480024_INSPECTIONS_20171231

2 'N
NUH I H UAHULINA
Department of Environmental Qual

INSPECTIONS.
INSPECTIONS
IN S-PECTIONq

. 0 Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number:
480024 Facility Status:
Inpsection Type:
Compliance Inspection
Reason for Visit:
Routine
Date of Visit:
09/11/2017 Entry Time: 11:00 am
Farm Name:
Hyde County Egg Farm
Owner:
Rose Acre Farms
Mailing Address:
PO Box 1250
Physical Address:
1008 Hyde Park Canal
Facility Status:
Active Permit: AWP480024 ❑ Denied Access
Inactive Or Closed Date:
County: Hyde Region: Washington
Exit Time: 11:55 am Incident #
Owner Email;
Phone: [phone]
Seymour IN 47274
Pantego NC 27860
IIIIIIIII Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35° 38' 30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Longitude: 76" 31' 30"
Question Areas:
Dischrge & Stream Impacts
Waste Cal, Stor, & Treat
Waste Application
Records and Documents
Other issues
Certified Operator:
Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s):
Name
Title Phone
24 hour contact name
John, Timothy Brinn, Webster
Phone
On -site representative
John, Timothy Brinn, Webster
Phone
Primary Inspector: Marlene Salyer
Phone:
Inspector Signature:
Date:
Secondary Inspector(s):
Inspection Summary:
waste analysis:
soil tested: 5-23-16
5-10-17 = 37.08
6-20-17 = 34.20
7-19-17 = 23.76
IRR for 11 events were complete & balanced out.
Total N applied = 274.86 lb. with 2270 N balance remaining.
Reviewed: rainfalVfreeboard; stocking; crop yield - 430 bales in 2017; calibration = 1500, 220, 160;
sludge survey T= 10 inches on 812016
page: 1

Permit: AWP480024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 09/11/17 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Structures
DisiSnated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon 180DAYSTORAGE 39.00
page: 2

• Permit: AWP480024 Owner- Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 09/11/17 Inppection 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?
❑
M ❑
❑
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
❑
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?
❑
M ❑
❑
8. Do any of the structures lack adequate markers as required by the permit? (Not applicable
❑M
❑
❑
to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
❑
0 ❑
❑
maintenance or improvement?
Waste Application
Yes No Na No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ M ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ E ❑ ❑
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 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: AWP480024 Owner - Facility : Rose Acre Farms Facility Nurnber: 480024
Inspection Date: 09/11/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
Yes
No Na No
Crop Type 1
Timothy,
Orchard. &
Rye
Grass
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
❑
0 ❑
❑
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?
❑
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?
❑ 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: AWP480024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 09/11/17 Inpsection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Yes
No Na Ne
Crop yields?
❑
120 Minute inspections?
❑
Monthly and 1" Rainfall Inspections
❑
Sludge Survey
❑
22. Did the facility fail to install and maintain a rain gauge?
❑
0 ❑ ❑
23. if selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
0 ❑ ❑
(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
❑
0 ❑ ❑
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 certfied operator in charge?
❑
E ❑ ❑
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
❑
E ❑
❑
and report mortality rates that exceed normal rates?
29. At the time of the inspection did the facility pose an odor or air quality concem? If yes,
❑
N ❑
❑
contact a regional Air Quality representative immediately.
30. Did the facility fail to notify regional DWQ of emergency situations as required by Permit?
❑
E ❑
❑
(i.e., discharge, freeboard problems, over -application)
31. Do subsurface the 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
❑
❑
❑
CAWM P?
33. Did the Reviewer/Inspector fail to discuss reviewfinspection with on -site representative?
[]
0 ❑
[]
34. Does the facility require a follow-up visit by same agency?
❑
0 ❑
❑
page: 5

I
M Division of Water Resources
❑ Division of Soil and Water Conservation
El Other Agency
Facility Number:
480024 Facility Status:
Inpsection Type:
Compliance Inspection
Reason for Visit:
Routine
Date of Visit:
07/19/2016 Entry Time: 09:45 am
Farm Name:
Hyde County Egg Farm
Active Permit: AWP480024
Inactive Or Closed Date:
County: Hyde Region:
Exit Time: 11:00 am Incident #
Owner Email:
Owner: Rose Acre Farms Phone:
Mailing Address: PO Box 1250 Seymour IN 47274
❑ Denied Access
Washington
812-497-2557
Physical Address: 1008 Hyde Park Canal Pantego NC 27860
Facility Status: Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35° 38' 30" Longitude: 76' 31' 30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
Dischrge & Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Timothy James Webster Operator Certification Number: 1001295
Secondary OIC(s):
On -Site Represontative(s): Name Title Phone
24 hour contact name John Brill Phone:
On -site representative John, Timothy Brinn, Webster Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Dale:
Secondary Inspector(s):
Inspection Summary;
Waste Analysis: soil sampled: 5-13-16
6-19-15 = 16.43
3-4-16 = 34.1
3-11-16 = 33.63
5-1-15 = 12.31
5-22-15 = 10.91
ERR records for 2015 are complete & bvalanced out with PAN remaining; some irrig. in 2016 & balanced out.
Reviewed: New Permit & COC, sludge survey on 12/3112015; calibration due 2016
page: 1

1
Permit: AWP480024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 07/19/16 Inppection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current promotions
Wet Poultry
Wet Poultry
- Layers
4,000,000
3,154,804
Wet Poultry
- Non Laying Pullets
750,000
621,912
Total Design Capacity: 4,750,000
Total SSLW: 17.500,000
Waste Structures
Disignated Observed
Type identifier Closed Date Start Date Freeboard Freeboard
Lagoon 180DAYSTORAGE 36.00
page: 2

M
Permit: AWP480024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 07/19/16 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?
❑
M ❑
❑
Discharge originated at:
Structure
❑
Application Field
❑
Other
❑
a. Was conveyance man-made?
❑
❑
❑
b. Did discharge reach Waters of the State? (if yes, notify DWQ)
❑
0 ❑
❑
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?
❑
M ❑
❑
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 Ne
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 (I.eJ large
❑0
❑
❑
trees, severe erosion, seepage, etc.)?
6. Are there structures on -site that are not properly addressed and/or managed through a
❑
M ❑
❑
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
❑
M ❑
❑
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 aitematives that need
❑ 0 ❑ ❑
maintenance or improvement?
11. Is there evidence of incorrect application?
❑ 0 ❑ ❑
If yes, check the appropriate box below..
Excessive Ponding?
❑
Hydraulic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
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

s
I
Permit: AWP480024 Owner - Facility : Rose Acre Farms Facility Dumber:
480024
Inspection Date: 07/19/16 Inppection Type: Compliance Inspection Reason for Visit:
Routine
Waste Application
Yes
No Na Ne
Crop Type 1
Other
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?
❑
0 ❑
❑
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre
❑
0 ❑
❑
determination?
17. Does the facility lack adequate acreage for land application?
❑
0 ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
E ❑
❑
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?
❑
0 ❑
❑
If yes, check the appropriate box below.
WUP?
❑
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify r-
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

'I
Permit: AWP480024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 07/19/16 Inppection 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?
❑
❑
❑
23. If selected, did the facility fail to install and maintain a rainbreaker on irrigation equipment
❑
0 ❑
❑
(NPDES only)?
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑
N ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
0 ❑
❑
appropriate box(es) below:
Failure to complete annual sludge surrey
❑
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?
❑
E ❑
❑
27. Did the facility fail to secure a phosphorous loss assessment (PLAT) certification?
1301111
Other Issues
Yes
No Na No
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,
❑
E ❑
❑
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?
❑
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 ❑ ❑ ❑
CAWM P?
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? ❑ N ❑ ❑
page: 5

M Division of Water Resources
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 480024 Facility Status: Active Permit: NCA148024 Denied Access
Inppection Type: Compliance Inspection Inactive Or Closed Date:
Reason for visit: Routine County: Hyde Region;
Date of Visit: 05/0512015 Entry Time: 09:00 am Exit Time: 10:00 am Incident #
Farm Name: Hyde County Egg Farm
Owner: Rose Acre Farms
Mailing Address: PO Box 1250
Physical Address: 1008 Hyde Park Canal
Facilit Status:
Owner Email:
Phone:
Seymour IN 47274
Pantego NC 27860
y ® Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude_ 35' 38' 30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
® Dischrge & Stream Impacts
® Records and Documents
Washington
812-497-2557
Longitude: 76° 31' 30"
Waste Col, Stor, & Treat Waste Application
e Other Issues
Certified Operator: Timothy James Webster Operator Certification Number: 1001295
Secondary OIC(s):
On -Site Representative(s):
24 hour contact name
On -site representative
Primary Inspector:
Inspector Signature:
Secondary Inspector(s):
Name
Timothy Waters
Timothy Waters
Marlene Salyer
Title Phone
Phone : [phone] ext 221
Phone : [phone] ext 221
Phone:
Date:
Inspection Summary:
Waste analysis: soil sampled 213115
2-27-14 = 14.74 Field A
4-3-14 = 12.90 Field B Other samples were taken but RAF chooses to use the highest sample for the PAN balancing. N
balanced total for 2014 was 220.59 w remaining N allowed = 2323.01
Sludge Survey: 1212014 Designed volum = 70856 culft Volume of sludg = 78996; working on a plan to address removal of sludge,
Jeno Kennedy is checking the sludge volume with sonar also.
Crop yields = 164.5 tons1470 bales
page: 1

/'
Permit: NCA148024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 05/05/15 inpsection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations
Wet Poultry
Design Capacity Current promotions
® Wet Poultry - Layers
4,000,000
2,932.528
® Wet Poultry - Non Laying Pullets
750,000
584.413
Total Design Capacity: 4,750,000
Total SSLW: 17,500,000
Waste Structures
Disignated Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
Lagoon PRIMARY 29,Q0
page: 2

r
Permit: NCA148024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 05/D5/15 Inssection 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?
❑
a ❑
❑
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)
❑
M ❑
❑
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
❑
M ❑
❑
State other than from a discharge?
Waste Collection, Storage & Treatment
Yes
No Na No
4. Is storage capacity less than adequate?
❑
M ❑
❑
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
❑
M ❑
❑
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? (Nat 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
❑
e ❑
❑
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?
[]
Hydraufic Overload?
❑
Frozen Ground?
❑
Heavy metals (Cu, Zn, etc)?
❑
PAN?
❑
Is PAN > 10%110 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: NCA148024 Owner - Facility : Rose Acre Farms Facility Number:
480024
Inspection Date: 05/05/15 Inpsection Type: Compliance Inspection Reason for Visit:
Routine
Waste Application
Yes No Na No
Crop Type 1
Timothy,
Orchard, &
Rye
Grass
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
❑
N ❑
❑
Management Plan(CAWMP)?
15. Does the receiving crop and/or land application site need improvement?
❑
0 ❑
❑
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?
❑
■ ❑
❑
18. Is there a lack of properly operating waste application equipment?
❑
e ❑
❑
Records and Documents
Yes
No Na Ne
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?
❑
N ❑
❑
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

a
Permit: NCA148024 Owner - Facility : Rose Acre Farms Facility Number: 480024
Inspection Date: 05/05/15 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?
❑
000
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?
❑
M ❑
❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the
❑
0 ❑
❑
appropriate box(es) below:
Failure to complete annual sludge survey
❑
Failure to develop a PDA 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?
❑
a ❑
❑
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
❑
e ❑
❑
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,
❑
M ❑
❑
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 I 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?
❑
M ❑
❑
34. Does the facility require a follow-up visit by same agency?
❑
®❑
❑
page: 5

L
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 480024 Facility Status: Active Permit: NCA148024 ❑ Denied Access
Inspection Type: Compliance lasoection _ Inactive or Closed Date:
Reason for Visit: Routine County: Hyde , Region: Washington
Date of Visit: 03/20/2014 Entry Time: 09:30 AM Exit Time: 01:20 PM Incident #:
Farm Name: dy County Egg Farm Owner Email:
Owner: Rose Acre Fsjrms Phone: 1247- 7
Mailing Address: PO Box 1250 Seymour IN 47274
Physical Address: 1008 Hyde Park Canal _ , _ _ PantNQ 2786Q
Facility Status: 0 Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 25°38'30 Longitude: 76°31'30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
Dischrge 8, Stream Impacts Waste Col, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: John William Brinn Operator Certification Number: 986756
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name Timothy Waters Phone: [phone] ext 221
On -site representative Shelton T Cooper Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 03120/2014 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
IN Attendance; Joe Miller; Wes Spray; John Brinn; Shelton Cooper, Timothy Waters from Rose Acre Farms
From EPA -Atlanta: Don Joe; Laurie Lindquist
Waste analysis:
12-5-13 = 14.01 Soil Sample: 1/16/2013
12-11-13 = 14.49
01-27-14 = 12.60 Aus trees are looking good.
IRR records are complete & balanced from Jan. 14, 2013 until 12/13/2013. Reviewed rainfall, freeboard & mortality records.
2014 N allowed = 2545.6 lb. used thus far - Field A = 111.8 lb Field B = 114.6 lb
P205 = 438.6 used Field A = 264 Field B = 290
Litter composted for mortality only spent hens go off site. Aerorator in pond runs all the time.
NOTE: EPA pulled Nutrient Samples from 4 sites of Stormwater.
Page: 2

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number : 480024
Inspection Date: 03/20/2014 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Wet Poultry - Layers
4,000,000
3,000,000
Q Wet Poultry - Non Laying Pullets
750,000
500,000
Waste Structures
Type
Identifier
Total Design Capacity:
Total SSLW:
4,750,000
17,500,000
Designed Observed
Closed Date Start Date Freeboard Freeboard
la —goon PRIMARY 36.00
Page: 3

n
Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 03/20/2014 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 (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
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)?
❑
■
❑
❑
❑
■
❑
❑
❑■❑❑
Yes
No
NA
NE

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number. 480024
Inspection Date: 0312012014 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
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
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?
Yes No NA NE
❑
❑
Q
Other
❑■❑❑
0■Q❑
Q■❑Q
❑ ■ ❑ Q
❑ ■ ❑ Q
Yes No NA NE
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑
Page: 5

0
Permit: NCA148024 Owner - Facility: Rose Acre Farms
Inspection Date: 03/20/2014 Inspection Type: Compliance Inspection
Records and Documents
Checklists?
Design?
Maps?
Lease Agreements?
Other?
If Other, please specify
21. Does record keeping need improvement?
If yes, check the appropriate box below.
Facility Number: 480024
Reason for Visit: Routine
Yes No NA NE
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?
❑
■ ❑ ❑
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate
❑
0110
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: 6

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 03/20/2014 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? ❑ ■ ❑ D
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 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: 7

Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency
Facility Number. 460024 Facility Status: Active Permit: NCA148024, 0 Denied Access
Inspection Type: Comnlianr Inspection , - - Inactive or Closed Date:
Reason for Visit: Routine County: Hyd Region: Washinglon
Date of Visit: 09/10/2012 Entry Time: 0%00 AM Exit Time: 10:2Q AM Incident #'
Farm Name: Hyde County Eag Farm Owner Email:
Owner: Rose Acre Farms Phone: §12-497-2557
Mailing Address: PO Box 1250 Seymour IN 47274
Physical Address: 1008 Hyde Park Canal Pantego NC 27860
Facility Status: E Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°38'30" Longitude: 76°31'30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
Dischrge & Stream Impacts Waste Cal, Stor, & Treat Waste Application
Records and Documents Other Issues
Certified Operator: Shelton T Cooper
Secondary OIC(s):
Operator Certification Number: 18835
On -Site Representative(s): Name Title Phone
24 hour contact name John Brinn Phone: [phone]
On -site representative Shelton T Cooper Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: ;Nf Date:
Secondary Inspector(s):
Page: 1

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 09/10/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
Waste analysis:N
P Soil tested: 11-2011
2-3-12 = 24.60
15.58
3-2-12 = 23.92
12.92
6-20-12 = 13.04
9.88
7-24-12 = 5.52
8.04
8-17-12 = 1.56
4.08
On Field A = 5 & B = 7 irrigation events with records balanced out. Highest N & P levels are being used.
Sprayfield needs to be sprayed for weeds. WUP plan dated March 2009 was emailed to me with Fescue as crop.
Calibration of equipment was done in 2012 Sludge survey dated Nov. 2011
Page: 2

Permit: NCA148024 Owner -Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 09110/2012 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Wet Poultry - Layers
4,000,000
2,932,098
Wet Poultry - Non Laying Pullets
750,000
585,379
Total Design Capacity: 4,750,000
Total SSLW: 17,500,000
Waste Structures
Designed Observed
Type Identifier Closed Date Start Date Freeboard Freeboard
agoon PRIMARY
Page: 3

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number : 480024
Inspection Date: 09/10/2012 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) 0000
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 00011
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: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 09110/2012 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 manurelsludge into bare soil?
❑
Outside of acceptable crop window?
❑
Evidence of wind drift?
❑
Application outside of application area?
❑
Crop Type 1
Coastal Bermuda Grass
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?
(Hay)
Fescue (Hay)
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑■❑❑
❑ ■ ❑ ❑
Yes No NA NE

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Inspection Date: 09/10/2012 Inspection Type: Compliance Inspection
Records and Documents
Facility Number. 480024
Reason for Visit: Routine
Yes No NA NE
Checklists?
❑
Design?
❑
Maps?
❑
Lease Agreements?
❑
Other?
❑
If Other, please specify
21. Does record keeping need improvement?
13000
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
❑ ■
❑ ❑
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: 6

Permit: NCA148024 Owner - Facility. Rose Acre Farms
Facility Number. 480024
Inspection Date: 09/10/2012 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?
❑ ■
❑
❑
Other Issues
Yes No
NA
NE
28. Did the facility fail to property dispose of dead animals within 24 hours and/or document and report Q ■
❑
Q
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 Q ■
❑
❑
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 Reviewerlinspector fail to discuss review/inspection 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: 480024 Facility Status: Active Permit: NCA148024 ❑ Denied Access
Inspection Type: Compliance Ins2ection Inactive or Closed Date:
Reason for Visit: Routine County: Hyde Region: Washington
Date of Visit: 04/26/2011 Entry Time:12Q0 PM Exit Time: Incident #:
Farm Name: Hyde County Eau Fgrm Owner Email:
Owner: RosgAQre Farmer _
Mailing Address: PO Box 1250 Seymour IN 47274
Physical Address: 1008 Hyde Park Canal Pantgao NC 27860
Facility Status: 0 Compliant ❑ Not Compliant Integrator:
Phone: [phone],
Location of Farm: Latitude: 35"38'30" Longitude: 76"31'30
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45,
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: John William Bdnn Operator Certification Number: 986756
Secondary OIC(s):
On -Site Representative(s): Name
24 hour contact name John Brinn
Title Phone
Phone: [phone]
On -site representative Shelton T Cooper Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Page: 1

'a .
Permit: NCA148024 . Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 04/26/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
waste analysis: soil tested: 11-14-2010 all parameters normal.
1-13-11 = 17.14
2-10-11 = 13.85
3-9-11 = 10.06
IRR records are complete and balanced out with 102.7 lbs. PAN used out of 3629.2 available for use.
Field A = 48.2 & Field B = 54.5
Caliberation 2010 SS 912010
Aus tress replanted in the fall to fill in any bare areas, they are looking great!
Lagoons look great - water fowl are enjoying them!
Page: 2

y
Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/26/2011 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Q Wet Poultry - Layers
4,000,000
3,250,000
Q Wet Poultry - Non Laying Pullets
750,000
600,000
Total Design Capacity: 4,750.000
Total SSLW: 17.500,000
Waste Structures
Type Identifier Closed Date Start Data Designed Freeboard Observed Freeboard
lagoon PRIMARY 40. 00
Page: 3

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Inspection Date: D412612011 Inspection Type: Compliance Inspection
Facility Number: 480024
Reason for Visit: Routine
Discha!9ees & 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.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, 11000
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 00110
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: NCA148024 Owner - Facptty: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/26/2011 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 manure/sludge into bare soil? Cl
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 property 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)
❑■❑❑
❑ ■ ❑ ❑
X
Page: 5

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/26/2011 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?
❑
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 fail to provide documentation of an actively certified operator in charge?
❑ ■ ❑ ❑
Page: 6

0
Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/26/2011 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? ❑ ■ ❑ ❑
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 Pen -nit? (i.e.. discharge, ❑ ■ ❑ ❑
freeboard problems, over -application)
31. Do subsurface tite 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 review/inspection with on -site representative?
34. Does the facility require a follow-up visit by same agency?
■
■
■
Page: 7

t �
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 480024 Facility Status: Active Permit: NCA148024 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: RoUjine County: Hyde„ Region: Washington
Date of Visit: 05/12/2010 Entry Time:01405 PM Exit Time: Incident #:
Farm Name: Hyde County Egg Farm Owner Email:
Owner: Rpse 8cre
Mailing Address: PO Box 1250 _ _ ^, .,gymour IN 47274
Physical Address: t0 8 Hyde Park Canal Panteao NC 27860
Facility Status: 0 Compliant ❑ Not Compliant
Location of Farm:
Integrator:
Latitude:35°38'30" Longitude: 1' "
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45,
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator: John William Brinn Operator Certification Number: 986756
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name John Brinn Phone: [phone]
On -site representative Shelton T Cooper Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(sl:
Inspection Summary:
waste analysis:
1-11-10 = 13.05
2-12-10 = 12.47
3-8-10 = 10.18
soil tested December 2009 sludge survey 2009 Caliberation 2009
Looks good!
Page: 1
LIN

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 05/12/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Wet Pouitry - Layers 4,000,000 30,003,000
Total Design Capacity: 4,000,000
Total SSLW: 16,000,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
agoon PRIMARY 36.0(
Page: 2
k

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 05/1212010 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? ❑ M ❑ ❑
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) ❑ ■ ❑ ❑
c. Estimated volume reaching surface waters?
d. Does discharge bypass the waste management system? (if yes, notify DWQ) 0000
2, is there evidence of a past discharge from any part of the operation? ❑ M ❑ ❑
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
A. 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 ❑ ■ ❑ Cl
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 Ap lication 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: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 05/12/2010 Inspection Type: Compliance Inspection Reason for visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 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 Fescue (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?
❑
■
Q ❑
17. Does the facility lack adequate acreage for land application?
❑
■
❑ ❑
18. Is there a lack of properly operating waste application equipment?
❑
■
❑ Cl
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?
Q
Page: 4

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number; 480024
Inspection Date: 05/12/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents Yes No NA NE
Checklists? Q
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: NCA148024 Owner - Facility: Rose Acre Farms Faciitty Number: 480024
Inspection Date: 05/12/2010 Inspection Type: Compliance Inspection Reason for Visit: Routine
Otherlssues 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? Cl ■ ❑ ❑
Page: 6

Division of Water Qualify
Division of Soil and Water Conservation
❑ Other Agency
Facility Number : 4§0024_ _ Facility Status: 6etive _ _ Permit: NCA14L4 13 Denied Access
Inspection Type: m li n InspWjotj Inactive or Closed Date:
Reason for Visit: RgutineCounty: Hyde , __ Region: fflIhinglon_
Date of Visit: 2!U j6j2QQq_ Entry Time: 11:D0 AM Exit Time: Incident #:
Farm Name: Fjjrm Owner Email:
Owner: Rose Acre Farms Phone: 2
Mailing Address: PQ Box 1250 �, Seymour IN 472ZA
Physical Address: JMB Hyde eark Qanal P n
Facility Status: M Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35*38'30" Longitude: 7S"31'30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other issues
Certified Operator: Shelton T Cooper Operator Certification Number: 18835
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name John Brinn Phone: [phone]
On -site representative John Brinn Phone: [phone]
Primary Inspector. Marlene Salyer
Inspector Signature: —
Secondary Inspector(s):
Phone:
Date:
Page: 1

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: D411612009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Inspection Summary:
A group of 6 from NCDENR went to the inspection because of impending Permit renewal; David May, Keith !_arick, Marlene Salyer,
Joseph Olinger, Jill Paxson, Burt Simons.
Three people representing Rose Acres were present; Chip Everhart, John Brinn, Shelton Cooper
Soil test 10-30-2008
Waste analysis:
1-29-09 = 8.61
2-27-09 = 8.89
4-2-09 = 10.84
Waste Utilization Plan allows 211 on Bermuda they have only used 2.29 PAN at time of inspection.
They are composting the mortality.
Page: 2

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/1612009 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Wet Poultry -Layers 4,000,000 3,000,000
Total Design Capacity: 4,000,000
Total SSLW: 16,000,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
koon PRIMARY !i 00
Page: 3

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/16/2009 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./ large trees, severe
❑
■ ❑
❑
erosion, seepage, etc.)?
6. Are there structures on -site that are not property 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 eomplianoe 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: NCA148024 Owner - Facility: Rose Acre Farms Facility Number. 480024
Inspection Date: 04/16/2009 inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application Yes No NA NE
PAN? ❑
Is PAN > 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
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 fait 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.
WU P?
Bermuda Grass (Hay,
Pasture)
Small Grain Overseed
❑ ■ ❑ ❑
❑ ■ ❑ ❑
❑ ■ ❑ ❑
X
Page: 5

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number. 480024
Inspection Date: 04/16/2009 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?
❑ 0011
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: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 04/1612009 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 review/inspection with on -site representative? ❑ ■ ❑ ❑
33. Does facility require a follow-up visit by same agency? ❑ ■ ❑ ❑
Page: 7

a
i
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 480024 Facility Status: Active Permit: NCA148024 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Egutine County: Region: Washington
Date of Visit: 05/27/2008 Entry Time:09:00 AID Exit Time: Incident #:
Farm Name: Hyde County Ecia Farm Owner Email:
Owner: Rose Acre Farms Phone: [phone]
Mailing Address: PO Box 1250 Seymour IN 47274
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°38'30" Longitude: 76°31'30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45,
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents Other Issues
Certified Operator:
Secondary OIC(s):
Operator Certification Number:
On -Site Representative(s): Name Title Phone
24 hour contact name John Brinn Phone: [phone]
On -site representative John Brinn Phone: [phone]
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
waste analysis:
1-16-08 = 13.1 mg/L PAN
2-27-08 = 14.41
3-26-08 = 7.30
4-22-08 = 13.1
soil sample not required as there have been no irrigation events to this date.
Page: 1

Permit: NCA148024 Owner - Faciitty: Rose Acre Farms Facility Number: 480024
Inspection Date: 05/2712008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Wet Poultry
Wet Poultry - Layers 4,000,ODD 1,750,000
Wet Poultry - Nan Laying Pullets 1 750,000 1 750,000
Total Design Capacity: 4,750,000
Total SSLW: 17,500,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
koon PRIMARY 57.00
Page: 2

S
Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 4B0024
Inspection Date: 06127I2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Discha es & Stream Im act5 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? ❑ ■ ❑ 11
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)
❑ ■
❑ Q
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./ large trees, severe
❑ IN
❑ ❑
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
❑ ■
❑ Cl
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

q
Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 0512712008 Inspection Type: Compliance Inspection
Reason for Visit: Routine
Waste Application
Yes
No
NA NE
PAN?
❑
Is PAN > 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
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: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 05/27/2008 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 (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 1101111
Quality representative immediately.
Page: 5

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 05/27/2008 Inspection Type: Compliance Inspection Reason for Visit: Routine
Otherlssues Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ■ Q 13
3Z Did Reviewer/inspector fail to discuss review/inspection with on -site representative? ❑ ■
33. Does facility require a follow-up visit by same agency?
Q ■ 1311
Page: 6

IL
Division of Water Quality
Division of Soil and Water Conservation
❑ Other Agency �1
Facility Number: 48Q024 �— Facility Status: AjA*ve Permit: NCA148024 ❑ Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Iiyde Region: Washington
Date of Visit: 09/10/2007 Entry Time:09:50 AM Exit Time:
Farm Name: Hyde County Eao Faun
Owner: Rose Acre Farms
Physical Address:
Incident #:
Owner Email:
1i7-3TiF7ir:L`iCyy�t
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm:
Phone:
Latitude.35°38'30" Longitude:76°31'30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
Discharges & Stream Impacts Waste Collection & Treatment Waste Application
Records and Documents
Certified Operator: Operator Certification Number:
Secondary OIC(s):
On -Site Representatfve(s): Name Title Phone
24 hour contact name John Brinn Phone: [phone]
On -site representative John Brinn Phone: [phone]
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
spoke with Mr. John Brinn per telephone. He stated: they have had no irrigation events since production began - they are recording
the rainfall(daily)& freeboard levels weekly. Since there have been no irrigation events no waste analysis have been taken.
Mr. Brinn will call me when they do begin irrigating.
Page: 1

Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number. 480024
Inspection Date: 09/10/2007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Structures
Type Identifier Closed Data Start Date Designed Freeboard Observed Freeboard
agoon PRIMARY 75,00
Page: 2

r
Permit: NCA148024 Owner -Facility: Rose Acre Farms Facility Number: 480024
Inspection Date: 0911012007 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./ 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? ❑ ❑ ❑ ■
S. 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: NCA148024 Owner - Facility: Rose Acre Farms
Inspection Date: 09/10/2007 Inspection Type: Compliance Inspection
Facility Number: 480024
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? ❑ ❑ ❑ ■
1 B. 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.
WU P? ❑
Page: 4

. O
Permit: NCA148024 Owner - Facility: Rose Acre Farms Facility Number. 480024
Inspection Date: 09/1012007 Inspection Type: Compliance Inspection Reason for Visit: Routine
Records and Documents
Checklists?
Design?
Maps?
Other?
21. Does record keeping need improvement?
If yes, check the appropriate box below.
Yes No NA NE
❑
❑
❑■❑❑
Waste Application?
❑
120 Minute inspections?
❑
Weather code?
Cl
Weekly Freeboard?
❑
Transfer;?
❑
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?
❑ ■ ❑ ❑
Page: 5

r 4
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number : 480024 Facility Status: Active Permit: NCA148024 ❑ Denied Access
Inspection Type: Structure Evaluation Inactive or Closed Date:
Reason for Visit: Routine County: Hyde Region: Waahington
Date of Visit: 8/Q812Q06 Entry Time: Q2�3QA_ Exit Time:
Farm Name: Hyde County Egg Farm
Owner: Rose Acre Farms
Incident #:
Owner Email:
Mailing Address: PO Box 1250 Seymour IN 47274
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm:
Phone: [phone]
Latitude:35°38'30" Longitude:76°31'30"
Facility is located approximately 1.5 miles east of Hyde Park Canal, approximately 1.5 miles North of NC 45.
Question Areas:
N Discharges & Stream Impacts Waste Collection & Treatment Records and Documents
Certified Operator. Operator Certification Number:
Secondary OIC(s):
On -Site Representative(s): Name Title Phone
24 hour contact name John Brinn Phone: [phone]
On -site representative John Brinnq Phone:
Primary Inspector: Marlene Salyer Phone:
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
The farm is ready to bring the layers over either on the 14th or 15th of August 2006.
The solid set system is in place.
The lagoon with the liner is in place and ready for operation, except that it needs the marker to be set.
John stated that the lagoon will soon be fenced to help keep the wildlife from going into the lagoon and tearing up the liner as they
would attempt to exit. He stated this was especially for the bear in the area and he and I saw one and was able to get the pickup
within 20 feet of it. Neat to see a bear so close!
Page: 1

,w
Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number:480024
Inspection Date: 08/08/2006 Inspection Type: Structure Evaluation Reason for Visit: Routine
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Lon PRIMARY 98,Q0
Page: 2

Permit: NCA1 48024 Owner - Facil Ity: Rose Acre Farms Facility Number: 480024
Inspection Date: 08I0a12006 Inspection Type: Structure Evaluation 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?
11000
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.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 Q ■
❑ ❑
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 andlor wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or
❑ ■
❑ ❑
improvement?
Records and Documents
Yes 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?
❑
Checklists?
Design?
❑
Maps?
❑
Page: 3

Permit: NCA148024 Owner - Facility: Rose Acre Farms
Facility Number: 480024
Inspection Date: 06/08/2006 Inspection Type: Structure Evaluation
Reason for Visit: Routine
Records and Documents
Yes No NA NE
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)? ❑ ❑ ❑ IN
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?
❑ ❑ ■ ❑
Page: 4