210011_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Qua

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Site Requires Immediate Attention: Iv
Facility No. al -It
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Date: IS , 1995
Time: I1Z
Farm Name/Owner: �CT 5� T _----
Mailing Address:
County: U0417.0.
Integrator: Phone:
On Site Representative: L,J P 77n Phone: o
Physical Address/Location: a
-13
5o2 120 ; R
Type of Operati n: Swine Poultry Cattle
Design Capacity: e7;5 No. of Ani a s on Site:
DEM Certification No.: ACE DEM Certification No.: ACNEW
Latitude: Longitude: Elevation: Ft
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Ft + 25 year 24 hour
storm event? (approximately 1 Ft + 7 in) Yes or No
c
Actual Freeboard: q Ft Inches +
Was any seepage observed from the lagoon(s)? Yes or(p
Was any erosion observed? Yes or i
Is adequate land available for spray? Ye or No
Is the cover crop adequate? Ye o No
Crop(s) being utilized: -„-us Ir_r sy) sY S Let reS
Does the facility meet SC imum setback criteria?
200 Ft from Dwellings? Ye or No 100 Ft from Wells? Ye or No
Is the =al waste stockpiled within 100 Ft of USGS Blue Line Stream?
Yes on /
Is animal waste ,nd applied or spray irrigated within 25 Ft of a USGS Map Blue
Line? Yes orQw
Is animal waste discharged into waters of the state by man-made ditch,
system, or other similar man-made devices? Yes or No
If Yes, please explain:
flushing
Does the facility maintain adequate waste management records (volumes of manure,
land a`ppl�ied, spray irrigated on specific acreage with cover crop)? Yes or No
Inspector Name' C Signature
cc: Facility Assessment Unit
Comments & Sketch on Back of Sheet

DEM
SITE VISITATION RECORD
Page Two
Comments:
Sketch:
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