900062_PERMIT FILE_20171231

Draft - Revised January 20, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number- & z '` Operation is Ragged for a wettable
Farm Name: A' s- k Cy' acre determination due to failure of
On -Site Representative: G 45 Part 1/ eligibility ltem(s) F? F2 F3 F4
Ins pectorlReviewer's Name: J%Kfol
Date of site visit: 2-7— 59
Date of most recent rWUP:_T 7Ir
Operation not required to secure WA
determination at this time based on
exemption - E1 E2 E3 E4
Annual farm PAN deficit: pounds
Irrigation System(s) - circle #: 1. hard -hose traveler, 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system wlpermanent pipe; a. stationary'sprinkler system wlportable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary.gun system wlportabie pipe
PART 1. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D21D, irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, -including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part 11 - F1 F2 F3, before completing computational table in Part 111).
PART H. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements listed below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
v' F2 Unclear, ille ible, or lack of information/ma .
9 P .
F3 Obvious field limitations (numerous ditches; failure to deduct required
buffer/setback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
_ZF4 WA determination required because CAWMP credits field's acreage q (s a in excess) g
of 75% of the respective field's total acreage as noted in table in Part Ill.

Draft - Revised January 20, 1999
Facility Number- G Z
Part Ill. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT
NUMBER
FIELD
NUMBER1,2
TYPE OF
IRRIGATION
SYSTEM
TOTAL
ACRES
CAWMP
ACRES
FIELD
%
COMMENTS3
I
r
r
�
i
i
l
!
f
I
I
I I
i
I
FIELD NUMBER' - hydrant, pull, zone, or point. numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. cross more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBER- must be clearly delineated on map.
COMMENTS'- back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 199B) of irrigation records, cannot serve as the
sole basis for requMnc a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

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State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
December 1, 1999
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Ronald Suggs
Porkchop Farm
5083 Pageland Hwy
Monroe NC 28112
Farm Number: 90 - 62
Dear Ronald Suggs:
1NCDENR
� •
f
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
You are hereby notified that Porkchop Farm, in accordance with G.S. 143-215. IOC, must apply for coverage under
an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has sixty f601 days to submit the attached
application and all supporting documentation. In accordance with Chapter 626 of 1995 Session Laws (Regular Session
1996), Section 19(c)(2), any owner or operator who fails to submit an application by the date specified by the
Department SHALL NOT OPERATE the animal waste system after the specified date. Your application must be
returned within sixty (60) days of receipt of this letter. Failure to submit the application as required may also subject your
facility to a civil penalty and other enforcement actions for each day the facility is operated following the due date of the
application.
The attached application has been partially completed using information listed in your Animal Waste Management
Plan Certification Form. If any of the general or operation information listed is incorrect please make corrections as noted on
the application before returning the application package. The signed original application, one copy of the signed application,
two copies of a general location map, and two copies of the Certified Animal Waste Management Plan must be returned to
complete the application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
1617 Mail Service Center
Raleigh, NC 27699-1617
If you have any questions concerning this letter, please call Dianne Thomas at [phone] extension 364 or Alan
Johnson with the Mooresville Regional Office at [phone].
Sincere
for Kerr T. Stevens
cc: Permit File (w/o encl.)
Mooresville 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

1.
2.
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Non -Discharge Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
General Permit - Existing Animal Waste Operations
The following questions have been completed utilizing information on file with the Division. Please review the
information for completeness and make any corrections that are appropriate. If a question has not been completed by
the Division, please complete as best as possible. Do not leave any question unanswered.
GENERAL INFORMATION:
1.1 Facility Name: Porkchop Farm
1.2 Print Land Owner% name: Ronald Suggs
1.3 Mailing address: _5083 P_ageland Hwy
City, State: Monroe NC Zip: 28112
Telephone Number (include. area code): 764-9752
1.4 County where facility is located:
1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy
of a county road map with the location of the farm identified); 8 miles south on (SR 1941) Old Pageland Hwy. turn of Belk
Mill Rd (SR 1940) and left again on of Brooks Rd. (Deadends)
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: 03/01/91
1.9 Date(s) of Facility Expansion(s) (if applicable):
OPERATION INFORMATION:
2.1 Facility No.: 90 (county number); 62 (facility number).
2.2 Operation Description: Swine operation
Farrow to Feeder
100- Certified Design Capacity
Is the above information correct? 0 yes; F� no. If no, correct below using the design capacity of the facility
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. Animals Type of Cattle No. of Animals
0 Wean to Feeder 0 Layer 0 Dairy
0 feeder to Finish 0 Non -Layer 0 Beef
0 Farrow to Wean (# sow) 0 Turkey
0 Farrow to Feeder (# sow)
0 Farrow to Finish (# sow)
Other Type of Livestock on the farm; No. of Animals:
FORM: AWO-G-E 5/28/98 Page 1 of 4 90 - 62

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system): 2.6 : Required Acreage (as listed in the AWMP): 1.2
2.4 Number of lagoons/ storage ponds (circle which is applicable):
2.5 Are subsurface drains present within 100' of any of the application fields? YES or NO (please circle one)
2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or NO (please circle one)
2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only)
YES or NO (please circle one)
What was the date that this facility's swine houses and lagoon were sited?
What was the date that this facility's land application areas were sired?
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 one copy of the application for General Permit - Animal
Waste Operations;
3.2 Two copies of a general location map indicating the location of the animal waste facilities and
field locations where animal waste is land applied;
3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility
does not have a CAWMP, it must be completed prior to submittal of a general permit application
for animal waste operations.
The CAWMP must include the following components. Some of these components may not
have been required at the time the facility was certified but should be added to the
CAWMP for permitting purposes:
3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available
Nitrogen (PAN) produced and utilized by the facility.
3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation,
injection, etc.)
3.3.3 A map of every field used for land application.
3.3.4 The soil series present on every land application field.
3.3.5 The crops grown on every land application field.
3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP.
3.3.7 The PAN applied to every land application field.
3.3.8 The waste application windows for every crop utilized in the WUP.
3.3.9 The required NRCS Standard specifications.
3.3.10 A site schematic.
3.3.11 Emergency Action Plan,
3.3.12 Insect Control Checklist with chosen best management practices noted.
3.3.13 Odor Control Checklist with chosen best management practices noted.
3.3.14 Mortality Control Checklist with the selected method noted.
3.3.15 Lagoontstorage pond capacity documentation (design, calculations, etc.). Please be
sure to include any site evaluations, wetland determinations, or hazard classifications
that may be applicable to your facility.
3.3.16 Operation and Maintenance Plan.
If your CAWMP includes any components not shown on this list, please include the
additional components with your submittal.
FORM: AWO-G-E 5/28/98 Page 2 of 4 90 - 62

Facility Number: 90 - 62
Facility Name: Porkchop Farm
4. APPLICANT'S CERTIFICATION:
I,
(Land Owner's name listed in question 1.2), 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 to me as incomplete.
Signature Date
5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner)
I,
(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. 1 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]
FORM: AWO-G-E 5/28/98 Page 3 of 4 90 - 62

DIVISION OF WATER QUALITY REGIONAL OFFICES (08)
Asbevtak Regional WQ Supervisor
59 Woodfin Place
Asheville, NC 28801
(sq) 251-6208
Fax ( 9 29) 251-6452
Avery Macon
Buncombe Madison
Burke
McDowell
Caldwell
Mitcbell
Cherokee
Polk
Clay
Rutherford
Graham
Swain
Haywood
Transylvania
Hendersoe
Yancey
Iackson
Fayetteville Regional WQ Supervisor
Wachovia Building, Suite 714
Fayetteville, NC 29301
[phone]
Fax [phone]
Anson
Moore
Blades
Richmond
Onmberland
Robeson
Harnett
Sampson
Hoke
Scotland
Montgomery
Wsasten-Salem Regional WQ Supervisor
585 Waugbtown Su=
W-mston-Salem. NC 27107
(33Q 771.4600
Fax (336) 77I4631
Alamance RockinghAm
Alleghany Randolph
Asbe Stokes
C:aswelI Scary
Davidson Watauga
Davie Ws5M
Fasytb Yadkin
Guilford
Washington Regional WQ Supervisor
943 Washington Square Mall
Washington, NC 27989
(25Z) 99-5481
Fax (A-5 �; 975-3716
I?'fMCI
Belie - Lenoir
Cbowan
Pamlico
Craves
Pasquotank
Cmrimck
Perquimans
Dare
Pitt
Gases
Tynll
Greene
Washiagtaa
Hertiard
Wayne
Hyde
Mooresville Regional WQ Supervisor
919 Notch Main S a n -1
Mooresville, NC 2S115
[phone]
Fax [phone]
Alexander
Lincoln
Cabarrms
Mecklenburg
Catawba.
Rowan
Cleveland
Stanly
Gaston
iredell
Union
Raleigh Regional WQ Supervisor
38M Batrett Dr.
Raleigh, NC 27611
(9I9) 5714700
Fax [phone]
Chatham Nash
Durham NoM ampton
Edgecombe Orange
Franklin Ftrson
Granville Vmce
Halifax wake
Iohnstaa W m= .
Lae Wilson
Wilmington Region. WQ Supervisor
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
[phone]
Fax [phone]
Brunswick New Hanover
Ctrteres Clutlow
Columbus Pleader
DuPlin
FORM: AWO-G-E 512&98 Page 4 of 4

State of North Carolina
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary
Kerr T. Stevens, Director
Ronald Suggs
Porkchop Farm
5083 Pageland Hwy
Monroe NC 28112
Dear Ronald Suggs:
A140igo
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
December 30, 1999
Subject: Fertilizer Application Recordkeeping
Animal Waste Management System
Facility Number 90-62
Union County
This letter is being sent to clarify the recordkeeping requirement for Plant Available Nitrogen (PAN)
application on fields that are part of your Certified Animal Waste Management Plan.
In order to show that the agronomic loading rates for the crops being grown are not being exceeded, you
must keep records of all sources of nitrogen that are being added to these sites. This would include nitrogen
from all types of animal waste as well as municipal and industrial sludges/residuals, and commercial fertilizers.
Beginning January 1, 2000, all nitrogen sources applied to land receiving animal waste are required to
be kept on the appropriate recordkeeping forms (i.e. IRRI, IRR2, DRY1, DRY2, DRYS, SLUR], SLUR2,
SLDI, and SLD2) and maintained in the facility records for review. The Division of Water Quality (DWQ)
compliance inspectors and Division of Soil and Water operation reviewers will review all recordkeeping during
routine inspections. Facilities not documenting all sources of nitrogen application will be subject to an
appropriate enforcement action.
Please be advised that nothing in this letter should be taken as removing from you the responsibility or
liability for failure to comply with any State Rule, State Statute, Local County Ordinance, or permitting
requirement.
If you have any questions regarding this letter, please do not hesitate to contact Ms. Sonya Avant of the
DWQ staff at [phone] ext. 571.
o�
cc: Mooresville Regional Office
Union County Soil and Water Conservation District
Facility File
Sincerel
Kerr T. Stevens, Director
Division of Water Quality
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] Fax [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/10%n post -consumer paper

[] Division of Soil and Water Conservation [3 Other Agency
Division of Water Quality
uutine Q Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number
Time of Inspection
24 hr. (hh:mm)
© Registered OCertified Ci Applied for Permit © Permitted JE3 Not Operational i Date Last Operated:
Farm Name: '~......�l�f? ... .ter rw!............ County: ............(r1h.,ti.L?fri.................................................
................................ ..... .......................
OwnerName: ................f cVks�� .....�f S..................................... Phone No:......... . `.... .! .........................
Facility Contact:................,[,�� n. ......�WA:75 Title: /_9!t5_S..e.............................. Phone No:
Mailing Address: .............s?r'.T%..3........tt�.�.i.4.x.►c�l....... �t?.............1�fl�tr�.ft..................................................... S �.i.z....
Onsite Representative:....... t4 sr�
s......................... ........... Integrator: ................................................................
..i!'Hk4kr
Certified Operators.......... .............. ...................... Operator Certification Number:.........................................
Location of Farm:
."~..kt'Ax.......... ......... .tarry.,........., �,3.�.....t.�.4.........t:..lv..�Sav . ..... � ..... ... .......
.S.K........1 ..f.d..... 634.k ....o.i.ii...o . ............LT...... .1....5....... Ccl...410............ Lx..... �.ra......... Bms).k..r ......................
r ,.:...a �itI. �l I�-1.. .:...a mil• C_` ; n .--1 r, flees x� d m
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes 1%No
2. 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?
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 gaUmin?
d. Does discharge bypass a lagoon system? Of 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?
7/25197
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ,0 No
❑ Yes $No
❑ YeSANo
❑ Yes No
❑ Yes�o

Facility Number:
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes 4QNo
structures (Ueoons.Holdino goads. Flush Fits. etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? AYesC*No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
...................................................................................................................................................................................................................
Freeboard(ft): ................ 7..��....................................... ................................... .................................... .................................... ....................................
10. Is seepage observed from any of the structures? ❑ Yes ONo
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes 'No
12. Do any of the structures need maintenance/improvement? ❑ Yes No
(If any of questions 9.12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
❑ Yes V No
Waste Application
14.
Is there physical evidence of over application?
❑ Yes=-,O No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type ...... ....................................................................................................................................................................................................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?k
❑ Yes 1 ] No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes ]!�No
18.
Does the receiving crop need improvement?
❑ Yes .W�No
19.
Is there a lack of available waste application equipment?
❑ Yes 9No
20.
Does facility require a follow-up visit by same agency?
❑ Yes ,tNo
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes 6�No
22.
Does record keeping need improvement?
❑ Yes kNo
For
Certified or r&rmitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes ANo
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes ($No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes , &No
No.vi6litions6i deficiencies:were;noted;during this:visit - You:w'iU recei've' Airther,
• correspoQde`nce about fhis: vis�f. • :. : .. . • ; : • - : - : : . • :. : .. ..: . . • :
ins& C4
7/25197
Reviewer/Inspector Name
Reviewer/Inspector Signature: f/ �_f�.,�� Date:.

Pageland Hwy
Monroe NU 128112
Location
Certified
Farm Name
rorKcnop r arm
Phone Number
1764-9752
Lessee
Region
O ARO O MHU O WARO O WSRO
O FRO O RRO O WIRO
2S mltes.souttl .on + -OiK.1` ,u):Uld ragqu a•t1wy. Curn:ot: fiedK 1►7�11.Kci (NK• 1{J4u);and sett apta-up- �
rooks, Rd:: (M404dx):.............................::::::.........:..::: � �
Certified Operator in Charge
Backup Certified Operator
Comments
omas
Date inactivated or closed"
Swine p Poultry p Cattle p Sheep p Horses p Goats p None
Design Capacity
Total 100 Swine
SSLW 52,200 Farrow to Feeder

Latitude
Longitude
p Request to be removed p Removal Confirmation Recieved
nigner Yie
Vegetation
Acreage
Other
Comments IBasin Name:"a Kin
Regional DWQ Staff IsIMMIJIMIJI§= Date Record Exported to Permits Database

toutine O Complaint O Follow-up of DWQ inspection Q Follow-up of DSWC review O Other
Date of Inspection - 7
r - -- -------- ......... .. Facility Number
Time of Inspection L___= 24 hr. (hh:mm)
Total Time (in fraction of hours �
Farm Status: f&Registered ❑ Applied for Permit (ex;1.25 for 1 hr .I5 min)) Spent on Review L��J
❑ Certified ❑ Permitted or Inspection includes travel and rocessin
❑ Not Operatln4
onal Date Last Operated:............................................................................................... »............... .....................................
Farm Name: ......... ...-r�t�.......lfT.cJsy!tt.......»......................................... County:...»�s!'.L.n...... C:»................ ..... .......... ........ ...
Land Owner Name:....5?,r �.1... S�{rfir-y4:............................................. Phone No:....7...�iP..��..".7s.....................................
Facility Conctact:...!!'1CIW.Q.2......................... Title: ..1—�..C» ........... Phone No:...1. Y.....7 �...........
Mailing Address: ...... 7.. v.. ......... ........ ��5. ......................................
Onsite Representative:... ......... .il ...5a,............. ........ ........
Certified Operator:....�x.�f�r'I................................................
Location of Farm:
Type of Operation and Design Capacity
....eftwr........................ ..I.................... . 22.TuZ......
Integrator:
Operator Certification Number: ..........................................
Longitude ' & 66
General
1. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water'? (If yes, notify DWQ)
c. If discharge is observed, what is the cstimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoonsiholding ponds) require
4/30/97 maintenance/improvement?
❑ Yes 6� No
❑ Yes J4 No
❑ Yes ❑ No
❑ Yes [--]No
❑ Yes ❑ No
❑ Yes %No
❑ Yes KNo
❑ Yes A No
Continued on back

Facility Numbcr
66 Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 'INo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes �fNo
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes No
Struct4 res (Lagoons and/or Holding Pondsl
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes 9No
Freeboard (ft): Structuree11 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
s-?....... ............................ ............................ ............................ ............................ ............................
10. Is seepage observed from any of the structures? ❑ Yes ff No
11. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes No
12. Do any of the structures need maintenance/improvement? Yes o
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
9Yes
❑ No
Waste Application A//O
14. Is there physical evidence of over application?
❑ Yes
P No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ......... 5..5,tJ2 .......... ........................................................................1..1'Y !.�........... 3...
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
❑ Yes
[:]No
17. Does the facility have a lack of adequate acreage for land application?
❑ Yes
5Q No
18. Does the receiving crop need improvement?
❑ Yes
ONo
19. Is there a lack of available waste application equipment?
❑ Yes
RNo
20. Does facility require a follow-up visit by same agency?
El, Yes
t�vo
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Eyiqo
For Certified Fgcilitjes Only ,//%*
"a/copy
22. Does the facility fail to have of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
24. Does record keeping need improvement?
❑ Yes
❑ No
Comments (refer to,questton #) Explain any YES answers and/or any recommendations or any.other corrmments '>N
Usedrawings oys
f facility to Rn better explain situations :( use addrt�onal pgesaas es necsary) $ , f ..
Reviewer/Inspector Name
ReviewerlInspector Signature:
Date: ` 7-" r7
cc: Division of Water Quality, Water Quality 4e don, Facility Assessment Unit 4/30/97

❑ DSWC .Animal Feedlot Operation Review
® DWQ Animal Feedlot Operation: Srte Inspection
{
toutine 0 Com laint 0 FAlow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Date of Inspection
FWlity, "lumber
Time of Inspection E� 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status* & Registered [I Applied for Permit (ex:,1.25 for I hr 15 min)) Spent on Review
❑ Certified ❑ Permitted or Inspection includes travel and processing)
0 Not Operattiional yDate Last Operated: ............ . .. .... . ........... .............. ...... . .. ....... ........................ . ...............................................
FarmName: 1�1ct....L�P.c��«f. ...... ........... _.... __...... ..... County:.» .... . ......0.............................................
Land Owner ..................................... Phone No:-.7A;..q........9-.2,�........................................
Facility Conctact:.... ? ....... ......... ;�` t..;E.s........ Title: ............... Phone No: .... 2k:!...`..... ...........
MailingAddress:...... .4?.. ..........S. :r..: ........Phi k..................................... ....:................................................... ......
OnsiteRepresentative: ... ,�_ G:. 4...........� S.i, t.S. �.............................. Integrator:......,................................................................................
Certified Operator:.. .................... ............................. Operator Certification Number:.......................................
Location of Farm:
Latitude 6 " Longitude ' 6 " 6�k-e_'k- r�A,)
Type of Operation and Design Capacity t
F y� 2Design 3Current a Design Cui-reat Design Current_
5wune" , 'Casaci Po iilation -Poultry s:. 'Ca `aeity Po uiation Cattle ,� � _Ca `acity Po elation
❑ Wean to Feeder ., I❑ La er�'1'10I)airy
❑Feeder to Finish - ❑ Non -La er ❑Non -Doi
Farrow to Wean T {
Farrow to Feeder > Total Design Capaetty }
Farrow to Finish
Total SSLW
Other
.k
z : ❑Subsurface Drains Present
'iNumberof Iaaons Holding Po
�nds;g�12
r: . ., ,� ❑ Lagoon Area N ❑Spray FieldArea
Qeneral
1. Are there any buffers that need maintenance/improvement? ❑ Yes No
2. 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 Surface Water? (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
3. Is there evidence of past discharge from any part of the operation? ❑ Yes %No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes No
5. Does any part of the waste management system (other than lagoons/holding ponds) require _ ❑ Yes No
maintenance/improvement?
4/30/97 Continued on back

Facility Number: ...... . ....... . ............. .
6 .�s'facill'ty not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes 19LNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes KNo
8.
Are there lagoons or storage ponds on site which need to be properly closed?
❑ Yes
RNo
Strygtures
(Lagoons and/or Holding Ponds)
9,
Is storage capacity (freeboard plus storm storage) less than adequate?
El Yes
�No
. ex
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
r............................ ............................ ............................ .................
............................
10.
Is seepage observed from any of the structures?
❑ Yes
ffNo
11.
Is erosion, or any other threats to the integrity of any of the structures observed?
❑ Yes
Rr No
12.
Do any of the structures need maintenance/improvement?
MYes
To
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13.
Do any of the structures lack adequate minimum or maximum liquid level markers?
MYes
❑ No
Wasge Appligation
14.
Is there physical evidence of over application?
❑ Yes
No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15.
Crop type �.:..c ...................... ...... :....................... ........................ 1.I Y.`................,...............................
16.
Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
[:]Yes
❑ No
17.
Does the facility have a lack of adequate acreage for land application?
❑ Yes
4 No
18.
Does the receiving crop need improvement?
❑ Yes
ONo
19.
Is there a lack of available waste application equipment?
❑ Yes
f9 No
20.
-Does facility require a follow-up visit by same agency?
❑ Yes
&Io
21.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
[�:No
For
Certified F'acilit'te5 nniv_
22.
Does the facility fail to have a/copy of the Animal Waste Management Plan readily available?
❑ Yes
❑ No
23.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
24.
Does record keeping need improvement?
❑ Yes
❑ No
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments. —
Use drawings of facility to better explain situations. (use additional pages as necessary):
I're
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Date: -]— / 7
cc: Division of Water Quality, Water Quality qe don, Facility Assessment Unit 4/30/97