370048_HISTORICAL_20171231

NORTH CAROLINA
Department of Environmental Qual
II

RA1
L%�Io
Ao
.x 2

Site Requires Immediate Attention:
Facility No. 317
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Date: (0, •, 1995
Time: `Iri
Farm Nam
Mailing
County:
Integrat
On Site Representative:
Physical Address/Location: V f�e'
Type of Operation: Swine ✓ Poultry Cattle
Design Capacity: No. of Ani— m� on Site:
DEM certification No.: ACE DEM Certification No.: ACNEW
Latitude: Longitude: Elevation: Ft
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Ft + 25 year 24 hour
storm event? (approximately 1 Ft + 7 in) Yes or No Actual Freeboard: Ft Inches O�� JA4
Was any seepage observed from the 1 oon(s)? Yes or
Was any erosion observed? Yes or g
Is adequate land available for spray? 9ye
or No
Is the cover crop adequate?
Crop(s) being utilized:
((!For No
Does the facility meet SC minimum setback criteria?
200 Ft from Dwellings? Y s r No 100 Ft from Wells
i_�s or No
Is the animal waste stockpiled within 100 Ft of USGS Blue Line Stream?
Yes or No
Is animal waste land applied or spray irrigated within 25 Ft of a USGS Map Blue
Line? Yes or No
Is animal waste discharged into waters of the
system, or other similar man-made devices?
If Yes, please explain:
state b an -made ditch, flushing
Yes o No'
Does the facility maintain adequate waste management records (volumes of manure,
land applied, spray irrigated on specific acreage with cover crop)? Yes or No
ns ct Name 5igna re
cc: Facility Assessment Unit
Comments & Sketch on Back of Sheet

DEM
SITE VISITATION RECORD
Page Two
Comments:
Sketch:
Sp- i 43s
X
E::j T:J