered on its
merits and may or may not be approved.
S. A COC to operate under this General Permit is effective only with respect to the nature and
volume of wastes described in the application and other supporting data. The Permittee shall
notify the Division immediately of any applicable information not provided in the permit
application.
Any proposed modification to an animal waste management system including installation of
lagoon covers shall require approval from the Division prior to construction.
12 February 20, 2009

VI.
Permit Number AWG200000
If the Permittee wishes to continue an activity regulated by this General Permit after the
expiration date of this General Permit, the Permittee must apply for and obtain a new COC.
Renewal applications must be filed at least 180 days prior to the expiration of the General
Permit,
10. The issuance of a COC to operate under this General Permit does not prohibit the Division from
reopening and modifying the General Permit or COC, revoking and reissuing the General Permit
or COC, or terminating the General Permit or COC as allowed by the appropriate laws, rules, and
regulations.
11. The Director may require any person, otherwise eligible for coverage under this General Permit,
to apply for an individual permit by notifying that person that an application is required.
12. The Groundwater Compliance Boundary is established by 15A NCAC 2L .0102 and 15A NCAC
2T .0103. 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 North Carolina General Statutes.
13. Upon abandonment or depopulation for a period of four years or more, the Permittee must submit
documentation to the Division demonstrating that all current MRCS standards are met prior to
restocking of the facility.
PENALTIES
Failure to abide by the conditions and limitations contained in this General Permit; the facility's
COC; the facility's CAWNIP; and/or applicable state law; may subject the Permittee to an
enforcement action by the Division including but not Iimited 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 General 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 a 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 General Permit.
Vn. DEFINITIONS
25-year, 24-hour rainfall or storm event means the maximum 24-hour precipitation event with a
probable recurrence interval of once in 25 years, as defined by the National Weather Service in Technical
Paper Number 40, "Rainfall Frequency Atlas of the United States,". May 1961,, and subsequent
amendments, or equivalent regional or state rainfall probability information developed therefrom.
Agronomic rates means the amount of animal waste and/or other nutrient sources to be applied to lands
as outlined in NRCS NC Conservation Practice Standards No. 590 "Nutrient Management" and'No 633
"Waste Utilization" or as recommended by the NCDA&CS and the North Carolina Cooperative
Extension Service at the time of certification of the Animal Waste Management Plan by the appropriate
certified technical specialist.
Amendment to the CAWMP means a change and/or addition to a part(s) of the plan, and requires that
the change and/or addition adhere to current applicable standards. The following are examples of
amendments to the CAWMP:
13
February 20, 2009

Permit Number AWG200000
• In an existing CAWMP, a change in crops and/or cropping pattern that utilizes 25% or less of the N
generated is considered a plan amendment. Additional acreage needed to facilitate the change in
crops and/or cropping pattern is permissible and considered part of the amendment.
• The addition of winter crops and/or intersecded perennial crops are considered amendments to an
existing CAWMP when the operation does not require additional acreage and/or crops for N
utilization, and does not exceed the 25% criteria stated above.
• When a CAWMP cannot meet N utilization requirements due to land lost to irrigation- inefficiency
(usable versus total acres), then the CAWNfP may be amended to increase available acreage and/or
change the crop for N utilization. This is the only exception to the 25% N criteria for plan revision.
• Inclusions of emergency action plans, and insect, odor and mortality checklists are considered
CAWMP amendments.
• Including additional acreage for land application beyond what is required in the existing CAWMP is
considered a plan amendment.
Animal feeding operation means a lot or facility (other than an aquatic animal production facility)
where the following conditions are met: (i) animals (other than aquatic animals) have been, are, or will be
stabled or confined and fed or maintained for a total of forty five (45) days or more in any twelve (12)
month period, and (ii) crops, vegetation, forage growth, or post -harvest residues are not sustained in the
normal growing season over any portion of the lot or facility. Two or more animal feeding operations
under common ownership are considered to be a single animal feeding operation if they adjoin each
other, or if they use a common area or system for the disposal of wastes.
Certification means technical specialist certification of the CAWMP in accordance with the
requirements of 15A NCAC 02T .1304. It is unrelated to terms "Annual Certification" as used in
Condition III.14 of this Permit, and the "No Discharge Certification Option' allowed by the November
2008 EPA CAFO Rule.
Ditch means any man made channel for the purpose of moving water off a site to the surface waters.
Excessive Ponding means any area of the application field where visible liquid waste is ponded on the
surface of the land application site more than four .(4) hours following the application of waste.
Excessive ponding also means any areas where the ponding of waste has resulted in crop failure.
Groundwaters means any subsurface waters, as defined in 15A NCAC 2L .0102.
Land application means the application of wastewater and/or waste solids onto or incorporation into the
soil.
Major changes to the CAWMP means changes in the number of animals, type of operation (feeder to
finish to wean to feeder), retrofit of a lagoon, installation of a new irrigation system, and similar type
changes. Recertification is only required for major changes to the CAWMP. Nlajor changes to a facility
must first be approved by DWQ. The new CAWMP and the certification shall be submitted with a
request that the COC be amended to reflect the changes. The facility may not make the changes until a
new or amended COC has been issued.
14 February 2C, 2009

Permit Number AWG200000
Revision to the CAWMP means a change to an entire CAWMP to meet current applicable standards. A
CAWMP must be revised if the operation cannot utilize all N nitrogen generated by the animal
production in accordance with the existing CAWMP, except for the specific conditions noted in the
CAWMP amendment criteria as previously defined. For an existing CAWMP, a change in crops and/or
cropping pattern that utilizes more than 25% of the N generated by the operation is considered a plan
revision. Any change to an existing CAWMP, whether an amendment or revision, must be signed and
dated by both the producer and a technical specialist for the new CAWMP to be valid. A revision of the
CAWMP does not require recertification.
State Waters means all surface waters, wetlands, groundwaters and waters of the United States located
in the State.
Surface Waters means any stream, river, brook, swamp, lake, sound, tidal estuary, bay, creek, reservoir,
waterway,'or other surface body or surface accumulation of water, whether public or private, or natural
or artificial, that is contained in, flows through, or borders upon any portion of the State of North
Carolina, including any portion of the Atlantic Ocean over which the State has jurisdiction as well as any
additional Waters of the United States which are located in the State.
Waste means manure, animal waste, process wastewater and/or sludge generated at an animal feeding
operation.
Wetlands means areas that are inundated or saturated by an accumulation of surface or groundwater at a
frequency and duration sufficient to support, and under normal circumstances do support a prevalence of
vegetation typically adapted for life in saturated soil conditions, as defined in I5A NCAC 2B .0202.
This General Permit issued the 20th day of February, 2009.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
l
Director
oleen H. Sullins
North Carolina Division of Water Quality
By Authority of the Environmental Management Commission
Permit Number AWG200000
15 February 20, 2009

❑ Wean to Finish
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow.to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Other
❑ Other
. s.
r
®Division of W ter Qualt °+
FsClltty Numbet` O Division of Soil and Water Conservation 3 �'
f h �OOther Agen
cy
w
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit IfD Routine O Complaint O Follow up O Referral O Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: ti Departure Time: G24 County: _ Region:
Farm Name: �.� _ Owner Email:
Owner Name: Phone:
Mailing Address: _ _ _ •A A I
Physical Address: _ -Y " V _
Facility Contact: Title: Phone No:
Onsite Representative:
Certified Operator: 5;L�
Back-up Operator:
Location of Farm:
Integrator:
Operator Certification Number: _.
Back-up Certification Number:
Latitude: = o = . ❑ Longitude: = ° = 1
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population ' ' Cattle. Capacity Population
❑ La er
❑ Non -Laver
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance plan -made?
I54Ab4 .
I
�
■ : -.
_-
■ :... .
-_
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)
i r
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No A ❑ NE
❑ Yes El No
A ❑ NE
❑ Yes ❑ No ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes ❑ NA - ❑ NE
12128104 Continued

Facility Number: — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate'?
a. If yes, is waste level into the structural freeboard?
-Structure 1 Structure 2 Structure 3 Structure 4
Identifier: 1 17'Y--A,
Spillway?: t----
AV
Designed Freeboard (in): �—
Observed Freeboard (in): .Z.
❑Yeo El NA El NE
ElYes ElNQ. A ❑ NE
Structure 5 Structure 6
5. Are there any immediate rears to e integrity o any o'F�observed?
❑ Yes o ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
❑ Yes ❑ 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 healtikevQnvironmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
es ❑ No ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit?
❑ Yes,4�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 'f:lgo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ yes ❑ NA ❑ NE
maintenance/improvement?
IL Is there evidence of incorrect application? If yes, check the appropriate box below.
❑ YesNA El NE
❑ Excessive Ponding El Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) �/�%��
❑ PAN ❑ PAN > 10% or 10-1bs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge
into Bare So'
❑ Outside of Acceptable Crop Window ❑ Eviden e of in Drift ❑Annhe
�.�L�
12. Crap tyPe(s)
13. Soil type(s)
Gi�� k ` Ne4- `�
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 12
o El NA [I NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes o []NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,[--] Yes ❑ Na?�A ❑ NE
17. Does the facility lack adequate acreage for land application? ❑ Yes ��Oo [] NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes Leo ❑ NA ❑ NE
IQ
SC�s
Reviewer/1
nspector Name; ., '�' ' 4 r ,� ``}^ F, _
,.. ._ ,,. Phone:
Reviewer/Inspector Signature:' Date:
12128104 Continued

r
Facility Number:
Date of Inspection 0
Required Records &_Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Ye NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes i NA ❑ NE
the appropirate box. ❑ WUP Ists aps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes Imo_❑ -NA ❑ NE
Wste Application Weekly Freebaar Waste Analysis�Atl Analysis LFAla teT
ansfers rA��l Certification
❑ Rainfall Yield ❑ 120 Minute Inspections ❑ Monthly and V Ra' ions a+hej Code_
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? El Yes es❑ N`o ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? j ❑ No ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes ❑ No,%,JZRA ❑ 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 � ' ❑❑ NE
Other Issues
28. Were any additional problems noted which causc non-compliance of the permit or CAWMP? ❑ YeSNfi_<o ❑ NA ❑ NE
29. Did the facility fail to properly dispose of de�atuu�a�}5rwithin 24 hours and/or document ❑ Yes gio ❑ 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 J�o ❑ 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 o ❑ 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 ❑ NA ❑ NE
31. Does facility require a follow-up visit by same agency? ❑ Yes No NA ❑ NE
Aildlttiinal Comments and/oi Drawings: r x ,•t ; x , f F = �r "1 t si' }` i �#'
;k.�.. .�• ..Ff w" h ::.+` r..in t.S 1.. +yNt _r .-ir. ..�Lu
i7l
J
s v� A, - -
12128104

A Division of Water Quality
n Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 _ Facility Status: Active Permit: AAWC800016 ❑ Denied Access
Inspection Type: Corngliance Insoection Inactive or Closed Date:
Reason for Visit: Routine County: Rowan Region: Mooresville
Date of Visit: 09/19/2008 Entry Time:10-00 AM Exit Time: 11:00 AM _
Farm Name: Osborne Dairy
Owner: Charles R Osborne
Incident #:
Owner Email:
Phone: [phone]
Mailing Address: $85 Hamps Dairy Ln Cleveland NC 270139190_
Physical Address:
Facility Status: ■ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35'45'48" Longitude: 80°42'05"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Charles Randal Osborne
Secondary OIC(s):
On -Site Representative(s)
24 hour contact name
On -site representative
Name
Charles R. Osborne
Charles R. Osborne
Operator Certification Number: 24828
Title Phone
Phone: [phone]
Phone: [phone]
Primary Inspector: James Beall Phone: [phone]
Ext.216
Inspector Signature: Date:
Secondary Inspector( <j'
Inspection Summary:
06/15/07 > Waste Analysis > N = 3.9 Lbs11000 Gallons
11/03/06 > Waste Analysis > N = 1.5 Lbs11000 Gallons
05/17/07 > Soil Analysis
7. Trees, shrubs, and other woody vegetation shall not be allowed to grow on the Storage Pond embankments, and vegetation shall
be mowed regularly.
C.
Page: 1

t
Permit: AWC800016 Owner- Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 09/19/2008 Inspection Type: Compliance inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Q Cattle -Dairy Calf
20
0
Q Cattle - Dairy Heifer
50
35
Q Cattle - Dry Cow
20
0
Q Cattle - Milk Cow
200
0
Total Design Capacity: 290
Total SSLW: 365,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
kaste Pond TWP1 19.00 42.00
Page: 2

i
Permit: AWC800016 Owner - Facility: Charles R Osborne Facility,Number : 800016
Inspection Date: 09/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. is any discharge observed from any part of the operation?
n■nn
Discharge originated at
Structure n
Application Field
Other n
a. Was conveyance man-made? ❑ n ■ f�l
b. Did discharge reach Waters of the State? (if yes, notify DWQ) n n ■ n
c, Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
n
n
■
n
2. Is there evidence of a past discharge from any part of the operation?
n
■
n
n
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
n
■
n
n
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
n
■
n
n
If yes, is waste level into structural freeboard?
n
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
n
■
n
n
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management n
■
n
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
■
n
n
n
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
0000.
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
n
■
n
n
improvement?
Waste Application
Yes
No
NA
N€
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
■
n
n
improvement?
11. is there evidence of incorrect application?
n
■
n
n
If yes, check the appropriate box below
Excessive Ponding?
n
Hydraulic Overload?
n
Frozen Ground? ,
n
Heavy metals (Cu, Zn, etc)?
In
Page: 3

Permit: AVVC800016 Owner - Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 09l1912008 Inspection Type: Comp}ianoe Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
n
PAN?
Is PAN > 10%110 lbs.?
Total P205?
Failure to incorporate manure/sludge into bare soil?
Outside of acceptable crop window?
Evidence of wind drift?
Application outside of application area?
Crop Type 1
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops.differ from those designated in the Certified Animal Waste Management
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
17. Does the facility lack adequate acreage for land application?
1& Is there a lack of properly operating waste application equipment?
Records and Documents
19, Did the facility fail to have Certificate of Coverage and Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available?
If yes, check the appropriate box below.
WUP?
n
n
n
n
n
n
Corn (Silage)
Small Grain Cover
Timothy, Orchard, &
Rye Grass
n■nn
n■nn
n■nn
n
5
Page: 4

Permit: AWC800016 Owner -Facility 7 Charies R Osborne Facility Number: 800016
Inspection Date: 0911912008 Inspection Type: Compliance inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? rf
Design? n
Maps? n
Other? n
21. Does record keeping need improvement? f_1 ■ n n
If yes, check the appropriate box below.
Waste Application?
n
120 Minute inspections?
n
Weather code?
fl
Weekly Freeboard?
n
Transfers?
n
Rainfall?
n
Inspections after > 1 inch rainfall & monthly?
n
Waste Analysis?
n
Annual soil analysis?
n
Crop yields?
n
Stocking?
n
Annual Certification Form (NPDES only)?
n
22. Did the facility fail to install and maintain,a rain gauge?
n
MOD
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
n
n
■
n
24. Did the facility fail to calibrate waste applicaticn equipment as required by the permit?
n
■
n
n
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
n
■
26. Did the facility fail to have an actively certified operator in charge?
0
■
n
n
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
0
f_1
■
❑
...._ _
V.-
Pd-
PIA
MC:
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? D ■ n 0
29. Did the facility fail to property dispose of dead animals within 24 hours and/or document and report those n ■ 0 0
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air 0 ■ n D
Quality representative immediately.
Page: 5

5
Permit: AWC800M Owner - Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 09/19/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other Issues Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? Q ■ 0 0
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ ■ Q 0
33. goes facility require a follow-up visit by same agency?
Page: 6

r
1 .f.
(� Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 Facility Status: Active Permit: AWC800016 n Denied Access
Inspection Type: Operations RpviQw
Reason for Visit: Routine County
Inactive or Closed Date:
Rowan Region: Mooresville
Date of Visit: 04/24/2008 Entry Time: 01 00 PM Exit Time: 02:15 PM Incident #:
Farm Name: Osborne Dairy
Owner: Charles R Osborne
Owner Email:
Phone: [phone]
Mailing Address: 385 Ham s Dai Ln I Cleveland NC 270139190
Physical Address:
Facility Status: ❑ Compliant n Not Compliant Integrator:
Location of Farm: Latitude: 35°45'4§" Longitude: 80°42'05"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Discharges & Stream Impacts
Records and Documents
Certified Operator: Charles Randal Osborne
Secondary OIC(s):
Waste Collection & Treatment Waste Application
Other issues Technical Assistance
Operator Certification Number: 24828
On -Site Representative(s): Name Title Phone
24 hour contact name Charles R. Osborne Phone: [phone]
On -site representative Charles R. Osborne Phone: [phone]
Primary Inspector: Cindy Safrit Phone:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
Farm is For -Sale
Date:
Soil Analysis- 5/17/2007
�waste application records for September 2007 need to be completed. Waste analysis for September applications is missing. Mr.
sborne said he will contact Nancy Keith for help with his records.
Page: 1

Permit: AWC800016 Owner - Facility: Charles R Osborne
Inspection Date: 04/24/2008 Inspection Type: Operations Review
Facility Number: a00016
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Q Cattle -Dairy Heifer 1 30
Cattle -Milk Cow 290
Waste Structures
Type Identifier
Total Design Capacity: 290
Total SSLW: 406,000
Closed Date Start Date Designed Freeboard Observed Freeboard
aste Pond WP1 19.00 65.00
Page: 2

Permit: AWC800016 Owner - Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 04/24/2008 inspection Type: Operations Review Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? n ■ ❑ 0
Discharge originated at:
Structure
Application Field
Other
a. Was conveyance man-made?
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
discharge?
Waste Collection, Storage & Treatment
n
n
n
0
0
0
0
❑0M0
nn■❑
C1■0n
n■❑Q
4. Is storage capacity less than adequate? ❑ ■ ❑ n
If yes, is waste level into structural freeboard? In
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe ❑ ■ ❑ Q
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management n ■ n D
or closure plan?
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
improvement?
11. Is there evidence of incorrect application?
If yes, check the appropriate box below.
Excessive Ponding?
Hydraulic Overload?
Frozen Ground?
Heavy metals (Cu, Zn, etc)?
Q
■
❑
Q
❑
■
0
0
■
Q
Yes
No
NA
NE
n■nn
n■nn
n
n
n
n
Page: 3

Permit: AWC800016 Owner - Facility: Charles R Osborne
Inspection Date: 04/24/2008 Inspection Type: Operations Review
Facility Number : 800016
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
n
Is PAN > 10%110 lbs.?
n
Total P2O5?
n
Failure to incorporate manure/sludge into bare soil?
n
Outside of acceptable crop window?
n
Evidence of wind drift?
n
Application outside of application area?
n
Crop Type 1
Corn (Silage)
Crop Type 2
Small Grain (Wheat,
Barley, Oats)
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Mecklenburg
Soil Type 2
Iredell
Soil Type 3
Cecil
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
n ■ n n
Plan(CAWMP)?
15. Does the receiving crop andlor land application site need improvement?
n ■ n n
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? n n ■ n
17. Does the facility lack adequate acreage for land application?
n ■ n n
18. Is there a lack of properly operating waste application equipment?
n ■ n ❑
Records and Documents
Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
n ■ n n
20. Does the facility fail to have all components of the CAWMP readily available?
n ■ n n
If yes, check the appropriate box below.
WUP? Q
Page: 4

Permit: AWC800016 owner - Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 04/24/2008 Inspection Type: Operations Review Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? n
Design? ❑
Maps? [1
Other? I]
21. Does record keeping need improvement? ■ 0 n 0
If yes, check the appropriate box below.
Waste Application?
■
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
rl
Inspections after a 1 inch rainfall R monthly?
f_!
Waste Analysis?
■
Annual soil analysis?
❑
Crop yields?
ri
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
0
■
0
24. Did the facility fail to calibrate waste application equipment as required by the permit?
n
■
n
n
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
❑
■
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■
❑
0
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
�._ _ _ • _ _ _ _ _ _
n
V--
n
K1-
■
MA
n
AIM
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ ■ ❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWC800016 Owner - Facility: Charles R. Osborne
Inspection Date: 04/24/2008 Inspection Type: Operations Review
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
t
Facility Number: 800016
Reason for Visit: Routine
Yes No NA NE
n■nn
■ ❑ ❑
Q ■ Q Q
Page: 6

�r CR Michael F. Easley, Governor
William G. Ross Jr., Secretary
I y North Carolina Department of Environment and Natural Resources
j Alan W. Klimek, P.E. Director
FILE0 ,r Division of Water Quality
AQUIFER PROTECTION SECTION
April 20, 2007
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Charles R. Osborne
Osborne Dairy
385 Hamps Dairy Lane
Cleveland, NC 27013
Re: NOTICE OF VIOLATION
NOV-2007-PC-0298
Compliance Evaluation Inspection
Osborne Dairy/Facility 80-16
General Permit AWC800016
Rowan County
Dear Mr. Osborne:
Chapter 143 of the North Carolina General Statutes authorizes and directs the Environmental
Management Commission of the North Carolina Department of Environment and Natural
Resources to protect and preserve the water and air resources of the State: The Division of
Water Quality has the delegated authority to enforce adopted pollution control regulations. This
letter is a standard notification and is intended to advise you of the legal requirements associated
with the operation of your Facility.
Enclosed is a copy of the Compliance Evaluation Inspection Report for the inspection conducted
on March 22, 2007, by James B. Bealle III, Environmental Specialist/DWQ. During the
inspection, the following violation(s) were identified:
• Facility Operator failed to conduct the required Annual Soil Analysis. The most recent
available results were dated March 16, 2005. This is a violation of General Permit
Condition III.4, III.10, and 1II.11, and the Certified Animal Waste Management Plan
(CAWMP).
Please submit a written response to the Division of Water Quality by May 4, 2007, indicating the
actions, taken to correct the noted violation(s), and prevent recurrence in the future. In
responding, please reference the Facility and NOV Number. Address your comments to the
attention of Mr. Bealle at the address located on the bottom of this page.
Division of Water Quality 1 Aquifer Protection Section 1 Mooresville Regional Office Phone: [phone] Fax: [phone] No ehCarolina
6i0 East Center Avenue, Suite 301, Mooresville, NC 28116 Internet: www.ncwaterauality.org Avurally

Osborne Dairy/Facility 80-16—' .
NOTICE OF VIOLATION t j
April 20, 2007 f___ J C : _.FI "4
Page 2
Be advised that this Notice does not prevent the Division of Water Quality from taking
enforcement actions as appropriate to regain compliance. The North Carolina General Statutes
provide for the assessment of civil penalties of up to Twenty -Five Thousand Dollars ($25,000)
per day, per violation for noncompliance; and/or criminal penalties.
Should you have any questions concerning this matter, please do not hesitate to contact Mr.
Bealle at [phone].
Sincerely,
Andrew H. Pitner, P.G.
Aquifer Protection Section Regional Supervisor
enclosure: Compliance Evaluation Inspection Report dated March 22, 2007
cc: Division of Soil and Water Conservation, Mooresville Regional Office
Rowan Soil and Water Conservation District
Animal Feeding Operations Unit, Raleigh
Regional Files
jh

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 Facility Status: Active Permit: AWC800016 ❑ Denied Access
Inspection Type: Compflance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Rowan Region: Mooresville
Date of Visit: 03/22/2007 Entry Time:04-OQ Pad - -- Exit Time: 05:00 PM
Farm Name: Osborne Dairy
OwnerR!2sborne
Incident #:
Owner Email:
Phone: [phone]
Mailing Address: 385 Hamos Dairy Ln Cleveland NC 270139190
Physical Address:
Facility Status: ❑ Compliant 0 Not Compliant Integrator:
Location of Farm:
Latitude:35°45'48" Longitude:80°42'05"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
© Records and Documents Other Issues
Certified Operator: Charles Randal Osborne
Secondary OIC(s):
Operator Certification Number: 24828
On -Site Representative(s): Name Title Phone
On -site representative Charles R. Osborne Phone: [phone]
24 hour contact name Charles R. Osborne Phone: [phone]
Primary Inspector: James 6ealle Phone:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
11/03/06 > Waste Analysis > N = 1.5 Lbs/1000 Gallons
07/20/06 > Waste Analysis > N = 2.0 Lbs/1000 Gallons
03/16/05 > Soil Analysis
Date:
7. Trees, shrubs, and other woody vegetation shall not be allowed to grow on the Storage Pond embankments, and vegetation shall
be mowed regularly. Eradicate rodents and repair tunneling damage.
21, Failure to conduct Annual Soil Analysis; NOV to follow.
a
Page: 1

Permit: AWC800016 Owner - Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 03/22/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
O Cattle -Milk Cow 290 122
Total Design Capacity: 290
Total SSLW: 406,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
�aste Pond WPt 19.00 29.00
.2
Page: 2

Permit: AWC800016 Owner - Facility: Charles R Osborne Facility Number : 800016
Inspection Date: 03/22/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? 13000
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ■ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ❑ ■ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ ❑ ■ ❑
2. Is there evidence of a past discharge from any part of the operation? Q ■ ❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a ❑ ■ ❑ ❑
discharge?
Waste Collection, Storage S Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
❑
■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe
❑
■
❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
❑
❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
■
❑
❑
❑
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■
❑
❑
If yes, check the appropriate box below
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 3

Permit: AWC800016 Owner - Facility: Charles R Osborne Facility Number: 800016
Inspection Date: 03/22/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 10%/10 lbs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Corn (Silage)
Crop Type 2 Small Grain Cover
Crop Type 3 Timothy, Orchard, &
Rye Grass
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■
❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
❑
■
❑
17. Does the facility lack adequate acreage for land application?
❑
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
Q
Records and Documents
Yes
No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
E
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

f
Permit: AWC800016 Owner - Facility: Charles R Osborne
Facility Number: 800016
Inspection Date: 03/22/2007 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes
No
NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
■
❑
❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after> 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
■
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑
❑
■
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
m
❑
❑
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 phosphorous loss assessment (PLAT) certification?
❑
❑
■
❑
Other Issues
Yes
No
NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■
❑
❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWC800016 Owner - Facility: Charles R Osborne
Inspection Date: 03/22/2007 Inspection Type: Compliance Inspection
Otherlssues
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
Facility Number: 800016
Reason for Visit: Routine
Page: 6

OSBORNE -DAIRY
38511AMPS DAIRY LANI3
CLEVELAND, NC 27013
May 1, 2007
Mr. Beal le
Division Water Quality
610 East Center Avenue
Suite 301
Mooresville, NC 28115
Re: NOTICE OF VIOLATION
NOV-2007-PC-0298
Facility 80-16
Permit AWC800016
Dear Mr. Bealle,
MAY - 3 2001
I am writing to let you know that soil samples were pulled for this facility on April 26, 2007. To prevent
this from happening again, I plan on pulling the samples myself. If there are any questions feel free to
contact me at 704-278-0013.
Sincerely,
Charles R. Osborne

.s 1
Division of Water Quality
3
n Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 80OQ15 Facility Status: Active Permit: AWC800016 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Rowan Region: Mooresville
Date of Visit: 1110912006 _ Entry Time:Q2:00 PM Exit Time: 05:00 PM Incident #:
Farm Name: Osborne Dairy - Owner Email:
Owner: Charles R Osborne
Phone: [phone]
Mailing Address: 385 Hamos Dairy Ln Cleveland NC 270139190
Physical Address:
Facility Status: ■ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°45'48" Longitude: 80"42'05
From intersection of Cooi Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other issues
Certified Operator: Charles Randal Osborne Operator Certification Number: 24828
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative Charles R. Osborne Phone: [phone]
24 hour contact name Charles R. Osborne Phone: 704-278`-0013
Primary Inspector: James Bealle Phone: *'1�",�,J, �a,,%%-a.1(:'::.
Inspector Signature: Date: Kyw4"`
Secondary Inspector(s).
Inspection Summary:
11/03/06 > Waste Analysis > N = 1.5 Lbs11000 Gallons
07/20/06 > Waste Analysis > N = 2.0 Lbs11000 Gallons
03/16/05 > Soil Analysis
7. Trees, shrubs, and other woody vegetation shall not be allowed to grow on the Storage Pond embankments, and vegetation shall
be mowed regularly.
jb
Page: 1

Permit: AWC800016 Owner - Facility: Charles R Osborne Facility Number : 800016
Inspection Date: 11/09/2006 Inspection Type: Compliance Inspeclion Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
Q Cattle - Milk Caw 290 90
Total Design Capacity: 290
Total SSLW: 406,000
lll_-L_ G.-.._a..___
Type Identifier Closed Date Start Date -Designed Freeboard Observed Freeboard
kaste Pond I WP1 19.00 48.00
Page: 2

Permit: AWC80OD16 Owner - Facility: Charles R Osborne Facility Number: 800016
'
Inspection Date: 11/09/2006 Inspection Type: Compliance inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No
NA
NE
1. Is any discharge observed from any part of the operation?
n
■
n
n
Discharge originated at:
Structure
❑
Application Field
In
Other
In
a. Was conveyance man-made?
n
n
■
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
n
n
■
n
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
n
❑
■
o
2. Is there evidence of a past discharge from any part of the operation?
n
■
n
n
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
n
■
n
n
discharge?
Waste Collection, Storage& Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
n
■
n
n
If yes, is waste level into structural freeboard?
n
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
n
■
❑
n
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
n
n
or closure plan?
7. Do any of the structures need maintenance or improvement?
■
n
n
n
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
n
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
n
n
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
n
■
o
u
improvement?
11. Is there evidence of incorrect application?
n
■
n
O
If yes, check the appropriate box below,
Excessive Ponding?
n
Hydraulic Overload?
n
Frozen Ground?
n
Heavy metals (Cu, Zn, etc)?
n
Page: 3

Permit: AWC800016 Owner - Facility: Charles R Osborne
Facility Number : 800016
Inspection Date: 11/09/2006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No
NA
NE
PAN?
it
Is PAN > 10%110 lbs.?
n
Total P205?
n
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
n
Evidence of wind drift?
n
Application outside of application area?
n
Crop Type 1
Corn (Silage)
Crop Type 2
Small Grain
Cover
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Sci[ Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑ ■
❑
D
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
O ■
n
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? 0 0
■
17. Does the facility lack adequate acreage for land application?
n ■
n
Q
18, Is there a lack of properly operating waste application equipment?
n ■
❑
n
Records and Documents
Yes No
NA
NE
19, Did the facility fail to have Certificate of Coverage and Permit readily available?
Q ■
n
20. Does the facility fail to have all components of the CAWMP readily available?
n ■
❑
n
If yes, check the appropriate box below,
WUP?
Page: 4

Permit: AWC800016 Owner - Facility: Charles R Osbome Facility Number: 800016
Inspection Date: 1110912006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? n
Design? n
Maps? n
Other? ❑
21. Does record keeping need improvement? Cl ■ n
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
n
Weather code?
n
Weekly Freeboard?
n
Transfers?
❑
Rainfall?
In
Inspections after> 1 inch rainfall S monthly?
n
Waste Analysis?
n
Annual soil analysis?
Crop yields?
n
Stocking?
n
Annual Certification. Form (NPDES only)?
n
22. Did the facility fail tc install and maintain a rain gauge?
n
■
n
n
23. If selected, did the facility fail to instals and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
n
■
24. Did the facility fail to calibrate waste application equipment as required by the permit?
n
■
n
25. Did the facility fail to conduct a sludge survey as required by the permit?
n
n
■
Cl
26. Did the facility fail to have an actively certified operator in charge?
n
■
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
n
❑
■
❑
V..
ktn
MA
AIC
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP? n ■ n n
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those n IN n n
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air n ■ n n
Quality representative immediately.
Page: 5

Permit: AWC800016 Owner - Facility: Charles R Osborne
Inspection Date: 11/09/2006 Inspection Type: Compliance Inspection
Other Issues
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss reviewfinspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
Facility Number: 800016
Reason for Visit: Routine
Yes No NA NE
❑■n[1
n■0❑
Cl ■ 0 0
Page: 6

William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Randy Osborne
Osborne Dairy
3 85 Hamps Dairy Lane
Cleveland, NC 27013
Subject: Certificate of Coverage No. AWC800016
Osborne Dairy
Swine Waste Collection, Treatment,
Storage and Application System
Rowan County
Dear Randy Osborne:
In accordance with your application received on September 21, 2005, we are hereby forwarding to you
this Certificate of Coverage (COC) issued to Randy Osborne, 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 operation of this system including, but not limited to, the management
of animal waste from the Osborne Dairy, located in Rowan County, with an animal capacity of no greater
than an annual average of 200 Dairy Cows, 20 Dry Cows, 50 Heifers, and 20 Calves, 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. Enclosed for your convenience is
a package containing the new and revised forms used for record keeping and reporting. Please pgy
careful attention to the record kee in and monitoriniz conditions in this ermit.
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.
Ne10 Caro 'na
Nakully
Aquifer Protection Section 1636 Mail Service Center Raleigh, NC 27699-1636 Phone [phone] Customer Service
Internet: http://h2o.enr.state.nc.us 2728 Capital Boulevard Raleigh, NC 27604 Fax [phone].623-6748
Fax [phone]
An Equal Opporlun4lAlfi6mative Action Employer— 50% Recycled110% Post Consumer Paper

Per 15A NCAC11-1_022f c) a compliance boundary is provided for the facility and no new water supply.
4 wills hall be`!corp coed within the compliance boundary. Per NRCS standards a 100 foot separation
'shall"be'maintaine be v een water supply wells and an lagoon, storage and or an wetted area of a
ppY Y g � g pond, Y
t +# spray field.
It
la ek) adiTVd tJ
violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP mIt in the revocation of this COC, or penalties in accordance with NCGS 143-
Lhia
215:6A'through 143-C including civil penalties, criminal penalties, and injunctive relief.
If you wish t co ontie 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 Mooresville Regional Office. The Regional Office
Aquifer Protection Staff may be reached at [phone]. If you need additional information
concerning this COC or the General Permit, please contact Keith Larick at [phone].
Sincerely,
for Alan W. Klimek, P.E.
Enclosures (General Permit AWG100000)
cc: (Certificate of Coverage only for all cc's)
Mooresville Regional Office, Aquifer Protection Section
Rowan County Health Department
Rowan County Soil and Water Conservation District
APS Central Files (Permit No. AWC800016)
AFO Files

.t
1
Type of Visit i0 Compliance Inspection Q Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
l �� p Count Region: ,� —jef
Date of Visit: •� O-t Arrival Time: /�Dc Departure Time: Y� g� -/-�
Farm Name: —�A�cl of �S o LtN "- %D-Aq Owner Email:
Owner Name: R"C 1/ ��S j,ctnl�( _ Phone: /
Mailing Address: _ass^_ ylanD�1✓P+ ./' �� C�C �M NC 70 3
Physical Address:
Facility Contact: f�"' c Title: G%.!c IOT- r- �^ Phone No:
Onsite Representative: /� Integrator:
Certified Operator: �� Operator Certification Number: "I � �y
Back-up Operator:
Back-up Certification Number:
Location of Farm: Latitude: ❑ o = 6 = Longitude: ❑ 0 0 4 ❑ 4f
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Design Current Design Current
Capacity Population Wet Poultry Opacity Population
❑ Layer
i
❑ Non -La et
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Poults
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
Dairy Cow
O d
❑ Dair Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
❑ Beef Feeder
❑ Beef Brood Cow
Number of Structures: lill"
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 M No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
P No
❑ NA
❑ NE
12128104 Continued

Facility Number: o— 6
Date of Inspection 0-�5
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
29No
❑ 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: Wfkc.4 Ist cl_
Spillway?: -_Y41
Designed Freeboard (in): 1 11
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
M No
❑ NA
❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes © No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes © No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ® No ❑ NA ❑ NE
maintenance/improvement?
I t . Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes ® No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s) (f&ctrj irlp%/ aA:�✓ .,, -- _
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
© Yes
❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
® No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination',[]
Yes
® No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
© No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
© No
❑ NA
❑ NE
Reviewer/Inspector Name �'�'�� Phone:
Reviewer/Inspector Signature: jr/.r� Date: 6
12128104 Continued

a
Facility Number: 4a -- 4, Date of Inspection 6-
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. [] WUP ❑ Checklists ❑ Design ❑Maps ❑Other
❑ Yes ® No ❑ NA ❑ NE
❑ Yes ® No ❑ NA ❑ NE
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑ Yes ® No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain inspections ❑ Weather Code
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Did the facility fail to conduct a sludge survey as required by the permit?
26. Did the facility fail to have an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/inspector fail to discuss review/inspection with an on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
❑ Yes
© No
❑ NA
❑ NE
❑ Yes
❑ No
® NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
[Z] No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes
® No
❑ NA
❑ NE
❑ Yes © No ❑ NA ❑ NE
Additional:Comments and/or Drawings:`
coL
(?�J V=T !jr(1i7� g/Y►sf AAPV "-4/ 1.1
-5.d s®��� Sip; ply tA1'(,rrt
ApI -ArE L✓L Il �-
12128104

Type of Visit )& Compliance inspection O Operation Review O Lagoon Evaluation
Reason for Visit PtRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number t7 Date of Visit: Time:
0 Not Operational Q Below Threshold
Permitted 13 Certified 13 Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .........................
Farm Name: .... s k lt......
QWrel............ ................--••-•---•--•--------•-•--...------............. County: ......keel& .................................... .......................
OwnerName: O�„Y.......5.�?lr..................................................................... Phone No:.......................................................................................
Mailing Address:
Facility Contact: ....... y....0'143&&C................ .. Title: Phone No:
/01
Onsite Representative:........... ��..... .... .... Integrator: .............................
Certified Operator: .......................................... �.................................................................. Operator Certification Number:..........................................
Location of Farm:
❑ Swine ❑ Poultry ,® Cattle ❑ Horse Latitude F-7-7' ' F____�" Longitude • 1 it
'i ' 1 , =il�gnE,,t'I�Curren
7I[1 a l , 4rmCa
aq a�lo
ulatton§
avw•]al,. 'lt,t::a4a ace a<ro ulnuom, .c.�a�yc'a.'§r .i:faGa aCE ut•i?o u�suOII{'.
Layer Dairy
Wean to Feeder
❑❑
Feeder to Finish
❑ Non Layer31�1[] Non -Dairy
�� � '
❑ Farrow to Wean
�• , � i' ° �,}�l ! .....
❑Other €� '..r_
l k' ' =.',�
Feeder
❑Farrow to
;t [ .• ,
Total 'Design iCµ�apactty�,
6 lSEF 1a tlt� ee di FSF N
C} t'
i- I 7 1 j
`4;
❑ Farrow to Finish
Gtlts�Fi�j41
[I.i
❑ Boars
'fir Total SSLW "
�'; r '�` r 4....f';
i s',4
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes © No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..........I.A. �.............. .....................................................................
Freeboard (inches):
12112103 Continued

Facility Number: o — L Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ED No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ Yes ® No
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ®No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes ® No
elevation markings?
Waste Application
10, Are there any buffers that need maintenancelimprovement? ❑ Yes El No
11. Is there evidence of over application? If yes, check the appropriate box below. []Yes $] No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Copper and/or Zinc
12. Crop type S.// �„n
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes 91 No
b) Does the facility need a wettable acre determination?
❑ Yes
® No
c) This facility is pended for a wettable acre determination?
❑ Yes
© No
15. Does the receiving crop need improvement?
❑ Yes
® No
16. Is there a lack of adequate waste application equipment?
❑ Yes
® No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
® No
liquid level of lagoon or storage pond with no agitation?
I8. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
® No
I9. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
® No
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
❑ Yes
f No
Air Quality representative immediately.
° `:€'w^ YS"i r>i{»P3::-:�I:riF;S!'..,••i,i.•.•?,•L".'^Y.4iffi�f,:t48.;.: 4...9.v:s.a..'€i.`.t',i•i:z:,ll'••"'.� c,s:.;<la.•. ��,'ti1
Cammentsl referatq uestton # 3Ex lain an rYES'answers and/oir'an 5 recaammendfid&ts or an 'otlierecomments 3 '{, `�
'U$ei. ...€ � :•€€ �Sv,dPE;a' .'¢€. t ct€""€::,i°�¢i3 .a :i -i° .fcc �'.`i.i„. inr.i �"iA=S=, riS- i=$.8 ,. - �:'�i;Y.°aids �.a€ s ,:€ii:;P,:s€..313°3.�=.>.a;: ti. t t, f..E.; [I� ¢ ,,A �aa�aa„a.,,,.Ai::A 3., s..:�,<>x.�,c.,6-�,���Igt�U�l� �€€i d �!�3�� {
"drawitn offac� to better Iaan sibuations� use:ridihonal pagesias necessary}.,§, ; '_.
;:: � ;:�,�:: r, €� : � � � ,�..;��>9 ,�,. �� b �3. ,, �� { �� ' t€,,. ,,, ° � ; � , � ❑Field COPY ❑Final Notes ,€� �#�€1 ;,?�
�;-� ,;�dt�e�'s11 n.€, ,,ic.E. �$i,.»i4�.,.. 3� "iY3�'"+ L"�'�2au.�iLin�a.a_. _..�b:t',;,a.� ��$i• ;{
iva,.l `tewP1A' 4k-[ ' a
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rt r r K r €` .I' $ € $ ' 6 ,ws g i 7 ' $ i, F t F3gT ¢�(`;';
ReVlewer%tnspeetor Name tf� °y4aads� �k;i��E 4 �
Reviewer/Inspector Signature: ' Date: — ro
12112103 Continued

Facility Number: .. �d .... Date of Inspection
Renuired Records & Documents
21.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
® No
22.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WIT, checklists, design, maps, etc.)
❑ Yes
ZI No
23.
Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
® No
❑ Waste Application ❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
® No
25.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
® No
26.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
Q No
27.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
28,
Does facility require a follow-up visit by same agency?
❑ Yes
© No
29.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
® No
NPDES Permitted Facilities '
30.
Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
❑ Yes
® No
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 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
12112103

Syr
OCTOBER 22, 2003
MR JOHNSON
DIVISION WATER QUALITY
919 NORTH MAIN STRET
MOORESVILLE, NC 28115
MR. JOHNSON,
OSBORNE DAIRY
385 RAMPS DAIRY LANE
CLEVELAND NC 27013
SUBJECT: NOTICE OF VIOLATION
DATED OCTOBER 14, 2003
FACILITY #80-16
r N C DEPT ar'LtiVG41I•RONMr`V'►''
AND NATURAL RESOURCE'S
i.1.00RESVILLE REGIONAL OFFICE
OCT 27 2003
THE GENERAL PERMIT HAS BEEN INSERTED INTO THE WASTE RECORD BOOK FOR REVIEW.
THE LAGOON IS IN THE PROCESS OF BEING PUMPED DOWN. THE PUMP MARKER WILL BE
INSTALLED THEREAFTER
SINCERELY,
" Ajv-4�
RANDY OKBORNE
OSBORNE DAIRY

)F W A r�9 Michael F. Easley,�vemor l�
G William G. Ross Ir., Secretary
y North Carolina Department of Environment and Natural Resources
3 —? Alan W. Mimek, P. E., Director
0 `C Division of Water Quality
Coleen H. 5uliins, Deputy Director
Division of Water Quality
WATER QUALITY SECTION
7001 2510 0qQMWA39M03
Notice of Violation
Return Receipt Reuested
Mr. Randy Osborne
385 Hamps Dairy Road
Cleveland, NC 27013
Subject: Notice of Violation (NOV)
Osborne Dairy, Site Inspection
Certificate of Coverage #: AWC800016
Rowan County, NC
Dear Mr. Osborne:
Mr. Alan Johnson of this Office conducted a site inspection of your facility on October 13, 2003.
Based on his observations this letter is being issued as a Notice of Violation (NOV) for the following:
• Failure to have available the General Permit for review. This is a violation.of Section 1, #4 of
your -General Permit.
• Failure to install a pump marker in the waste storage pond and to keep a weekly record of the
pond's freeboard level. This is a violation of Section III, #2 of your General Permit.
The above noted items are in violation of North Carolina General Statute 143-215.10 and North
Carolina Administrative Code 15A 2H. 0217.
It is requested that a written response be submitted to this Office by October 25, 2003 indicating
the actions taken to correct the noted violations. Please address your response to the attention of Mr.
Johnson. it is also requested that your response reference the date and subject of this NOV, as well as
the facility number.
Mooresville Regional Office, 919 North Main Street, Mooresville, North Carolina 28115 NCDENR
Phone [phone] Customer Service
Fax 7D4-663-60,40 1-877-623-6748

Page 2
Mr. Osborne
By copy of this letter to the Division of Soil and Water Conservation and your local District Soil
and Water Conservation office, the Division of Water Quality is referring this facility for technical
assistance, if appropriate. if you have any questions concerning this matter, please do not hesitate to
contact Mr. Johnson or me at [phone].
Sincerely,
D. Rex Gleason, P.E.
Water Quality Regional Supervisor
cc: Rowan County SWCD
Compliance/Enforcement Unit
Regional Coordinator
File

Division of Water Quality .
O Division of Sod and Water Conservation
Q Other Agency
Type of Visit *Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit ® Routine O Complaint O Follow up O Emergency Notification O Other p Denied Access
Date of Visit: 10/13l2003 Time:
Facilit�� Number $� 16
Not O erational Belo`- Threshold
® Permitted M Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .........................
FarmName: 0altme.Ma......................................................................................... County: Rawga ............................................... MKQ ..........
OwnerName: R,rift..................................... Djihanw................ ............. ................... _.... Phone No: 704.- Z"913............a............................................
Mailing Address: 3851hampa.I?at U.LAne.................................................... . .......... clexcla"Ac ...................................................... 27.11n.............
FacilityContact: .............................................................................. Title:................................................................ Phone No:...................................................
Onsite Representative: RAND.K.OSIMM............................................................... Integrator:......................................................................................
Certified Operator: arju Ra ndah................. 011i i€Ire........................................... Operator Certification Number: 2a$2.......... ... ...............
Location 6f Farm:
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 3/4 mi south on Hobson Rd. A
Look for sign on left. General location: north of Cleveland. �r
❑ Swine ❑ Poultry ® Cattle [] Horse Latitude F 3S •F 4- :1$ K Longitude $0 • -11 t15
Design Current Design Current Design Current
Swine Capacity Population , Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Ghlts
❑ Boars
❑ haver riDait�• 2><) 131)❑ Non -Laver Nun-Dain-
❑ Other
Total Design Capacity 290
Total SSLW 406,000
Number of Lagoons 1 ❑ Subsurface Drains Present ❑ Lagoon Aren JE3 Spray Field Areal
Holding Ponds / S©IidTraps ❑ No Liquid Waste Management System
Dischargeis & Stream hu acts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, ivas the conveyance inan-made,' ❑ Yes ❑ No
b. if discharge is observed, did it reach Water of the State'? (If yes, not&- DWQ) ❑Yes ❑ No
c. If discharge is observed. what is the estimated floe• in galhnin'?
d. Does discharge bypass a lagoon ai•steni? (If ves. 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? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Stnichire 1 Stnucture 2 Structure 3 Struet-Lire 4 Structure 5 Strtichire 6
Identifier: ................................................................................................... ................. ............ .. . ....... ............................ .......... . .................... . ..
Freeboard(inches):...............4S............... ................................................................................................................................................ I... ............ ........

05103101
Facility Number: 80-16
Date of Inspection 10/13/2003
Cor dmued
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc,)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
S. Does any part of the waste management system other than waste structures require maintenance/'improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes ® No
❑ Yes ®No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN 0-Hydraulic Overload ❑ Yes ® No
12, -Crop type Corn.(Silage & Grain) Small Grain (Wheat, Barley, Fescue (Graze)
13. Do the receiving crops differ Avith those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ® No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ® No
b) Does the facility need a wettable acre determination? ❑ Yes 9 No
c) This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement? ❑ Yes ® No
16. Is there a lack of adequate waste application equipment?
❑ Yes
® No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
® Yes
❑ No
19. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
0 No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
® Yes
❑ 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
®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
® No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24. Does facility require a follow-up visit by same agency?
❑ Yes
® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
®No
0 No violations or deficiencies were noted during this visit. You ►Fill receive no further correspondence about this visit.
Comments (refer to gestwn #) ;.Explain and YES ansR'ersrand/or any reoummendatlous or any" other comments. ,"
Use drrmmgs of facto better eiplam situations: (use additional pages. as necessan)'; El Field Copy ❑Final
Notes
GAUGED PUMP MARKER MUST BE INSTALLED AND A RECORD OF THE WASTE LEVEL IN THE POND MUST BE KEPT.
Reviewer/Inspector Name Alan Johson
n._ ........_rr_......, __ l /�
`03;

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr., Secretary
Kerr T. Stevens, Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Randy Osborne
Osborne Dairy
385 Hamps Dairy Lane
Cleveland NC 270I3
Farm Number: 80 - 16
Dear Randy Osborne:
0&1 4 • •
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT ANRftV4R
AND NATURAL RESOURCES
April 6, 2001 MOORESV' OFFICE
•f,
APR 1 6 2001
r ;
WATER ',14�'Y ;IT`S SECTION
You are hereby notified that Osborne Dairy, in accordance with G.S. 143-215.10C, must apply for coverage under an
Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty (60) days to submit the attached
application and all supporting documentation. In accordance with Chapter 626 of 1995 Session Laws (Regular Session
1996), Section 19(c)(2), any owner or operator who fails to submit an application by the date specified by the
Department SHALL NOT OPERATE the animal waste system after the specified date. Your application must be
returned within sixty (60) days of receipt of this letter. Failure to submit the application as required may also subject your
facility to a civil penalty and other enforcement actions for each day the facility is operated following the due date of the
application.
The attached application has been partially completed using information listed in your Animal Waste Management
Plan Certification Form. If any of the general or operation information listed is incorrect please make corrections as noted on
the application before returning the application package. The signed original application, one copy of the signed application,
two copies of a general location map, and two copies of the Certified Animal Waste Management Plan must be returned to
complete the application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
1617Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Sue Homewood at [phone] extension 502 or Alan
Johnson with the Mooresville Regional Office at [phone].
for KerrT. Stevens
cc: Permit File (w/o encl.)
Moor vil�Regional Office (w/o encl.)
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper

Randy Osborne
Osborne Dairy
385 Hamps Dairy Lane
Cleveland NC 27013
Michael F. Easley, Governor
NC DEPT.OF EWPON"GIT . William G. Ross Jr., Secretary
AND r -North Carolina Department of Environment and Natural Resources
M00" ' ICE Alan W. Klimek, P. E., Director
Division of Water Quality
January 1 �,40034 2003
ktk QUAUTY SECTION
Facility Number 80 - 16
Subject: Public Meetings for Draft Renewal of State Non -Discharge Animal Waste Operation General
Permits
Dear Producer:
Your animal waste management facility is scheduled to be issued coverage under the Animal Waste
Operation General Permits in the near future. The Division of Water Quality (Division) staff is currently
in the process of renewing the Animal Waste Operation General Permits and is scheduled to have the'
permit reissued by early April 2003. Once the permit is reissued, your facility would be eligible for
coverage under the reissued permit.
The Division has published a public notice regarding these renewed general permits. A copy of
the draft animal waste operation general permits and fact sheets are available at the website
hftp://h2o.enr.state.nc.us/ndpu/
or by writing or calling:
Non -Discharge Permitting Unit
NC Division of Water Quality
1617 Mail Service Center
Raleigh, North Carolina 27699-1617
Telephone number: [phone], ext. 574
The Division will be,conducting public meetings regarding these renewed permits. The following is a
list of dates, times, and locations of the public meetings:
February 3, 2003; 7-9 p.m.; Kenansville -- James Sprunt Community College
February 4, 2003; 7-9 p.m.; Williamston — Martin Community College (Bldg. 2 Auditorium)
February 6, 2003; 7-9 p.m.; Iredeli — Iredell County Center
Further information can be obtained by reviewing the Fact Sheet available at the website and address
listed above.
Cc: Moo er s ille:Reg�onal-Office;_Division-of-Wl-ter-Qualitya
Rowan Soil and Water Conservation District
Permit Application File 80 - 16
A
NCDENR
Non -Discharge Permitting Unit Internet http://h2o.enr.nc.state.us/ndpu
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

Michael F. Easley
`O� Governor
co Wiliiam G. Ross, Jr.,Secretary
5: North Carolina Department of Environment and Natural Resources
Gregory J. Thorpe, Ph.D., Acting Director
Division of Water Quality
WATER QUALITY SECTION
January 16, 2002
Randy Osborne
385 Hampton Dairy Lane
Cleveland, NC 27013
Subject: Operation Review/Compliance
Osborne Dairy, Facility #: 80-16
Rowan County, NC
Dear Mr. Osborne:
The year 2002 is the beginning of the fifth year of the animal operation inspection program. Given this,
there should be no misunderstanding as to what is required. However, as a reminder, the following information is a
partial list of what is required:
• A copy of the Permit, Certified Farm Plan, and Certification form(s) must be available for review.
The certified farm plan must be followed (application rates, fields used for waste
application, and crops grown to receive waste must be adhered to). You are in violation if you do
not comply with any aspect of your farm plan or permit.
• Annual soil analysis (properly documented) is required, The sails lab states that the preferred time (for
efficiency) to process samples for analysis is between May and September.
• Waste analyses must be conducted within 60 days of the waste application date. If the results are
irregular, this should give adequate time to collect/analyze a new sample.
• Waste application records. The records should be complete and legible. Errors should not be erased, but
marked through and the correct information written on the following line. Remember, although the
information may be clear to you or the operator, the information must be understandable to the person(s)
performing the review.
• Weekly freeboard records must be maintained. The "pump marker" must be clearly marked and visible at
all times. There should be no question as to what is the pump marker during an inspcetion.
• A certified operator must be designated. By completing a form and mailing to DWQ.
• The facility must be maintained and operated according to the operation and maintenance information
enclosed in the farm plan. This includes maintaining the area (mowing) around buildings and the
lagaonlstorage pond embankments.
The list above comprises the majority, but certainly not all, of the requirements that must be followed. If
permitted, the conditions of your permit should be review by you and your operator. Failure to have the necessary
information available for inspection or to comply with the conditions of your permit could result in a Notice of
Violation or further enforcement actions. If there is any uncertainty on your part regarding compliance with the
permit, please feel free to contact Rocky Durham with the Division of Soil and Water or me at [phone].
Sincerely,
Alan D. Johnson,
Environmental Specialist I1
W-M- iN—P
Customer Service Mooresville Regional Office, 919 North Main Street, Mooresville, NC 28115 PHONE [phone]
1 800 623-7748 FAX [phone]

06 - .,
o�OF WA TF9pG
,mwa.,
0 G" c
Randy Osborne
385 Hamps Dairy Road
Cleveland, NC 27013
Dear Mr. Osborne
Michael Gomm
William G. Ross, Jr.,Secratary
North Carolina Department of Environment and Natural Resources
Kerr T. Stevens, Director
Division of Water Quality
WATER QUALITY SECTION
February 8, 2001
Subject: Notice of Deficiency
DWQ Animal Operation Inspection
Osborne Dairy, Facility #: 80-16
Rowan County, NC
Mr. Alan Johnson of this Office conducted a site inspection of your facility on February 6, 2001. This letter is
being issued as a Notice of Deficiency for failing to have a pump marker installed in the waste storage pond and for
failing to properly maintain the vegetation on the storage pond embankments. It is imperative that the subject facility
comply with all conditions of its certified farm plan. Failure to do so may result in a Notice of Violation or further
enforcement actions. Enclosed please find the inspection report, which should be self-explanatory.
Please note that the following items must be available for review by the inspector during the inspection:
• Certification forms.
• Site diagram, which shows fencing, streams, buffer zones, and feed areas.
• Waste application records, with accompanying waste analyses.
• Maps of acreage and irrigated fields.
• Waste utilization plan, tract/field number, list of crops, PAN required, and amount of waste produced by
livestock.
• Waste and soil analysis information. Must have three years of data.
It is suggested that this be maintained in a single folder.
• Emergency action plan which must be posted.
• Insect, odor control, and mortality checklists must be completed.
• Certified Operator renewal card.
Remember that waste applications should be made during the time the crop can utilize the nutrients in the waste.
In general, waste should be applied no earlier than 30 days prior to planting.
if you have any questions concerning this matter, please do not hesitate to contact Mr. Johnson or me at
[phone].
cc: File
LADEN—R -
Customer Service
1 800 623-7748
Sincerely,
D, Rex Gleason, P.E.
Water Quality Regional Supervisor
Mooresville Regional Office, 919 North Main Street, Mooresville, NC 28115 PHONE [phone]
FAX [phone]

Type of Visit Compliance inspection p Operation Review 0 Lagoon Evaluation
Reason for Visit $D Routine Q Complaint Q Follow up Q Emergency Notification Q Other ❑ Denied Access
Facility Number Date of Visit: Time•.
Q Not Operational Q Below Threshold
© Permitted 13 Certified [3 Conditionally Certified [3 Registered Date Last Operated or Above Threshold:
Farm Name :..............i�SGs�r............... ... County:.....c3_c.U............................................._...
Owner Name: � ............. .LAC .::.� 4: ' Phone No: ... 1.7..��. .... ?..��......._........._....................
FacilityContact:...............................................................................Title:............................................................... Phone No: ................................................ ....
I
Mailing Address �f f "
Onsite Representative: ................. Integrator
Certified Operator: c�� �Y 11��� vt�' zZ
..........�......�...............................�.......................................... Operator Certification Number:. ... �..
Location of Farm:
❑ Swine ❑ Poultry �1 Cattle ❑ Horse Latitude '�•S�`' Longitude ` j S •�
Design Current
Swine Capacity Population
❑ 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 Ca acity_ Population
❑ Layer ❑ Dairy%
❑ Non -Layer 1E] Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ID Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Dischar.-es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0�9,No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/mitt?
d. Does dischm-ge hypass a lagoon system? {If Yes. notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ZTo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes vQNo
01 /01/01 Continued

• uw.:.1 `w.�VJ� _ ..��".yy.,.0 y�S -� �.u..r'r�a�..�.m �tirMr.�}+•r.+��.rans.�_or,...��..- _.�.i=`"'.M�Fawr=.
Facility Number:
Waste Collection & Treatment .
4. Is storage capacity (freeboard plus storm storage) less than adequate? Spillway ❑ Yes K No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:...........:................ �..... _._.........W_.. _�..�...................
Freeboard(inches)=^.�.... _ _....... ..... ... ....._.�............ .............. ............ ....._...
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, [] Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a.waste management or
closure plan? - Yes ❑ No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes QrNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes 91No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? AYes ❑ No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes M.No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes No
14. a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15.
Does the receiving crop need improvement?
❑ Yes
&No
16.
Is there a lack of adequate waste application equipment?
Yes
❑ No
17.
Are rock outcrops present?
❑ Yes
❑ No
18.
Is there a water supply well within 250 feet of the sprayfield boundary? ❑ Unknown
❑ Yes
❑ No
❑ On -site ❑ Off -site
Required Records & Documents
19.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes
8 No
20.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
E-No
21.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
❑ No
22.
Is facilitynot in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
J9 No
23.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
C�No
24. FaiI to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
Q No
25. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Q No
26. Does facility require a follow-up visit by same agency?
❑ Yes
J] No
27. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
Odor Issues
28. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
❑ Yes
❑ No
liquid level of lagoon or storage pond with no agitation?
29. Are there any dead animals not disposed of properly within 24 hours?
❑ Yes
❑ No
01/01/01
Continued.

- T-+.r+i.V 7w' _ _ '•�' �i ,.T �'11�*`0?. :+ .__, ,hi. + .. - .. _.. _u'.',�;: ;.
±av'e a ,,.te..;_onsz�aen:-ar-...: 'n.,.�r. - ..r,.... - - .. :.+,r�..�r:. _ _ .�r ,t_�,
Facility Number.' _ Daf Ipection �.� Printed
rin 4 on: ,1/412001
.30. Is there any evidence of wind drift during land application? (Le. residue an neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure; and/or public property)
31. Is the land application spray system intake not located near the liquid surfs a of the lagoon? ❑ Yes ❑ No
32. Were any major maintenance problems with the ventilation fan(s) noted? (Le_ broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ;r] No
33. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
34. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes -[]No
0 No violations or deficiencies were noted during this visit. You wr71 receive no further correspondence about this visit.
ry.
❑ Field Copy [3 Final Notes
L)
/j2'" ,'}Lti�l�/�
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Ca.a c'' ev► _ cu'_O0 �c
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Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: �—
.A.]
-4-1
Ol/OI/O7 -

i-agooil r4urnper: ...... Lagoon. Identifier-
OActive OInactive Latitude r0 0 Lan 9� itude•--0
_ By GPS or Map?i PPS Z] Map GPS file number:
35. Surface Area (acres):
36. Embankment Height (feet):
37. Distance to Stream:
38. Water supply well within 250 ft of the lagoon?
❑ On -site ❑ Off -site
39. Distance to WS or HOW (miles):
40. Overtopping from Outside Waters?
41. Constructed before 1993 NRCS Standards?
42.'No verification of adherence to 1993 or subsequent
NRCS Standards?
43. Was groundwater encountered during construction?
44. Depth to Groundwater:
45. Spillway?
46. Adequate Marker?
47. Immediate threat to the integrity of the structure?
48. Freeboard & S#orm Storage Requirement (inches):
0 less than 300 ft 0300 ft - 1000 It O greater than 1000 t:
O Yes O No
0c5 05-10 0>10
O Yes O No O Unknown
O Yes 0 No 0 Unknown
O Yes 0 No O Unknown
0 Yes 0 No 0 Unknown
O Unknown
0 Yes O No
O Yes O No
0 Yes O No
JA

A. ?VLF WASTE ANA EMENT SYSTEM
QPERATOR_IN CFikRGE.
DESIGNATION FORM
t
A_NT�LA.i. WASTE MANAGEMENT YSMM:
F+radi tv ID Number: y.s �yyC�yy .yy` fro yy _� County:. J .yI •�'.-� y
#T �����T�T T=��T��T TTTTT ����T�*'YT=Y*'.tSS=*�.�.=*.=i.f=f.**x*#��•T**�*
OPERATOR PN CHARGE
. Ild"'
Home Magin Addr - -�-�
city State zip a 70 / 3
cerafica to ; a 4 g ay Social Securiry y s- 96
Work Phone Home Phone O - -,-7 71 - U° l3
Signature �` Date CT-O
--
Mailing Add =s a� ,iz
� City
State %�t ,,-- zip 7G Teie'phone= _90 ?'k-6tD /..3
Si-ezmatuze A, clt- -. Date
�___*�:$*:�x��=***�******�*�#r;.•ass=*::=*:*sxs:s*��x�k**xx**�**
PIease Ma to: WPCSOCC
Division of Water Quality __.
P. 0. Box 29535
Raleigh, N.C. 27G, -0535

0?cRATIM BRANCH - WO Fax:[phone]- May 8 '93 15:18 �.02/02
REQUEST EQR REACTIVATION OF REGISTRATION
Please reactivate this following facility on the 2H .02A0 active. anunal operations list.
Facility Number.
Facility Name:
' n /
Owner:
Mailing Address:
County:
Comments:Qe -
A copy of a complete Animal Waste Certification Form must be submitted with this form
.-in order for this .facility to be .reactivated. Documentation that thi9 facility has been
operated within .the last four years must also be submitted. You will be notiiled by the
Division of Water Quality.,when the facility has been reactivated and may stock a6briaJr
once notification is received.
If a facility is abandoned --or unused for a period of four years or more, it would be
considered as a new facility if the owner wanted to reopen it and would have to meet all
requirements at' a new facility before it could be restockL4L
- fcd4ar_� Rate, �-�'�7 -&0
- Signature:
Please return completed form to: DEHNR DWQ
Non -Discharge Branch, Compliance Group
_ P.Q. Box.29535
Raleigh, NC 27626-0535
RR-4197

0?ERgTiONSP BRANCH = WO Fax:[phone] Aug 31 '93 12:07 P.02i02
Notification of Change of Ownership
_ .Animal Waste Management Facility,
or pd=.all infonnadm dot does not re gtrtxe & si°iiature) - -
In accortimce with the'teq) i:emonts of 15A NCAC 2H .01-1MaXIM(xii) this form is official notification to the Division
of Water Quality (DWQ) of the transfer of ownership of an Animal Waste Management Facility. 'This form roust be
submitted to DWQ no laver tt2m 60 dsys following the transfer of ownership,
f zenerkIr
Name of Farm '"' "e- acility Na-y "
Previous Owner(&) Name: LL Pbone No:
-New Owner(s) Name: .L r U e Pbone No: ?a %k 0 0 1-3
Mailing Address; 3L le V C 1AA/ /L ­7 2Cr13
Fart Loratioa: Latitude and Longitude; ,� y� � � _ 2 _t�-1 County:
pl-ase attach a copy of a co=-)p with I 'on identified sadd desmibe below (BC spcciEtc: narn , tlirectiona.
milepost, etc.): 6 M ke v C r %a PC C U o 5 l✓/✓ S C� L J %Q�
Onera4ion Descri�tiod: -
_ TYPee-of Swine No. Vnim als Type-ofPoultry— - : a,�Anrmals - Type of Cattle No_ f malt
Wt:an to Feeder - 0 Layer
© Fccdcr to Finish _ - - ❑ Puliets C Beef
- O Farrow to Wean -
:Z Fsimw-to Feeder
❑ Fasrow to Finish Ober Type of Uyemock Number o,'Animals:
© Cuts
C' Boars -
Acreage Available for Application 2 1 r I Required Acreage; ,
Number of Lagoons I Storage Ponds - Total C$_nazi : ✓ Cubic Feet (ft3)
a:s�wrMMMrYcx�hrk**t�ss�ts�ts�►�Frxik*+kres rk��rrrc�*srtFst�sc.-raacrc�NN�at�kl**�s�*s+��s+�w�yKN��h��y:
Owner I Manager Agreement - -- -
I (we) verify that all the above information is correct and will be updanwd upon ruinging. I (we) understand the operation
and maintenance procedures established in the approved anima: vrasta-managa rent plan for the farm named above and wiU
implement these pro,.-edmes. 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 row certification to be submitted to the Division of Water
QM ity (DWQ)'befotz tttc new animals are stocked. I (we) arid-s-rstand that there must be no discharge of animal waste
froth the storage or. application system to sudsee waters of the see either directly tbrougk a man-made conveyance or Emma
-- - - -a-storm event Iess.severe.than.tte 25-yei:,.24-hour.storm and ch= mast not be rm-off from the application of atsimal
waste. I (we)-tmderstaad that run-0ff of pollutants from loun-ging, snd heavy use areas must be minimized using tachnfcal
suutdards-developed by the Nart rsl 1L-5om= Conservation Service.- .The approved plan will be filed at the -farm and at the
office of the local Soil and Water_ Conservation District I (wr.) know that any modification . must be approved by a
technical specialist and submitted to the Soil and Water Conservation District prior to implementation. A change in land
- - ownership requires wAMm notification to-DWQ Cr a new �' (if=Che approved plan is. chansged) within 60 drays of a
tale trttrter:- — - - - ��J r
Name of New L d D er t /r 5 K .; OJ o �" !✓
Signature:
Hare a ' f
Nzam of ldanager(if difForent from owner):
Date. -
Please sign and return this fora[ to: N. C. Division of Water Quality -
Non -DWI rge CampIiunce / Enforcement Urdt
PO Hoye 29-35
Raleigh[ NC -"=6-0535
- Atagmt 19,1997

v5�
If your CAWMP includes components not shown on this list, please include the additional
components with your submittal.
4. Surface Water Classification. This form must be completed by the appropriate DWQ regional office
and included as a part of the project submittal information.
INSTRUCTIONS TO NC PROFESSIONALS:
The classification of the downslope surface waters (the surface waters that any overflow from the facility would flow
toward) in which this animal waste management system will be constructed must be determined by the appropriate DWQ
regional office. Therefore, you are required, prior to submittal of the application package, to submit this form, with
items I through 7 completed. to the appropriate Division of Water quality Regional Water Quality Supervisor (see page 5 of
5). At a minimum. you must include an 8.5" In• 1I" copy of the portion of a 7.5 minute USGS Topographic Map which
shows the location of this animal waste application system and the downslope surface waters in which thcy will be located.
IdentiR< the closest dowmslope surface waters on the attached map copy. Once the regional office has completed the
classification, reincorporate this completed page and the topographic map into the complete application form and
submit the application package.
4.1 Farm Name: Randy Osborne Dairy
4.2 Name & complete address of engineering firm or technical specialist:
C. LiRq Barrier. Jr. Ern7ronmental Specialist .NC DENR. DSWC. 444 Bristol Dr.. Statesville, NC 28677
Telephone number: 704-873 -676 1. Ext. 112
4.; Name of closest do►tinslope surface waters: Third Creek
4.4 County where the animal waste management system and surface waters are located: Rowan
4.5 Map name and date: Cool Springs. NC 1969
4.6 NC Professional's Seal (if appropriate), Signature, and Date:
e id /y/a
C. Li e Barrier. Jr. Environmen S ecialist
TO: REGIONAL WATER QUALITY SUPERVISOR
Please provide me with the classification of the watershed where this animal waste management facility will be or has been
constructed or field located. as identified on the attached map segment(s):
Name of surface waters:
Classification (as established by the Environmental Management Commission):
Proposed classification, if applicable:
Signature of regional office personnel:
(All attachments must be signed)
Date: Q
UnIDT4 i. A 117l1 1� XTUX17 — IPXrD P7 M /00 D--- 2 ..r G

OSBORNE DAIRY
385 HAMPS DAIRY LANE
' CLEVELAND, NC 27013
AUGUST 22, 2002
MP, JOHNSON
NC DIVISION WATER QUALITY
MOORESVILLE, NC
DEAR. MR. JOHNSON,
NC Or --'PT. fir IFIN,'v1id6N11Eity
At;D �tATi tP 'l RESCrt;RCES
AUG 2 3 2002
r=fir
11 6, T10N
THIS LETTER IS IN RESPONSE TO THE NOTICE OF VIOLATION DATED AUGUST 12, 2002
REGARDING FACILITY # 80-16.
MR LIPS BERRIER HAS BEEN CONTACTED FOR A COPY OF THE FARM PLAN CERTIFICATION
FORM. HE WILL BE MAILING US A COPY.
THE PUMP MARKER WILL BE INSTALLED AFTER CORN CUTTING AND AFTER THE STORAGE POND
IS PUMPED DOWN.
THE SOIL SAMPLE WILL BE PULLED SOON AFTER CORN CUTTING.
SINCERELY,
RANDY OSBOMNE
OSBORNE DAIRY

Site Requires Immediate Attention:
Facility No _lb
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: Anr,- 1996 .
Time: Q�>c.e.,,
Farm Name/Owns
Mailing Address:
County: Integrators _ Phone:
On Site Representative: cis "my —'Phone:
Physical -Address/Location:�
Type of Operation: Swine Poultry —Ca
Latitude:
Longitude:
jpl3
Capacity: Number of Animals on Site:
Circle Yes or No
Elevation: Feet
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot + 7 inches) Yes o N fo Actual Freeboard:
C.Ft,—L, Inches
Was any seepage observed from the lagoon(s)? Yes or No ) Was any erosion observed? Yes or No
Is adequate land available for spray? Ye or No 1s the cover crop adequate? Ye or No
Crop(s) being utilized: \'c"�� aS'�t��_ .� ,',
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings?(Ye� or No
100 Feet from Wells? Yes§ or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes orq�o
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes oQN&)
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Ye or No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes okNo
Inspector Name 6h ), LLA, Nc
--!I.", !I.". n . ,(.MPnt T Tnit
Signature
2'�I. --�' -sa—,

State of North Carolina
Department of Environment
and Natural Resources
Mooresville Regional Office
James B. Hunt, Jr., Governor
William E. Holman, Secretary
Kerr T. Stevens, Director
Randy Osborne
5930 Hwy. 801 S.
Mocksville, NC 27028
Dear Mr. Osborne:
FAA
r
1 0 •
Adwm�!�
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
WATER QUALITY SECTION
December 13, 2000
Subject: Change of Ownership and
Farm Certification
Facility #: 80-16
Rowan County, NC
It has come to my attention that you are currently above the 100 animal threshold
for dairies. As such you are required to obtain and notify DWQ that a Certified Animal
Waste Management Plan (CAWMP) has been developed for the facility. Please mail a
copy of the certification to this office immediately. Also, because there has been a
change in ownership, please complete the enclosed form and return -it along with the
CAWMP certification form.
As a facility that is above 100 head of cattle, you are subject to the rules and
regulations as established by North Carolina General Statute 143-215.1 and 15A NCAC
2H .0217. These regulations require that two inspections of the facility be conducted
annually. During an inspection the following items must be available for review by the
inspector:
• Certification forms.
• Site diagram, which shows fencing, streams, buffer zones, and feed areas.
• Waste application records, with accompanying waste analyses.
• Maps of acreage and irrigated fields.
• Waste utilization plan, tract/field number, usable/wettable acres (not
necessarily total acreage), list of crops, PAN required, and amount of waste
produced by livestock.
• Waste and soil analysis information. Must have three years of data.
It is suggested that this be maintained in a single folder.
• Emergency action plan which must be posted.
919 North Main Street, Mooresville, North Carolina 28115 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper

Page 2
Osborne
Insect, odor control, and mortality checklists must be completed.
• Certified Operator renewal card.
Failure to have the above components available and complete could result in a
Notice of Violation or other enforcement actions. Also, remember that waste applications
should be made during the time the crop can utilize the nutrients in the waste. In
general, waste should be applied no earlier than 30 days prior to planting.
If you have any questions concerning this matter, please do not hesitate to contact me at
[phone].
Sincerely,
Alan Johns n.
_ M Environme tal pecialist
cc: File - - _ - - - - - -- -

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
MOORESVILLE REGIONAL OFFICE
WATER QUALITY SECTION
May 26, 2000
Randy Osborne
5930 Hwy. 801 S.
Mocksville, NC 27028
Subject: Sink Farm Certification
Facility #: 80-16
Rowan County, NC
Dear Mr. Osborne:
Please find enclosed the General Facility Information form regarding the Sink
Farm. The facility was originally "certified" in December 1993. Currently, the
facility is listed as inactive. Before restocking the facility above the threshold of 100
animals, a certified operator must be designated as the Operator -In -Charge and his
name filed with the Division of Water Quality.
Although the 1993 certification states that the maximum design capacity for
the facility is 200 animals, it is not clear as to what values and criteria this was
developed. Also, it is not clear what constituted being certified in 1993. Therefore,
the current farm plan being developed, should be followed. If in the future
documentation can be provided to support an increase in the facility's holding
capacity, the plan can be revised.
If you have any questions concerning this matter, please do not hesitate to
contact me at [phone].
cc: Rowan SWCD
File
Enc.
Sincerely,
Alan D. John son
Environmental Specialist
919 NORTH MAIN STREET, MOORESVILLE, NORTH CAROLINA 26115
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/10% POST -CONSUMER PAPER

rajinig
IRowan
Address
P85 Hamps Dairy Lane
ICleveland NC --FTO-1-3
Ktroy Sink
Region
0 ARO # MRO 0 WARO 0 WSRO
0 FRO 0 RRO 0 WMO [_3
Wromint&s&ticiii 61:Cob, SOrifigiRd.'(SR-1003) in&Htibs6ii Rd-(S]119.71,�-triivel itooeoldiriately-3/4 • l..•.... soliltil,qn Hobson. rd.'I..,00y for sign; qn'IdL't north'qfCleveland-).'.'-
.............
Certified Operator in Charge
Backup Certified Operator
rnmmi-nk t, I I
owner Wanda Pender
Date inactivated or closed
.................
[3 Swine 0 Poultry 0 Cattle [3 Sheep [3 Horses [3 Goats 0 None
Design Capacity
Latitude Longitude
35.7633 1, it 80.70M
RI.IF42
M Request to be removed
Comments
he.Inw thrf-.Rhnld - SWM

i
'. JAMES S. HUNT JR!-�°
-•GOYERNOit �
1-e
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
November 23, 1998
Leroy Sink
280 Hamps Dairy Lane
Cleveland, NC 27013
Subject: Site Inspection
Sinks Dairy, Facility #: 80-16
Rowan County, NC
Dear Mr, Sink:
Mr. Alan Johnson of this office has been asked on several occasions about the
appropriate time and proper method to take soil and waste samples. Also, during his
inspections, he has noticed that while the storage capacity may be adequate in the
storage pond/lagoon, in some cases it was not at the level set forth in the waste
utilization plan. Mr. Johnson has also noted that some animal operations using
hay/pasture systems do not appear to be properly managing the hay crop in the waste
application fields. This letter is to highlight some concerns and provide some
general guidance for the animal facilities regarding the management of the storage
pond/lagoon and waste application fields. For more specific/detailed information,
please contact your technical specialist or your local agricultural extension service.
Be advised that should a farm be found violating its farm plan and/or have an
unpermitted discharge, besides facing civil penalties, the facility could be required to
apply for an individual permit. Currently, most farms are operating under a general
permit.
Waste aRplications
Just as you manage the animals at your facility, proper management of the
waste (lagoon/storage pond level) is important. The waste must be pumped from the
ponds at the correct time and provide for maximum utilization of the nutrients by the
crop. Remember, waste application rates in your farm plan are based on agronomic
principles, and assumes the waste will be applied when the nutrients are required
(e.g., applying waste to corn at tasseling or bermuda grass in November is of little
use for the uptake of nitrogen). Also, the established application rate assumes that
the previous crop has been removed from the field.
919 NORTH MAIN STREET, MOORESVILLE, NORTH CAROLINA 28115
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/1 O% POST -CONSUMER PAPER

Page 2
Grass and small grain crops grown for hay should be harvested in a timely manner. To
maximize nutrient uptake, as indicated in the waste utilization plan, and for highest quality, the
crop should be harvested at early boot stage (generally every 4 to 5 weeks). Small grain for
silage can be harvested in the soft dough stage when direct cut. Contact your agricultural
extension agent or technical specialist for proper guidance.
General Recommendations for Nitrogen (N) Application for Common Crops:
• Small Grains: One-third (1/3) N at planting and remainder in late February or early
March.
• Corn/Sorghum: For facilities that pump and haul, N should be applied prior to planting.
For those facilities that irrigate, a split application with half at planting and the remainder
when the corn is 18 inches high. .
• Fescue/Orchardgrass: Apply one-half (1/2) of the N in mid -February to March and one-
-half (1/2) in mid -August to September.
• Bermuda grass: Establishing: 30 to 40 lbs N/ac at planting and 30 to 60 lbs N/ac when
runners appear (6 -8 wk. after planting)_ Maintaining: 50 to 601bs Nlac in April and the
remainder of the recommended amount in equal increments in June and July or after each
cutting.
Finally, there have been instances where the amount of waste pumped (as shown in the
waste application records) from the lagoon/storage pond does not appear to agree with the
amount of waste produced by the animals. One would expect on an annual basis that the amount
pumped would be approximately equal to the amount being produced. For example, if a dairy is
generating 453,000 gal/yr in waste, then approximately 453,000 gallons of waste should be
accounted for in the waste application records over a year. However, there may be some
difference due to how low the storage pond was pumped, the number of cows being held in the
facility, or the amount of rainfall.
Soil analysis (FREE)
Fifteen to twenty (15 to 20) soil samples per field (20 acres or less) is desirable. The
samples should be thoroughly mixed and sent in as one sample. Each sample should be pulled 4
inches deep for pastures and no -till systems and 8 inches deep for conventional tillage systems.
Taking samples during the fall is advisable. The state lab is not as busy at that time and
can provide a more timely turn around with the results. This is also a good time to apply lime if
recommended by the soil test. When liming is necessary, it is important that it be applied as
suggested. - Maintaining proper soil pH is as important (if not more so) than fertilizing to
maximize, crop production.

Page 3
Waste samples/analvsis ($4/sample)
The state lab now has the capability to conduct analyses and provide the results within
two working days via the internet. Through the US Postal service allow seven days. Take
samples in a timely manner such that waste application rates can be based on the most recent
sample results.
Six to eight (6 to 8) samples should be taken around the edge of the lagoon/storage pond,
approximately 6 feet from the edge and 12 inches below the surface. These can be mixed to
make one sample. The sample should be refrigerated if it is not going to be shipped the same
day. Always mail waste samples in plastic containers.
For farmers who do not have to agitate the lagoon/storage pond prior to application, it is
strongly suggested that waste samples be taken prior to waste application. This will prevent the
princer from having to go back and complete the waste application record at a later date.
For farmers who apply waste to hay fields and pastures, it is strongly suggested that
waste samples be taken quarterly if the waste is applied anytime during the growing season.
If you have questions concerning this matter, please do not hesitate to contact Mr. Johnson
or me at [phone].
Sincerely,
D. Rex Gleason, P. E.
�1 Water Quality Regional Supervisor
cc: Lincoln SWCD
Non -Discharge Compliance Unit
Regional Coordinator

NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
May 13, 1998
Leroy Sink
280 Hamps Dairy Lane
Cleveland, NC 27013
Subject: DWQ Animal Waste Operations
Site Inspection Report
Sinks Dairy, Facility #: 80-16
Rowan County, NC
Dear Mr. Sink:
Mr. Alan Johnson of this Office conducted a site inspection of your facility on May
12, 1998. As discussed with Mr. Johnson, if you are planning to increase your milking
herd above the 100 head threshold, you should move forward with obtaining a certified
farm plan.
During the inspection Mr. Johnson noted several deficiencies that need to be
addressed. Chief among these were: lack of storage capacity in the pond, overgrown
vegetation on the pond, animal access to the stream next to the milk parlor, and improper
field crops for Iand application. Please contact the Soil and Water Conservation District
representative for technical assistance. Mr. Johnson will contact you to perform a follow-
up inspection in the near future.
If you have any questions concerning this matter, please do not hesitate to contact
Mr. Johnson or me at [phone].
Sincerely,
D. Rex Gleason, P. E.
Water Quality Regional Supervisor
cc: Rowan SWCD
Nan -Discharge Compliance Unit
Regional Coordinator
019 NORTH MAIN STREET, MOORESVILLE, NORTH CAROLINA 28115
PHONE [phone] FA% 704-663-6040
AN EQUAL OPPORTUNITY /AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLED/1 O% POST -CONSUMER PAPER

Division of Soil and Water Conservation [3Other Agency
VO
[3IJ3Division of Water Quality
11m.
Routine 0 Complaint .'O Follow-upof DWQ inspection 0 Follow-up of DSWC review 0 Other
........... .. .
Date of Inspection
Facility Number O -
Time of Inspection � 24 hr. (hh:mm)
0 Registered 13 Certified '[3 Applied for Permit 0 Permitted 10 Not O erational Date Last Operated: ..........................
Farm ]dame: ......... ...................... :r .. County- ......................... .......................
,�X .........................................
...........
OwnerName:...... ................................ Phone No . ........................................................................ .............
FacilityContact ..Zery .. t ................. ................ Title:.... ......................... .. Phone No:...................................................
Mailing Address:..... . t S .......... >CLUCY ......... L .... r .. ... ...... ...............................
Onsite Representative: .......... ........................................... Integrator: ......................................................................................
Certified Operator:.......17.0zl.e ...................... ............................................................. Operator Certification Number:.............................
Location of Farm:
4-
40. ..... o. m. ... .......................... .. .. M ...... ?/d�f ........ Ict .. . ......
Latitude
.... ... ..... .
Design .Curivnl
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
E] Farrow to Feeder
El Farrow to Finish
El Gilts
El Boars
General
1. Are there any buffers that need maintenance/improvement? Yes El No
1
2. Is any discharge observed from any part of the operation?
Discharge originated at: E] Lagoon [] Spray Field 0 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 CgaUrnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
7. Did the facility fail to have a certified operator in responsible charge?
7/25/97
El Yes 'RNo
[3 Yes 0 No
El Yes [I No
El Yes [I No
?kyes 0 No
0 Yes _,No
_Klyes D No
❑ Yes No
�(Yes 0 No
Continued on back

Facility Number: -
• 8. Are there lagoons or storage ponds on site which need to be properly closed'?
Structures (Ligoons,flolding Ponds Flush fits etc.
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure i Structure 2
Identifier:
......................................................................
Freeboard(ft):................. 3.............. ..,.................................
10. Is seepage observed from any of the structures'?
Structure 3 Structure 4 Structure 5
........... .................. ........... I....................... .......... ........... I............. .....
11. Is erosion, or any other threats to the integrity of any of the structures observed"
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures la •k adequate minimum or maximum liquid level markers?
% aste_Application NIX
14. Is there physical evidence of over application?
(If in excess of WIMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ��.r.................... 1.''.f�L........I..�Ld�!!5�.. ...................................................................
15. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)'?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment.'
20. Does facility require a follow-up visit by same agency'?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative'?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only A✓19-
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 were noted during this visit..You.will receive no ftirther
correspondence ab.oitt this visit.
t
❑ Ye o
❑ Yes KNO
Structure 6
❑ Yes 4,No
Yes
❑ No
�Slyes
❑ No
4-Yes
❑ No
❑ Yes
[KNo
.......................................
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
P4'es
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
Comments {refer to question #) , ExpIajn any YES answers and/or any recommendations or",any other comments: "'
Use drawings of facility to better e' plain sit(use additional pages as necessary)
xo
17>b�- e� o a_Lcess
-(-r) V r s �- J7,1,5
c c_ cln G(3GcS Y'tn� b
O`-C�t�wti S e-r-Jti e C�raCL[.sf b3� C
%4-
7/2 /97
Reviewer/lnspector Name
Reviewer/Inspector Signature:__ j�f�e� ty 1/zl_� Date: S _—(2 __9A

i�lw
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
MOORESVILLE REGIONAL OFFICE
DIVISION OF WATER QUALITY
May 18, 1998
Robin Hampton
P.O. Box 470
Wilksboro, NC 28697
Subject: Sinks Dairy, Facility #: 80-16
Rowan County, NC
Dear Ms. Hampton:
This letter is to inform you that Mr. Sink can increase his herd to the previous
registered number of 150 milk cows.
Mr Sink's dairy was inspected on May 12, 1998. No violations were noted at the
facility, but improvements are required to meet current standards. He is working with the
Natural Resource Conservation Service to develop and implement the required certified
farm plan for the facility.
If you have any questions concerning this matter, please do not hesitate to contact
me at [phone].
Sincerely,
AIan D. Johnso
Environmental Specialist II
cc: Rowan SWCD
Leroy Sinks
Nolan Hampton
919 NORTH MAIN STREET, MOOR ESVILLE, NORTH CAROLINA a61 13
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY/AFFIRMATIVE ACTION EMPLOYER -50% RECYCLE13/10% POST -CONSUMER PAPER

r
WA
w
G Michael F. Easley, Governor —
William G. Ross Jr., Secretary
r- North Carolina Department of Environment and Natural Resources
4 Alan W. Klimek, P.E., Director
Division of Water Quality
May 30, 2003
Randy Osborne
Osborne Dairy
385 Hamps Dairy Lane
Cleveland NC 27013
Subject: Certificate of Coverage No. AWC800016
Osborne Dairy
Cattle Waste Collection, Treatment, Storage
and Application System
Rowan County
Dear Randy Osborne:
In accordance with your application received on May 3, 2001, we are forwarding this Certificate of Coverage
(COC) issued to Randy Osborne, 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 operation of this system including, but not limited to, the management of animal waste from the Osborne
Dairy Farm, located in Rowan County, with an animal capacity of no greater than annual average of 200 Milk
Cows, 20 Dry cows, 50 Heifers, and 20 Calves, 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 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 subnut documentation
to the Division demonstrating that all current NRCS standards are met prior to restocking of the facility.
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 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.
MAW,
Non -Discharge Permitting Unit Internet httpJ/h2o.enr.nc.state.usfndpu EM
1617 Mail Service Center, Raleigh, NC 27699-1617 Telephone [phone] Fax [phone]
DENR Customer Service Center Telephone [phone]
An Equal Opportunity Action Employer 50% recycled/10% post -consumer paper

This COC is not automatically transferable. A naive/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 Mooresville 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 J. 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)
C-Wo-oresville=Regional Office, Water Quality Section
Rowan County Health Department
Rowan County Soil and Water Conservation District
Permit File AWC800016
NDPU Files

y
Anima! Waste Management Plan Certification
Please tvoe or print all information that does not require a signature)
[Existinai or New or Expanded (Dlease circle one)
General Information:
Name of Farm:Randy_ Osborne Dairy-„ - Facility No: 80 16
Owner(s) Name: Randy Osborne Phone No: 704-278-0013
Mailing Address: 385 Hamps Dairy Lane, Cleveland, NC 27013
Farm Location: County Farm is located in: Rowan
,Latitude and Longitude:.__35 46 45 1 80 38 15 Integrator: None
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): _ From NC801 in Woodleaf, travel West on —Cool Springs
_Road C5R1971) . to Hobjy_on _Rggad—,(,5R. L971_) , tuxn_ .left and go to HaMR Dairy Lane.,
turn left and -go to farm site.
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals . Type of Cattle No. of Animals
O Wean to Feeder ❑ Layer airy 290
❑ Feeder to Finish ❑ Pullets U Beef
Cl Farrow to Wean
0 Farrow to Feeder
O Farrow to Finish Other Type of Livestock' Number of Animals:
❑ Gilts
❑ Boars
Expanding Operation Only
Previous Design Capacity Additional DesignCapacity: Total Design Capacity:
Acreage Available for Application: 134 Required Acreage: 100
Number of Lagoons / Storage Ponds : I Total Capacity: 88,112 Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or (9 (please circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
Owner / Manager Agreement �y
l (we) verify that all the above information is correct and will be updated upon changing. I (we) understand th'is790-ation
and maintenance procedures established in the approved animal waste management plan for the fart tamed'abov' tMiowill
implement these procedures. I (we) know that any expansion to the existing design capacity of th" waste �tigatmQn - d
storage system or construction of new facilities will require a new certification to be submitteto the�Divisi�rt�ttf
Environmental Management before the new animals are stocked. I (we) understand that there must`£ke no dischar�e
animal waste from the storage or application system to surface waters of the state either directly thrbgh a map -ma
conveyance or from a storm event less severe than the 25-year, 24-hour storm and there must not be%n-off, the
application of animal waste. .1 (we) understand that run-off of pollutants from lounging and heavy uslFareas must
minimized using technical standards developed by the Natural Resources Conservation Service. The appro ,pian will be
filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know that any modification must
be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to implementation. A
change in land ownership requires written notification to DEM or a new certification (if the approved plan is changed)
within 60 days of a title transfer.
Name of
Signature:
Date: M — /,s--- O
Name of Manager(if different from owner):
Signature: Date:
AWC -- August 1, 1997

Technical Specialist Certification
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6F .0005, 1 certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management (DEM)
as specified in 15A NCAC 2H.0217 and the USDA -Natural Resources Conservation Service (NRCS) and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-.0005. The
following elements are included in the plan as applicable. While each category designates a technical specialist who may
sign each certification (SD, S1, WUP, RC, 1)9 the technical specialist should only certify parts for which they are technically
competent.
IL Certification of Design
A) Collection Storage, Treatment S stem
Check the appropriate box
❑ Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements. '
❑ New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print): C. Lipe Barrier, Jr.
Affiliation NCDENR — DSWC Date Work Completed: 8-13-85
Address (Agen ,):
Signature:_
Phone No.: 704-873-6761
Date: /o XC5 ZO /
B) Land Application Site (WUP) i
The plan provides for minimum separa ions (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): C. Lie Barrier, Jr.
Affiliation— ,,NCDENR — DSWC Date Work Completed: 10-2-2001
Address (Agency): 4 4 B l Dr. Statesville NC 28766 Phone No.. 704-8 3-6761
Signature: Date:
C) Runoff Controls frc
Check the appropriate box
❑ Facility without exterior lots (SD or WUP or RC)
This facility does not contain any extei for lots.
3 Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print): C. Lipe Barrier, Jr.
Affiliation NCDENR — DSWC Date Work Completed: 10-2-2001
Address (Agency):_44A Bristol Dr., Statesville. NC 28766 Phone No.: — —761
Signature:__I/". J��pLp�A '!�L-_Date: lr) /
AWC -- August 1, 1997

D). Application and Handling Equipment
Check the appropriate box
Q Existing or expanding facility with existing waste application equipment (WUP or 1)
Animal waste application equipment specified in the plan has been either field calibrated or evaluated in .
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or. nutrient loading rates, a schedule for timing of applications has been
established; required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
Q New, expanded, or existing facility without existing waste application equipment forspray irrigation, (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Z New -expanded, Or_ existing facility without existing waste application equipment for land spreading not usin
sj2ray irrigation. (WUP or 1)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Name of Technical Specialist (Please Print): C. Lie Barrigr, Jr.
Affiliation NCDENR — DSWC Date Work Completed: _ _
Address (Agenc ): 444 B , Statesvi t 1 P, ..NC._28677Phone No.: _
Signature: Date: /0 i
E) Odor Control, Insect Control; Mortality Management and Emergency Action Plan (SD,
SL WUP, RC or n
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect
Control Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and
insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): C. Live_ Barrier_,_ .Jr.
Affiliation_ NCDENR - DSWC Date Work Completed: I0-2-20.01
Address (Agency). 444 Bristol D Phone No.:....704-973-6761
Signature: 6,/,cL ��Date: 0 / b
F) Written Notice of New or Extkandin2 Swine Farm
The following signature block is only to be used for new or expanding swine farms that begin construction after June
21, 1996. 1f the facility was built before June 21, 1996, when was it constructed or last expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street, or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified is
attached.
Name of Land Owner: NA
Signature:
Name of Manager (if different from owner
Signature:
AWC -- August 1, 1997
Date:
ate:

III. Certification of Installation
A) Collection, Storage, Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For e.cisting facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print): NA
Affiliation Date Work Completed:
Address (Agency): Phon
Signature: Date:
B) Land Application Site (WUP)
Check the appropriate box
No..
501 The cropping system is in place on all land as specified in the animal waste management plan.
❑ Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system
as specified in the waste utilization plan has not been established and the owner has committed to establish the
vegetation as specified in the plan by (month/day/year); the proposed cover crop is
appropriate for compliance with the wasteutilization plan.
13 Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 days
of this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print): G. Lipe Barrier. . Jr. -
Affiliation NCDENR — DSWC Date Work Completed: 10-2-2001
Address (Agency):
Signature: r. 4
This following signature block is
above has been checked.
to No.: 704-87 —6761
/C D
to be used when the box for conditional approval in III. B
I (we) certify that I (we) have committed to establish the cropping system as specified in. my (our) waste utilization plan, and
if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion from a
Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we) realize that
failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement
action from DEM.
Name of Land Owner: NA
Signature:
Name of Manager (if different from owner):
Signature:
AWC -- August 1, 1997
Date:
Date:

C) Runoff Controls from Exterior Lots (RC)
Facility ith exterior lots
Methods to minimize the run off of pollutants from lounging and heavy use areas have been installed as specified
in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print): C. Lioe Barrier, Jr.
Affiliation NCDENR — DSWC _ Date Work Completed: 10-2-2001
Address (Agency): 444 Briptol Dr. . Statesville, NC 28677 Phone No.: 704-873-6761
Signature:. L _ _ Date: /0/6 Al /
D) Applicatidn and Handling Eguipmd'fit installation (WUP or 1)
Check the appropriate block
0 Animal waste application and handling equipment specified in the plan is on site and ready for use;
calibration and adjustment materials have been provided to the owners and are contained as part of the plan.
Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third party application and has provided a signed contract; equipment specified in
the contract agrees with the requirements of the plan; required buffers can be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as part of the plan.
1:1 Conditional approval: Animal waste application and handling equipment specified in the plan has been
purchased and will be on site and installed by (month/day/year); there is adequate storage to
hold the waste until the equipment is installed and until the waste can be land applied in accordance with
the cropping system contained in the plan; and calibration and adjustment guidance have been provided to
the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): C. Lipe_ Barrier, Jr.
Affiliation NCDENR — DSWC Date Work Completed: 10-2-2001
Address (Agency): 444 Bristol Dr., Statesville NC 28766 Phone No.:704-873-6761
Signature: �, .�ZEUdd., �2_ - - Date: /6 /e A
The following signature block is only to W used when the box for conditional approval in III D
above has been -checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I
(we) realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us) to an enforcement action from DEM.
Name of Land Owner: NA
Signature: Date:
Name of Manager (if different from owner):
Signature:
Date:
E) Odor Control, Insect Control and Mortality Management (SD, SI, WUP, RC or I)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The mortality
management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): C. Lipe Barrier, Jr.
Affiliation NCDENR — DSWCDate Work Completed: 10-2-2001
Address
Signatun
AWC -- August 1, 1997
Phone No.: —6 761
Date: X1, 6

4
a
[ 1 5
State of North Carolina '
Department of Environment and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form
(THIS FORM AMY BE PHOTOCOPIED FOR USE ASAN ORIGINAL)
General Permit - Existing Liquid Animal Waste Operations
The folio%ing questions have been completed utilizing information on rile with the Division. Please
review the information for completeness and make any corrections which are appropriate. If a
question has not been completed by the Division, please complete as best as possible. Do not lea► e
any question unanswered.
GENERAL INFORMATION:
Faciliry Name: Randv Osborne Dair
1.2 Print land Owner's name: Randy-
11 Mailing address: 385 Hams Dairy -Lane-,----
City, State: Cleveland, NC _ - Zip:-- 27011
Telephone Number (include area code): 704-278-0013
1 A County where facility is located: Rowan
L5 Facility location (Directions from nearest major highway. Please include SR numbers for state roads. P:easc include a
ropy of a county road map with the location of the farm identified): See note of Bottom of page 3
1.6 Print Farm Manager's name (if different from Land Owner): _
1. 7 Lessee's! Integrator's name (if applicable; please circle which type is listed):
1.8 Date Facility Originally Began Operation: 1985
1.9 Date(s) of Facility Expansion(s) (if applicable):
2. OPERATION INFORMATION:
2.l Facility No.: Q_ (county number); _ (facility number).
2.2 Operation Description. Cattle operation
airy
lbfl - Certified Design Capacity See Attached Amendment
Is the above information correct? ©yes; Mno. If no, correct below using the design capacity of the facility
The "No. of Animals" should be the maximum num er or which the waste management structures wem designed -
of Swine
wean to Feeder
0 Feeder to Finish
0 Farrow to Wean (9 sow)
0 Farrow to feeder ($ sow)
0 Farrow to Finish (# sow)
No. of Animals
Other Type of livestock on the farm:
Tape of Poultry No. of Animals '
0 Layer
4 Non -Layer
0 Turkey
'( RNI: AWO-G-E 128/98 Page I of 4
T eofCattle No. of Animate
6 Dairy
0 Beef
No. of Animals:

2.3 Acreagc cleared and available for application (excluding all required buffers and areas not covered b% the application
system): 134 ; Required Acreage (as listed in the AWMP);�j nn
2.4 Number of lagoons/ storage ponds (circle which is applicable): 1;
2.5 Are subsurface drains present within 100' of an), of the application fields? YES or (please circle one i
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or , (please circle one i
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act; NRCS Standards, etc.) (S-^ine (>nl% )
What was the date that this facility's swine houses and lagoon were sited?
NA YES or NO (please circle one)
NA
What was the date that this facility's land application areas were sited? NA
3. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
3.1 One completed and signed original and one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWIMP, it must be completed prior to submittal of a general permit
application for animal waste operations.
The CAWMP must include the following components:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
33.9 The required MRCS Standard specifications.
3.3.10 A site schematic.
3.3.1 1 Emergency Action Plan,
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoon/storage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the`
additional components with your Submittal. '
FORM: AWO-G-E 1128198 Page 2 of 4
Applicants Initials
k.

1 acthty Number
acil:n %acne
a. APPLICANT'S CERTIFICATION:
Randy Osborne (Land OwWncr-s name listed in qucs:ton i arcs. r,a:
th:s app,tcatton for Randy Osborne Da (Facilirn name listed in question t
i',as beer, reviewed by me and is accurate and complete to the best of try 6owledge I un erstand that if all required parts of th,,,
applicator. are not completed and that if all required supporting information and anacturents are no: included, this appa'ica:10r.
paci,agc will b.% returned to me as ipcompiete.
Signature
Date�'� _
MANAGER'S CERTIFICATION: {complete only ifdifferrnt from the Land 04-ner)
(Manager's name listed in question l.bj, anrs: that Q)is
anp;1canon for (Facility name tilted in quMion i :l
his been revicwia by me and is accurate and compete to t c best of my knowle4e. I un crstand that if all required pare or this
application am not completed and that if att required supporting information and attachments are not included. this applica;ion
package will be returned as incompbete.
Signature _
Dare
T14E COMPLETED APPLICATION PACK4GE. rNCLUDrNG ALL SUPPORTING rNFORMATION AND MATERJALS.
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27599- /07
TELEPHONE NUMBER (.919) 733-5083
FAX NUMBER [phone]
1.5 Facility Location: Direction to Farm -- From Highway NC 801 in Woodleaf, NC,
go West on Cool Springs Road (SR 1003), travel to Hobson Road (SR 1971), torn
left and go to Hamp's Dairy Lane (first driveway on the left) and turn left and go to
farm site.
VORM: AWO-G-E Page 3 of d

_y
Certification Amendment for Cattle Facilities
Facility Number 80- 16 Facility Name , Randy Osborne ]ja i ry _ _,
Number of Animals Facility is Certified for 160 Date of Certification 6-12-2000_
Please indicate the maximum number of animals that your animal waste management system is designed to
accommodate:
Dairy Milking 200
Dry cows --ZQ—
Heifers 50
Calves 20
Beef Broad Cows
Feeders
Stockers
TOTAL CONFINED ANP.y1ALS 290
** If this total is equal to the number that your facility is certified for, you do not need to complete the rest of this
Form. If the above total number of animals is different than your certified number but it is what your technical
specialist evaluated when your facility was certified, please have your technical specialist amend the certification by
completing the section below. If your facility was not previously evaluated and citified for the maximum design
capacity, you must have a technical specialist re -certify your facility. Your certification number should be the
maximum number of animals (cows, heifers, calves, etc.) that your animal waste management system can
accommodate.
Please use the space below to describe the operation.
90 Dry Cows, Heifers and Calves were not counted due not understanding the
animals that should be counted.
Amended Certification (only needed it the incorrect number of animals was previously certified):
By signing this you are cerrrfying that the animal waste management system at this facility has been evaluated for
the maximum number of animals that it can appropriately accommodate, however, the original certification did not
correctly represent this number (shown above as Total Animal Number).
Farm owner/applic
Signature Date 16
Farm manager (if applicable)
Signature Date
Technical Specialist
Signature DateILI
! ! o
Phone Number (705' 92 3.� . �7� Z f!

J
Animal Waste Management Plan Certification ON
Please a or print all information that does not require a si atur tiGE',�C'1
Eristin or New or Ea anded lease circle one
General Information: O�
Name of Farm: Randy Osborne Dairy _ _ _ \Fciii No 80
Owner(s) Name: Randy Osborne _ Ph e N
•
Mailing Address: 385 Hams Dairy Lane Cleveland NC 27013
Farm Location: County Farm is located in: Rowan
Latitude and Longitude: __U_ __kL _ t� / _so —3$_ _ 15 Integrator:_ynne
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.): From Hw�NC 801 at WoodZeaf t NC. travel West qn Cool
Springs Rd. _(sr1003), to Hobs2n_Rd. _ _s_rl971), _turn left and go 1/2 mile to Hamys
Dairy Lane, turn left and go to end of road.
Operation Description:
Type of Swine No. of Animals
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
O Farrow to Feeder
O Farrow to Finish
0 Gilts
0 Boars
Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Layer ® Dairy 290
0 Pullets ❑ Beef
200 Milk Cows
Other Type of Livestock 20 Dry Cows
SO Heifers
20 CaIves
E-Vanding Operation Only
Previous Desi Capacity: 160 Additional Desinapacity: I30 Total Design Ca aciry 290
_min .- - - ---^�..s�
Acreage Available for Application: 134 Required Acreage: 100
Number of Lagoons / Storage Ponds : I Total Capacity. 88,112 Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or (9 (piease circle one)
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD (please circle one)
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. 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 stocked I (we) understand that there must be no discharge of
animal waste from the storage, or application system to surface waters of the state either directly through a man-made
conveyance or from a storm event less severe than the 25-year, 24-hour storm and there must not be run-off from the
application of animal waste. - I. (we) understand that run-off of pollutants from lounging and heavy use areas must.be
minimized using technical standards developed by the Natural Resources Conservation Service. The approved plan will be
filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know that any modification must
be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to implementation. A
change in land ownership requires written notification to DEM or a new certification (if the approved plan is changed)
within 60 days of title transfer.
Name of La
Signature:
Name of Manager(if different from owner
Date: f /- L . 6 Z
Signature: Date:
AWC - August 1, 1997

Technical Specialist Certification
L As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
j NCAC 6F .0005, I certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Environmental Management (DEM)
as specified in 15A NCAC 2H.0217 and the USDA -Natural Resources Conservation Service (NRCS) and/or the North
Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001-.0005. The
following elements are included in 'the plan as applicable. While each category designates a technical specialist who may
sign each certification (SD, SI, WUP, RC, 1), the technical specialist should only certify parts for which they are technically
competent.
H. Certification of Design
A) Collection, Storap_e, Treatment Svstem
Check the appropriate box
3 Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization
requirements.
0 New, expanded or retrofitted faciliEY (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print):_ C. Lipe Barrier, _Jr.
Affiliation NCDENR - DSWC Date Work Completed:
Address (Agent ): 444 Bristol Dr. Statesville NC 28677 Phone No.:,
Signature: �_.' yki �� - Date: /D i
8-13-85
%d /O
B) Land Application Site (WUP)
The plan provides for minimum separa ions (buffers); adequate amount of land for waste utilization; chosen crop is
suitable for waste management; hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): C. Lipe Barrier, Jr.
Affiliation NCDENR - DSWC Date Work Completed: 10-2-2001
Address (Agency): 444 Bristol Dr.. Statesville. NC 28766 Phone No.: 704-873-6761
Signature: I Date: /,A
C) Runoff Controls frt
Check the appropriate box
Q Facility without exterior lots (SD or WUP or RC)
This facility does not contain any extefior lots.
13 Facility with exterior Iots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print):_C C. _Lipe Barrier, Jr.
Affiliation NCDENR — DSWC Date Work Completed: 10-2-2001
Address (Agency): Phone No.:Z04-873-6761
Signature: Date: 10 /d /j /
A'LVC -- AL%U3L 1, &7l1

D). -Application and Handling_Eauipment
Check the appropriate box
.:a Existing or expanding facilit� with existing waste application eq. ir)ment (WUP or I)
Animal waste application equipment specified in the plan has been either _field calibrated or evaluated in
accordance with existing design charts and tables and is able to apply waste as necessary to accommodate the
waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the specified hydraulic or nutrient loading rates, a schedule for timing of applications has been
established; required buffers can be maintained and calibration and adjustment guidance are contained as part of
the plan).
New, eaRIMded. or eZistin f¢ acility without existing waste application uipment for spray irrigation. (1)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
9 N
spray imgatjo, (WUP or I)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the
plan at rates not to .exceed either the specified hydraulic or nutrient loading rates; a schedule for tinting of
applications has been established; required buffers can be maintained; calibration and adjustment guidance are
contained as part of the plan).
Name of Technical Specialist (Please Print): C. Lie Barrier Jr.
Affiliation NC DENR, DSWC Date Work Completed: 9-4-02
Address (Agency): 444_Bristol Dr_, Statesville, NC 28677 Phone No.:704-873-6761
Signature: rL. ,/ nil/J.IL ,� Date:--44
E) Odor Control, Insect,Control� Mortalitv Management and EmerQencv Action Plan (SD
SI. WUP, RC or 1)
The waste management plan for this facility includes a Waste Nlanagement Odor Control Checklist, an Insect
Control Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and
insects have been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best
Management Practices to Control Insects have been selected and included in the waste management plan. Both the
Mortality Management Plan and the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): C . Lipe Barrier, Jr.
Affiliation NCDENR - DSWC Date Work Completed: 10-2-2001
Ai
F) Written Notice of New or Ex4pnding Swine t,arm
The following signature block is only to be used for new or expanding stivine farms that begin construction after June
21, 1996. If the facility was built before June 21, 1996, when was it constructed or last expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and all property owners
who own property located across a public road, street, or highway from this new or expanding swine farm. The notice was
in compliance with the requirements of NCGS 106-805: A copy of the notice and a list of the property owners notified is
attached.
Name of Land Owner:
Signature:
NA
Name of Manager (if different from owner):_
Signature:
Date:
Date:
AWC -- August 1, 1997 .

III. Certification of Installation
A) Collection, Storage, Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed
in accordance with the approved plan to meet or exceed the minimum standards and specifications.
For e-risting facilities without retrofits, no certification: is necessary.
Name of Technical Specialist (Please Print): NA
Affiliation Date Work Completed:
Address (Agency):
Phone No.:
Signature: Date:
B) Land Application Site (WUP)
Check the appropriate box
W The cropping system is in place on all land as specified in the animal waste management plan.
❑ Conditional Approval: all required land as specified in the plan is cleared for planting; the cropping system
as specified in the waste utilization plan has not been established and the owner has committed to establish the
vegetation as specified in the plan by (month/dav/year); the proposed cover crop is
appropriate for compliance with the wasteutilization plan.
U Also check this box if appropriate
if the cropping system as specified in the plan can not be established on newly cleared land within 30 days
of this certification, the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print): C. Lipe Barrier,Jr. _
Affiliation NCDENR — DSWC Date Work Completed: 10-2-2001
Address (,
Signature:
This follov
above has been checked.
to be used when the box for conditional approval in III. B
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan, and
if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of completion from a
Technical Specialist within 15 calendar days following the date specified in the conditional certification. I (we) realize that
failure to submit this verification is a violation of the waste management plan and will subject me (us) to an enforcement
action from DEM.
Name of Land Owner: NA
Signature: Date:
Name of Manager (if different from owner):
Signature: Date:
AWC -- August 1, 1997

C) Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
Methods to minimize the run off of pollutants tiom lounging and heavy use areas have been installed as specified
in the plan.
For facilities without e-werior lots, no certification is necessary.
Name of Technical Specialist (Please Print): C. Lipe Barrier, Jr.
Affiliation NCDENR — Date Work Completed: 10-2-2001
Address (
Signature
Phone No.: 704-873-6761
Date: /0//6 %D
D) (WUP or 1)
Check the appropriate block
Animal waste application and handling equipment specified in the plan is on site and ready for use;
calibration and adjustment materials have been provided to the owners and are contained as part of the plan.
❑ Animal waste application and handling equipment specified in the plan has not been installed but the owner
has proposed leasing or third party application and has provided a signed contract; equipment specified in
the contract agrees with the requirements of the plan; required buffers can be maintained; calibration and
adjustment guidance have been provided to the owners and are contained as part of the plan.
❑ Conditional approval: Animal waste application and handling equipment specified in the plan has been
purchased and will be on site and installed by (month/day/year); there is adequate storage to
hold the waste until the equipment is installed and until the waste can.be land applied in accordance with
the cropping system contained in the plan; and calibration and adjustment guidance have been provided to
the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): C. LiRe Barrigg, J
Affiliation NC DENR - DSWC . Date Work Completed: 9-4-02
The following signature block is only to � used when the box for conditional approval in III D
above has been checked.
1 (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
from a Technical Specialist within 15 calendar days following the date specified in the conditional certification. I
(we) realize that failure to submit this verification is a violation of the waste management plan and will subject me
(us) to an enforcement action from DEM.
Name of Land Owner: NA
Signature:
Name of Manager (if different from owner):
Signature:
Date:
Date:
E) Odor Control Insect Control and Mortality Management SD. SI. WUP RC or I
Methods to control odors and insects as specified in the Plan have been installed and are operational. The mortality
management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): C. Lie Barrier Jr.
Affiliation NCDENR - DSWC Date Work Completed: 10-2-2001
Address (
Signature
AWC -- August 1. 1997 ,
Phone No.: -6761
Date:

r
J Animal Waste lvlanaaement Plan Certification
(Please tvvt or orint oil informaion Clint does not reuuire a siv7:lture)
stin_ or....Ne`4 or" Expanded(please circle one)
General Information:
game o( Farm:
N Dveb4
nll=
Alm F tcility �`a:rSO --J_
Owner(s) Name: �(�J��Qs66e
)E �
Phone No: 33(0-$8�-`�.�7�
Nlailina address: 6-950
Hw 801
S.
Q: , L` C- 2 -7 0 ZA _
Farm Locoman:
Coantv,Farm
is locate I'In:T�Z.anA,)9, 03 CCX-) J: y
Latitude and Lor.viiude:
Z;E" 41a 45"
381.
16"1, Inte�,rawr:
Pease attach a coon of a county road map with It)t:'_tlon idenutled
and Less: ibe below (Be ;t z,ific: road
names. dire•_,ions. miiepost. e:c.): FZoe-
QcoQQI
we az_Q,4G� Conic- 5
oao SC 1003
1 _TC� Pokso&�j
Mat
— 1113tL&I i GET 40 7o_
—144MA'5 J N ), .
_. -__rW 2 ►)
-Lt; �- ,
Operation Descriotion:
Type of Swine No. of Animais
n wean to Feder
n Feeder to Finish
J Farrow to Wean
_) Farrow to Feeder
Farrow to Finish
s Gilts
J Boars
Tvve of r'orrirr.
s Laver
J Pullets
No. of Ani+ncis
Other T:•ae of Livesroc.:'
Tx•pe of C;rrle N . ofAfli) I
>A Dair. O
a Bee
Vrunner of.lrtifna s:
< {
Ft�nd�nq Operction,Onlr .
Pre:�oii1 Desrzn'toacrr. ri�ldirforal Deslen Csaccrtf. Tor rl Drsiir C�nacu�: .'
.Acreage Available for Application: `I Required Acrca°e: (_D i
"umber of Lagoons 1 Storage Ponds : Total Capacitv:Co. I 1 Z.. Cubic Feet (ft3)
Are subsurface drains present on the farm: YES or NO (please circle one)
IS YES: are subsurface drains present in the a:ea of the L.AG 0ON or SPRAY FIELD (please circle one)
a M M M MMM MMk-.kMM*.MMMM l{MalllT[AAAMMMMMMMMMMM-AMMMM**M*MM MMMMMMM M M M M M a a M y M M MMM MHMMn MM:�M/�1�MMM
Owner 1 `tanager agreement
I (eve) verify that all the above information is correct and will be updated upon chankin_!. I (ue' understand die operatien
and maintenance procedures established in the approved animal wash mana^_zztent plan for the farm named above and will
implement these procedures. I (we) know that any expansion to the existing design capacity of die :Nash treatment an:l
storage system or construction of new facilities will require a new ce-Uncadon to be submitted to the Division of
Environmental Management before the new animals are stocked. I (eve) understand that there must be no disc:zarge of
altimal waste from the storage or appiicadon system to surrace waters of the state eidter directly through a man-atade
conveyance or from a storm event less severe than the '_S-year. 24-hour storm and there must not be run-off from die
application of animal waste. I (we) understand that run-off of pollutants from lounging and heavy use areas must be
minimized using technical standards deve!upe'd by the Natural Resources Conservation Service. The approved plan will be
Cited at the farm and at the office of the local Soil and Water Conservation District. I (we) know dtat any modification
must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to
implemzntadun. A change in land ownership requires written nodficatiun to DEM or a new C=uficadon (if the approved
plan is changed) within 66 daysp; a title transfer. _ .
Fame of La nA Owner:
Signature:
Name of 1lanager(iedit Brent from owner):
Signature:
Date: b -1.2. 10
Dare:
.AWC -- .August 1. 1997,

Technical Specialist Certification
L As a technical specialist designated by the North Cartilitla Soil and Water COnsen•atiun Commission pursuant to 1= a
-NCAC 6 .0003. I certify that the animal waste management systera for the farm named above h�s an animal ,va5,te
managenlerit plan that meets or exceeds standards and spe_itications of the Division of Environntcntal Nlanaaernent
(DE.1) as specified in 15,E `+CAC 2H.0317 and the USDA'--Xatural Resourc_s Conservatiun Service (tNRCS) and,'ar the
North Carolina Soil and Water Conservation Commission pursuant to 15A NC.-\C 2H.0217 and 15.E `CAC of .00oI-
.0005. The following elernents are included in the plan as applicable. While each cate�,.or: designates a technical specialist
%vno -1av sisn each certification (SD, St. WUP, RC. I). the technical specialist should only certii;; parts for which the a,e
tecanicaly competent.
II. Certification of Design
A) Collection. Storaze. Treatment System
Chec.t• the appropriart bar
)7j E=xistins facility wi(hout retrofit (SD or WUP)
Storage volume is adequate for operation c_pacitv: .storage capability conjii�c'.n.t -.6111 waste utilization
requirt:mdnts.
New. expanded or retro[itted facility (SD)
Animal waste sturage and treatment structures. such as but not limited to colltL60n sVste tls. la�s0ons and pones.
have been designed to meet or exceed the minimum standards and spevitications,
tiame of Technical Specialist (Please Print):_
:foliation C)SD fa- EA 2-C-5 Date Work Completed: 3-►` a
Address (�+sency): Z �e1-r tJL . �3 l 4 Phone No.: 20 4- G37 - 07 83
Signature:
Date: Co- I -o C
B) Land application Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land t'or waste utilization: chosen crop is
suitable for waste management: hydraulic and nutrient loadinv rates.
Marne of Technical Specialist (Please Print): E e
r iYiiiation USDA— S� EL-S r,,}._y Date %Vork Completed:
.address (Aaen )
Si -mature
C) Runoff Controls from Exterior Lots
Check the appropriare box
Facility without, exterior lots (SD or WUP or RC)
This facility hoes not contain any exterior lots.
14 (P Phone No.: 7 04-(937-07&3
Date: Cpt -- I - ZOaa
:D Facility with exterior lots (RC)
Me hods to minimize the run off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by N CS.
Marne of Technical Specialist (Please Print):_ 13 ti20C
a�tHiation 0, - N CS Date ��'or;: Completed: Zq - OD
:address (Aden ): 1 4 Phone `0.:"7 04 {037 -O?
Signature: ___ Date: (v - II-,Oc7
AWC -- August 1. 1997

D)..agolication and Handlinrt Eauinment
Cileck the appropriate hox
_1 E;,kfim, nr exrnndim fncilitv wi h e;!i0n2 «'14i2 nni licaiion e-Quirment (\VU? or 1)
Animai waste application equipment specitied in the plan has beta tidier tic!d caiibrated or e:aivat_t
accordance with existing design chars and tables and is r. able to apply waste as nectssato accommodate t
Waste management plan: (existing application equipment can cover the area required by the plan at rates not to
exceed either the sceciued hydraulic or nutrient loading rates. a schedu."e for timing of applications has been
established'. required buffers can be maintained and calibra6cn and adjustment quidan-�t are e.:ntained as part cc
the plan).
:t Yv.v. eYpnndnr dzijdng 1 iii :%,J ow exi<ting w.i t iC2licZiinn eallirmeN fnr l izltion (I)
Animal waste application equipment spceitted in die pian has been designed to aeoiv %paste as nec.ss;j- to
accommodate the waste management plan: (proposed application equipment can cover the area required by L. e
plan at rates not to exceed eitlitr the specified hydraulic or nutrient loading rates: a scae iule for timing of
applications has been established: required buffers can be maintained: cniibcition and adjustment suidarice are
contained as pan of the plan).
v.v. �7,�nndecL n xt4t sl ally wiLhorg exictingwrit ipUlicilinn ecVi .m nt Cor !Ind ; .r; cling not u5ino
ter:t� irri, =il?n, ( r I)
Animal waste application equipment specified in die plan has been 5e!e.te l to :ippl': waste as ne::essary to
accommodate the waste management plan: (proposed applicadon equipment can corer the area required by uhe
plan at rates not to exceed either the specified hydraulic or nutrient loading rates: a scheduie for timing of
applications has been established; required buffers can be maintained: calibridun and adjustment guidance are
contained as part of the plan).
i`+ame.of Technical Specialist (Please Print): --F,; oce- _
Affillatio
Address (A
SignatureL
1♦ Cr\— .1
Wore Comoie.,ed:.S ZCt -Do
Phone No.: 704 - fa 3']-0-)A
Date: (e -1- 00
E) Odor Control. Insect_ Control. -Mortality Manaaernent and Emereencv .acrioo Plan (SD
SI. WL'P. RC or I) -
The waste management plan for this facility includes a waste :Management Odor Control Checklist. an Inset:
Control Checklist, a Mortzi.lity :Management Checklist and an Emergenc-ac:iun Plan. Sources of both odors and
insects have been evaluated with respect to this site and Best :Management Practices to Minimize Odors and Best
Management Pracdces.to Control insects have been selected and included in the waste management plan. Both the
`lorta.lity Management Plan and the Eniergencv .action Plan are complete and can be imolemented by this facility.
Name of Technical Specialist (Please Print): • i� -vim e ED_
AIf iIt:
.address (Age cy):
Siumature:
ate Work Completed: . Z - CAD
Phone No.: :Z_o-R 6;vS7-a783
Date: (o j -- 00
F) WrJtten . otice of New or -Expanding, Swine Farm
The follo«in; sign re block is only to be used for new or expanding swine farms that begin construction after Juna
31, 1996. If the facility built bef')re June 21: 19d6, when Nvas it constructed or last
expanded
I (we) certify that l (we) have attem to contact by certified trail all adjoining propene owners and all property owners
who own property located across a public scree[, or hiohwav from this new or expanding swine farm. The notice was
in compliance with the requirements of of.' -805. A cpv o f e notice and a fist of tiie grope ty oti' rocs naciiied is
attached, f�
Fame of Land Owner:
Signature:
dame of Manager (if �ifferen[ from owner):
Sh-,nature:
AWC -- .august 1, 1997, 3
Date:
Date:

III. Certification of Installation
A) Collection. Storage. Treatment Installation
Nz%y. expanded or retrofitted facility (SI)
Animal waste storage and treatment structures. such as but not limited to lagoons and ponds. have beta insm[!ed
in accordance with the approved plan to met, or tsc-.ed the minimum standards and spec:rications.
For existing facilities without rerrof"us, no cerrijcarion is necessary..
Name of Technical Specialist (Please Print): _ .
Aaiiliation Daie Work Cornoleted:
,address (.AJency):
Phone No.:
Signature: Duce:
B) Land Aoolication Site (SVI P)
Check the appropriate ba.r
J The cropping system is in place on all land as spec-Ified in the animal waste management plan.
Conditional approval: all required land as specitied in the plan is cleared for planting: the cropping system
as specified in the waste utilization plan has not been a tablished and the owner has committed to establish the
vegetation as specified in the plan by ZoC:qmonthldaylyear); the proposed corer crop is
appropriatr-for compliance with the wasteutiliz Rion plan.
Zi Also check this box if appropriate
if the cropping system as specified in L, a plan can not be established on newly c!eared land within 30 days
of this certification. the owner has committed to establish an interim crop for erosion control;
Name of Technical Specialist (Please Print):_
.-Uhtiliation Date �Vor Completed:
Address (Agency):
Phone No.:
Signature: Date:
This foiloNving signature block is only to be used when the box for conditional approval in III. B
above has been checked.
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization plan.
and if appropriate to establish the interim crop for erosion control. and will submit to DELI a verification of completion
from a Technical speeialist within 1,3 calendar days following the date specified in the conditional certification. I (we)
realize that failure to submit this verification is a violation ot'tbe waste management plan and will subject me (us) to an
enforcement action from DELI.
Name of Lard Ovvaer:
Signature:
D40
Name of Manager (if different from owne.*
Signature:
Date: 6 —12 -OV
Date:
as`'C -- AU.'Ust 1. 1991

C) Runorr Controls from Exterior Lots '(RC)
FaCility with e.xter-tor loos
to minimize fife run off of pullutants "runt lounging and Ice -:iv use tc.:n in.iLiLd a; .;oeciric!
in the plan.
For fac,lides without exrer,.or It io certifcarion is necessar,
Name of Technical Specialist (Please P:i
:affiliation
Address (A?ercv):
Signature:
Date �Vork Completed:
Phone Xo.:
[e:
D) Anolication and Handling Eaujurnent Installation (NVUP or I)
C;ree.c rite Cv.orppriate brad
J Animal waste application and handling equipment specified in utic pian is o:: site and ready for use:
calibration and adjustment materials have been provided to fife owners and and contained'as pan of the plan.
Animal waste application and handling equipment spc::iricd in t:i, plan:fss not br.:t insmllvd but die
has proposed leasing or diird party application and has provided a si ncd contr:w:: equipment specified in
the contract aerecs with We requirements of the plan: required buffers can be maintained: ca3i6rgtiun acid
adjustment guidance have be.n provided to the owners and are contained as part of the plan.
J Conditional approval: .animal waste application and handling tquipment specified in she plan has
been purcbased and will be on site and 'installed by (mondVdaylvearf: there is adequate
storage to hold the waste until the equipment is snsmiled and untii the waste can be land applied in
accordance with the cropping system contained in the plan: and calibration and adjusmient guidance have
been provided to the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): -JESy �->c i i D 9�6
affiliation USDA-tJ GCS
Z 7'L"��i�115 CO OU G��Z
address (Ag-nc C -
Signature: Z A-t,� - t4,
Date Work Completed: :5 -011- Da
Z814(P Phone N-o.: 704- 37-0'7,S3
Date: Co -f -cc)
The following signature block is only to be used when the box for conditional approval in III D
above has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handiing Nuiomen[ as
speciFred in my (our) waste management plan and will submit to DELI a verliication of deliver: and installation
from a Technical Specialist within 13 calendar days following the date spe.iried in the conditional certification. I
(wen realize that failure to submit this verification is a violation of the waste m uta2tment plain and will subiz_: me
(us) to an enforcement action from DELI.
-Name of Land Owner:
Signature:
Name of Manager (if different from owner):
Date:
Signature: Date:
E) Odor Control. insect Control and Mortality Niana�*ement (SD. Si. WUR RC or I)
-Ntzthods to control odors and insects as scecitied in the Platt have been installed and are operational. The
mortality management system as specified in the Platt has also been installed and is operational.
Name of Technical Specialist (Please Print): Z. �Dr"LYF, --e�-
aftiiiation U.--SDA
Address (:fig cy}. L'
Sjgnature:
ate Wort Completed: S'L2-0
Phone No.: (n 37-057
Date: & - bo -
ANVC -- Aught 1. 1997

Please return the completed form to the Division of Water Quality at the following address:
Department of Environment, Health, and .Natural Resources
Division Of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29-435
Raleigh. NC 27626-063-5
Please also remember to submit a copy of this form along with the complete .animal tiVaste
Nlanagement Plan to the local Soil and Water Conservation District Office and to keep a copy
in your files Nvith your animal Waste Management Plan.
AWC -- .ku-ust 1. 11)9-1 n

State of Nortti Carolina
Department of Environment and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Fonn
(T'IIIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit -
New or Expanding Animal Waste Operations
This application is for new or expanding facilities only. The design portions of the Animal Waste
Management Plan (AWMP) Certification Form, Part ll, must be included with this application
prior to the application being accepted as complete.
THIS ONLINE APPLICATION CAN BE FILLED OUT USING
THE TAB KEY TO MOVE THROUGH THE FIELDS
Application Date: 9-27-2002
1. GENERAL INFORMATION:
1.1 Facility name: Randy Osborne Dairy
1.2 Print Land Owner's name: Rgn
,& Osborne
1.3 Mailing address: 385 Hamps Dairy Road
City: Cleveland State: NC Zip: 27013
Telephone Number: ( 704) 278-0013
1.4 County where farm is located: Rowan
1.5 Farm Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified): From NC 801 in Woodleaf, NC, travel West on Cool
Springs Road(SR1003), to Hobson Road(SR1971)-turn left and go to Hamps Dairy Road on the Left, travel to the end.
1.6 Print Farm Manager's name (if different from Land Owner): NA
1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): NA
2. OPERATION INFORMATION:
2.1 Facility No: 80 - 16.
2.2 Please complete the table below as it applies to your facility using the certified design capacity, The "No. of Animals"
should be the maximum number for which the waste management structures were designed.
Type of Swine No. of Animals Type of Poultry No. of Animals
❑ Wean to Feeder ❑ Layer
❑ Feeder to Finish ❑ Non -Layer
❑ Farrow to Wean (# sow) ❑ Turkey
❑ Farrow to Feeder (# sow)
❑ Farrow to Finish (# sow)
❑ Other Type of Livestock on the farm:
Type of Cattle No. of Animals
® Dairy 290
❑ Beef
200 Milk Cows
20 Dry Cows
50 Heifers
20 Calves
No. of Animals:
VCMDAM. A 1&179-% 1� wr17111 'Vvn 07r17rnn _D-_ , I .,re

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 134 Required Acreage (as listed in the AWMP): 100
2.4 Number of Lagoons: ; Total Capacity: Cubic Feet (ft3); Required Capacity: (ft3)
Number of Storage Ponds: 1 ; Total Capacity: 88,112 (W); Required Capacity; 79.693 (ft3)
3. REQUIRED ITEMS CHECKLIST
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item. Applicants
Initials
3.1 One completed and signed original and two copies of the application for General Permit -
Animal Waste Operations;
3.2 Three copies of a general location map indicating the location of the animal waste facilities and J
field locations where animal waste is disposed;
3.3 Three copies of the Certified Animal Waste Management Plan (CAWMP). If the facility does
not have a CAWMP, it must be completed prior to submittal of a general permit application for
animal waste operations. The CAWMP must include the following components:
3.3.1 NRCS Site Evaluation Form NC-CPA-17 or equivalent.
3.3.2 A hazard classification of the proposed lagoons, if required.
3.3.3 Documentation showing that proposed swine facilities meet the requirements of the Swine Farm Siting Act
including a site map prepared by a Registered Land Surveyor. The scale of this map shall not exceed l inch =
400 feet. At a minimum, the site map shall show the distance from the proposed houses and lagoons to
occupied residences within 1500 feet, schools, hospitals, churches, outdoor recreational facilities, national
parks, state parks, historic properties, or child care centers within 2500 feet, property boundaries within 500
feet, water supply wells within 500 feet. The map shall also show the location of any property boundaries, and
perennial streams or rivers located within 75 feet of waste application areas.
3.3.4 Documentation showing that all adjoining property owners, all property owners who own property located
across a public road, street, or highway from the facility, the local health department, and the county manager
or chair of the county board of commissioners if there is no county manager, have been notified by certified
mail of your intent to construct or expand a swine farm at this location.
3.3.5 A wetlands determination.
3.3.5 A map showing the topography of the proposed facility location showing features that affect facility design, the
dimensions and elevations of any existing facilities, the fields used for waste application, and areas where
surface runoff is to be controlled.
3.3.6 The lagoon/storage facility design.
3.3.7 Proposed runoff control measures, if required
3.3.8 Irrigation or other land application method design.
3.3.9 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (PAN) produced and
utilized by the facility.
3.3.10 The soil series present on every waste disposal field.
3.3.11 The crops grown on every waste disposal held.
3.3.12 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.13 The PAN applied to every waste disposal field.
3.3.14 The waste application windows for every crop utilized in the WUP.
3.3.15 The required MRCS Standard specifications.
3.3.16 Emergency Action Plan.
3.3.17 Insect Control Checklist with options noted.
3.3.18 Odor Control Checklist with options noted.
3.3.19 Mortality Control Checklist Mth options noted.
3.3.20 Documentation proving this facility is exempt from the Moratoria on Construction or Expansion of Swine
Farms, if the application is for a swine facility.
C/lilA r. A'Liln 19 %TTi «7 -- V V D •7117 /on D..-- It .,r c

If your CAWMP includes components not shown on this list, please include the additional
components with your submittal.
4. Surface Water Classification. This form must be completed by the appropriate DWQ regional office
and included as a part of the project submittal information.
INSTRUCTIONS TO NC PROFESSIONALS:
The classification of the downslope surface waters (the surface waters that any overflow from the facility would flow
toward) in which this animal waste management system will be constructed must be determined by the appropriate DWQ
regional office. Therefore, you are required, prior to submittal of the application package, to subnut this form, with
items I through 7 completed, to the appropriate Division of Water quality Regional Water Quality Supervisor (see page 5 of
5). At a minimum, you must include an 8.5" by I V copy of the portion of a 7.5 minute USGS Topographic Map which
shows the location of this animal waste application system and the downslope surface waters in which they will be located.
Identify the closest downslope surface waters on the attached map copy. Once the regional office has completed the
classification, reincorporate this completed page and the topographic map into the complete application form and
submit the application package.
4.1 Farm Name: Randy Osborne Dairy
4.2 Name & complete address of engineering firm or technical specialist:
C. Lipe Barrier, Jr. Environmental Specialist ,NC DENR, DSWC, 444 Bristol Dr., Statesville, NC _ 28677
Telephone number: 704-873-6761: Ext. 112
4.3 Name of closest downslope surface waters: Third Creek
4.4 County where the animal waste management system and surface waters are located: Rowan
4.5 Map name and date: Cool Springs, NC 1969
4.6 NC Professional's Seal (If appropriate), Signature, and Date:
C. Li a Barrier Jr, Environmen S ecialist
TO: REGIONAL WATER QUALITY SUPERVISOR
Please provide me with the classification of the watershed where this animal waste management facility will be or has been
constructed or field located, as identified on the attached map segment(s):
Name of surface
Classification (as established by the Environmental Management Commission): (..�
Proposed classification, if applicable:
Signature of regional office personnel:
(All attachments must be signed)
Date: 9 12Q
VnD %4. A tllfl 0-4 ATVIV V VD "r"lno D--- 12 -41 C

5. APPLICANT'S CERTIFICATION:
1, Randy Osborne (Land Owner's name listed in question 11), attest that
this application for _ Randy Osborne Dairy _ (Facility name listed in question 1.1)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned to me as 17,
omp le.
Signature J 9266=z 1 _ -- Date
6. MANAGER'S CERTIFICATION: (complete only if different from the Lazed Owner)
[, NA (Manager's name listed in question 1.6), attest that
this application for (Facility name listed in
question 1.1) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information and attachments are not included, this
application package will be returned as incomplete.
Signature
Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER QUALITY
WATER QUALITY SECTION
NON -DISCHARGE PERMITTING UNIT
1617 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1617
TELEPHONE NUMBER: [phone]
FAX NUMBER: [phone]
VnDA,r. A Wn !• %TT\17 VV a 717100 'D--- A .-P C

a
f
r
1Y.
i
ti
Certification Amendment for Cattle Facilities
Facility Number 80 — 16 Facility Name Rali ,y Q& orne Dairy
Number of Animals Facility is Certified for 160 pate of Certification 6-12-2000
Plcase indicate the maximum number of animals that your animal waste management system is designed to
accommodate:
Dairy Milking 200
Dry co s --20Hei
50
Calve. ^ 20
Beef Brood Crows
Feeders
Stockers C� Q
P
A
G�
TOTAL CONFINED ANLMAIS L90
01 If this total is equal to the number that your facility is certified for, you do not need to complete the rest of this
form. If the above total number of animals is different than your certified number but it is what your technical
specialist evaluated when your facility was certified, please have your technical specialist amend the certification by
completing the section below. If your facility was not previously evaluated and certified for the maximum design
capacity, you must have a technical specialist re -certify your facility. Your certification number should be the
maximum number of animals (cows, heifers, calves. etc.) that your animal waste management system can
accommodate.
Please use the space below to describe the operation.
90 Dry Cows, Heifer,and Calves were not previously counted due to not understanding
which animal should have been counted.
40 Milk Cows are being added,as an expansion.
Amended Certification (only needed if the incorrect number of animals was previously certified):
By signing this you are certifying that the animal waste management system at this facility has been evaluated for
the maximum number of animaLt thas it can appropriately accommodate: however, the original cer t# cation did nor
correctly represent this number (shown above as Total Animal Number).
Farm owner/applicant J
Signature
Randy Osborne
Farm manager (if applicable)
Date
Signature Date
Technical Specialist
Signature Date 9 Lo a
C. Lipe Barrier, Jr
Phone Number (704) 873_6.761 Ext. 112

'0YYYyyyyyy,
4
ru
L�
Randy Osborne Dairy
Randy Osborne
385 Hamps Dairy Rd.
Cleveland, NC 27013
Facility No. 80-16
Rowan County, North Carolina
Certified Animal Waste
Management Plan
(0200 Permitting Plan)
For a herd size of;
200 Milk Cows
20 Dry Cows
50 Heifers
20 Calves
In Cooperation with the
Rowan Soil and Water Conservation District
October 9, 2001

3 1
\ f
EDMO E Farm Location Map
-� Randy Osborne Dairy ORE m !
�R D.
r Facility No. 80-16
Qq
SQ-0TIR1 y
Randy Osborne p v I
385 Hamps Dairy Lane - .-.Q -- EQ
o C
Cleveland, NC 27013
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Le
_ Farm Site Map
Randy Osborne Dairy
s y a';•;?:`; �;; t , rr; w �, Facility No. 80-16
Ati
.4i f �� f'. Randy Osborne
.� ..• �: •' ;u � �, r_r. s• �.�• i � 385 Ham ps Dairy Lane
Cleveland, NC 27013
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(0
Nutrient Management Plan For Animal Waste Utilization
This plan has been prepared for:
Randy Osborne Dairy
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
704-278-0013
09-27-2001
This plan has been developed -by:
C. Lipe Barrier, Jr, Environmental Spec. II
DSWC
Rowan SWCD
2 72 7C Old Concord Rd.
Salisbury, NC 28147
704-637-1604, Ext 3
I
Developer Signature
Type of Plan: Nitrogen Only with Manure Only
Owner/Manager/Producer Agreement
I (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.
lD-l�-o 1
Signature (owner) Date
Signature (manager or producer) 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: ex
Technical Specialist Signature
Date
C........................................................................................................................................................~........................................................
515115 Database Version 1.06 Date Printed: 09-27-2001 Cover Page I

Map and Field Legend
Randy Osborne Dairy Farm
Field Number Acres Land Use
Tract 34f t 6 8S 2
1
13.0
Hayland
2
26.0
Hayland
3
4.5
Pasture
4
3.0 -
Pasture
5
2.0
Hayland
6
4.0
Pasture
9.0
Grazed Woods
7 -
4.0
Pasture
4.0
Grazed Woods_
8
3.0
Pasture
9
11.0
Pasture
10
30.0
Hayland
Tr=-1 1 B9G(�
1 1.5 Cropland
2 30.5 Cropland
134 Acres Available -for Spreading of Animal Waste
t.

I
t

T"
0
ly IA
0
0
Soil,Surv'ey Map
Randy Osborne Dairy
Facility No. 80-16
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
k I J,
t7l,
I
a.PC 0
A Y A A

Narrative
The Randy Osborne Dairy
This Nutrient Management Plan is for 200 Milk Cows and 90 support animals of varing ages.
The Dairy Facility was established in 1985 by a pervious owner and has operated as a dairy since
that time.
Animal waste collected from the freestalls and milking areas will be managed as a slurry. Animal
waste solids will be collected from lounging, stock trails and feeding areas. Collected waste will
be spread on to cropland, hayland an pasture by tank spreader and solids spreading.
It will be important for this farm to establish a waste sampling history for planning utilization of the
available nutrients from animal waste produced. Waste samples should be taken and processed for
each slurry application to support adquate nutrient application and for accurate record keeping as
required by regulation. Dairy solids should be taken quarterly or at time of spreading.
The dairy calves are grown in hutches placed on a 6 inch gravel bed. The waste is washed in to the
gravel though the year as needed. When gravel becomes saturated, usally once each year it will be
spread on to farm roads where sufficient grass buffers are present, such as pasture or hayland.
J�..............................................................................................................................................................................................................................................
515115 Database Version 1.0i Date Printed: 09-27-2001 Narrative Page 1

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 fertilizer 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. Animal operations that generate liquid waste and utilize waste storage facilities (lagoons or holding ponds) may apply more or
less -waste in any given year than is annually generated by the facility. In order to determine whether the plan adequately utilizes the waste produced by the
facility, the storage capacity table included in this plan should be reviewed to ensure that the design capacity of the storage facility is not exceeded during the
planning period.
Depending on the requirements of the crop and the nutrient content of the waste, some nutrients will likely be over or under applied if animal waste is being
utilized. Waste should be analyzed before each application cycle and annual soil tests are required if animal waste is being applied. Soil tests should be used to
balance the nutrient application amounts with the realistic yields of the crop to be grown. 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.
Waste Utilization Table Year 1
Tract
Field
Source
I.D.
Soil Series
Total
Acre
Use.
Acres
Crop
RYE
RYE
Unit
Applic.
Period
Nitrogen
PA
Nutrient
Req'd
Comm.
Fert.
Nutrient
Applied
Res.
(lbs/A)
N
Applic.
Method
Manure
PA
Nutrient
Applied
Liquid
Manure
Applied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
Ibs/A
1000
al/A
tons
1000 gals
tons
18877
1
U1
Mecklenburg
13.0
13.0
escue Hay
4.0
Tons
8/1-7/31
178
0
0
Broad.
E78
17.8
0.0
231.1
0.0
18877
2
U1
Iredell
26.0
26.0
escue Hay
2.6
Tons
8/1-7/31
107
0
0
Broad.
107
10.7
0.0
277.9
0.0
18877
3
U2
Hiwassee
4.5
4.5
escue Pasture
4.4
Tons
8/1-7/31
148
0
p
Broad.
E48
0.0
34.4
0.0
154.9
18877
5
Ul
Iredell
2.0
2.0
escue Hay
2.7
Tons
8/1-7/31
I10
01
0
Broad.
Ito
11.0
0.01
22.0
0.0
18877
6
U2
Cecil
13.0
4.0
escue Pasture
4.3
Tons
8/1-7/31
142
01
0
Broad.
142
0.0
33.0
0.0
132.1
18877
71
U2
I Pacolet
8.01
4.0
escue Pasture
3.6
Tons
8/1-7/31
120
0
0
Broad.
120
0.0
27.9
0.0
111.6
18877
8
U2
Pacolet
5.0
3.0
escue Pasture
3.6
Tons
8/1-7/31
120
0
0
Broad,
120
0.0
27.9
0.0
83.7
18877
9
U2
Pacolet
11.0
11.0
escue Pasture
3.9
Tons
8/1 7/31
130
0
0
Broad.
130
0.0
30.2
OA
332.5
18877
10
UI
Cecil
30.5
30.5
escue Ha
43
Tons
811-7/31
193
0
0
Broad.
193
19-31
0.0
588.0
0.0
_.--...... ............. -............ ... -........... .............. --- -..... ..._ - -- -................... ................ -----............ ......... ......-------. --.....--.--.--..-.......---.......-.-..............-.............. ...............-------...... ---_.- .... ........_........... - ....... .
515115 Database Version 1.06 Date Printed: 09-27-2001 WUT Page I

Waste Utilization Table
Year 1
Tract
Field
Source
I.D.
Soil Series
Total
Acre
Use,
Acres
crop
RYE
RYE
Unit
Applic.
Period
Nitrogen
PA
Nutrient
Req'd
Comm.
FerL
Nutrient
Applied
Res.
(lbs/A)
N
Applic,
Method
Manure
PA
Nutrient
Applied
Liquid
Manure
Applied
(acre)
Solid
Manure
Applied
(acre)
Liquid
Manure
Applied
(Field)
Solid
Manure
Applied
(Field)
N
N
lbs/A
1000
gaUA
tons
1000 gals
tons
—16966
1
UI
Pacolet
1.5
1.5
mall Crain, Sit a
8.0
Tons
9115-3/31
89
0
0
Broad.
89
0.0
0.0
0.0
0.0
—18966
1
UI
Pacolet
1.5
1.5
orn, Sit a
17.8
Tons
2/15-6/30
194
0
0
Broad_
194
19.4
0.0
29.1
0.0
—18966
2
UI
Cecil
30.5
30 55
mail Grain, Sila a
9.6
Tons
9/15-3I31
I06
D
0
Broad.
106
10.6
0.0
322.9
0.0
—18966
2
UI
Cecil
30.5
30.5
om Sil a
2D.0
Tons
2115 6/30
218
0
0
Broad.
219
21.8
0.0
664.1
0.0
Lagoon Liquids
Total Applied, 1000 gallons
2,135
Total Produced, 1000 gallons
1,192
Balance a2Uallon,
-943
Manure Solids
Total Applied, tons
815
Total Produced, tons
505
Balance tons
1
-310
Notes: 1. In the tract column, symbol — means leased, otherwise, owned.
2. Symbol • means user entered data-
............. ------------ ...... I .............. -- ........ .........—... .................... ---- ......... ............. --.........--.................---........ .........................---....... ........................ --------................. ...--------------............. -.............- --
515115 Database Version 1.06 Date Printed: 09-27-2001 WUT Page 2

Randy Osborne Dairy Animal Waste Sources
U1 - Randy Osborne Dairy Slurry
79,698 cu ft animal waste, runoff water and wash water are produced per 180 days x 2 - 180 day
periods x 7.48 gal/cu. ft = 1,192,282 gal. per year of Dairy slurry available for land application.
1,192,282 gal. of Dairy Slurry x 10 lbs Plant Available Nitrogen (PAN) per 1000 gal. = 11,922 lb. of
PAN
See Randy Osborne Waste Storage Pond Design for support information.
U2 - Randy Osborne Dairy Solids
Milk Herd Lounging Area
93 lb./head/day x 200 Head x 365 days x 10% confinement divided by 2000 lb./ton = 340 Tons
Stock Trail used by Milk Herd
93 Ib./head/day x 200 Head x 365 days x 2% time use divided by 2000 lb./ton = 68 tons
. Dry Cow and Herifer Feeding Area
20 Dry Cows x 93 lb./head/day x 365 days x 10% access divided by 2000 lb./ton = 34 tons
50 Heifers x 67 lbs./head/day x 365 days x 10 % access divided by 2000 lb./ton = 62 tons
Total Dairy Solids = 504 tons
504 tons of Dairy Solids x 4.3 lbs./ton of PAN = 2167 lbs of PAN
r ............................................................................. ................... --..... .... .......... ......... .......................................... ........................................... ................
515115 Database Version 1.0i Date Printed: 09-27-2001 Narrative Page 2

Nutrients applied in accordance with this plan will be supplied from the
following source(s):
Commercial Fertilizer is not included in this plan.
U2
Randy Osborne Dairy Solids waste generated 504.90 tons/year by a 270
animal Dai Solid operation.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
2171
Incorporated
2878
Injected
N/A
Irrigated
N/A
Actual PAN Applied
Year 1
3504
Ul
Randy Osborne Dairy Slurry waste generated 1,192,282 gals/year by a 200
animal Dairy Liquid Manure Slurry operation. This production facility has
waste storage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
11937
Incorporated
16277
Injected
18448
Irrigated
10852
Actual PAN Applied
Year 1
21509
Notes:
In source ID, S means standard source, U means user defined source.
The following minimum criteria must be met in order for a plan to use a User Defined Source to determine
the total pounds of PAN in lieu of NRCS Standards:
1. Recommended standard procedures for collecting the waste samples to be analyzed must be followed.
2. The samples must be analyzed either at the NCDA Waste Analysis Laboratory or at a private lab. The
analysis reports must be available.
3. Records of annual volumes of lagoon liquid applied must be available.
4. A minimum of 3 years of records of both nutrient concentrations and annual Iiquid volumes must be used
to determine the farm averages. A minimum of three samples (one per quarter with seasonal variation) must
be collected annually for analysis. For dairys with waste storage ponds, the minimum annual sample number
is two.
5. Extreme sample analysis values should not be used to determine the averages. From the standards
. database based on 1,403 data paints, one statistical standard deviation from the mean deviates 48% for swine
l........................................................................................... ...------•--- ....... ......... ........... ..........
........-- .....
515115 Database Version 1.06 Date Printed: 09-27-2001 Source Page 1

0
1. 0
0
lagoon liquid nitrogen. Therefore, any value used to calculate the 3-year farm average N concentration that
lies outside of the range of the mean + or - 48% should not be used to calculate the farm average.
If, at a minimum, these criteria have been met for the most recent 3-year period, then the waste utilization
plan may be revised indicating a change in the total PAN on the farm as determined from site specific data.
.......................................... .................. ...... --...................... ................ .......... ................................. .................................................. ........... ...... ..
515115 Database Version 1.06 Date Printed:. 09-27-2001 Source Page 2

1, •
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 of the 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 Storage Capacity
Source Name
Randy Osborne Dairy Slurry
Design Storage Capacity (Days)
Start Date
9/15
180
Plan Year
Month
Available Storage Capacity (Days)
1
1
180
I
2
152
1
3
121
1
4
180
1
5
149
1
6
119
1
7
88
1
8
57
1
9
180
1
10
180
1
11
150
1
12
119
* Available Storage Capacity is calculated as of the end of each month.
......... ..... ................ --...... ........ .................................. ................ ........................................ .......... --- ...................--...........................--.......................
515115 Database Version 1.06 Date Printed: 09-27-2001 Capacity Page I

{ . 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 fold 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).
( •......................................................... ........................ --.._...............-..-... ............................. .......... ............. ....-.._- --...... ....... --- ..............
515115 Database Version 1.06 Date Printed: 04-27-2001 Specification Page I

. 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.
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
_ ........................ ................ ................. .......... ............ ................. .......... ................................... .................... ___ .......___....................... ..... .........
5151 15 Database Version 1.06 Date Printed: 09-27-2001 Specification Page 2

. into water courses, and on other grassed waterways, waste shall be
applied ar agronomic rates in a manner that causes not runoff or drift
from 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.
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.
z
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.
(................................................................................ .......... .................... .......... .....................................................................................................................
• 515115 Database Version 1.06 Date Printed: 09-27-2001 Specification Page 3

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 a
minimum of five years.
23. Dead animals will be disposed of in a manner that meets North Carolina
regulations.
1,...........................................................................................................................................................................................................................................
515115 Database Version 1.06 Date Printed: 09-27-2001 Specification Page 4

eL
Farm Site Map
Randy Osborne Dairy
iV
'All
Facility No. 80-16
Randy Osborne
385 Hamps Dairy Lane
Cleveland, NC 27013
ri
TV
A
r4%
M
&lot,
tA-
44
4r
V.
x
A.
it
U.
Ask I J,
46
4
-Pill,
41
I
a

EMERGENCY ACTION PLAN
CATEGORY
EXAMPLES
ACTION
CONTACTS
Obvious Threat
Complete structural failure;
1. If there is any potential threat to life or
Sheriff — 704-638-3000
full or partial loss of a Waste
property, contact 911 or Sheriffs Dept.
Storage Pond wall resulting in a
release of waste
2. Report failure to Division of Water Quality
DWQ at 704-663-1699,
(DWQ) - provide operation name, location,
or Emergency Management at 704-638-
problem, time of spill, phone number for
0911
return calls & registration/certification
number
Local Contractor — J. Fred Barbee Grad.
3. Make all attempts to stop the discharge and
1252 Campbell Rd.
contain the waste on the farm
Woodleaf, NC 27054
704-278-2651
4. Contact the technical specialist who
Tech. Spec. — 704-873-6761, ext. 112
certified the Waste Storage Pond
Cel PH — 704-639-5923
Impending Threat
Structural damage from
1. Report failure to DWQ - provide same
DWQ at 704-663-1699
overtopping; leakage or seepage
information as above
or Emergency Management at 704-663-
from base or sidewalls of Waste
1699
Storage Pond; waste discharging
from underground tiles
Tech. Spec. — 704-873-6761, ext. 112
2. Make all attempts to stop the discharge;
Cel PH — 704-639-5923
Failure to immediately address
reinforce weak area of structure until a
Local Contractor — J. Fred Barbee
these may result in complete
technical specialist can assess situation
Grading
structural failure
704-278-2651
Other Discharges
Runoff from spray fields, broken
1. If waste is leaving property use same
Same as for "Impending Threat" category
pipes, leaking pumps, discharges
contacts as for the previous category
from houses and other
maintenance deficiencies
2. Address maintenance deficiencies
Lack of Storage
Anticipated single storm events
1. Contact DWQ for regulatory approval for
DWQ at 704-663-1699
Capacity
exceeding 25 yr.24 hr. frequency
emergency pumping
such as approaching hurricanes;
Or extended rainfall periods
resulting in waste water levels

PossibleEMERGENCY ACTION PLAN
Waste Storage Overflow
Runoff From Waste
Leakage From Waste
Leakage From Base or
Application Field
Distribution System
Sidewall of Storage Pond
* Add soil to berm to increase
* Immediately stop waste
* Stop recycle (flushing
* Dig a small well or ditch to
elevation of dam
application
system) pump
catch all seepage, put in
submersible pump, and pump
* Pump wastes to fields at an
* Create a temporary diversion
* Stop irrigation pump
back into Waste Storage Pond
acceptable rate
or berm to contain the waste
on the field
* Close valves to eliminate
* If holes are caused by
* Stop all additional flow to the
further discharge
burrowing animals, trap or
lagoon (waterers)
* lncorporate waste to reduce
remove animals and fill holes
further runoff
* Separate pipes to create an
and compact with a clay type
* Call a pumping contractor
air gap and stop flow
soil
* Make sure no surface water
* Other holes may be likewise
is entering lagoon
temporarily plugged with clay
soil

Dairy FaWads Management Odor Control ChwMist '
rm
Source Cause BMPs to Minimize Odor Site Specific Practices
Farmstead • Dairy production S1 Vegetative or wooded buffers
d Recommended best management practices
Gib Good judgment and common sense
Paved lots or barn • Wet manure -covered GI Scrape or flush daily
alley surfaces surfaces 14 Fromote drying with proper ventilation
gr Routine checks and maintenance on waterers,
hydrants, pipes, stock tanks
Bedded areas �• Urine T T lF Promote drying with proper ventilation
• Partial microbial W Replace wet or manure -covered bedding
decomposition
Manure dry stacks • Partial microbial 17 Provide liquid drainage for stored manure
decomposition
Storage tank or • Partial microbial C3 Bottom or mid -level loading
basin surface decomposition 0 Tank covers
• Mixing while filling lr Basin surface mats of solids
• Agitation when emptying 11( Minimize lot runoff and liquid additions
2r Agitate only prior to manure removal
Se Proven biological additives or oxidants
Settling basin • Partial microbial C3 Liquid drainage from settled solids
surfaces decomposition 0 Remove solids regularly
• Mixing while filling
• Agitation when emptyins
Manure, slurry, or • Agitation when spreading 0 So.il injection of slurry/sludges
sludge spreader • Volatile gas emissions 16 Wash residual manure from spreader after use
outlets if Proven biological additives or oxidants
AMOC - November 11, 1996, page 1

Dairy Fenn Wade Management Odor Contrd ChaMid
Source Cause BMPs to Minimize Odor _ Site Specific Practices
Uncovered manure, • Volatile gas emissions while ❑ Soil injection of slurry/sludges
slurry, or sludge on drying ❑ Soil incorporation within 48 hours
field surfaces Mr Spread in thin uniform layers for rapid drying
Rr Proven biological additives or oxidants
Flush tanks • Agitation of recycled lagoon CI Flush tank covers
liquid while tanks are filling p Extend fill lines to near bottom of tanks with
anti -siphon vents
Outside drain • Agitation during wastewater CI Box covers
collection or junction conveyance
_boxes
Lift stations Agitation during sump tank ❑ Sump tank covers
filling and drawdown
End of drainpipes at • -Agitation during wastewater 0 Extend discharge point of pipes underneath
lagoon conveyance lagoon liquid level
Lagoon surfaces • Volatile gas emission ❑ Proper lagoon liquid capacity
• Biological mixing ❑ Correct lagoon startup procedures
• Agitation ❑ Minimum surface area -to -volume ratio
❑ Minimum agitation when pumping
❑ Mechanical aeration
❑ Proven biological additives
Irrigation sprinkler • High pressure agitation ❑ Irrigate on dry days with little or no wind
nozzles • Wind drift ❑ Minimum recommended operating procedure
❑ Fump intake near lagoon liquid surface
❑ Pump from second -stage lagoon
❑ Flush residual manure from pipes at end of
slurry/sludge pumpings
AMOC - November 11, 1996, page 2

Dairy Farm Waste Management Odor Control CheMst
Source Cause BMPs to Minimize Odor
Site S 'fic Practices
Dead animals • Carcass decomposition 15 Proper disposition of carcasses
Standing water • improper drainage RF Grade and landscape such that water drains away
around facilities • Microbial decomposition of from facilities
organic matter
Mud tracked onto • Poorly maintained access VFarrn access road maintenance
public roads from roads
farm access
Additional information:
Avitilable From
Cattle Manure Management; .0200 Rule/BMP Packet
NCSU, County Extension Center
Dairy Educational Unit Manure Management System —Lake Wheeler Road Field Laboratory; EBAE 209-95
NCSU—BAE
Lagoon Design and Management for Livestock Manure Treatment and Storage; EBAE 103-83
NCSU—BAE
Management of Dairy Wastewater; EBAE 106-83
NCSU—BAE
Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet
NCSU—BAE
Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings
Florida Cooperative Extenaion
AMOC - November 11, 1996, page 3

Insect Control Ched list for Animal Operations
Source Cause BMPs to Control Insects Site Specific Practices
Liquid Svsterns
Flush gutters • Accumulation of solids 17 - Flush system is designed and operated sufficiently
to remove accumulated solids from gutters as
designed
D Remove bridging of accumulated solids at
_ dischalgc
Lagoons and pits . Crusted solids 0 Maintain lagoons, settling basins and pits where
pest breeding is apparent to minimize the crusting
of solids to a depth of no more than 6 to 8 inches
over more than 30 percent of surface
Excessive vegetative • Decaying vegetation Maintain vegetative control along banks of '
growth lagoons and other impoundments to prevent
accumulation of decaying vegetative matter along
water's edge on impoundment's perimeter.
Dry Svstems
Feeders • Feed spillage M Design, operate, and maintain feed systems
(e.g., bunkers and troughs) to minimize the
accumulation of decaying wastage
lid Clean up spillage on a routine basis (e.g., 7- to. 10-
day interval during summer; 15- to 30-0ay interval
during winter)
AMIC - November 11, 1996, page I

6 0 0
lnsed Contmi Chefflet for Animal Operalions
Source Cause
BMPs to Control Insects Site Specific Practices
Feed storage . Accumulations of feed
FA Reduce moisture accumulation within and around
residues
immediate perimeter of feed storage areas by
ensuring drainage is away from site and/or providing
adequate containment (e.g., covered bin for
brewer's grain and similar high moisture grain
products)
Inspect for and remove or break up accumulated
solids in filter strips around feed storage as needed
Animal holding areas . Accumulations of animal
51 Eliminate low areas that trap moisture along fences
wastes and feed wastage
and other locations where waste accumulates and
disturbance by animals is minimal
Cf Maintain fence rows and filter strips around animal
holding areas to minimize accumulations of wastes
(i.e., inspect for and remove or break up
accumulated solids as needed
Dry manure handling • Accumulations of animal
G1 Remove spillage on a routine basis (e.g.,
systems wastes
7- to I0-day interval during summer; 15- to 30-day
interval during winter) where manure is loaded for.
land application or disposal
l� Provide for adequate drainage around manure
stockpiles
e Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and manure
handling areas as needed
For more information contact:
Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University, Raleigh, NC 27695-7613.
ANIIC - November 1 1, 1996, page 2

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

Waste Management System
Randy Osborne Dairy
200 Milk Cows plus 90 Support Animals
Rowan County
Prepared by C. Lipe'Barrier, Jr., Environmental Specialist, to support The Nutrient
Management Plan for the Randy Osborne Dairy.
The Osborne Dairy was originally constructed in 1985 with the assistance of the USDA -
Soil Conservation Service now the Natural Resource Conservation Service. There has
not been any change in the Waste Storage Pond or drainage area since that time.
The Dairy is now planned for 200-cow milk herd and 90 dry cows, heifers and calves.
The waste storage is planned for 180 days storage with a 50% cattle confinement time for
the 200 Milk Cows. The remaining time is spent in the lounging area. The drainage area
for the waste storage pond consists of the free stall area and adjacent concrete. The free
stalls and feeders have been roofed and guttered, but arc now in need of repair. This plan
considers the entire area for runoff storage.
There are 20 Dry Cows and 50 Heifers using pastures and a fence line feeder. Some solid
• waste will be collected from the feeder area and adjacent heavy use area.
20 Calf hutches are located south of the silo and set up on a 6-inch gravel bed. No waste
will be collected from this area. The gravel will be replaced when its voids are tilled with
manure.

A. DESIGN VOLUMES
1. Normal Runoff for 365 day period.
Use average runoff values in Ag. Waste Management Fiel Field Manu al for Rowan County
Surface Unsurfaced
Normal Runoff Runoff Normal
Month Rainfall % ❑enth % ❑enth Fvanoratinn
:,y','N:ti ;'i,.'
:�!4� ''k(}
}';{i.. `..4i:4:S.
:Q::yS,:::
':.::•i�y:n'i
:nyn}�: j�. tr'i0`�
n�: �I' v4�'
FED
3.78
56
2.16
25
0.97
1.83
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vA .. .S:Ej:$j
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APR
3.38
56
1.88
25
0.84
3.65
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pub.:. . ,
J U N
4.20
60
2.51
27
1.13
4.75
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V ::,�..4.,tii'G
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AUG
3.97
61
2.95
31
1.50
4.38
::}k;;�;
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n ;.t�:�:r•:c�:
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OCT
62
2.13
30
1.03
2.56
y3y�.21
DEC
3,56
57
2.17
23
0.87
1.10
Try 6 Months
OCT through MAR :Surface Runoff Depth: 12.45
Drainage Area: 15,169 sqft
• Surface Runoff = 12.45 15,169 sqft = 16,738 tuft
12" /ft
2. Waste volume
Volume = 200 cows x 14 galldayleaw x 180 days x 50% confinement
7.48 gal /tuft
Volume = 33,690 tuft.
3. Wash Water Volume
Parlor and Washroom Water
200 cows x 5 gal/day/cow x 180 days = 24,064 cult
4. 26yr - 24hr runoff
C N = 95
Rainfall = 5.5"
Runoff = 4.91"
25yr - 24hr runoff = 4.91" X 15,169 sqft = 6,207 cult
12 !ft
6. Rainfall minus evaporation on pond surface
Randy Osborne WSP1 Page 1

21.82 minus 11.34 equals
10,48 inches/12 = 0.9 feet per 6 Months
6. 25yr - 24hr rainfall on pond surface
Rainfall = 5.5" = 0.5 feet
7. Freeboard + Emergency Spillway stage =
0 feet
B. SUMMARY OF DESIGN VOLUMES
1, Surface Runoff for 6 months
15738 cult
2. Waste Volume
33690 cult
3. Wash Water Volume
24064 cult
4. 25 yr - 24 hr Runoff
6207 cuft
TOTAL
79,698 tuft
5. Rainfall minus evaporation on pond surface
0.87 feet
6. 25yr - 24hr rainfall on pond surface
0.50 feet.
7. Freeboard + Emergency Spillway Stage
1,00 feet
TOTAL
2.4 feet .
C. Sizing Waste Storage Pond "AS BUILTS" Volume
177 ft X
106 ft top width (to top of dam)
•
8
Sloe ..:::..:..:` 2:5 :1
p
::
2:1 Slope
Slope `::1
148.0
ft
IF
X 81.0
ft mid section
2> :1 Slope
ii130
ft Xf -'s`: ft bottom vridth
Depth
Top
Bottom
Mid Area
Volume = 8
16 [(
16102 ) +
( 8450 } + 4 (
11,988 }j
Volume = F---96—.6-7-21
tuft
Exceeds the 180
days loading
VOLUME NEEDED =
79,698 cult
Normal Pump out Volume =
15,738
+
33,690 +
24,054 +
0.9 x 177 x 106
=
89,924
cult per
180 days =
162,346 cult per year
=
672,630
gallons per
180 days =
1,363,945 gallons per year
Maximum Pond Level (Pump -out Elevation)
_
0.50
+
1.00 +
6,207 1 (
166 x 97 )
-
1.9
below top of dam
0
Randy Osborne WSP1 Page 2

A5'... u�,c i 1 &-,
U. OF TUBE NC-ENG-12
Soil Conservation Se A.Tce s- Rev. 5/82
EARTHWORK COMPUTATION SHEET
• EARTH EMBANKMENT
Name N,-1-A nl Alee n-) P'7TG,,,./
Address
Embankment: Top Width Side Slopes
STATION
FILL �,•^4
HEIGHTll�
(Feet) '
END AREA
(Sq. Ft.)
SUM OF
END AREAS
(Sq• Ft.)
DISTANCE
( Feet)
DOUBLE
VOLUME
{ Cu. Ft. )
Leu
G
G
4G
X $ee
Z.CZ.,
C
11 48
sz'
Xse2
3.7z°
-'L�
1 230
G0
XSe�f
3�
4 e 6
4 56/
,.
22L4
s ulyr
1.
2.
3.
4.
Double Volume of Fill t 2 - FF. 11Z Cu. Ft.
Volume of embankment fill (line 1 + 27) -
Allowance for settlement (5 or 10% of line 2)
Total cubic yards'(line 2 + line 3) -
Cu. Yds.
Cu. Yds.
Cu. Yds.
° Computed by D6,-,, ���=r���'C-r! Date
Checked by Date

I V.,
Topographic. Map
t1�3 r Randy Osborne Dairy
Facility No. 80-16 �-,_•
Rand y Osborne 3961
385 Hamps Dairy Lane ,
U�'J ` Cleveland, NC 27013 �
Li
�� 1003
�V 11 �qj 172 I�
59
Ti
Qj
/ V /
i � 795 II ry
•,��� tom/ �� \.�" J � 1 � ��� � r•g-�)�
IM III3957000� N.
°
S a 5
/f •1 M!, 530 40, 531 / �� r i O S�z� iz U.S� GO YERNMENT PRINTING �FFICE: 1472—•a 60—S48/l 35((`!!7 53gooam E 80 ° 3 7' 30"
C.e
ROAD CLASS0CATiUN rt'0
Primary highway, Light -duty road, hard or yea
700 7000 FEET
hard surface _....... ....... ... Improved surface._...
f KI�CMETER Secondary highway,
hard surface ... ...... ... .... _ Unimproved road.....___=______
(% Interstate Route . C3U. S, Route 0 State Route

OPERATION AND MAINTENANCE PLAN
�S v �t� s'r 4. n, -i; s' 3lse3'-�t <a � ^i f � i � yet cR-�!' i.y' •'�
:'l _s ,/ a..,._. _.�:� �. .,. .. ti. .,. a.r.,r �.:. ti.. .✓N.v u,Ji .._.. �.. .. .3,... _ �.k .!u ,.._r.._. Js.-- ., .., t.r .-.. .. -'4.� +�,,.f,.G.,,+l n.
.0200 Certification Plan
Randy Osborne Dairy
This Animal Waste Management System consists of the following components:
b• WASTE STORAGE POND
2• AGITATIONS AND APPLICATION SYSTEM
3• CONTAMINATED LIQUID COLLECTION SYSTEM
4. VEGETATED DIVERSIONS
S. VEGETATED BUFFERS
6. LIVESTOCK EXCLUSION
7• STOCK TRAILS
A. General Comments
All animal waste slurry and contaminated water (wash, parlor, and runoft) will be scraped from the
dairy free stalls or piped, and stored in the WASTE STORAGE POND for up to 180 days. All
waste contained in WSP's will be tank hauled and spread on cropland, hayland and pasture at
agronomic rates. Animal waste solids be collected from feeding areas, cattle trails and lounging area
and spread as necessary on to hayland and pasture.
This Animal Waste Management System is designed to prevent discharge of Animal Waste
Contaminates to surface waters from the twenty-five (25) year, twenty-four (24) hour storm, as
required under the Non -discharge regulations.
The milk cowherd is confined to free stalls about 50% of the tune with the remaining time spent in
lounging areas. A gravel stock trail connects the free stalls with the lounging area. Runoff from the
lounging area and stock trail flows through a grass filter. Dry cow and older heifers are pastured and
fed at a fence line feeder with pasture serving as grassed filter. Day old to 200 lb calves are groom in
outdoor hutches with pasture serving as a grassed filter.
C�

OPERATION AND M&NTENANCE PLAN
>f ,�;r .:Sr-.:, .,::i. . '. •.M, n e '. ' ._.. i,.,., _. r�:i-,,.: ° ,,; � ..... ... - i ,��.A r.:., �..�..,,..'i�_ � - rw�.� 0.3�r. .., i ... �..k �. .. ...
.0200 Certification Plan
LWAUE-STORAGE POND
the FREESTAIL BARN WASTE STORAGE POND is designed to store the average feedlot
runoff and wastewater for a 6 Month (180 dap) period. A permanent marker is set indicating the
level of storage available prior to infringing on the 25 year, 24 hour storm capacity. This elevation is
2.8 feet below the top of the dam. The emergency spillway is planned 1.0 foot below the top of the
dam. The WASTE STORAGE POND consists of an earthen dam, and curbing for discharging
contaminated water into the WSP. Curbs and pipe are used to getwaste from the freestall barn and
parlor into the pond.
OPERATION
The level of management for the entire system will determine the service life of the WSP'S. Over
time it is expected that some solids will accumulate in the WSP'S. The accumulated solids can
reduce the usable capacity to a point, which requires removal of the solids„ IF adequate waste
agitation is maintained In contrast, poor management will result in the rapid accumulation of
solids, which will reduce the usable capacity of the WSP to the point that some form of dredging
will be required. It is recommended that the WSP be completed emptied once the .removal process is
started. Repeated stops, and reagitations results in increased settling and reduction of capacity.
• MAINTENANCE
Vegetation on the darns should be inspected periodically and reseeded as needed to maintain a
vigorous stand. The dam should be mowed at least annually to prevent woody growth. Mowing
operations must take place only when the soil of the dam is dry. The vegetation should not be
mowed to a height of less than four (4) inches at any time. Any evidence of sloughing or seepage
should be reported to the Iredell Soil & Water Conservation District office.
OVERVIEW
The AGITATION AND APPLICATION SYSTEM consists of properly agitating each slurry pond
prior to pumping the animal waste. Have certified operator complete proper records for all waste
applied to land identified in the Nutrient Management Plan. Waste will be land applied using
irrigation and slurry tank spreader.
LJ

OPERATION AND MAINTENANCE PLAN
-^ . s _y �� � � W -fe r{' w ` T �� - r .,� �1- -- a �.rFr. 1 ? 3 i •L.`1' � �`i'
'S .�r., �...r_+.. .r._.- ,.. .-.J': ... ._i. „?' .. .. '! ..., .�.?�._� .a.r -.: "� F.-. �.. :",r ..,:J3f. .-,...f:.•.. ,... -s.: .. .: �-y.,.•. ..'...J-'c `,'��.�4r
.0200 Certification Plan
OPERATION
Removal of the slurry should be initiated prior to the liquid level reaching the full storage level
marker in the structure. When the liquids level in the WSP reaches the marker, liquids must be
removed by pumping to a spreader tank for land application. Do not apply in such a manner as to
cause runoff or erosion. Do not apply on frozen or saturated soils. The initial step in each
application operation is to properly agitate the waste in each storage pond. Consult owner's manuals
for recommended operational procedures for all agitation and irrigation equipment.
MAINTENANCE
Fields that receives waste application should have soil tested annually. It is recommended that waste
and soil sample results be used in conjunction with each other.
OVERVIEW
The CONTAMINATED LIQUID COLLECTION SYSTEM consists of a concrete scrape lane
. from the freestall lot to the WSP. An additional concrete scrape lane is installed up to the dry cow
feed alley. This scrape lane will collect runoff, waste, silo leachate. The heifer feed alley has a
concrete scrape lane and chute into the WSP. Daily scraping of the waste into the pond will be
needed. The silo and driveway drainage is collected in a culvert, carried under the concrete freestall
area and discharged in to a diversion draining to the north and discharging in to a grassed filter area.
MAINTENANCE
The roof and gutters and outlets in the free stall area will be repaired to reduce runoff water
collected. Inspect the concrete components of the CONTAMINATED LIQUID COLLECTION
SYSTEM for cracks or other damage, and make repairs or replace as needed.Keep the culvert inlet
clear of debris to ensure drainage at all times. In periods of cold and subfreezing temperatures,
inspect the pipe inlet for accumulation of ice.
OVERVIEW
The VEGETATED DIVERSION will be located north the WASTE STORAGE POND and will
convey non -contaminated runoff around the slope.
2

OPERATION AND 1VWNTENANCE PLAN
0
.0200 Certification Plan
MAINTENANCE
The vegetation in the diversions should be inspected periodically and reseeded as needed to insure a
vigorous stand. It is essential that neither vehicles nor livestock be allowed to create travel lanes
within the diversions. The diversions should be mowed at least annually to prevent woody growth.
The diversions may be control grazed or mowed for hay. Grazing and mowing operations must
take place only when the soils are dry, and vegetation should not be grazed or mowed to a height of
less than four (4) inches. If sedimentation has reduced the capacity of the channel, contact the
Iredell Soil and Water Conservation District for technical assistance in correcting this problem.
Only contaminated water needs to drain into these waste storage ponds.
OVERVIEW
The VEGETATED BUFFERS serve a two -fold purpose; they filter sediment from exposed feeding
and lounging areas and provide the necessary setbacks for waste application operations. Their width
is based on slope of land and proximity to streams. These areas can be control grazed or mowed for
. hay to prevent unwanted growth. These buffers are used in lieu of adding contaminated runoff
storage structures.
0
MAINTENANCE
Inspect the buffer periodically for sediment accumulation and erosion within the buffer. If grazing
does take place caution should be practiced to prevent overgrazing. Grass should be a minimum of
six (6) inches. These buffers should have at least 80% ground cover. Specified width must be
maintained.
OVERVIEW
LIVESTOCK EXCLUSION will be installed according to MRCS standard 382 (Fencing), where
recommended by the technical specialists. LIVESTOCK EXCLUSION will be installed at locations
as indicated on plan maps. The grassed filter areas below the fence Line feeders do need to be
excluded.
3

0*
OPERATION AND MAINTENANCE PLAN
`�-
�4
�•w-,..:;:a.... �. r. °u i,: �... .fW �':,. ,M+a..-. ,SAG-�`�.: ;.,i.�a:�,�.'�.i'.4r ..�-..�.. ,,,k :i'�, �r 1;�.�4 _.s.r..::'.. kcrx'4�.��:=, .,. ,,...�. � ..�.�:.r>°�-t,l, r, _. _-�;r
.0200. Certification Plan
MAINTENANCE
inspect the LIVESTOCK EXCLUSION periodically for mechanical damage or rot. If fencing wire
becomes loose, re -tighten to original specifications. If fence posts are rotted or damaged in any way,
replace damaged posts with a post, which meets the original specifications. Flood damage along the
South Yadkin River will also need to be repaired.
The STOCK TRAIL (S) improve access to forages and water by means of a stabilized trail which
reduces erosion often caused from such walkways. The STOCK TRAIL (S) will be placed at
locations indicated on sketch. It consists of an area graded, covered with a geotm ile material and
gravel placed on top. These areas are in field b Tract 4054 leading to the dry cow feeding lane and in
field 1 for the heifer cows to travel across drain that is near the commodity shed. Trail will also be
needed at dry cow feed alley at small heifer bam.
The travel lane should be graded if necessary to allow proper drainage. Each trail is planned tQ be
IZ5 feet wide. A geotextile material of adequate strength will be placed on the soil surface. The
geotextile material should be overlapped a min. of I8". The depth ofgravel will need to be
calculated for the particular area to be used. At these locations it will be 9" thick compacted. Refer
to the specific design for the amount of gravel needed. Each trail should have a broad based dip
across it to prevent runoff from running down the trail for a long distance. These should be located
about 75 feet apart.
Inspect the STOCK TRAIT. (S) periodically for any soft spots or damaged areas. If the gravel gets
thin, more should be applied to the recommended depth. The designed depth should be maintained
over the entire area for it to remain structurally sound.
4

OPERATION AND MA,INftENANCE PLAN
-a .0200 Certification Plan
8. GENERAL COMMENTS
PESTICIDE USE
Extreme care should be exercised with the use of all herbicides so that desirable vegetation is not
adversely affected. It is a violation of law to use any pesticide in a manner not permitted by its
labeling.
REPAIRS
a,
Notify the Rowan Soil and Water Conservation District if repairs or major modifications are
required for any of the components of this Waste Management System. This plan is for only the
number of animals and acres listed in this plan. Please notify the TECHNICAL SPECIALIST (S)
that signed your Waste Utilization Plan and Certification form if operational changes take place.
r
5

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I .

NCDENR
North Cal 0i"Iria Department of Etnvironment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E.
Governor Director
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
Dear G & M Milling Co., Inc.:
Dee Freeman
Secretary
AQUIFER PROTECTION SECTION
September 28, 2012
Re: NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
NOV-2012-PC-0336
15A N.C.A.C. 2T .1304
Osborne Dairy/Facility 80-16
General Permit AWC8O0O16
Rowan County
On September 12, 2012, staff of the North Carolina Division of Water Quality (DWQ), Aquifer
Protection Section (APS), inspected the Osborne Dairy and the permitted waste disposal system.
This inspection follows the change in ownership that occurred in 2009, and discussions regarding
the permit requirements in February, 2010. We wish to thank David D. Leatherman, who was
present and assisted during the inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A North Carolina
Administrative Code 2T .1304, you have been found to be in violation of your permit as follows:
Violation I:
Failure to maintain waste level in the Storage Pond to provide for adequate storage capacity.
This is a violation of General Permit Condition V.2, and the Certified Animal Waste
Management Plan (CAWMP).
Required Corrective Action for Violation I:
Continue to follow the proposed actions outlined in the Plan of Action (POA) dated September
14, 2012, and received in the Mooresville Regional Office on September 14, 2012. Take all
necessary additional steps to insure waste level remains in compliance with the permit.
Division of Water Quality ! Aquifer Protection Section ! Mooresville Regional Office
610 East Center Avenue, Suite 301 Mooresville, North Carolina 28115
Phone: [phone] Fax: [phone]
Internet www.ncwaterquality.org
ne
NorthCarohna
An Equal Opportunity 1 Affirmative Action Employer

4'
Osburne Dairy/Facility 80-16
NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
September 28, 2012
Page 2
Violation II:
Failure to maintain the required Weekly Freeboard, and > 1" Rainfall/Monthly Inspections
records. This is a violation of General Permit Condition 11I.1, II1.2, III.11, and III.12, and the
CAWMP.
Required Corrective Action for Violation II:
In the future, maintain the required Weekly Freeboard, and > 1" Rainfall/Monthly Inspections
records in accordance with the permit.
Violation III:
Failure to conduct the required Waste Analysis at least within sixty (60) days (before or after) of
the date of application. This is a violation of General Permit Condition 11I.5, III.11, and II1.12,
and the CAWMP.
Required Corrective Action for Violation III:
In the future, conduct the required Waste Analysis at least within sixty (60) days (before or after)
of the date of application in accordance with the permit.
Violation IV:
Failure to notify the Division of Water Quality of emergency situations (inadequate storage
capacity in the Storage Pond) as required by permit. Failure to notify DWQ is a violation of
General Permit Condition III.13, and the CAWMP.
Required Corrective Action for Violation IV:
In the future, report by telephone to the Mooresville Regional Office or the Division of
Emergency Management as soon as possible, but in no case more than twenty-four (24) hours
following first knowledge of the occurrence of any emergency event in accordance with the
permit.
The Division of Water Quality requests that, in addition to the specified corrective actions,
please submit a written response to this Notice by October 15, 2012. Please include in your
response all actions taken to correct the noted violations, and prevent recurrence in the future.
The Division of Water Quality is considering a Recommendation for Enforcement against G &
M Milling Co., Inc./Facility 80-16 for the referenced violations. Should you have justification
that the violations were caused by circumstances beyond your control, or have additional
explanations, please include the supporting documentation in the written response. We will
review your response and forward it to the Division Director as an attachment to the
Recommendation for Enforcement. The Director of the Division of Water Quality may issue a
civil penalty assessment of not. more than Twenty -Five Thousand Dollars ($25,000) against any
"Person" who violates or fails to act in accordance with the terms, conditions, or requirements of
a permit under authority of North Carolina General Statute 143-215.6A.

C'
Osborne Dairy/Facility 80-16
NOTICE OF VIOLATION!
NOTICE OF INTENT TO ENFORCE
September 28, 2012
page 3..
Should you have any questions concerning this Notice, please contact Mr. Bealle or me at (704)
663-1699.
Sincerely, i
Andrew H. Pitner, P.G.
Aquifer Protection Section Regional Supervisor
enclosure: Compliance Inspection Report dated September 12, 2012
cc: Division of Soil and Water Conservation via E-Mail
Rowan Soil and Water Conservation District
Central Permit File AWC800016
Regional Permit File AWC800016
Jb

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: &QQ16_" Facility Status: Active Permit: MC8QO01Q 0 Denied Access
Inspection Type: QQmolignce Inspection Inactive or Closed Date:
Reason for Visit: Routine , _ County: Rglyan _ Region: Mooresville
Date of Visit: =1212012 Entry Time: 02mOO EI� Exit Time: Q4:00 QM
Far} Name: Osborne Dairy -
Owner: G & M Milling Co Inc
Mailing Address: 4000 laylorsvilIQ Hwy
Incident #:
Owner Email:
Phone: [phone]
Physical Address: 386 Hamos Dairy Rd Cleveland NC 270139190
Facility Status
Location of Farm:
❑ Compliant 0 Not Compliant Integrator:
Latitude: 33 46'31" Longitude: 80°38'09"
From, intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Johnny C Moore Operator Certification Number: 21012
Secondary OIC(s):
On -Site Representative(s): Name
24 hour contact name Jeffrey C. McNeely
Title Phone
Phone: [phone]
On -site representative David D. Leatherman Phone: [phone]
Primary Inspector: James Phone: [phone]
Ext.216
Inspector Signature: Date:
Secondary Inspector(s): `�j
Page: 1

Permit: AWC800016 Owner • Facility: G & M Milling Co Inc Facility Number: 800016
inspection Date: 0911212012 inspection Type: Compliance Inspection Reasbn for Visit. Routine
Inspection Summary:
06/15/07 > Waste Analysis > N = 3.9 Lbs11000 Gallons
11/03/06 > Waste Analysis > N = 1.5 Lbs11000 Gallons
01/25/12 > Soil Analysis
4. Facility Operators advised to coordinate with Rowan SWCDINRCS to complete and submit a POA, and pump down Storage
Pond/Lagoon ASAP! Maximum waste level in Storage Pond exceeded; NOV/NOI to follow.
7. Trees, shrubs, and other woody vegetation shall not be allowed to grow on the Storage Pond embankments, and vegetation shall
be mowed regularly.
14. Facility Operator is currently in the process of coordinating with Rowan SWCD/MRCS to revise the CAWMP to include additional
fields for waste application.
21. Weekly Freeboard, and > 1" Rainfall/Monthly Inspections records not maintained; NOV/NOI to follow.
21. Failure to conduct Waste Analysis at least within sixty (60) days (before or after) of the date of application; NOVINOI to follow.
30. Failure to notify DWQ of emergency situations as required by Permit; NOVINOI to follow.
jb
N
Page: 2

Permit: AWC800016 Owner - Facility: G 8 M Milling Co Inc
Inspection Date: 09112/20121 Inspection Type: Compliance Inspection
Facility Number . 800016
Reason for Visit:• Routine
Regulated Operations Design Capacity Current Population
Cattle
Cattle - Dairy Calf
20
0
Q Cattle - Dairy Heifer
50
0
Cattle - Dry Cow
20
0
Cattle - Milk Cow
200
15
Total Design Capacity: 290
Total SSLW: 365,000
Waste Structures
Designed Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
k-11t,
Pond W131 19.00 6.00
Page: 3

0
Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 09/12/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ■ Cl
b. Did 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 observable adverse impacts or potential adverse impacts to Waters of the State other than ❑ ■ ❑ ❑
from a discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ■ D D ❑
If yes, is waste level into structural freeboard? ■
5. Are there any immediate threats to the integrity of any of the structures observed (I.e.] large trees, severe ❑ ■ D ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ■ ❑ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 4

Permit: AWC800016 Owner - Facility: G M Milling Co Inc
Facility Number : 800016
Inspection Date: 0911212012 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Corn (Silage)
Crop Type 2
Fescue (Hay)
Crop Type 3
Small Grain Cover
Crop Type 4
Timothy, Orchard, &
Rye Grass
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
■ ❑ ❑ Cl
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑ ■ ❑ ❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ❑ ■ ❑
17. Does the facility lack adequate acreage for land application?
❑ ■ ❑ ❑
18. Is there a lack of properly operating waste application equipment?
❑ ■ ❑ ❑
Records and Documents
Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑ ■ ❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑ ■ ❑ ❑
If yes, check the appropriate box below.
WUP? ❑
Page: 5

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 09/12/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No NA NE
Checklists? 0
Design?
Maps?
Lease Agreements?
n
Other?
If Other, please specify
21. Does record keeping need improvement?
❑ D C
If yes, check the appropriate box below.
Waste Application?
Weekly Freeboard?
Waste Analysis?
Soil analysis?
Waste Transfers?
In
Weather code?
Q
Rainfall?
n
Stocking?
n
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
C1
0 ■ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
n
■ n Q
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
n
n ■ Q
box(es) below:
Failure to complete annual sludge survey
n
Failure to develop a POA for sludge levels
n
Non -compliant sludge levels in any lagoon
Q
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?
0
■ Cl Q
Page: 6

Permit: AWC800016 Owner - Facility: G & M Mining Co Inc Facility Number: 800016
Inspection Date: 09/1212012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? ❑ ❑ 0 ❑
Other Issues Yes No NA NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
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 regional DWQ of emergency situations as required by 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
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
33. Did the Reviewer/Inspector fall to discuss review/inspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
Q
Page: 7

f=iLE
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Charles Wakild, P.E. Dee Freeman
Governor Director Secretary
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
Dear G & M Milling Co., Inc.:
AQUIFER PROTECTION SECTION
September 28, 2012
Re: NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
NOV-2012-PC-0336
15A N.C.A.C. 2T .1304
Osborne Dairy/Facility 80-16
General Permit AWC800016
Rowan County
On September 12, 20t2, staff of the North Carolina Division of Water Quality (DWQ), Aquifer
Protection Section (APS), inspected the Osborne Dairy and the permitted waste disposal system.
This inspection follows the change in ownership that occurred in 2009, and discussions regarding
the permit requirements in February, 2010. We wish to thank David D. Leatherman, who was
present and assisted during the inspection.
As a result of this inspection, you are hereby notified that, having been permitted to have a non -
discharge permit for the subject animal waste disposal system pursuant to 15A North Carolina
Administrative Code 2T .1304, you have been found to be in violation of your permit as follows:
Violation 1:
Failure to maintain waste level in the Storage Pond to provide for adequate storage capacity.
This is a violation of General Permit Condition V.2, and the Certified Animal Waste
Management Plan (CAWMP).
Required Corrective Action for Violation is
Continue to follow the proposed actions outlined in the Plan of Action (POA) dated September
14, 2012, and received in the Mooresville Regional Office on September 14, 2012. Take all
necessary additional steps to insure waste level remains in compliance with the permit.
Division of Water Quality ! Aquifer Protection Section / Mooresville Regional Office
610 East Center Avenue, Suite 301, Mooresville, North Carolina 28115
Phone [phone] Fax; 704-663-6040
Internet WWWACWaterquality,org
Mmrally
ntarohna
An Equal Opportunity \ Affirmalive Action Employer

Osborne Dairy/Facility 80-16
NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
September 28, 2012
Page 2
Violation II:
Failure to maintain the required Weekly Freeboard, and > 1" Rainfall/Monthly Inspections
records. This is a violation of General Permit Condition III.1, 111.2, III.11, and II1.12, and the
CAWMP.
Required Corrective Action for Violation I1:
In the future, maintain the required Weekly Freeboard, and > 1" Rainfall/Monthly Inspections
records in accordance with the permit.
Violation III:
Failure to conduct the required Waste Analysis at least within sixty (60) days (before or after) of
the date of application. This is a violation of General Permit Condition I11.5, III.11, and III.12,
and the CAWMP.
Required Corrective Action for Violation III:
In the future, conduct the required Waste Analysis at least within sixty (60) days (before or after)
of the date of application in accordance with the permit.
Violation IV:
Failure to notify the Division of Water Quality of emergency situations (inadequate storage
capacity in the Storage Pond) as required by permit. Failure to notify DWQ is a violation of
General Permit Condition 1II.13, and the CAWMP.
Required Corrective Action for Violation IV:
In the future, report by telephone to the Mooresville Regional Office or the Division of
Emergency Management as soon as possible, but in no case more than twenty-four (24) hours
following first knowledge of the occurrence of any emergency event in accordance with the
permit.
The Division of Water Quality requests that, in addition to the specified corrective actions,
please submit a written response to this Notice by October 15, 2012. Please include in your
response all actions taken to correct the noted violations, and prevent recurrence in the future.
The Division of Water Quality is considering a Recommendation for Enforcement against G &
M Milling Co., Inc./Facility 80-16 for the referenced violations. Should you have justification
that the violations were caused by circumstances beyond your control, or have additional
explanations, please include the supporting documentation in the written response. We will
review your response and forward it to the Division Director as an attachment to the
Recommendation for Enforcement. The Director of the Division of Water Quality may issue a
civil penalty assessment of not more than Twenty -Five Thousand Dollars (S25,000) against any
"Person" who violates or fails to act in accordance with the terms, conditions, or requirements of
a permit under authority of North Carolina General Statute 143-215.6A.

rn
Osborne Dairy/Facility 80-16
NOTICE OF VIOLATION/
NOTICE OF INTENT TO ENFORCE
September 28, 2012
Page 3
Should you have any questions concerning this Notice, please contact Mr. Bealle or me at (704)
663-1699.
Sincerely,
Andrew H. Pitner, P.G.
Aquifer Protection Section Regional Supervisor
enclosure: Compliance Inspection Report dated September 12, 2012
cc: Division of Soil and Water Conservation via E-Mail
Rowan Soil and Water Conservation District
Jb
Central Permit File AWC800016
Regional Permit File AWC800016

t
0 Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 80016 - _ Facility Status: Active Permit: ❑ Denied Access
Inspection Type: Compliancp Inspertion Inactive or Closed Date:
Reason for Visit: Routine _ County: Rowan Region: Mooresville
Date of Visit: M12/241,2 - Entry Time:.02:00 PM Exit Time: 04:00 PM Incident #:
Farm Name: Osborne Dairy Owner Email:
Owner: C_& M Mika Co Inc _ ^_ Phone: 7 4- 7 -
Mailing Address: 4000 Taylorsyille Hwy _ _ Statesvitte NC2&# 26 51U2 _
Physical Address: 38�pps Da[ry Rd Cleveland NC 270139190
Facility Status: ❑ Compliant ■ Not Compliant Integrator:
Location of Farm: Latitude: 35°46'31'_' _ _ Longitude: 80'38'09"
From. intersection of Coot Springs Rd, (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd. Look
for sign on left. General location: north of Cleveland.
Question Areas:
Dischrge & Stream Impacts
Records and Documents
Waste Col, Stor, & Treat Waste Application
Other Issues
Certified Operator: Johnny C Moore Operator Certification Number: 21012
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Jeffrey C. McNeely Phone: [phone]
On -site representative David D. Leatherman Phone: [phone]
Primary Inspector: James Phone: [phone]
Ext.216
Inspector Signature: Date: 26L:;—:>
Secondary Inspector(s): (_j
Page: 1

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number : 800016
Inspection Date:-.09/12/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
06/15/07 > Waste Analysis > N = 3.9 Lbs/1000 Gallons
11/03/06 > Waste Analysis > N = 1.5 Lbs11000 Gallons
01/25/12 > Soil Analysis
4. Facility Operators advised to coordinate with Rowan SWCDINRCS to complete and submit a POA, and pump down Storage
Pond/Lagoon ASAP! Maximum waste level in Storage Pond exceeded; NOVINOI to follow.
7. Trees, shrubs, and other woody vegetation shall not be allowed to grow on the Storage Pond embankments, and vegetation shall
be mowed regularly.
14. Facility Operator is currently in the process of coordinating with Rowan SWCDINRCS to revise the CAWMP to include additional
fields for waste application.
21. Weekly Freeboard, and > 1" Rainfall/Monthly inspections records not maintained; NOV/NOI to follow.
21. Failure to conduct Waste Analysis at least within sixty (60) days (before or after) of the date of application; NOV/NOI to follow.
30. Failure to notify DWQ of emergency situations as required by Permit; NOV/NOl to fallow.
!b
Page: 2

t
Permit: AWC800016 Owner - Facility: G & M Milling Co Inc FacilityNumber : 800016
Inspection Date: 09/12/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Cattle
O Cattle -Dairy Calf
20
0
Cattle -Dairy Heifer
50
0
Cattle - Dry Cow
20
0
Cattle -Milk Cow
200
15
Waste Structures
Type Identifier
Pond I WP1
Total Design Capacity: 290
Total SSLW: 365,000
Designed ` Observed
Closed Date Start Date Freeboard Freeboard
19.00
6.00
Page: 3

Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number : 800016
Inspection Date: 09/1212012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ M ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ 0 ❑
b. Did 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? ❑ 0 ❑ ❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than ❑ ■ ❑ ❑
from a discharge?
Waste Collection, Storage & Treatment Yes No NA NE
4. Is storage capacity less than adequate? ■ ❑ ❑ ❑
If yes, is waste level into structural freeboard? M
�5. Are there any immediate threats to the integrity of any of the structures observed (Led large trees, severe ❑ ■ ❑ Cl
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? M ❑ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes; check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 4

P
Permit: AWC800016 Owner - Facility: G & M Milling Co Inc
Facility Number : 800016
Inspection Date: 09/12/2042 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare sail?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Corn (Silage)
Crop Type 2
Fescue (Hay)
Crop Type 3 Small Grain Cover
Crop Type 4 Timothy, Orchard, &
Rye Grass
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
001113
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑ ■
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑ ❑
■
❑
17. Does the facility lack adequate acreage for land application?
❑ ■
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑ ■
❑
❑
Records and Documents
Yes No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑ ■
❑
❑
20, Does the facility fail to have all components of the CAWMP readily available?
OSO
❑
If yes, check the appropriate box below.
WUP? ❑
Page: 5

rt
Permit: AWC800016 Owner - Facility: G & M Milling Co Inc Facility Number : 800016.
Inspection Date: 09112/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists?
Design? ❑
Maps? ❑
Lease Agreements? ❑
Other? ❑
If Other, please specify
21. Does record keeping need improvement? ❑ ❑ ❑
If yes, check the appropriate box below.
Waste Application? ❑
Weekly Freeboard?
Waste Analysis?
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections 0
Sludge Survey ❑
22. Did the facility fail to install and maintain a rain gauge? ❑ ■ ❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)? ❑ ❑ 0 ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ ■ ❑ ❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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? ❑ ■ ❑ ❑
Page: 6

IVA
Permit: AWC800016 Owner - Facility: G & M Milling Cc Inc Facility Number: 800016
Inspection Date: 09/12/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? ❑ ❑ ■ ❑
Other Issues Yes No NA NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
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 regional DWQ of emergency situations as required by 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 1 Storage Pond
Other
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
13
Page: 7

Bealle, James
From: Jeff McNeely <[e-mail]>
Sent: Wednesday, August 13, 2014 8:11 AM
To: Bealle, James
Subject: Soil sample
Attachments: photo.PNG; ATT00001.c
Thanks, Jeff McNeely

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•y
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Water Resources
Environmental Quality
August 16, 2017
G & M Milling Co., Inc.
Osborne Dairy
4000 Taylorsville Hwy
Statesville, NC 28625
ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. JAY ZIMMERMAN
Director
Re: COMPLIANCE INSPECTION
G & M Milling Co., Inc./Facility 80-16
General Permit AWC800016
Rowan County
Dear G & M Milling Co., Inc.:
On July 25, 2017, staff of the North Carolina Division of Water Resources (DWR), Water
Quality Regional Operations Section (WQROS), inspected the Osborne Dairy and the permitted
waste disposal system. We wish to thank Jeffrey C. McNeely, who was present and assisted
during the inspection.
The enclosed report should be self-explanatory; however, should you have any questions .
concerning this report, please contact me at [phone].
Sincerely;
ealle III, Environmental Specialist
Mooresville Regional Office
Water Quality Regional Operations Section
Division of Water Resources
enclosure: Compliance Inspection Report dated July 25, 2017
jb
State of North Carolina I Environmental Quality I Water Resources I Water Quality Regional Operations
Mooresville Regional Office 1 610 East Center Avenue, Suite 3011 Mooresville, North Carolina 28115
704-663-1699

Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 800016 Facility Status: Active permit: AWC800016 ❑ Denied Access
Inppection Type: Compliance Inspection Inactive Or Closed Date: .
Reason for Visit: Routine County: Rowan Region: Mooresville
Date of Via it: 07/25/2017 Entry Time: 03:30 pm Exit Time: 5:00 pm Incident 0
Farm Name: Osborne Dairy Owner Email:
Owner: G & M Milling Co Inc. Phone: [phone]
Mailing Address: 4000 Taylorsville Hwy Statesville NC 286251842
Physical Address: 385 Hamps Dairy Rd Cleveland NC 270139190
Facility Status: NCompliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35° 46' 31" Longitude: 80' 38' 09"
From intersection of Cool Springs Rd. (SR 1003) and Hobson Rd (SR 1971), travel approximately 314 mi south on Hobson Rd.
Look for sign on left. General location: north of Cleveland.
Question Areas:
Dischrge & Stream Impacts Waste Cal, Star, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Jeffrey Carrol McNeely Operator Certification Number: 1000643
Secondary OIC(s):
On -Site Representative($): Name Title Phone
24 hour contact name Jeffrey C. McNeely Phone: [phone]
On -site representative Jeffrey C. McNeely Phone: [phone]
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
09/20/15 > Waste Analysis > N =.0.77 Lbs11000 Gallons
11/17/14 > Waste Analysis > N = 1.42 Lbs11000 Gallons
06/27/14 > Soil Analysis
jb
Phone: �04�63-1Q69S9 �
Date: �
page: 1

Permit: AWC800016 Owner - Facility : G & M Milling Co Inc Facility Number: 800016
Inspection Date: 07/25/17 1npsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Cattle
Cattle - Dairy Calf
20
0
Cattle - Dairy Heifer
50
0
Cattle - Dry Cow
20
0
Cattle -Milk Cow
200
0
Total Design Capacity: 290
Total SSLW: 365,000
Waste Structures
Disignated Observed
Type Identifier Closed Date start Date Freeboard Freeboard
Waste Pond WP1 19.00 42.00
page: 2

1
Permit: AWC800016 Owner- Facility: G & M Milling Co Inc Facility Number: 800016
Inspection Date: 07/25/17 Inspection Type: Compliance inspection Reason for Visit: Routine
DischaERes & Stream Imoacts
Yes No Na Ne
1. Is any discharge observed from any part of the operation?
❑
M ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
Elm
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
EIN
❑
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)
❑
❑ M
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
0 ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatment
Yes No No Ne
4. Is storage capacity less than adequate?
❑
0 ❑
❑
If yes, is waste level into structural freeboard?
❑
S. 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 that are not properly addressed and/or managed through a
❑
M ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
0 ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
m ❑
❑
maintenance or improvement?
Waste Application
Yes No No He
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ ❑ ❑
maintenance or improvement?
11, Is there evidence of incorrect application?
❑ N ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWC800016 Owner - Facility: G & M Milling Cc Inc Facility Number: 800016
Inspection Date: 07/25/17 InpsectionType: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes Na Na No
Crop Type 1
Corn (Silage)
Crop Type 2
Fescue (Hay)
Crop Type 3
Sma11 Grain Cover
Crop Type 4
Timothy, Orchard, & Rye
Grass
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■ ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
0 ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
E ❑
❑
Records and Documents
no No Na No
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■ ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checkiists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
■ ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWC800016 Owner - Facility : G & M Milling Co Inc Facility Number: 800016
Inspection Date: 07/25/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No NaNo
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
[IN
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
M ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 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?
❑
0 ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
110
❑
Other Issues
Yes No Na No
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
0 ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
0 ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
M ❑
❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
M ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
M ❑
❑
page: 5