010016_INSPECTIONS_20171231

Farm Name:
Owner:
Mailing Address:,,
2 7 X
County:
Comments:
Operation is:
below threshold
out of business/no animals on site
closed out per NRCS standards
Signature: 5
Agency:
Please return completed form to: DEHNR-DWQ
Water Quality Section
Compliance Group
P.O. Box 29535
Raleigh, NC 27626-0535
RR -3/97

JLL-14-1995 1534 FROM DEM•TER pLWLITY SECTION TO •
WSRO P.02i02
Site Requires Immediate Attention:
Facility No. �n / - 7
DMSION OF ENVIRONMENTAL MANAGEMENT
ANUAAL FEEDLOT OPERATIONS SITE VISITATION RECORD
Farm
Mau
DATE: /t/- v l ,1995
Time: LZ zy
County:
Integre; Phone:
On Site Representative: 4L Phone: L'41�� -2 2 2 — iJ
Physical AddresVLocation:
Type of Operation-. Swine 4,L7 Poultry ` Cattle
Design Capacity: Number of Animals on Site: i
DEM Cerdf cation Number: ACE DEM Certification Number. ACNEW
Latitude: �' c e - 3 o „ Longitude: 2�L2 I " Elevation:.___ __ meet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No �Actual Freeboard: _fit Inches
Was any seepage observed from the lagoon(syt`por No Was any erosion observed? 'es* 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 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 bine? Yes or No
Is animal waste discharged into waters of the state by man-made ditch, flushing system, or other
similar man-made devices? Yes or No if Yes, Please.Explain.
Does the facility maintain Adequate waste management records (volumes of manure, land applied,
spray irrigated on specific Acreage with�vc)? Yes or
litional comments:
cc-, Facility Assessment Unit Use Attacnmams n i oa+cW
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TER QLALITY SECTION TO WSRO P.02/02
V -;LLx44-1995 15:34 FROM DEM •
Site Requires Immediate Attention:
Facility No. c
DMSION OF ENVIRONMBNfAL MANAGEMM
ANMIAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 1995
Time:
Farm Name/Own
Matftg Address:
County: ^.4
Integmtw. Phone:
On Site Representative: Yv Ue // Pe (Z' / Z, Phone: (FIM 1' 2e- le 6_2
Physical AddresslL.ocation:
Type of Operation: Swine Poultry ` Cattle IGC y
Design Capacity: Number of Animals on Site: _
DEM Certification Number: ACE !� gDEM Certification Number: ACNEW
Latitude: Z � _' O�_'19 Longitude:2L'.Z '--.z Elevation: meet
Circle Yes or No
Does the Animal Waste Lagoon have sufficient fie -,board of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot + 7 inches) Yes or No Actual Freeboard: _ T+t. 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 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.Ezplain.
Does the facility maintain adequate waste management records (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Yes or No
Additional Co==ts:
cc: Facility Assessment Unit Use Attachments if Needed.
TOTRL P.02

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