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State of North Carol•►
Department of Environment
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Bill Holman, Secretary -
Kerr T. Stevens, Director
Paul Parrish
Parrish Farms
Rt 1, Box 141-1
Walnut Cove NC 27052
Dear Paul Parrish:
1 � •
NCDENR
NORTH CARcQL'lIA IER; T OF
ENVIRONMENT� NQ .NATURAL $ URCES
January 24, 2000 FEB Q 4
W!nston- a[_qsliegional Offie�§
Subject: Removal of Registration
Parrish Farms
Facility Number 85-5
Stokes County
This is to acknowledge receipt of your request that your facility no longer be registered as an animal waste
management system per the terms of 15A NCAC 2H .0217. The information you provided us indicated that your
operation's animal population does not exceed the number set forth by 15A NCAC 2H .0217, and therefore does not
require registration for a certified animal waste management plan.
Under 15A NCAC 2H .0217, your facility is deemed permitted if waste is properly managed and does not
reach the surface waters of the state. Any system determined to have an adverse impact on water quality may be
required to obtain a waste management plan or an individual permit. You are reminded that a discharge of wastes to
the surface waters of the state will subject you to a civil penalty up to $25,000 per day.
Should you decide to increase the number of animals housed at your facility beyond the threshold limits
listed below, you will be required to receive approval from the Division of Water Quality prior to stocking animals
to that level. Threshold numbers of animals are as follows:
Swine
250
Confined Cattle
100
Horses
75
Sheep
1,000
Poultry with a li uid wastes stem
30,000
If you have questions regarding this letter or the status of your operation please call Sonya Avant of our
staff at [phone] ext 571.
Sincerely,
Kerr T. Stevens, P.E.
cc: Winston-Salem Water Quality Regional Office
Stokes Soil and Water Conservation District
Facility 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

NORTHLINA DEPARTMENT OF
ENVIRONMENT NATURAL RESOURCES
WINSTON-SALEM REGIONAL OFFICE
DIVISION OF WATER QUALITY
September 3, 1999 -
Mr Paul Parrish
Rt. 1, Box 141-1.
Walnut Cove NC 27052
SUBJECT: Inspection of Feedlot for
Parrish Farms, Facility No. 85-5
Stokes County
Dear Mr. Parrish:
On August 31, 1999, Mr. David Russell visited your feedlot on Sizemore
Road. At that time, no cattle were at the site. It is our office's understanding that
you are no longer in the cattle business. If this is indeed the case, you should request
to be removed from the registration list.
Find attached a form to request removal. Should you have questions, contact
our office.
Sincerely,
/z�Larry D. Coble
Water Quality Supervisor
cc: Stokes County Health Department
Central Files
WSRO
5S5 WAUGHTOWN STREET, WINSTON-SALEM, NORTH CAROLINA'27107
PHONE [phone] FAX [phone]
AN EQUAL OPPORTUNITY l AFFIRMATIVE ACTION EMPLOYER - 50% RECYCLEOl10% POST -CONSUMER PAPER

Facility Number: S 5 1 of Inspection
ti �
b. =Are there structures on site which are no properly addressed and/or managed through a wte management or
closure plan? ❑ Yes []No
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement? ❑ Yes ❑ No
8. Does any part of the waste management system other than waste structures require maintenance/improvement? ❑ Yes ❑ No
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings? ❑ Yes ❑ No
Waste Application
10.
Are there any buffers that need maintenance/improvement?
❑ Yes
❑ No
11.
Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
❑ Yes
❑ No
12,
Crop type
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?
(ic/ 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
i'Vo yiolatliQ>r>!s oi' it r�cies vtR�re n+pt;e� d rFrig •thjs;visit: • Y;o>jt ;wig j•ree�iye,1io futftf
correspottideHee: ttbouti this visit...... ......:.... .
;s.9 ) p y fi y _ mendations or`any other totriments €;Yfr
Comments refer toi ueshon # Ex lath an YES answers and/or an-.recom
Use,drawings of Fa6lity b6ttCr exp am sltuat1011S 3��L1SL�'addltlonal�ipageS as necessary) r�; �;j�'�g tf I"r,€i� '� ' ,i Ei p(t E� 1 �I �
- i a
coo �,c4s� Mess
�'C�.v � i ..� � �/�- • 1�P•�•z•�c` s: s W J c�p� C� � p � �' j v- j'4 2_ � fi1iC
4WR 0 r 7oq ef �_P_ cl i
Reviewer/Inspector Name 1,11tA
Reviewer/Inspector Signature:
Date: V9 0! O 2__
3/23/99

t
3
�'Drvision of nd Water Conservation Operati©n+Re
tvis_ion of andiWater Conservation ;Compliance on j (€r IT .11
! !t�'3, igt xr�t`� nD1V1 IO Of W
s n ater QuaLty 6 Compliance Inspection t C' i„ r +.
Ot 6 Ageney;t Opera'0646 kivAeW
tf. J,irp3' ,l�f�'tttr
ISERoutine O Complaint Q Follow-ue of DWQ inspection
Q Follow -tip of DSWC review Q Other
Facility Number
Late of Inspection �
Time of Inspection 173�
24 hr. (hh:min)
Q Permitted xCertifed [] Conditionally Certified 0 Registered 113 Not Operational I Dattee Last Operated:
Farm Name: .../...�5��5......./ci�2J'J7... ...................................................
County:...'S�'�es ....,................................................
Owner Name:.... ...................................... .... (..........
`/
e — �SZ
Phone No: ....................
..... ........ .......................
Facility Contact: ..... ��" �} f ..............Title
2 Phone N,�Ig36�„ �c,u,`„ �-
Mailing Address: D? .. f. ..1.
........�.......... .....
1 C c��'L
�,EN•(Jc...� �112� .................`.... ?... .... I.....................
Onsite Representative:..` ./...... .I..........................................
Integrator:......................................................................................
Certified Operator:....�f P,�a�IS�
.......................................................................
Operator Certification Number :................. ......
Location of Farm: ©
............... ' ..............................
rs... �?�...,.......l�c�.............. :............(�.j...
....... .... ' ...............
1a�RSG�s��t..�r��..oN....S��'h?a��...
-
Latitude �•0, �•, Longitude FPr) Jo 7 �«
' Design Current "° ' F Design ' ' Ctirrent �' Design.. Current t,
.. ' eaoacity Population Poultry: r .r, Ca acity .Po ulation'-i.Cattle Canacitv Po Wlation 2i,
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts i
❑ Boars
❑ Layer JCI Dairy
:.; ❑ Non -Layer Nan -Dairy p n
❑ Other
Total Design Capacity
TataI.SSLW
j 1Viimbet` of:Lagoons" DN2 ,; -',. , ❑ Subsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
17.
HoldingPonrls'/SoliilTraps �NoLiquid Waste Management System
Discharges & Stream Impacts sjli eSs
/i�b ,�,�i�rl,g-- � Ai_r �i �. -- D n ��.
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 tlic State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus �tormdorage-) less than adequate? ❑ Spillway
Structure l
Identifier:
Freeboard (inches):
Structure 2 Structure 3 Structure 4 Structure 5
.......................................... ................................... I ...........:....................... ............................
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes ❑ No
Continued on back

149 Routine Q Complaint Q Follow-up of DWQ inspection Q Follow-up of DSWC review Q Other
Facility Number 85 5 Date of Inspection 8/31/99
Time of Inspection 12:30 24 hr. (hh:mm)
r] Permitted ® Certified [] Conditionally Certified [3 Registered 113 Not Opera Date Last Operated; ..........................
Farm Name: Pastrish.Forms....................... ... County: Stoke................................................ WSW ........
.....................................................................
OwnerName:>'ajul......................................... Pitt;Eb........................................................ Phone No: 9� 0.:9�.4.:,�fiS.2...........................................................
Facility Contact: ..................................................................... .. Title: Phone No:
Mailing Address: titL.Rox.141A.................................................................................... 1..atnuA.CQvc.NC................................................. 27.052 .............
Onsite Representative: Patti.Parrlsb.................................................................. .... Integrator:........ ...................................
Certified Operator:PAW.FA[Kl$b..................................................................................... Operator Certification Number:..........................................
Location of Farm:
'arrant.I.ovated.its.Stokes.Ca...Qu�lcex..��tp.Cannra►�►nti�ty..tY�.ea�dQ�rs.�'a�:nsbi�rx..A.pF�:Q�..12.unAles..rest.af..1�'.al�n�u1<.Gave.NC,,.t2...... �
�I�s..east.Q�.ttinto..l�1,.C....forstess�...AY�rbx..tt�...(5.�...t9Q�a.oft.ktte..uostt�,..�tatCes..C�,.>�u�ctf"tll..Qtl.the.ss7.utht,.�(t:a�k�,att.Gxe��.Qn...
Latitude DE]• 22 ' =11 Longitude 80 • 15 50 1,
❑ Wean to Feeder
Dlistgrt
Ca acit
Gurretit'
P.o illation
'` Design C- rrent "' D sign Current '
' Cattle As @a acit P.o ulatioon '
Poultry Ca acit Pa ulation
„ _; ❑ Layer ❑Dairy"
❑ Non -Layer ®Non -Dairy 250 0
❑ Feeder to Finish
❑ Farrow to Wean
Total Design Capacity 250'
Total SS200,000
❑ Farrow to Feeder
❑Other,
F
❑ Farrow to Finish
❑ Gilts
❑ Boars
Number of Lagoons F ❑ Subsurface Drains Present I ❑ Lat;,wn Arca ❑ Spray Field Area
Holdiing P.5 7nd'sTAIS51filiTtrapsof ® 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:
Freeboard(inches): ...........................................................................................................................................................................
5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ trees, severe erosion,
seepage, etc.)
3/23/99
❑ Yes ❑ No
Continued on back

Facility Number: 85-5 1 *management
f Inspection
6. Are there structures on -site which are Aperly addressed and/or managed through a or
closure plan?
(if any of questions 4.6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
11. Is there evidence of over application? ❑ Excessive Ponding ❑ PAN
12. Crop type
8/3l/99
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
❑ Yes
❑ No
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CAWMP)? ❑ Yes ❑ No
14, a) Does the facility lack adequate acreage for land application? ❑ Yes ❑ No
b) Does the facility need a wettable acre determination? ❑ Yes ❑ No
c) This facility is pended for a wettable acre determination? ❑ Yes ❑ No
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment'?
Required Records &• D tguments
17. Fail to have Certificate of Coverage & General Permit readily available?
18. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
19. Does record keeping need improvement? (ie/ irrigation, freeboard, waste analysis & soil sample reports)
20. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
21. Did the facility fail to have a actively certified operator in charge?
22. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ie/ discharge, freeboard problems, over application)
23. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
24. Does facility require a follow-up visit by same agency?
25. Were any additional problems noted which cause noncompliance of the Certified AWMP?
N6 yiolatioris:or dereieneies•were:noted dut•irtg-this: visit.•'Ydu'Wi11 ireeei;ve•noAirth'et••: •
. '. * corresnoridence: about this :visit. • : • ::: ::: :: : ::: ::::::::::: :::: :::::: :
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
❑ Yes ❑ No
I

State of North Carolina
Department of EnvironmWR
and Natural Resources
Division of Water Quality
James B. Hunt, Jr., Governor
Wayne McDevitt, Secretary
Kerr T. Stevens, Director
June 22, 1999
CERTIFIED MAIL
RETURN RECEIPT REQUESTED
Paul Parris
Parrish Farms
Rt 1, Box 141-I
Walnut Cove NC 27052
Farm Number: 85 - 5
Dear Paul Parrish:
1 •
141
NCDENR
NORTH CAROLINA DEPARTMENT OF
ENVIRONMENT AND NATURAL RESOURCES
RECEIVED
N.C. Dept. Of EKN.R
JU N 2 3 1999
v,��..r�...�-�lem
uliice
a•
You are hereby notified that Parrish Farms, in accordance with G.S. 143-215.1 OC, must apply for
coverage under an Animal Waste Operation General Permit. Upon receipt of this letter, your farm has
six 60days to submit the attached application and all supporting documentation. In accordance
with hapter 626 of 1995 Session Laws (Regular Session 1996), Section 19(c)(2), any owner or
operator who fails to submit an application by the date specified by the Department SHALL NOT
OPERATE the animal waste system after the specified date. Your application must be returned
within sixty (60) days of receipt of this letter. Failure to submit the application as required may also
subject your facility to a civil penalty and other enforcement actions for each day the facility is operated
following the due date of the application.
The attached application has been partially completed using information listed in your Animal
Waste Management Plan Certification Form. If any of the general or operation information listed is
incorrect please make corrections as noted on the application before returning the application package.
The signed original application, one copy of the signed application, two copies of a general location
map, and two copies of the Certified Animal Waste Management Plan must be returned to complete the
application package. The completed package should be sent to the following address:
North Carolina Division of Water Quality
Water Quality Section
Non -Discharge Permitting Unit
Post Office Box 29535
Raleigh, NC 27626-0535
If you have any questions concerning this letter, please call Sue Homewood at [phone]
extension 502 or Ron Linville with the Winston-Salem Regional Office at [phone].
S' erely,
for err T. Stevens
cc: Permit File (w/o encl.)
'Winston;Salem-Regional:Office:(wlo encl.)
P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer paper
0AVIZ

Division of So d Water Conservation [3 Other AWCY
h
Division of Water Quality
--------------------------------------
outine O Complaint O Follow-up of DWQ inspection
O Follow-up of DSWC review O Other
Date of Inspection 0 �'
Facility Number
Time of Inspection lJ t) 24 hr. (hh:mm)
Registered Certified (3 Applied for Permit [3
Permitted 10 Not Operational I Date Last Operated :..........................
....w!//
Farm Name:..........! % ... .... JV1—AQ M—S ...........................................
County:..........................................................
Owner Name: ..... a .............. / /t l cS/�..................................................
Phone No:. �1�..IP .... ���T.. ... .. L-......
Facility Contact:...4......A�e�1.,t�..S.Ik.............
Title: 49 N.q2 ................. Phone No:.r?
.. ........ ......................
Mailing Address:... / BOX
i/.. ......................................(...........,................................
�) %�(1 v� N [''7v SZ"
i ....�1.!...................V.......I..........................
Onsite Representative:.......-L.,......!',�/1L.,.
Integrator:
.... .....................................
Certified Operator; .... P2&4....... ...,f�%��,t'.J"h.............................................
Operator Certification Number,.........................................
nElhLocation of Farm: 1OC : N
S
...................::...... ......... .............
..... ................ .... ..... ............
kh....!.,... I'!�?l.....I............ itri/t........��!5� ��.....�^f��i...!".�..`�
'...........................
Latitude • ' " Longitude • ` Sd " /,C-U-
Design Current rk ;, Design Current Deb
Capacity _Population .Poultry: �, ,Cap Y p.x acit Po ulahgn Cattle CaQ
❑ Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
❑ Layer I IQ Dairy
❑ Non -Layer HU Non -Dairy %
❑ Other
so
Total Desi P : n Ca acit
y:
-�,Total SSLW
x
�? f . WNU=oiquid
bsurface Drains Present ❑ Lagoon Area ❑ Spray Field Area
Waste Management System F.
General
1. Are there any buffers that need maintenance/improvement?
❑ Yes
[kNo
2. 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 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, notify DWQ) f V 0 f p,� o N
'�'
❑ YesrN
o
J
3. Is there evidence of past discharge from any part of the operation?
❑ Yeso
4. Were there any adverse impacts to the waters of the State other than from a discharge?
❑ Yes
No
5. Does any part of the waste management system (other than lagoons/holding ponds) require
❑ Yes
o
maintenance/improvement?
b. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
❑ Yes
o
7. Did the facility fail to have a certified operator in responsible charge?
❑ Yes
o
7/25/97, &� /U „ 1

L ciHty Number: — S- 0
. Are there lagoons or storage ponds on! site which need to be properly closed?
Structures (Umoons.11olding Ponds, Pits, etc.) )
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Freeboard(ft):.............................................
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats tq the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Structure 5
❑ Yes I,N0
❑ Yes io
Structure 6
❑ Yes 1.1 9 0
❑ Yes VNo
lt j_
❑ Yes es" 40
ElYes C10
Waste Application
14. Is there physical evidence of over application? ❑ Yes �Io
(If in excess ojff WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type--.:es%."ks................................................................................................................................................................................................................
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)? ❑ Yes A)flNo
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/inspector fail to discuss review/inspection with on -site representative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified AWMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
No vio'litioinsor. deficiencies were,noted during this:visit.- You.will- receive-Ro•furt er- .
correspondence about tnis'yisit. .: ::: ;
A/d fa,.o �/ A,- s
❑ Yes �i0
❑ Yes Yla
❑ Yes o
❑ Yes 0
❑ Yes o
❑ Yes o
❑ Yes 0
❑ Yes t No
❑ Yes o
7/25/97
Reviewer/InspectorName
Reviewer/Inspector Signature: Date: 5?8 CU 3y

f
Facility Number Date of Inspection S 97
Time of Inspection 24 hr. (hh:mm)
Total Time (in fraction of hours ^
Registered [I Applied for Permit (ex:1.25 for I hr 15 min)) Spent on Review
Farm Status: �J
Certified ❑ Permitted or Inspection includes travel andprocessing)
❑ Not Operational �DDate Last Operated* ...................................................................................... . ....... ......................................................
FarmName:.........�.......t.....e...5........... ........... I .................... ........ County:..... q h 2.5..... .._.... ............ ...... ......... _....... .....
Land Owner Name:.... ... . ...`..............R.. 2................................................................. Phone No:..�q�d�......��.7 .��%.......................
FacilityConctact:....F "......J....�Jzl�j,s�......» ......... Title: ..i l..W...n? �2 .. Phone No:c�10�
Mailing Address: _ice ..J.7........1.:l..1--.1................................................... 11 .L� I.N.W 1...... .V �.N.... ........ .�.�.»S. Z~........
OnsiteRepresentative: .......f„tM.'k.>............ ... ................ ..... ..................
Certified Operator:... & .....40t ." 5k....................................................
Location of Farm:
Latitude
)t
Integrator: ................................................................................
Operator.Certification Number: ...................................... ..
Rd. Cs2 103)on i-h A4-,r hh. 5IV
'1 , n.,ea:rryxvi crce.r— orn tasr.
44 Longitude•
Queral
I. Are there any buffers that need maintenance/improvement?
2. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Lagoon ❑ Spray field ❑ Other
a. If discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Surface Water? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
3. Is there evidence of past discharge from any part of the operation?
4. Were there any adverse impacts to the waters of the State other than from a discharge?
5. Does any part of the waste management system (other than lagoons/holding ponds) require
4/30/97 il maintenance/improvement?
❑ Yes kfNo
❑ Yes ko
❑ Yes x4o
❑ Yes No
❑ Yes JdNo
❑ Yes �ONo
❑ Yes )allo
❑ Yes IV'No
Continued on back ✓

Facility Number: ... !� ... —.,,5 ...
J ,6. Ts facility not in compliance with any &able setback criteria in effect at the time of An?
7. Did the facility fail to have a certified operator in responsible charge?
8. Are there lagoons or storage ponds on site which need to be properly closed?
ti. uctu e_r s (I,ilgoons an /or foldi g onds)
9. Is storage capacity (freeboard plus storm storage) less than adequate? �p p 1 p 0 1/
Freeboard (ft): Structure 1 Structure 2 Structure 3 Structure 4
10. Is seepage observed from any of the structures?
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9-12 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
13. Do any of the structures lack adequate minimum or maximum liquid level markers?
Waste Applicati2a
14. Is there physical evidence of over application?
(If in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type
❑ Yes No
❑ Yes No
❑ Yes �jNo
❑ Yes No
Structure 5 Structure 6
16. Do the receiving crops differ with those designated in the Animal Waste Management Plan (AWMP)?
17. Does the facility have a lack of adequate acreage for land application?
18. Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency? .
21. Did Reviewer/Inspector fail to discuss review/inspection with on -site representative?
22. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
❑ Yes �No
❑ Yes g' No
❑ Yes �No
❑ Yes.1351
0
❑ Yes No
❑ Yes XNo
❑ Yes Z fNo
❑ Yes Wo
❑ Yes No
❑ Yes No
❑ Yes tNo
❑ Yes ❑ No
23. Were any additional problems noted which cause noncompliance of the Certified AWMP? ❑ Yes ❑ No
Reviewer/Inspectar Name
Reviewer/Inspector Signature:.N';j C `
Date:
cc: Division of Water Quality, Water Quality Section, Facility Assessment Unit 4/30/97