400097_INSPECTIONS_20171231

NUH I H CAHULINA
Department of Environmental Qual

INSPECTIONS
INSPECTIONS
INSPECTIONS

• a
Division of Water Resources
Division of Soil and Water Conservation
❑ Other Agency
Facility Number:
400097 Facility Status:
Active Permit: AWS400097
Denied Access
Inpsection Type:
Compliance Inspection
Inactive Or Closed Date:
Reason for visit:
Routine
County: Greene Region:
Washington
Date of Visit:
03/1512017 Entry Time: 11:48 am
Exit Time: 12:20 pm Incident #
Farm Name:
Bullhead Farm
Owner Emall:
Owner:
Maxwell Foods LLC
Phone:
919-778-3130
Mailing Address: PO Box 10009
Physical Address: 4265 Fort Run Rd
Goldsboro NC 27532
Snow Hill NC 28580
Facility Status: Compliant ❑ Not Compliant Integrator: Maxwell Foods LLC
Location of Farm: Latitude: 35° 28' 28" Longitude: 77° 47' 48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Jim lynch Phone:
On -site representative George Pettus Phone : [phone]
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
waste analysis: soil tested: 2015
2-13-17 = 1,00
11-29-16 = .70
9-9-16 = .53
8-8-16 = .54
6-13-19 = .84
IRR records are complete & balanced out.
Reviewed: sludge survey @27%; rainfall/freeboard; stacking; calibration in 2016
page: 1

Permit: AWS400097 Owner - Facility: Maxwell Foods LLC Facility Number: 400097
Inspection late: 03/15/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Design Capacity Current promotions
Other Animals
Animals Other 810 891
Total Design Capacity: 810
Total SSLW:
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon #1 07/06/95 19.D0 45.D0
page: 2

Permit: AWS400097 Owner -Facility: Maxwell Foods LLC Facility Number: 400097
Inspection Date: 03/15/17 Inppection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes No Na No
1. Is any discharge observed from any part of the operation?
❑
❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑
[]
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
M ❑
❑
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
0 ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
0 ❑
❑
State other than from a discharge?
Waste Collection. Storage & Treatment
Yes
No Na No
4. Is storage capacity less than adequate?
❑
0 ❑
❑
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
❑
0 ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
■ ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
M ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
■ ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
M ❑
❑
maintenance or improvement?
Waste Application
Yes No Na Ne
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ 0 ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ M ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN a 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
page: 3

Permit: AWS400097 Owner -Facility: Maxwell Foods LLC Facility Number:
400097
Inspection Date: 03/15/17 Inpsection Type: Compliance Inspection Reason for Visit:
Routine
Waste Application
Yes
No Na No
Crop Type 1
Coastal Bermuda Grass
(Hay)
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4.
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
■ ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
E ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
■ ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
E ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
E ❑
❑
Records and Documents
Yes
No Na No
19, Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
0 ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
0 ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWS400097 Owner -Facility: Maxwell Foods LLC Facility Number: 400097
Inspection Date: 03/15/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No Na No
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
E ❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
E ❑ ❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
0 ❑ ❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
N ❑ ❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
0 ❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
[]
N [] []
Other Issues
Yes
No Na Ne
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
N ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
0 ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑
0 ❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon I Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or ❑ E ❑ ❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ 0 ❑ ❑
34. Does the facility require a follow-up visit by same agency? ❑ N ❑ 0
page: 5

Division of Water Resources
Facility Number ®- ® O Division of Soil and Water Conservation
O Other Agency
Type of Visit: ® Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: ® Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: /01 - Arrival Time: I at a"'-O � Departure Time: O County: Region: l�Lll LQ
Farm Name: `ate .����J Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative:��
Certified Operator:
Back-up Operator: 67
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
1
Latitude:
Phone:?/
I i `r
Integrator: K
Certification Number: �Q_Q_3
Certification Number:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -La er
Non-L
Pullets
Other
Poults
Design Current
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
D Cow
Non -Dairy
Beef Stocker
Beef Feeder
Bcef Brood Cow
❑ Yes [(No ❑ NA ❑ NE
a. Was the conveyance man-made? ❑ Yes [:]No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system'? (If yes, notify DWR) [] Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ElYes YNo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facili Dumber: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes dNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No ❑ NA ❑ NE
Structure Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes EO/No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmen l threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yeso ❑ NA [3NE
8. Do any of the structures lack adequate markers as required by the permit? [] YesgANo ❑ NA 0 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 [] NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
[] Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window / ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12, Crop Type(s): ��'7`}' 'A2� %'r � d
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes '❑ o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes Zo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes YNo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑Yes o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes gNo
❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No 0 NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 " Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [.o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

LFaci lity Number: -91 Date of Inspection:-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ' 1 P� ❑ Yes VNo
�❑ NA ❑ NE
25, Is the facility out of compliance w' h permit conditions related to sludge? If yes, check [:]Yes ❑ NA ❑ NE
the appropriate box(es) below. j1-Gce,'
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Vo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
30, Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes 2(No ❑ NA ❑ NE
[:]Yes dNo
❑ Yes 43"No
❑ Yes CS/No
❑ Yes
❑ Yes
❑ Yes
Wo
o
FN o
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
_7'4 -
Reviewer/Inspector Name:
Reviewer/inspector Signatut
Page 3 of 3
Phone: 94zY_- ,V_;A4
Date: a ,a -41`
2141201 S

■ Division of Water Resources
El Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 400097
Facility Status: Active
Permit: AWS400097
Denied Access
Inpsectlon Type: Compliance Inspection
Inactive Or Closed Date:
Reason for visit: Routine
County:
Greene Region:
Washington
Date of Visit: 11/18/2014 Entry Time: 09:10 am Exit Time: 9:40
am Incident fl
Farm Name: Bullhead Farm
Owner Email:
Owner: Maxwell Foods Inc
Phone:
919-778-3130
Mailing Address: PO Box 10009
Goldsboro NC 27532
Physical Address: 4265 Fort Run Rd
Snow HIII NC 28580
Facility Status: Compliant El
Not Compliant Integrator:
Maxwell Foods Inc
Location of Farm:
Latitude:
35' 28' 28" Longitude:
77' 47' 48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
Dischrge & Stream Impacts
Waste Col, Stor, & Treat
Waste Application
Records and Documents
Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -site Reprosentative(s): Name Title Phone
24 hour contact name Jim lynch Phone:
On -site representative George Pettus Phone: [phone]
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Marlene Salyer
Inspection Summary:
waste analysis: soil tested: 2-2013
10-9-14 = .73
8-7-14 = .29
6.9-14 = .88
4-4-14 = .99
2-5-14 = .95
IRR records are complete & balanced out with PAN remaining.
Reviewed: rainfall, freeboard, stocking, s. survey & calbration.
Phone:
Date:
page: 9

Permit: AWS400097 Owner - Facility : Maxwell Foods Inc Facility Number: 400097
Inspection Date: 11/18/14 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Design Capacity Current promotlons
Other Animals
Animals Other 810 750
Total Design Capacity: 810
Total SSLW:
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon #1 07/06/95 19.00 47.00
page: 2

Permit: AWS400097 Owner -Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 11/18/14 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes No Na Ne
1. Is any discharge observed from any part of the operation?
❑
0 ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
M ❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
M ❑
❑
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■ ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■ ❑
Cl
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the
❑
MEI
❑
State other than from a discharge?
Waste Collection. Storage & Treatment
Yes No Na Ne
4. Is storage capacity less than adequate?
❑
0 ❑
❑
If yes, is waste level into structural freeboard?
❑
6. Are there any immediate threats to the integrity of any of the structures observed (Led large
❑
0 ❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
0 ❑
❑
waste management or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑
■ ❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
M ❑
❑
maintenance or improvement?
Waste Application
Yes No Na No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ 0 ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
Cl
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
[]
Application outside of application area?
❑
page: 3

Permit: AWS400097 Owner - Facility : Maxwell Foods Inc Facility Number:
400097
Inspection Date: 11/18/14 lnpsection Type: Compliance Inspection Reason for Visit:
Routine
Waste Application
Yes No Na Ne
Crop Type 1
Coastal Bermuda Grass
(Hay)
Crop Type 2
Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste
❑
0 ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■ El
[]
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
N ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
0 ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
0 ❑
❑
Records and Documents
Yea No Na No
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
0 ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
E ❑
❑
If yes, check the appropriate box below.
WUP? -
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
0 ❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
page: 4

Permit: AWS400097 Owner -Facility: Maxwell Foods Inc Facility Number:
400097
Inspection Date: 11/18/14 Inpsection Type: Compliance Inspection Reason for Visit:
Routine
Records and Documents
Yel No Na N
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
00
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
■ ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
0 ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
❑
❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
E ❑
❑
Other Issues
Yes_No_No No
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑
00
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes,
❑
0 ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
0 ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface the drains exist at the facility?
❑
❑
❑
If yes, check the appropriate box below.
Application Field
❑
Lagoon / Storage Pond
❑
Other
❑
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or
❑
❑
❑
CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
■ ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
E ❑
❑
page: 5

Division of Water Quality
❑ Division of Soll and Water Conservation
❑ Other Agency
Facility Number; AQ0097 Facility Status: Active Permit: AWS400097 ❑ Denied Access
Inspection Type; ,Compliance Inspection Inactive or Closed Date:
Reason for Visit: Boutin$. County: Greene Region: Washington
Date of Visit: lV31/2913 Entry Time: 12:25 PM Exit Time: 01:30 PM
Farm Name: B-ullheadEarm
Owner: Maxwell Foods 1j]g
Incident #:
Owner Email:
Phone: [phone]
Mailing Address: PO QQx 1Q002 Goldsboro NC 27532
Physical Address: Snow Mill NC 28580
Facility Status: N Compliant ❑ Not Compliant Integrator: Maxwell Foods Inc
Location of Farm: Latitude: 35°28'28" Longitude: 77°47'48'
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
© Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson
Secondary OIC(s):
Operator Certification Number: 20303
On -Site Representative(s): Name Title Phone
24 hour contact name Jim lynch Phone:
On -site representative Jim lynch Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date;
Secondary Inspector(s):
Inspection Summary:
waste analysis:
10-7-13 = 1.06
8-5-13 = .61
6-5-13 = 1.38
4-4-13 = 1.68
2-8-13 = .91
IRR records are complete & balanced out. Rainfall, freeboard, stocking/mortality are recorded.
crop yield = 121 bales 2013
sludge survey due 2014 Looks Good!
Page: 1

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Facility Number : 400097
Inspection Date: 10/31/2013 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Design Capacity
Current Population
Other Animals
O Animals Other 810 827
Waste Structures
Type
Identifier
Total Design Capacity: 810
Total SSLW:
Designed Observed
Closed Date Start Date Freeboard Freeboard
agoon #1 07106/95 19,00 49,00
Page: 2

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 10/31/2013 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
■
❑ ❑
c, What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■
❑ ❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■
❑ ❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than
❑
■
❑ ❑
from a discharge?
Waste Collection, Storage & Treatment Yes
No
NA NE
4. Is storage capacity less than adequate?
❑
■
❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe
❑
■
❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management
❑
■
❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■ ❑
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■ ❑
❑
improvement?
Waste Application
Yes
No NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■ ❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■ ❑
❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 3

Permit: AWS400097 Owner - Faclllty: Maxwell Foods Inc
tnapection Date: 10/31/2013 Inspection Type: Compliance Inspection
Facility Number: 400097
Reason for Visit: Routine
Waste Application
Yes No
NA
NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal
Bermuda
Grass
(Way)
Crop Type 2
Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14, Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑ ■
❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑ ■
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■
❑
❑
17. Does the facility lack adequate acreage for land application?
❑ ■
❑
❑
18. Is there a lack of properly operating waste application equipment?
❑ ■
❑
❑
Records and Documents
Yes No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑ ■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑ ■
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS400097 Owner • Facility: Maxwell Foods Inc Facility Number. 400097
Inspection Date: 10/31/2013 Inspection Type. Compliance Inspection Beason for Visit: Routine
Records and Documents Yes No NA N5
Checklists? ❑
Design? ❑
Maps? ❑
Lease Agreements? ❑
Other? ❑
If Other, please specify
21. Does record keeping need improvement? ❑ ■ ❑ ❑
If yes, check the appropriate box below,
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑ ❑
23, If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
■ ❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
01111
25. is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
01111
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
■ ❑ ❑
Page: 5

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Inspection Date: 10/31/2013 Inspection Type: Compliance Inspection
Records and Documents
Facility Number: 400097
Reason for Visit: Routine
27, Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑ ■
❑
❑
Other Issues Yes No
NA
NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report
❑ ■
❑
❑
mortality rates that exceed normal rates?
29, At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
❑ ■
❑
❑
Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge,
❑ ■
❑
❑
freeboard problems, over -application)
31. Do subsurface file drains exist at the facility?
❑ ■
❑
❑
If yes, check the appropriate box below.
Application Field
Lagoon / Storage Pond
Other
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
In
Page: 6

Division of Water Quality
Division of Soll and Water Conservation
❑ Other Agency
Facility Number : Facility Status: Active Permit: AWS400097 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Greene Region: Washington
Date of Visit: 08/16/2012 Entry Time: 09:00 AM Exit Time: 09745 AM Incident #:
Farm Name: Bullhead Farm Owner Email:
Owner: Maxwell Foods Inc Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address: 4265 FortRun Rd Snow Hill NC 28580
Facility Status: 0 Compliant ❑ Not Compliant Integrator: Maxwell Foods Inc
Location of Farm:
Latitude: 35°28'28" Longitude: 77°47'48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
Dischrge & stream impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson
Secondary OIC(s):
Operator Certification Number: 20303
On -Site Representativo(s): Name Title Phone
24 hour contact name Jim lynch Phone:
On -site representative Jim Lynch Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: _
Secondary Inspector(a)-
0
Date:
Page: 1

. Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 08116/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
Waste analysis:
8-01-12 = 1.1
6-7-12 = .98
4-10-12 = 1.1
2-13-12 1.5
IRR records are complete & balanced out. Rainfall, freeboard, stocking & crop yield are recorded.
calib. due 2012 & SS due in 2014
Looks Good!
Page: 2

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Inspection Date: 08/16/2012 inspection Type: Compliance Inspection
Facility Number: 400097
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Other Animals
O Animals Other 810 1,111
Total Design Capacity: 810
Total SSLW:
Waste Structures
Designed Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
agoon #1 07/06/95 19.00 4fi.00
Page: 3

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 0611612012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ Cl ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■ ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■ ❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than
❑
■ ❑
❑
from a discharge?
Waste Collection, Storage & Treatment Yea
No NA
NE
4. Is storage capacity less than adequate?
❑
■ ❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
B. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 4

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 08/16/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 10%/10 lbs.? ❑
Total Phosphorus? ❑
Failure to incorporate manurelstudge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Coastal Bermuda Grass
(May)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement? ❑ m ❑ ❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ ❑
17. Does the facility lack adequate acreage for land application? OSO ❑
18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑
Records and Documents Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ N ❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
WUP? ❑
Page: 5

Permit: AWS400097 Owner - Facility; Maxwell Foods Inc Facility Number: 400097
Inspection Date: 06/16/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes No NA NE
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑ ■
❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
Q
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
❑
Stocking?
❑
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑ ■
❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑ ■
❑ ❑
24, Did the facility fail to calibrate waste application equipment as required by the permit?
❑ ■
❑ ❑
25, is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑ ■
❑ ❑
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26, Did the facility fall to provide documentation of an actively certified operator in charge?
❑ ■
❑ ❑
Page: 6

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number. 400097
Inspection Date: 08/1612012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification? ❑ ■ ❑ ❑
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report ❑ ❑ ❑ ❑
mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional ❑ ❑ ❑ ❑
Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge, ❑ ❑ ❑ ❑
freeboard problems, over -application)
31. Do subsurface the drains exist at the facility? ❑ ❑ ❑ ❑
If yes, check the appropriate box below.
Application Field
Lagoon 1 Storage Pond
Other
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
Page: 7

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 400097 Facility Status: Active_ Permit: gujr ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Greene _ Region: Washington
Date of Visit: Q,yjQU011 Entry Time: 09:10 AM Exit Time: 09:45 AM Incident #:
Farm Name: BUIlhead Farm Owner Email:
Owner: Maxwgl( Fgods Inc Phone: [phone]
Mailing Address: PO Box 1QQ09 Goldsboro NC 27532
Physical Address: 4265 FQrt Run Rd Snow Hill NC 28580
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°28*28" Longitude: 7704T4j
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
Waste analysis: soil tested: 11-2010
8-10-11 = .85
6-1-11 = 1.6
4-1-11 = 1.6
2.1-11 = 1.6
IRR records are complete and balanced out.
Rainfall & freeboard are recorded.
Looks good!
Page: 1

Permit: AWS400097 Owner • Facility: Maxwell Foods Inc
Inspection Date: 0910812011 Inspection Type: Compliance Inspection
Facility Number: 400097
Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Other Animals
Q Animals Other 810 887
Total Design Capacity: 810
Total SSLW:
Waste Structures
Designed Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
lagoon #1 07/06/95 19.00 44.00
Page: 2

Permit: AWS400097 Owner • Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Dale: 09/08/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA ' NE
1. Is any discharge observed from any part of the operation? ❑ 0 ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ❑ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ❑ ❑ ❑
c. 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?
❑ E
❑
❑
3. Were there any observable adverse impacts or potential adverse impacts to Waters of the State other than
❑ ■
❑
❑
from a discharge?
Waste Collection, Storage & Treatment Yes No
NA
NE
4. Is storage capacity less than adequate?
❑ ❑
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Led large trees, severe U ■ U U
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, ❑ ■ ❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS400097 Owner • Facility: Maxwell Foods Inc
Inspection Date: 09/0812011 Inspection Type: Compliance Inspection
Facility Number; 400097
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%/10 lbs.?
❑
Total Phosphorus?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1 Bermuda Grass (Hey,
Pasture)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soi! Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management ❑ ■ ❑ ❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement? ❑ ■ ❑ ❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ ❑
17. Does the facility lack adequate acreage for land application? ❑ ■ ❑ ❑
18. Is there a lack of properly operating waste application equipment? ❑ ■ ❑ ❑
Records and Documents Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available? ❑ ■ -❑ ❑
20. Does the facility fail to have all components of the CAWMP readily available? 1100 ❑
If yes, check the appropriate box below.
WUP? ❑
Page: 4

Permit: AWS400097 Owner • Facility: Maxwell Foods Inc
Inspection Date: 09/08/2011 Inspection Type: Compliance Inspection
Records and Documents
Facility Number: 400097
Reason for Visit: Routine
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
❑
■ ❑ Cl
If yes, check the appropriate box below.
Waste Application?
❑
Weekly Freeboard?
❑
Waste Analysis?
❑
Soil analysis?
❑
Waste Transfers?
❑
Weather code?
❑
Rainfall?
Cl
Stocking?
❑
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑ ❑
23. It selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
E130
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ ❑ ❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
■ ❑ ❑
box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a POA for sludge levels
❑
Non -compliant sludge levels in any lagoon
❑
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑
■ ❑ ❑
Page: 5

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Inspection Date: 09108/2011 Inspection Type: Compliance Inspection
Facility Number,: 400097
Reason for Visit: Routine
Records and Documents Yes No
NA
NE
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑ ■
❑
❑
Otherissues Yes No
NA
NE
28. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report
❑ ■
❑
❑
mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
❑ ■
❑
❑
Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? (i.e., discharge,
❑ ■
❑
❑
freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility?
❑ ■
❑
❑
If yes, check the appropriate box below.
Application Field
Lagoon / Storage Pond
Other
If Other, please specify
32. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
33. Did the Reviewer/inspector fail to discuss review/inspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
Page: 6

■ Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 40QQ97 Facility Status: 80iy-e Permit: AWS400097 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine - County: Greene Region: Washington
Date of Visit: 12/21/20,1Q Entry Time: 11:15 AM Exit Time: Incident #:
Farm Name: Bullhead Farm __ Owner Email:
Owner: Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address: 4265 Fort RuQ Rd now Mill NC 28580
Facility Status: E Compliant ❑ Not Compliant
Location of Farm:
Integrator: Maxwell Foods Inc
Latitude:55*28'28" 1 Longitude:77°47'48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel,
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone: [phone]
On -site representative George Pettus Phone: [phone]
Primary Inspector: Marlene Salyer Phone:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
waste analysis:
10-01-10 = .92
08-10-10 = 1.1
6-01-10 = 1 A
3-29-10 = 1.1
soil tested 2009 samples pulled Nov. 2010 SS 2014 Calib. 2010
fields to lagoon look good. Looks good.
Date:
Page: 1

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 12/21/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Other Animals
Q Animals Other 810 938
Total Design Capacity: 810
Total SSLW:
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
kgoon #1 07/06/95 19.00 51.00
Page: 2

Permit: AWS400097 Owner- Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Data: 12/21/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) 00110
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑ ■
❑ ❑
2. Is there evidence of a past discharge from any part of the operation?
❑ ■
❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑ ■
❑ ❑
discharge?
Waste Collection Storage & Treatment
Yes No
NA NE
4. Is storage capacity less than adequate?
❑ ■
❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe
❑ ■
❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■
❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑ ■
❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑ ■
❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑ ■
❑ ❑
improvement?
Waste Application
Yes No
NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑ IN
❑ ❑
improvement?
11. Is there evidence of incorrect application?
❑ ■
❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 12/21/2010 Inspection Type: Compliance Inspection Reason for Vlslt: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 10%110 lbs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Coastal Bermuda Grass
(Hay)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑ ■
❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑ ■
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑ ■
❑
❑
17. Does the facility lack adequate acreage for land application?
❑ ■
❑
Cl
18. Is there a lack of properly operating waste application equipment?
❑ ■
❑
❑
Records and Documents
Yes No
NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑ ■
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑ ■
❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Facility Number : 400097
Inspection Date: 12/21/2010 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes
No NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■ ❑
Cl
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?
Q
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES
only)? ❑
■ ❑
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ ❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■ ❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■ ❑
❑
27. Did the facility fail to secure a phosphorous lass assessment (PLAT) certification?
❑
■ ❑
❑
Other Issues
Yes
No NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■ ❑
❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Inspection Date: 1212112010 Inspection Type: Compliance Inspection
Otherlssues
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32, Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
34. Are subsurface drains present on this farm?
If yes, check the appropriate box below.
Spray Field
Lagoon 1 Storage Pond
Other
Facility Number : 400097
Reason for Visit: Routine
in
Page: 6

r
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number ; Facility Status: Active Permit: AWS400097 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date;
Reason for Visit: Routine County: Greene Region:
Date of Visit: � 1/12/2009 Entry Time:09:35 AM Exit Time:
Incident #:
Farm Name: Bullhead Farm Owner Email:
Owner: Maxwell Foods Inc Phone: [phone]
Mailing Address: PO Box 10009 _ _
Physical Address: 4265 Fort Run Rd ,Snow Bill NC 28580
Facility Status: 0 Compliant ❑ Not Compliant Integrator: Ma&Uell Foods Inc _
Location of Farm: Latitude: Z5°28'28" Longitude: 77°47'48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel,
Question Areas:
Discharges & Stream Impacts
Records and Documents
Waste Collection & Treatment Waste Application
Otherlssues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone: [phone]
On -site representative George Pettus Phone: [phone]
Primary Inspector:
Inspector Signature:
Marlene Salyer
Secondary Inspector(s):
Inspection Summary:
waste analyis:
9-28-09 .95
7-30-09 1.2
5-29-09 1.1
3-31-09 1 A
1-29-09 1.2
soil test 10-2009 calibration 2008 sludge survey 2009
Looks Great!
Phone:
Date:
Page: 1

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Data: 11/1212009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Other Animals
Q Animals Other 810 833
Total Design Capacity: 810
Total SSLW:
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon #1 07/06/95 19.00 49A1
Page: 2

Permit: AWS400097 Owner- Facllity: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 11/12/2009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts
Yes
No
NA NE
1. Is any discharge observed from any part of the operation?
❑
■
❑ ❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
■
❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
■
❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■
❑ ❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■
❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
■
❑ ❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA NE
4. Is storage capacity less than adequate?
❑
■
❑ ❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e.1 large trees, severe
❑
■
❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
■
❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑ ❑
improvement?
Waste Application
Yes
No
NA NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals (Cu, Zn, etc)? ❑
Page: 3

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc
Inspection Date: 11/12/2009 Inspection Type: Compliance Inspection
Facility Number: 400097
Reason for Visit: Routine
Waste Application
Yes
No NA
NE
PAN?
❑
Is PAN a 10%/10 lbs.?
Total P205?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda Grass
(Hay)
Crop Type 2
Small Grain
Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■ ❑
❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■ ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑
■ ❑
❑
17. Does the facility lack adequate acreage for land application?
Q
0 ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
E ❑
❑
Records and Documents
Yea
No NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■ ❑
Q
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■ ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS400097 Owner - Facility: Maxwell Foods Inc Facility Number: 400097
Inspection Date: 11/1212009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yea No NA NE
Checklists? ❑
Design? ❑
Maps? ❑
Other? ❑
21. Does record keeping need improvement? ❑ ■ ❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after a 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■ ❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
■ ❑
❑
24, Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■ ❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■ ❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■ ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■ ❑
❑
Other Issues
Yes
No NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■ ❑
❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

r
Permit: AW5400097 Owner - Facility: Maxwell Foods Inc
Facility Number : 400097
Inspection Date: 11/12/2009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other Issues Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss reviewlinspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ ■ ❑ ❑
Page: 6

I J
54
Division of water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 400097 Facility Status: Active' Permit: AWS400097 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Greene Region: Washinaton
Date of Visit: 12/08/2008 Entry Tlme:09:21 AM Exit Time: Incident #:
Farm Name: Bullhead Farm Owner Email:
Owner: Goldsboro Hoo Farms Inc Phone:
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Goldsboro Hoo Farms Inc
Location of Farm: Latitude: 35°28'28" Longitude: ZZ°47'48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone:
On -site representative George Pettus Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature:
Secondary Inspectors):
Inspection Summary:
waste analysis:
11-19-08 = .93
9-17-08 = 1.1
7-16-08 = 1.6
5-29-08 = 1.4
3-21-08 = 1.1
1-30-08 = 1.3
soil 9-26-08 & lime applied
Date:
Page: 1

Permit: AWS400097 Owner- Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 12/08/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Other Animals
Animals Other 810 742
Total Design Capacity: 810
Total SSi_W:
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
lagoon #1 07/06/95 19,00 40.00
Page: 2

Permit: AWS400097 Owner- Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 12/08/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ 0 ❑ ❑
Discharge originated at
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c.-Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑ 0
❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑ woo
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑ 0110
discharge?
Waste Collection, Storage & Treatment
Yes No
NA
NE
4, Is storage capacity less than adequate?
❑ ■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe ❑ ■ ❑ ❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑ ■
❑
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑ ■
❑
❑
improvement?
Waste Application
Yes No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
00013
improvement?
11. is there evidence of incorrect application?
❑ ■
❑
❑
If yes, check the appropriate box below
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
Cl
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 1210812008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 10%110 lbs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare soil?' ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Records and Documents
19, Did the facility fail to have Certificate of Coverage and Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available?
If yes, check the appropriate box below.
WUP?
Coastal Bermuda Grass
(Hay)
Small Grain Overseed
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑■❑❑
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
■❑
Page: 4

Permit: AWS400097 Owner- Facility: Goldsboro Hog Farms Inc
Facility Number: 400097
Inspection Date: 12/08/2008 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes No
NA NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑ ■
❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑ ■
❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES
only)? ❑ ■
❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ ■
❑ ❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑ ■
❑ ❑
26. Did the facility fail to have an actively certified operator in charge?
❑ ■
❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PEAT) certification?
❑ ■
❑ ❑
Other Issues
Yes No
NA NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑ ■
❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Inspection Date: 12/08/2008 Inspection Type: Compliance Inspection
Facility Number : 400097
Reason for Visit: Routine
Other Issues
Yes
No NA
NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
■ ❑
❑
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑
0 ❑
❑
33. Does facility require a follow-up visit by.same agency?
❑
■ ❑
❑
Page: 6

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 400097 Facility Status: Active .. _ - Permit: AWS400097 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit., Boutine County: Greene Region: Washinoton
Date of Visit: 07/17/2007 Entry Time:10:45 AM Exit Tlme: Incident #:
Farm Name: Bullhead Farm Owner Email:
Owner: Ggld§boLg Ugo Farms Inc
Phone: [phone]
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm:
Latitude:35'28'28" Longitude:77°47'48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative George Pettus Phone:
24 hour contact name George Pettus Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
Waste analyses:
5-23-07 = 1.1
3-28-07 = 1.6
1-31-07 = .90
11-29-07 = .89
soil test 2006
Date:
Page: 1

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Inspection Date: 0711 T12007 Inspection Type: Compliance Inspection
Regulated Operations
Design Capacity
Facility Number : 400097
Reason for Visit: Routine
Current Populatlon
Other Animals
Animals Other 810 800
Total Design Capacity: 810
Total SSLW:
Waste Structures
Type Identifler Closed Date Start Date Designed Freeboard Observed Freeboard
kgoon #1 07/06/95 19.001 46.00
Page: 2

Permit: AWS400097 owner - Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 07/17/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yes No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
■
❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
■
❑
❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a
❑
■
❑
❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
❑
■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le.l large trees, severe
❑
■
❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
❑
❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
■
❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10, Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■
❑
❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc Facl14 Number: 400097
Inspection Date: 07/17/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 10%110 lbs.? ❑
Total P205? ❑
Failure to incorporate manure/sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Coastal Bermuda Grass
(Hay)
Crop Type 2 Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑
■ ❑ ❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
■ ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
■ ❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■ ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
■ ❑
❑
Records and Documents
Yes
No NA
NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■ ❑
❑
20. Does the facility fail to have all components of the CAWMP readily available?
❑
■ ❑
Q
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Facility Number: 400097
Inspection Date: 07/17/2007 Inspection Type: Compliance Inspection •
Reason for Visit: Routine
Records and Documents
Yes
No
NA
NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■
❑
❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑
❑
23. if selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES
only)? ❑
■
❑
❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑
❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■
❑
❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■
❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
❑
❑
Other issues
Yes
No
NA
NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■
❑
❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 6

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Inspection Date: 07/1712007 Inspection Type: Compliance Inspection
Otherlssues
31. Did the facility fail to notify regional DWO of emergency situations as required by Permit?
32. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
Facility Number: 4DO097
Reason for Visit: Routine
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
Page: 6

Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number., 400097 Facility Status: Active Permit: 6WS400097 ❑ Denied Access
Inspection Type: QgWplianQg 105pection Inactive or Closed Date:
Reason for Visit: Routine County: Greene Region:
Date of Visit: 03/30/2006 Entry Time:11:30 AM Exit Time:
Farm Name: Bullhead Farm
Owner: Goldsboro Hog Farms Inc
Incident #:
Owner Email:
Phone: [phone]
Mailing Address: PO Box 10009 -_ Goldsboro NC 27532
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm:
Latitude:35°28'28" Longitude:77°47'48"
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
Discharges & Stream Impacts © Waste Collection & Treatment Waste Application
Records and Documents © Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
On -site representative George Pettus Phone:
24 hour contact name George Pettus Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature:
Secondary Inspector(s):
Inspection Summary:
Waste analyses:
2-1-06 = 0.95
11-30-05 = 0.96
09-28-05 = 1.2
soil test 10-28-05
Looks great.
Date:
Page: 1

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 03/30/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Design Capacity Current Population
Other Animals
Animals Other 810 600
Total Design Capacity: 810
Total SSLW:
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon
#1
07/06/95
-.. -L
19.00
1
52.00
Page: 2

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 03/30/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discharges & Stream Impacts Yea No NA NE
1. Is any discharge observed from any part of the operation? ❑ ■ ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a. Was conveyance man-made? ❑ ■ ❑ ❑
b, Did discharge reach Waters of the State? (if yes, notify DWQ) ❑ ■ ❑ ❑
C. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) ❑ ■ ❑ ❑
2. Is there evidence of a past discharge from any part of the operation? ❑ ■ ❑ ❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a ❑ ■ ❑ ❑
discharge?
Waste Collection, Storage & Treatment
Yes
No
NA
NE
4. Is storage capacity less than adequate?
❑
■
❑
❑
If yes, is waste level into structural freeboard?
❑
5. Are there any immediate threats to the integrity of any of the structures observed (Le./ large trees, severe
❑
■
❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a waste management ❑
■
❑
❑
or closure plan?
7. Do any of the structures need maintenance or improvement?
❑
m
❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits,
❑
■
❑
❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑
■
❑
❑
improvement?
Waste Application
Yes
No
NA
NE
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or
❑
■
❑
❑
improvement?
11. Is there evidence of incorrect application?
❑
■
❑
❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
Page: 3

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Inspection Date: 03/30/2006 Inspection Type: Compliance Inspection
Facility Number : 400097
Reason for Visit: Routine
Waste Application
Yes No NA NE
PAN?
❑
Is PAN > 10%110 lbs.?
❑
Total P205?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda Grass
(Hay)
Crop Type 2
Small Grain Overseed
Crop Type 3
Crop Type 4
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management
❑ ■ ❑ ❑
Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑ ■ ❑ ❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ ■ ❑ ❑
17. Does the facility lack adequate acreage for land application?
❑ ■ ❑ ❑
18. Is there a lack of properly operating waste application equipment?
❑ ■ ❑ ❑
Records and Documents
Yes No NA NE
19. Did the facility fail to have Certificate of Coverage and Permit readily available? ,
❑ ■ ❑ ❑
20, Does the facility fail to have all components of the CAWMP readily available?
❑ ■ ❑ ❑
If yes, check the appropriate box below.
WUP?
❑
Page: 4

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Facility Number : 400097
Inspection Date: 03/30/2006 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Records and Documents
Yes
No
NA NE
Checklists?
❑
Design?
❑
Maps?
❑
Other?
❑
21. Does record keeping need improvement?
❑
■
❑ ❑
If yes, check the appropriate box below.
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
❑
Weekly Freeboard?
❑
Transfers?
❑
Rainfall?
❑
Inspections after > 1 inch rainfall & monthly?
❑
Waste Analysis?
❑
Annual soil analysis?
❑
Crop yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
■
❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES
only)? ❑
■
❑ ❑
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
■
❑ ❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
❑
■
❑ ❑
26. Did the facility fail to have an actively certified operator in charge?
❑
■
❑ ❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
❑
■
❑ ❑
Other Issues
Yes
No
NA NE
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
❑
■
❑ ❑
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document and report those ❑ ■ ❑ ❑
mortality rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air ❑ ■ ❑ ❑
Quality representative immediately.
Page: 5

Permit: AWS40009T Owner - Facility: Goldsboro Flog Farms Inc
Facility Number: 400097
Inspection Date: 03/30/2006 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other Issues Yes No NA NE
31. Did the facility fall to notify regional DWD of emergency situations as required by Permit?
32. Did Reviewerlinspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ (III ❑ ❑
Page: 6

Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency ---------------------------
Facility Number: 400097 Facility Status: Active Permit: AWS400097 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Greene Region: Washington
Date of Visit: 0210912005 Entry Time: 12:00 PM Exit Time:
Farm Name: Bullhead Farm
Incident #:
Owner Email:
Phone:
Mailing Address: PO Box 10009 Goldsboro NC 27532
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Goldsboro Hog Farms Inc
Location of Farm: Latitude: 25,474400 Longitude: 77,796700
SR 1050, 2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
Question Areas:
0 Discharges & Stream Impacts Waste Collection & Treatment 0 Waste Application
0 Records and Documents Q Other Issues
Certified Operator: Jimmy R Vinson Operator Certification Number: 20303
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name George Pettus Phone: [phone]
On -site representative George Pettus Phone: [phone]
Primary Inspector: Marlene Salyer Phone:
Secondary Inspector(s):
Phone:
Phone:
Inspection Summary:
Waste Analysis:
1-26-15 = 1.2
11-24-04 = 1.4
9-22-04 = .92
7-23-04 = .90
5-26-04= 1.8
3-31-04 = 1.6
1-30-04 = 1.1
Soil test 2004
Everything looks good.
Page: 1

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc
Inspection Data: 02/09/2005 Inspection Type: Compliance Inspection
Waste Structures
Facility Number. 400097
Reason for Visit: Routine
Type Identifier Closed Data Start Date Designed Freeboard Observed Freeboard
Lagoon #1 19.00 40.00
Page: 2

Permit: AWS400097 Owner- Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 02/09/2005 Inspectlon Type: Compliance Inspection Reason for Visit: Routine
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation?
YAP,
❑
No N6 NE
0 ❑ ❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a, Was conveyance man-made?
❑
❑ ❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
❑ ❑
❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ)
❑
❑ ❑
❑
2. Is there evidence of a past discharge from any part of the operation?
❑
0 ❑
❑
3. Were there any adverse impacts or potential adverse impacts to Waters of the State other than from a discharge?
❑
Yes
0 ❑
No NA
❑
NF
Zjg5jg Collection. Storage & Treatment
4. Is storage capacity less than adequate?
❑
■ ❑
❑
If yes, is waste level into structural freeboard?
Cl
5. Are there any immediate threats to the integrity of any of the structures observed (I.e./ large trees, severe erosion,
❑
■ ❑
❑
seepage, etc.)?
6. Are there structures on -site that are not properly addressed andlor managed through a waste management or
❑
❑
❑
closure plan?
7. Do any of the structures need maintenance or improvement?
❑ 0 ❑ ❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable to roofed pits, dry stacks
❑ 0 ❑ ❑
and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑ 0 ❑ ❑
improvement?
Yes No NA NE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement?
❑ 0 ❑ ❑
11. Is there evidence of incorrect application?
❑ ❑ ❑
If yes, check the appropriate box below.
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%110 lbs.?
❑
Total P2O5?
❑
Failure to incorporate manure/sludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda Grass
(Hay)
Crop Type 2
Small Grain (Wheat,
Barley, Oats)
Crop Type 3
Crop Type 4
Page: 3

Permit: AWS400097 Owner - Facility: Goldsboro Hog Farms Inc Facility Number: 400097
Inspection Date: 02/09/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yec Nn__NA NF
Crop Type 5
Crop Type 6
Soil Type 1
Soil Type 2
Soil Type 3
Soil Type 4
Soil Type 5
Soil Type 6
14. Do the receiving crops differ from those designated in the Certified Animal Waste Management Plan(CAWMP)?
❑
E ❑
❑
15. Does the receiving crop and/or land application site need improvement?
❑
❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?
❑
❑
❑
17. Does the facility lack adequate acreage for land application?
❑
■ ❑
❑
16. Is there a lack of properly operating waste application equipment?
Records Documents
❑
YP.R
M ❑
No NA
❑
NE
and
19. Did the facility fail to have Certificate of Coverage and Permit readily available?
❑
■ ❑
Cl
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?
❑
❑ ❑
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?
❑
Crap yields?
❑
Stocking?
❑
Annual Certification Form (NPDES only)?
❑
22, Did the facility fail to install and maintain a rain gauge?
❑
X ❑ ❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment (NPDES only)?
❑
❑ ■ ❑
24. Did. the facility fail to calibrate waste application equipment as required by the permit?
❑
❑ n ❑
25. Did the facility fail to conduct a sludge survey as required by the permit?
Cl
❑ 0 ❑
26, Did the facility fail to have an actively certified operator in charge?
❑
❑ ❑
Page: 4

Permit: AW5400097 Owner - Facility: Goldsboro Hog Farms Inc
Inspection Date: 02/09/2005 Inspection Type: Compliance Inspection
ords and Documents
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
Facility Number: 400097
Reason for Visit: Routine
28. Were any additional problems noted which cause non-compliance of the Permit or CAWMP?
29. Did the facility fail to properly dispose of dead animals.within 24 hours and/or document and report those mortality
rates that exceed normal rates?
30. At the time of the inspection did the facility pose an air quality concern? If yes, contact a regional Air Quality
representative immediately,
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
32. Did Reviewerlinspector fail to discuss review/inspection with on -site representative?
33. Does facility require a follow-up visit by same agency?
❑ ■ ❑ ❑
Page: 5

., Technical Assistance Site Visit Report
40 Division of Soil and Water Conservation
O Natural Resources Conservation Service
O Soil and Water Conservation District
O Other...
ity Number 40 97 Date: 1219104 Time: 1 1430 Time On Farm: 30 WARO
Farm Name Bullhead Farm County Greene Phone:
Mailing Address PO Box 10009
Goldsboro NC
Onsite
Representative Geese Pettus Integrator Goldsboro Hog Farms
Type Of Visit Purpose Of Visit
® Operation Review
❑ Compliance Inspection (pilot only)
❑ Technical Assistance
❑ Confirmation for Removal
❑ No Animals -Date Last Operated:
❑ Operating below threshold
® Swine ❑ Poultry ❑ Cattle ❑ Horse
Design Current
Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
O Routine
O Response to DWQ/DENR referral
Q Response to DSWC/SWCD referral
O Response to complaint/local referral
Q Requested by producer/integrator
Q Follow-up
Q Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
O Routine
O Response to DWQ/DENR referral
Q Response to DSWC/SWCD referral
O Response to complaint/local referral
Q Requested by producer/integrator
Q Follow-up
Q Emergency
O Other...
Design Current
Capacity Population
❑ Layer
❑ Non -Layer
I __EE]
❑ Dairy
❑ Non -Dairy
IN Other 810 600
919-778-3130
27532
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.-1s 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
Structurel Structure 2 Structure 3 Structure 4 Structure 5
Identifier
i_evel (Inches)43
CROP TYPES lCoastal Bermuda -hay I ISmall grain overseed
SPRAYFIELD
SOIL TYPES BnB WaB
7. What type of technical assistance does the onsite representative feel is needed? (list in comment section)
1 03/10/03

Facility Number 40 - 97 Date:
12/9/04
PARAMETER
Q No assistance provided/requested
❑ 8. Waste spill leaving site
TECHNICAL ASSISTANCE Needed
Provided
❑ 9. Waste spill contained on site
.❑ 10. Level in structural freeboard
25. Waste Plan Revision or Amendment
❑
❑
❑ 11. Level in storm storage
26. Waste Plan Conditional Amendment
❑
❑
27. Review or Evaluate Waste Plan wlproducer
❑
❑
[112. Waste structure integrity compromised
❑ 13. Waste structure needs maintenance
28. Forms Need (list in comment section)
❑
❑
29. Missing Components (list in comments)
❑
❑
❑ 14. Over application >= 10% & 10 lbs.
El
❑ 15. Over application < 10% or < 10 lbs.
30.2H.0200 re -certification
[116. Hydraulic overloading
31. Five & Thirty day Plans of Action (PoA)
❑
❑
32. Irrigation record keeping assistance
❑
❑
❑ 17. Deficient irrigation records
❑ 1 S. Late/missing waste analysis
33. Organize/computerization of records
❑
❑
❑ 19. Late/missing lagoon level records
34. Sludge Evaluation
❑
❑
;:,r:.❑ 20. Late/missing soils analysis
[121. Crop needs improvement
35. Sludge or Closure Plan
❑
❑
❑ 22. Crop inconsistent with waste plan
36. Sludge removal/closure procedures
❑
❑
37. Waste Structure Evaluation
❑
❑
❑ 23. Irrigation maintenance deficiency
❑ 24. Deficient sprayfield conditions
38. Structure Needs Improvement
❑
❑
39.Operation & Maintenance Improvements
❑
❑
40. Marker check/calibration
❑
❑
Regulatory Referrals
41. Site evaluation
❑
❑
[]Referred to DWQ Date:
42. Irrigation Calibration
❑
❑
❑ Referred to NCDA Date:
Irrigation design/installation
El
El
❑ Other...
43. system
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 evaluation/recommendations
❑
❑
2.
49. Drainage worklevaluation
❑
❑
50. Land shaping, subsoiling, aeration, etc.
51. Runoff control, stormwater diversion, etc.
❑
❑
❑
❑
3.
62. Buffer improvements
❑
❑
53. Field measurements(GPS, surveying, etc.)
❑
❑
4•
54. Mortality BMPs
❑
❑
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

Facility Number 40 - 97 Date: F 12/9/04
COMMENTS:
'Small grain overseed planted -good condition.
'Waste analysis dated 11/24/04 nitrogen is 1.4 lbs
9/22/04 0.92 Ibs
7/23/04 0.90 Ibs
5/26/04 0.18 Ibs
3/31 /04 1.6 Ibs
1 /30/04 1.1 Ibs
1 /26/03 0.91 Ibs
Soil test for 2004 taken - no results.
*Reviewed IRR1 and IRR2 records.
lagoon freeboard level / rainfall recorded weekly with drops in lagoon consistent with irrigation events. Need to record
rainfall events > one and inspect system.
'Reviewed crop yield records.
*Need to include stocking and mortality records.
"Irrigation calibration for 2004 in record book - see master sheet (3/04)
TECHNICAL SPECIALIST Martin McLawhorn
SIGNATURE
Date Entered: 12/20/04 Entered By: IMartin McLawhorn
3 03/10/03

Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up 0 Emergency Notification O Other ❑ Denied Access
Facility Number 40 97 Date of Visit: 'rime: 111d
O Not Operational Q Below Threshold
® Permitted ® Certified p Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .........................
FarmName: Blurb Rd CAI:nU.............................................................................................. County: Gxfng............................................... W.F RQ.......
Owner Name: ................................................... .G.QJdab.Qr,Q.HQ9.k'ai:ms........................ Phone No: 919-I-3.x30..........................................................,
MailingAddress: Po..B..9%.X0.R09....................................................................................... G.Q1d5hora.NC ...................................................... 2753.2 .............
FacilityContact: ..............................................................................Title:................................................................ Phone No:...................................................
Onsite Representative: Gg.Qrgg.PgjLuS............................................................................. Integrator: AldslzQxa.k� g axzns.......................................
Certified Operator: ,]ip my..R .............................. Y1insa11.............................................. Operator Certification Number:2,Q3.93 .............................
Location of Farm:
iR 1050,2 miles west of Fort Run Fire Department, 112 miles NE of Davis Chapel.
H Swine ❑ Poultry ❑ Cattle El Horse Latitude 35 • 28 ' 28 �� Longitude 77 • 47 64
Design Current
Design Current
Design Current
Swine Capacity Population
Poultry
Capacity Population Cattle
Capacity Po pulation
❑ Wean to Feeder
❑ Layer
10 Dairy
❑ Feeder to Finish
❑ Non -Layer
JEI Non -Dairy
❑ Farrow to Wean
❑ Farrow to Feeder
10 Other
810
❑ Farrow to Finish
Total Design Capacity
810
❑ Gilts
169
❑ Boars
Total SSLW. :
Number of Lagoons 10 Subsurface Drains Present ❑ Lagoon Area I0 Spray Field Area
Holding Ponds l Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑ No
c. if discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes H No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes H No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes H No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ................................................................................................................................................................................
Freeboard (inches); 42
nsin7inr
Continued

Facility Number: 40-97
Date of Inspection I2/04/2003
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 Application
10, Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ' ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload [
12. Crop type Coastal Bermuda (Hay) Small Grain Overseed
❑ Yes
® No
❑ Yes
® No
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
❑ Yes
N No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N 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
IS. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Re[tuired 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?
(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. 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 N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes ® No
© No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
;p �I A ., . Yi;, x - 'y S' t -"eY ." „� F �: I 4.",
Comments;(reier4ta questron;#} Explain any YES;answers and/or any e' commenda ions or aby other comments
Use drawings of facility to better explaan sttuahons 1(use additional pages as necessary)' F ! ❑Field Copy El Final Notes
H. lilr i'r. �I�+�I�'! I�}i u�i WSJ x.' vi fhiir wt �i l�5 irk.:;
:L'.I�I 'l �. .. 3.l �i rl,� ,a ..CIF ���J II linn��l� 4, ii..rc����., �1- u.u�iln: rJ.FI �I:' :I. ,� .-ram :I.,"Fief. .fp:"i
Records available for review.
+
Waste Analysis:
11/26/03 0.911bs
9/25/03 0.83lbs
7/23/03 0.55lbs
5/29/03 1.3 lbs
3/26/03 1.3 lbs
1/29/03 0.92lbs
Reviewer/Inspector Name Lyn B. rdtson Entered by. Portia Peadeii ,
Reviewer/Inspector Signature: Date:
O5103101 Continued

Facility Number: 40-97 1 Date of Inspection 12/04/2003
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?
Soil analysis - up thru 2003 available.
Irrigation records are complete and balanced out.
Small grain has been drilled and emerging.
Vegetation on dike wall is well established.
Farm is well managed.
❑ Yes ❑ No
O5103101

- WAS
�OF 1f�ATF9p Michael F. Easley
`O G Governor
r WiE= G. Ross Jr., Secretary
l7 Department of Environment and Natural Resources
� Gregory J. Thorpe, PhD_, Acting Director
Division of Water Quality
To: Producer
From: Daphne B. Cullom
Environmental Specialist
Washington Regional Office
Subject: Animal Compliance inspection
Year 2002
Enclosed please find a copy of the Compliance Site inspection (as viewed in the DWQ database) conducted at the referenced facility
by the Division of Water Quality from the Washington Regional Office. Please read this Inspection and keep it with all other
documents pertaining to your animal operation for future inspections.
In general, these inspections included verifying that: (1) the farm has a Certified Animal Waste Management PIan (CAWMP); (2) the
farm is complying with requirements of the State Rules 15 NCAC 2H.D217, Senate Bill 1217, and the Certified Animal Waste
Management Plan; (3) the farm operation's waste management system is being operated properly under the direction of a Certified
Operator; (4) the required records are being kept; and (5) there are no signs of seepage, erosion, and/or runoff.
As a reminder, please note the following comments, which are conditions of the Certified Animal Waste Management Plan and the
General Permit; therefore, these items must be implemented-
(p The maximum waste level in lagoonststorage ponds shall not exceed that specified in the CAWMP. At a minimum, maximum waste
level for waste for lagoons/storage ponds must not exceed the level that provides adequate storage to contain 25 year, 24 hour storm
event plus an additional foot of structural freeboard.
cp An analysis of the liquid animal waste from the lagoon shall be conducted as close to the time of application as practical and at least
within 60 days (before or after) of the date of application. This analysis shall include the following parameters: Nitrogen,
Phosphorus, Zinc and Copper.
ep Soil analysis is required annually. Lime is to be applied to each receiving crop as recomm ended by the soil analysis.
ep The following records are required: off -site solids removal, maintenance, repair, wastelsoil analysis and land irrigation records.
These records should be maintained by the facility owner/manager in chronological and legible form for a minimum of three years.
op Land application rates shall be in accordance with the CAWMP. In no case shall land application rates exceed the Plant Available
Nitrogen (PAN) rate for the receiving crop or result in runoff during any given application.
cp All grassed waterways shall have a stable outlet with adequate capacity to prevent ponding or flooding damages. The outlet can be
another vegetated channel, an earth ditch, stabilization structure, or other suitable outlets.
ep It is ggggested, not a T9guircm err to keep crop yield information for future use to update your waste management plan. You will
need three years of crop yield data before your plan can be updated.
For your information, any swine facility that has a discharge to surface waters of the State will have to apply for a National Pollutant
Discharge Elimination System (NPD£S) permit with the Division of Water Quality, effective January 1, 2001.
Thank you for your assistance and cooperation during the inspection, if you have any questions, please contact me at 252-946-6491, ext.
321 or your Technical Specialist.
Cc: SRO
DBC Files
943 Washington Square Mall Washington, NC 27889 252-9466481 (Telephone) 252-946-9215 (Fax)

Facility Number Date of Visit: Z11ZROt12 Time: F 1:45 pm
p Not Operationalp Below Threshold
E Permitted ■ Certified p Conditionally Certified p Registered Date Last Operated or Above Threshold: •.............•..........
Farm Name: Bullhead Farm County: Gene u............................................... .W.ARQ.......
Owner Name: Goldsboro Hog Farms Phone No: 919-778-3130
MailingAddress: YO.Hox.101109.................................................................................. G0jd&bjara.N.0 ....................................................... 27532 ..............
FacilityContact: ...............................................................................Title:.................................................. ...... Phone No:
Onsite Representative: GxoxgaP.ettus............................................................................ Integrator: lGuldsbom.Hog.Farms.......................................
Certified Operator:Jason.Haabbs..................................................................................... Operator Certification Number:25246.............................
Location of Farm:
N Swine p Poultry p Cattle p Horse Latitude ©. ®4 ®" Longitude ©a ®9 ®«
4'
Design Current
SvvmeCapacity Population "Poultry t
p Wean to k ceder
p Feeder to Finish
p Farrow to Wean
p Farrow to Feeder
p Farrow to Finis
p Gilts
p Boars
Current" _f
-.Design` Cu'rrent--'
y Population Cattle �,.� Capac�ty';Population
p ayer
' p Non-LayerEMIL
® Vitt V
eT IV
Total Design'C�pacity:
-1 TbtalaSSLW .,
810
s
R Number'of Lagoons ❑ Subsurface Drains PreseF7 p Lagoon Area JE3 Spray Fie rea
Traps , p o Liquid Waste Management System
`
r Holdin Pond0 Solid' �!
Discharges & Stream Imnact5
1. Is any discharge observed from any part of the operation? p Yes ® No
Discharge originated at: I] Lagoon p Spray Field p Other
a. If 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 ❑ 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 N No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? 17 Yes W No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? p Spillway p Yes N No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
...................................................................................................................................................................................................................
Freeboard (inches); ...............50..................................................

acl i y Number: 40_97 Date of 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 arb not properly addressed and/or managed through a waste management or
closure plan? (If any of questions �lA was answered yes, and the situation poses an C] Yes ®No
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 ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? p Yes R No
Waste Application
10. Are there any buffers that need maintenance/improvement? p Yes ® No
IL Is there evidence of over application? p Excessive Ponding p PAN p Hydraulic Overload p Yes ® No
12. Crop type Coastal Bermuda (Hay) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? p Yes ® 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?
p Yes
p 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?
t3 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
N No
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ 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
Ig No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
p Yes
® No
24.1
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 N No
p No violations or deficiencies were noted ur:ng E his visiE You will receive no further correspondence about :s visit.
a...�n��ucuaas,lEcie� bsv,�,yuw��a�u,rrJ �!AY�urrF�auy-:a€�vybnLanci�auu_�a�ri aur. �e.a.vu►aua:u�aascvu� vaT,aR� i�u.��a+„ciµa.vaiuFa�u�o e,
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=T7s� drawings of fac.#h to better, explain s�tuattonuse addrtiohal pages as,n�c„�s�at'y*] , Feld Co F1na1 Notes '" � ;'�
Na. Ui allalybLb 11-11/VG - 1.J 1U5/1VVV ga1J. '
;oil analysis 9/2001; no lime required.
reeboard levels recorded weekly per General Permit,
rrigation records complete with nitrogen balance; no overapplication noted. Last irrigation events early Feb. 2002
m small grain.
Reviewer/Inspector Name
Reviewer/Inspector Signatu
+Daphne B Cullom, �� - Ws�f, `entered,by

05103101 Continued
lFacility Number: 40_97 Date of Inspection
Odor Issues G
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 pondwith no agitation?
27. Are there any dead animals not disposed bf 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
J
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of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
(Reason for Visit *Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 40 97 Date of Visit: eP23l21101 Time: 952
O Not Operational O Below Threshold
® Permitted ® Certified 0 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: ............
Farm Name: H7uM.ad.F ................. .. County: Gjnxlr ............................................... W RQ.......
OwnerName: ................................................... Golst.abomliag�F,arittts......................... Phone No: ..........................................................
MailingAndress: >P0.,8 jjQQQ9....................................................................................... Galt shoj:ct.NC....................................................... 17.5,37..............
FacilityContact:............................................................•................. Title:................................................................ Phone No:...................................................
Onsite Representative:.Genru 1Pethus............................................................................. Integrator: Go1d5hvr. t.Hug.Fs,tarax.......................................
Certified Operator:,1asok...................................... l ohk............................................... Operator Certifcation Number:252.46 .............................
Location of Farm:
3R 1050,2 miles west of Fort Run Fire Department, 1/2 miles NE of Davis Chapel. +
®Swine ❑ Poultry ❑ Cattle []Horse Latitude 35 ° 28 4 28 6* Longitude 77 ° 47 i 48
Design P
Current Design Current 1)0 i a :Current'
SR ine :,
Ca a - o 'uiation Poultry.. : ; Capacity :Population Cattle Capacity l'apulati6n.
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Nuttiber of;l.,antgoons 1 ❑Subsurface Drains Prese❑ LagEmn Area ❑ Spray Field Area
Holding Ponds./.S614T aps ;;' ❑ No Liquid Waste Management System
Discharg,%2i & Stream Impacts
I . Is any discharge observed from any part of the operation? ❑ Yes ® No
Dis,c:harge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. if discharge is observed; was the conveyance inan-made'? ❑ Yes ❑ No
b..If discharge is observed, did it reach Water of the State? (11'yes. notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/niin?
d. Does diGcliargc bypass a lagoon system? (Il'ycs, uglify 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 Walcm of the State other than from a discharge? ❑ Yes ® No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus stonn storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Sinicture G
Identifier:....................................................................................................................................................................
Freeboard (inches): ...............4.6............... .........

05103101
Facility Number: 40-97
Date of Inspection 1 8/23/2001
Con hued
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?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
12. Crop type Coastal Bermuda (Hay) Small Grain Overseed
❑ Yes ® No
❑ Yes ® No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes N 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?
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?
(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. bid 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 Reviewerlinspector fail to discuss review/inspection with on -site representative?
24. Does facility requirea. follow-up visit by same agency?
❑ Yes N No
❑ Yes N No
Cl Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes ® No
❑ Yes N No
❑ Yes N No
❑ Yes N No
❑ Yes N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes N No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
❑ FieId Copy ❑ Final Notes
*Waste analysis dated 6/27/01 nitrogen is 0.91 1bs/1000 gallons
4/25/01 nitrogen is 1.6 lbs/1000 gallons
*Soil test dated 10/12/00. No lime required. Remember to take soil lest for 2001 and follow lime requirements.
*Lagoon level is being recorded weekly as required by permit.
*Records are well organized.
*Coastal fields appear in good condition.
ReviewerlInspectorNami Marti_.
McLawborn;
Reviewer/inspector Slenature: Date:

L
Type of Visit Q. Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit *Routine O Complaint O Follow up O Emergency Notification ()Other El Denied Access
k•.:[.._.-�.,.,�_,,..�..a.,,.��[_,�,,,.,,w...:.:�� ,,.----ems,+�..�[�.,�a._�,..-�.n��:� Date of Visit: 3-12-2001 Tintr. 130$ •
Facility Number 40 97 :
Q Not O erational Q Below Threshold
Permitted 8 Certified 0 Conditionally Ccrtfed Registered Date Last E3peratccl or Above Threshold: ............
Farni Name: B]ullhcad.k'a= ................................................. .... County: Grerue .................................... WARO.......
Onmer Name; ................................................... cd b.m.JiQ.F, xArM1......................... phone No: ��2-L7.13:���Q...........................................................
Facility Contact: .......................•----•---•............................................. Title Phone No:
Mailing Address: P.G.Box.].009....................................................... ........................ GoldshoroM ....................................................... 17.5,32 .............
Onsite Representative: GC.QrgC.PcltttS............................................................................. Integrator: G.o1(bhor.Q.HoxFaxma .......................................
Cerdlied Operator:,Ckds....................................... couk................. .............................. Operator Certification Number: 27.00.6 .............................
Location of Farm:
SR 1050, 2 miles west of Fort Run Fire Department,)/2 miles NE of Davis Chapel.
!"W
Latitude j 35 ° 28 l 28 Lon itude �� 77
® Swine ❑ Poultry ❑ Cattle ❑ Horse �__� �_28 � 8
Design Current
awuic Capacity acit Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I
❑ Dairti'
❑ Non -Layer I on -Dairy
® Other 810 1 810
Total Design Capacity 810
Total SSLW
Number of Lagoons 1 ❑ Subsurface Drains Present ❑ Lagoon Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Disch,ar,�es & Streant lrnt mcts
1. Is any discharge observed from any part of the operation?
17isclaargc origiu:r€Gd al: []Lagoon (] Sprav Field [:]Other
a. [liiisohar��4 is ob;cr�cd. s>.ttsthe aom'cysttcc imam-tnaciu'�
b. 1Fdis61::? ee is ��ltscrvad. slid it ry aglt W,tior c}1'tlte 5€:tlu? (II')'ts; notilj' DWQ)
c. If discharge is ohscrvLe(L what is the cstiniaiQd flow in aallmin?
d. Doe> hWpass a Iauoou sv"tcm•? (11'ves. notd\' i3WQ)
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 fi-om a discharge?
�t 'zk5i[, t`1�91e.� tid3_: clk T,'eanlwnt
Spray field Area
❑ Yes ® No
❑ Yes Z No
❑ Yes R No
n/a
❑ Yes ® No
❑ Yes L No
Ej Yes 0 No
4. is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spiilway ❑ Yes x No
'itructure I Structure ? S€ruv€ure ; s€:ltcturc 4 5tl"LtGtl1]'c: 5 Stl'uclurc; 6
)dental icr:...................................................................... .......... ...................................................................................................................................
1 rveluru'd (incltc;?:...............42..................................................................................................................................................................................................

5100 Continued on back
FacilityNumber: 411-97 Date of Inspection 3-12-20t)1 ;
p � Printed on; 4130/2Q0'l
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? 0 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/improvemeut?
❑ Yes
® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
® No
Uatc r��Y1116(dTiit�f'r.
10. Are there any buffers that need maintenance/improvement?
❑ Yes
® No
11. Is there evidence of over application? ❑ Excessive Pond ng ❑ PAN ❑ Hydraulic Overload
❑ Yes
® No
12. Crop type Coastal Bermuda (Flay) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes
N No
l4. a) Does the facility lack adequate acreage for laud application?
❑ Yes
❑ No
b) Does the facility need a wettable acre determination?
0 Yes
❑ No
c) This facility is pended for a wettable acre deterniination?
❑ Yes
❑ No
15. Does the receiving crop need improvement?
❑ Yes
® No
16. is there a lack of adequate waste application equipment?
❑ Yes
N No
Kegu! -F d Records & ,Q kw iiuents
17. Fail to have Certificate of Coverage & General Permit readily available? ❑ 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.) ❑ Yes No
19. Does record keeping need improvement? (ie/ irrigation. freeboard, waste analysis & soil sample reports) ❑ Yes ® No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes N No
2 1. Did the facility fail to have a actively certified operator in charge? ❑ Yes N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application) ❑ Yes ® No
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes N No
24. Does facility require a follow-up visit by same agency? ❑ Yes N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes N No
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 of facility to better explain situations. (use additional pages as necessary):
* Records are available for review.
* Waste analysis - 2-28-01 = 2.0 lbs: 11-29-00 = 1.1 lbs
* Soil analysis up thru year 2000 available (10-20-00). The analysis for 1999 is in the book dated 4-28-00.
* Irrigation records are complete and balanced out.
* Freeboard levels are recorded weekly as required.
* Vegetation on dike wall and in sprayfields is well established.
* The records are well organized.
** If you have any questions, contact we (ate 252-946-6481 ext. 318.** V'
Reviewer/Inspector Name -

Reviewerftspector Signature: Hate: S/00
i
Facility Number: 40-97 Ilratd of Iaisp ectior, 3-12-2001 Printed on: 4130QO01
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge attor below ❑ Yes ® No
liquid Ievel 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

Division of Water Quality
O Division of Soil and Water Conservation
O Other Agency
Type of Visit © Compliance Inspection O Operation Review O Lagoon Evaluation Q Other
Reason for Visit OO Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number 40 97
® Permitted ® Certified © Conditionally Certified [3 Registered
Date of Visit 3-27-2i)Ofl Printed on: 3/31/2000
Q Not Operational Q Below Threshold
Date Last Operated or Above Threshold: ........................
Farm Name: 131allbuit.Far.m.............................................................................................. County: t`r.ccmc............................................... WA►RO.......
OwnerName: ................................................... ........................ Phone No: 919-x7.13- 1 4...........................................................
Facility Contact: ......................................
Title:
Phone No:.....
MailingAddress: 1' ?.fax.lA.QV9....................................................................................... Goldihixo.BC ...................................................... 2.7.532 ..............
Onsite Representative: Cilr.4tg�.l'1�t111,5............................................................................ Integrator: �rQld�llSlCS1.Qg�axlliS......................................
Certified Opera tor:Cj ds1Qphcr..C.................... Cattle ................................................ Operator Certification Number:224Qft.............................
Location of Farm:
® Swine ❑ Poultry ❑ Cattle ❑ Hor Latitude 35 ° 28 1 28 64 Longitude 77 • 474 F 4$ -{
Design Current
Swine ranneity Ponulation
❑ 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 I 1 1[:] Dairy
❑ Non -Layer I 1 10 Non -Dairy
® Other 1 810 1 �800
Total Design Capacity 810
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present 110 Lagoon Area JE1 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharp_es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed, did it reach Water of the State? (if yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ®No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .......................................................................................................................................................................................................................
Freeboard (inches): 47

Continued on back
"' Facility Number: 40-97 1 Date of Inspection 3-27-2000 Printed on: 3/31/2000
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ® 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
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Yes ®No
12. Crop type Coastal Bermuda (Hay) Small Grain Overseed
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, 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 A WMP?
i46 •violatiotis:or d6fidencies-were:noted:during• this -Visit:: Y(ju: wi11'reeeive no ffirther
.. cor'resj)otidence about this.vi ft' . ..................... .. - ......... .
❑ 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 YIDS answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
All records of the CAWMP are complete. Waiting for the 1999 soil analysis results from the lab for samples collected in Nov. -Dec. +
1999.
11, No overapplication due to 1999 storm events.
Reviewer/Inspector Name 'Daphne B. Cullom

Reviewer/inspector Signature: Date:
Facility Number: 40-97 Date of Inspection 3-27-2000 Printed on: 3/31/2000
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 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
Additional Comments and/or Drawings:

i., Cj Division of Soil and Water Conservation='Operaiion,Review
Di 'sion of Soil and WaterConservatYon 'Compliance inspection
vision of Water Quality Co><nphti<nce Inspection
r
tither Agency - Operation Review
(Yltoutine Q Complaint Q Follow-up of DW2 inspection Q Follow-u of DSWC review Q Other
Facility Number Date of Inspection '3 07 1-6D
Time of Inspection �,Pvk: 24 hr. (hh:mm)
© Permitted Certified [] Conditionally Certified 13 Registered 113 Not Opera Date Last Operated:
Farm Name:...........!..................5 !!� +................... County:..... .... ....................... u !a,�
............. ...........
Owner Name:....5._.�...gns..`t�..........................
..5........................ Phone No:.....G,......1.g.....1 aC7..............
FacilityContact: ........................................ ...................................... Title:............................................................,... Phone No: ...................................................
Mailin gI,Address:-(7 • 6ol- t0� ......................................... ...... ................................................�.1. .......................
Onsite Representative:.Q.C.4..'/ ��e�� 5................................................... Integrator:.... ', .., ^-.........................................
.
Certified Operator:...,1.(!r ...a.,� ..................... ......................... Operator Certification Number: Vla,(aa,5 .......
Location of Farm:
AL
...................................... .............................................................................. ............... .
Latitude S • L57IAJ` Longitude ©0 ©` ®"
Design Current
Canacity Population
[]Wean to Feeder
[3 Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts(
❑ Boars
Design - Current Design Current
Poultry Capacityy Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer IM Non -Dairy
10Other 1 J310 -LBov
Total Design- Capacity E�L
Total SSLW
Number of Lagoons �. , ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharge- & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 51'M-0
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/tnin'?
d. Dares discharge bypass a lagoon system? (If yes, noti I'y 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 C] XD
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 91-N6
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
.. it
Freeboard (inches): ........�............... .................. ..............................................................................................................................................................
.... .
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes [l.pw
seepage, etc.)
3/23199 Continued on back

Facility Number: Ll u —q-I Date u1' Inspection Qj
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes E�Na
(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 O'Vo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes LPN"o
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes moo-
1 I. Is there evidence of over application?? ❑ Excessive Ponding ❑ PAN ❑ Yes ErIC,
12. Crop type \ D l { L 1�v�nr,1dLCL- --_��lxA4� G*eoi ✓*
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes 01-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
❑-Ko
16.
Is there a lack of adequate waste application equipment?
❑ Yes
ZFNo
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
[ 1,Ko
18.
Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
❑ Yes
03090
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
L PIV-
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
0lo
21.
Did the facility fail to have a actively certified operator in charge?
❑ Yes
[1fo
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
[9-No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
ETNo
24.
Does facility require a follow-up visit by same agency?
❑ Yes
2-No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
F dKo
.. . . yigl. . . .s.o..... ncies wire 00(ed• during �bjs'visit! • Y;orr will �ee�iye iid furtho
corres�andeitce. abatit this visit. . . . . . .
Comments'(refer to question .#): Explain any YE5 answers and/or a_ ny recommendations or'any other commentts' ,
Use drawings of facility to better•explain situations (use`addtiiinaL pages as necessary:)
1 0 40'vlo�
c/_CIC
Reviewer/Inspector Name 'I • P I L0 tn%1 . _ j:' `t }
Reviewer/Inspector Signature: Date: _UD
3/23/99

Facility Number:
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 E!}Ko
28, Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes 2-K-O
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 D-?�o
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 EiW-O
31. Do the animals feed storage bins fail to have appropriate cover?
[:]Yes g-W
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
❑ Yes ❑ No
AddifioF!al Conirfients;Afid/or rawings:
3/23/99

O Division of Soil and Water Conservation - Operation Review
O Division of Soil and Water Conservation - Compliance Inspection
Division of Water Quality - Compliance Inspection
Other Agency - Operation Review
Routine OComplaint O Follow-u of DW ins ection O Follow-up of DSWC review OOtber
Facility Number 40 g7 Dale of Inspection 12/7/99
'Time of Inspection 8:30 —A M 24 hr. (hh:in
® Permitted ® Certified Q Conditionally Certified (3 Registered 113 Not O erational Date Last Operated:
Farm Name:UJAlJht:.allJFArM................................................................................ .............. County: G.r.QOAC ........................................
Owner Name: Gs7.1l1SbRpla.H!?g.lFAr..pots........................ Phone No: 9..........................
Facility Contact:
...........................................Title:................................................................ Phone No:....................
WeaJt1O.......
Mailing Address: ��?. ptx..lARJ�1....................................................................................... G.RLdsbQxQ,.NC... ............................... .................... 2.7.53.2 ..............
Onsite Representative:.Cag.RpgC,PV.tjLU............................................................................ Integrator: Gr.Rld5kt9,rq.H.Rg.F.axllu......................................
Certified Operators?a.Y.ild...................................... Lanjusicr........................................ Operator Certification Number:Z31&5 .............................
Location of Farm:
......................................................................................................................................................... •
513..1QAa.2..rptiles.� est.0 k�er.> li ula. Flrg. gg artlm�nt..11l2.ltnilcs..k�.n1 �?aYis..lwbta ga............................................................................................
.;
Latitude 1 35 • 28 2$ Longitude 77 • 47 48 '�
Design Current
owiuc Ua acit I-o ulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current
Poultry Capacity Population
❑ Layer
❑ Non -Layer
® Other 810 730
Design Current
Cattle Capacity Population
❑ Dairy
❑ Non -Dairy
Total Design Capacity 810
Total SSLW
Number of Lagoons 0 ❑ Subsurface Drains Present ❑ Lagoon Area 10 Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Im acts
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? (byes, notify DWQ)
❑ Yes ® 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 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure G
Identifier:
Freeboard(inches): ................42...................................................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes ® No
seepage, etc.)
3/23/99 Continued on back
Printed an 12/20199

Printed on 12/20/99
Facility Number: 4t1-97 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 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?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type Coastal Bermuda Small Grain
12/7/99
❑ 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?
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/ 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?
0' No•viblatiofis:o'r:defid,66664� fe'noted:&uking•this Visit: ;You will receive no further:
corresp ondence'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 YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Naste analysis 10/6/99 = .79 lbs.
Reviewer/Inspector Name Karl Dunn Entered by Ann Tyndall
Reviewer/Inspector Signature: Date:

p Division of Soil and Water'Consei-vation - Operation Review
,.,,I [].Division of Soil and Water Conservation - Compliante inspection
®Division of Water Quality -Compliance Inspection .. '
0 Other Agency - Operatian Review
10 Routine 0 Complaint Q Follow-up of DWQ inspection Q Follow-np of DSWC review Q Other �
[::::Facility Number Inspection T---1—q9
Time o[' Inspection Y 3- 24 hr. (hh:mm)
© Permitted in Certified E3 Conditionally Certified 0 Registered JE3 Not O erational Date Last Operated: ..........................
Farm Name: ............. .......Q+� .....e��........{�`.`.�................. ........ Cuunty:...............".��`.e::.......................................................
.....................................
OwnerName:......................C�.a�..5.....'.:.`'... ........................................................................ Phone No:.......................................................................................
FacilityContact: ..............................................................................Title.................................................................hone No:
MailingAddress: ..................................................................................................................... ............................
Onsite Representative: � .`.;5 ,..,,...,..ne �5 Integrator: � � ds ��o......... 0."�
...................................................... f5 t?....................
Certified Operator:................................................................................................................ Operator Certification Number:....,.,..................................
Location of Farm:
A
........................................................
Latitude 0 6 .4 Longitude 0 6 9�
Design Current
Swine CanaCitV Ponulation
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts,
❑ Boars
Number of Lagoons
Holding Ponds / Solid Traps
Design Current Design Current
Poultry" Capacity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
Other 1 9) U I7 (�
Total Design Capacity
Total SSLW
Subsurface Drains Present JJEJ Lagoon Area ❑ Spray Field Area
No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes OKNo
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? El Yes ❑ No
h. 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 lagoons Stem?ff es, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes W No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes b( No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes 10 No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): ��...................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes 9No
seepage, etc.)
3/23/99 Continued on hack

Facility Number:— Date of Inspection 12 7-
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes Ng'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 99'No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes KNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes MNo
Waste Annlication
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
IN No
11.
Is there evidence of over application? [-]Excessive Ponding [:]PAN
❑ Yes
JgNo
12.
Crop type Ct7ATj ^ f S 9i
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
19 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
C,No
16.
Is there a lack of adequate waste application equipment?
❑ Yes
X No
Required Records & Documents
17.
Fail to have Certificate of Coverage & General Permit readily available?
❑ 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.)
❑ Yes
PSNo
19.
Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
No
20.
Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
No
21,
Did the facility fail to have a actively certified operator in charge?
❑ Yes
No
22.
Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
❑ No
23.
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
® No
24.
Does facility require a follow-up visit by same agency?
❑ Yes
M No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
W No
o yiolaioris:or clarficaer�c�es it<re noted drririg ohs:visit; Yoir will reogiye too futhgr •
corresp oridence: about: this visit:
Cornments(referto questtou #) Explain any`�YES answers andlor any recommendations oir any'other comments:
Use drawings of facility to better explain situations' (use additional pages as necessary).
V A5�_ WM �yYS 1D- ���% r-7
Reviewer/Inspector Name I
r
Reviewer/Inspector Signature: Date:
3/23/99

Facility Number Date of Inspection 11-4-99-1
Time of Inspection ® 24 hr. (hh:mm)
p Registered N Certified p Applied for Permit t3 Permitted 113 Not 0perationa Date Last Operated:
Farm Name: Hullhead.F.arm.............................................................. ... County: Greene WARO
Owner.Name:................................................... G.oldsbcLro.Hag,Egrans........................ Phone No: 9.19-.778.3J3J7k........
Facility Contact: ............................................. .............................Title: .... Phone No:
Mailing Address: PO..Sox.100.09....................................................................................... Galds1bara.KC ....................................................... 27532 ..............
Onsite Representative: M.ekC.ttiit:y..price..G.eorge.P.ettus........................................ Integrator: Goldsbora.Hog.Farms .......................................
Certified Operator:Alfxed.J ............................... Lin.tan................................................ Operator Certification Number:186ZS..---........................
Location of Farm:
Latitude ©. ®' ®" Longitude ©• ®` ®'<
I , JL
rt .1 z
Swine e� ;''��`', 1-4
Eto
E
on Poultry Capacityy
eeer
mts
p
arrow to
can
13
Farrow to
Feeder
p
arrow to
Mish
p Gilts
lo Boars
:, estgn , urren
i{;; Cattle Capsaty� Population
Total Design °Caliacty810
Total SSLW
Niiiiriber oflLagoon`s /�Holdmg Paods. L1 1p Subsurface Drains Present Ip Lagoon Area 1p Spray rietd Area
3 F _Iv LiquidWaste Management ystem
General
1. Are there any buffers that need maintenance/improvement?
p Yes
®No.
2. Is any discharge observed from any part of the operation?
p Yes
® No
Discharge originated at: p Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made?
p Yes
® No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
p Yes
R No
c. If discharge is observed, what is the estimated flow in gal/min?
n/a
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
Yes
®No
3. Is there evidence of past discharge from any part of the operation?
p Yes
® No
4. Were there any adverse impacts to the waters of the State other than from a discharge?
13 Yes
® No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
p Yes
®No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
®No
7. Did the facility fail to have a certified operator in responsible charge?
p Yes
®No
7/25/97 Continued on back

i
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (Lagoons,Nolding Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure 1 Structure 2 Structure 3 Structure 4
p Yes ® No
p Yes ® No
Structure 5 Structure 6
Identifier:
.......................................................................................................................................................................................................................
Freeboard(ft): ...............4 0..................................................................................................................................................................................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop hype ...... CoastaiBermu,daCzass....... S 11.Grain..(.W.h=t..l3acley.,........................................
16. Do the receiving crops differ with those designated m the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
a . ov o ops•4aa 4eie$Ci}es'iWiee-itctdrns visit: on. Will -recite Io t F
ti
zoresiondiri& a[ratitrlts:vst: • ... . .
Yes ® No
p Yes ® No
p Yes ® No
p Yes I& No
p Yes ® No
p Yes ® No
p Yes ® No
p Yes ® No
p Yes ®No
p Yes ®No
p Yes N No
rl Yes IN No
p Yes N No
p Yes ® No
p Yes p No
Reviewer/Inspector Name t)Lyn ardison---7-77 a x - ""
w�
Reviewer/Inspector Signature: ' Date: _ c 4 _ Aj
'l

„w�w=.vnswea*nWrw.er.ern«.yaw-�.�.vo-..o-.onwx000e..coe...
F
Division of Soil andWter Conservation ❑ Other Agencyo Division of Water Quality,
'.
Routine O Com laitat O Follow•u of 1)W ins ection O Follow-u of DSWC review 0 Other
Facility Number
Date of Inspection
��
Time of Inspection 12 24 hr. (hh:Hain}
® Registered ® Certified [3 Applied for Permit 0 Permitted 113 Not O erational Date Last Operated:
Earn[ Name: .....- Fr?n....................... County:i..................
�sV t�:,C................................................. ..... ...................... `'��v
Owner Name: .... AAaC...m 0....&.ak....�.-t^,k.:.........��7..1¢nsb4�a...�?%�.�'.w�.. Phone No: ........2�1:27 g i+3 0...................................
Facility Contact: ............................................ .. Title: . Phone No:
Mailing Address:..... :.1).:...{�.5? f-,.....l..rlU o.`........................................................... .....GA.J..&bilk................. QC—:..............
Onsite Representative: ... i!rj'eux t _h�............... Integrator:...... ('...........I...... .
//j����'
Certified Operator;..., r:.'.[!. 4.......... S ... vL�� ... Operator Certification Number;... � 1� ..,95
..................................................................... ................
Location of Farm:
Latitude ° 6 iG Longitude 0 a ' ”
Design Current. aDesignt Current u Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑ Wean to Feeder ❑ Layer ❑ Dairy
❑ Feeder to Finish ❑ Non -Layer I I JE1 Non -Dairy
❑ Farrow to Wean
❑Farrow to Feeder ❑ Other ...
ey ❑ Farrow to Finish r
Total Design Capacity
❑ Gilts
l. ® Beers Spd4-irSOW f O Total SSLW'
Nuiilber ofrLagoops /Holding Pond
Ss I I LO Subsurface Drains Kj!!entjf0 Lagoon Area 10 Spray Field Area
y 'f ❑ No Liquid Waste Management System .� r
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes E'No
2. is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes [3 No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) ❑ Yes ® No
c. If discharge is observed, what is the estimated flow in gal/min? n IA-..
d, Does discharge bypass a lagoon system? (if yes, notify DWQ) ❑ Yes ® No
3. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes allo
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes ® No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes 9No
7/25/97

Facility Number: j�,q — q 7
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes ® No
Structures L,a oons 11oldin Ponds Flush Pits etc.'
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes ® No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (ft): ............��....
..........................................................................................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes ® No
I I. Is erosion, or any other threats to the integrity of any of the structures observed? ❑ Yes ® No
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Application
14. is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .....&tM4! b....... #may......... ............. ..................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
l8. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24, Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
[INo.vio'lkions•or. del .ciencies;were;noted;during this.visit:.You:mill iice'ive':Ro:furth'er,:
corrOoMdence about this:visit:• : ..::
❑ Yes 19 No
❑ Yes ANo
❑ Yes ® No
..........................................
❑ Yes ® No
❑ Yes 2 No
❑ Yes ETNo
❑ Yes No.
❑ Yes No
❑ Yes ® No
❑ Yes ® No
❑ Yes ❑ No
❑ Yes ® No
❑ Yes ❑ No
Comments (refer tt%question #) Explain any YES answers and/or any reconiinendattons or any other copinments.
IJ�e ,di wings of facihiy to better explain .situatrnns. (use additional pages as necesst;ry} „
�-r 8 GLUE .tka�a�c ^r iat v� [ LIOAAtl -
ec� L
,r,,,, c.pti► t oy ;!:?Uhe w ram'
Pba'z-p- cf . /1-1-C_ a.T .2���1 6 S��I :7125/t97
Reviewer/inspector Name ? a
...,
Reviewer/Inspector Signature: ` Date:

..... _ __ _..
r0 DSWC Animal Feedlot Operation Review
DWQ Animal Feedlot Operation
,`MM
w t ,;-ff Site Inspection
Routine G Complaint G Follow-uE of DWQ inspection O Follow-up of DMVC review O Other
Date of Inspection
Facility Number�4 �
Time of Inspection ® 24 hr. (hh:mm)
13Registered 13 Certified 0 Applied for Permit © Permitted JE3Not Operational
Date Last Operated:
Farm Name:...�1!�4 Est. ........... 1 -ram ......................................................... County: ... Gr� iF::..... . 4�
Owner Name: ..................................................� (C 666� *........... `���.rl'l......... Phone No: ......�.ry'..7.7.g.."..�..�. '�..�.,....................
............ ..
Facility Contact: �... Title:.....ggF %,.... r��c e- . Phone No:
.................... .........................
Mailing Address:. :. � Q.ob�. ...e:.Q.�. ,$�at1 Y D........ !.� ..................... .Z.
f.......................................... L
Onsite Representative:.. -�#r4t.P .I I. Integrator: is...�T...r......................................................
�...!'��4r..............CNk... n..................,.................. Irate ritor ...........
Certified UI}orator;.....,.,. K................. !! .:......-IX+_G✓:....................... Operator Certification Number, ........ 4..�(Q...4.. ...........
Location of Farm:
Latitude ' i « Longitude • 4 «
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
El Boars +—
Number of Lagoons / Holding Ponds
Design Current
Poultry Capacity Population
i uLat vraaKu
.Design Current
Cattle Capacity Population
Total SSLW
Subsurface Drains Present 110 Lagoon Area
No Liquid Waste Management System
Spray Field Area
General
1. Are there any buffers that need maintenance/improvement'?
❑ Yes
T9 No
2. Is any discharge observed from any part of the operation?
❑ Yes
V9 No
Discharge originated at; ❑ Lagoon ❑ Spray Field []Other
a. If discharge is observed, watt the c0nveya11ce mcnt-made;?
❑ Yes
❑ No
b. If discharge is observed, Clid it re,,tclf Surlace Water'? ([I'yes. iiotil'vDWQ)
❑ Yes
❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a tag(}on system? (If yes, notify DWQ)
❑ Yes
❑ No
3. Is there evidence of past discharge from any part of the operation?
❑ Yes
UNo
4. Were there any adverse impacts to the waters of the State other than from a discharge'?
❑ Yes
KNo
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
M No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time ofdesion?
❑ Yes
54 No
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
U•No
7/25/97 Continued on back

Facility Number:, Ljp — �-
8. Are there lagoons or storage ponds on site which need to be property closed? ❑ Yes FINo
Structures (Lagoons,tiolding fonds, Flush fits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes 4N No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (f y ,.......,.4,9.1.1
'g �4............................................................................................................................
10. Is seepage observed from any of the structures? ❑ Yes (ENO
11. Is erosion, or any other threats to the integrity of any of the structures observed'? ❑ Yes ONo
12. Do any of the structures need maintenance/improvement? ❑ Yes RNo
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13, Do any of the structures lack adequate minimum or maximum liquid level markers? ❑ Yes 0 No
Waste Application
14. Is there physical evidence of over application'? ❑ Yes @ No
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ....,. 'F"*.............................. . ..................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes l$ No
17. Does the facility have a lack of adequate acreage for land application? i 4�. ?j'
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment? RL(_ .
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement'?
For Certified or Permitted Facilities Only
23, Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
G] No'violations or. deficiencies. were noted during this, visit. Yo'tl"will receive no further
correspondence. Atiout this:visit'. :
❑ Yes 1�rNo
❑ Yes ❑ No
❑ Yes lB No
❑ Yes 9 No
❑ Yes JR-No
-Yes ❑ No
❑ Yes ONo
.Yes ❑ No
❑ Yes 19-No
Comments (refer to question #): Explain any YES answers and/or any'recomtnendations or,any other comments.,
Use drawings of facility to bettce expl.ttn situations, (use additi�rnal pages as nce5sary)
Ct,J m 9 - CW a,�%x6 I 1 - OL L 1 L �+-w1p tTw.+�{' Q v-f-t — "
ay G Ve.v tq 4. P JCL

Y
�, ._ .t,: .•n�:i'�. w�= . . �� k,t. �.�.;. � :N 1.,iF:'..:'�, `rr. . yr-. •'. Y^=� ; -. .yti �, T. "�". �,r .ti �y ..
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County
reeve
Owner
o dsboro Hog Farms
Manager
Address
Location
Certified
Farm Name
jsuiincaa r arm
Phone um er
essee
Region
O AIKU O MRU O WAKU O WSRU
O FRO O RRO O WIRO 77
miles —we of Fort-I.Run. Vire . 'epa men ,.. mt es' . a avis apse . . .
Certified Operator in Charge o n ar ner Certification #118613
Backup Certified Operator Certification #
Comments
type of operation spent sows, SSLW — 400 Ibs per sow.
FFPF"FVq.-VPPPFM Date inactivated or closed
Swine p Poultry p Cattle p Sheep p Horses p Goats p None
Design Capacity
wean to reeaer
,Feeder to Finish.
Farrow to Wean
Farrow to Feeder
Farrow to Flnish:
tits
Boar Stud
13 _ ayeC
a',i € ,ski.! �_ 3 i im
Total 810 Swin=
SSLW
Latitude Longitude
i

,1 CCIIl�1C��
. a Specialist;;
e �:IntegratAr ,
19
George H
Peifus
o s oro
og
arms
p Request to be removed p Removal Confirmation Recieved
Registration Date
Certification Date
D9M Reply
Certification #
Conditional Days
Conditional. p IrrigafioF,
Requirements ❑ Higher Yie
p Vegetation
❑ Acreage
n Other
Comments w Basin Name: lNeuse
Regional DWQ Staff Date Record Exported to Permits Database

IS Routine p Complaint p o ow -up of DWQ inspection
Facility Number
Farm Status: 0 Registered p Applied for Permit
0 Certified p Permitted
in Not OperationalDate Last Operated:
Farm Name: Bullhead Farm
Date of Inspection
Time of Inspection © 24 hr. (hh:mm)
County:Gr=ne............................................... WAR.O.......
Owner Name: ................................................... GoldshoLra_og.Eartnc....................... Phone No: 919-7.4.7.:.29.S:h...................................
Facility Contact: Rrent.MitdiAL.MGKinley..Wade.......... Title; Smice.Reps .................................... Phone No: 9,191.7.79-.31.30 ......................
MailingAddress: P.O..Rox.100,09.......................................................................................Goldshora.NC ....................................................... 27532 ..............
Onsite Representative: Rrej.Mitchell,.McKinley..Wade...................................... lntegrator:.Gaidsbortx.Hog.]I':arms...........................
Certified Operator:.lohn..W.................................... Garditer .......................................... Operator Certification Number:18613 .............................
Location of Farm:
SR Imp ............................ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: �+
Latitude ©� ®� ®�� Longitude ©,
Design Current Design Current Design Current
Capacity Population Poultry Capacity Population Cattle Capacity Population
p Layer JE3 Dairy
p Non -Layer p Non - airy
p can to Feeder
p Feeder to Finis
p Farrow to Wean
p Farrow to RUFF
p Farrow to mis
® Other
Total Design Capacity I"810
Total SSLW
.. . . . .. . ........... ... . .............
Number of'Lagoons / Holding Ponds', p u sur ace rams resen p Lagoon rea p pray Held Area
General
1. Are there any buffers that need maintenance/improvement? p Yes N No
2. Is any discharge observed from any part of the operation? p Yes ® No
Discharge originated at: p Lagoon p Spray Field p Other
a. If discharge is observed, was the conveyance man-made? p Yes N No
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ) p Yes N 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 ® No
3. Is there evidence of past discharge from any part of the operation? p Yes ® No
4. Were there any adverse impacts to the waters of the State other than from a discharge? p Yes N No
5. Does any part of the waste management system (other than lagoons/holding ponds) require p Yes H No
4/30/97 maintenance/improvement?

Yacility^ Number: 40_9
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
p Yes
® No
7. Did the facility fail to have a certified operator in responsible charge?
p Yes
® No
8. Are there lagoons or storage ponds on site which need to be property closed?
p Yes
® No
Structures (Lagoons and/or „Holding Ponds)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
p Yes
® No
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Structure 6
................U1................................................................................................................................................................................................................
10. Is seepage observed from any of the structures?
p Yes
® No
1 t. Is erosion, or any other threats to the integrity of any of the structures observed?
p Yes
® No
12. Do any of the structures need maintenance/improvement?
p Yes
® No
(if any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
p Yes
® No
Waste Application
14. Is there physical evidence of over application?
p Yes
® No
(if in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type ...... CDaslal.Herniuda.Gxass...... .....................................................................................................................................................•.......................
...
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
p Yes
® No
17. Does the facility have a lack of adequate acreage for land application?
p Yes
®No
18. Does the receiving crop need improvement?
p Yes
®No
19. Is there a lack of available waste application equipment?
p Yes
®No
20. Does facility require a follow-up visit by same agency?
p Yes
N No
21, Did ReviewerlInspector fail to discuss review/inspection with on -site representative?
p Yes
® No
For Certified Facilities Only
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
p Yes
®No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP?
p Yes
®No
24. Does record keeping need improvement?
p Yes
®No
Use drawings of facility to better explain situations. (use additional pages as necessary):
peration is an 8 1 U "spent sow" holding -term with a SSLW of 400 each equals to 324,UUU lbs. total. (Original Review in
id this operation as a 810 feeder to finish but was changed to "other" category following Review.)
of required at time of Review but needed for General Permit: odor control, insect control and mortality checklists.
eed to secure an operation and maintenance plan for waste system, and either irrigation system's operating parameters or
dibration information. Need to balance nitrogen for each field on irrigation records (computerized records are keeping a
unulative total for entire farm only and not by field or pull).
i process of mowing at time of Review.
Reviewer/Inspector Name r
r'.
Reviewer/Inspector Signature:
Date:

Site Requires Immediate Attention: N
Facility No. 90- i
DIVISION OF ENVIRONMENTAL MANAGEMENT .
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Date • ,; 1995 ,
. Time:
0/4f
Fare Name/Owner:
Mailing dress:
County: -lreMe-
On Site Representative:
Psical Address/Locat:
2hyyn.ilee u!-a4 a
Phone:
q'we " K
Type of Operation: Swine i/ Poultry Cattle
Design Capacity: ?eo No. of Anim fs on Site: �6O
DEM. Certification No.: ACE DEM Certification No.: ACNEW
Latitude: Longitude: Elevation: Ft
Circle Yes or No
Does the Animal Waste Lagoon have sufficieneeboard of 1 Ft + 25 year 24 hour
storm event? (approximately 1 Ft + 7 in) or No
Actual Freeboard: a ) Ft U ches
Was any seepage observed from the lagoon(s)? Yes or 09
Was any erosion observed? Yes or
Is adequate land available for pray? es or No
Is the cover crop adequate? Ye o
Crop(s) being utilized:
Does the facility meet SC �nimum setback criteria?
200 Ft from Dwellings? � or No 100 Ft from Wells? es or No
Is the mai waste stockpiled within 100 Ft of USGS Blue Line Stream?
Yes or
Is animal waste and applied or spray irrigated within.25 Ft of a bSGS Map Blue
Line? Yes or
Is animal waste discharged into waters of the state b man-made ditch, flushing
system, or other similar man-made devices? Yes orX,
If Yes, please explain:
Does the facility maintain adequate waste management records (volumes of manure,
land applied,
/spray irrigated on specific acreage with cover crop)? Yes or No
4-Ll -1 'is'—
Inspector Name Signature
cc: Facility Assessment Unit
Comments b Sketch on Back of Sheet

DEM
SITE VISITATION RECORD
Page Two
Comments:
Sketch:
W
o�
v
5'r- /05 8
Au
0
0