820009_Application_20210706

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
In accordance with the requirements ents of l A ricAc 2T .130.1(c} and i A NCAC 21‘ .l 0 d this form is official notification
to the Division of Water Quality (i ) of the transfer of ownership of an Animal Waste Management. Facility. This form
must be submitted to DWG no later than 60 days following the transfer of ownership,
Name of Farm- JRock Mintz_ Facility No: 82-9
Previous Owrier(s) Name: .Quality r LLB Phone 1 o:910- -1 9
New Owner(s) Name: Jkock Farms L . `. - -- Phone No:910-874-158 I
Mailing Address: r �ia tlt f n Frm Location: Latitude and Longitude: .14_,54,40 L7829,49County: Sampson
Please attach a copy of a county road map with locaLion identified and describe below(Be specific: road names, directions,
milepost, etc.): Take IBC 41J east -of Rosebm appr x. .D mks to farm on right.
OperationDescription;
Type of SWille No. of Animals Type of Poultry No. of Animals Type of Cattle No, of Animals
• Wean to FeederLayer Dairy
O Feeder to Finish 0 Pullets . - Beef
Farrow to Wean 24.00
• Farrow to Feeder -
0 Farm to Finish . - Other Tye of Livestock: Nurr e r o A n ima I..-
• Gilts
7 Boars
Acreage Available for Application: 14.36
Required Acreage: 34,36
`umber of Lagoons f Storage Ponds :1 TotalCapacity: 2,497.E-06 Cubic Feet (ft
• :* * =***** :***********k*** * **** * **************************** * **= **g***
Owner Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the Certified Animal waste Management Plan (CAWMP) for the farm named above
and will implement these procedures.. l (we) know that any modification or expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a permit modification before the new
animals are stocked. l ►e understand that there must be no discharge of animal waste from the storage or application
system to surface waters of the state either directly through a man-made conveyance or from a storm event less severe than
the -year, -hour storm and there must not be run-off frorn the application of animal waste. l (we) understand that this
facility may be covered by a State Non -Discharge Permit or a NPDES Permit and completion of this form authorizes the
Division of Water Quality to issue the required permit to the new land owner.
Name of Previous Land Owner; QEarns. LLC
Signature:
Name of New Land Owner:
Signature:
Name of n ager i f different from owner):
Signature: - -- -- _-.�
Please sign and return this form to:
�- — Date: 2.i- - . - -
Date:6/22/24)2 i
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
May 2, 2007
Date:

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Notification f Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
In accordance with the requirements of 15A NCAC 2T .1 04(c) and 15A NCAC 2T .1 0 d this form is official notification
to the Division of Water Quality 1 of the transfer of ownership of an Animal Waste Management Facility. This form
must be submitted to DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farm: Butler & Crum ler Farm B&C Farrri} __-- Facility No: -9
Prvious Owner(s) Name: Ernest Smith Farms, Inc Phone No:910-529-1129
New Owner(s) Name: Quality Farms, LAC' _ Phone No:9_10-862-I829
Mailing Address: PO Box 1416 Blialthtown NC 237
'arrr Location: Latitude and Longitude: 34. ,40 / 78. 9.4 County: Sampson
Please attach a copy of a county road map with location identified and describe below Be specific: road names, directions,
milepost, etc.): Take NC 411 east of Roseboro approx.2.5 miles to farm on right.
OperationDescription:
Type of Swine No. ofAnimals Type ofP uliry No. of Animals Type of CattleNo. of Animals
• wean to Feeder _ 0 Layer 0 Dairy
O Feeder to Finish !t Pullets 0 Beef
Farrow to Wean 2400
0 Farrow to Feeder
0 Farrow to Finish
O Gilts
O Boars
Other Type of Livestock: Number of Animals:
Acreage Available for Application: 34.36 Required Acreage: 34.36
Number of Lagoons Storage Ponds :1 - -_ Total Capacity: Cubic Feet(113)
***********************************************************************************
Owner ! Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the Certified Animal Waste Management. Plan Awls for the farm named above
and will implement these procedures. I (we) know that any modification or expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a permit modification before the new
animals are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application
system to surface waters of the state either directly through a man-made conveyance or from a storm event less severe than
the -year, 4-hour storm and there must not be run-off from the application of animal waste. I (we) understand that this
facility may be covered by a State Non -Discharge Permit or a NPDES Permit and completion of this form authorizes the
Division of Water Quality to issue the required permit to the new land owner.
Name of Previous Land Owner: Ernest Smith Farmy Inc.
Signature: 6
r3rylrl sSd\ate:6f3/2O21
Name of New Land Over: uali Parnis 4
Signature: _ .. `'`` , _._ Date:6/3/2021
Name of Managerifdifferent from owner):
Signature:
Please sign and return this form to:
N. C. Division of Water Quality
Aquifer Protection Section
Animal feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 7 9- 1
May 2, 2007
Date:

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