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'-*,MOUNT AIRY j.5 mi, (BOTTOM) 517 $18 If
48561V NE
SCALE 0 1 MILI 1:N000 Lamsburg, Va. N.C.
, - . . -1 A15SE
WOO 0 1000 2000 3000 4DDO 50DO 6" 7000 FEET
1 5 0 1 KILOMETER
CONTOUR INTERVAL 20 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929

REQUEST FOR REMOVAL OF REGISTRATION
The following farm does not meet the 2H .0200 registration requirements. Please inactivate this
facility on the registration database.
Facility Number: lc — y
Farm Name: 't�'► 5 �o hn so ►� Do i r u
Owner: 0 H S IQIIn5c)—n
Mailing Address: 221 Ll Uue 5t 91' h e 5tree t
Ht. /�ir� , N C_ 2-1030
County: 5 U Yr��
This Operation is:
pasture only (no confinement)
dry litter poultry operation
x— out of business/no animals on site
closed out per NRCS standards
below the threshold (less than 250-swine, 100-confined cattle, 75-horses, 1000-sheep or
30,000-poultry with a liquid animal waste management system)
Comments:
I am fully aware that should I decide to increase the number of animals beyond the threshold limit
or the operation meets the 2H .0200 registration requirements for any reason, I am required to
notify the Division of Water Quality prior to stocking animals.
Signature: Q ?� Earl '�'t_
Please return completed form to: DEHNR-DWQ
Water Quality Section
Compliance Group
P.O. Box 29535
Raleigh, NC 27626-0535
Date: (p 13019 -�
,ORR-4/97

State of North CarollnP
Department of Environment,
Health and Natural Resources
James 8, Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Steve W, Tedder, Chairman
December 5, 1996
Otis Johnson
Otis Johnson Dairy
2214 West Pine Street
Mt. Airy NC 27030
r 4 0
oft
ib
E:)P.HNF;Z
Subject: Operator In Charge Designation
Facility: Otis Johnson Dairy
Facility ID #: 86-14
Surry County
Dear Mr. Johnson:
P.E IVED
N. C'.., #r"..)c Cry S:HN
DEC 12 1996
ffice
Senate Bill 1217, An Act to Implement Recommendations of the Blue Ribbon Study Commission on
Agricultural Waste, was enacted by the North Carolina General Assembly on June 21, 1996. This bill
requires that a certified operator be designated as the Operator in Charge by January 1, 1997, for each animal
waste management system that serves 250 or more swine, 100 or more confined cattle, 75 or more horses,
1,000 or more sheep, or 30,000 or more confined poultry with a liquid animal waste management system. Our
records indicate that your facility is registered with the Division of Water Quality and meets the requirements
for designating an OIC.
A training and certification program is not yet available for animal waste management systems involving
cattle, horses, sheep, or poultry. Owners and operators of these systems will be issued temporary animal waste
management certificates by the Water Pollution Control System Operators Certification Commission
(WPCSOCC). The temporary certificates will expire December 31, 1997, and will not be renewed. To obtain
a permanent certification, you will be required to complete ten hours of training and pass an examination by
December 31, 1997. A training and certification program for operators of animal waste management systems
involving cattle, sheep, horses, and poultry is now being developed and should be available by the spring of
1997. The type of training and certification required for the operator of each system will be based on the nature
of the wastes to be treated and the treatment process(es) primarily used to treat the animal waste:
As the owner of an animal operation with an animal waste management system, you must designate an
Operator in Charge and must submit the enclosed designation form to the WPCSOCC. If you do not intend to
operate your animal waste management system yourself, you must designate an employee or engage a contract
operator to be the Operator in Charge. The person designated as the Operator in Charge, whether yourself or
another person, must complete the enclosed application form for temporary certification as an animal waste
management system operator. Both the designation form and the application form must be completed and
returned by December 31, 1996.
If you have questions about the new requirements for animal waste management system operators, please call
Beth Buffington or Barry Huneycutt at 919n33-0026.
Sincerely,
FO&ve W. Tedder
Enclosures
cc: Winston Salem Regional Office
Water Quality Files w,
Water Pollution Control System �' Voice 919-733-0026 FAX [phone]
Operators Certification Commission NVf An Equal Opportunity/Affirmative Action Employer
P.O. Box 29535 Raleigh, NC 27626-0535 _ 50% recycled/10% post -consumer paper

W:= Ku r . rir-' W
JUL-14-1995 _15:34
• Site Requires Imate Attention:
Facility No. :7 W
DMSION O" ENVIRONMENTAL MANAGEMENT
ANUAAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: A r:. , 1996
FROM DEM WATER QUALITY SECTION TO
Time: 2 60 9rn
Farm NamelOwner: CAi S 7-6 n5cn
Mailing Address: 2 2 t y W e-S
County: S v rry
Integrator. S fn" A 1, G o1 ("1 s pc, s Phone:
On Site Representative: Phone: b,c) W2 - 3?�1
Physical Addressll.ocation: SO-t a Jc fc
Type of Operation: Swine Poultry Cattle
Design Capacity: Number of Animals on Site: 5
DEM Certification Number: ACE_ DEM Certification Number: ACNEW
Latitude: 3 (c • 3 U 3P,_" Longitude: S 4 " q' '-1
Circlo. Yes or No
Elevation: Feet
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event be 1c, jcc�n
(approximately 1 Foot + 7 inches) Yes or No Actual Frceboard: ---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?s or No Is the cover crop adequate?ems or No
Crop(s) being utilized:
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellings? U or No
100 Feet from Wells? Irp or No
Is the animal waste stockpiled within 100 Feet of USGS Blue Line Stream? Yes ovVb
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line? Yes orb
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes orb 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 Comments: CLr.o hc: S 5 o 1 j C U+ L
Inspector Name Signature
cc: Facility Assessment Unit
Use Attachments if Needed.
TOTAL P.02

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86-14
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]oo0 0 low M 3000 rm SIM 6000 70M FELI A15SE
] .5 0 1 K1LOKfTER
CONTOUR INTERVAL 20 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929
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Facility Number: �-14—
I3ivision of Environmental Management
Animal Feedlot Operations Site Visitation Record
Date: d fA
Time: Z % fl*
_Qeneral Infonnation:
Farm Name: �Drs --�Dr4lS�ieiizv! County:_�Z�Y _
Owner Name: DTrS. Phone No:4714 - 35-Z=.305'1
On Site Representative:, �;9AdqE _Integrator:
Mailing Address: �7, j4 WysT p"ay ST
Mr
Physical Address/Location:
Latitude: ? d/ 36' 1 3• $`_ Lon 'tude: f5D' I_ k
Qperation Description: (based on design characteristics)
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Sow ❑ Layer airy 0
❑ Nursery ❑ Non -Layer eef
Cl Feeder
OtherType of Livestock Number of Animals:
Number of Lagoons:_ (include in the Drawings and Observations the freeboard of each lagoon)
Facilitylnspection: No %rue La�oan_
Lagoon
Is lagoon(s) freeboard less than Ifoot + 25 year 24 hour storm storage?:
Yes ❑
No ❑
Is seepage observed from the, lagoon?:
Yes ❑
No a
Is erosion observed?:
Yes ❑
No 0
Is any discharge observed?
Yes ❑
No ❑
❑ Man-made ❑ Not Man-made
Cover Crop
Does the facility need more acreage for spraying?:
Yes ❑
No ❑
Does the cover crop need improvement?:
Yes Q
No ❑
( list the crops which need improvement)
Crop type: Acreage:
Setback Criteria
Is a dwelling located within 200 feet of waste application?
Yes ❑
No U.
Is a well located within 100 feet of waste application?
--Yes ❑
�No ❑ =.-
is animal waste stockpiled within 100 feet of USGS Blue Line Stream?
Yes ❑
No ❑
Is zzimal waste land applied or spray irrigated within 25 feet of Blue Line Stream?
Yes ❑
No ❑
A01— January 17,1996

Maintenance 0 •
Does the facility maintenance need improvement? Yes ❑ No ❑
Is there evidence of past discharge from any part of the operation? Yes ❑ No ❑
Does record keeping need improvement? Yes Q No O
Did the facility fail to have a copy of the Animal Waste Management Plan on site? Yes ❑ No ❑
Explain -any Yes answers:
Signature:_ �� ` - _ _ Date: --%5
cc. Facility Assessment Unit Use Attachments if Needed
Drawings or Observations �
FJjZ. .,D4-&5bA4 4-4 S 560> odT P•�s
/� r clrl removal teGi 5&\
�tsr Cif, t,'c'af �1�5
AOI -- January 17,1996 '

State of North Apolina
Department of Environment,
Health and Natural Resources
Winston-Salem Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary
Leesha Fuller, Regional Manager
December 5, 1995
CERTIFIED MAIL #P-536 316 617
RETURN RECEIPT REQUESTED
Otis Johnson
2214 West Pine Street
Mt. Airy, N.C. 2703C
SUBJECT: Notice of Violation
1�•
IDEEHNF;Z
DIVISION OF ENVIRONMENTAL
MANAGEMENT
Farm Waste Management Systems
Discharge of Wastewater Without A Permit
Facility Number 86-14
Surry County
Dear Mr. Johnson:
On November 13, 1995, Allan Smith of the Division of Environmental Management
(DEM) inspected your farm's animal waste facilities, accompanied by a representative of the
Surry County Natural Resources Conservation Service. The inspection was conducted in
order to determine the waste handling capabilities of your dairy operation.
The waste handling facilities at your dairy do not appear adequate to contain the waste
products on the premises. Your farm incorporates a platform that allows the solid waste to be
dumped into a truck or spreader while the liquid waste runs through a ditch to a shallow
"settling pond". Thick vegetation is supposed to filter out the waste products before they
enter the stream.
This system was apparently designed by one of the agricultural agencies years ago and
it should not be considered an adequate system by today's standards. It is approximately 100
meters from the dumping platform to the creek and although no wastes was actually seen
entering the creek due to the thick vegetation, surely it has to, especially during heavy rain
events.
585 Waughtown Street. Winston-Salem, North Carolina 27107-2241 Telephone [phone] FAX [phone]
An Equal Opportunity Afflrmative Action Employer 50% recycled/ 10% post -consumer paper

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Ey • Complete items f andlor ir6r egirional set tea.
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• Complete items 3, end 4 lrb. ♦'
• Print youe r namand addte)cb�bnith`e`-roverse f this form so hhat we eon'
foifaWifi e'' ,(1aq rV1or,Ua
m
&t return this card to you.
�j • Attach this form to the front of iiailpieca, or on the baort"pace
i. .L1 1C�Bgg S 1ldtiT95S
does not permit.
• Write "Return Receipt Requested" on the meilpiece below the article nurnhar,
•
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x. ❑ Restricted Delivery
yp
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The Return Receipt will show to whom the article was delivered
O delivered.
end the date
Consult postmaster for fee.
v 3. Article Addressed to:
4a. Article Number
OTIS JOHNSON
P 536 316 617
�*
3
9 2 214 WEST PINE STREET
FE
4b, Service Type
0
T AIRY NC 27030
❑ Registered ❑ Insured
iCertified
❑ COD
❑ express Mail ❑ Return Receipt for
Merchandise
d
7. Date of Delivery
w°
i Q
_ 7795
5
o
5. Signature lAddresseel
8. Addressee's Address (Only if requested , e
and fee is paid)LU
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6. 5ign8t ertt
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HPS For 1, Deco bey 198 eels, tiro: 1e03-.352-714 DOMESTIC RETURN RECEIPT 5

C_J
•
Mr. Otis Johnson
December 5, 1995
page 2
During the inspection, it was discussed that the dairy plans to go out of business in
1996 and may start to raise beef cattle. Since beef cattle are pasture operations, no lagoon
should be necessary. However, if any part of your farm operation utilizes a waste storage
lagoon, you will need to get assistance from the Surry Soil and Water Conservation District
and develop a plan to adequately contain the waste products on the premises. Please be
advised that the non -permitted discharge of any type of wastewater to the waters of the State
is illegal as per North Carolina General Statute 143-215.1. Failure to design and implement
an appropriate waste handling facility may result in the State taking enforcement action
against the dairy operation with the possible assessment of civil penalties of up to $10,000 per
day per violation.
You are requested to respond in writing to our Winston-Salem Regional Office on or
before January 22, 1996 advising what corrective actions have been or will be initiated to
prevent future illegal discharges from the dairy facility. If the Winston-Salem Regional
Office has not been contacted by you or a Surry County representative by January 22, 1996, a
follow-up inspection may be conducted.
Your cooperation on the day of the inspection and with this matter is greatly
appreciated. Should you have any questions or concerns, please do not hesitate to contact
Allan Smith or Steve Mauney at [phone]. .
Sincerely,
mll_� ,�. Ge1j.—
Larry D. Coble
Regional Supervisor
cc: Surry County Health Dept.
Surry Soil & Water Conservation District
Surry County NRCS
Jerry Dorsett
Central Files
WSRO

Deaemben 11, 1995
Mn. Atten Smith
585 Waughtown StAeet
Wi"ton Satem,NC.
Dean Mn. Smith:
In anawen to youn .1'etten dated 12-05-95, I have incneaded
.the width o4 the ditch and,extended it 150 feet .in tength.
I w.c.?t continue keeping mu ch in the ditch to . keep a of i.da
4tom going into the btneam.
I am going to go out of .the Dailey Buzineab by December
15, 1996. Thank you ao much bon yout coopetation and youn
help.
S.ineeneey,
Oti.6 John6on
2214 W. Pine Sttee-t
Mount A.i,%y,N.0 27030

State of North Cd'S1ina
Department of Environment,
l Health and Natural Resources
Winston-Salem Regional Office
James B. Hunt, Jr., Governor
Jonathan B. Howes, Secretary.
Leesho Fuller, Regional Manager
1••
1DEEHNFZ
DIVISION OF ENVIRONMENTAL
MANAGEMENT
December 5, 1995
CERTIFIED MAIL #P-536 316 617
RETURN RECEIPT REQUESTED
Otis Johnson
2214 West Pine Street
Mt. Airy, N.C. 27030
SUBJECT: Notice of Violation
Farm Waste Management Systems
Discharge of Wastewater Without A Permit
Facility Number 86-14
Surry County
Dear Mr. Johnson:
On November 13, 1995, Allan Smith of the Division of Environmental Management
(DEM) inspected your farm's animal waste facilities, accompanied by a representative of the
Surry County Natural Resources Conservation Service. The inspection was conducted in
order to determine the waste handling capabilities of your dairy operation.
The waste handling facilities at your dairy do not appear adequate to contain the waste
products on the premises. Your farm incorporates a platform that allows the solid waste to be
dumped into a truck or spreader while the liquid waste runs through a ditch to a shallow
"settling pond". Thick vegetation is supposed to filter out the waste products before they
enter the stream.
This system was apparently designed by one of the agricultural agencies years ago and
it should not be considered an adequate system by today's standards. It is approximately 100
meters from the dumping platform to the creek and although no wastes was actually seen
entering the creek due to the thick vegetation, surely it has to, , especially during heavy rain
events.
585 Woughtown Street, Winston-Salem, North Carogna 27107-2241 Telephone [phone] FAX [phone]
An Equal Opportunity Affirmative Action Employer, 50% recycled/ 10% post -consumer paper

Mr. Otis Johnson
December 5, 1995
page 2
During the inspection, it was discussed that the dairy plans to go out of business in
1996 and may start to raise beef cattle. Since beef cattle are pasture operations, no lagoon
should be necessary. However, if any part of your farm operation utilizes a waste storage
lagoon, you will need to get assistance from the Surry Soil and Water Conservation District
and develop a plan to adequately contain the waste products on the premises. Please be
advised that the non -permitted discharge of any type of wastewater to the waters of the State
is illegal as per North Carolina General Statute 143-215.1. Failure to design and implement
an appropriate waste handling facility may result in the State taking enforcement action
against the dairy operation with the possible assessment of civil penalties of up to $10,000 per
day per violation.
You are requested to respond in writing to our Winston-Salem Regional Office on or
before January 22, 1996 advising what corrective actions have been or will be initiated to
prevent future illegal discharges from the dairy facility. if the Winston-Salem Regional
Office has not been contacted by you or a Surry County representative by January 22, 1996, a
follow-up inspection may be conducted.
Your cooperation on the day of the inspection and with this matter is greatly
appreciated. Should you have any questions or concerns, please do not hesitate to contact
Allan Smith or Steve Mauney at [phone]. .
cc
Surry County
Surry Soil &
Surry County
Jerry Dorsett
Central Files
WSRO
Health Dept.
Water Conservation District
NRCS
Sincerely,
Larry D. Coble
Regional Supervisor

Jt1-14.1"5 FROM w bATM QXLITY KCTZON To
Bitt; Regains Awnd
DNMSION OF EMOIvWN"rAL MANAGE] ENr actyN� ' r
ANIMAL, FMLOT OPERATIONS SrM VISITATION RECORD
DATE: 13 1995
Farm .—Q+t5 -
bialft Addmc4' I Yti— Pr'ne S�- 27030
urr
Iaae�rwtar: m Vr,; r s PSom :
On Site RopTaieatadw. O-t+rs 1t s,n ._�^ .. ■,..�.. Pbone: 35 2 3 Z 5 '
Phy%kX AftusiUadwL
TY" od Opevan m: swine Pbuiny __._ CRttis
Design Capacity: Number afAvignala am Site: mt Ike( s
DEM Cwdfietnou Nnmber. ACES DDI CatiRu= Numbar, AC'NEW.. ..
Lasina�e:' 3Cam• L',�" EleYadoa: t
4 a5p 3-G� • �`�-+2 CfmkYa crNo
rar-! 6,• Anizrul Waste Lagocm htve n icitat fxoeboud of I Rot +2S year 24 hour alarm er+cnt Ak ill)0"
(appm4m aely I Foot + 7 inches) Yes ar No AMW Fraboard: -��t ,�-_ Inches
Was any soepage observed from the L.Sooa(s)jjk or No Was my crodoa obu rvW Yes or No
Is adequaee land wadable far #pn.0. mar No Is tht wva crap admuau? Yet or No
Dep(s) baiag udUM:
Does the fictMry meet SCS m;rAmum setback witcria? 2W Fort from D,% cc No
TOO Fast &= w8Il&? df.OI to No
?a the animal Mute w4gilod witbin 100 Fat of USOS Slue Une Steam? Yes w4§5
It animal waste ]and applied at spiny irrigated within 25 Feet of a USOS Map Blue Lime? Yes art&
U astnW *am disthapd into wateas of the wta by man-made ditch, fiusbinS tym= or other
aiasilar vmw-mkde &MM? Yes OtNp if Yes, plum Explain.
Dots The fsrity maintait adoquuG wastr msnaSeratat TOW& (volumes of maauat. Iw" applied.
Igmy irripted be pod&
w►U cova amp)? Yes or No
LA
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SCALE INWO 1 MIDI La=burg, Va . - N . C .
I000 0 ]oo0 2000 - — mm 4m Imm _ GM 7m FEEL A15 SE
1 .b 0 1 MLOMETER
CONTOUR INTERVAL 20 FEET
NATIONAL GEODETIC VERTICAL DATUM OF 1929'
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LSLTATION;W-CORD
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Regional Office
Owner:
Agent V Eli:'; g 5ita None:
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