820545_Application_20221221

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
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In accordance with the requirements of 15A NCAC 2T .1304(c) and 15A NCAC 2T .1305(d) this form itHtia
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste Managem P cc#This
form must be submitted to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: Craig Collins Farm
Previous Owner(s) Name: Craig P. Collins
RECEE
DEC 21 2J2P22
Facility No: 82 - 545
Phone No: 910-592-9008
New Owner(s) Name: Prestage Farms, Inc. Phone No: 910-592-5771
New Farm Name (if applicable): P-38
Mailing Address: P.O. Box 438 Clinton, N.C. 28329
Farm Location: Latitude and Longitude: 78° 17' 44" / 34° 40' 11" County: Sampson
Please attach a copy of a county road map with location identified, and provide the location address and driving directions
below (Be specific: road names, directions, milepost, etc.): Approx. 1.0 miles NW of Kerr on Wibur
Pridgen Road.
Operation Description:
Type of Swine No. ofAnimals Type of Poultry No. ofAnimals Type of Cattle No. ofAnimals
❑ Wean to Feeder 0 Layer 0 Dairy
❑ Feeder to Finish 0 Pullets 0 Beef
CA Farrow to Wean 516
❑ Farrow to Feeder
❑ Farrow to Finish Other Type of Livestock: Number ofAnimals:
❑ Gilts
❑ Boars
Acreage Available for Application: 9.63 Required Acreage: 9.57
Number of Lagoons / Storage Ponds: 1 Total Capacity: 456,304 Cubic Feet (ft3)
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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. 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 25-year, 24-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 Resources to issue the required permit to the new land owner.
Name of Previous Jpand Owner: Craig P. Collins
Signature: CZ4 f
.
Name of New Land Owner:�g a Farms, Inc.
rPrestage
Signature: /y
Date:
Date: ► z./, / o z _
Name of Manager (if different from owner):
Signature: Date:
Please sign and return this form to:
N. C. Division of Water Resources
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
April 23, 2012

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