370001_HISTORICAL_20171231

NORTH CAROLINA
Department of Environmental Qua

HISIO,,,R.IC.AU
I

A
Division of Water Quality
Facility Number 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit:Arrival Time: •1100 Departure Time: County: Region:(
Farm Name: Owner Email: ^
Owner Name: " �'' Phone:01 �'��Lu����
Mailing Address:
67-
Physical Address:
Facility Contact: 'Title: Phone No:
Onsite Representative: Integrator:
Certified Operator: Operator Certification Number:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Back-up Certification Number:
Latitude: = o = 1 Longitude: 0 ° ❑ i
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
Layer
_ I h ❑ Non -Layer
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ Turkeys
❑ Turkey Pouets
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑
Dairy Cow
❑
Dairy Calf
❑
Dairy Heifer
❑
Dry Cow
❑
Non -Dairy
❑
Beef Stocker
❑
Beef Feeder
❑
Beef Brood 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?
Page I of 3
El Yes ❑No El NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes El No [I NA El NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
12128104 Continued

Facility Number: 12 — 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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed
through a waste management or closure plan?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑Yes ❑No El NA El NE
❑ Yes ❑ No ❑ 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? ❑ Yes ❑ 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?
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)
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
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name C s Phone:14
Reviewer/Inspector Signature: Date:
Page 2 of 3 12128104 Continued

Facility Number —1 Date of Inspection ii —✓!�B
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ❑ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA ❑ NE
the appropriate box. ❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
❑ No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑ No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
❑ Yes
❑ No
❑ NA
❑ NE
General Permit? (ie/ discharge, Freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
❑ No
❑ NA
❑ NE
all Comments and/or Drawings:
Page 3 of 3 12128104

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 370001 Facility Status: Active Permit: AWP370001 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: BoWJJQ g.._ County: Gates Region: Washington
Date of Visit: 08/06/2005 Entry Time: 09:55 AM - Exit Time:
Farm Name: Qatt�,s Bo lysy_ Farm
Owner: Gates Poultry Farm. Inc.
Incident #:
Owner Email:
F2,T,T,T-3W,4�Y&,i1S:idrL�
Mailing Address: 202 Savage Rd Corapeake NC 279269725
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 36'29'5.9;" Longitude: 76°35'25"
4 miles North of Sunbury and 1 mile off NC 32.
Question Areas:
Q Discharges & Stream Impacts 0 Waste Collection & Treatment Q Waste Application
Q Records and Documents 0 Other Issues
Certified Operator: Paul T Lilley Operator Certification Number: 19370
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative Linwood Jordan Phone:
24 hour contact name Linwood Jordan Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature:
Date:
Secondary Inspector(s):
Phone:
Phone:
Inspection Summary:
No waste analysis has been pulled this year. Mr Jordan will pull this sample today!
No Irrigation records were recorded because no irrigation occured in 2004- Mr. Jordan stated that he just transfered water from
solids holes to secondary lagoon. He plans to irrigate later this summer & will keep those records. He is in the process of closing both
solids holes.
He has been addressing the musk rat problem by trapping & shooting them. Please continue to monitor this situtation.
Page: 1

Permit: AWP370001 Owner - Facility: Gates Poultry Farm, Inc. Facility Number: 370001
Inspection Date: 08/06/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
0 Wet Poultry -Layers
Total Design Capacity:
Total SSLW:
Page: 2

4
Permit: AWP370001 Owner - Facility: Gates Poultry Farm, Inc.
Facility Number : 370001
Inspection Date: 08/06/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Qi6Sbaroes & Stream Impacts Yes No NA Nt=
1. Is any discharge observed from any part of the operation? ❑ 0 ❑ ❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a, Was conveyance man-made?
❑
moo
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
Cl
0 ❑
❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
0 ❑
❑
2. Is [here evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a discharge?
❑
YPG
0 ❑
No NA
❑
NF
Waste Collection, Storagee& 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 (Le./ large trees, severe erosion,
❑
0❑
❑
seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management or
❑
0 ❑
❑
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 ❑ 0 ❑ ❑
and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑ M ❑ ❑
improvement?
Ye,.; No NA NF
Waste AQQlicatJon
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement?
❑ moo
11. Is there evidence of incorrect application?
❑ moo
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, e(c)?
❑
PAN?
❑
Is PAN> 10%/101bs.?
❑
Total P2O5?
❑
Failure to incorporate manurelsludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1 Corn (Grain)
Crop Type 2 Sudan Grass
Crop Type 3 Coastal Bermuda Grass
(Pasture)
Crop Type 4
Crop Type 5
Page: 3

Permit: AWP370001 Owner - Facility: Gates Poultry Farm, Inc.
Inspection Date: 08/06/2005 Inspection Type: Compliance Inspection
Facility Number: 370001
Reason for Visit: Routine
Waste Aoniirafinn
Crop Type 6
Yes
Ng N6
NE
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?
❑
0 ❑
❑
17. Does the facility lack adequate acreage for land application?
❑
❑
❑
18. is there a lack of properly operating waste application equipment?
❑
YPs
❑
No NA
❑
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
110
❑
❑
20. Does the facility fail to have all components of the CAWMP readily. available?
❑
E ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
01111
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 fall 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?
❑
❑
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?
❑
❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
❑ ❑
Page: 4

Permit: AWP370001 Owner - Facility: Gates Poultry Farm, Inc. Facility Number: 370001
Inspection Date: 08/06/2005 Inspection Type: Compliance inspection Reason for Visit: Routine
Otherlssues Yes No NA NE
28, Were any additional problems noted which cause non-compliance of the Permit or CAWMP? ❑ 0 ❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those mortality ❑ ❑ 0 ❑
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.
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ 0 ❑ ❑
32, Did Reviewer/Inspector fail to discuss reviewfinspeclion with on -site representative? ❑ 0 ❑ ❑
33. Does facility require a follow-up visit by same agency? ❑ 0 ❑ ❑
Page: 5

S
® Division of Water Quality
Facility Number -� O Division of Soil and Water Conservation
Q Other Agency
Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit & Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: ' Departure Time: County: Region: 11��
Farm Name:,l�ae' Owner Email: !�
Owner Name: Phone:
Mailing Address: (9 02= ,
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Sack -up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other
Title:
Phone No:
Integrator:., .
Operator Certification Number:
Back-up Certification Number:
Latitude: = o Longitude
141(1
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
Fa er
on -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?
o=i =is
Design Current
Cattle Capacity Population
LLDairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocker
❑ Beef Feeder
❑ 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?
❑ Yes WNo ❑ NA [IN I,
❑ Yes
❑ No ❑ NA
❑ NE
❑ Yes
❑ No ❑ NA
❑ NE
❑ ❑ NA
❑ NE
❑ Yes
ElYes
Lid o El NA
ONE
❑ Yes
LI No ❑ NA
❑ NE
12128104 Continued

c
I Facility Number:37 — I 1 Date of Inspection 17 to "GL�I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes llJ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): `t TL
5. Are there any immediate threats to the integrity of any of the structures observed'? ❑ Yes 6?/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 th at, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑Yes L10 � ❑ NA El 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 Cl Yes a/No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes:No/[:INA ❑ 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 Dritl �❑ Application Outside, of Area /
12. Crop type(s) Coin I /O S 'lay=�,i-10 O,� —/id
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
o
El NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
El Yes
[o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,❑
Yes
2No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
o
El NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
El Yes
Zo
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary);
,
Reviewer/Inspector Name r — —` a Phone: 2i�l-9IfL_2�
Reviewer/Inspector Signature: Lzezz Date:
v 12128104 Continued

µ Facility Number: 7 — Date of Inspection ~lp -
Required
Records & Documents
19.
Did the facility fail to have Certificate of Coverage & Permit readily available?
❑ Yes
No
ElNA
❑ NE
20.
Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
R NW/o
❑ NA
❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design ❑Maps ❑Other
21.
Does record keeping need improvement? if yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I °
Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
VNo
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
E3NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
❑ No
VNA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
❑ No
[O�NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
dN o
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
❑ No
L}Q NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
No
N
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
❑ No
;NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
❑ No
0 NA
R 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
El Yes
Q N
❑ NA
❑ NE
General Permit? (ie/ discharge, freeboard problems, over application)
32.
Did Reviewer/lnspector fail to discuss review/inspection with an on -site representative?
❑ Yes
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
�No
I]Q No
❑ NA
❑ NE
Comments and/or Drawings:
12128104

Type of Vlslt Q Compllance Inspectlon O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit *Routine O Complalnt O Follow up O Referral O Emergency O Other ❑ Denied Access
Facility Number 37 Date of Visit: 10/19/2004 Time: 1:4t1
Not Operational Q Below Threshold
® Permitted E Certified E3 Conditionally Certified 13 Registered Date Last Operated or Above Threshold:
Farm Name: GAt0.PAuttt•.x.FaxX............................. ...................................................... County: GAN& .................................................. �'l�AJRQ.......
Owner Name:................................................... GRUs..P.O.Ory-Farm ............................. Phone No:(Z5,ZjAfi5r8,626 ........................................................
MailingAddress: Z92.5&yAg,C.Rgad................................................................................. carapuke XC..................................................... V22,6 ..............
FacilityContact:.............................................................................. Title:.........:........,............................................. Phone No:................................. .............
Onsite Representative: M1rS,.., Ar.daAl................................................................................ Integrator: In.dAirAdwit................................................
Certified Operator:Palitj....................................Ulu ................................................. Operator Certification Number:193.70.....
Location of Farm:
4 miles North of Sunbury and 1 mile off NC 32.
[I Swine ® Poultry ❑ Cattle, ❑ Horse Latitude 36 • 29 55 Longitude 76 • 35 25 Lc
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Population
❑ Wean to Feeder
® Layer
180000 0
❑ Dairy
❑ Feeder to Finish
❑ Non -Layer
❑ Non -Dairy
❑ Farrow to Wean
—71
[:]Farrow to Feeder
❑ Other
❑ Farrow to Finish
Total Design Capacity
180,000
❑ Gilts
Total SSLW
720,000
❑ Boars
Number'ofLagoons 2
Discharges & Stream impacts
I. 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
Was a Collection & Treatment.
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ®No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ...........m.Uds.......................salids............ .......... Rrimary........... ....... S.ecandary........ ......................................................................
Freeboard (inches): 9 9 26 28
12/12/03 Conthrued

Facility Number: 37—i Date o.fInspection 10/19/2004
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 ❑ 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 Anolication
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® 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 > 3000
12. Crop type Coastal Bermuda (Graze) Corn, Soybeans, Wheat Milo
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?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (Le, residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes ❑ No
❑ Yes [:)No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
Comments (grefer to question #}: Explain any,YES answers and/or any recommendations or❑any athe PY Final Notes
Use drawings of facility to better explain situations.'use additional pages as necessary): Field Ca
4) Need to pump water from solid traps into secondary lagoons. �►
There is a rodent hole approx. 50 yds. past power line pole on secondary lagoon wall, Need to kill rodents and fill holes.
Waste 7/1/04 w/ GP1=2.2 IbsN/1000gal., GP2=0.07 & GP3=0.03.
Soils dated 7/16/04 w/ up to 1.5 Vac lime required on field "SP" and I T/ac lime requied on "13". Copper levels within guidelines.
inc Index of 5,718 on field "L2" is above the 3,000 threshold limit. Waste may no longer be applied to field "12". All other Zn-I leve
;low 700.
) Missing irrigation records. Do not know when last applications were made,
Mr. Jordan has been wanting to close out the 2 small solids traps. Make sure to have your technical specialist, Mark Pollock (Gates
�W), write a sludge removal plan.
Reviewer/Inspector Name Scott
Reviewer/Inspector Signature:
Date:
12112103 . Continued

Facility Number: 37-1 Date of Inspection 10/19/2004 30
-Required 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/ WUP, checklists, design, maps, etc.)
❑ Yes
®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
® 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
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Additional Comments and/orDrawings:
is farm has not been populated since the year 2000.
TOTE: I have left an application in order to modify the current Certificate of Coverage for this facility to reduce the permitted number
f animals so that this farm would be covered under the State Non -Discharge General Permit and not the current NPDES General
ermit. This would mean that you would have 2 years to complete a sludge Survey and 2 years to calibrate your irrigation equipment,
nd there would be no Annual Certification due by the first of March every year. Please call me to discuss this suggested option.
Office: [phone] Cell: [phone].
1) Has not mailed Device to Stop Irrigation Event form to Raleigh.
3) Has not conducted annual sludge survey.
4) Has not calibrated waste application equipment.
5) Has not recorded rainfall events on proper DWQ forms.
12112103

Return to Back to print
EM�j
Layouts Finder

State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
Animal Waste Management Systems
Request for Renewal of Existing Certificate of Coverage for State Non -Discharge Permit
I Facility Number.:
2 Facility Name:
Please do not leave any question unanswered.
or Permit Number:
3 Landowner's name (must match the name on the Certified Animal Waste Management Plan):
4 Landowner's Mailing address:
City, State: Zip:
Telephone Number (include area code):
5 County where facility is located:
6 Farm Manager's name (if different from Landowner):
7 Farm Manager's telephone number (include area code):
8 Number and Type of Animals: (example: 2000 Feeder to Finish Swine)
Swine:
Confined Cattle:
Poultry with liquid waste system:
Submit a copy of the most recent Waste Utilization Plan with this application. The Waste Utilization Plan must he signed by
the owner and a technical specialist.
1 attest that this application 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. Note: In accordance with NC General Statutes 143-215.6A
and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application may be
subject to civil penalties up to $25,000 per violation.
Printed Name of Signing Official (Landowner, or if multiple Landowners all landowners should sign. If Landowner is a corporation
signature should be by a principal executive officer of the corporation):
Name: Title:
Signature: Date:
THE COMPLETED APPLICATION 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

(Type of Visit t Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit a Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number Date of Visit:
Aft Permitted Certified [3 Conditionally Certified[3Registered
Farm Name: ............444 ......... ieI.14/ . ..rMal +"7. U.-�
OwnerName:............................................................. /,,.......►®`... "`..
Mailing Address:
�s Time:
10 Not Operational Q Below Threshold
Date Last Operated or Above Threshold: .........................
County:....... G�.............................................................
Phone No:
FacilityContact: ................MM...............�.....`....................................... Title:................................................................ Phone No: .............................................
Onsite Representative:...i'IrS.ti... s!py.............................................................. Integrator:.....—.QjoojPL4.............................................
Certified Operator: .............................................. I .... .. . .... . .......... ........ .............................. Operator Certification Number:..........................................
Location of Farm:
❑ Swine Poultry ❑ Cattle ❑ Horse Latitude ' �' �" Longitude '
CIZi'rentdr irtf DeSII1 I f[ J Current f '> f ,I J r Design n I Current ��
f anaritv,�Pnnntatioit,.=, ,Poultiw`r `. " '''Caiia'city"'Pneulaben.' Cattle ,.f a
Swine. ,.;._ {J, E'J, Cange�tvrPonulg6en„
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
I❑ Non -Layer J �"]❑ Non-Dair}
r ❑ Other
#Rya 3T.£{07 a 7 n r rf L �� r r
:
t J f v yJ
a7 - R 'Nnlllberr O� L ob
n�� • tr4 f..L.• ♦f� f.as
Disebaraes & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
❑ Yes A7No
❑ Yes ❑ No
❑ Yes [:)No
❑ Yes ❑ No
❑ 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
Struc ure 1 Sit 2 S ucture 3 Siruct re 4 Structure 5 Structure 5
Identifier:...,�P�RS...................5?�irlN......................�, Y',.............I t:..................................................................................
Freeboard (inches): 2
ti Y
12112103 4r Continued

Facility Number: — Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or ❑ 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) + * �� 6 ,
7. Do any of the struc`ures need mai tenance/improvement? -� YAL r lL, , k p , Yes ❑ No
V3 ro 1�01e ap raw Sb yoLS . a��- a� +r ,: „rx P°
8. Does any part of the waste management system other than w,e3tructure require maintenance/improvement? ❑ Yes No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level ❑ Yes J�No
elevation markings?
Waste Application
10. Are there any buffers that need maintenancelimprovement? ❑ Yes No
11. Is there evidence of over application? If yes, check the appropriate box below. ❑ Yes No
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑ Coppe and/or Zinc
12. Crop type
13. Do the receiving crops differ with those designated in the Certifie 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 A No
16. Is there a lack of adequate waste application equipment? ❑ Yes 42No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes _k?No
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes 32rNo
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 No
Air Quality representative immediately.
VtiI-t'StL'srit#3 .J.'tb .:.". 7 i1 _'f�', '3+d f•. �'
n�n�e�larinare V anv nfliannn'en�nonlezlt �.'u. Pi hit .e•a r
;Use dramngs of facthty to betterfexplatn situ�►tions '(use additionall{ pages as necessary) !;�El Field Copy ❑ Final Notes
1.: ��'• )t .fr n.. .1, R '.. �� ��T7,
4—e r7, 41
#i\
N lio � j09-w 0.0 7 �—
P3 �, o3 .
so-� x 3
�l j�k f �� trt��%
�t�/� �It++^�.
r
�
if
I .T1v ."/-V . Caftpew-
1,Af
7
pI
I)p,u
/]
-�4 L'Z , A//
oA� Zn —1 OPJ
. 2L
Reviewer/Inspector Name`' ;
Reviewer/Inspector Signature:
Date:
12112103 Continued

Facility Number: — Date of Inspection +0 1
Required Records & Documents 9970,
7�
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available? 7T' ❑ Yes OrNo
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) ❑ Yes R No
23. Does record keeping need improvement? If yes, check the appropriate box below. XYes ,,'No
R Waste Application 'Freeboard ❑ Waste Analysis [I Soil Sampling 1
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes q No
25. Did the facility fail to have a actively certified operator in charge? 7 ❑ Yes ❑ No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes 4 No
27. Did Reviewer/Inspector fail to discuss review/mspection with on -site representative? ❑ Yes ® No
28. Does facility require a follow-up visit by same agency? ❑ Yes V No
29. Were vny additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes M(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? JVYes ❑ No
34. Did the facility fail to calibrate waste application equipment? IF Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. Yes ❑ No
❑ Stocking Form ❑ Crop YierdForm ,P Rainfall ❑ inspection After 1" Rain
❑ 120 Minute Inspections ❑ Annual Certification Form
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
✓Q. lP.A'� Gr/'r 1 A fjM►Oop
4 ✓- 44 P, m rl rn w► 4✓h
s0 - +s � S f JL
� „�� Pe,r►y,:� n@`� - Lwrra� tA7C5 Car..ler,(
Qvtp �, dt4J
Pleast c d1 '%q. 4 C ct.Ss 44,;s s4Jq�
} s o - r_ ►uL- [ c,4,,-..2 s l ►age s *- • , .,.
��] N•s ho+' �,jtb,� was �®l�r��• �,�r►/'�: .
�! �S haf TC pa1+A�+iG PrvrQ,�S a•►. 0.7� �}W�i �a�'✓r�S� l ] J
3�M;5� jrr` /'¢.cam na�' �yrirl� �wST ca1 iut/Trls`^'3 (4i.
t,ro.rk �' ®�. �d, 9 TL S 1'0�` �D� /
12112103 4 $ wre, wt ljp_v� 1 0,W1 5fis J o 5 5-
w r�4I a-, s I mo. #-e�. Va j prom.
J

Technical Assistance Site Visit Report
• Division of Soil and Water Conservation
O Natural Resources Conservation Service
O Soil and Water Conservation District
O Other...
Facility Number
Date: I9104
Time: 1 930
Time On Farm: 75 WARO
Farm Name Gates Poultry
Farm
County Gates
Phone: [phone]
Mailing Address 202 Savage Road
Corapeake NC
27926
Onsite
Representative Mrs. Rountree
Type Of Visit
IN Operation Review
❑ Compliance Inspection (pilot only)
❑ Technical Assistance
[]Confirmation for Removal
® No Animals -Date Last Operated: 11/1100
❑ Operating below threshold
❑ Swine ®Poultry ❑ Cattle ❑ Florse
Integrator lindependent
Purpose Of Visit
O Routine
O Response to DWQ/DENR referral
O Response to DSWC/SWCD referral
O Response to complaintllocal referral
O Requested by producer/integrator
O Follow-up
O Emergency
O Other...
Design Current Design Current
Capacity Population Ca acit Po uiation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
® Layer 180000 0
❑ Non -Layer
❑ Dairy
❑ Non -Dairy
❑ Other
GENERAL -QUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑ yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached ❑ yes ® no
surface waters or wetlands? '
3. Does any problem pose an immediate threat to the integrity of the waste structure (large trees, ❑ yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding ❑ yes ® no
requiring DWQ notification?
5. Is there evidence of improper dead animal disposal that poses a threat to the environment []yes ® no
and/or public health?
6. is the waste level within the structural freeboard elevation range for any waste structure? [:]yes ® no
Structural Structure 2 Structure 3 Structure 4 Structure 5
Identifier solids trap solids trap primary final IF
Level (Inches) 12 20 24 30
CROP TYPES lCoastal Bermuda -graze ICorn Soybeans Wheat mild
SPRAYFIELD
SOIL TYPES CrB RoA AtA
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
�1qI„q � y a3 .27
03/10/03
® Layer 180000 0
❑ Non -Layer
❑ Dairy
❑ Non -Dairy
❑ Other
GENERAL -QUESTIONS:
1. Is waste discharging from any part of the operation and reaching surface waters or wetlands? ❑ yes ® no
2. Is there evidence of a past waste discharge from any part of the operation that waste reached ❑ yes ® no
surface waters or wetlands? '
3. Does any problem pose an immediate threat to the integrity of the waste structure (large trees, ❑ yes ® no
seepage, severe erosion, etc.)?
4. Is there evidence of nitrogen over application, hydraulic overloading or excessive ponding ❑ yes ® no
requiring DWQ notification?
5. Is there evidence of improper dead animal disposal that poses a threat to the environment []yes ® no
and/or public health?
6. is the waste level within the structural freeboard elevation range for any waste structure? [:]yes ® no
Structural Structure 2 Structure 3 Structure 4 Structure 5
Identifier solids trap solids trap primary final IF
Level (Inches) 12 20 24 30
CROP TYPES lCoastal Bermuda -graze ICorn Soybeans Wheat mild
SPRAYFIELD
SOIL TYPES CrB RoA AtA
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
�1qI„q � y a3 .27
03/10/03

Facility Number 37 - 01 Date:
2/9/04
PARAMETER
Q No assistance provided/requested
p 8. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
❑ 9. Waste spill contained on site
25. Waste Plan Revision or Amendment
❑
❑
❑ 10. Level in structural freeboard
26. Waste Plan Conditional Amendment
❑
❑
❑ 11. Level in storm storage
27. Review or Evaluate Waste Plan w/producer
❑
❑
1912. Waste structure integrity compromised
❑ 13. Waste structure needs maintenance
28. Forms Need (list in comment section)
El
El
29. Missing Components (list in comments)
®
❑
❑ 14. Over application >= 10% & 10 lbs.
30. 21-1.0200
❑
❑
❑ 15, Over application < 10% or < 10 lbs.
re-certificatlon
❑ 16. Hydraulic overloading
31. Five & Thirty day Plans of Action (POA)
❑
❑
32. Irrigation record keeping assistance
❑
❑
® 17. Deficient irrigation records
❑ 18. Late/missing waste analysis
33. Organlzelcomputerizatlon of records
❑
❑
®19. Late/missing lagoon level records
34. Sludge Evaluation
®
❑
❑ 20. Late/missing soils analysis
❑ 21. Crop needs improvement
35. Sludge or Closure Plan
❑
❑
❑ 22. Crop inconsistent with waste plan
36. Sludge removallclosure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
® 23. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
Cl
❑
39. Operation & Maintenance Improvements
❑
❑
40. Marker check/calibration
❑
❑
Reaulatory Referrals
41. Site evaluation
❑
❑
❑ Referred to DWQ Date:
42. Irrigation Calibration
®
ElElReferred
to NCDA Date:
❑ Other...
,
43. Irrigation system design/installation
❑
❑
Date:
44. Secure irrigation Information (maps, etc.)
❑
❑
LIST IMPROVEMENTS
45. Operating Improvements (pull signs, etc.)
❑
❑
MADE BY OPERATION
46. Wettable Acre Determination
❑
❑
1
47. Evaluate WAD certification/rechecks
❑
❑
48. Crop oval uationlrecommen dations
❑
❑
2.
49. Drainage worklevaluation
❑
❑
50. Land shaping, subsolling, aeration, etc.
51. Runoff control, stormwater diversion, etc.
❑
❑
❑
❑
3
52. Buffer Improvements
❑
❑
53. Field measurements(GPS, surveying, etc.)
❑
❑
4.
54. Mortality BMPs
Cl
❑
55. Waste operator education (NPDES)
®
❑
5.
56. Operation & maintenance education
❑
❑
57. Record keeping education
❑
❑
6
58. Croplforage management education
❑
❑
59. Soil and/or waste sampling education
❑
❑
03/10/03

I_.
Facility Number 37 W 01 Date: 1 2/9/04
COMMENTS:
-soil test bated wz3vw uu, in ana ph within guidelines.
*Waste analysis dated 712103 nitrogen lagoon #1= 0.11 Ibs and lagoon #2=0.10 Ibs
17. Need to complete IRR2 for 2003 crop year by balancing nitrogen column #11.
*COC dated April 25, 2003 and on site.
"Mr. Jordan Jr. unable to attend review. Made records available for review.
34. Need to secure sludge evaluation.
42. need to calibrate irrigation reel.
55. Need to be using new forms that were mailed with NPDES package. Talked to Dennis Utt, Gates SWCD, requesting
time be spent with producer to educate on NPDES.
23. Producer has not mailed Device to Stop Irrigation Event to Raleigh.
*Remember to complete animal certification by March 1.
17. Need to be using new IRR1 and IRR2 forms.
29. Missing WUP.
19. and 29 missing lagoon freeboard levels from 1/05/04 thru 219104. Levels need to be recorded weekly including rainfall
events and form initialed.
12. Concern there are several rodent holes on inside of old lagoon dike wall and between old/new lagoon. Rodents need to
,be eradicated.
TECHNICAL SPECIALIST Martin McLawhorn
SIGNATURE
Date Entered: 120104 � 1 Entered By: IMartin McLawhorn
3 03/10/03

p Division of Water Quality.:
p Divisional' Soil and Water Conservation a, y
�0 Other Agency �F3�ti
Type of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation
Reason for Visit p Routine p Complaint p Follow up p Emergency Notification p Other p Denied Access
Facility Number Mite of Visit: 02/03/2003 Time: 1330
o perational p Below Threshold
Permitted ■ Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold:.1.U.0]L2,00A•
Farm Name: Gates Poultry Farm County: Gate& .................................................. WARD .......
Owner Name: Gates Poultry Farm
Mailing Address: 202.Sagage.Load.............................................
Facility Contact: ...............................................................................Title:
Onsite Representative: Li,nwond.Stroud............................................
CertifiedOperator: .................................................. ...................................
Location of Farm:
miles North of Sunbury and I mile off NC 32.
Phone No: [phone]
.................... CorapeaU.N.0 .............................
........... ................. I......................... Phone No:
............ 279.2(A..............
... Integrator:ladependattt....................
Operator Certification Number:.,
p Swine ® Poultry p Cattle i] Horse Latitude • + 66 Longitude • 6
Design Current
.Swine, Cap"achy Pop'alatlon
p Wean to Feeder
13 Feeder to mis
[3 Farrow to can
p Farrow to ee er
p Farrow to Fmis
13Gits
p Boars
Number o'f,L.ag99gs,. , .'
HoldingFoods'/ SolUTraps ;
Design ... „Current Design' Current
PoultryCapacity Population Cattle ,";Capaclty "Population
® ayer 1 190000 1 JE3 Dairy
[3 Non -Layer CI Non -Dairy
p Other
Total De81 n Ca aci
Total SSLW, 720,000
p hubsurt
- - ---- - - - 1,
Discharges & Stream Impacts
1. is any discharge observed from any part of the operation? p Yes ® No
Discharge originated at: [3 Lagoon p Spray Field p Other
a. 1f discharge is observed, was the conveyance man-made? p Yes p No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) 0 Yes p No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (if yes, notify DWQ) p Yes p 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? [3 Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway p Yes ® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:............aRlads............ ............ ia.Uds ............
It
Freeboard (inches)'.....1.5.':.............................. 1.5"".............. .............. 2.0........ ........ ...............6................. ................................... .....................................

Facility Number. 37_1 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, 13 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? 13 Yes 13 No
any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? p Yes ® No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? p Yes Ig No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? p Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? p Yes a No
11. Is there evidence of over application? ❑ Excessive Ponding p PAN p Hydraulic Overload p Yes a No
12. Crop type Coastal Bermuda (Graze) Corn, Soybeans, Wheat Cotton Milo
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes a No
14. a) Does the facility lack adequate acreage for land application? p Yes p No
b) Does the facility need a wettable acre determination? ❑ Yes El No
c) This facility is pended for a wettable acre determination? p Yes No
15. Does the receiving crop need improvement? p Yes a No
16. Is there a lack of adequate waste application equipment? p Yes p No
Rouir_ed
Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other Permit readily available?
Cl Yes
® No
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
p Yes
tM No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
p No
20.
is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
a No
21.
Did the facility fail to have a actively certified operator in charge?
N Yes
p No
22,
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
a No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes
a No
24.
Does facility require a follow-up visit by same agency?
p Yes
a No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
®No
Lp o violations or denciencies were noted urmg this visit. You will receive no further correspondence about is visit.
Comments''{refer',td'!questaan #): ivzplain,ai y. YE$ answers and7or any ecommendatfpns•or arry'Eother comments,,'.; ! E
! t ,
ecessa Field Co Final
Use drawiBngs of facility to�better explain situations (use additional pages as n, ry): 0 Copy 0 Notes
, z y a E.
1. At time of inspection, there is not a current OIC. Need to designate OIC or receive training ang OIC certification, Mr. Jordan was
A,
iven OIC change form.
19. Soil test dated 4/29/02, this was taken from 2002 DWQ inspection. Soil test for 2002 was not available at time of inspection.
*Remember to take soil test for 2003 and follow lime requirements.
19. Missing waste analysis dated 6/14/02. This date was taken from DWQ inspection dated 7/30/02. Need to contact local district for
copy and place in record book.
*PAN balances for 2002 crop year were not complete on IRR2.
wer/Ins ector Name '�� rsA Martin McLaivhat•n� 3 �!' � E
E
wer/Inspector Signature: Date:

' 0S10101 Conliur+eu
Facility Number: 37_1 Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below 13 Yes p No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? p Yes 11 No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, p Yes ® No
roads, building structure, and/or public property)
29, Is the land application spray system intake not located near the liquid surface of the lagoon? p Yes I& No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) p Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? p Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? p Yes p No
*Be sure to use the.most current waste analysis to balance FAN. No over app ication noted during 2002 crop year. Used waste
analysis.from 2001, crop year dated 6/5/01.
*In process of transferring waste from solids trap to final lagoon. Transfer pump wasbeing repaired from 1/6/03 thru 2/3/03.
*Lagoon level is recorded weekly.
7. N/A,-
0. N/A
I

4 Division of Water Quality
0 Division of Soil and Water Conservation
O Other Agency
(Type of Visit 0 Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit *Routine O Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number l�DZED= I
Date of Visit:
to Permitted Certified ©Conditionally Certified 0 Registered
Farm Name: po"I'L,
Owner Name: -
AV
Mailing Address:
t7 O Time:rO
Not Operational 0 Below Threshold
Date Last Operated or A ove Threshold:
County: A�_j
goPhone No:
Facility Contact: _ L_ A_n�J,!!n= Title: Phone No:
Onsite Representative: Integrator:..
r Q�j
Certified Operator: L I in, 1? Operator Certification Numher: 1210 jr `tea
Location of Farm:
[]Swine ,Poultry ❑ Cattle ❑ Horse Latitude 0' 06 0 {L Longitude 0' 04 0 k
Design Current
awiur La ac
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons
Bolding Ponds / Solid Traps
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
Layer 0 &OV ❑ Dairy
10 Non -Layer 1 10 Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Subsurface Drains Present IIL I Lagoon Area
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
❑ Yes V No
❑ Yes ❑ No
❑ Yes ❑ No
❑ 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 rue re 4 Structure 5 Structure 6
Identifier: 21'�
Freeboard (inches): /
05103101 Continued

Facility Number: — IDate of Inspection
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?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
W_asteAnnlication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Line, q6v7
13. Do the receiving crops differ wi'Cii- ose designated -in Certified AnitnalxWaste MArlagement P1an7CAWMP)? Ce o
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Reauired Records &Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, cheekJsts, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21, Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes V No
❑ Yes [;� No
[;( Yes ❑ No
❑ Yes [� No
❑ Yes P No
❑ Yes 4 Noa� �
❑ Yesj
XNo Vb!I'�
❑ Yes
allo Leo
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
® No
❑ Yes
ESNo
❑ Yes 14 No
❑ Yes IN No
❑ Yes .n No
❑ Yes f U No
❑ Yes ® No
❑ Yes m No
❑ Yes [K No
❑ Yes No
❑ Yes ® No
Q No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments,
Use drawings facility to better explain situations. (ruse additional pages as necessary): ❑ Field El Final Notes
5of
Aft
1w �I ►ul 4 K t�+++e.�.i a ri 1 �'►w► °� �^ �o Y►r�K+^► 4Y+v
J +"
4/1a1o.Z w/
At w4-k- (;P L 1 = ot14 16s OJ LA ; o,orlfdr Al h1aoa
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: O
05103101
Continued

Facility Number: 'Z — bate of Inspection
Odor Is es
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes [_—]No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes] No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes [ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes 4 No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan biade(s), inoperable shutters, etc.) ❑ Yes No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
A -a ly. ��K --•Z 'ram i , 1 -JIa4�
cr� a.►�,� �,�,.., .ti,.�.,�-�. ��l � {; -z�.�- CIS J � �.�2.�- 2 �r-�.,
`tom c�Ci 1` ��j �t/� �ci� Gyc►i' y�"'
1
v 1�0 r
05103101

O
Divrston 4 Wafor Quality ft ,
�1
Division of Soil and Water Conservation
p Other Agency r;
(Type of Visit p Compliance Inspection p Operation Review p Lagoon Evaluation I
Reason for Visit O Routine p Complaint p Follow up p Emergency Notification p Other p Denied Access
Facility Number Dare of Visit: 2/20/2002 Time: 1100
Not Operational p Below Threshold
Permitted ■ Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: .1.111120.00....
Farm Name: Gates Poultry Farm County: Gate& ....................................... ........... .W.ARQ.......
Owner Name:
Gates Poultry Farm Phone No: [phone]
Mailing Address: 202.Sa.vage.Road................................................................................. Corapcalm.NC ...................................................... 17916 ..............
FacilityContact:...................................................................Title: .......................
Onsite Representative: LinwondAurdan..........................................................
Certified Operator: Unwood,.D........................... Jordan.................................
Location of Farm-
miles North of Sunbury and I mile off INC-32.
.......................... Phone No:....................................................
.. Integrator: ndepenkul.............................
Operator Certification Number:2M0 .............................
p Swine N Poultry (3 Cattle p Horse Latitude �' �� ��° Longitude ��
Design Current
Swine Capacity Population
p Wean to Feeder
p Feeder to inis
p Farrow to Wean
13 'arrow to ee er
p Farrow to Finish
p Gilts
p Boars
Design Current I .. Design Current
Poultry Capacity Population Cattle Capacity Population
In Layer p Dairy
p Non -Layer p Non -Dairy :d
p Other ts.
Total Design Capacity 180,000
Tota13,SSLW 'I 720,000
Number of=Lag
oonsJE3 Subsurface Drains Present jo Lagoon Area la Spray Field Area
Hoi. in n Pods=l'Solid Traps ' ' 0 o Liquid Waste Management Sys em
0
Discharges & Stream Impacts
1, Is any discharge observed from any part of the operation? p Yes M No
Discharge originated at: E3 Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made? El Yes p No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) Yes r3 No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) p Yes p No
2. is there evidence of past discharge from any part of the operation? p Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Yes ® No
Waste Collection & Treatment.
4. Is storage capacity (freeboard plus storm storage) less than adequate? El Spillway p Yes N No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: so.lids.trap....... ....... solids.hrap....... ... ................................. .final............. ..:
Freeboard (inclics):................1.5................................L5...............................22................ ...a9................ .

..s . -W,
Facility Number: 37_1 Dale o1' Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
[3 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?
(If any of questions 4-6 was answered yes, and the situation poses an
p Yes
® No
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
® Yes
p No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
p Yes
® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
p Yes
® No
Waste Application
10. Are there any buffers that need maintenance/improvement?
p Yes
® No
11. Is there evidence of over application? ❑ Excessive Ponding p PAN ❑ Hydraulic Overload
p Yes
® No
12. Crop type Coastal Bermuda (Graze) Corn, Soybeans, Wheat Cotton Milo
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?
p Yes
®No
c) This facility is pended for a wettable acre determination?
p Yes
®No
15. Does the receiving crop need improvement?
p Yes
®No
16. Is there a lack of adequate waste application equipment?
El Yes
®No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
p Yes
®No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc,) -
p Yes
®No
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
N Yes
p No
20. is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
®No
21. Did the facility fail to have a actively certified operator in charge?
p Yes
®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
p Yes
® No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes
®No
24. Does facility require a follow-up visit by same agency?
p Yes
®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
® No
p o violations or deficiencies were noted uring this visit. You will receive no further correspondence about ns visit.
)Explain, ndations ot;any other comments_ },
Comments '(refer to goes#ion;#) ,YES„answers;anttlor anyrecomrne
any:.
,
Use drawings of facility to better exfslam situations. (use additional pages, as necessary�,
p Field Copy ❑ Final Notes
" E
I ! E
*Remember to take soil test for 2002 an o1 ow lime requirements. Suggest keeping lime receipts.
*Waste analysis dated 6105101 nitrogen is L1=0.25 Ibs/1000 gallons
L2=0.46 Ibs/1000 gallons
*There has been no irrigation events since. DWQ inspection dated 12/18/01. Remember to take waste analysis 60 days before / 60 days
after irrigation events.
*Mr. Jordan wants to remove sludge from both solids traps and properly close these traps. Needs to contact tech. spec concerning
guidance for removal of sludge and closure of these traps. Plan needs to be developed to apply sludge to fields at agronomic rates.
*Lagoon level is being recorded weekly.
'W
Reviewerltnspector Name Martin McLuwhorn;, ,
Reviewer/Inspector Signature: Date:

OS/03%0� Continued
Facility Number: 37_1 Mile of Inspection
Odor Issues
25.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
17 Yes
p No
liquid level of lagoon or storage pond with no agitation?
27.
Are there any dead animals not disposed of properly within 24 hours?
p Yes
❑ No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
p Yes
® No
roads, building structure, and/or public property)
29.
Is the land application spray system intake not located near the liquid surface of the lagoon?
p Yes
® No
30.
Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
p Yes
[]No
31.
Do the animals feed storage bins fail to have appropriate cover?
p Yes
❑ No
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
p Yes
p No
-. .
7. N/A
30. N/A
# 1. N/A
*Soil test from 2001 required time to be applied to fields H 10 and H9 at a rate of one ton per acre. Lime was applied at this rate;
19. There is not a current waste analysis to cover irrigation events after 8/5/01.
*Commercial fertilizer that is applied to crops listed' in waste plan must be deducted from PAN of that crop.
*Records are complete and balanced.
7. Numerous rodent holes on top and inside dike walls of lagoon #4. These animal need to be eradicated and holes need to be
filled. Need to monitor more close to prevent rodent activity.
*Solid set system has not operated in 2-3 years.

ew akptA s -�-
. Y �. s �, � � �a, Y!r � e � 9a"�I �� � i�ion �� •T at�� �i,�all�� � ' �' J � � � � • � i �' �. � - .i��"
O Division of Sail and Waterl`Conservadon
Ot r Age c�
,.:��'�� n; � - �..,. . .. i7i 4 ,_�, a•V III �?p�� , gz..�
Type of Visit t'Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit GYRoutine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Date of Visit: .D I I Time: 10 5 O
Facility Number
® Not O erational tD Below Threshold
[Permitted [Certified 0 Conditionally Certified [3 Registered Date Last Operated or _Above Threshold: .U./a pne...
Farm Name: ......... (a ��..... au 1 .�'.........F .!'' ... County:..... ta_k.6......................................
Owner Name: ................................................... ..�.....Phone No; ...... 2E....... �a.s..'..r .6 7.. ..................... »:.
FacilityContact: ............................................................................... Title:..........................
Mailing Address: .....2!1........ :..,cL\ /e,4 A... ............................................
OnsiteRepresentative: .... LhWoc ^i�r ate,
...................................................................................
Certified Operator:............,vt v.lp acQ :1A.�. yl...................... ...................................... .............
Location of Farm:
PhoneNo: ...................................................
.....Lr..r,.rti G4:.........�1� ....................... ..;?—r
Integrator:.... .............................
Operator Certification Number ........ g Z©cq................
❑ Swine ❑ poultry ❑ Cattle ❑ Horse Latitude Longitude
Design Current Design Current Design Current
Soulon a eCapacity. Population, r3Ca actPo Matr
capacity Pulatioa„
❑Wcan to Feeder ❑ Layer tgpom Dairy
❑ Feeder to Finish ❑ Non -Layer 1 10 Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑ Other
❑ Farrow to Finish Total Design Capacity
❑ Gilts j:,
❑Boars Total SSLW
Number of Lagoons:— 10 Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holdingfonds'1 Salid Traps,. ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (Feehoard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
o...:...... !tee.{?+:: �.........�
Identifier: ... t Q ��.......................................
Freeboard (inches): Z�
5/00
❑ Yes dNo
❑ Yes ENo
❑ Yes [(No
M
❑ Yes o
❑ Yes [/lo
❑ Yes [31Vo
❑ Yes Imo
Structure b
Continued on back

Facility Number: 3 — j Date of Inspection Z-1 g-v
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes [2/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 [�No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes E�No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes U/No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes dN0
11. Is there evidence of over application? Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes [�No
12. Crop type LOY Yt Vj �e /�6's", 6,," ` "o�6 n ' M�
rt t
18. Does the f L ility fail o have 11 co onents of the Certified Animal Waste Management Plan readily available?
t,
'
Yes
EIo
(ie/ W check s, desigPi, ma etc.)
❑
"Yes
No
19.
Does record keeping need improvement? (ie/ irrigation, fre ard, ante as & soil sampl rt reports)
[
❑
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
0-No
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
[ 14-6
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
Yes
(ie/ discharge, freeboard problems, over application)
❑
[Tgo
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
Uf4o
24.
Does facility require a follow-up visit by same agency?
❑ Yes
Flo
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
[v(14o
YiQli¢nEs o iif�c�e�i rrre pQte�1 �1H`i�g th�s:v�s�t; Yo>j� wild �ee$iyeo fut#tOt' . .
ctirres mideirce aboulr this visit •
cl omments (refer,to question #): `Explain any3YES'ari w' 'and/or any recommendations or,any other' comments.' �,' , r ,
Use drawings. of facility to better explain situations, (tree addjtlonal pages as necessary): a ' � ,�
•-�a - �GiD D tN^c� � �P�GR.Q.� „ 5
8 +� T�ul 42c�0 A�
11n i r ec boa rd 5 Li r�C1 cLu c� 1 c�hl �-r
i S S "� l �ve_Ls Le Uc is a,r-e_ v c.LmLv_1� �u' ►� �$" a it a.c dal e.�,,,
2 5..9 -7 -- 4-0
§�l � �
"�-� U • �'a�.e � L� c� sA-#� � a s � .. 1 r�-�_c_ 3 .� Gsc. �c. r� �LL�...--� ►..�
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: /2 /L22 l 5/00

Facility Number: 3-1 - Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes 0 No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Addition a omments an or Drawings:� y
w�S DI L1 - D,ZS - t_Z - b,y-�,
—
G� a�.t-a t3 U Ste- Q - l .
5/00

O'Dn islon of Water Quality
A`ooil and XwiAter Coftiervatio
tv f0� Other fn
Type of Visit O Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit OO Routine O Complaint O Follow up Q Emergency Notification O Other ❑ Denied Access
Facility Number 37 O1 Date of Visit: 5/30/2001 Time: 930 Printed on: 912112001
Not O erational 0 Below Threshold
® Permitted ® Certified 13Conditionally Certified ©Registered Date Last Operated or Above Threshold: .11/.t/20Q.0.....
Farm Name: G.a ��.PA1 t1rY.. ,� 1......................... ... County: G#tCa.................................................. WAR.0.......
OwnerName:....................................................Gait,9l vult y-FaICAiI.............................. Phone No: =465-AZ68..........................................................
Mailing Address: RJJJJ83_.........................._...................................... ...... ....... GOICAPAACM ..................................................... 27.926 .............
Facility Contact:
Title:
Onsite Representative: Litxyxpud.J.Qrdan.........................................................
Certified Operator:1.Mato.od................................ jurd" ...................
Location of Farm:
Phone No:
Integrator: JRdM1lE;llidGllk.............................................
Operator Certification Number: 20.31).Q .............................
t miles North of Sunbury and 1 mile off NC 32. +
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude ° t C�61 Longitude �° �; �44
Design Current
Swine Canacity Panulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
® Layer 180000 0 ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 180,000
Total SSLW 720,000
.Number of Lagoons 2 ❑ Suhsurrace Drains Present ❑ l at;cwn Area ❑ Spray Field Area
Holding Ponds [Solid Traps ❑ No Liquid Waste Management Sy stem
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
it. If discharge is observed; was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the Stale? (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 it discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure 1 Structure 2 Structure 3 Structure; 4 Structure 5 Structure 6
identifier: solld.1ralt......... ......... solid.irap......... ...................................
" 20 20 19 32

05103101 Condmued
1
Facility Number: 37-01 Date of Inspection 1 5/30/21101 printed on. 9/21/2001
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? [I 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 ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any studures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste AnnliCatiOn
10. Are there any buffers that need maintenance/improvement? [:]Yes ® No
I I . Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Yes ❑ No
12. Crop type Coastal Bermuda (Graze) Corn, Soybeans, Wheat Cotton Milo
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?
b) Does the facility need a wettable acre determination?
c) 'Phis facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspedor fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
© No violations or deficiencles were noted during this visit. You will receive no further correspondence about this visit.
(refer'to question #): Ex 'trainy an j YES a` Comments � p answers and/or any recorinmendations or anyother conrne`nts.
Use drawings of facility to better explain situations. (use additional pages as necessary): ❑ Field Copy ❑ Final Notes
*Soil test dated 5/4/01. Field 1-1 l0 and 1409 require one ton lime per acre. At time of inspection, lime has not been applied. Remember to
follow lime requirements.
19. Lagoon freeboard levels have not been recorded since fall of 2000. General permit requirement requires that lagoon level be recorded
weekly.
19. Soil test for year 2000 not in record book.
19. IRR1 information has not been transferred to IRR2 and balanced from year 2000. Unable to answer question # 11.
*There have been no irrigation events this year (2001) up to this inspection.
19. There is not a waste analvsis to cover irrigation events on coastal bermuda graze for year 2000.
p T? t
Reviewer/Inspector Name ft in McLawhorn
RPwiawar/inunr+r *nr Ciona4urp- tlwtr

' '03 03/01 Continued
Facility Number: 37-01 Date of Inspection 5/3Ul2001 1 Printed on: 9/21/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wild drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permancnthemporary cover?
Auarnonap %,ommenrs anuior urawmgs:
15. Spray fields that are located around lagoon have weeds and are in immediate attention for weed control.
7. Need to mow lagoons to allow for routine and visual inspections.
"Need to lower lagoon #3 as weather permits and by following guidance from waste plan.
32 NIA
31 NIA
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes [:]No
v

n - -' ..
O Divisio`n of Water`Qulity
4
<
b Divisiowof Soil anti Water. Conservation
y _
Q Other Agency
1 b
3 t�J h S .. ti
3{� F'•
p
��1
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O+ Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 37 Ol Date orvisit: Time: t4:t10
.® 10 Not Operational Q Below Threshold
D Permitted ® Certified E3 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ....................•....
Farm Name: Gales.)Peultry..FArm...................................................................County: Galles.................................................. W.r RO.......
.........
Owner Name: .. CiAt u.P.QuiI¢y-Fawn P.Quilry-Fam ............................. Phone No: 919.46&.87.68 ..................................
Facility Contact:...................................................... .. Title: ... Phone No:
Mailing Address: RI.3..B.Qx.18,3.......................................................................................... Goraprake.NC ..................................................... 2.7926..............
Onsite Representative: jjAlxq.Qd.JjQrdatt........................................................................ Integrator: .................................................................... I ............... ...
Certified Operator: UT uomd.B............................ dmrt).............................................. Operator Certification Number:17.73.6 .............................
Location of Farm:
I miles North of Sunbury and 1 mile off NC 32. A,
w
❑ Swine ® Poultry ❑ Cattle ❑ Horse Latitude ° 6 66 Longitude C ° 4 �K
Design Current
Swine Canarity Pnnnlation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design 'Current
Poultry Capacity Po ulation Cattle Capacity Population
® Layer 180000 70,000 ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity 180,000
Total SSLW 720,000
Number of Lagoons ` _J ❑ Subsurface Drains Present 110 Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream impacts
. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Sprav Field ❑ Other
a. ll'disc ltargc is observed. vas the conveyance man-made? [:]Yes❑ No
b. If discharge is observed, did it reach Water of the State? (If fires, notify DWQ) ❑yes ❑ No
a. 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 We 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 Stnnctitre 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:..........Scdid.)..................... sAlid.2........... ............. SMIL l..---.....................Big..............
Freeboard(inches):................18................................30................................1.9..............................24........................................................................................

5100
Facility Number: 37-01 Date of Inspection 8/29/2000'
5. Are there anv 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?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
l l . Is there evidence of over application? ❑ Excessive Pending ❑ PAN ❑ Hydraulic Overload
12. Crop type Soybeans Bermuda
Cond"med on back
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
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?
16. Is there a lack of adequate waste application equipment?
Re uired Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, neaps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance. with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
No violations: 6r:defiei,6icies,, were: noted during ihii,visit:: You "*-41;r6, ee, e'n© further: , ;
: correspondence about this.visit.- ... ..... .. .
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
Comments (refer to question #): Explain any VES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pales as necessary): 7
Solid traps are no longer active. Must continue to maintain the waste level in the traps. A large volume of
'outside drainage enters the solid traps.
The dike walls need mowing.
IRR-1 records are complete.
Must transfer IRR-1 information to IRR-2.
Must notify DWQ when either of two large lagoons has less than 19 inches ***
17
Reviewer/Inspector Name •• �, ,�� ' � bw,,,E `� , .

Reviewerllnspector Signature: Date: 51001
Facility Number: 37-01 Date of Inspection 8/29/21100
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt. ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32. Do the flush tanks lack a submerged till pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional Comments and/orDrawings:
v

Q Division of Water Quality
Division of Soil and Water Conservation
�.. 0 Other Agency
4''
Type of Visit O Compliance Inspection OQ Operation Review O Lagoon Evaluation
Reason for Visit @ Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 37 Ol Date of Visit: Time:
Q Not Operational Q Below Threshold
® Permitted ® Certified Cj Conditionally Certified 13 Registered Date Last Operated or Above Threshold: ............
Farm Name: Ga1es.Pov1tU..JUrm.................................................................. County: Gates.................................................. W..A 0.......
Owner Name: ................................................... .Gate.0.0millt y-Farm ............................. Phone No: 25Z-465A7C8..........................................................
Facility Contact:.............................................................................. Title: Phone No:
Mailing Address: R:t.j.BjR.><jSj.......................................................................................... C(trai take.1.!IIG...................................................... 17.926 .............
Onsite Representative: U!>tw adAo rdaat.......................................
Certified Operator:UrxnwiI.R........................... Jx1rdan .........................
Location of Farm:
II miles North of Sunbury and 1 mile off NC 32.
.., integrator:Indcpendent—...
Operator Certification Number:.17.7.3.6........................I...4
[]Swine ®Poultry ❑ Cattle [:]Horse Latitude ° 46. Longitude a &
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ 1,arrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
® Layer 180000 80000 1❑ Dairy
❑ Non -Layer n-Dairy
❑ Other
Total Design Capacity 180,000
Total SSLW 720,000
Number of Lagoons 2 ❑ Subsurface Drains PresentJ10 Lagoon Area 10 Spray Field Area
Holding Ponds 1 Solid Traps ❑ No Liquid Waste Management System
DischaEges & Stream "Impacts
I . Is any discharge observed from any part of the operation?
❑ Yes ® No
Discharge originated at; ❑ Lagoon ❑ Spray Field ❑ Other
:t. II'di charge is observed. -was the convcyaucc roan -made? [:]Yes ❑ No
b. If discharge is observed, did it reach Water -of the State'? (If yes, notify DWQ) ❑ Yes ❑ No
e. II'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 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:........w1ill.lzttp........ ........ swid.trap........ .................................... ............. final .............
Freeboard(inches).................IS...............................IR.....................,.........15...............................a6...............,.......................................................................

S/00
Facility Number: 37-01 Date of Inspection' 5/15/2000
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?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Asnlication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
Continued on back
❑ Yes
® No
❑ Yes
® No
® Yes
❑ No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
❑ Yes
® No
12. Crop type Coastal Bermuda (Hay) Corn, Soybeans, Wheat Cotton . Milo
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?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Pail to have Certificate bf Coverage & General Permit readily available?
18. Does the facility fail to have ail components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Pail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/laspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
�, No violations:or:d'eficiencies were:notedAu*ring'thH,v it:; Y6ti'will:receive:no�ffitrttier;•;•
•corresnondence about this.visit.' ::::::::::::::::::::::: :
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):
*Mr. Jordan stated there were no problems with chronic rainfall events in Sept 1999.
*Soil test have been taken, not received results on all spray fields.
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
® Yes ❑ No
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
4. Number 3 lagoon freeboard level is 15". General Permit requires DWQ to be notified if level is within 25 year/24 hr storm storage. Mr.
Jordan was irrigating from this lagoon at time of inspection. Suggested to Mr. Jordan he may want to transfer waste from lagoon #3 to
lagoon 4. 22. On 5/16/00, Mr Jordan notified DWQ at WARO coaccrning lagoon 43 level.
7. Lagoon. #4 needs outside and inside dike walls mowed to allow for routine and visual inspection.
7. Solid trap#1 has eggs and aluminum cans in pit. Appears there is small amount of sludge on outside wall of pit.
Reviewer/Inspector Name

Reviewer/inspector Signature: Date: S/pp I
Facility Number: 37-01 Date of Inspection 5/15/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence: of wind drill: during land application? (i.e. residue on neighboring vegetation, asphalt. ❑ Yes ® No
roads, building structure, and/or public property)
29. is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the: flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional omments and/or Drawings:
7. Solid trap #2 has eggs and aluminum cans in pit. Lagoon 0 has trash that needs to be removed and disposed of properly.
d
*Solids build up in lagoon #3 needs to be removed according to guidance from waste plan and land applied at agronomic rates. Be sure
to use SLDG-2 form.
*Lagoon level in #3 needs to be lowered as soon as possible and as weather permits in accordance to waste plan.
19. Need to secure waste analysis 60 days PRIOR/60 DAYS AFTER IRRIGATION EVENT. There were three irrigation events on
coastal bermuda.
27. Composting dead chickens.
**GPS file # 1.O51518a.
v

4 Division of Soil anid'-Watertii rvation - OperatiowRevievv
e'r 0 Division of Soil and Water€Conservation"'' Compliance Inspection:t t' ., ;
i,
® Division of Water Quality'»`Co'mpliance4nspection
Other Agency Operation Review'.,
6 9
L® Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number 3 / Date of Inspectio 5- i9-q9
Time of Inspection 24 hr. (hh:mm)
® Permitted ® Certified 0 Conditionally Certified 0 Registered 10 Not Operational Date Last Operated: ..........................
Farm Name: ............. 5......... . . County:..... ailzw ....... 0
Owner Name:
............ Phone No
Facility Contact: ......................... ............................................ ..... Title:................................,.,............................. Phone No: ...................................................
.
Za 2 S•t u ' . p
Mailing Address:.... ...... 4-f� k ................. t ......,.,.. ZVZ4..
Onsite Representative: z.Lit.4lwek.....Ti !&.1....integrator:.........................................................................
1,v-
Certified Operator:................................................................................................................ Operator Certification Number:,.........................................
Location of Farm:
A.
............................................................................................................ ...................
Latitude ° 4 � " Longitude • 4 "
Swine
Design Current.
Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
Design Current Design Current
Poultry`s Capacity Po' ulati'on., Cattle _ Capacity Population
® Layer /SOS !35 t7�D ❑ Dairy
❑ Non -Layer ` ❑ Non -Dairy
❑ Other
,f
Total Design, Capacity
Total SSLW
Number of.Lagoons Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holdipg Ponds / Solid Traps 0 ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: []Lagoon ❑ Spray Ficld ❑ Other
a. If discharge is observed, was the conveyance than -made`?
b. Ir discharge is observed, did it reach Water of the State'? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in galhnin?
d. Dees discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure; 5
Identifier: Y,.+, 30 /4 4mio �] -•~')"�`'�
od
10
Freeboard(inches): �fl ..l.........................2.1............................1.................... .............................
5. Are there any immediate threats to the integrity of any of the structures observed? (ief trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes G.No
❑ Yes ® No
❑ Yes R[ No
h /&-
❑ Yes 0 No
❑ Yes RNo
❑ Yes UNo
❑ Yes ❑ No
Structure h
❑ Yes Q No
Continued on back

Facility Number: 3-7 — Date of Inspection
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenatce/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Avelication
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application?
❑ Excessive Pondiin++g `,❑ PAN
12. Crop type Cp•Yrt, 6L� � B _ 6 iK5>t_ Yq
S—I9-9
[:]Yes
.:No
,a Yes
❑ No
❑ Yes
®..No
❑ Yes
54-No
❑ Yes
gNo
❑ Yes
jil-No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrig<�aste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes kNo
❑ Yes ,"No
❑ Yes allo
❑ Yes O No
❑ Yes ❑ No
❑ Yes j9-No
❑ Yes 9 No
❑ Yes ®'No
4RYes ❑ No
❑ Yes %NO
❑ Yes []No
❑ Yes RNO
❑ Yes J.No
❑ Yes .®'No
❑ Yes gZNo
P.�'Vo v�al'aioris:or deficier�c;ies ►►ire note dtrriit>ig phis' visit: Yoi� with teetiiye ttxo: fp thi'r. •
corres{�ondence. about. this visit. . . ... . . .. • • •
Comments (refer€ to'questi'on4):,E Fkplain,.any YE$ianswers and/or ariy recommendations or,any°other com" rents ...
Use drawings of facility to better explain situations. (use additional pages as necessary): J. ' Y
O-V_d;a aA4 /,� /`j�C3� G4"5 F
- � - 61-%- dAb WOW .mod. bL h,"arsS
�.� , 'TI'T"7 1 a T , "
Reviewer/Inspector Name �' I Ya r, ,1�tti- i t� a , �t xr ,l :. d , F3i
Reviewer/Inspector Signature. Mai �y-y— Date:
3/23/99

Facility Number: 3�1 — Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ❑ No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes ❑ No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ❑ No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ❑ No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑ No
32, Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Addiltional Comments. an or rawa.ngs:
Ad-
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3/23/99