070065_Annual Report_20240402

RECEIVED
APR 0 2 2024
ATTACHMENT A
NC DEQ/DWR ANIMAL FACILITY ANNUAL REPORT FORM
Central Office 2
Report for (previous) Calendar Year: 20 7 rr�� Today's Date: � 7:
Certificate of Coverage or Permit Number5-' V70©65 County
Facility Name (as shown on Certificate of Coverage or Pen -nit) L- earn c A AA!e-n
Operator in Charge for this Facility Saxne-s L QLY1 Operator Certification # 1 gt?(-
Facility's Integrator, if applicable: ��"�;!!t-o 1� s
URCN
Part I: Facility Information (As of December 31" of renordn2 near unless otherwise specified):
Land application of animal waste as allowed by the above pertnit occurred during the past calendar year
P_ YES _F NO. If NO, skip Part I and proceed to Part II and Part III. Also, if animal waste was
generated but not land applied, attach an explanation on how the animal waste was managed/disposed.
CAWMP SUMMARY
Total number of application Fields or Pulls in the Certified Animal Waste Fields or
Management Plan (CAWMP): 5 _ Pulls/zones
Total Useable Acres approved in the CAWMP _ -7 V Acres
Total pounds of Plant Available Nitrogen (PAN) allowed to be land applied
Lbs. PAN
annually by the CAWMP and the permit:
ia?J 1 —
LAGOON SUMMARY_ __
T
Number of Permitted Lagoons
# Lagoons
_-
Number of Permitted Lagoons with a sludge removal or management plan
per Permit Condition III-22
C L
� T
#Lagoons
ANNUAL OPERATIONS SUMMARY
(for all crops with windows that ended during the previous calendar near)
Total number of Fields or Pulls on which land application occurred during
i _
Fields or
Pullsizones
the year: _
a
Total Acres on which animal waste was applied
Acres
Total pounds of Plant Available Permitted Animal Waste
'7.y/ /
Lbs. PAN
Nitrogen (PAN) applied dining
the year for all application sites: i Other Nutrient Sources (incl Dry Litter) f
— Q
Lbs- PAN
SOIL SAMPLE SUNIMARY
Total number of Fields or Pulls for which the most recent soils i oFields
or
evaluation
P-index P indicated a Soil -- —--Tv
` ---_ ( )greater than 400 i
I
Pulls/zones
ToialoUbElWr( of Fields or Palls for which the most recent soils ; /'1
y
Acres
evaluation m 1ca ed a Soil P (P-index) greater than 400 _
MAR 2 9 2024
PVC DEQIDWR
Central Office
AFOAR 4-12-2019

ATTACH
BENEFICIAL USE SUMMARY
Estimated amount of total manure, litter and process wastewater sold or
given to other persons and taken off site during the year
D
Tons
Gallons
PRODUCTION SUMMARY
Annual average number of animals bytLpe at this facility during the revious year
Operation Type ` •� Number of Animal
exLe
Swine
Cattle
Dry Poultry
Other Types
Wean to Finish
Dairy Calf
Non -Laying Chickens
Horses — Horses
Wean to Feeder
Dairy Heifer
Laying Chickens
Horses — Other
Farrow to Finish
Milk Cow
Pullets
Sheep— Sheep
Feeder to Finish
Dry Cow
Turkeys
Sheep - Other
Farrow to Wean
Beef Stocker Calf
Turkey Pullet.
Farrow to Feeder
Beef Feeder
Boar/Stud
Beef Broad Cow
Wet Poultry
Gilts
Other
Non -Laying Pullet
Other
Layers
Part II: Facility -Status (Respond for activity within the Calendar near of reporting year unless
otherwise specified):
MENT A
Directions: Check box next to the appropriate answer, for each statement were the answer is "No", provide a
written description of any action take taken or pending to address the requirements and return the facility to
compliance
1. All "major changes," "revisions," and "amendments" to the CAWMP were made Dyes[ _]1`do
according to requirements of Condition I.4.
2. There were no freeboard cxceedanees in any lagoons or storage ponds. Eyes ❑No
3. There was no PAN application to any fields or crops at this facility greater than the Yes [:]NO
levels specified in this facility's CAWMP.
4. Sludge Surveys as required in Condition I.II.22 have been completed. ©Yes ]NO
5. For any temporary lagoon lowering event, drawn dawn restrictions and record ©Yes ❑No
keeping requirements in Condition H.29 have been met.
6. Soils analysis were performed within the last three years on each field receiving animal FYes ❑No
waste.
2 AFOAR 4-12-2019

, 7. All required monitoring and reporting were performed in accordance with the facili ATTACHMENT A
permit during the past calendar year. tY' VYes No
8. Crops as specified in the CAWMP were maintained dining the past calendar year on all I/Yes No
sites receiving animal waste and the crops grown, were harvested and removed in
accordance with the facility's permit.
Part III: Affirmation Statement
"I affsrm by my signature that this document and all attachments were
supervision. The information submitted is, to the best of my knowledge aannd belief, truar under e ed aerate and
complete. I am aware that there are significant possibility of civil and criminal penalties," penalties for submitting false information, including the
Permittee Name and Title (type or print)
Date
Signature ofPerFnittee
Qom— S� �W G �' �c �-__ _ _ _._. �-� _ 2, � - � Ua y for in Charge (if different from Permittee) Date
AFOAR 4-12-2019