660021_Rescission Request_20230502

W&ST
�_ o��►� ria� �;p e ��s
h PiJ
SRC"1
APR 23
NO DEQIDWR
Central Office

f,p.;
APPENDIX 3.1
Animal Waste Storage Pond and Lagoon Closure Report Form
(Please type or print all information that does not require a signature)
General Information:
Name of Farm: -,I­Ji~'• .8,#Vt,dC1J 1.819PI-OW 41e�s7`r Facility No: G� - OO Z
Owner(s)Name: �#A1^1Y F. *v d,04J
Mailing Address: 7,39 .4L L ac u 1Jwll W- Phone No: o?,Z S 78-7$b/
A Ck-SoA) . /V_C . a 78 4/s*- 9s'39 County: A10 o9- ,,o 74-4)
O ration Description(remainine animals onl :
L,KPlease check this box if there will be no animals on this farm after lagoon closure. If there will still be animals on the site
after lagoon closure,please provide the following information on the animals that will remain.
Operation Description:
Type of Swine No.of Animals Type of Poultry No. of Animals Type ofDairy No.of Animals
o Wean to Feeder o Layer o Milking
o Feeder to Finish o Non-Layer o Dry
o Farrow to Wean Type of Beef No.of Animals o Heifers
o Farrow to Feeder o Brood o Calves
o Farrow to Finish o Feeders
o Gilts o Stockers
o Boars Other Type of Livestock: Number of Animals:
Will the farm maintain a number of animals greater than the 2H.0217 threshold? Yes o No
Will other lagoons be in operation at this farm after this one closes? Yes o No 6-"
How many lagoons are left in use on this farm?: A/We-
(Name) ZS 4nJ2 Ze N41-d1 of the Water Quality Section's staff in the Division of
Water Quality's R1 Regional Office(see map on back) was contacted on 3 -2V-2,3 (date)
for notification of the pending closure of this pond or lagoon. This notification was at least 24 hours prior to the
start of closure,which began on 3-6?9- Z 3 (date).
I verify that the above information is correct and complete. I have followed a closure plan,which meets all NRCS
specifications and criteria. I realize that I will be subject to enforcement action per Article 21 of the North
Carolina General Statutes if I fail to properly close out the lagoon.
Name of Land Owner(Please=t):' J.•/yI�j f/ y�j9&&-d �
Signature:_ Date:
The facility has followed a closure plan which meets all requirements set forth in the NRCS Technical Guide
Standard 360. The following items were completed by the owner and verified by me: .all waste liquids and
sludges have been removed and land applied at agronomic rate,all input pipes have been removed,all slopes have
been stabilized as necessary,and vegetation established on all disturbed areas.
Name of Technical Specialist(Please Print):
Affiliation: ARCS - A AG
Address(Agency): IUC Say hk:E4"•a•r Phone No.:e S3/-5331
Signature:Z-2� ,,,a _ Date: Y o7ct v2d X 3
Return within 15 days following completion of animal water storage pond or lagd6t4 ke to:
N.C.Division Of Water Quality
Animal Feeding Operations Unit APR 2 8 2023
1636 Mail Service Center
Raleigh,NC 27699-1636
PLC-I March 18,-2002

J &A SLUDGE, I NC INVOICE
744 WHITE FLASH RD
MOUNT OLIVE NC 28365
919-738-0970 NEAL HILL
BARROWS HOG FA .1 N� Invoice # 0000224
JIMMY BARROWS
732 BARROWS MILL1t!D. Q
JACKSON NC 27845 � �' Invoice Date 04/25/2023
HOME FARM-WEST Due Date 05/04/2023
Item Description Unit Price Quantity Amount
Service AGITATE, PUMP, HAUL AND LAND APPLY 0.0375 1180000.00 44,250.00
1,180,000 GALLONS
Service AGITATE, PUMP, HAUL AND LAND APPLY 0.0375 144000.00 5,400.00
144,000 GALLONS
NOTES: THANK YOU FOR ALLOWING US TO WORK FOR YOU!
Subtotal 49,650.00
Total 49,650.00
Amount Paid 0.00
Balance Due $49,650.00