010003_INSPECTIONS_20171231

ivision of Water Resource- "
Facility Number - Division of Soil and Water*servation
0 Other Agency + l
A
of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
n for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other r 0 Denied Access
Date of Visit: y 1 Arrival Time:I j,' IDM Departure Time: County: 16 egion: Vd
Farm Name: [ ,y� � , Q w�S F&r-w Owner Email:
Owner Name: (�V Le,w 5 Phone:
Mailing Address: D 1,,e�Lt3is QL 7
Physical Address: f
Facility Contact: { 1tJ y V�V.� l� Title: Phone: 75 — 5©7'
Onsite Representative: Integrator,
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Far 1Z Longitude:m: Latitude: o I ,I
3s So2 7�
,
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer DairyCow
can to Feeder Non-La on-Layer DairyCalf
eeder to Finish Q Daia Heifer
arrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish I Layers 1 113eef Stocker
Gilts Non-Layers �+Beef Feeder
Boars Pullets eef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharp_es and Stream Impacts
1. Is any discharge observed from any part of the operation? [:) Yes WNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No 0 NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2.0
evidence of a past discharge from any part of the operation? —] Yes 0No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes WN o ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued
Sx-_hd 'Dr. InTo .

Facility Number: - Date of Inspection: 11 1 tJ
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ( No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑l No ❑ NA [] NE
SStructure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: W s f LA _
Spillway?: tJ
Designed Freeboard(in): z
Observed Freeboard(in): 3�
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 9No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes N"No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes Dj No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes VNo ❑ 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 VNo ❑ NA ❑ NE
maintenance or improvement'?
Waste Application
10.Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes PdNo ❑ NA ❑ NE
maintenance or improvement?
14 s there evidence of incorrect land application'? If yes,check the appropriate box below. ❑ Yes JX'No ❑ NA ❑ NE
Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window [] Evidence of Wind}Drift [:],Application Outside of Approved Area
12. Crop Type(s): L) &-a do r-,, 14,4
13. Soil Type(s): tj
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [XNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement.' ❑ Yes WIN ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [] Yes VNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes , ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes �_�'I�o ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available'? ❑ Yes �No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available'? If yes,check ❑ Yes XNo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. es record keeping need im rovement? v ❑ Yes P(No ❑ NA ❑ NE
aste pplica 'on ��rcop
kly Freeboard Waste Analysis oil Analysis TTT ers Bather Code
nfall Stocking Yield Minute Inspections Monthly and V Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No r__A NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: Q I - Date of Inspection: It 110,
24. Did the facility fail to calibrate waste appliation equipment as required by the permit? *I❑ Yes 0 No ❑ NA ❑ NE
25. is the facility out of compliance with permit conditions related to sludge? If yes,check Pr Yes ❑ No ❑ NA ❑ NE
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: -- _�Ccl .e,
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ es NfNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes DTNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes XNo ❑ NA ❑ NI,
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ((�No ❑ NA [3 NE
If yes,contact a regional Air Quality representative immediately. �`
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes CN�No ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility? If yes,check the approp&t x:Mow� Yes ❑ No ❑ NA CD NE
❑ Application Field ❑ Lagoon/Storage Pond p — �11 t
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes NrNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes NNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes PrNo ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
LT rawings of facility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name: i� ��oc Phone
Reviewer/Inspector Signature: Date: IX0 I —T
Page 3 of 3 21412015

Division of Water Resource
Facility Number - Q'� 0 Division of Soil and Water nervation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1 1 Arrival Time: rn Departure Time:L L� J County: N AM"C.0 Region: W Igo
Farm Name: QjVQNLL us-A-31S 2%M Owner Email:
Owner Name: lr�Wl Phone:
Mailing Address: 7 h-9
Physical Address:
Facility Contact: " Title: Phone: 9? - 5O-
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I ILayer I Dairy Cow
Wean to Feeder I jNon-La er I Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish I Layers I Beef Stocker
Gilts Non-La ern I I Beef Feeder
Boars Pullets jBeef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes [] No ❑ NA ❑ NE
b. Did the discharge reach waters ofthe State?(If yes, notify DWR) ❑ Yes ❑ No [] NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number:6 - � Date of Inspection: ta f G
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes M No ❑ 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: LA6tO N
Spillway?: -
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed" ❑ Yes ® No ❑ NA ❑ NE
(i.e., large trees, severe erosion, seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a `& Yes ❑ No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? El Yes V No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes C%No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes §No ❑ NA 12� NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu, Zn, etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. [] Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): I�VM;
13. Soil Type(s):
—14. Do the receiving crops differ from those designated in the CAWMP? Yes ❑ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement`? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No Qg NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes n No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ® No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes W No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement'? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
s ❑Waste Transfers tl�er-Evdc—
fall nspec ' n ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ] No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: O - G _j Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes KNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check Yes ❑ No ❑ NA ❑ NE
the appropriate box(es)below.
AFailure to complete annual sludge survey ❑Failure to develop a POA for sludge levels ^
tNon-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ® No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes No 0 NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA [] NE
and report mortality rates that were higher than normal?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes t5�No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes No ❑ NA ❑ NE
permit? (i.e.,discharge, freeboard problems, over-application)
31. Do subsurface tile drains exist at the facility'? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes [� No ❑ NA ❑ NE
Comments(refer to question##): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
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t�OaP� U�l�Pti two Ct� ? YES) �G0 IS FQc-L
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eft-et"', Cdc.ss PC, rw^j6- ACC65 5 fwn sea VA T r�, <,(71 APP/Yzi44v`1
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9p �j � t tas 1�e.�oTV 6r'e 5�o1J v>J 5��� �e S�RV y� >�o tc S
Reviewer/Inspector Name: J sw Phone:33�'40� ' 4`V(3
Reviewer/inspector Signature: Date: UL 1 (G
Page 3 of 3 21412015

(-)N15
Division of Water ResourccW
Facility Number l�l - Q 0 Division of Soil and Water Conservation / PM
0 Other Agency
Type of Visit: A Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: QrRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
91 1 � !
Date of Visit: rrival Time:^T Departure Time: County: a Region: -�R d
4;'
Farm Name: q.� _.LP_�65 FdL rw Owner Email:
Owner Name: Phone: (336) ?76 --
Mailing Address: 31 � _ L-e_u_kao Al . , �_ , n /V C_ a 73�9
Physical Address:
Facility Contact: Title: Phone: Lell & 7S— SQ 7/
Onsite Representative: integrator: ,
Certified Operator: Certification Number: & 114 /S-
Back-up Operator: Certification Number:
Location of Farm: Latitude: 3 jr Z Longitude: 74 IS 1 2--
AW
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish L
ayer DairyCow
Wean to Feeder Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Da Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish I Layers jBeef Stocker
Gilts Non-Layers lBeef Feeder
Boars Pullets 113eef Brood Cow
Turkeys
Other Turkey Poults
Other I I F-10ther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes [N No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2.is there evidence of a past discharge from any part of the operation? ❑ Yes �No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters 1W Yes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412014 Continued

Facility Number: - Date of Inspection:
Waste Collection& Treatment
4. is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes No ❑ 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):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes tit No ❑ NA ❑ NE
(i.e., large trees,severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes P No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? N110yes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [] Yes ta No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any pan of the waste management system other than the waste structures require ❑ Yes &'No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes Oro ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. [:] Yes XNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn, etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
i
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? Yes ❑ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? WoVes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes rU'No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes DjrNo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ZYes ❑ No ❑ NA ❑ NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes ,[�ONo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes PrNo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. oes record keeping need 'improvement? If , a Yes ❑ No ❑ A ❑ NE
Waste Applic tion [� eekly Freeboa d Waste Anal Soil sts Weather Code
6Rainfall .VS tocking [Crop Yield �120 Minute Inspections Monthly and 1"Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No V NA ❑ NE
Page 2 of 3 O J�[ r-�r 4/2014 Continued

lFacili Number: - 033 jDate of Inspection. $
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes///jKNo/��'''" ❑ NA ❑ NE
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? ❑ Yes No ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes �KNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes �No ❑ NA ❑ NE
and report mortality rates that were higher than normal? T
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes CRINo ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes XNo ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes lhl No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? WYes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with_a�on-site repre entative? ❑ Yes g No ❑ NA ❑ NE
I,UQ B S Ie
34. Does the facility require afollow-up visit by the same agency? U ' i ",.0 Yes 0�rNo ❑ NA ❑ NE
Comments(refer to question##): Explain any YES answers and/or any additional recom ations o`r any other�(omments.
Use drawings of facility to better explain situations(use additional pages as necessary). O l5`�' QUe old �j
a • ? Iq0 f
644
he Lq/
or
L P. +
vw
Reviewer/Inspecto e: rQ Phone: 7 aA '19
Reviewer/Ins a to azure: Date:
Page, 3 3 O'Z n Lvs-c �+ , ,� _�.d � 2/4/20 l

® N0D - ';� 01q - pC aaga 1
.7 VDivision of Water Qualit"
Facility Number ] - 0 Division of Soil and WAMPOnservation
0 Other Agency
Type of Visit: Corn nce Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Q l Arrival Time: Departure Time: County: Region:
Farm Name: �Z1a/V y� �i?itd y s Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: ^ Title: Phone:
Onsite Representative: /1 1 /
4 �t1/ c s Integrator:
Certified Operator: Certification Number:
Sack-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I ILayer Dairy Cow
Wean to Feeder I INon-Layer Dairy Calf
'Feeder to Finish p7 Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Ca aeih' Pop. Non-Dairy
Farrow to Finish I Layers I I Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes` No NA ❑ NE
Discharge originated at: El Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWQ) ❑ Yes No NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(if yes,notify DWQ) [] Yes NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ YesP60
❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Facili Plumber: Date of Inspection:
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? Yes ❑ No ❑ NA ❑ NE
Structure i Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA NE
(i.e., large trees, severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes o ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t t,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes No -NA ❑ NE
S. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No Q 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes 2< NA ❑ NE
El
maintenance or improvement?
11. Is there evidence of incorrect land application?if yes,check the appropriate box below. ❑ Yes ;<0<0 A ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): jZ_t-r"`$I,a419 4p'r "}it t
13. Soil Type(s):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes o NA ❑ NE1$. Is there a lack of properly operating waste application equipment? ❑ Yes a No ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes VNo
NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design [:]Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes 16 No ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and i" Rainfall Inspections ludge Survey
22, Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 21412011 Continued

Facility J+Tumber: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes "NoNA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes No ❑ NA ❑ NE
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? ❑ Yes o A ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes o ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes ❑ No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ❑ No ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑ No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
9L-D
NOD
t-yilaov✓
fj •r
d
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: (��J �- .e� Date: /O
Page 3 of 3 21412011

ivision of Water Quality
Facility Number - 0 Division of Soil and Water Co —ervation
0 Other Agency
Type of Visit: Co pliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: ) il?"egion:
Farm Name: QU J,p. Loji1 s Farm Owner Email:
Owner Name: Lel,t�i Phone: 3 3 b 3 7 b 3 g 8 7
Mailing Address: _ 3 ? L to Ly + f ( i n n ll� {_ i �-- 7
Physical Address:
Facility Contact: Title: Phone: -7
Onsite Representative: Integrator: /���, p�eot) p L
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: �T S Longitude: '7
+o t,a y SS S Fly l -) ek, �� Le LU
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Rk
a er Dai Cow
to Feeder Non-Layer Dairy Calf
eeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other ITurkey Poults
Other I I 10ther
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes /6(No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system? (If yes,notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes N ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes FNo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

Y
Facility Number: - Date of Inspection: ,7
Waste Collection &Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes XNo ❑ NA ❑ NE
a, If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier;
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e.,large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes ko ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmenta threat,notify DWQ
7.Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes j'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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks, or compliance alternatives that need ❑ Yes D& ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes ; /No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): r.J A i d
13. Soil Type(s):
14, Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [A No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 4No ❑ NA ❑ NE
M. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �No ❑ NA ❑ NE
acres determination?17. Does the facility lack adequate acreage for land application? ❑ Yes 0VNo
No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes [�I(No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes,check ❑ Yes *o ❑ NA ❑ NE
the appropriate box.
❑WUP [:]Checklists [:]Design ❑Maps [:] Lease Agreements ❑Other:
21. Does record keeping need improvement? ❑ Yes 6No ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and 1" Rainfall Inspectioonns ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes Z,(No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ��❑ No NA ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - . Date of Inspection: ;
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes [—] No ❑ NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey [:]Failure to develop a POA for sludge levels
XNon-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 opei•atQr 5 charge? , Yes No ❑ NA ❑ NE
((�Q Fhttr by 1al f r�
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes y"` o ❑ NA [3 NE
and report mortality rates that were higher than normal? 777"`""'
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately. 7�``''��
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes XNo ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes o ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Eyes >No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes [XNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments(refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
CCU h ra`
S rr1 a OVA t✓� 1 , . �I„ ,� d uer 2 o 1 -3 . S u r r
I+ b� on
o it S w vie- d U e-
a(. ':�Aud (2. Survey fvr 2,6 1a �?p LAAISS , Vt ddI
)
O `
P
Reviewer/Inspector Name: ro cy-- Phone: -] 5 -22
Reviewer/Inspector Signature: Date: r� a g �G 13
Page 3 of 3 21V2011

Division of Water Quality
Facility Number - Division of Soil and Water Conservation 1
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: eRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: �u� Arrival Time: Departure Time: County: [Q M a(NCC Region: L05�cd
Farm Name: Farm Owner Email:
Owner Name: p�4 .S Phone: �3(O -3 7 6 ~ 3 q g
Mailing Address: g [-to—C.0 S F-0 . C. a
Physical Address: w
Facility Contact: RO"� � ��LO 1-5 Title: Phone
Onsite Representative: Integrator: �{ 1
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
� 40 E I to -7S , to Eli Wkff�� e1l
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
an to Feeder I INon-Layer Dairy Calf
Feeder to Finish D Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers I Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other urkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 0 No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes, notify DWQ) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 5
No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412011 Continued

[Facility Number: jDate of Inspection: -7
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes No ❑ 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): pi 1
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees, severe erosion,seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWQ
7. Do any of the structures need maintenance or improvement? ❑ Yes CR'No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [>o ❑ 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 �No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes ONo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes OrNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN > 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): Fes$('_Ue— C�a,
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes WI�o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? CR Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application! ❑ Yes JN'Ko ❑ NA ❑ NE
18. is there a lack of properly operating waste application equipment? ❑ Yes N<O
❑ NA ❑ NE
Required Records&Documents Records&Documents
19. Did the facility fait to have the Certificate of Coverage&Permit readily available? ❑ Yes L�(No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes �No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
V
oes record keeping ne��V
provement? Yes ❑ No ❑ NA ❑ NE
Applica on kly Freeb;7120
Waste Analysis Soil Analysis rs er Code
C. d
ll Stocking Cr
op Yield Minute Inspections Monthly and 1"Rainfall Inspections Sludge Survey
e facility fail to install and maintain a rain gauge? ❑ YesNo NA NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NE
Page 2 of 3 21412011 Continued

Facility Number: - Q Date of Ins ection: -7 /14ME01-24
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes t�(No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes X�o ❑ NA ❑ NE
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? ❑ Yes JR'�lo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes Wo ❑ NA ❑ NE
Other Issues TT''
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes �.2do ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes [ *No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30.Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes, check the appropriate box below. Yes No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond Other: U1)re, A+EA Vfe]A
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
F9 _,-r- t cx+i L-) VA Cat.I rn_-b o Fi A u� a o 13 . 5 L u t-r y t -\lL cd U e- llex-�
I aLU_� -_�" &C&) . t� _)
col ! .
6
A) O�D
o
ReviewerlInspector Name: �b C�Ci�—� Phone: , -7
ReviewerlInspector Signature: Date:
Page 3 of 3 21412011

Ah
Division of Water Quality
Facility Number �� 3 O Division of Soil and Water Conservation
Q Other Agency
E
of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
on for Visit ARoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: �� �� j Arrival Time: )b i dl7 Cap►+ Departure Time: County: A1201486C Region: W'5R 0
Farm Name: �! ✓♦L+j's Owner Email:
Owner Name: A"kC —��+Ff } Phone: 3-�� 7 3 V-
Mailing Address: -3 ! 7 8' Let,j,f Loci al S L J 64 o4 , -Z73
Physical Address: t,5 A-M G
K
Facility Contact: gA ah L jS Title: Phone No C�7� �7 Cep
Onsite Representative: Integrator: h�ttt�i1� JQwJv1
Certified Operator: Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: r o 12 Longitude:
87 s.� - ;✓�,� W�;��ey ( Ono l..e IJis KcA
Design Current Design Current Design Current .
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑ Layer ❑ Dairy Cow
❑ Wean to Feeder I0 Non-Layer I ❑ Dairy Calf
Feeder to Finish ❑ Dairy Heifer
❑ Farrow to Wean ' Dry Poultry ❑ Dry Cow
❑ Farrow to Feeder Non-Dairy
El Farrow to Finish ❑ Layers
❑ Beef Stocker
❑Gilts ❑Non-La Es
❑ Beef Feeder
❑ Boars ❑ Pullets
El Turkeys ❑ Beef Brood Cow
Other ❑Turkey Pouets ::3
❑Other _ ❑Other Number of structures:, I If
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes )<No ❑ NA ❑NE
Discharge originated at: ❑Structure ❑Application Field ❑ Other
a. Was the conveyance man-made? ❑ Yes ❑No ❑NA ❑NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) ❑ Yes ❑No ❑NA ❑NE
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) ❑ Yes [:]No ❑NA ❑NE
2. Is there evidence of a past discharge from any part of the operation? ❑Yes XNc ❑NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State El Yes ❑NA ❑NE
other than from a discharge'?
Page I of 3 12128104 Continued

�T
Facility Number: 0/ — d3 . Date of Inspection p2 �z •
Waste Collection &Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes XNo ❑NA ❑NE
a. If yes, is waste level into the structural freeboard? El Yes ❑ No ❑NA ❑NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: )_a ta6n
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): -3&
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes No ElNA ElNE
(iel large trees,severe erosion,seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes gNo ❑NA ❑NE
through a waste management or closure plan?
If any of questions 4-6 were answered ves, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? Yes ❑ No ❑NA ❑ NE
8. Do any of the stuctures lack adequate markers as required by the permit? 'ter❑l Yes 'XNo El NA El NE
(Not applicable to roofed pits,dry stacks and/or wet stacks) l
9. Does any part of the waste management system other than the waste structures require ❑ Yes kNo ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes gNo ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes XNo ❑NA ❑ NE
El Excessive Ponding ❑Hydraulic Overload El Frozen Ground [3 Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 Ibs ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑Evidence of Wind Drift ❑Application Outside of Area
12. Crop type(s) =sop_q8k_ S /Lit L7
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes XNo ❑NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes gNo ❑ NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? ❑ yes X No ❑ NA ❑ NE
17, Does the facility lack adequate acreage for land application? ❑ Yes XNo ❑ NA ❑NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes XNo ❑ NA ❑ NE
Comments(refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary):
7 Ca.t Hc. &rFvA o,, /a ea, M bfa- )"FWe jj' ez'j ci4 5
� r
Reviewer/Inspector Name F�a �/�r� ��� Phone: 7'71 SZff-5'
Reviewer/Inspector Signature: Date: 02—�2 2�2Q l l
Page 2 of 3 12128104 Continued

i
Facility Number: 0/ — D3 D&f Inspection
Required Records& Documents
19, Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes �No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes XNo ❑NA ElNE
the appropriate box. ElWUP [I Checklists Design El El
Checklists kNo
21. Does record keeping need improvement? ❑ Yes ❑NA ❑NE
Waste Application [r"geekly Freeboard E Waste Analysis Soil Analysis /
Rainfall Stocking Crop Yield I rl 110 Minute Inspections [3'1&thly and 1" Rain Inspections ErWeather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes �No
❑NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No g,: N A ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes No ❑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 �No ❑ NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes �No ❑NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document yes ❑ No ❑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 J�/No ❑NA ❑ NE
If yes,contact a regional Air Quality representative immediately
3 I. Did the facility fail to notify the regional office of emergency situations as required by ❑Yes 'KNo ❑NA ❑NE
General Permit? (ie/discharge, freeboard problems,over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑Yes X No ❑NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑Yes ko ❑NA ❑NE
Additional Comments and/or Drawings:
27. 1,/gst� '20D), 40A �ulOswtCn �- Cc, �,Utat�Gd � 1�/eS }
29, Xe ,r, � b k411 over CWcRrJcr P)9, sod Cav6r, SZ�•rr�-[e k Aa� tt ,
AA
61107111 W7 igh I0OD�'�
31zz/Id � Q.Z 16T1/}ODo�tl (d.GL�S.7 r7K�
7
Page 3 of 3 12128104

0 Division of Water Quality
Facility d D D�Number 0 Division of Soil and Water Conservation ( tx 3d D l/y�
Other Agency r
Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit XRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: �11 Arrival Time: Departure Time: �'r f unty: Q Q Region: �P-0
Farm Name: O.�F1[ I� l� iLIM_Le, i _ Owner (Email:
Owner Name: �.�� [_P li t Phone: 33(O 3 7
Mailing Address: a P.I�1 1,S QQ�_ (� �f��A� N)C- 02 _2 3�
Physical Address: `1Q.V1�l Qi
Facility Contact: Title: Phone No:
c�: _75 — 5,3
Onsite Representative: Integrator: V f,�n 4_ w 0
Certified Operator: 1 �1 S Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: �- Longitude: °
LLoi
S7 40 7 SoU*i 10 !i t # n, Lei+ on t 6AL
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑Laver ❑ Dairy Cow
❑ Wean to Feeder I JEJ Non-Layer ❑ Dairy Calf
Feeder to Finish ❑ Dairy Heifer
Farrow to Wean Dry Poultry ❑ Dry Cow
❑ Farrow to Feeder El Non-Dairy
❑ Farrow to Finish ❑ La ers
❑ Beef Stocker
❑ Gilts ❑Non-Layers
❑ Pullets El Beef Feeder
❑ Boars ❑ Beef Brood Cow
❑Turkeys
Other ❑ Turkey Poults
❑Other ❑ Other Number of Structures: E71
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ( No ❑NA ❑ NE
Discharge originated at: ❑ Structure ❑Application Field ❑Other
a. Was the conveyance man-made? ❑Yes ❑ No ❑NA ❑ NE
b. Did the discharge reach waters of the State?(if yes,notify DWQ) ❑Yes ❑No ❑NA ❑ NE
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) ❑ Yes ❑ No ❑NA ❑NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes XNo ❑NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes No ❑NA ElNE
other than from a discharge?
12128104 Continued

Facility Number: — 3 • Date of Inspection I .iII,�U/ I[1•
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes 4 No ❑NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑No ❑NA ❑NE
LA
l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Oho
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes $No ❑NA ❑NE
(ie/large trees,severe erosion, seepage,etc.) ,(
6. Are there structures on-site which are not properly addressed and/or managed El Yes I�No ❑NA El 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? O(Yes ❑No ❑NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ❑NA ❑ NE
(Not applicable to roofed pits,dry stacks and/or wet stacks) 0
9. Does any part of the waste management system other than the waste structures require ❑Yes jNo ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes KNo ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑Yes / \ ❑NA ❑NE
El Excessive Ponding El Hydraulic Overload El Frozen Ground El Heavy Metals(Cu,Zn,etc.) ��`
❑PAN ❑ PAN> 10%or 10 lbs ❑Total Phosphorus ❑Failure to Incorporate Manure/Sludge into Bare Soil
❑Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑Application Outside of Area
12. Crop type(s)
13. Soil type(s)
14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes XNo ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑Yes No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑Yes o ❑NA ❑NE
IT Does the facility lack adequate acreage for land application? ❑ Yes No ❑NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes XNo ❑NA ❑ NE
Comments(refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Us swings of facility to better explain situations.(use additional pages as necessary):
Reviewer/Inspector Name r- Phone: oZ`r�9
Revi er/lnspector Signatu Date:
�+ 12128104Continued

Las{ Wee-it- xo Lki a ne?
Faciliq,Number: — Q •of Inspection 0
L
Required Records& Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? [] Yes �N ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑Yes o ❑ NA ❑NE
the appropriate box.
❑W11P El Checklists El Design ❑ Maps El Other
21. Do s record keeping need im rovement? _ ❑ Yes)�No ❑ NA ❑NE
Waste Application need
ly Freeboard Waste Analysis Soil Analysis e tion
L�Rainfali LtJ'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 9No
❑NA ElNE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ElYes ❑No 0 NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes No ❑NA ❑ NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes 1XNo ❑ NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑Yes %No ❑NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes (No ❑NA ❑NE
29. Did the facility fail to rZo�erly dispose of dead animals within 24 hours and/or document yes ❑No ❑ NA El
and report the mortality rates that were nigher than normal??
30. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes *o ❑ 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 ❑ Yes No ❑ NA ❑ NE
General Permit? (ie/discharge,freeboard problems,over application) llll
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative'? ❑ Yes O(No ❑ NA ❑ NE
33. Does facility require a follow-up visit by same agency? ❑ Yes •No ❑NA ❑ NE
Additional Comments and/or Drawings:
a4.
X d_06q est
'3 7 ) 1NJC-Sfe- C-t- la- St S = o2 I hS - N
at PAS JY&IA-" —44_�AU+
�o tb)
T
Page 3 of 3
0

Division of Water Quality
Facility Number Q Division of Soil and Water Conservation
O Other Agency
Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
���` pp
pate of Visit: Arrival Time: i pZ ilDeparture'rime: '-L l County: Ce Region: 1bL��
Farm Name: � f j,42A-AD 1,5 FQ.1r M _ Owner Email:
Owner Name: Phone: U 3 7 W0 y
Mailing Address: 0 Olt A4 4,FQ r a 7
Physical Address:
Facility Contact: Title: Phone No: l0
Onsite Representative: Yl(UA Integrator: —M U V- 64 ]„ r oLo ice?
Certified Operator: Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: � �, © Longitude:
-4o Ga_<4 to 7 50 LAA &o G t. h-) h;hied . Le-P+ 0m +a Lew is
PA " w
Design Current Design Current Design Current
Swine Capacity Population Vet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish I0 Layer I I ❑ Dairy Cow
Ej Wean to Feeder 10 Non-La et I ❑ Daia Calf
Feeder to Finish O ❑ Daia Heifci
Farrow to Wean Dry Poultry ❑ Da Cow
❑ Farrow to Feeder ❑Non-Dairy
El Farrow to Finish ❑La ers
❑ Beef Stocker
El Gilts ElNon-Layers
❑ Beef Feeder
El Boars ❑ Pullets
❑ Beef Brood Cow
❑ Turkeys
Other ❑Turkey Poults
❑ Other ❑ Other Number of Structures:
Discharp-es& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Po ❑NA ❑NE
Discharge originated at: ❑ Structure ❑Application Field ❑Other
a. Was the conveyance man-made? ❑ Yes ❑No ❑NA ❑NE
b. Did the discharge reach waters of the State?(If yes,notify DWQ) ❑ Yes ❑No ❑ NA ❑NE
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) ❑ Yes ❑No ❑NA ❑NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑Yes IIII❑ No ❑NA ❑ NE
other than from a discharge?
12.128104 Continued

Facility Number: O — Q • Date of Inspection
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? 9Yes ❑ No El NA El 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: U30 bid
Spillway?: NJ Is
Designed Freeboard(in): - 4-
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes VNo ❑NA ❑NE
(ie/large trees, severe erosion,seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑Yes N<o ❑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 0 No ❑NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑Yes Ro ❑NA El NE
(Not applicable to roofed pits,dry stacks and/or wet stacks) /�
9. Does any part of the waste management system other than the waste structures require ❑yes ❑No ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes �No El NA El NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes No ❑NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn, etc.)
❑ PAN ❑PAN> 10%or 10 Ibs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑Outside of Acceptable Crop 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 No ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑Yes ❑No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes J o ❑NA ❑NE
17. Does the facility lack adequate acreage for land application? ❑ Yes kNo
o ❑NA ElNE
18. Is there a lack of properly operating waste application equipment? ❑Yes ❑ NA ❑NE
Comments(refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
0) tA el.* &IL-Ak4IJSitu -�a
Reviewer/Inspector Name 0� Ir Phone: —7
Reviewer/Inspector Signature: Date:
t� 2 8/04 r Cnrrtinued
„ lVmr,

Facility Number: O — 0 of Inspection
Required Records& Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑Yes XNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?if yes,check ❑yes )(No ❑ NA ❑NE
the appropriate box. ❑ WUP ❑Checklists ❑ Design ❑ Maps El Other
21. VWas
ord keeping need imp "vement? ❑ Yes XNo ❑ NA ❑NE
te Applic ion Wee y Freeboard aste Analysis ❑ S;o;n
is
LI Rainfall ocking Crop Yield 120 Minute Inspectionsthly and I" Rain Inspections @ Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes L9'No ❑ NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑No NA ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ❑ Yes No ❑ NA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes VNo ❑ NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑Yes IINo ❑NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 0 No El NA El NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document k(Yes 0'e'[E]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 gNo ❑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 ❑Yes No ❑ NA ❑NE
General Permit? (ie/discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ElYes No ❑ NA ❑NE
33. Does facility require a follow-up visit by same agency? ❑ Yes 9No ❑NA ❑NE
Additional Comments and/or Drawings:
�1 ill wo_\A y\ '5CO test res u �4 s . L-k e-&Y— 4e pt v lts'4
�I n,t?4 e s u v- 0 C+z-o,� r-e�vn6 Ja. te-+e-
�q N C tu, - m
o
Page 3 of 3 12128104

# (Lp Dntsron of V1'.ater Quill,
4t lfC? Q,_Y _l
�FactlttyNumber O bt.tsio'n of Soil and Vl'ater conservation rf .PM
;Q.Other:Agencv
E
of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
on for Visit Routine Q Complaint O Follow up O Referral Q Emergency O Other ❑ Denied Access
Date of Visit: 61W Arrival rime: TDeparture Time:
ounty: Q[ 1r1C'Q- Region: _{
rr 1
Farm N. a Farm Owner ' ail:
Owner Name: Pho n 37 TV
Mailing Address: k32 L K, -3 7 3
Physical Address: sa)(1l1[� —
Facilitv Contact: eaII Title: Phone No: 7 S~
c
Onsite Representative: ,� LeAl-Ls Integrator: [ _ brofn
Certified Operator: Rane tad h5 Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: IJ �� Longitude: o
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish I I ILI Layer ❑ Dairy Cow
❑ Wean to Feeder I ILI Non-Layer I ❑ Dairy Calf
Feeder to Finish ❑Dairy Heifei
Farrow to Wean Dry Poultry ❑ Dry Cow
❑ Farrow to Feeder ❑Non-Dairy
❑ Farrow to Finish ❑ Layers
❑ Beef Stocket
❑ Gilts ❑Non-Layers
El Pullets El Beef Feeder
El Boars ❑ Beef Brood Cowl I
❑Turkeys
Other ED urkey Poults
❑ Other ❑Other Number of Structures: ET
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ((No ❑NA ❑ NE
Discharge originated at: ❑ Structure ❑Application Field ❑Other
a. Was the conveyance man-made? ❑ Yes ❑No ❑NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWQ) ❑ Yes ❑No ❑NA ❑ NE
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) ❑ Yes ❑No ❑ NA ❑NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑NE
3. Were there any adverse impacts or potential dverse impacts to the Waters of the State ❑ Yes No El NA El NE
other than from a discharge'? �� 5�
12128104 Continued
�G

Facility Number: d — C131 Date of Inspection
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes No ❑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: LQ ceih
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):5. Are there any immediate threats to the integrity of any of the structures observed? ElYes No ❑NA [INE
(ie/large trees,severe erosion, seepage,etc.) 0
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes No ❑NA ❑NE
through a waste management or closure plan? 0
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 No ❑NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes KNo
❑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 No ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers.. setbacks,or compliance alternatives that need ❑Yes No ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes, check the appropriate box below. ❑ Yes KNq ❑NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ vidence of Wind Drifi ❑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 WNo ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes )(No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination Yes XNo ❑NA ❑NE
17. Does the facility lack adequate acreage for land application? ❑ Yes [ 60 ❑NA ❑NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes KNo ❑NA ❑NE
Comments(refer to question#}: Explain any YES answers and/or any recommendations or any 6ther1comments.
Use drawings of facility to better explain situations.(use additional pages as necessary): t
c�
Aff
Reviewer/inspector Name F Phone:
Reviewer/Inspector Signature: Date: d
12128104 Continued

Facility Number: - b late of Inspection
Re aired Records& Documents
19. Did the facility fail to have Certificate of Coverage& Pen-nit readily available? ❑Yes No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check El Yes No ❑NA El NE
the appropirate box.
ElWUP ❑Checklists El Design El Maps El Other
21. Does record keeping neeWi 'provement? ❑ Yes No ❑NA ❑NE
aste Appli-ationWe kly Freeboard Waste Analysis Soil. nalysis
WainfallStocking We
Yield 120 Minute Inspections Monthly and I" Rain Inspections Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No �A ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑NA ❑NE
25. Did the facility fail to conduct a sludge survey as required by the permit" ❑ Yes No ❑NA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes ;KrN ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑Yes �(No ❑NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes )(No ❑NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes No ❑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 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 ❑Yes kN o ❑NA ❑NE
General Permit? (ie/discharge, freeboard problems,over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative'? ❑ Yes [XNo ❑NA ❑NE
33. Does facility require a follow-up visit by same agency? ❑Yes VNo ❑ NA ❑NE
Additional Comments and/or Drawings:
a1 2007 501 aCO-1 vm_pie�e,d .
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12128104

qr
Division of Water Qualit3
Facility Number O Division of Soil and Water Conservation
O Other Agency
Type of Visit Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit" Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other ❑ Denied Access
Date of Visit: Arrival Time: Departure Time: County: PjaWaOCE Region:
Farm Name: r Owner Email:
Owner Name: Phone: _ 3
L 2c.�i - oor� S n o C
Mailing Address: r
Phvsical Address: . V!M f
Facility Contact: Title: / Phone No: n
Onsite Representative: ,l Integrator: (� �
Certified Operator: �11 L5 Operator Certification Number:
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: Longitude: o
S-`46 E 46t 14ti,1 8 7 So IJI-il *& eY L e + o n
[..� Q_LA'_)l 5 i?_0 oA .
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑Wean to Finish ❑La er 1 ❑ Dairy Cow
❑Wean to Feeder I ILI Non-La er 1 ❑ Dairy Calf
Feeder to Finish I ❑Dairy Heifer
Farrow to Wean Dry Poultry ❑ Dry Cow
❑ Farrow to Feeder El El
El Farrow to Finish ❑ La ers
El Beef Stocker
❑Gilts ❑Non-La Non-Layers
❑ Pullets ❑ Beef Feeder
❑ Boars El Turkeys ElBeef Brood Co
Other El Turkey Poults
❑Other El Other
Number of Structures:
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑ NA ❑NE
Discharge originated at: ❑ Structure ❑Application Field ❑Other
a. Was the conveyance man-made? ❑ Yes ❑No ❑NA ❑NE
b. Did the discharge reach waters of the State?(If yes,notify DWQ) ❑ Yes ❑ No ❑NA ❑NE
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) ❑Yes ❑ No ❑NA ❑NE
�. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑NA ❑ NE
,Were there any adverse impacts or potential adverse impacts to the Waters of the State El Yes No El NA ❑NE
ether than from a discharge?
12128104 Continued

Facilitv Number: Date of Inspection
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑Yes KNo ❑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: Lanoor,
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes X No ❑ NA ❑NE
(ie/large trees,severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑Yes No ElNA ElNE
through a waste management or closure plan?
If any of questions 4-6 were answered ves,and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? Yes ❑No ❑NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes No ElNA ElNE
(Not applicable to roofed pits,dry stacks and/or wet stacks) A
4. Does any part of the waste management systerh other than the waste structures require ❑ Yes No ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes No ❑NA ❑ NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes,check the appropriate box below. ❑ Yes P�No ❑NA ❑NE
❑Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑PAN ❑ PAN> 10%or 10 Ibs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑Application Outside of Area
12. Crop type(s) AIA-X Q 14L , A"7
13. Soil type(s) Q P(J--/
14. Do the receiving crops differ from those designated in the CAWMP? ❑Yes *No
ElNA ElNE
15. Does the receiving crop and/or land application site need improvement? ElYes *o ❑NA ❑NE
16_ Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?❑ Yes �No ❑NA ❑NE
17. Does the facility lack adequate acreage for land application? ❑Yes No ❑NA ❑NE
18. Is there a lack of properly operating waste application equipment? ❑Yes Wo ❑ NA ❑NE
Comments(refer to question##): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
3. ree lv p o nj c.or)a I Al 0 n s ?fob U_-b
bi-co-A lea� w-,eeA,'za 'I n pa4s+u r e- p
' 114 ? r � � c
Reviewer/Insp or Name [ [� Phone: 1 a gq
Reviewer/Inspector Signature. Date: 1
12128104 Continued

Facility Number: Q — p Qate of Inspection Q
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ]No ElNA El NE
the appropirate box. ❑WUP El Checklists ❑Design El Maps ❑ Other
21. D es record keeping need im ovement?-I€ es;�h ❑ Yes P(No ❑NA ❑NE
aste Ap�9:ing
ekly Freeboard Waste Analysis7Soil7alysis I9 WeAs-r..,,....r— ❑
Rainfall Cro Yield 120 Minute Ins ections L7 Month/ and V Rain Ins ections WeatherCode
P P Y Inspections
22. Did the facility fail to install an maintain a rain gauge? El Yes XN o ❑NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No NA ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �No El NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? El Yes No ❑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 ❑No XNA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑Yes NNo ❑NA ❑NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑Yes XNo ❑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 YNo ❑NA ❑NE
If yes, contact a regional Air Quality representative immediately
3 i. Did the facility fail to notify the regional office of emergency situations as required by ❑Yes '9fNo ❑NA ❑NE
General Permit? (ie/discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑Yes Cio ❑NA ❑NE
33. Does facility require a follow-up visit by same agency? ❑Yes �(No ❑NA ❑NE
Additional Comments and/or Drawings:
AL
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12128104
1

0
Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 010003 Facility Status: Active _ Permit: AW50100013 ❑ Denied Access
Inspection Type: Comnliapo Inspection Inactive or Closed Date:
Reason for Visit: Routine _ County: Awl mance _ _ Region: Winston-Salem
Date of Visit: 01/25/2009 Entry Time:j2:45 PM Exit Time:02:50 PM Incident#:
Farm Name: Randall Lewis Farm 2 Owner Email:
Owner: Randall W Lewis Phone: 3,W-376-3484
Mailing Address:3978 Lewis Rd Snow Camo NC 273499758
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator:
Location of Farm: Latitude: 35°52'12" Longitude: 79°18'12" _
South of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 112 mile from 87 on right.
Question Areas.
Discharges&Stream Impacts Waste Collection &Treatment Waste Application
Records and Documents Other Issues
Certified Operator:Randall W Lewis,,-- � Operator Certification Number: 19137
Secondary OIC(s):
On-Site Representative(s): Name Title Phone
24 hour contact name Randy Lewis Phone:
On-site representative Randy Lewis Phone:
Primary Inspector: Melissa Rosebrock Phone: [phone]
Ext.383
Inspector Signature: Date:
Secondary Inspector(s):
Inspection Summary:
3. Lack of vegetation due to cattle traffic along creek and and bank of freshwater pond is allowing sediment and cattle waste to run-off
into operator's freshwater pond.Check next visit.Operator has Cost Share money for installation of heavy use areas.
15. Continue efforts to control broadleaf weeds in pasture fields through mowing.
15. Parts of receiving fields(pasture)are denuded due to cattle traffic. Check next visit for degradation.
21.Operator obtained 2005 soil samples in December and is awning results. Check next visit.
21. No waste application since August 2005.
Page: 1

Permit:AWS010003 Owner-Facility: Randall W Lewis Facility Number:010003
Inspection Date: 01/25/2009 Inspection Type:Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
Swine-Feeder to Finish 600 659
Total Design Capacity: 600
Total SSI-W: 81,000
Waste Structures
Type Identifier Closed Data Start Date Designed Freeboard Observed Freeboard
ILagoon LAGOON 24.00 36.00
Page: 2

r'
i •
Permit:AW5010003 Owner-Facility: Randall W Lewis Facility Number;010003
Inspection Date: 01/25/2009 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? ❑ ■ ❑ Cl
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 Cl ■ ❑ ❑
erasion, seepage, etc.)?
6.Are there structures on-site that are not properly addressed and/or managed through a waste management ❑ ■ ❑ ❑
or closure plan?
7. Do any of the structures need maintenance or improvement? ❑ ■ ❑
8. Do any of the structures lack adequate markers as required by the permit?(Not applicable to roofed pits, ❑ ■ ❑ ❑
dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require maintenance or ❑ ■ ❑ ❑
improvement?
Waste Application Yes No NA NE
10.Are there any required buffers, setbacks, or compliance alternatives that need maintenance or ❑ ■ ❑ ❑
improvement?
11. Is there evidence of incorrect application? ❑ ■ 110
If yes, check the appropriate box below.
Excessive Ponding? ❑
Hydraulic Overload? ❑
Frozen Ground? ❑
Heavy metals(Cu,Zn, etc)? ❑
Page: 3

r
Permit:AWS010003 Owner-Facility: Randall W Lewis Facility Number:010003
Inspection Date: 01/25/2009 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 Small Grain Overseed
Crop Type 2 Fescue(Pasture)
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? ■ ❑ Cl ❑
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

Permit:AWS010003 Owner-Facility: Randall W Lewis Facility Number:010003
Inspection Date: 01/25/2009 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? ❑ ■ ❑ ❑
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)? ❑ Cl ■ ❑
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)oertification? ❑ ❑ ■ ❑
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:AWS010003 Owner-Facility: Randall W Lewis Facility Number:010003
Inspection Date: 01/25/2009 Inspection Type:Compliance Inspection Reason for Visit: Routine
Other Issues Yes No NA NE
31. Did the facility fail to notify regional DWQ of emergency situations as required by Permit? Q ■ Cl 0
32. Did ReviewerAnspector fail to discuss review/inspection with on-site representative? Q ■ El 11
33. Does facility require a follow-up visit by same agency? ❑ ■ ❑
Page: 6

- Division of Water Quality
Facility Number Q Division of Soil and Water Apservation PM
0 Other Agency
Type of Visit Compliance Inspection O Operation Review O Structure E v' aluation O Technical Assistance
Reason for Visit 4Routine O Complaint O Follow up O Referral 0 Emergency O Other ❑ Denied Access
Date of Visit: aS Arrival Time: Departure Time: County: A lalyianjcA2 egion: W
Farm Name: +2 Le i i 1-6 F_acm __ Owner Email:
Owner Name: P—ar&U 1.fAJ-315 Phone 3
Mailing Address: (��p j N L a1 3'I i
Physical Address: coj r`P' _—
Facility Contact: _Title: Phone 1 C_3
Onsite Representative: 12ja. (,� ]�,� Integrator: _NI U r�hlA -- �V-0UL)!0.
Certified Operator: U CA&�1z Operator Certification Number: ' 9 1 .
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: o 1121 ®H Longitude: --FAO
0 L t W Le4 orrl U 5
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish 10 Layer ❑ Dairy Cow
❑ Wean to Feeder IEJ Non-La yet I 1 ❑ Dairy Calf
.NrFeeder to Finish 1 00 ❑ Dairy Heifer
❑ Farrow to Wean Dry Poultry ❑ Dry Cow
❑Farrow to Feeder ❑Non-Dairy
El Farrow to Finish ❑ Layers
El Beef Stoekei
El Gilts ❑Non-La Non-Layers
ElBeef Feeder
❑ Boars ❑ Pullets
❑ Beef Brood Cow
- -- ❑ Turkeys
Other ❑ Turkey Points
❑Other ❑ Other Number of Structures:
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes A No ❑NA ❑NE
Discharge originated at: ❑ Structure ElApplication Field ElOther
a. Was the conveyance man-made? ❑ Yes ❑No ❑NA ❑NE
b. Did the discharge reach waters of the State?(If yes, notify DWQ) ❑Yes ❑No ❑NA ❑NE
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) ❑ Yes ❑No ❑NA ❑NE
2. Is there evidence of a past discharge from any part of the operation'? ❑ Yes rko ❑NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State Yes ❑No ElNA ❑NE
other than from a discharge? x
12128104 Continued

Facility Number: Q — Date of Inspection
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Wlo ❑NA ❑NE
a. If yes, is waste level into the structural freeboard? ❑Yes ❑No ❑NA ❑NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: r r am, .%
Spillway?:
Designed Freeboard(in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? [:] Yes yNo ❑NA ❑NE
(ie/large trees, severe erosion, seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑ Yes )q 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 Yo ❑NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes DgNo ❑ 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 10 ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes kNo ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes,check the appropriate box below. ❑ Yes XNo ❑NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn, etc.)
❑ PAN ❑ PAN> 10%or 10 Ibs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑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 &No ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? Yes ❑No ❑NA ❑NE
/K
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination%❑Yes No ❑NA ❑NE
17. Does the facility lack adequate acreage for land application? ❑ Yes *No ❑NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑Yes XNo ❑NA ❑NE
Comments(refer to question#): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary):
l s ? Nd ,
AMA
f14 /7
e
Reviewer/Inspector Name �� Phone: — 00
Reviewer/Inspector Signature. A7 Date: �10(D
12128104 Continued

Facility Number o — *Of Inspection
Required Records& Documents
19. Did the facility fail to have Certificate of Coverage& Permit readily available? ❑ Yes l"J No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWNIP readily available? If yes,check ❑ Yes E No ❑NA ❑NE
the appropirate box.
❑ WUP El Checklists ❑ Design ❑ Maps ❑ Other
21. ;/Waste
ecord keeping need im vement? If yes,check the appropriate boZoo
low. ❑ Yes /No ❑NA ❑NE
Applic tion Wee y Freeboard Waste Analysis A alysis
Rainfall �tocking Crop Yield 120 Minute inspections onthly and 1" Rain Inspections Weather Code
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes rr❑�` No NA ❑ NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? O I � El Yes �No ❑NA El NE
25. Did the facility fail to conduct a sludge survey as required by the permit? 48, ❑Yes �ErNo ❑NA ❑NE
26. Did the facility fail to have an actively certified operator in charge'? ❑ Yes P(No ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑ Yes ❑No XNA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes OrNo ❑NA ❑ NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes XNo ❑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 *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 ❑Yes N No ❑NA ❑NE
General Permit? (ie/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
41
Additional Comments and/or Drawings:
4
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12128104

-i
0
` Division of Water Quality
❑ Division of Soil and Water Conservation
❑ Other Agency
Facility Number: 010003 Facility Status: Active Permit: AWS010003 Denied Access
Inspection Type: Compliance Inspection Inactive or Closed Date:
Reason for Visit: Routine County: Alamance Region: Winston-Salem
Date of Visit: 08130/2005 Entry Time:11:30 AM Exit Time: 02130 PM Incident#:
Farm Name: Randall Lewis Farm Owner Email:
Owner: Randall W Lewis Phone: [phone]
Mailing Address: 3978 Lewis Rd Snow CamiNC 27349,q758
Physical Address:
Facility Status: ❑ Compliant ❑ Not Compliant Integrator: Ward Farms
Location of Farm: Latitude: 35°52'12" _ Longitude: 18'12"
South of Graham on NC 87. Left on Lewis Rd. (dirt road). Facility is 112 mile from 87 on right.
Question Areas:
Discharges&Stream Impacts 0 Waste Collection&Treatment 0 Waste Application
0 Records and Documents Q Other Issues
Certified Operator:Randall W Lewis Operator Certification Number: 19137
Secondary OIC(s):
On-Site Representative(s): Name Title Phone
On-site representative Randy Lewis Phone:
24 hour contact name Randy Lewis Phone:
Primary Inspector: MejLssa Rosebro � Phone:
336-771-4600
• Ext.383
Inspector Signature. Date:
A00 Cis-
Secondary Inspector(s):
Phone:
Phone:
Inspection Summary:
15. Lots of pigweed in haylpasture. Suggest broadleaf herbicide control next season.Try to mow before it re-seeds.
21.Went over new permit requirements with Randy. Don't forget to obtain 2005 soil samples.
4/22105 waste analysis=3.1 lbs. N11000 gal.
Page: 1

Permit: AWS0100D3 Owner-Facility: Randall W Lewis Facility Number: 010003
Inspection Date: 08/30/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Regulated Operations Design Capacity Current Population
Swine
0 Swine-Feeder to Finish 600 638
Total Design Capacity: 600
Total SSLW: 81,000
Waste Structures
Type Identifier Closed Date Start Date Designed Freeboard Observed Freeboard
Lagoon LAGOON 24.00 40.00
Page: 2

Permit: AWS010003 owner-Facility: Randall W Lewis Facility Number: 010003
Inspection Date: 08/30/2005 inspection Type: Compliance Inspection Reason for Visit: Routine
1.Is any discharge observed from any part of the operation? ❑ 0 ❑ ❑
Discharge originated at:
Structure ❑
Application Field ❑
Other ❑
a.Was conveyance man-made? ❑ moo
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 Collectinn. Stnrage&Treatment Yes No NA NE.
4.Is storage capacity less than adequate? ❑ ❑ ❑
it yes,is waste level into structural freeboard? ❑
5.Are there any immediate threats to the integrity of any of the structures observed(Le./large trees,severe erosion, ❑ ❑ ❑
seepage,etc.)?
6.Are there structures on-site that are not properly addressed and/or managed through a waste management or ❑ ❑ ❑
closure plan?
7.Do any of the structures need maintenance or improvement? ❑ ❑ ❑
8.Do any of the structures lack adequate markers as required by the permit?(Not applicable to roofed pits,dry stacks ❑ ❑ ❑
and/or wet stacks)
9.Does any part of the waste management system other than the waste structures require maintenance or ❑ ❑ ❑
improvement?
Waste Application Yes--Ug 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)? ❑
PAN? ❑
Is PAN>10%/10 lbs.? ❑
Total P2O5? ❑
Failure to incorporate manuref sludge into bare soil? ❑
Outside of acceptable crop window? ❑
Evidence of wind drift? ❑
Application outside of application area? ❑
Crop Type 1 Fescue(Hay,Pasture)
Crop Type 2
Crop Type 3
Crop Type 4
Crop Type 5
Page: 3

Permit: AWS010003 Owner-Facility: Randall W Lewis Facility Number: 010003
Inspection Date: 08/30/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Waste Application
YPc Nn NA NF
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? 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? ❑ ■ ❑ ❑
If yes,check the appropriate box below.
WUP? ❑
Checklists? ❑
Design? Cl
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? ❑ ■ ❑ ❑
Page: 4

Permit: AWS010003 Owner-Facility: Randall W Lewis Facility Number: 010003
Inspection Date: 08/30/2005 Inspection Type: Compliance Inspection Reason for Visit: Routine
Other 15sues Yes No NA NF
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 ❑ 0 ❑ ❑
rates that exceed normal rates?
30.At the time of the inspection did the facility pose an air quality concern? If yes.contact a regional Air Quality ❑ ❑ ❑
representative immediately.
31.Did the facility fail to notify regional DWQ of emergency situations as required by Permit? ❑ ❑ ❑
32.Did Reviewer/inspector fail to discuss review/inspection with on-site representative? ❑ M ❑ ❑
33.Does facility require a follow-up visit by same agency? ❑ 0 ❑ ❑
Page: 5

Adoli
Division of WaterQ, uality ,
Faetbty Number Q 3 O:Division of Soil and Water Co ervation {�
O Other Agency
Type of Visit Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit yRoutine O Complaint O Follow up O Referral O Emergency O Other ❑ Denied Access
Date of Visit: 1 Arrival Time- Departure Time: ® County: I amd Q-Region: � S
Farm Name: _!c-C�r l�1 0.� ( LQ ti?us f::Q0)C' Owner Email: ran ��Vc)6y*Q'Orlf n e+
Owner Name Qa��Q� L 2 t�-1 S Phone: 34 S q
NlailingAddress: -I 9-7<9 Le tS 12-Gk hOUJ l-.C.+L)j1/1 02 23V9
Physical Address: name_
Facility Contact: 1�--Q`�C1M �`�11��S _ Title: Phone No: �S -7
1
e
Onsite Representative:(� Integrator:
Certified Operator: F-��1�V 2 1JJ`1 S Operator Certification Number: I
Back-up Operator: Back-up Certification Number:
Location of Farm: Latitude: 0� 1:=�.=4 ©64 Longitude: © LL!2=-
Lew i 5 d} �-p NO, �7we5�12��ds�E I;h h r �n�• n+o
Th o 1 /B h
or&n C N
Design Current Design Current Design Current
Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population
❑ Wean to Finish ❑Layer ❑ Dairy Cow
❑ Wean to Feeder ❑Non-La ei ❑ Dairy Calf
Feeder to Finish I ki0c) ❑ Dairy Heifei
Farrow to Wean Dry Poultry ❑ Dry Cow
❑ Farrow to Feeder El Non-Dairy
El Farrow to Finish ❑Layers
El Beef Stocker
El Gilts El Non-La ers ❑ Beef Feeder
El Boars Pullets
❑ Beef Brood Cow
- - ❑Turkeys
Other ❑Turkey Poults
El Other ❑Other Number of Structures:
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes No ❑NA ❑NE
Discharge originated at: ❑ Structure ❑ Application Field ❑Other
a. Was the conveyance man-made? ❑ Yes ❑No ❑NA ❑NE
b. Did the discharge reach waters of the State?(If yes, notify DWQ) ❑ Yes ❑No ❑NA ❑NE
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) ❑ Yes ❑No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑NE
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State ❑ Yes No ❑ NA ❑NE
other than from a discharge?
12128104 Continued

Facility Numher: 0 Date of Inspection POJ*
Waste Collection & Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑Yes 9No ❑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: O
Spillway?:
Designed Freeboard(in): is
Observed Freeboard (in): 0
5. Are there any immediate threats to the integrity of any of the structures observed? ❑Yes No ❑NA ❑NE
(ie/large trees,severe erosion,seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed ❑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 *o ❑NA ❑NE
8. Do any of the stuctures lack adequate markers as required by the permit? ❑ Yes lNo ❑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 No ❑NA ❑NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes N io ❑NA ❑NE
maintenance/improvement?
11. Is there evidence of incorrect application? If yes,check the appropriate box below. ❑ Yes 0 No ❑NA ❑NE
❑Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
[]PAN ❑ PAN> l0%or i 0 lbs ❑Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑Outside of Acceptable Crop Window ❑ Evidence of Wind Drifl ❑ Application Outside of Area
12. Crop type(s)
13. Soil type(s) 4 r
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑NA ❑NE
15. Does the receiving crop and/or land application site need improvement? Yes [[[[[[❑No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination:❑ Yes No ❑NA ❑NE
17. Does the facility lack adequate acreage for land application'? ❑ Yes [XNo ❑NA ❑NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ]No ❑NA ❑NE
Comments(refer to question#): Explain any YES answers and/or any recommendations or any other comments. _
Use drawings of facility to better explain situations.(use additional pages as necessary):
*At
Reviewer/inspector Name09, d Phone: — 3
Reviewer/inspector Signatur Date: -:6 13olQ
i �� ro _ `! 11/28/04 Continued

Facility lumber: 0 — Dief Inspection B 0
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage R Pen-nit readily available? ❑ Yes "�d No ❑NA ❑NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes No El NA El NE
the approprrate box. ElWUP ❑Checklists El Design ❑ Maps El Other
21. 7waste
ecord keeping needWweeklyFreeboard
rovement? If yes, ;�WasteAnalvsis
he appropriate�box�bow. Yes ❑No ❑NA ❑ NE
Application SVM'onthly
alysis
WRainfall(�E� UV Cro Yield E/120 Minute Inspections and I" Rain Ins ections WeatherCode
P P P
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No XNA ❑NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? OCA. d fo❑ Yes ,KNo ❑NA ❑NE
25. Did the facility fail to conduct a sludge survey as required by the permit? ElYes YN0 ❑NA ❑NE
26. Did the facility fail to have an actively certified operator in charge? ❑ Yes lk No ❑NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessment(PLAT)certification? ❑ Yes ❑No 1%NA ❑NE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes XNo ❑ NA ❑NE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document ❑ Yes �kNo ❑ NA ❑NE
and report the mortality rates that were higher than normal?
30. At the time ofthe inspection did the facility pose an odor or air quality concern? ❑ Yes �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 ❑ Yes to ❑ NA ❑NE
General Permit? (ie/discharge, freeboard problems, over application)
32. Did Reviewer/[rnspector fail to discuss review/inspection with an on-site representative? ❑ Yes X No ❑ NA ❑NE
33. Does facility require a follow-up visit by same agency? ❑ Yes )QNo ❑ NA ❑NE
Additional Comments and/or Drawings:
i
a � . dos So► I +es-�- r�5u l� 7 �� - �� ,
a
a��1 log = 3 . 1 145- N //000
12128104

aftriston,of,WaterrQtzaltty
�`eor"#'.�i•Sa •�rtl.,^9-r�t�t n - ivr-j -
.vision bUSoil antl.Water Conserv:.ation �r
Oher Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access
Facility ,Number 01 03 Mile of visit; 2/19/2004 Time: 1230
Q Not O erational Q 13elow'Threshold
M Permitted M Certified [3 Conditionally Certified 13 Registered pate last Operated or Above'I'breshold: .............
Farm Name: RADJUH.Limi5-Eatmn............................................................. Count•: Ajk=jjpt............................... yYSt�.Q----
Owner Name: �d�l- - - - - - - - - l.t:�� - --- - --- - - --------- -- Phone No: 33(�74 3454-- - ----- ----- - --- ------
MailingAddress: 3.92$..Lv.wJ5.RQ.at1................................................................................ 5iTxoyv..Qaxnp.NC................................................... Z73.49..............
Facility Contact: JRAMY.Lew.is............. .Title: ............................. Phone No: 33�.f7 ,S9.7.><..................
Onsite Representative: Dl1,YJsSYis.------------------ --.__ .------------ Intel;rator:SJllitbfield�3kiJlt;-----------------------.
Certified Operator:FatD.dAIj.1'.!'............................ Lewla................................................. Operator Certification Number:19.13.7.............................
Location of Farm:
outh of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 112 mile from 87 on right.
t
®Swine ❑Poultry [ICattle ❑ Horse Latitude 35 • 52 12 Longitude 79 • F-18-14 F 12
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Cavacitv Po ulation
❑ Wean to Feeder JE1 Layer ❑Dairy
® Feeder to Finish 600 515 10 Non-Layer ❑ Non-Dairy
❑ Farrow to Wean
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity 600
❑Gilts
❑ Boars Total SSLW 81,000
Number of Lagoons 1
0
Dischary-es & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated aC ❑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. Ifdischarge is observed, what is the estimated flow in galhnin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ® No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm Storage) less than adequate? ® Spillway ❑ Yes ®No
Structure I 'Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: --------Lagmn........ ----------•--•--•---------- -----------•--•--------•-- ......................... •--•--•-----•--•--•--- -------- -•--------_
Freeboard(inches): 24
12112103 Continued
093.1,3 u-�

Facility Number: 01-03 Date of Inspection 2/19/2004
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/trees, severe erosion, ❑ Yes N No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or [] Yes ® No
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'? ❑ Yes N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes N No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level ❑ Yes N No
elevation markings?
NVaste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes N No
1 I. [s there evidence of over application? If yes, check the appropriate box below. ❑ Yes N No
❑Excessive Ponding ❑PAN ❑ Hydraulic Overload ❑ Frozen Ground ❑Copper and/or Zinc
12. Crop type Fescue(Graze) Fescue(Hay)
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 N No
c)This facility is pended for a wettable acre determination? ❑ Yes ® No
15. Does the receiving crop need improvement? ❑ Yes N No
16. Is there a lack of adequate waste application equipment? ❑ Yes N No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes N No
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ®No
19. [s 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)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes,contact a regional ❑ Yes N No
Air Quality representative immediately.
Comments(refer to question 4): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary): EE]Field Copy N Final Notes
23. Records look good. Operator only applies waste about once a year in the Spring. 2003 soil results look ok.
Reviewer/inspector Name Meli sa Rosebrock
Review erllnspector Signature: Date:
12112103 Continued
A 4

Facility Number: 01-03 I) f Illspection 2/19/2004 •
Required Records & Documents
21. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑ Yes ® No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP,checklists, design,maps,etc.) ❑ Yes ® No
23. Does record keeping need improvement'? If yes,check the appropriate box below. ❑ Yes ® No
❑ Waste Application ❑Freeboard ❑ Waste Analysis ❑ Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
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?
(ie/discharge, freeboard problems,over application) ❑ Yes ® No
27. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ® No
28. Does facility require a follow-up visit by same agency? ❑ Yes ® No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
NPDES Permitted facilities
30. Is the facility covered under a NPDES Permit?(If no,skip questions 31-35) ❑ Yes ® No
31. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
32. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑ No
33. Did the facility fail to conduct an annual sludge survey? ❑ Yes ❑ No
34. Did the facility fail to calibrate waste application equipment? ❑ Yes ❑ No
35. Does record keeping for NPDES required forms need improvement? If yes,check the appropriate box below. ❑ Yes ❑ No
❑Stocking Form ❑Crop Yield Form ❑ Rainfall ❑ Inspection After I" Rain
❑ 120 Minute Inspections ❑Annual Certification Form
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
dditional Comments and/or Drawings.
12112103

vision of Water Quality
,M
sion of Soil and"Water Conservation
0 Othei•'Agency
Type of Visit Compliance Inspection O Operation Review Q Lagoon Evaluation
Reason for Visit 98outine O Complaint O Follow up O Emergency Notification Q Other ❑Denied Access
Facility Number Date of Visit: Q{ Time: 0230
10 Not O erational 0 Below Threshold
Permitted [3 Certified D Conditionally Certified © Registered Date Last Operated or Above Threshold: .........................
FarmName: ...gax L� .... .................................. County: ... . . 1 2 .a Ct ....l..)... .......................
Owner Name: ...1..]G. zq—L. ......... .b... .................................................... Phone No: ..33 3..�4 3 TST-............................
Mailing Address: . ...L ....try:.4 ...... ..:..... ....... nf:?s!4, ... ..................a:........ ...........
Facility Contact: ......t
"-1_......4 `' '.. Title• Phone No: 331Q.p �.....7.�So 7 l
1111 16.3.... : ...................._. ......................................
Onsite Representativn r 7,1, Integrator:... ................. �,Q�
l ....... ........... ..... ...................... ................ 5M T[ ►����1
Certified Operator:.,,,, Q�,�....... . .. .. S ........ Operator Certification Number: ��•, 7....,,,,,,,
..LP...�._...i.................... ..... . 3..
Location of Farm: �J
Swine ❑Poultry ❑Cattle ❑Horse Latitude �• S Z ' ©" Longitude ®• ®� «
Design Current Design Current Design.. . Current
5 Ca pa Po tilation; 1Y.. .m Ca aci : Po ulation, Ca ace : 'Po elation
swine Point Cattle
y ❑Wean to Feeder ❑Layer ❑Dairy
Feeder to Finish {o Q0 10Nop-Layer (]Non-Dairy
Farrow to Wean
❑Farrow to Feeder ❑Other ��~
❑Farrow to Finish -
Total Design.Capacity'
❑Gilts
❑Boars = - . Total SSLW.= j Q
Number of Lagoons
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes VNo
Discharge originated at: [I Lagoon ❑Spray Field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑Yes ❑No
b. If dischargo
e 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/trtin?
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 JYNo
Structure I Structure 2 Structure 3 ( Structure 4 Structure 5 Structure 5
Identifier:
Freeboard(inches): 01
12112103 Continued

Facility Number: — O3 Date of Inspection O
5. Are there any immediate threats to the inTl�grity of any of the structures observed?(ie/trees,severe erosion, ❑Yes No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or ❑yes �No
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? ❑Yes �(No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level ❑Yes No
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑YesNo
11. Is there evidence of over application? If yes,check the appropriate box below. ❑Yes" No
❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Frozen Ground ❑Copper and/or Zinc
12. Crop type
13. Do the receiving c9ps differ with those designated in the Certified imal 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 XNo
16. Is there a lack of adequate waste application equipment? ❑Yes �(No
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes N0
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours? ❑Yes XNo
19. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑Yes KNo
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 ❑Yes �No
Air Quality representative immediately.
.Comments"("refer to questions#) Explain.any YES answers and/or.anyrecommendations or any other comments:
;Use dr`a4iii "s of facility to better exoWwsituations.(use.additional pages as necessary) Field Copy ❑Ftnal Notes
ReviewerAnspector Name
Reviewer/Inspector Signature: U5. 44Date:
12112103 Continued

1
Faci4ity Number: of Inspection
4
Required Records &Documents
21. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes >(No
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc.) ❑Yes A No
23. Does record keeping need improvement?If yes,check the appropriate box below. ❑Yes�o
❑Waste Application ❑Freeboard ❑Waste Analysis ❑Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes 0No
25. Did the facility fail to have a actively certified operator in charge? ❑Yes /Pj No
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes No
27. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes OfNo
28. Does facility require a follow-up visit by same agency? ❑Yes 9No
29. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes WO
NPI)ES Permitted Facilities
30. Is the facility covered under a NPDES Permit?(If no,skip questions 31-35) ❑Yes IIIIII o
31. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes ❑No
32. Did the facility fail to install and maintain a rain gauge? ❑Yes ❑No
33. Did the facility fail to conduct an annual sludge survey? ❑Yes ❑No
34. Did the facility fail to calibrate waste application equipment? ❑Yes ❑No
35. Does record keeping for NPDES required forms need improvement? If yes,check the appropriate box below. ❑Yes ❑No
❑ Stocking Form ❑Crop Yield Farm ❑Rainfall ❑Inspection After 1" Rain
❑ 120 Minute Inspections ❑Annual Certification Form
[3 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit,
Additional Comments and/or Drawings
.m
d
a �
�3
.12112103

istun of Water Quality
Vision of Soil and Water Conservation
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit © Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number O1 03 t)ate of Visit; 03/13/2043 Tirne. 1304
0 Not O erational 0 Below Threshold
M Permitted M Certified [3 Conditionally Certified []Registered Date Last Operated or Above Threshold: ...............
Farm Name: RAndall.Lieaxis-Farm................................... ................................... County: Al,aimaa.Ct�......................................... ! SRA........
Owner Name: liapid lk.................................. L4Y4'x&.......................................... Phone No: 33.6.476:-3.43.4..................
................ .........................................
Mailing Address: 397..8.1...1YAS.load.................................... Sino. .. �ttp.lY. .............................. ... 273.4.9..............
............................................ ...........
Facility Contact: &n,d3..0 yki..................................................Title: ...................................I............................ Phone No: fi�A. .4t.z.J.4�Z. Z�...............
Onsite Representative: Ramdy..L enyis.............................................................. ........ Integrator:�'E'�1rd.F ai 1[135.._....................... ..........................................
Certified Operatoratajndall..Wn.......................... Lwyds................................................. Operator Certification Number:X.913.7..............................
Location of Farm:
South of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 1/2 mile from 87 on right. +
0 Swine ❑Poultry ❑Cattle ❑Horse Latitude 35 S2 12 Longitude 79 18 12
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder 10 Layer ❑Dairy 60
M Feeder to Finish 600 600 ❑Non-Layer ❑Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 81,000
Number of Lagoons 1 ❑Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Traps 1 ❑No Liquid Waste Management System
Discharees & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes M 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 gat/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? []Yes M No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes M No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? M Spillway ❑Yes M No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Stricture 6
Identifier: Lagoon......... ..... .. ................................... ................................... ...................................
Freeboard(inches): 25
05103101 Continued

Facility Number: Ot-03 Date of Inspection 03/13/2003
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, ❑Yes ®No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes N No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes N No
9. Do any stuctures lack adequate,gauged markers with required.maximum and minimum liquid level
elevation markings? ❑Yes ®No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes ®No
12. Crop type Fescue(Hay) Rye Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes N No
14. a) Does the facility lack adequate acreage for land application? ❑Yes N 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 N No
16. Is there a lack of adequate waste application equipment? ❑ Yes N No
Required Records_&_Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes N 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 N No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes N No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes N No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes N No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes N No
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments(refer to question#): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary): ❑Field Copy N Final Notes
19. Records look real good! Don't forget to take waste sample for Mar. 2003 applications. AL
19. Soil test result for field 4 reports a zinc index greater than 1000. Zinc is increasing in other fields too. Suggest contacting SWCD.
27. Need to make sure that carcasses are buried at least 3' deep. Some were partially exposed.
Misc.
Dairy WSP is @ 6" from overflowing. Operator to pump and haul soon. Solid lot waste is applied w/a spreader. Only 60 milk cows at
dairy facility. Operator is working with SWCD to install stock trails and heavy use areas.
Reviewer/Inspector Name Meliss osebrock
Reviewer/Inspector Signature: &4Alli Date:
05103101 Continued

Facility Number: Ot-03 D&f Inspection U3/I312003
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ®Yes ❑No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑Yes ®No
roads,building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ®No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a pennanent/temporary cover? ❑Yes ®No
Additional omments and/orDrawings:
05103101

o � P
Division of Water Quality
Division of Soil snd Water Conservation
0,Other Agency
Type of Visit C mpliance Inspection O Operation Review 0 Lagoon Evaluation
Reason for Visit Routine Q Complaint O Follow up Q Emergency Notification O Other El Denied Access
Faciliri Number Date of Visit: Trb�Time:
_•
Not Operational 0 Below Threshold
Permitted Certified 0 Conditionally Certified Registered Date Last Operated or Above Threshold:
e
Farm Name: }- Q L T Countv: A n ly n c
Owner Name: f� a Le.l.L�,S _ Phone No: :3 3 q-
-3q~7<9 � 5 - �a �nrsc� KX-j Z2 7.-�
Mailing Address: � j
Facilitv Contact: �� Title: Phon@'No?
Onsite Representative: 1` Integrator: liV Lwd Par M'n
Certified Operator: E.��? L,�3IS Operator Certification Number: i 4 1
3-7
Location of Farm:
00, y� 5o on Mi rovK Co r-c�h�irvc Le-Ron Leu.�;r� - Fa.r►vl
Swine ❑Poultry ❑Cattle ❑ Horse Latitude 0'® ®" Longitude •
Design Current Design Current Design Current
Swine Capacity Population Poultry_ Capacity Population Cattle Capacity Population
AWean to Feeder ❑La er Dairy
Feeder to Finish (J r ❑Non-Laver Non-Dairy
Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity d
❑Gilts
❑Boars Total SSLW �aa
Number of Lagoons ! ❑Subsurface Drains Present ❑La oon Area 10 S rati Field Area
Holding Ponds/Solid Traps j ❑No Li uid Waste Management System
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes o
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑Yes ❑No
b. If discharge is observed,did it reach Water of the State?(If yes,notify DWQ) ❑yes ❑No
c. If discharge is observed.what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system?(If yes,notify DWQ) ❑Yes ❑No
?. Is there evidence of past discharge from any part of the operation? ❑Yes KNO
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge.) ElYes ❑No
VA'aste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? 9 Spillway ❑Yes No
Structure 1 Structure? Structure 3 Structure 4 Structure 5 Structure 6 `
Identifier: O
Freeboard(inches):
05103101 Continued

- . L
Facility Number: — Date of Inspection -S/U3
5. Are there any immediate threats to the integrity of anv of the structures observed?(ie/trees,severe erosion, Yes No
seepage,etc.) II�`
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? El Yes )KNo
(If an 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 tNo
o
S. Does any part of the waste management system other than waste structures require maintenance/improvement? ElYes
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes >0 No
11. Is there evidence of ove application? ElExcessive Ponding ElPAN ElHvdraulic Overload ElYes XNo
12. Crop type
13. Do the receiving crops iffer with those desi ted in the Certified Animal Waste Manag&Lcnt Plan(CAWMP)? ❑Yes o
14. a)Does the facility lack adequate acreage for land application? ElYesfNo
b)Does the facility need a wettable acre determination? ElYes o
c)This facility is pended for a wettable acre determination? ❑Yes b�No
15. Does the receiving crop need improvement? ❑Yes No
16. is there a lack of adequate waste application equipment? ❑Yes No
Required Records&Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes XNO
i& Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design,maps,etc") / / / / ❑Yes 1 No
19" Does record keeping need improvement?(ie/irngation,freeboard,waste analysis&sop le reports) ❑Yes No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? El Yes No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes )�No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes ko
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes Dq`N0
24. Does facility require a follow-up visit by same agency? ❑Yes z*o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes//)WNo
0 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments(refer to question#); Explain-any YES ansy=ers and/or anp recommendations or.a y1QD r comments.-
Use drawings of facility to better explain situations.(use additional pages as necessary): ld Copv ❑Final Notes ?
ReviewerAnspector Name 0�
Reviewer/Inspector Signature: Date: 1-3113
05103101 Continued

• !
Facilih•lumber: — Date of Inshi•ction
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below �o after SO
liquid level of lagoon or storage pond with no agitation?
27. Are there anv dead animals not disposed of properly within 24 hours? XYes ❑No
29. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation.asphalt. ❑Yes do
roads.building structure.and/or public property) /
29. Is the land application spray system intake not located near the liquid surface of the lagoon? '❑Yrs X
o
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts,missing or
or broken fan blade(s),inoperable shutters.etc.)
31. Do the animals feed storage bins fail to have appropriate cover? Bstr
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover?
A itional Comments and/or Drawings:
�ot� alp -1 36 . - 3-'1 Nab- appii��le
Uq . TP-p n 2
a-oa3
R &a
05103101 V op"J-140
m

;�" • is.on'of Water Quality
ision of Soil and Water Conservation• r�
O Other Agency `
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up Q Emergency Notification O Other ❑Denied Access
Facility Number O1 3 Date of Visit: 71I$120112 Time: 12:30
O Not Operational O Below Threshold
®Permitted ®Certified [3 Conditionally Certified ©Registered Date Last Operated or Above'Threshold: .........................
Farm Name: Ra►zdAll.laemlyS..h_arm.................................................................................. County: Alamlicc......................................... WSRQ........
OwnerName: &ndAA11.................................. Uwh........................................................... Phone No: RA- 484....................................................................
Mailing Address: 39.71l..mi$.Road..................... ............................... Sx3aw—CAmpAC................................................... Z:I.3.4.9..............
Facility Contact: ..............................................................................Title: ................ ... Phone No:
Onsite Representative: Malady..L1nyJ,5............................................................................... Integrator:lE'aX.d.F zltxls............
Certified Operator:Randall.A........................... UIYiS................................................. Operator Certification Number:1.yl. 7..................
Location of Farm:
South of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 1/2 mile from 87 on right.
®Swine ❑Poultry ❑Cattle ❑Horse Latitude Longitude 74 • 18 1Z
Design Current Design Current Design Current
Swine Capacity population Poultry Capacity population Cattle Capacity Population
❑Wean to Feeder JE1 Layer ❑Dairy
®Feeder to Finish 600 595 ❑Non-Layer ID Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 81,000
Number of Lagoons 1 ❑Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Traps ❑ No Liquid Waste Management System
Discharp_es& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. if discharge is observed, was the conveyance man-made`? ❑Yes ❑No
b. If discharge is observed, did it reach Water of the State'?(If yes, notify DWQ) ❑Yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system?(If yes, notify DWQ) ❑ Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes ®No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Spillway ❑ Yes ®No
Structure I Strucnre 2 Structure .3 Structure 4 Structure 5 StrlrctUTe 6
Identifier: ....... ................................... ...................................
Freeboard(inches): 36
05103101 Continrred

Facility Number: 01-3 Date of Inspection 7/18/2002
MIN
5. Are there any immediate threats to the Aprity of any of the structures observed?(ie/treQevere erosion. ❑ Yes ®No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ®No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ®Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ®No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ®No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes ®No
12. Crop type Fescue(Graze) Winter annuals(Graze) Summer annuals(Graze)
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
Required 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?(ic/irrigation, freeboard, waste analysis&soil sample reports) ❑Yes ®No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes ®No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑Yes ®No
23. Did Rev iewerAnspector 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
No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments(refer to question#): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary): El Field Copy ❑Final Notes
# 7. Need to mow around the hog house and lagoon. +
# 19. Will need to complete the Irr-11 form.
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

FacilitvNumber: 01-3 D pf Inspection 71181ZOOZ
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge allor below ❑ Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑Yes ®No
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ®'No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters, etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑No
!Additional Comments and/or Drawings:
Waste analysis: 2-05-02 AL5 19 1bs.N/1000 gals. I
05103101

its vision of Water Quality
vision of Soil and Water Conservation
0 Other Agency
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑Denied Access
Facility Number O1 03 Dint or Visit: 2Jt2/2002 Time: 1100
O Not-Operational 0 Below Threshold
E Permitted N Certified 0 Conditionally Certified ❑ Registered Date Last Operated or Above Threshold: ..•••••..••...
Farm Name: RAndaitIpm.is..F.airm.................................................................................. County' Alamixec......................................... E'!'SRO........
OwnerName: R,aatdoA.................................. juwj,5........................................................... Phone No: 336.-.3.76.-3.484..........................................................
MailingAddress: 39T8.1.awij.R.oad...........................................................I..................... Sia.m..Ca nap..N.C................................................... 2.7.3.49.............
Facility Contact: kWatd3:.Lewin.......................................I..........Title: ................................................................ Phone No: cell A3.6 14..7.5.7.9.............
Onsite Representative: aa1dY.Teel iS............................................................................... Integrator:Wa1Cld.h��IOI1S...........................................................
Certified Operator:RaadaR.W........................... Uwk................................................. Operator Certification Number:J9.13.7.............................
Location of Farm:
uth of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 112 mile from 87 on right.
IN Swine ❑Poultry ❑Cattle ❑Horse Latitude 35 • 52 6 12 44 Longitude 79 • F 18 12
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑ Layer ❑ Dairy
®Feeder to Finish 600 598 ❑Non-Layer JE1 Non-Dairy
❑Farrow to Wean
❑ Farrow to Feeder Other
❑ Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 51,000
EEE
Number of Lagoons 1 ❑Subsurface Drains Present ❑Lagmm Area ❑Spray Field Area
Holding Ponds/Solid Traps 0 ❑No Liquid Waste Management System
Discharges& Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ® No
Discharge originated at: ❑Lagoon ❑ Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No
b. If discharge is observed,did it reach Water of the State?(If yes, notify DWQ) ❑ yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system?(If yes. notify DWQ) ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑ Yes ® No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yes ® No
Waste collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ® Spillway ❑ Yes ® No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure b
Identifier: ..........Lagoon.......... ................................... ............. ................. ................................... ................................... ...................................
Freeboard(inches): 38
05/03/01 ��6 7 v - / ' Continued

Facility Number: 01-03 Date of Inspection 2/12/2QQ2 �,
5. Are there any immediate threats to the InIgrity of any of the structures observed?(ie/trees,severe erosion, ❑ Yes ® No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ® No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ® No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes ® No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑ Yes ® No
12. Crop type Fescue(Graze) Fescue(Hay) Timothy, Orchard,&Rye
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
Required 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?(iel irrigation,freeboard,waste analysis&soil sample reports) ❑ Yes to No
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑ Yes ® No
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes ® No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge,freeboard problems,over application) ❑ Yes ® No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ® No
24. Does facility require a follow-up visit by same agency? ❑ Yes ® No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ® No
[] No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments{refer to question#): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.{use additional pages as necessary): ❑ Field Copy ® Final Notes
7. Need to establish permanent vegetation on lagoon dam(i.e. fescue).
27. Operator is still using last year's"dead hole"until the current one is full. Will then locate next hole>300 feet from any potential
waterway(see 2001 DWQ inspection).
w
Reviewer/Inspector Name ,Melissa Rosebrock
Reviewer/Inspector Signature y Date:
05/03/01 Continued

Facility Number: 01-03 D41f Inspection 2/12/2002
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below [] Yes ® No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28_ Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑ Yes ® No
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ® No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑ Yes ® No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ® No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ® No
f.ffi " itiona i comments an _raw�ngs:
05103101

T7 -
Diyision�of Water Quality -
i - ... -
: Divislon of Sol]and Water Conservation '
Fdvd
Type of Visit Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit kRoutine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other ❑Denied Access
Facility Number I d2
Date of Visit: Time:
Not O erational 0 Below Threshold
Permitted. Certified y [3 Conditionally Certified C]Registered Date Last Opera/t�ed�or Above Threshold:
Farm Name: �'!I{ L 6-6_ F,2j M Countti�• Yet �7�—_
Owner Name: �Lld u ����� Phone No: 33�•_3 !(o 4 0 7
Mailing Address:
Facility Contact: Par& uAdis Title: Phone No:
® L Farms
Onsite Representative: Integrator:
-
k p �� �6
Certified Operator: �1_ _iX�LJV I.5 Operator Certification Number: -�• �
Location of Farm:
swine ❑ Poultry ❑Cattle ❑Horse Latitude Longitude ' s
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
EL Wean to Feeder JE1 Layer ❑Dairy
Feeder to Finish I 61C)C) 10 Non-Layer I I 1E1 Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity Q
❑
Gilts
Boars Total SSLW aQb❑ Boar
Number of Lagoons ❑Subsurface Drains Present ❑ Lagoon Area 10 S rav 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 "No
Discharge originated at: ❑ Lagoon ❑Spray Field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑Yes ❑No
b, I f discharge is observed,did it reach Water of the State?(If yes,notify DWQ) ❑Yes ❑No
c. If discharge is observed,what is the estimated flow in gal/min?
d, Does discharge bypass a lagoon system?(If yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes MNo
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes .,F)!g No
Waste Collection &Treatment , �(
4. Is storage capacity(freeboard plus storm storage)less than adequate? Spillway ❑Yes x No
Structure I Structure 2 Structure 3 I� Structure 4 Structure 5 Structure 6
Identifier: 404
Freeboard(inches): 0
05103101 Continued

Facility Number: Date of Inspection �.
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, ❑Yes KNo
seepage,etc.)
6. Are there structures on-site which are not property addressed and/or managed through a waste management or
closure plan? El Yes Io
(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 ANo
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes No
Waste Aonlication
10. Are there any buffers that need maintenance/improvement? ❑Yes �Io
11. Is there evidence of over application? ❑Excessive Ponding PAN ❑Hydraulic Overload ❑Yes No
12. Crop type q.
13. Do the receiving rops differ with those d signa d in tig Certified Animal aste Management Plan(CAWMP)? ❑Yes *No
14. a)Does the facility lack adequate acreage for land application? Cl Yes *o
b)Does the facility need a wettable acre determination? ❑Yes ]�No
c)This facility is pended for a wettable acre determination? ❑Yes XNo
15. Does the receiving crop need improvement? ❑Yes A 1�o
16. is there a lack of adequate waste application equipment? ❑Yes Aro
Required Records&Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? ❑Yes o
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? �11
(ie/WUP,checklists,design,maps,etc.) ( / / El Yes �vs
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 o
21. Did the facility fail to have a actively certified operator in charge? ElYes No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems,over application) ❑Yes A No
23, Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ONo
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 A No
113 No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
Comments(refer to question ft Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary): ICJ Field Copy ❑Final Notes
au)p
Reviewer/Inspector Name J
ReviewerAnspector Signature: Date:
05103101 Continued

v
Facility Number: — pate of Inspection
dor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes XNo
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, ElYes 4NO
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 T<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 TE�o
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes �6No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes �(xo
Additional Comments and/or Drawings:
ip -12M;�2 e�� C
4
7J ��
3A ao -�
05103101

vision of Water Quality
ivision of Soil and Water Conservation
Other Agency f
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Dale of ,sit: $J20/2001 Time: lt)04 Printed on: 8/20/2001
Facility Number O1 03
0 Not O erational 0 Below Threshold
®Permitted ® Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: .....................
Farm Name: Rand.all.Lends-Earriax........................................................ ....................... ... County: Alomixe Y......................................... WSR.Q........
OwnerName: liantd;ail.................................. Uwk........................................................... Phone No: 3.7.6-348.4..............................................
......................
Mailing Address: 3-1.8.1.v.wj,5.RQad................................................................................. Sugm-Camp..N.0................................................... 2.7.3.49.............
Facility Contact: lm[tdy..Uwjsi..................................................Title: ................................................................ Phone No: d 6.��4..7.8.7.9..Cell.#............
Onsite Representative: ...................................................... lntegrator:l '.apd..Egr s.......................__..................................
Certified Operator:Rajadall.................................. Uxis................................................ Operator Certification Number:1,91.37.............................
Location of Farm:
Farm location: 13 miles south of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 1/2 mile from 87 on right.
®Swine ❑Poultry ❑Cattle ❑Horse Latitude Longitude 79 • 18 12
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder JE1 Layer ❑Dairy
®Feeder to Finish 600 580 ❑Non-Layer n-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑ soars Total SSLW 81,000
Number of Lagoons ❑Subsurface Drains Present 1111 Lagoon Area ❑Spray Field Arca
Holding Ponds/Solid Traps 0 ❑No Liquid Waste Management System
Discharges & tream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes 0 No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑No
b, if discharge is observed.did it reach Water of the State?(if yes, notify DWQ) ❑ Yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system'?(If yes. notify DWQ) ❑Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ®Yes ❑No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ®Spillway ❑ Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ..:.......Lagoon.......... ................................... .................................... ................................... .................................. ...................................
Freeboard(inches): ' 42
05/03/0I 4- ��_ Continued

Facility Number: 01-03 Date of Inspection 8/20/2001 Printed on: 8/20/2001
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees, severe erosion, ❑Yes ®No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ®No
8. Does any part of the waste management system other than waste structures require maintenancelimprove men t? ❑Yes ® No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ®No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑ Hydraulic Overload ❑Yes ®No
12. Crop type Coastal Bermuda(Graze) Fescue(Graze) Fescue(Hay) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑Yes ®No
14. a) Does the facility lack adequate acreage for land application? ❑Yes ®No
b)Does the facility need a wettable acre determination? ❑Yes ®No
c)This facility is pended for a wettable acre determination? ❑Yes ®No
15. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack of adequate waste application equipment? ❑ Yes ®No
Required 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?
(ie/discharge,freeboard problems,over application) ❑ Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®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.
x . _-
Comments(refer to question#): Explain any YES answers and/or any r"ecommendattons or'any:other comments , '
lUse di ngs of facility to better explain situatiot,�s.,(use additional pages as necessa y -.: []Field Copy ®Final Notes
Operator also raises cattle. The following coments pertain to the dairy operation: _
3. Counted approx. 105 various cattle,calves,and milk cows which were either on pasture(that was NOT denuded)OR in confined
paddocks around the barn. Liquid waste from milk parlor goes to waste pond behind barn. Facility is milking about 25 cows. Solid
waste is scraped from concrete lot and spread on fields that are not in the swine WUP. Hauler is picking up 1 100-1400 pounds,
every-other-day. Dairy WSP was not full on today's visit. Liquid waste from dairy pond is applied to fields listed in the swine WUP.
Need to take waste sample of dairy pond and the amount of nitrogen applied should be recorded. Need to keep an eye on any freshwater
coming out of the pond and monitor streambank erosion caused by cattle.
Reviewer/Inspector Name iMelissa Rosebrock
Reviewer/InspectorSignaturel--IJIIDate:
05103101 Continued

1.Facility, O1—D3 D4P>f Inspection 8/20/2001 Printed on: 8/20/2001
Odor LUg
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e.residue on neighboring vegetation,asphalt, ❑ Yes ®No
roads,building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ®No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes ®No
31_ Do the animals feed storage bins fail to have appropriate cover? ❑Yes ®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑Yes ❑No
Additional Comments and/orDrawings:
13. Area downhill from where cattle graze near creek is eroded. This branch flows into freshwater pond on owner's property. +
The following comments pertain to the swine operation:
19. Will also need to take soil sample for field 4 if waste is applied there this year.
27. Dead hole is about 240 feet from from wet weather branch. Suggest moving next hole back to at least 300 feet from a waterway.
I J
05103101

16 A ly)
ivisionof Water Quality ,
r
Division of$c>ll and Water Conservation
k � �
Q Other Ageiicy
to
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit A Routine O Complaint O Follow up Q Emergency Notification O Other ❑Denied Access
Facility Number Date of Visit: a Time: d
Q Not Operational Q Below Threshold
Permitted A Certified 0 Conditionally Certified ©Registered Date Last Operated or Above Threshold: .........................
Farm Name: ...J?P 1 . .1.1......� .}.!.s....Fov:m.......................................... County: �AI?'lrrt C ............... .......................
Owner Name: ....Rcxral�.....I� .�.d�t ............... . Phone No: . 7 .:..> .7 .
Facility Contact: IQ.I,. Lela t S 1.` ..•,.�..$ q
................ 4....................... ....................Title: ....................................... Phone No: ,1 '.....
Mailing Address: ... .$ ....C-ei0 i 5 ��: .r1.� .... ...... .. .............t?.3.31-9...... ..........................
... ............... ..... �........
Onsite Representative; ...12 JAIJ.......L�_QLs.........C.f•`-szs, �Integrator:...... +1...�....Fq T l .............................
QanCertified Operator:,,,,•,,, ck Q� �„ Lt? �. Operator Certification Number:,... ....................................
Location of Farm:
4 firom w5 Po i-o S`T Sou :La L2w15 urr) le +
O Yl+b U w 1 RJ J
Swine ❑ Poultry ❑Cattle ❑Horse Latitude •©, E=« Longitude [MO
Design Current Design Current — —Design Current
'Swine Capacity Population Poultry Capaci!j Population Cattle Capacity Po uladon
❑Wean to FeederI I[]Layer Dairy
eeder to Finish ❑Non-Layer Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 6700
Gilts
❑Boars Total SSLw no
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? ❑Yes ]No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑Yes ❑No
b. If discharge is observed.did it reach Water of the State?(if yes, notify DWQ) ❑Yes ❑No
c. If discharge is observed. what is the estimated flow in gal/ruin?
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 .4 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? XYes ❑No
Waste Collection &Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? 10 Spillway ❑Yes x No
Structure 1 Structure 2 Structure 3 - Structure 4 Structure 5 Structure 6
Identifier: .... .....Q bn..... ..... ......... ........... ............ . ......... .............. ....................................
................ ....................... .............
Freeboard (inches):
5100 Continued on back

Facility Number: 0 1 — Date of Inspection t I -- 0
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, Yes No
seepage,etc.) ❑
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? (If any ❑Yes KNO
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 KNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes JXNo
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level I `
elevation markings? ❑Yes �(No
_Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ANo
11. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes_�K No
12. Crop type Lant a r -e— na P 42 M t h O V94-
13. Do the receiving crops differ with t se designated in the Certified A mal Waste Management Plan(CA P)? ❑Ye IVo
14. a)Does the facility lack adequate acreage for land application? ❑Yes o
b)Does the facility need a wettable acre determination? ❑Yes �:o
c)This facility is pended for a wettable acre determination? ❑Yes XNo
15. Does the receiving crop need improvement? ❑Yes JRKo
16. Is there a lack of adequate waste application equipment? ❑Yes IR"100
Required Records &Documents
17. Fail to have Certificate of Coverage&General Permit readily available? es �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 ,NNO
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis&soil sample reports) ❑Yes XNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes VNo
21. Did the facility fail to have a actively certified operator in charge? ❑Yes D&O
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
. (ie/discharge,freeboard problems,over application) El NfNo
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
Q•viola iQijs;oi:. cie;ncie,5•wire noted di ing fhis:visit:-You will-treeeiye 4 fu> th r
cories' oridence:aN f thi visit: .
Comments(refer to question#): .Expllain any YES answers and/or any recom endations or any other comments. '
Use drawings of facility to better explain situations:(use additional pages as necessary):
Vwj
Y_w.
Reviewer/Inspector Name 1
Re viewer/Inspector Signature. Date: ab f7 5/pp

.Facility Number: 10 of I nspection
i
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below o
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes *0
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑Yes J�rNo
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 0No
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 WNo
31. Do the animals feed storage bins fail to have appropriate cover? ❑Yes VNo
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? Ito
Additional Comments and/orDrawings:
foal I7
as
a
� -n - wO
10 C) - ! q16
0
0
� e
e
P
O � Q
t i0 1!ou-pA-OJ
- 2L 4& u
—
5/00

71
vision of Water,Qualtty� s"
vision of Soil,and Water Conservation ��
Type of Visit O Compliance Inspection O Operation Review O Lagoon Evaluation
son for Visit C3 Routine Q Complaint O Follow up O Emergency Notification O Other [1=Access
Facility Number Rate for Visit: 3r1l2001 Tinac: 10:30 Printed con: 8/17/2001
U] 3
Not Operational O Below Threshold
0 Permitted ®Certified D Conditionally Certified © Registered Date Last Operated or Above Threshold: ......................
Farm Name: RandmiA-Uxis-Fanu....................................................... ..................I.... County: Maumee........................................ 1'SRO........
Owner Name:l ntdalI.................................. !Yi6............................ _ .... ... Pham Na,3.?fir-4 4_.................-.................................---
MailingAddress: 3Q7&Lje,r.:is.Raad................................................................................. 5xi.Q.w.Camp..N.0................................................... U.349.............
Ias34 tlretdW& --__---- Tiew �ttelEac _ _
Onsite Representative:piandy.1g.w.iS............................................................................... Integrator:
] 'aAa. arAll&...........................................................
Certified Operator:Randall.................................. LmU................................................ Operator Certification Number:J,Q� .7..............................
Location of Farm:
Farm location: 13 miles south of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 112 mile from 87 on right.
®Swine ❑ Poultry ❑Cattle ❑Horse Latitude 35 • 52 & 1244 Longitude 79 • 18 12
Design Current Design Current Design Current
Swine.- Poult ttle
.
. Capacity Population.
Wean to Feeder Layer Dairy
Feeder to Finish 600 600 JEL Non-Laver Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder QOther
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 81,000
Num�+ber of Lagoons 1 ❑Subsurface Drains Present t.agoon Area ❑Spray Field
HoldingP�o'nds/SolidT'raps y ,,; No Liquid Waste Management System
DischarUes& Streaan JuMmt
L Is any discharge observed from any part of the operation? EL Yes HNo
Discharge originated at: QLagoon QSpray Field QOther
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) [3Yes QNo
c. If discharge is observed,what is the estimated flow in gallmin?
d. Does dischar=e bypass a lagoon system?(If yes,notify DWQ) aYes allo
2. Is there evidence of past discharge from any part of the operation? Ej Yes 19 No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge'? ❑ Yes ®No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? ®Spillway ❑Yes ®No
Structure 1 Structure 2 Structure 3 Structure 4 Structure S Structure 6
Identifier: • ........................... ................................... ...................................
Freeboard(inches): 50
05103101 Co►rtinued

r
FacUy Number: 01-3 Date of Inspection 3/7/2001 Printed on: 8/17/2001
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees,severe erosion, Yes KNo
seepage,etc.)
6. Are there structures on-site which are not property addressed and/or managed through a waste management or
closure plan? ❑ Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need main ten ancerimprovement? ff Yes CrNo
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes CK No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
I I. Is there evidence of over application? ❑Excessive Podding Q PAN ❑Hydraulic Overload ❑Yes INNo
12. Crop tyQg Coastal Bermuda(Graze) Fescue(Graze) Fescue (Hay) Small Grain Overseed
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑Yes jj?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 0 No
15. Does the receiving crop need improvement? ❑Yes C9No
16. Is there a lack of adequate waste application equipment? [?Yes UNo
Reauired Records&Documents
17. Fail to have Certificate of Coverage&General Permit or other Permit readily available? CTYes CTNo
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps,etc.) Q Yes ff No
19. Does record keeping need improvement?(ie/irrigation,freeboard, waste analysis&soil sample reports) WYes CTNo
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? Q Yes &No
21. Did the facility fail to have a actively certified operator in charge? ❑Yes ®No
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge,freeboard problems,over application) ❑Yes N No
23. Did Reviewer/Inspector fail to discuss reviewlinspection with on-site representative? Q 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 girNo
Q No violations or deficiencies were noted duringthis visit You will receive no further correspondence about this visit. .
Comments(refer to question#): Explain any Yl1S answers and/or any recommendations or.any�other comments.
aUse.drgsoffacility to better explatn situations (use addtt�ont pagesnecessary) ®Field Copy ®Final Notes
19. Needs to transfer pumping events to IRR t and IRR2 forms and show N balance. No evidence of overapptication.
eed to get records organized.
7.Continue efforts to get rid of groundhogs and brush on lagoon embankment.
rite analysis: 02/05/01 ALS 3.7 lbs.N/1000 gals. I
10/24/01 ALS 2.6 Ibs.N/1000 gals. I
V
Reviewer/Inspector Name (Rocky Durham
Reviewer/Inspector Signature: Date:
05103101 Continued

�a'cility Number: Ott D)f Inspection 3/7f2(10>E Printed till, 8/17/2001
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ®No
28. Is there any evidence of wind drift during land application? (Ll—t residue on neighboring vegetation,asphalt, 0 Yes BNo
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 C1 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? 0 Yes ®No
32_ Do the flush tanks lack a submerged fill pipe or a penuanentltemporary cover? Q Yes [INo
D5,�03/01

State of North Carolind
Department of Environment •
and Natural Resources f
Division of Water Quality
Michael F. Easley, Governor
William G. Ross Jr.,Secretary NCDENR
Kerr T. Stevens, Director NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RECEIVED
February9, 2001 N.C. Dept. of EHNR
Randall Lewis
FEB 15 2001
Randall Lewis Farm
3978 Lewis Road Winstori-Salem
Snow Camp NC 27349 Regional Office
Subject: Application No. AWS010003
Additional Information Request
Randall Lewis Farm
Animal Waste Operation
Alamance County
Dear Randall Lewis:
The Non-Discharge Permitting Unit has completed a preliminary engineering review of the subject application_
Additional information is required before we can continue our review. Please address the following by March 11, 2001:
1. Your Waste Utilization Plan (WUP) lists the plant available nitrogen rate for winter annual overseed as 100
lbs/acre. The Sixth Guidance Memorandum to Technical Specialist states that only 50 pounds of nitrogen
per acre should be applied to small grain overseeded into Bermuda Grass. Current guidance allows for 100
pounds of nitrogen per acre under strict management practices as mentioned in the memo included with this
letter. Please have your technical specialist reduce the nitrogen rate on the winter annuals to 50 pounds per
acres or incorporate the attached management practices into the narrative of the WUP for the application of
100 pounds of nitrogen per acre.
Please note that all WUP revisions must be signed and dated by both the owner and the technical specialist.
Please reference the subject permit application number when providing the requested information. All information
should be signed, scaled. and submitted in duplicate to my attention at the address below. The information requested by this
letter must be submitted on or before March 11, 2001 or the Division will return your application as incomplete in accordance
with 15A N.C.A.C. 2H .0200 and your facility will be considered to be operating without a permit.
Please be advised that operation of the subject animal waste management system without a valid permit is a violation
of\Torth Carolina General Statute 143-215.1 and will subject you to the enforcement authority of the Environmental
Management Commission.
If you have any questions regarding this request, please call me at(919) 733-5083, extension 363.
Sincerely,
tl
JR Joshi
Non-Discharge Permitting Unit
cc: Winston-Salem Regional Office, Water Quality
Permit File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10%post-consumer paper

Wvis'
ofWualrty `xon of Soil and Water Conservation
O.Other Agency
Type of Visit O Compliance Inspection Q Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑Denied Access
Facility Number
Date of Visit: 8l25/2000 Time: OS15 Printed on: 8/25/2000
01 03
O Not Operational O Below Threshold
Permitted ®Certified 0 Conditionally Certified 0 Registered Date Last Operated or Above Threshold: ...................
Farm Name: U t AII.L.exis Earm........................ .. County: Alamarm........................................ W�'15R.0.---....
............................ .....................
OwnerName: f>xd,All.................................. Lmk........................................................... Phone No: 33.6::3.7 484...........................................................
Facility Contact: liantdY.Iewbi................. .....Title• Phone No
Mailing Address: J97.$.L€Y.vjs.RQt.d................................................................................. 5jP.Q. '..Camp..IN.C................................................... 2.7149.............
Onsite Representative:tiajlidY..UttiS............................................................................... Integrator:WW'ard.f.QrMj5...........................................................
Certified Operator:Randall.3'S........................... Umis................................................. Operator Certification Number;a,913.7..............................
Location of Farm:
Farm location: 13 miles south of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 1/2 mile from 87 on right. #
®Swine ❑Poultry ❑Cattle ❑Horse Latitude 35 • 52 12 Longitude 79 • 18 12
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑Dairy
®Feeder to Finish 600 560 ❑Non-Layer ❑Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 81,404
Number of Lagoons 10 Subsurface Drains Present In Lagoon Area 10 Spray Field Area
Holding Ponds/Solid Traps 0 ❑No Liquid Waste Management System
Discharges&Stream Impacts
1. Is any discharge observed from any part of the operation? ❑Yes ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑No
b. If discharge is observed,did it reach Water of the State?(If yes, notify DWQ) ❑Yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system?(If yes. notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®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: ..........Lagaoa......... ..............:..................... ....................:............... .:........................:......... ..........................:.......... ............:..................
:....
Freeboard(inches): 36 ,
5100 Continued on hack

Facility Number: 01--03 Date of Inspection 8/25/2440 Printed on: 8/25/2000 57
5. Are there an immediate threats to the 4ingrityof an of the structures observed? ie/tre*vere erosion,Y Y (� Yes �No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑ Yes ® No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ®Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ® Yes ❑No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
It. Is there evidence of over application? ❑Excessive Ponding ❑PAN ❑Hydraulic Overload ❑Yes ®No
12. Crop type Fescue(Graze) Coastal Bermuda(Graze)
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
t5. Does the receiving crop need improvement? ❑Yes ®No
16. Is there a lack of adequate waste application equipment? ❑Yes IN No
Required Records & Documents
17. Fail to have Certificate of Coverage& General Permit readily available? ❑ Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps,etc.)
Yes ®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?
(ie/discharge,freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ®No
No violatiolis:or defictencies•were noted:during•this:visit.•;You:will receive ilo-ftirther•
: corres oridence.about this:visit. : : : : : : : : : : : ... . . : : . . . . . : : : : :
Comments(refer to question#) Ezplain'any YES answers and/orsany recommendations.or•anyother9comments.
Use drawings.of facthty.to�better explaina_ituattons.(use addittonal pages as`necessary).
7. Dam looks much better-keep trying to clean up the vegetation on the dam. Need to repair groundhog and irrigation break holes.
9. Need to put in a gauged marker with maximum and 6 or 12 inch markings prior to permitting.
19- No applications from lagoon so far in 2000.
Reviewer/Inspector Name f Meli Rosebmck n
Reviewer/Inspector Signature. 14,017, ZA Date: fi 164 r10 6 5100

Facility Number: 01--03 D'of Inspection 8/25/2000 Printed on: 8/25/2000
Odor Issues
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑ No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑ Yes ® No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑ Yes ® No
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes ®No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes ❑No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑No
Additional Comments and/orDrawings:
5100

ivision of Water Quality .
ivision of Soil and Water Conservation
Q Other Agency
Type of Visit Compliance Inspection O Operation Review O Lagoon Evaluation
Reason for Visit x
Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number t)aty of Visit: I O s -ime: Printed on: 7/21/2000
V
O Not O erational 0 Below Threshold
©Permitted Certified ❑Conditionally Certified 13 Registered Date Last Operated or Above Threshold: .........................
Farm Name: ........ ..........ndal).........L —.. J.J. ........!.... r ................ County: .-../-1aM-aY}-ce..:......... .......................
Owner Name: .......± -;r.....;� 1-11 ..........��.1 i„ ..................................I............. Phone�o: ...1...��i�.k?�3..�.�... :�.�g. --..........
Facility Contact: .. Q... .........L...�.LJJ.:�.........Title: ..............
.......... Phone No: ..................
............
............
.........
........................................
eR.
I
Mailing Address: .....3.41..............L.. .Ll..�-il�.v.�..�........:.. ..........5..n.o.0...ca.� `lj � � 3..]!Y.
^ , A: }.. }................................... �.........
Onsite Reprrsent:�tive: .... �............. .I.A�`h.5................................... lntegrator:..............................................................................I.......
Certified Operator:. �a j (.V �! 1 Operator Certification Number: �]
p .. . ......�.-....I............... .......................... ..........-............ p � �............d
Location of Farm:
%7 5o -Vrbrn Co ro-��a ,f oel Lzw1,5 t r rM S!'
Swine ❑ Poultry ❑Cattle ❑ Horse Latitude Longitude • �� ��°
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑.Dairy,
ceder to Finish ® ❑ Non Layer ❑ Non-Dairy ;
❑ Farrow to Wean 41/v'
❑ Farrow to Feeder ❑Other
❑ Farrow to Finish Total Design Capacity
❑Gilts
❑ soars Total SSLW a�
Number of Lagoons ❑Subsurface Drains Present ❑ Lawn Area ❑Spray Field Area
Holding Ponds I Solid Traps ❑No Liquid Waste Management System
DischarueS & Stream Impacts
I. Is any discharge observed from any part of the operation? ❑Yes *o
Discharge originaled at: ❑Lagoon ❑Spray Field ❑Other
a. If discharge is ohscrved, 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. II discharge is observed. what is the es[iinalcd flow in galhnin?
d. Does discharge bypass a lagoon system? (If ycs, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes tN
o
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑ Yeso
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage) less than adequate? Spillway • ❑ Yes )(No
++ Structure I Structure 2 Structure , Structure 4 Structure 5 Structure 6
Identifier: .....4�Ot Aoofl..... .................................... ............................ .... .................
Freehoard (inches):
5/00 Continued on back

L`
Facility Number: — 011 Date of Inspection Printed on: 7/21/2000
5. Ard there any immediate threats to theogrity of any of the structures observed'?(ie/trees, severe erosion, ❑ Yes No
seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan'? ❑ Yes
(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 YNO
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? Yes [:] No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes No
11. Is there evidence of over application? ❑ Excessive Ponding ❑PAN ❑ Hydraulic Overload ❑ Yes No
12. Crop type 0A__ S t
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 io No
b) Does the facility need a wettable acre determination'? ❑Yes No
c)This facility is pended for a wettable acre determination? El Yes No
15. Does the receiving crop need improvement? ❑Yes 'e\ -
16. Is there a lack of adequate waste application equipment? ❑Yes XN 0
Required Records &_Doc►rnents
17. Fail to have Certificate of Coverage & General Permit readily available? N 1 �e f9--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 XR o
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 o
21. Did the facility fail to have a actively certified operator in charge? ❑ Yes
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/discharge, freeboard problems, over application) ❑ Yes No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative'? ❑ Yes No
24. Does facility require a follow-up visit by same agency'? ❑ Yes No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes No
E .N6,061atidris toi"det7cie cies mere potted•di.tefng 4his:visit:- Y:oir will•receiye rio fufther•: :
: comes ondeirce:abaut:this visit : : : : : : : : : : : : : : : : : : : : : : : :
Comments(refer to question#): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations.(use additional pages as necessary):
W1(�X'ILl Vl e 5 I ! `
(�" e)
mvc�, it l
re"r I ✓r 1 +io� b rea Y, h6 leS ,
Iq o .
Reviewcrflnspector Name (1%be—
Reviewer/Inspector Signatur G� Date: Qd 5100

Facility Number: O — *of Inspection �{'� Printed on: 7/21/2000
(�[I(1F'I55nL'ti
0
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge At/or below -e 3ies--B Sn-
liquid level of lagoon or storage pond with no agitation? 0 PA f-To '�k-000
27. Are there any dead animals not disposed of properly within 24 hours'? ❑Yes [g/No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑Yes)!$_No
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes �No
30. Were any major maintenance problems with the ventilation fan(s) noted? (i.e.broken fan belts, missing or
or broken fan blade(s), inoperable shutters,etc.) ❑Yes No
31. Do the animals feed storage bins fail to have appropriate cover?
6M J y� 00
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? l B.Y-es--BN@
Additional Comments and/orDrawings:
A,
Ve, e o n an
10A"
5100

�� tston of Wafer Qtahty` .�' '� r.;
Xisron of Soif and Water`�Conservatron "�`
O Other Agency
Type of Visit O Compliance Inspection ©Operation Review O Lagoon Evaluation
Reason for Visit O Routine O Complaint O Follow up O Emergency Notification O Other ❑ Denied Access
Facility Number
Date or visit: 4/7/2000 Time: Printed on: 8/24/2000
01 3
Q Not Operational O Below Threshold
0 Permitted ®Certified [3 Conditionally Certified [3 Registered Date Last Operated or Above Threshold: ..................
Farm Name: RantdA11.Uwi5.Farm.................................................................................. County: Alamaim......................................... WSR.Q........
OwnerName: kWQdjtlj.................................. Ltvk A........................................-.................. Phone No: 3.7.6 348.4....-..............-........-........
FacilityContact: ..............................................................................Title: ................................................................ Phone No: ...................................................
MailingAddress: 39T&L.v.>xits.RQ.ad................................................................................. SM.QW..CAMP..NK................................................... 273.49.............
Onsite Representative:RaAdall.UAN........................ ........... Integrator:Wla1Cd.F�ta17s............................................................. .......................................
Certified Operator:Rajadall.ff........................... UwiS................................................. Operator Certification Number:19J,37.............................
Location of Farm:
Farm location: 13 miles south of Graham on NC 87. Left on Lewis Rd.(dirt road). Facility is 112 mile from 87 on right. A,
w
®Swine ❑ Poultry ❑Cattle ❑Horse Latitude 35 • 52 12 Longitude 79 • 18 12 ��
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer 10 Dairy
®Feeder to Finish 600 0 JE1 Non-Layer 10 Non-Dairy
❑Farrow to Wean
El Farrow to Feeder I[]Other
❑Farrow to Finish 1 Total Design Capacity 600
❑Gilts I 1EE
❑Boars I I Total SSLW 81,000
Number of Lagoons 1 ❑Subsurface Drains Present ❑ Lagoon Area ❑Spray Field Area
Holding Ponds/Solid Traps JEI No Liquid Waste Management System
Discharges X Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes ®No
Discharge originated at: ❑Lagoon ❑ Spray Field ❑Other
a. If discharge is observed. was the conveyance man-made'? ❑Yes ❑No
b. If discharge is observed,did it reach Water of the State?(If yes, notify DWQ) ❑Yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Does discharge bypass a lagoon system'?(If yes, notify DWQ) ❑Yes ❑No
2. is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ®No
Waste Collection & Treatment
4. Is storage capacity(freeboard plus storm storage)less than adequate? ®Spillway ❑ Yes ®No
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .......................... .
Freeboard(inches): 36
5100 Continued on back

Facility Number: 01-3 01grity
Date of Inspection 4/7/2000 Printed on: 8/24/20005. Are there any immediate threats to the of any of the structures observed?(ie/trevere erosion, ❑Yes ® No
seepage,etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or
closure plan? ❑Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ® Yes ❑No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ®No
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑Yes ®No
11. Is there evidence of over application? ❑Excessive Ponding ❑ PAN ❑Hydraulic Overload ❑Yes ®No
12. Crop type Fescue(Graze) Rye(overseeded)
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
Required Records& Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑Yes ❑No
18, Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps,etc.) ❑Yes ®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?
(ie/discharge, freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes ®No
24. Does facility require a follow-up visit by same agency? ❑Yes ®No
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes ®No
Rio Yiol'ations;or deficiencies were noted;dij ing•this visit.•;You wilt receive•no•ft rtiter•;
: corres oridence.abauti this:visit: : : : : : : : : : : : : : : : : : : : : : : :'. . . . .o . . . .
Comments(refer to.questidn#)Explain any YES answers and/or any recommendations or any other comments.
Use rrawings of facility fo tter.explatmsetuatio`ns(t9i6additional pages as necessary).
7. Continue efforts to clean brush off lagoon embankment and establish grass.
o animals on site at this time. Should be getting a group in soon.
Reviewer/Inspector Name Rocky Durham
Reviewer/Inspector Signature: Date: 5/00

�..1.RCellity Number: 01-3 Doof Inspection 4/7/2000 Printed on: 8/24/2000
Odor Issue5 0
26. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below ❑ Yes ❑No
liquid level of lagoon or storage pond with no agitation?
27. Are there any dead animals not disposed of properly within 24 hours? ❑Yes ®No
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation,asphalt, ❑Yes ®No
roads, building structure,and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑Yes ®No
30. Were any major maintenance problems with the ventilation fan(s)noted? (i.e. broken fan belts,missing or
or broken fan blade(s), inoperable shutters,etc.) ❑ Yes ®No
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes '®No
32. Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? ❑ Yes ❑No
Additional Comments and/orDrawings:
5100

Division of. ater Conservation-Operation
Didision of eater Conservation —Compliance �
v Division of Water Quality- s—ect-
_
on ff3 �
b Other Agency` Operation Review
10
Routine 0 Complaint 0 Follow-up of DWQ inspection 0 Follow-up of DSWC review 0 Other
Facility Number 01 p3 Date of Inspection 5/27/99
Time of Inspection 0850 24 hr.(hh:mm)
0 Permitted ® Certified [3 Conditionally Certified 0 Registered JE3 Not O erational Date Last Operated:
FarmName: .................................................................................. County: Atax aRm......................................... W'S'R.Q........
OwnerName: Randall.................................. U! its........................................................... Phone No: 3.3.f..3Zf-348. ...........................................................
Facility Contact: RandAU.t,e.»:is................................................Title: Ql lmr................................................. Phone No: 33.6-3.1.6.3.4.8.4.......................
MailingAddress: 39,7,6.11.wis..Raad................................................................................. 5n.Q. X p..N.C................................................... Z7349..............
Onsite Representative:Randalfl.Lvds............................................................................ Integrator:l'Nard.Birws...........................................................
Certified Operator:R;; loll1..W........................... Lgna;�................................................. Operator Certification Number:J.913.7.............................
Location of Farm:
........................................................................................................................................................................................................................................................
> aX�nt.1.o�atia>a:...13.Anil�s.sa�tt ..at.Gnah�tna.on IY.C.�7.,...�.e�fx.Qn [�t;tt:is. sl.,.(di�t.a�oad�,.. a�xlit ..is..tl�.Antl�.tirona.S7...anl.x' t...........
Latitude 35 • 52 12 Longitude 79 • 18 12
Design Current Design Current Design Current
Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder ❑Layer ❑Dairy 100
®Feeder to Finish 600 600 ❑Non-Layer ❑Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design Capacity 600
❑Gilts
❑Boars Total SSLW 81,000
Number of Lagoons JE3 Subsurface Drains Present ❑ -agoon Area 10 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 ®No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
a. if discharge is observed, was the conveyance man-made`? ❑Yes ❑No
b. If discharge is observed, did it reach Water of the State?(If yes, notify DWQ) ❑ Yes ❑ No
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system?(If yes, notify DWQ) ❑Yes ❑No
2. Is there evidence of past discharge from any part of the operation? ❑Yes ®No
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes ®No
Waste Collection &Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? ❑Spillway ❑ Yes ❑No
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Lagoon
Freeboard(inches): ................3b................ .................................... ................................ .................................... .................................... ....................................
5. Are there any immediate threats to the integrity of any of the structures observed'?(ie/trees, severe erosion, ❑ Yes ®No
seepage,etc.)
3/23199 Continued on back

,=?,aciliiy Number: 01-03 D94ection 5/27/99
6. Are there structures on-site which are not properly addressed and/or managed through a wa3Te management or
closure plan? ❑ Yes ®No
(If any of questions 4-6 was answered yes,and the situation poses an
immediate public health or environmental threat,notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑Yes ®No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑Yes ®No
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑Yes ®No
Waste Application
10. Are there any buffers that need maintenancelimprovement'? ❑Yes ®No
11. Is there evidence of over application? ❑ Excessive Ponding ❑PAN ❑Yes ®No
12. Crop type Fescue(Hay)
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
Required Records& Documents
17. Fail to have Certificate of Coverage& General Permit readily available? ❑ Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps, etc.) ❑ Yes ®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?
(ie/discharge,freeboard problems,over application) ❑Yes ®No
23. Did Reviewer/Inspector fail to discuss reviewlinspection 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
O.No-violatioris:ot•delicienc es•were:nated;duritlg•t,is:visit. :You'WAII �ecei've•no-furth:er.;
correso ondeike:about.this.visit: : : : : : : : : : : : : : : : : : : :
Comments.(referdtos_question#): Explain anyrY.ES answers and(or any recommendations or,any otherTommentst.
Use drawims'd acility t_o bett_er explain situattons. (use additional pales as necessary,)_:
� -
17 Operator was unable to find certificate of coverage. GP has not been issued by DWQ.
He maintains about 100 dairy cattle but there are not confined.
26 Liquid level discharge pipe to be installed by June 1, 1999.
7 Continue to remove woody vegetation on lower side/base of dam.
E
er/Inspector Name RonLinville Hamid Rafiee
er/Inspector Signature: Date:

[3 Division of n ter-Conservation,OperationRevi"
131) ' of So. an ,_ ater Conservation»,:Compliance 3nsp Mop
revision of Water - r
Quality-Compliance Inspection
[]Other Agency Operation Review _
outine Q Complaint O Follow-up of DW2 inspection O Follow-up of DSWC review Q Other
Facility Number Q Date of Inspection
I inie of Inspection j�,S---rj 24 hr.(hh:mm)
0 Permitted [3 Certified ❑ Conditionally Certified 0 Registered JE3 Not Operational Date Last Operated:
Farm Name: 4e.i1�1..!.. .................S.lt��.. ...V, ................................... County: ......--..�i.. '`�-xa.G�-�,.....��....-..................
.......... .
OwnerName: ............. .... ................ 4. ...L. f.......................... Phone No. . ... ...-...3... �j..�'..34 -.-...
Facility Contact: ........ lr i....-....- .?. ....Title: ...Q-l.^ -.tom................................ Phone No: ........... ............
Mailing Address: ........... �..rZ.B'- .' 4 5... .. ...................................... �
Onsite Representative: .........., .....;4�:C'4,g�..l., r............................... Intel;rator: .......(J, ...1.C.......�LL ! .!�1. .................
.
Q
Certified Operator:.........l...l............ ....4-!/.....-... ..... ..PiLc,!..f...f............................. Operator Certification Number:..... ...!.. .,3...7.......
Location of Farm:
AL
.........................................................................................................................................................................................................................I—.........I........... v
Latitude !LS --J�©� Longitude ®° ®°
Design Current Design Current - Design Current
Swine Capacity Population Poultry Capacity PopulationCtt[ Capacity Population. 1
❑Wean to Feeder ❑Layer airy �` So L T
�eder to Finish (f p p ❑Non-Layer ❑Non-Dairy
❑Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish = Total Design C4pacity
,❑Gilts
❑ Boars. -. 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? ❑ Yes [! <
Discharge originated at: ❑Lagoon ❑Spray Field ❑ Other
a.. If discharge is observed, was the conveyance than-made? ❑ Yes ❑No
b. If discharge is observed,did it reach Water of the State? (If yes, notify DWQ) ❑ Yes ❑No
c. If discharge is observed, what is the estimated flow in gal/min'?
d. Docs dischar c bypass a lagoon s stem? If es, notify DW ❑ Yes ❑ No
2. Is there evidence of past discharge from any part of the operation? ❑Yes E9110
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? ❑Yes 01410
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 fi
Identifier: 3
Freeboard (inches): .... ...... ......................
5. Are there any immediate threats to the integrity of any of the structures observed?(ie/trees, severe erosion, ❑Yes
seepage, etc.)
3/23/99 Continued on back

Facility Number: 0 — a3 • l�t�f ettion j z-Z 5
6. Are there structures on-site which are not properly addressed and/or managed through a waste management or /
closure plan? ❑ Yes
(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 R1110
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes O oo
9. Do any stuctures lack adequate,gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes B111qo
Waste Application
10. Are there any buffers that need maintenance/improvement? ❑ Yes EKo
11. Is there evidence of over application? ❑Excessive Ponding ❑ PAN ❑ Yes [
12. Crop type e.
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan(CAWMP)? ❑ Yes �O
14. a) Does the facility lack adequate acreage for land application? ❑ Yes [}too
b) Does the facility need a wettable acre determination? ❑ Yes O-No
c)This facility is pended for a wettable acre determination? ❑ Yes O-No
15. Does the receiving crop need improvement? ❑ Yes 2-Tqo
16. Is there a lack of adequate waste application equipment? ❑ Yes 2-Tgo
Required Records & Documents
17. Fail to have Certificate of Coverage&General Permit readily available? ❑Yes ❑No
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/WUP,checklists,design, maps, etc.) ❑ Yes 2-lgo
19. Does record keeping need improvement?(ie/irrigation, freeboard, waste analysis& soil sample reports) ❑Yes �Ko
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes D-K
21. Did the facility fail to have a actively certified operator in charge? ❑Yes [��o
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ic/discharge, freeboard problems, over application) ❑Yes 9�-<
23. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes EK
24. Does facility require a follow-up visit by same agency? ❑Yes 14'<o
25. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes Lllqo
No•yi6lafibiis;or ddiciene e's-Were hated•diWiitg�hiis'visit:•You:will•teeeiye 06 Fueth
corres onuence:abOut tkrN visit . . . . . . . . . . . . . . . . . . . . . . . .
Comments (refer to question#):• Explain any YES answers and/or,any recommendations;orrany-other comments.
Use drawings of facility to better explain situati6ns..(use additional pages as necessary):
.p,(. L.
a s
Reviewer/Inspector Name fl
Reviewer/Inspector Signature: Date:
3/23/99

Facility Number: Ut — p 3 Djef I•ction 5 :�7 •
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
28. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt, ❑ Yes G4- o
roads, building structure, and/or public property)
29. Is the land application spray system intake not located near the liquid surface of the lagoon? ❑ Yes 9'KIO"
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 o
31. Do the animals feed storage bins fail to have appropriate cover? ❑ Yes
32_ Do the flush tanks lack a submerged fill pipe or a permanent/temporary cover? N11 ❑ Yes ❑No
Additional ornments and/orDrawings:
3/23/99

Sg
Pg
Division of Sot Wd er Conservation 0 Other AjWcy }
{ [ ivision of Water Quality kw
Routine CO Complaint O Follow-up of DWQ inspection O Follow-up of DSWC review O Other
Date of Inspection
Facility Number
Time of Inspection /�/. /7_ 24 hr.(hh:mm)
01 registered [3 Certified Q Applied for Permit E3 Permitted JE3 Not Operational Date Last Operated:
Farm Name: ........tC./f.N...ate.2J ....._ .[.'.ceJ..iS...........1..i.AI...................... County:.......
4'ff\lm.&Ar ...a.e............/...p.. .......................
Owner Name:........_. .4.. �cc.�.!....... ...... ..!'GSA./.. ........................................ PhoneNo: ...Lf. .....3.,�..6..` R..7...tJ....1...................y
Facility Contact: ........IR .Y..A4/........ s� Lf.............Title:........00l1/I/. .�. ..................... Phone No:C33
Mailing Address: ............... _r� ...... .�'..S 41.i 1n......; 7 ............................ S f/O t" ...e/�li'!�...if1 G......... r1j.1`.....................
Onsite Representative:...........42W.; ......�............LC.An.d4n/..�.................... Integrator:......................................................................................
Certified Operator:................ ..e. S.l. .......... CQ C s.F.1.............. Operator Certification Number,......[.. . 13
Location of Farm:
�� Y...g... .......se�, s�........ .0...... ......... ................................................................................................................................................
... v
Latitude 00=,11T1" Longitude [�° =, 5W"
Design Current Design Current Design Current'
Ft_Swine Capacity Population Poultry Capacity Population Cattle Capacity Population
❑Wean to Feeder 10 Layer ❑Dairy
❑Feeder to Finish j. ❑Non-Layer ❑Non-Dairy
`.[]Farrow to Wean
❑Farrow to Feeder ❑Other
❑Farrow to Finish Total Design�Capacity 6 O
eq
❑Gilts
❑Boars Total SSLW` -���1)
Number of Lagoons/Iioldmg Ponds ❑Subsurface Drains Present 110 Lagoon Area ❑Spray Field Area
N
�r- MU
JEI No Liquid Waste Management System
General ,_,, ��••
1. Are there any buffers that need maintenance/improvement? ❑Yes 131b?o.
2. Is any discharge observed from any part of the operation? ❑Yes yytvo
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 ❑No
c. If discharge is observed, what is the estimated Flow in gaUmin?
d. Does discharge bypass a lagoon system'? (If yes, notit_v DWQ) ❑Yes ❑No
3. Is there evidence of past discharge from any part of the operation? ❑Yes m4itr,
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑ Yes
5. Does any part of the waste management system(other than lagoons/holding ponds)'require ❑ Yes ❑-PIe�
maintenance/improvement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes
7. Did the facility fail to have a certified operator in responsible charge? ❑ Yes
7/25/97

Facility Number: 0 —O is S
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑Yes K o
Structures (Lagoons.Holding Ponds.Flush Pits,etc.)
9. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Yes O,90
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ` � � oa-11"
...� ..........?.................... .................................... ................................... ................................... ...................................
r
Freeboard(ft): ......S.. i............................ .................................... ................................... .................................... .................................... ....................................
10. Is seepage observed from any of the structures? ❑Yes Blgo
11. Is erosion,or any other threats to the integrity of any of the structures observed? El ,
Yes �lqo
12. Do any of the structures need maintenance/improvement? ❑Yes ®-NIT'
(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 io
Waste:application
14. Is there physical evidence of over application? ❑Yes RINO—,
(If in excess of WIMP,or runoff entering waters of the State, notify DWQ)
15. Crop type /..:P..4. a.j ...,...... C...slL veA......................................................................................................................................:.........................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes 20
17, Does the facility have a lack of adequate acreage for land application? ❑Yes ,[�a�
L1
18. Does the receiving crop need improvement? ❑Yes "1v8
19. Is there a Iack of available waste application equipment? ❑Yes QPK'o
20. Does facility require a follow-up visit by same agency? ❑Yes 0-W—_
21. Did Reviewer/inspector fail to discuss review/inspection with on-site representative? ❑Yes E?5o
22. Does record keeping need improvement? ❑ Yes G-Mo
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? es L*I`1Qo
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes GlNi5'
25. We any additional problems noted which cause noncompliance of the Permit`? ❑Yes e_No
No.violationsor deficiencies.werenoted-during this"visit. Y_ o_u.w iI recei�eno'Airth�er
ctirr604000 about this.visiC-'-
Commrts`(refer€t�u. t�esiiinn#) ExplatnanyYES�nsEwers and/orauy recomrrreuda bons o�n} ntler r �nen � ;� � �'
Us��irawings�of�fac�l�ty„��etter explatnWs�tuattans (use add�Legna!p�xg� rsecessary}�a F. °�`� '�� .� { .-.� .
r
7/25/97
-IMReviewer/Inspector Name MET�. � 551
'' ` ra
Reviewer/Inspector Signature: _��" Date: �--

bivtston of Soil and ater, onservatron, —e rat iWke`
�
vtew
,fib. 'ram i•�4 iff Ya"�" �n � �'}a"i '^�z' '§q'nze. 1 '.'n /k`.�'t �'E 'a � '"f }3��'k'l }5�'ue � ^�,3"�
0`D s o t f ar id Wafer o rva tt ;, To Hance nspecfion
©D�visto�n of Water�ualtty��Conapliaace=llnspechon
� ,�, �r
Other Agency xClperat�ori Review ��
Routine O Coin laint '.O Follow-up of DWQ inspection O Follow-up of DSWC review' O Other
Facility Number ' Date of Inspection e 7
Time of Inspection � 24 hr.(hh:mm)
0 Registered :[3 Certified E3 Applied for Permit ©Permitted 113 Not Operational Date Last Operated:
Farm 1�'ame: ......P � /"� ✓ ......r County: ......, #. 1}/ .
�" ........................
'��E�VtU
OwnerName:.................................................... ........................................................................ Phone No: ...................................MG:^Efit:of,1-FHNR
Facility Contact: ..............................................................................Title: Phone No:
Mailing Address: ..................................... 7
............................................................................... ......................................................................tat a_ a„1 J M
v.r n::Jiv w...•.7
Onsite Representative:.........14- NP 'f ........... ! Integrator:...................... Regional a Office
Certified Operator:.................................................. ............I............................... ............ Operator Certification Number:.......-........
Location of Farm:
Latitude Longitude
�� g �Destgn°Current � � ,,'"DesignCurrent _ � :' 'Desrgn��6Current
fi Svviune Capacity Populat�oti Poultry Ca acit I?o h elation; Cattfe _ Ca`acYt `Po ulatRou
p Y I?.,,. P. a n Yam I?
Wean to Feeder' ❑Layer ❑Dairy
Feeder to Finish ❑ Non Layer ❑No❑ Dairy
❑Farrow to Wean 'j n °�
El ,to Feeder ❑Other o"LN
❑Farrow to Finish �T6WVD6i -CaElaCitY�
❑GiltsEl J
�r (�'j
❑ Boars w ' ;
Nurxtber of Lagoons/Halcling Ponds ❑Subsurface Drains Present' ❑Lagoon Area ❑ rea Spray Field A
'sue € G w s ......-
`° ❑No Liquid Waste>Management System
General
1. Are there any buffers that need maintenancelimprovemerit? s:'�..'r' ]Yes, 0 ,
h'
2. Is any discharge observed from any part of the operation? ❑Yes ' �No
Discharge originated at: ❑Lagoon ❑Spray Field ❑Other
'•3- F ,
a. If discharge is observed;was.the conveyance man-made? ❑Yes
b. If discharge is observed,did it reach`Surface Watery{If yes,-notify;DWQ) _ s;, . ❑.Yes. YJ No
c. If discharge is observed,what is the estimated flow in gab min? - =
d. Does discharge bypass a lagoon systetti? (If yes;:notify'DWQ) ;` ' []yes" No
3. Is there evidence of past discharge from any part of the operation? _ ❑Yes. EZ• No
4. Were there any adverse impacts to the waters-of the State other than from a discharge?.' i ❑Yes s No
5. Does any part of the waste management system(other than lagoons/holding ponds)requiie ❑Yes._�No
maintenancetimprovement?
6. Is facility not in compliance with any applicable setback criteria in effect at the time of design? ❑Yes No
7. Did the facility fail to have a certified operator in responsible charge? ❑Yes ONo.'

� o •
Facility Number:S. Are there lagoons or storage ponds on site which need to be properly closed? ❑Yes XNO
Structures (LaQoons,Holding Ponds,Flush Pits,etc.)
9. Is storage capacity(freeboard plus storm storage) less than adequate? ❑Yes 240
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure G
Identifier:
................................... ................................... .................................... ...........................I—'... ............I...................... ...................................
Freeboard(ftl: ................................... ....................................
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 No
12. Do any of the structures need maintenance/improvement? A 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 5/No
(If in excess of WMP,or runoff entering waters of the State, notify DWQ)
15. Crop type ..... ..�.l1la-,.........................................................................................................................................................................................I..............
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes V�No
17, Does the facility have a lack of adequate acreage for land application? ❑Yes Ffo
18.'Does the receiving crop need improvement? ❑Yes f�No
19: Is there a lack of available waste application equipment? ❑Yes JONo
20. Does facility require a follow-up visit by same agency? ❑Yes VNo
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑Yes 110
22. Does record keeping need improvement? ❑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 V`0
24. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑Yes No .
25. Were any additional problems noted which cause noncompliance of the Permit? ❑Yes O-No
0•No.Viol ations-or' deficiencies.were,noted;during this:visit.;.'Yoti:wiH receive:no'feiriher::
-:-corresportdenceaboutthis:visit.•:•: : : :-: :•:•:•:•; :•: : . :-. � : : . : ''. '. :-.-.'. . : .
Gomrttentsi{z few tea gvitn#fit F�eplain anyYESnswers andloany vmmendatronsro a ythe�,ommenfs
� i �g�r`u
�U,serawings�of�f�,a �t�oexpl�a �t�uat� ��us di� l=pa�ges��:�ry) �` `V
r1: �C
p? 4t-,J
L=t96-GY;L , E5-71 U 4E-6- e: w-ioad AIs-le_W c:s� ,,z.r/ 1 ." r�
7/25/97
T
IN 4,
Reviewer/Ins ector Name `: 7K ;mom 4
Reviewer/Inspector Signature: Date:

❑DSWC a1 Feedlot Operation Revte
,
kfi ❑DWQ'Animal Feedlot Qperation5ite Inspection
10 Routine 0 Complaint 0 Follow-up of DNVQ inspection 0 Follow-up of DSWC review 0 Other
Date of Inspection .7 S
Facility Number O Q
Time of Inspection ;a 24 hr. (hh:mm)
Total Time (in fraction of hours
Farm Status: Registered ❑Applied for Permit (ex:L25 for I hr 15 min)) Spent on Review
❑Certified ❑Permitted or Inspection includes travel and processing)
❑Not Operational Date Last Operated: ..........................................................................................................
Farm Name: L� w �S SW Inr C0unty:... ALIA.z A I!e C.t. _.........
I �j
Land Owner Name: ....-V A //.. ........�.e w.L,�................................. Phone No: E .... � ..V...�............
Facility Conctact: ....AOC.w. Gi. ��........: .L:wZS........ .. Title: ._ ...�^�-�-................ Phone No; ..........
Mailing Address•. t'��ti S .. ...... ..... . .... .........., .... ._ ._.. ............. ....... ....._......._......_. �r — .... .. a .Y. .
Onsite Representative: ...��-'��� .B. ^!��a............... g ........
Certified Operator: ...... .................. . .'tea ll... -..... .. Operator Certification Number:
Location of Farm:
_..............._..........................-...............-.........................................................................
......................................................................I.................... 4
...........................................................................................................................----....................................................--------...............-----.............------..............................-- a
Latitude 3 •��®66 Longitude �• ®�
Type of Operation and Design Capacity
a
Design Current ' Design ;� Currents De es Mr
` SWirle t ..�.,x. , a ar >.�,�-:�'__- P4ult �€` �,' i, ...v. r --:ACattle
R FCa act P.,o ulation rYk '. Ca achy" Po ulation._,r x_... ._r..Ca aciPo ulation�`
� . ,. ..�,
❑Wean to Feeder -A l❑❑La er ❑Dairy
Feeder to Finish Q to Non-Layer ❑Non-Dainj
77
El Farrow to Wean
r
Farrow to Feeder Xat Design Capaerty
Q Farrow to Finish ASS z
d _ T to
❑Other �� ��� � .� ��l?
. ;vY tee c„T� <"3 xr�Y .,--s..lvYr �i:�';u ,m a'... ree,x`u"+�.
_-_ ..see»,.,..._.: , ., , 4 .., ,•< . >» �
Numb"er�of Lagoons f Holding Ponds ❑Subsurface Drains Present
x
` [I Lagoon Area �� ,❑ Spray Field Area '
General 1. Are there any buffers that need maintenance/improvement? ElYes el o
2. Is any discharge observed from any part of the operation? ❑Yes QJ-N6'
Discharge originated at: ❑Lagoon ❑Spray field ❑Other
a. If discharge is observed,was the conveyance man-made? ❑Yes — a
b. If discharge is observed,did it reach Surface Watee? (If ycs,notify DWQ) ❑Yes O
c. If discharge is observed,what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ) ❑Yes 05-Nt
3. Is there evidence of past discharge from any part of the operation? ❑Yes UX0'
4. Were there any adverse impacts to the waters of the State other than from a discharge? ❑Yes �, I` �
5. Does any part of the waste management system(other than lagoons/holding ponds)require ❑Yes fro
4/30/97 maintenance/improvement?
Continued an back

"Vty Number:Q....�......—...8
Is acility not in compliance with any cable setback criteria in effect at the time ofon? ❑ Yes LH'No
7. Did the facility fail to have a certified operator in responsible charge? ❑Yes «'No
8. Are there lagoons or storage ponds on site which need to be properly closed? ❑ Yes 9_Po
Structures (Lagoons and/or Holding Ponds) ��
9. Is storage capacity(freeboard plus storm storage) less than adequate? El ,.,
Yes L�vo
Freeboard(fd): Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
C—
................. ............................ ............................ ............................ ......................... ............................
10. Is seepage observed from any of the structures? ❑Yes Epfiy--
11. Is erosion,or any other threats to the integrity of any of the structures observed? ❑Yes W-Nar
12. Do any of the structures need maintenance/improvement? ❑Yes M-NrrJ
(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? El ,Yes �vo
Waste Application
14. Is there physical evidence of over application? ❑ Yes B-N6—
(If in excess of WMP,or runoff entering waters of the State, notify DWQ)
15. Crop type ......rCV.I?........`? ....0 fp v 2.!L.......................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan(AWMP)? ❑Yes
17. Does the facility have a lack of adequate acreage for land application? ❑Yes G 1'do
18. Does the receiving crop need improvement? ❑Yes ❑Wow
19. Is there a lack of available waste application equipment? es ❑No
20. Does facility require a follow-up visit by same agency? ❑Yes BVo-
21. Did Reviewer/Inspector fail to discuss review/inspection with on-site representative? ❑ Yes 91q16—_
For Certified Facilities Only22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available? ❑Yes ❑No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑No
24. Does record keeping need improvement? ❑Yes ❑No
CommenEs(refer to gtieshon;# Explain any YES,answers and/or any recommendation§or any other comments.
Use drawtngs:of.facility to better explain situations.:(use'addrtional pages'as necessary}
klorz k,',j c� :1'�. /vR Cs T v�g� cfs,� S�'.ea✓j ?u.A
a
.�<��+^h> � fit'
Reviewer/Inspector Name fl"M. 1 ' ,r �..,� m� :. nnab E .
Reviewer/Inspector Signature: Date: 17" d
cc: Division of Water QualitJ; 61ter Quality ection, Facility Assessment Unit 4/30/97

Date sent: Fri, 25 Apr 1997 17:36:41 -0400
From: [e-mail] (Linda Rimer)
Subject: Re: HOG FARM COMPLAINT
To: "Steve Mauney" <[e-mail]>
Copies to: [e-mail]
many many thanks!
Reply Separator
Subject: HOG FARM COMPLAINT Author:
"Steve Mauney" <[e-mail]> at Internet Date:
4/25/97 5:23 PM
-Just an update on the call from Ken Jackson. On thursday
morning Larry Coble and I spoke to Mr. Jackson who did not know the
farm name and referred us to a neighbor, Hunter L. Harrelson. After
leaving 3 messages for Harrelson at his business and receiving no
return call, I again contacted Mr. Jackson. During this second call to
Mr. Jackson he confirmed that the farm of concern was owned by Randall
Lewis (fac # 01-3). We last inspected it in August 95 and found it was
OK. The farm was on our schedule to be inspected this year. Jim
Johnston and Beth Morton plan to inspect it on 4-28-97. Mr, Jackson
was also concerned about red sores on the fish in Cane Creek. This
will likely take longer to investigate. If any questions on this
please call us.-- Steve Mauney

JLt-14-1995 15.34 FROM' DEM WATER I0-1At_I TY SECTION .,TO
LJSRO P.82/02
Site Requires Imte Attention:Facility No.�..
��
DMSION OF ENVIRONMENTAL MANAGEMENT
ANWAL FEEDLOT OPERATIONS STI-E VISITATION RECdRD
DATE: . 1995
T-=e: �-i-
Farm Name/Owner. a�
M&Wnj -Address:, Z22s
Inugxator: Phone
On Site Representative: Phone /0Z 2_�
Physical Address11AD-mdo❑:
Type of Operation: Swine —4:.,—�Poultry Cattle
• Design Capacity: -c sec kot? s Number of Animals or, Site:
DEM Certification Number: ACE DEM Certification Number: ACNEW________
Latitude: 'Y-S-f ' _'..1CZ_" Longitude:--ZZ' /2 ', 7rz " Elevation:_ _ Feet
Circler"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: -2,,.. L _Inches
Was any seepage observed from the lagoon(s)? Yes or No Was any erosion obseavcd? Yes or No
Is adequate land available far spray? Yes or No Is the cover crop adequate? Yes or No
Crop(s)being utilized:
Does the facility meet SC:S minimum setback criteria? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
Is the animal 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 bn specific acreage with cover crop)? Yes or No
Additional Co its:_ .� e. a 4-�
f �
ctor N gnamr
cc:Facility Assessment Unit Use Attachments if Needed.
TOTAL P.62

Ij
II
Ir
'14! --- -

ORFRF[T I CINS BRAHCH WO Fax:�919-715-6048 Jul 24 vj f):1� P. I G/18 31
SRC into A=dOn
:... F4c�ity.I�urnbgr�
S rM VTS AT2ON REMRT3
DATiS:
Agent Visiting Sites s .r zlr-��� Phone �':c1 iK:
Opara for / a r �;[- :.pis _ MOM
On She Rcgrescntativo:. E. . .� rhono: a -7 3 -
P%Yslcal Address:
Muil ing Addz=- _
Type orOperation:�nSwim ✓ Poultry CaW �
C ✓ L
Drsign C upo4;ty. fT Humber of AniuusL4 an Site: cv %��3 j
5� Utitnde•—3 5 0 _ _ ry i,on�tudv� 7-1`_..° ..10
71)W Ur 1nspc Gtjou; (3n)ur d��y aSli7l
C ir0a Yco or Na 1
Does the Ajt i al Waa4 L.38con haves svlrc:cnt freeboard of 1 Foot t.�5.1=2A hour storm event
(approunutlaly 1 Foot r 7 i och q/lye or INO MWA r=110ard:-_T-eet 0 Inches�}
ror£acilkieb WILL room Lh= oac Ngoml.j±1casc address 6C OdIcr lagoons' rMcbnntd tinder the -
u011u:}C•S1ts SCC60a.
',Vas any 5ecl;ag.obscrved Lrom therlagcon(s)? Yti or I Ves Wcm ,cogon of&D drm1:Yem 0e
Ts adoquacr land avlllsbia for land anpiicuiioni` or No Is the crsvcr crop adegaatr7��1� of No
Acicliiianaj ComrncnLtj:_
�`J.,t' C_ s/, of � 4V,-HJ �. %�� •'r k"i-.� ` � � ' S-?� pfi1'�—
- - - ✓� �r C�*2llS
Fax to(919)715-3559 si&uatun:orAg=t 1/11 6,45

JUL-14-1995 15:34 FROM DEhti. WATER OUPLITY SECTION TO
W5R0
10 lip
Site Requires ImOtdiate knention:
Facility No.
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS STTE VISITATION RECORD 3
DATE: , 1995
Time: o '
Farm NamelOwner:_
Mailing Address: Z
County: -
Integrasor: Phone:
On Site Representative: Phone(ri/�2,-26 �y
Physical AddresW ocation:
Type of Operation: Swine �oultry Cattle
o�j S
Design Capacity: �s� -.1 _ Number of Animals on Site:
DEM Certification Number: ACE_ DEM Certification Number: ACNEW
Latitude, 5,73 ,/y Longitude: 22 12 , 2 c) " Elevation: � Feet
Glees` r No
Does the Animal Waste Lagoon have sufficient freeboard of i Foot+25 year 24 hour storm event
(approximately 1 Foot+7 inches) Yes or No Actual Freeboard: -,2 Ft. Inches
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 mitcria? 200 Feet from Dwellings? Yes or No
100 Feet from Wells? Yes or No
is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes or No
Is winul 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,
Way irrigated on specific acreage with cover crop)? Yes or No
Additional Comments: Le
r
jFs
f
n
Ctor N gna
cc:Facility Assessment Unit Use Attachments if Needed.
TOTAL p.e2