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970010_INSPECTIONS_20171231
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 May 17, 2000 Paul Jones 1330 Edwards Key Roaring River NC 28669 1 � • NCDENR NORTH CAROLINA DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES Subject: Rating of Potential Risk Inactive Waste Lagoons and Storage Ponds Lomax Dairy Facility Number 97-10 Wilkes County Dear Paul Jones; During the 1999 session, the North Carolina General Assembly passed a law directing the North Carolina Department of Environment of Natural Resources (DENR) to develop an inventory and ranking of all inactive lagoons and storage ponds in the State. In order to meet this directive, a representative of DENR has recently evaluated the inactive lagoon(s) and/or storage pond(s) on your property.. Inactive lagoons and storage ponds were defined by the Statute as structures which were previously used to store animal waste but have not received waste for at least one year. The information collected on your property is contained in the attached field data sheets. Using this field data, staff ranked your inactive waste structures as high, medium or low according to its potential risk for polluting surface and/or groundwater. Your waste structure(s) was ranked as follows: Structure Number Surface Area (Acres) Ranking 1 0.48 Medium This ranking is based in part on the conditions existing on the day of the site visit. Changes in these conditions or the collection and evaluation of additional data may modify the ranking of your waste structures) in the future. Information on your facility along with over 1000 others contained in the inventory has been provided to the General Assembly. During this year's session, the General Assembly will consider additional requirements for future management of these structures which may include requiring proper closure of inactive lagoons and storage ponds according to current or alternative standards. 585 Waughtown Street, Winston-Salem, North Carolina 27107 Telephone (336) 7714600 Fax (336) 7714631 An Equal Opportunity Afrtrmative Action Employer 50% recycied/10% post -consumer paper Rating of Potential Risk. Is Inactive Waste Lagoons and Storage Ponds Animal Waste Management System Page 2 Regardless of their ranking, owners of all waste lagoons and storage ponds have certain management responsibilities. These include taking appropriate actions to eliminate current discharges, prevent future discharges and to insure the stability of their structures. Staff of the Division of Water Quality will be in contact with owners of all inactive structures that have been determined to pose a serious environmental risk, based on its ranking and/or additional field data collected by the Department. All liquids and waste removed from these structures must be land applied at a rate not to exceed the agronomic needs of the receiving crops. Any major modifications made to the dike walls or structure must be done in accordance with current standards and under the direction of a technical specialist designated for structural design. Your local Soil and Water Conservation ,District is an excellent source for information and guidance related to proper waste application practices, structure operation and maintenance, and other related animal waste management standards and/or requirements. Nothing in this letter should be taken as removing from you the responsibility and liability for any past or future discharges from your lagoon(s) and/or storage pond(s) or for any violations of surface water or groundwater quality standards. Thank you for your cooperation -and assistance in this process. If you have questions concerning your inactive structures, please contact the staff of either in the Division of Water Quality or the Division of Soil and Water Conservation in the Winston-Salem Regional Office at (336) 7714600. Sincerely, Cy-.L Z.J. Larry Coble Water Quality Regional Supervisor cc: Wilkes County Soil and Water Conservation District Office Facility File rrlwr? , 1V!&113t1•of Soiliand Water Conservation �•�eq Ar . cr ._'�Z�+r_ �«r ,sx;. - r`f Type of Visit Q Compliance Inspection O Operation Review Q Lagoon Evaluation Reason for Visit © Routine Q Complaint O Fallow up O Emergency Notification Q Other ❑ Denied Access Facility Number 97 10 Permitted 0 Certified (3 Conditionally Certified ® Registered Date of Visit 0 Not Operational O Below Threshold 1 Date Last Operated or Above Threshold: 311tQ9............. zrz7�z000 Farm Name: X,,RtOt Ax.[?airy................... County: OwnerName: PAW ......................................... .janca........................................................... Phone No: �r1!6-��.7.-�Z.&�........................................................... Facility Contact. ..... ........Title: ............................................... Phone No: w..a7 33.6,09,416.7............. Mailing Address: ... R.R€thUgAi.Ycr..NC............................. OnsiteRepresentative: ............................................................................. Integrator:...................................................................................... Location of Farm: sYx.lida.>+a�rtat.X..nail�.s4a igF�t.l.tmik�;. ��t.a�. kltln�,........................................................................................................................................................... ❑'Swine ❑:Poultry ®'Cattle ,❑ Horse DesignCurrent owme Uapacity ro ulation ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars :Design =Current Design Current :Poultry -Ca acity Population Cattle °Ca acity Population ❑ Layer ® Dairy 100 0 ❑ Non -Layer ❑ Non -Dairy l - I ❑ Other Total Design Capacity 100 Total SSLW 140,000 'Number:of.?Lagoons 'Holding Ponds / Solid Traps 1 Discharees & Stream hn acts 1. is any discharge observed from any part of the operation? Discharge originated at: ❑ Lagoon ❑ Spray Field ❑ Other a. 11' discharge is observed, was the convevance. man-made? b. if discharge is observed, did it reach Water of the State'.' fli' yes. notify DWQ) c. II discharge is observed. what is the estimated flow in cal/min" 2. Is there evidence of past discharge from any part of the operation'? 3. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Waste Collection & Treatment Please see attached Lagoon Field Data Sheets Reviewer/Inspector Name Me lissa'Rosebrock -Sue White Reviewer/Inspector Signature: Date: ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes ® No ❑ Yes ® No Printed on: 5/12/2000 Facility Number 97 -- 10 agoon Number 1............. Lagoon Antifier Reh n..d..tern........ 0 Active eQ inactive Latitude 36 1U 46 Waste Last Added /1,/ ............................ I....... Longitude 80 141 Determined by: ® Owner ❑ Estimated By GPS or Map? ® GPS ❑ Map GPS file number: S021718A Surface Area (acres): Q.,45........................ Embankment Height (feet): 4,.7........................... Distance to Stream: O <250 feet 0 250 feet - 1000 feet p >1000 feet By measurement or Map? ® Field Measurement []Map Down gradient well within 250 feet? O Yes *No Intervening Stream? O Yes *No Distance to WS or HOW (miles):# < 5 0 5 - 10 O > 10 Overtopping from Outside Waters? O Yes# No O Unknown Spillway O Yes O`No Adequate Marker O Yes O No Freeboard & Storm Storage Requirement (inches): 18 inspection date 2/17/2000 appearance of 0 Sludge Near Surface lagoon liquid 0 Lagoon Liquid Dark, Discolored O Lagoon Liquid Clear O Lagoon Empty Freeboard (inches): 36 embankment condition 0 Poorly Built, Large Trees, Erosion, Burrows, Slumping, Seepage, Tile Drains, Etc. O Construction Specification Unknown But Dam Appears in Good Condition *Constructed and Maintained to Current NRCS Standards outside drainage 0 Poorly Maintained Diversions or Large Drainage Area not Addressed in Design 0 Has Drainage Area Which is Addressed in Lagoon Design # No Drainage Area or Diversions Well Maintained liner status 0 High Potential for Leaking, No Liner, Sandy Soil, Rock Outcrops Present, Etc. O No Liner, Soil Appears to Have Low Permeability OQ Meets NRCS Liner Requirements nation equipment fail to make contact and/or sprayfield 0 Yes 0 No O Unknown with representative O Yes 0 No unavailable comments vision of Water Quality vision of Soil and Water Conservation O Other Agency (Type of Visit O Compliance Inspection O Operation Review OQ Lagoon Evaluation Reason for Visit O Routine O Complaint Q Follow up O Emergency Notification O Other ❑ Denied Access Facility Number 97 10 Permitted 13Certified © Conditionally Certified ®Registered Date of Visit 2/17/21100 O Not Operational O Below Threshold Date Last Operated or Above Threshold: 311199............ Farm Name: LQpttA2c.PWrY ............................................................................. .... County: Wilkes ................................................ .W.StiO....... ................. OwnerName: Patti ......................................... lanes ........................................................... Phone No: 336-195.7-2283 .......................................................... Facility Contact:...............................................................................Title:............................................................... Phone No: work 33.6.,53Q..4767 ............. MailingAddress: U.N.E.dwar:ds.Key.............................................................................. Hattori».I h.cr..KC............................................. 2B.60 .............. OnsiteRepresentative:........................................................................................................... integrator:................................................................................ Location of Farm: l�S�t.m�otxtb,�..�.efit.,antt�n.2��� .t4a�rxds.1t']t�asaallt.�iA....tia�lit.�.ntQ..S�xatt~ixtg�nt.Iid�..�t".arutQ. �x��uhtt2xn. �i�.....�igktx.nnitn..�td�axlds..... ❑ Swine ❑ Poultry ® Cattle ❑ Horse Design Current swine Lapacity ro ulation ❑ Wean to Feeder ❑ Feeder to Finish ❑ Farrow to Wean ❑ Farrow to Feeder ❑ Farrow to Finish ❑ Gilts ❑ Boars Design Current Design Current Poultry Capacity Population Cattle Capacity Population ❑ Layer I I ® Dairy 100 I0 ❑ Non -Layer I 1 10 Non -Dairy ❑ Other Total Design Capacity 100 Total SSLW 140,0oa Number of Lagoons 0 Holding Ponds / Solid Traps 0 Discharges & Stream impacts 1. 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 Water of the State? (If yes, notify DWQ) c. if discharge is observed, what is the estimated flow in gal/min? 2. Is there evidence of past discharge from any part of the operation? 3. Is storage capacity (freeboard plus storm storage) less than adequate? ❑ Spillway Waste Collection _& Treatment Please see attached Lagoon Field Data Sheets ❑ Yes ® No ❑ Yes ❑ No ❑ Yes ❑ No ❑ Yes IN No ❑ Yes IN No Reviewer/Inspector Name Meli Rosebrock a White Reviewer/Inspector Signature. Date: IQEazoo a P4 % �� f Printed on: 4/11/2000 ' Facility Number 97 — 10 Number .1............ Lagoon Ratifier Behind -barn ....................................... O Active Q Inactive Waste Last Added 31..1............................................. Determined by: ® Owner ❑ Estimated Surface Area (acres): Q,,4.8........................ Embankment Height (feet): 41........................... Latitude 36 16 46 Longitude 80 58 41 By GPS or Map? IN GPS ❑ Map GPS file number: IS021718A Distance to Stream: O <250 feet 0250 feet- 1000 feet O0 >1000 feet By measurement or Map? ® Field Measurement []Map Down gradient well within 250 feet? O Yes *No Intervening Stream? O Yes *No Distance to WS or HOW (miles): Q < 5 O 5 - 10 O > 10 Overtopping from Outside Waters? O Yes Op No O Unknown Inspection date 2/17/2000 appearance of O Sludge Near Surface lagoon liquid # Lagoon Liquid Dark, Discolored O Lagoon Liquid Clear O Lagoon Empty Freeboard (inches): 36 embankment condition O Poorly Built, Large Trees, Erosion, Burrows, Slumping, Seepage, Tile Drains, Etc. O Construction Specification Unknown But Dam Appears in Good Condition *Constructed and Maintained to Current NRCS Standards outside drainage O Poorly Maintained Diversions or Large Drainage Area not Addressed in Design O Has Drainage Area Which is Addressed in Lagoon Design 0 No Drainage Area or Diversions Well Maintained liner status O High Potential for Leaking, No Liner, Sandy Soil, Rock Outcrops Present, Etc. O No Liner, Soil Appears to Have Low Permeability Op Meets NRCS Liner Requirements pplication equipment fail to make contact and/or 5prayfleid O Yes Op No O Unknown with representative O Yes OQ No unavailable comments • 0 Initial Evaluation Q Follow-up Evaluation © Denied Access 0 Does Facility Require a Follow-up Facility Number bate of Evaluation Time of Evaluation Q=24 hr. (hh:rnm) 13 Permitted 13 Certified Registered , 0 Non -Registered Inactive Facilfity� D�atc Last Operated: „_ Q, J9 Farm Namst ww6.d b1„ ,,,, ,.� , .,,, �,d�,,,,,.. County: ice. � i.�Le „ Q �]_W� Owner Name: __. U. M a � i ._ ........ ._. _. .». Phone No:.. t ! . 1_.► ..... ...... ,. wor 3�(�, , y76 Facility Contact: ._.»...................._...................................„_..»...TiUe:...._.„...,., - - Phone o: Mailing Address: ..»l 6Z0._1:dLk) _cjJ-5 1.Le...... R.is..t ri Onsile Representative: _ _W _ .».» .. .—•----..... Location of Perm: Le Lft- rapl) Gurt'ent::... " NAP El Swine - CurrcuC -Design . ' Curi�etit -: Cattle Ca sal :,Po uladoni:_13Poultry Ca ad Po uladon .. a .`.Po elation;.'. Wean to Feeder ❑ Layer I I Dairy © Feeder to Finish :.`. ❑ Non -Layer I I Non -Dairy ❑ Farrow to Wean 7: , Farrow to Feeder [] Other ❑ Farrow to Finish Total1) I O` Capacity' ❑ Gilts ❑ Boars " Total SSW : arytt MT� �',•^..`'IlrimtbeCaELagooas x,:;�� : a , r ;e : ::...::...-,..:.T'itm+bepd[}idldtngPondsfSoltd�Traps� ' ' Discharees & Stream Impacts 1. Is any discharge observed from any lagoon? ❑ Yes XNo a. If discharge is observed, was the conveyance man-made? ❑ Yes ❑ No b. If discharge is observed, did it reach Water of the Stoic? (If yes, notify DWQ) ❑ Yes ❑ No e. If discharge is observed, what is the estimated flow in gal/min? 2. is theta evidence of past discharge from any lagoon? ❑ Yes (�No ,Waste Collection & Treatment / 3. Estimate Freeboard Lcvcl: ❑ Spillway 0 Ym ❑ No Siructurr, j Structure 2 Structure 3 Structure 4 Structure 5 Structure b Identifier: l.. ... _.. _ n.._..».». Frethmrd (inches): _ Reviewer/Inspectur Name Reviewerllnspector Signatur Date: Inactive Lagoon Field Data Sheet Facility Number: ®-M Inactive Lagoon Number: C[ t Latitude ®. ®' Longitude ® . ®' � " X ❑Map 4. Waste Last Added (mm/yy) Owner ❑ Estimated 5. Estimate of lagoon surface area (acres) s 6. Effective height of embankment (feet) Q 7. Distance to Blue Line or Intermittent Stream (feet) 10<250 ❑ 250 - 1000 1000 Determined From Field Measurement [:]Map 8. Down Gradient Well a. Is there a down gradient well located within 250 feet? Yes No b. Is an intervening stream not located between any part of the lagoon and the nearest well?I of Yes o 9. Distance to WS waters or HQW (mi.) < 5 ❑ 5 - ]0 ❑> 10 10, Does the representative know of overtopping from outside waters? ❑ Ycs No ❑Unknown 11. Appearance of Lagoon Liquid a. Sludge Near Surface b. Lagoon Liquid Dark, Discolored c. Lagoon Liquid Clear 12. Embankment Condition a. Poorly Built, Large Trees, Erosion, Burrows, Slumping, Seepage, Tile Drains, etc. b. Construction Specification Unknown But Dam Appears in Good Condition c. Constructed and Maintained to Current NRCS Standards 13. Outside Drainage Area a. Poorly Maintained Diversions or Large Drainage Area not Addressed in Design b. Has Drainage Area Which is Addressed in Lagoon Design c. No Drainage Area or Diversions Well Maintained 14. Liner Status a. high Potential for Leaking. No Liner, Sandy Soil, Rock Outcrops Present, etc. b. No Liner, Soil Appears to Have Low Permeability c. Meets MRCS Liner Requirements 15. Application Equipment and/or Sprayfield Not Available 16. Contact could not be made with on -site representative Mk ■ ■ �11 ■ ■ ;r ❑ Yes I &rNo ❑ Unknown © Yes o 0 Comments (Refer to Question 0): Explain any Yes answer and/or any other comment. of b ot,,q rad iII i 5 � a6v From par+d T'ay %4>21-1181�, E 0 Site Sketch Showing All Active and Inactive Lagoons ILLF 15D ty_ ---t ,IV ---,K .11 1 ^1 . 7. Anywho - Map Search Result wysiwyg:H26/http://www.anywho.com/cgi-b...ng— 809602&event=zoom&level=7&even(=zoom LOST TRACK OF FRIENDS? FUND THEINI___ ,1) . f �J Li✓G ; First Naine �J State ' Last Name j I • - 7d Plan • Click2Dial5m :rr:�rr•t:�� .. MAP RESULTS Location: 1330 edwards keys road roaring river nc 28669-8139 N)N M NE Center p zoom In Q Zoom Out O Identify Icon J �t Street City Regional National Zoom Driving Directions i Use subject to License/Copyriaht ~AT&T AnyWho Home I dWg I Privacy I About Us I Link To Us 11st The AnvWho Advantage I Advertise with Us Use of this site signifies your agreement to the terms of use. See our privacy olicy. ANYWHO is a service mark of AT&T. F. 5.E 1 of 1 1/26/2000 1 1:12 AM Anywho - Map Search Result wysi wyg;/R4lhttp:Hwww.anywho.com/cgi-b... at=362729&ing=-809602&level=8&event=zoom a A1„� LOST TRACK OF FRIENDS? FIND THEM '--_ M�a i Lit"_f/ 1 ` _ " %n \ - First Name _J stato r 1 iLast Name • Click2Dia1sm • AT&T Catalog Location: 1330 edwards keys road roaring river nc 28669-8139 ALE .9-W a Q Center O Zoom In 0 Zoom Out O Identify Icon v'f Street City Regional National Z00M Driving Directions _ J Use subject to License/Copyriaht =3 AT&T Anywho Home I HeJ2 1 Privacy I About Us I Link To Us 11st The Anywho Advantage i Advertise with Us Use of this site signifies your agreement to the terms of use. See our orivacv policy. ANYWHO is a service mark of AT&T. E SE I of 1 1/26/2000 11:12 AM Anywho - Map Search Result wysiwyg:/122/htip://www.anywho.conVcgi-b ... ty=roafi ng+river&state=nc&zi p=28669-8139 ATBT '.o INFO Location: 1330 edwards keys road roaring river nc 28669-8139 HE S Center O zoom In Q Zoom Out O Identif[[[y Icon ,I J �i Street City Regional National zoom11 .&Z1 Plan � Driving Directions • Click2Dial5m • AT&T Catalog Use subject to I_icenseLC-onvrigW • Shopping Deals online? r., AT&T AnvWho Home I t= I Privacy I Abgut US I Link To Us 11ots The AnvWho Adyantaae I Advertisewith Us Use of this site signifies your agreement to the terms of use. See our privacy� policy. ANYWHO is a service mark of AT&T. E SE I of 1 1/26/2000 11:12 AM Anywho - Map Search Result wysiwyg://28/http://www,anywho.com/cgi-b...ng=-"602&even)=zoom&level=6&event=zoom • • AT&T INFO • � 7¢ Plan • Click21Dial5m • AT&T Cataloo • Shopping Deals • Missing -calls online Location: 1330 edwards keys road roaring river nc 28669-8139 . LIE { m un.,p,i ze Aring cap ,Absher �•'' �ughton GZ hyr hurmo McCrady Traphill ,:moil. ` y State Roa Fairvi 1 °PIS Sant R1 e is c,Dehar� Lomax ;L . le Ri mond- zi iBu M �le'asant Hill„ I Cr5 ch i, i 21 Boonville Fairplains r acinRiver i 268 �Dellaplane ,Cling man ena Q&lcke 421 V42 21 w�+�Lontown Pe,, CwinAii rn?ti,,:1e Srano©1999 MaPQaeInc. t91999 Navigaticgn Tech:,: s center Q Zoom In Q Zoom out O Identify Icon J ,t Street City Regional National Zoom Driving Directions Use subject to License/Copyright 0AT T AnvWho Home I da1R I Privacy I About Us I Link To Us I ]� The AnyWho Advantage I Advertise with Us Use of this site signifies your agreement to the terms of use. See our rpivacjon Fcy. ANYWHO is a service mark of AT&T. E a • I of 1 1/26/2000 11:12 AM State of North Carolina* Department of Environment, Health and Natural Resources Division of Water Quality James B. Hunt, Jr., Governor Jonathan B. Howes, Secretary A. Preston Howard, Jr., P.E., Director Paul Jones Lomax Dairy 1330 Edwards Key Roaring River NC 28669 Dear Paul Jones: A4 EDEHNR May 15, 1997 SFCO oED�-{�1 I S.C. �eot. �O'�"�1et11 Subject: Re 'f(i�t tra ion Fad itty umber 97-10 Wilkes 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 $10,000 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 obtain a certified animal waste management plan prior to stocking animals to that level. Threshold numbers of animals which require certified animal waste management plans are as follows: Swine 250 Confined Cattle 100 Horses 75 Sheep 1,000 Poul with a liquid wastes stem 30,000 If you have questions regarding this letter or the status of your operation please call Sue Homewood of our staff at (919) 733-5083 ext 502. Sincerely, 9L-6440 I'l,tn JUT A. Preston Howard, Jr., P.E. cc: Winston-Salem Water Quality Regional Office Wilkes Soil and Water Conservation District Facility File P.O. Box 29535, Raleigh, North Carolina 27626-0535 Telephone 919-733-5083 FAX 919-733-9919 An Equal opportunity Affirmative Action Employer 50% recycled/ 10% post -consumer gaper • Site Regt;ires IJL. to Attention: Facility No. - DIVISION OF ENVIRONMENTAL MANAGEMENT ANIMAL FEEDLOT OPERATIONS SITE VISITATION REQORD DATE: 1995 Pon Farm Nam40wner: MailiogAdd m: f 2 �6� E �� ���ICI +wr+� � I ■ F hw mtor. __oRGg_ Bran; 7_# Phone: 510 - 771-_ye-00 „ M Site Rgmwtadve PQui- + qNAJ BONEA Phone: 9S-7, � Phytscal AddrwsaAxation: Typo of Operation: Swine Poultry � Cattle -�L Dt4dSn Capacity: L5'0 _ - Number of Animals on Site: DEM `on Number: ACE_ DEM Cutific don Number. ACNEW- Latitude: ak_! 6 _YjL_" LamginAe: ,jam7...59 ' ` � Elevation: t Does the Animal Waste lAgo m have suficieat fiveboard of 1 Foot + 25 year 24 hour storm event (approximately l Foot + 7 hwhes) a or No Actual Freeboard: 'Z Ft. ,.. _ Inches Was any seepage observed from the la oon(s)? Yes o<N Was any erosion observcV Yes or No Is adequate Ind available for spray? ior No U the cover crop adequate?f )or No Cr*s) being utilized: ESC!rE Does the facility meet SCS miaimum setback criteria? = Foes from D%*11ings? or No I Feet from Wells?��or No Is the animal waste suv#iled within 100 Feet of USOS Blue Line Steam? Yes o"% h animal waste land applied or spray irrigated within 25 Fee of a USGS Map Blue Line? Yes o<No ) Is animal waste discls8rged into waters of the state by man-made ditch, flushing tysad% or odd similar man-made devices? Yes o &N U Yes, Please Explain, Does the facility maintain adequate waste managemnt records (volumes of manure, land applied, qay irrigated bn specifu &=aq wip cover carp)? Yes 09) Additional dammartts: o �e- b5poCtmr ate cc: Facility Asxssment Unit Use Attachments if NOS" OPERRTI011S BRANCH -- ��10 Fax:919-715-6047i_t1 24 195-1 15 15 P.14/15 M _ ,gttC �� �ttmtadirtaD AtLeaticn l7ae ttity Nam 6�n �f "'� ..- SrM VISITATION RECORD G DATE: I ` 1 1995 Ownet: e _ ____-ium Name: met le Ault VWtWo sic; Phone: On SWRep, tt YO., phone: 00 q ol6 Mysical Address;-- a.r-;ti.a M Mailing Address. - Type of Opaatiou: Swk* 1t�ultry _.� .. crst.tla „ nel lan cap"Ity. ISO Numb,cr et AnInuib un Sho, LOWS:„ ` o i;, _' Sf Loughudo, _I 1 q ,aS TYPa of Ingpectlon, Qnwad , Amial Circle Y%* vt No Door the Antulat Waste L 4aan have %u icknt F=bnard of i root +ZS yw 24 bmu storm event (apprvxinWely 1 Font+7Inches) os r No Actual CraehoW:,,.2--Not -JSi._Didw ror f449tties, with MOM (kart ow IASnov, pkme address the atlta lntcous htcbmd VWer the cullllllegu locroon. Was umy `:q)ap observed hum thr. ingoon(s)7 Yea 0& waa llrcrc croslofl Of ft dadh Yes Is advcluato lard avallable rot toad ttpplicaaun7 Ga or No Is the cttvor csvp wvgaete7 Y�e of No AdrJitiunat CQmmerltq: - Cv yr,aL� c�a env d Q r .t : �v Fnx to (919) 715-3354 bra Sid6awre orAgcnt 10 'd 189G06LSIS 'ON XU� loft SOS V45E1 i E: V S Q3 t SK 1-Iff