720028_HISTORICAL_20171231

NORTH CAROLINA
Department of Environmental W6

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Site Requires Immediate Attention: N
Facility No. '7 Z- .7-$'
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERAT ONS SITE VISITATION RECORD
Date: ,. 1 /-i (r , 1995�
Time: i 30
Farm Naive/Owner: V
Mailing Address: Ra0_�LL
County: 29,'rj 1A 1 r-AA -S
Integrator:
On Site Representative:
Physical Address/,Location:
1i
Type or operation: Swine ^�_ voustry cattle
Design Capacity: 250 No, of Ani— m� on Site: _ /)
DEM Certification No.: ACE BEM Certification No.: ACNEW
Latitude: Longitude: Elevation: Ft
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Ft + 25 year 24 hour
storm event? (approximately 1 Ft + 7 in) Yes or No
Actual Freeboard: Ft Inches NA
Was any seepage observed from the lagoon(s)? Yes or No
Was any erosion observed? Yes or No
Is adequate land available for spray? Yes or No
Is the cover crop adequate? Yes or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria?
200 Ft from Dwellings?. Yes or No 100 Ft from Wells? Yes or No
Is the animal waste stockpiled within 100 Ft of USGS Blue Line Stream?
Yes or No
Is animal waste land applied or spray irrigated within 25 Ft of a USGS Map Blue
Line? Yes or No
Is animal waste discharged into waters of the state n-made ditch, flushing
system, or other similar man-made devices? Yes o No
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
Inspector Name Signature
cc: Facility Assessment Unit
Comments & Sketch on Back of Sheet

DEM
SITE VISITATION RECORD
Page Two
Comments:
Sketch-1
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