710073_INSPECTIONS_20171231

NORTH CAROLINA .�
Department of Environmental Qual
II

•Mr1Division of Water Quality
IFaci city Number Division of Soil and Water Conservation
Other Agency
IType of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance I
Reason for Visit �utine O Complaint O Follow up O Referral Q Emergency O Other ❑ Denied Access
9
Date of Visit: W.G Arrival Time: f d d Departure Time: County:
Farm Name: _ h2e;! ' _ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
❑ Other --
Phone:
Phone No:
Integrator:
Operator Certification Number:
Back-up Certification Number:
Region:i
Latitude: = e = ' = Longitude: = 0 0 ' 0
Design Current Design Current
Capacity Population Wet Poultry Capacity Population
❑ Layer
10 Non-Layet
Dry Poultry
❑ Layers
❑ Non -Layers
❑ Pullets
❑ s
urk�::ults
❑ urk
i
❑ Other
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other
a. Was the conveyance man-made?
Design Current
Cattle Capacity Population
❑ Dairy Cow
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Non -Dairy
❑ Beef Stocket
l
❑ Beef Feeder
❑ Beef Brood Co
I
Number of Structures:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
i . -
❑ YesZ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ NA
❑ NE
❑ Yes
❑ No
❑ Yes
J2'*No
❑ NA
❑ NE
❑ Yes
ONo
❑ NA
❑ NE
12128104 Continued

l
Facility Number: — Date of Inspection
Waste Collection & Treatment
4. I$,storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Mo ❑ NA ❑ NE
a. if yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: /
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Y.
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes R'No ❑ NA ❑ NE
(ie/ large trees, severe erosion, seepage, etc.) �
6. Are there structures on -site which are not properly addressed and/or managed El2 Yes No ❑ NA ❑ NE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes ONo ❑ NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes �2'No ❑ NA ❑ NE
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes J�No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes PVo ❑ NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes A�fNo ❑ 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 Cron Window ❑ Evidence of Wind Drift ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes ,DNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes eNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination,
❑ Yes J:iNo
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes .2'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes eNo
❑ NA
❑ NE
COil (/W, G/ �� I S 15A QJc� C"_
Reviewer/Inspector Name Phone:
Reviewer/Inspector Signature: Date:
72/28/ Continued

ri-
Facility Number: 7 — Date of Inspection
Required Records & Documents
19. Oid the facility fail to have Certificate of Coverage & Permit readily available? ❑ Yes ENo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes,,E No ❑ NA ❑ NE
the appropirate box. ❑ WUP ❑ Checklists ❑ Design
g ❑Maps El Other
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 91 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Annual Certification
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rain Inspections ❑ Weather Code
22.
Did the facility fail to install and maintain a rain gauge?
❑ Yes
.2No
❑ NA
❑ NE
23.
If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
eallo
❑ NA
❑ NE
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
2 Flo
❑ NA
❑ NE
25.
Did the facility fail to conduct a sludge survey as required by the permit?
❑ Yes
0"&o
❑ NA
❑ NE
26.
Did the facility fail to have an actively certified operator in charge?
❑ Yes
❑'No
❑ NA
❑ NE
27.
Did the facility fail to secure a phosphorus loss assessment (PLAT) certification?
❑ Yes
ff No
❑ NA
❑ NE
Other Issues
28.
Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
P No
❑ NA
❑ NE
29.
Did the facility fail to properly dispose of dead animals within 24 hours and/or document
❑ Yes
ONo
❑ NA
❑ NE
and report the mortality rates that were higher than normal?
30.
At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
O'No
❑ NA
❑ NE
If yes, contact a regional Air Quality representative immediately
31.
Did the facility fail to notify the regional office of emergency situations as required by
[I Yes
.lI No
El"
❑ NA
❑ NE
General Permit? (iel discharge, freeboard problems, over application)
32.
Did Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
) No
❑ NA
❑ NE
33.
Does facility require a follow-up visit by same agency?
❑ Yes
No
❑ NA
❑ NE
Additional Comments and/or Drawings:
GC�co�r�s.
121?&04

I/
of Visit O'Compliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up 0 Emergency Notification O Other ❑ Denied Access
Facility.Number Date of Visit: l a Time:
Q Not Operational Q Below Threshold
EI/Permitted Certified 13 Conditionally Certified © Registered Date Last Operated or Above old: _.
Farm Name: 9"o 'a County.
Owner Name:
Mailing Address:
Facilitv Contact:
Title:
Phone No: �.
Onsite Representative: %w �S N �R-. . Integrator:
Certified Operator.. _ Location of Farm:
Phone No:
Operator Certification Number. • • .... W-
❑ Swine ❑ Pouitry ❑ Cattle ❑ Horse Latitude • " Longitude • �u
_ `•'
il.�iiit r (G
�.
Swine Po 'on. PouitrYu :.
___..
Po hon':� Cattte Ca Po
tioa
Dairy
10 Nan -Dairy
Farrow to Wean
. to aOth
=
-
Farrow to Feeder
to Finish�.,
/Farrrow
flirt$
Tacta�'SSL�V
Boars
'
....
.'.. i N- w..-.,,- 1. .-•'-
_:'- _
r-
AL
I
..� s
, ram'.,
Wean to Feeder
,$-off
'] �
Layer
eeder to Finish���'
Non -Layer
Discharges & Strum Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes WNo
Discharge originated at ❑ Lagoon ❑ Spray Field ❑ Other
& 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 gaVn:Lin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes —❑ NNo
2. Is there evidence of past discharge from any part of the operation? ❑ Yes C N
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes 7No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes No
Str►�cture I Structure 2 Structure 3 Structure 4 Structure 5 Suvcture 6
Identifier: _..._.�
Freeboard (inches): q�
12112103 Continued

r
Facility Number: 11 — 13 Date of Inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenancerimprovement?
8. Does any part of the waste management system other than waste structures require maintenancerimprovement?
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 maintenancerunprovement?
11. is there evidence of over application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload ❑ Rozen Ground ❑ Copper and/or Zinc
12. Crop type
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
❑ Yes dNo
❑ Yes Lf No
❑ Yes dNo
❑ Yes [,YNo
❑ Yes C4
❑ Yes [• f�T
❑ Yes
❑ Yes �lo
❑ Yes
❑ Yes
❑ Yes No
[Yes ❑ No
❑ Yes L o
❑ Yes lIKo
❑ Yes 0o
❑ Yes 9'""
❑ Yes 1, A4
tUse drawer of�fasTety. to�better;arplam sit�ons. {use�additionaltipages asrp) � ❑Field Cagy ❑Final Notes
`
S:) I <E E P C a P F �1 r.fN ll�A"C, CE cR�Z �,L G� �.� 3N �6 n-v� W fT V EC -SOS,
23') 56`?43�At P�rv►Q.��JCa 1, i.1 D6 �hJ GtT A EWD of- s'Ef'T► Gw2 t, 6r.1
o tt.avtt.
Reviewer/Inspector Name �
Reviewer/Inspector Signature: Date: i I It ' a
12112M3
Coxfinued

Facility Number: _ j3 Date of Inspection
Aectuired Records & Documents
21 _ Fail to have Certificate of Coverage & General Permit or other Permit readily available? ❑ Yes (to
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.) �Vyes
s o
23. Ds ord keeping need improvement? If yes, check the appropriate box below. ❑ No
D
oes
❑ Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facilitynot in compliance with an applicable setback criteria in effect at the time of design? ❑ Yes u D
p y� �
25_ Did the facility fail to have a actively certified operator in charge? ❑ Yes No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
Oe/ discharge, freeboard problems, over application) ❑ Yes �No
27. Did Reviewer/inspector fail to discuss reviewimspection with on -site representative? [I Yes L�J No
28. Does facility require a follow-up visit by same agency? ❑ Yes
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes 42 o
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35) Gry/es ❑ No
31. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 1?1
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes L7 N o
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes 0115)
34. Did the facility fail to calibrate waste application equipment? ❑ Y s �40
35. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. Yes ❑ No
❑ Stocking Form ❑ Crop YieldForm [:]Rainfall ❑ Inspection After 1" Rain
❑ 120 Minute Inspections OlLnual Certification Form
12112103

l_`
0
(late of visit: tf Time: z` W1
Faciliri Number
Not O erational 0 Below Threshold
Permitted 15Certified--- D Conditionally Certified © Registered Date Last Operated or Abb ve Threshold:
Farm Name: !TC I'✓ County: '4"' [O, �o
Owner Name: _ /� v Phone No:
Mailing Address:
Facility Contact: Title: Phone No:
Onsite Representative: !6 Integrator:Of
Certified Operator: Operator Certification Number:
Location of Farm:
❑ Swine ❑ Poultry ❑ Cattle ❑ Horse Latitude ' �• u Longitude •
=
Design
Current °Design Current -.. .. Resign Current
Swine
Capacity
--Pa ulation .Pou1t
Ca actty., Pn uiatiiri. - Cattle . , _ „=Ca acttv.: P.ii utapott
® Wean to Feeder
❑ La er
'
❑ airy
Feeder to Finish
/p0
❑Non -Laver,
❑Non -Dairy
Farrow to Wean
W
❑ Farrow to Feeder
❑ Other
_
❑ Farrow to Finish
. .. at Desigh Capai lh,
Tot j
❑ Gilts
❑ Boars
Total SSLW
of Lagoons- FM
= ❑ Subsurface Drains Present ❑ La oon Area ❑ 5 ray Field Area "-
Nvirnber _
Holdrng'Ponds ! Sohd3raps No Lig uid waste Management System
Discharses & Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ LaRoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed. what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Freeboard (inches):
05103101
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
El Yes El No
Structure 6
Continued

A
Facility Number: '7t — 73
Date of Inspection 1 / f03
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? Wxcessive Ponding ❑ PAN EL Hydraulic Overload
12. Crop type
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Eff 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?
❑ Yes
❑ No
16. Is there a lack of adequate waste application equipment?
❑ Yes
❑ No
Reouired Records & Documents
17.
Fail to have Certificate of Coverage & General Permit or other 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
❑ 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?
❑Yes
❑ No
(ie/ discharge, freeboard problems, over application)
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
❑ No
25.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
❑ No
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
U� t#._. ) kare_vmaeoIatioaa or so o_uer.mts.Cbients'(refer oguest;any#�
rawngsoffacyto betterexpansituation&'(useadditi6n*Upages as �
necessary) }[� Field Gone ❑Final Notes
�/, ���� '�� G/it s di`C�P� �`'✓"/iH 1¢ii, Dh �pd/t/C /tOD�t Si' 5�1.Dte/,P/�i
/1�/Q`��!,
LP'SSir%Q �O/t/�tri� ➢~ ��a a /i G /.t� "r^/'ii�1 57
Q/1t 4-e-
Qit �//O�O 3 G� 2:3O��t 7i. % Gv.�s Jo���� �d��sPh7< <',e
/ Ae wed o
H,
Reviewer/Inspector Name _
Reviewer/Inspector Signature: Date: D D
05103101 v Continued

Facility 1\umber: 7 / —%? bate of Inspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor below
y
❑ 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?
El 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: =
d•'-i1j
/f7E %t°Lr�4 5 �1S�P!! d- /4't � y`rr A)"'t 44", !*1fc � �b�cti�' z 6v�e�5
lyv Gv rcLr eA,vSLGe' -�4e e,4,;�rG In,,A 9/•`, r, C7'ih- I
�,e.h S 6 n ✓ f�i`"c'�jU G �j�nt Tv $�� `�� !>��>�--
7TT"' Tl
05103101

'Division of Water Quality
O Division of Soil and Water Conservation
O Other Agency
(Type of Visit O C�omplianGe Inspection 0 Operation Review 0 Lagoon Evaluation
Reason For Visit AZ Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑ Denied Access
Facility Number �] f rj 3 Date of Visit: Pro o � Time: f Z ''f0
I - __j rO Not Operational 0 Below Threshold
Q Permitted O Certifi]ed 0 Con-rdiitti�onally Certified 0 Registered Date Last Operated or Above Threshold:
Farm Name: 1 4 /' V- �+- County: —
Owner Name: 2 S e n ®1 tar Phone No:
Mailing Address:
Facility Contact: Title:
Onsite Representative: D
Certified Operator:
Location of Farm:
Phone No: I
Integrator: M /Vie L, :;
Operator Certification Number:
f C�swine ❑ Poultry ❑ Cattle ❑ Horse Latitude 0 C " Longitude 0 4
Design Current
awine
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Soars
Design Current Design Current
Poultry Ca acity Population Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ELI Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons I I 1 JLJ Subsurface Drains Present JIL.,J Lagoon_ Area JLJ Spray Field Area j
Holding Ponds / Solid Traps � JE1 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 gallmin?
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 I�Mo
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 _VNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard (inches): 3
05103101 Continued

Facility Number: 7 — 73 Date of Inspection '
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
❑ Yes'ONo
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure
❑ Yes e
plan?
(if any of questions 4-6 was answered yes, and the situation poses an
o
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
❑ Yes _�ErNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes ;R'No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes - P No
Waste AIRLIfication
10. Are there any buffers that need maintenance/improvement?
❑ Yes ONO
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN ❑ Hydraulic Overload
❑ Yes o
/
12. Crop type Be e, wt.� 7 cL �, v," ✓4 GAY., Z e , S I G k'n 6 �j Q,q
.jo
13, Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
❑ Yes 0—No
14. a) Does the facility lack adequate acreage for land application?
❑ Yes Z`No
b) Does the facility need a wettable acre determination?
❑ Yes �No
c) This facility is pended for a wettable acre determination?
❑ Yes X o
15. Does the receiving crop need improvement?
❑ Yes ZrNo
16. Is there a lack of adequate waste application equipment?
❑ Yes O'No
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
❑ Yes .E 1vo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ ET�No
(ie/ WUP, checklists, design, maps, etc.)
Yes
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes ffNo
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 XNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes �"Fio
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 �o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes. �No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
71 Comments (refer to question :t, Explain any YES answers and/or anyyrec6mmendations or any other commentsrr
Use drawings of facility to betfer'explam situations: (use addrhonaCpages; as necessary) ❑ Field Copy ❑ Final Notes
Tk e A C_;/ 1q y A. -Net be) "Lj!'✓�e4y r ►'f
Reviewer/Inspector Nome[ f42
Reviewer/Inspector Signature: Date:
05103101 Continued

Facility Number: 7 - 73 Date of inspection I
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
27, Are there any dead animals not disposed of properly within 24 hours?
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon?
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.)
31. Do the animals feed storage bins fail to have appropriate cover?
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
Yes ❑ No
❑ Yes ONO
❑ Yes O'No
❑ Yes ❑ No
❑ Yes ErNo
❑ Yes ❑ No
❑ Yes ❑ No
;,Additional Comments and/or Drawings:
i
7
O5103101

I
€k- Ji
r _
-vision of Water Qualrt3' Y, ,
Q Drvrsron of Sorlrnand Water Conservatzoa t -
` x 4 Other Agency F
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit �Qmoutine Q Complaint O Follow up O Emergency Notification Q Other p Denied Aocess
Facility Number r7 Date of Visit:
Permitted [3 Certified 0 Conditionally Certified 13 Registered
FarmName: ............ ...................................................................'---"-
Owner Name:........ we S) ej, I rr..............
Facility Contact:
Mailing Address:
Title:
Time:
10 Not Operational O Below Threshold
Date Last Operated or Above Threshold: .........................
County:.... !:i4a
Phone No:
Phone No:
Onsite Representative:......... d .t L _q................ r. ./r/................................ Integrator:.......t n- f YaS...................
Certified Operator:.........................................................J..../................................................ Operator Certification Number:..........................................
Location of Farm:
swine ❑ Poultry ❑ Cattle ❑ Horse Latitude �• �� �46 Longitude �• �d «
Design Current
Swine CanaCity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design- Current -Design Current
Poultry Ca aci..Po ulation Cattle Ca aci -. Po elation
❑ Layer ❑ Dairy'
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design. Capacity
Total SSLW
Number of Lagoons I m. ❑ Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holding Ponds / Solid'Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes JVNO
Discharge originated at: ❑ Lagoon ElSpray Field [IOther
a. If discharge is observed, was the conveyance man-made? ❑ Yes MfNo
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? h a�
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes,9No
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 ONo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..................................................................................................................................................................................................................
Freeboard (inches): 3�i
5/00 Continued on back

4
• 1
Facility Number: r7 — Date of Inspection O 1 Printed on: 7/21/2000
5 Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, El Yes ONO
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes 1090
(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 ZNo
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
I
El Yes No
elevation markings?
/
Waste Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes V'No
11. Is there evidence of over application? ❑ Excessive PPonding ❑ PAN ❑ Hydraulic Overload
❑ Yes
/P"I*10
12. Crop type -1-4 e G V%. S �l G ✓' r-t U ; hoLv i5e-y m � t�s V �,r.. ze
13. Do the receiving crops differ with those designated in the Certified Animal Waste kanagement 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 JZNo
c) This facility is pended for a wettable acre determination?
❑ Yes J'NO
/(Z'No
15. Does the receiving crop need improvement?
❑ Yes
//11No
16. Is there a lack of adequate waste application equipment?
❑ Yes
Required Records & Documents
17. Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes /VNo
19. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
❑ Yes gNo
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes JNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
21. Did the facility fail to have a actively certified operator in charge?
,ONO
ElYesj'No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
❑ Yes10 No
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes J2'No
24. Does facility require a follow-up visit by same agency?
❑ Yes ZNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
[:]Yes JZNo
yIQlatiotis br- dglicienctes mere noted• diWing #. s.visit* • Y:ob will reeeiye dd futthof
..correspondence. about this :visit............ .
Comments (refer to question #}c Explain any YES answers and/or any recommendations or:any other couttnents - =
Use drawings of facility to better explain situations."(use.additional pages as necessary) r
I I
.� ��� ct�Gy+t✓ o�► i`�'�l�ts ��� S�►� E Z �'e%� �i+4rt� sa`r lre,ve
kc� ✓A? :L';2J- r7V6 i M)dro ✓GA s; nGe /Pt 7
I as4 ; ._, 51ve c4 � �n
.�
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: Jr g/pp

Facility Number: 1771 — t73 1 Date of Inspection
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below Yes [:]NO
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes X140
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)2No
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 ZZNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes J:kNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑ No
Additional'Coirnments an or; rawtng s:- = f -
_.
w

1 -_ - .L,s ir8iun _u1 ti7OleKUL
-
x
r D D sion of Soil and
_-�Drvrs?on of Water 1
Routine O Com laint 0 Follow-up orDW9 inspection 0 Follow-up of DSWC review 0 Other
Facility Number `] j Date of Inspection 2 0 6
Time of Inspection JS 24 hr. (hh:mm)
9 Permitted [3 Certified ❑ Conditionally Certified [3 Registered 0 Not O rational Date Last Operated: ...................
1 County: 'Id eY ...............................
Farm Name: .........! ...... ................................................................................. h ..................
OwnerName:..........w..� s 1� ct' /`/` Phone No :................ .......................................................I..............................................................................................
Facility Contact:.............................................................................. Title:...................................... Phone No:
MailingAddress: ......................................................................................................................................................................................................... ..........................
Onsite Representative: �° to �h � � �'7 Integrator: ' " /�k� 5........................................................................................ ..
Certified Operator:..................................:........................................-•----....._......................... Operator Certification Number:..........................................
Location of Farm:
Latitude 0 A 6 Longitude 0 6 44
':Design : Current Design
vine Capacity.=PoPiilation -` .;Poultry.: ,Capacity :1
Wean to Feeder
Se90
Yf
Feeder to Finish
J4 6117
14170
Farrow to Wean
0O
3606
❑ Farrow to Feeder
Farrow to Finish
❑ Gilts
❑ Boars
❑ Other
r
I❑ Non -Dairy I I I'
WE kPkity
Number of Lagoons _ 1 % ❑Subsurface Drains Present110Lagoon Area ID Spray Field Area
HoldingPonds / Solid= =
Traps - - ❑ No Liquid Waste Management System � w ' � :.� ._ •-- ° r
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 15No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes C'dNo
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)] yesNo
c. If discharge is observed, what is the estimated flow in gal/min? /1-,
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 NNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Freeboard (inches):........3................. .................. ................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion, ❑ Yes IgNo
seepage, etc.)
3/23/99 Continued on back

Facility Number: 7 f — 73 Date of Inspection
ZD
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
❑ Yes
0 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
E9 No
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
❑ Yes
K No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
❑ Yes
21 No
Waste_ Application
10. Are there any buffers that need maintenance/improvement?
❑ Yes
ONO
11. Is there evidence of over application?❑ Excessive Ponding ❑ PAN
❑ Yes
V[ No
I ,
12. Crop type �B �j eGi� f W R`! �'' l tl ��1 Ntt-
13. Do the receiving crops differ with those designated in the Certified Animal aste Management Plan (CAWMP)? ❑ Yes
eNo
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?
ViYes
❑ No
16. Is there'a lack of adequate waste application equipment?
❑ Yes
ONO
Reauired Records & Documents
17.- Fail to have Certificate of Coverage & General Permit readily available?
❑ Yes
E'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
gNo
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
❑ Yes
ETNo
20: Is facility not in compliance with any applicable setback criteria in effect at the time,of design?
❑ Yes
ONO
21. Did the facility fail to have a actively certified operator in charge?
❑ Yes
[ErNo
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes
ENO
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
5rNo
24. Does facility require a follow-up visit by same agency?
❑ Yes
IgNo
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
ff No
N . iolaiioris ;oi: di f eier�cies i re noted• dpriA this;visit: - Yoi� wii-receive fio fu;tit f
,correspondence. ahonit. this visit.
=Explainany YES answers and/or any recammendahons or.any other;
Is. iveeds4 seybe4;'
/'GGeiT''nf �P'^A'ye� 4o ✓e as/G %.JC¢C��/�/`q�SGf. C�✓atS�lvee S �Y1 ��e�d{ Z
t7,mve �G cYI p1V2✓1-SOr�2 Qr4zoty OpF,eq'4 AJOLild no+220e),
s,o . o c,14 WGa✓ +1,o�'�a �' -ka a� �''v� �t � � � �` 1 itq 44ore, Al ctrDl
so;1 4� e r — help en e
9ced vhVrt - -riiajp( Aeedf -1a �G 4 64lea( swe
�eail i" ef?-�5.
AtOe, �O lk I. aPovr-veelSIt444r gaS�'� �
w

I
Facility plumber: — r13 Cate of luspection
Odor Issues
26.
Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
EdYes
❑ 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
15 No
28.
Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
❑ Yes
XNo
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
IVNo
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
MNo
31.
Do the animals feed storage bins fail to have appropriate cover?
❑ Yes
ONo
32.
Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
D41yes
❑ No
A:dditional-Commonts-'aWdlor-Dr2!yv'mgs:
�n
erenvda �'.eld.
1, s cgn ����
i,-tt ,�otf2 �^a� 13�✓ �lv<ia �� cld
ne¢�� �a
m-a ✓1�rt ;.-`mod
%� �sC l� �"!4S �a �� V�)�rZCG�.
�_R .
e-dl tease na'l�srs
covey"
A C. I-L ; a
etrC' Oil
[7c S
tt Is e4 r G q j7
on
NOe I^Ict'T bGIG�S Gr¢ r ���4t�'! 1�r_ D��t s��'If��
bG ��''1O✓c=�L
pe U4 1,zed-
3/23/99

Rc. ised January 22, 1999
JUSTIFICATION & DOCUMENTATION FOR MANDATORY WA DETERMINATION
Facility Number M
Farm Name; r%-.,
On -Site Representative: d
InspectorlReviewer's Name: AQ�Q
Date of site visit: C�
Date of most recent WUP:
Operation is flagged for a wettable
acre determination due to failure of
Part 11 eligibility items) F1 12 F3 F4
Operation not required to secure WA
determination at this time based on
exemption E1 E2 E3 E4
Annual farm PAN deficit: ��6 pounds
Irrigation System(s) - circle #hard -hose traveler; 2. center -pivot system; 3. linear -move system;
4. stationary sprinkler system w/permanent pipe; 5. stationary sprinkler system w/portable pipe;
6. stationary gun system wlpermanent pipe; 7. stationary gun system wlportable pipe
PART I. WA Determination Exemptions (Eligibility failure, Part 11, overrides Part I exemption.)
E1 Adequate irrigation design, including map depicting wettable acres, is complete
and signed by an I or PE.
E2 Adequate D, and D2/D3 irrigation operating parameter sheets, including map
depicting wettable acres, is complete and signed by an I or PE.
E3 Adequate D, irrigation operating parameter sheet, including map depicting
wettable acres, is complete and signed by a WUP.
E4 75% rule exemption as verified in Part Ill. (NOTE: 75 % exemption cannot be
applied to farms that fail the eligibility checklist in Part 11. Complete eligibility
checklist, Part 11- F1 F2 F3, before completing computational table in Part 111).
PART 11. 75% Rule Eligibility Checklist and Documentation of WA Determination
Requirements. WA Determination required because operation fails one of the eligibility
requirements fisted below:
F1 Lack of acreage which resulted in over application of wastewater (PAN) on spray
field(s) according to farm's last two years of irrigation records.
F2 Unclear, illegible, or lack of informationlmap.
F3 Obvious field limitations (numerous ditches; failure to deduct required
bufferlsetback acreage; or 25% of total acreage identified in CAWMP includes
small, irregularly shaped fields - fields less than 5 acres for travelers or less than
2 acres for stationary sprinklers).
F4 WA determination required because CAWMP credits fieid(s)'s acreage in excess
of 75% of the respective field's total acreage as noted in table in Part Ill.

Revised January 22, 1999
Facility Number -
Part lll. Field by Field Determination of 75% Exemption Rule for WA Determination
TRACT FIELD TYPE OF TOTAL CAWMP FIELD COMMENTS3
NUMBER NUMBERt,2 IRRIGATION ACRES ACRES %
SYSTEM
FIELD NUMBER' - hydrant, pull, zone, or point numbers may be used in place of field numbers depending on CAWMP
and type of irrigation system. If pulls, etc. crass more than one field, inspector/reviewer will have to combine fields to
calculate 75% field by field determination for exemption if possible; otherwise operation will be subject to WA
determination.
FIELD NUMBEFe - must be clearly delineated on map.
COMMENTS' - back-up fields with CAWMP acreage exceeding 75% of its total acres and having received less than 50%
of its annual PAN as documented in the farm's previous two years' (1997 & 1998) of irrigation records, cannot serve as the
sole basis for requiring a WA Determination. Back-up fields must be noted in the comment section and must be accessible
by irrigation system.

Routine O Complaint 0 Follow-up of DWQ inspection Q Follow-up of DSWC review O Other
Facility Number , Date of inspection -3 U
Time of lnspection 15r6 0 124 hr. (hh:mm)
Permitted ❑ Certified ❑ Conditionally Certified ❑ Registered [] Not Operational Date Last Operated:
�r`
Farm Name: ......`.-1"�r...u� County:..... ...............................................
Q�...................................................
Owner Name:......w f..?� - .. ..lV'r Phone No:
Facility Contact: ................................................................. ... Title:....
Mailing Address: ........................................ .......
Onsite Representative: .....r�Q!LS\ ......... ...........
CertifiedOperator: ...........................................................................................
•............................................... Phone No: -..................-.........-..-.....
.............................................................................................. ..........................
Integrator:........................................................
......... Operator Certification Number :..........................................
Latitude •C .4 Longitude 0 ° CJ«
Design Current
Swine Capacity Population
Wean to Feeder
G 0
Feeder to Finish
kbG(i
Farrow to Wean
3%Co
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Design - Current
Poultry Capacity Population Cattle Capacity Population
❑ Layer I I ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
Number of Lagoons ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Holding Ponds / Solid Traps ❑ No Liquid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation (If yes, notify DWQ)?
Discharge originated at: ❑ Lagoon ❑ Spray Field []Other
a. II' discharge is observed, was the conveyance man-made?
b. II'discharge is observed. did it reach: ❑ Surface Waters ❑ Waters of the State
c. If discharge is observed_ what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon systeni?
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts to the waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Frceboard (inches): ............•.L V..
❑ Yes Ix No
❑ Yes ❑ No
❑ Yes []No
❑ Yes
❑ No
❑ Yes
t9 No
❑ Yes
N(No
❑ Yes [X No
Structure 6
1 /6/99
Continued on back

WI,37N-umber: q — '3 Date of inspection
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a waste management or
closure plan?
(if any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement`?
8. Does any pact of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required top of dike, 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? ❑ Ponding ❑ Nitrogen
12. Crop type e.!'1...:.......s.�^..1`....51 ......................
....
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)?
14. Does the facility lack wettable acreage for land application? (footprint)
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 certified operator in responsible charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
❑ Yes % No
❑ Yes M No
Jew
Yes ❑ No
❑ Yes '*-No
❑ Yes NJ No
❑ Yes .V No
❑ Yes NNo
❑ Yes tf No
❑ Yes [YNo
KYes ❑ No
❑ Yes 6dNo
❑ Yes M No
0 Yes ❑ No
❑ Yes No
❑ Yes No
❑ Yes gNo
❑ Yes N3 No
23, Did Reviewer/Inspector fail to discuss review/inspection with on -site representative? ❑ Yes j No
24. Does facility require a follow-up visit by same agency? ❑ Yes ,� No
0:. N.o.vialations or. deficiencies .were noted dvir•ing .ttiis:visit:. You wvilfre�ceive nar further .: .
eorresporidepce' about: this visit.; . . . . . .... .
Comments (refer to question.#). Explain any YES answers and/or any'recommendafions or anyyother-comments -_
Use'drawings of facility to better explain situations. (use additional pages as necessary):
� Lc`yw�-. h�-s GC fie- lx.,.el'ii;+t-. a�t�e� ti-1-�!!'�__,�een� U2�'"'c\c�•-. e.slf�bu��,d. �
b'P�( �`� � >���. � Sat \ "C��"T `�►� � � �� 6 tr +r-�+'£'- ,
�e ��l ��..j �,,f 3 Ii quad 14t t
Reviewer/Inspector Name _
Reviewer/Inspector Signature: l(�A- Date: , ,f Ito / `11-1 11/6/99

j ?3 Date of inspection
Facility Number
Time of inspection / (S 24 h=(hh:mm)
Permitted E3 Certified © Conditionally Certified j] Registered 113 Not Opera Date Last Operated:
Farm Name: 4'.r r ._. .... ....County: -P&vl e ✓'
Owner Name: S 1
_..........................�............ .....�.a..fr................................................ Phone No: ......
w.
Facility Contact:
Mailing Address:
Title:
Phone No:
Onsite Representative: ,P Integrator: V'f k Fa ems
D.o.�t.:. ... ?�... n............................................ e .........
Certified Operator: ......................... I .......................... ...................... . ............ I ............... — Operator Certification Number:.---......................................
Location of Farm:
......I ............... ........................... ... ......................... .........
Latitude • 4 •1 Longitude • & "
Design Current
Swine Capacity Population
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts ,
❑ Boars
_Design Current _= ` = Design Current
Poultry -' Ca•acity Po ulation Cattle Capacity Population
❑ Layer ❑ Dairy
❑ Non -Layer ❑ Non -Dairy
❑ Other
Total Design Capacity
Total SSLW
"Number of Lagoons ❑Subsurface Drains Present ❑Lagoon Area ❑ Spray Field Area
Holdiu - Ponds I Solid Traps
_..
g p '=; ❑ No Liquid Waste Management Svstem
Discharges & Stream Impacts
1_ Is any discharge observed from any part of the operation?
Dischar-C originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed, was the convevance 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. Dins discharge bypass a lagoon system? (Iryes, notify DWQ)
2. is there evidence of past discharge from any part of the operation?
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ❑ No
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway ❑ Yes ❑ No
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 ❑ No
seepage, etc.)
3/23/99 Continued on back

Facility Number: 171 —'73 Date of Inspection
67 •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 maintenanceCmprovement?
8. Does any part of the waste management system other than waste structures require maintenancelimprovement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum Iiquid 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
FOAME
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
W 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?
� fo-viola(ions •oi- itef ciendes •w ere )noted• d>;rrtrig tbis•visit' • ."it wilI •i•eeeRle fig furtbi t
co ri•esponcience. about this visit. .. ... .
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes []No
❑ Yes ❑ No
❑ Yes ONO
❑ Yes ❑ No
❑ Yes ❑ No
Comments (refer to question #): _Explain any YE5 answers and/or any recommendations or any other comments -
- ... ri
. ,..
Use drawings of facility to`bett _ explain sitiratiot ii"6a1e additional pages as necessary): -FF
rrSpCG4IDrt GekiclUG+cd r+'1 lcspa G 40 q Corkfolc��n� ��at� s�pr�y rr.^iciot �,'a1
a� +Ile Fel e'; ! � Fy wad 6e r•.� �`efFo��ed 4o close 4e 4 r'els�df�ncle, J
jQ. s-i ay iT✓�igai.o►� LUczS Drt�D;+tUj v/4oh't'ty ci/+✓`i✓�� To /T1.e rct,r.�,.
de,4e�'wt)rcp1✓'ay;nq Lvc.JJf GGGUrr.lr�� To G[or2 -to �l�e feS.o(e✓!G2-
-]5nS4►'-UC+r_d r'J". -,Fh Et1 46 r`tia1'V'%1 C n req 0recoql �6�Ud,4F�ehry�h�nd%jot me,Ti
4✓d� SakF`fro►�1^a'�r(�ers
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date:
3/23/99

ivision of Soil and Water Conservation` Other Agencmy
Division of Water Quality
10 Routine 0 Complaint 0 Follow-up of DWO inspmtion 0 Follow-up of DSWC review 0 Other
I Facility Number I
Date of inspection
Time of Inspection �24 hr. (hh:mm)
Registered Certified [3 Applied for Permit Kermitted 0 Not Operational Date Last Operated:
Farm Name: r'. t' County:.............e.hdey- ...... ............. W L' I�_- .....
..........................................................................
r Gj'
OwnerName: .......... WP'.......... r-r.:................................................................ Phone No:.......9..�........z....�.- .....�••...............
Facility Contact:... ........................................ ................................... Title:
Mailing Address: ............... I.V I.Q........f n.x.... PC,....12.0 4.......
Onsite Representative:....... ��.j.i.�I�..�1........ K� r-..!................................
Certified Operator. ................ ...` .................................................
r +................................
Location of Farm:
Phone No:
Integrator: ......... L.!.!.U1 ..^.......................,
Operator Certification Number, ..................
0
Latitude ' 6 44 Longitude 0' ' "
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
General
1. Are there any buffers that need maintenance/improvement? ❑ Yes �No
2. Is any discharge observed from any part of the operation? ❑ Yes r
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 Surface Water? (If yes, notify DWQ) ❑ Yes
c. If discharge is observed, what is the estimated flow in gaVmin?
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 �fNo
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes o
5. Does any part of the waste management system (other than lagoons/holding ponds) require ❑ Yes l`l�l No
maintenance/improvement? �1 J
C. is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes L](No
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes %gNo
7/25/97

Facility Number: —
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes [T0
Structures (Lagoons,Holding Ponds, Flush Pits etc.) ff
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes )fNO
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Freeboard(ft): ......3�.�Qv...... .................................... ................................... .................................... ...... ............ .................. ....................................
10. Is seepage observed from any of the structures? ❑ Yes �(No
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? VYes ❑ 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?
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...........Ca✓`.!'7�..L1►r.fl....<.............................
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?
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 reviewrnspection 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?
0- No.vitilations•ot deficiencies:we're-noted-duri_ng this:visit.- Yo'4441l receive•no-furtlier
:�cocrespomdehcealivufti�is:visit:-::�, - .-::�. ., :�:::: ; :�:�.::�:�:-:�. . ;�.:-
iZ- �euQSe � 101,rG Ct, ec5 a.-cPoAV( IC430cp rl wall,
❑ Yes [_No
❑ Yes PNO
❑ Yes *0
❑ Yes XNo
❑ Yes WTo
❑ Yes Mto
❑ Yes 6dNo
❑ Yes PfNo
❑ Yes �No
❑ Yes I No
❑ Yes VNo
❑ Yes �No
7/25/97
Reviewer/Inspector Name
Reviewer/Inspector Signature: K i _55 CO/4 t" Date: —OL7

i
mw 0DSWC Animal Feedlot Operation Review �•
1&DWQ Animal Feedlot Operation Site Inspection
A
011outine O Comnlaint O Follom-un of D1VO inspection O Follow --up of DS%VC review O Other
Date of Inspection
Facility Number
Time of Inspection 24 hr. (hh:mm)
©Registered ©Certified 0 Applied for Permit O Permitted JUNotOperational I Date Last Operated: ..........................
Farm Name: ........
..ch.1......-......................................................................... Lounty:nr.......................r..�...11J.s...
Owner Name: .......... ,6�..5............... .....0...Y.`............................
................. Phone 10:.......D.....
tJ•...�..�1...�...I...............
FacilityContact: .0....... �.03......."� .. ?�`.................. Title: t.4......2 ... �� .... s �....................................................................... Phone Nb•
\failing Address: .... 1....(.1)........ ......p4�� 7..... i.................... IM.zrvt . N........................... $.y..
y �....
Onsite Representative:.... .�.�}.q..14-5 e ..�.r•. 't.4x�.� Integrator:. .......-:`.:�..............................................
Certified Operator,-V ,) t T.�........................ Operator Certification Number, ...... .°�.°�..�.. ..
Location of Farm:
liu�....ir►.� .r.. �^... e..Q.1....... �..S..r .....0 ........ .i .L fJ.. �.�.....a .�....Y� .X .(..uyrL.�, ... .. ti.:. .5 .... �`^:7.........M.at..Y...�.taE?
�......}.n. .CS. l.v. .....111? .t.vs.....-1 ..L.z.�..�-.....-.. tl�. .t.. .�....... .....!�......f .`....... Y`;�.....o....... �!S^.....
Latitude Longitude �• �$_' �:<
Design Current
Swine Capacity Population
Wean to Feeder G5 p0
Feeder to Finish p
® Farrow to Wean
❑ Farrow to Feeder.
❑ Farrow to Finish
❑ Gilts
❑ Boars
Design Current Desigik : Current :..
Poultry Capacity Population Cattle Capacity_.Population':
❑ Layer ❑ Dairy
❑ Non -Layer ❑Non -Dairy
❑ Other
Total Design Capacity
Total SSL`'V —t na o n41
Number of Lagoons / Holding Ponds ❑ Subsurface Drains Present ❑ lagoon Area I0 Spray Field Area
❑ No Liquid Waste Management System
General
1. Are there any buffers that need maintenance/improvement'? ❑ Yes ILNo
2. Is any discharge observed from any part of the operation? []Yes E9 No
Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other
a. If discharge is observed. was the conveyance man-made? ❑ Yes 19No
b. If discharge is obsen-ed. did it reach Surface Water? (If yes. notify DWQ) ❑ Yes q No
c. If discharge is observed, what is the estimated flow in
cf. 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 RNo
4. Were there any adverse impacts to the waters of the State other than from a discharge'? ❑ Yes 91-No
5. Does any part of the waste management system (other than lagoons/holding. ponds) require ❑ Yes [9No
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes WNo
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes R No
7/25/97 Continued on back

1 Facility Number: — 3
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes JKNo
Structures (Laeoons,tiolding-Tonds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Yes EkNo
Structure 1 Structure 2 Structure 3 Structure 4 Structure .5 Structure 6
Identifier:
Freeboard(ft): ......3....I............................................................................................................ .....
10. Is seepage observed from any of the structures? ❑ Yes &No
11. Is erosion, or any other threats to the integrity of any of the structures observed? 19 Yes ❑ No
12. Do any of the structures need maintenance/improvement? EK 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? ❑ Yes No
Waste Application
14. Is there physical evidence of over application) ❑ Yes &LNo
(1f in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type^.. ,,.,f't! ...........�.�. �.x e...�. W.".......................................
16, Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ElYes 9KNo
17. Does the facility have a lack of adequate acreage for land application? ❑ Yes &No
18.
Does the receiving crop need improvement?
,'Yes
❑ No
19.
Is there a lack of available waste application equipment?
❑ Yes
® No
20.
Does facility require a follow-up visit by same agency?
❑ Yes
19 No
2L
Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
❑ Yes
KNo
22.
Does record keeping need improvement?
j$ Yes
❑ No
For Certified or Permitted Facilities Only
23.
Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes
h' No
24.
Were any additional problems noted which cause noncompliance of the Certified AWMP?
❑ Yes
19 No
25.
Were any additional problems noted which cause noncompliance of the Permit?
❑ Yes
E9 No
No.violations or deficiencies were -noted during this. visit. .You.will receive ito 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 tg.better explaiasttuattons (use additional pages asneeessary).
RU�.
u.
it.112.C-0rrect erosioy"_ o^ 0u�v— WWI(t "0tv►. ASS%l e.iKt-Q 4LI� I7C�- wY'{-V4 �
brut t ...10.1t. C4�r`Lct �vviir� o� Shrw,wk-r d�ai a fh ncw� 6C 01 l octit.
i W 0 r K t C.o r v4L c
Sir,
Z, Ck L- 1 0. Gv r +�.va.t vi 0•-I 4 t & .w L j t r S c� 0 ✓�! A x S 0) C.O, k c,o 10. �-C ' a J� � 0 V
yw10-,.%V_ "r 10vV, dT vp Sic t i-k..r Io�o.�r. V1
�te.l- I . 4.1 f-* r Rai 10 G vdt
7/25/97
Reviewer/Inspector Name 3 1
Reviewer/Inspector Signature: {�,� �� v .. s � r � Date: q 7 7

Site Requires Immediate Attention: �a
Facility No.
DIVISION OF ENVIRONMENTAL MANAGEMENT
ANIlVIAL FEEDLOT OPERATIO!S SITE VISITATION RECORD
• DATE: g , 1995
Time:
Farm Name/Owner: V,41,rU14,1
x4zMailing Address: OG SGAG ZrO 2),
County: - - -
Integrator: Phone:
On Site Representative: Phone: ""
Physical Address/Location: _ Jl --- %1 O"� /�'1!_° ITV fir- SP,
/'
7-06 0 IV l l) Pi AJ64-9 � 9*e_ JE ICA
Type of Operation- . Swine Poultry Cattle
Design Capacity: '37" Sow Number of Animals on Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW
Latitude: Longitude: Elevation: Feet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 ye 24 hour storm event
(approximately 1 Foot + 7 inches Yes I.No Actual Freeboard: t. Inches
Was any seepage observed from agoon(s)? Yes No Was any erosion observed? Yes or No
Is adequate land available for spray? Yespr No Is the cover crop adequate? Yes or No
Crop(s) being utilized: _,,,..,. �O� �P�'G't�� �o "�Q p� p✓4�
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellinot
-No
100 Feet from Wells
Is theanimal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or"No If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage/with over crop)? Yes or No
Additional Comments:Vt
a.
Inspector Name Wature
�r
cc: Facility Assessment Unit
Use Attachments if Needed.

1955 17:01 919259129/ PENDER COOP EXT DER PAGE 05
Site Requires Immediate Attention
• Facility Number:
SITE VISITATION RECORD
DATE: july 18 11995
Owaer; Murrby FMi1Y Farms Faun Name: Hairr II
County:
Agent Visiting Site: Z=eth Cook pender SWCD - Phone; 9
Operator:unknQu. Phone: unknown
unknown
On Site Representative: unknown Phone:
Physical Address: .4 miles NW of the intersection of SR 1207 and SR 1206. Farm road
is on the right.
Making Address: 1 Road
Ivanhoe, Nc 28447
Type of Operation: Swine x Poultry Cattle
Design Capacity: unknown Number of .Animals on Site: �•��-
Latitude: ° " Longitude: o
• Type of Inspection: Ground X Aerial
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard: Feet inches
For facilities with more than one lagoon, please address the other lagoons' freeboard under the
comments section.
Was any seepage observed from the lagoon(s)? Yes or No Was there erosion of the dais?: Yes or No
Is adequate land available for land application? Yes or No Is the cover crop adequate? Yes or No
Additional Comments: Farm is currents under construction.
Fax to [phone] Signature of Agent
►�