410013_Application_20240320

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Animal Waste Management Systems
Request for Certification of Coverage
Facility Currently covered by an Expiring Sate Non -Discharge General Permit
On September 30, 2024, the North Carolina State Non -Discharge General Permits for Animal Waste Management Systems will
expire. As required by these permits, facilities that have been issued Certificates of Coverage to operate under these State
Non -Discharge General Permits must apply for renewal at least 180 days prior to their expiration date. Therefore, all applications
must be received by the Division of Water Resources by no later than April 3, 2024.
Please do not leave any question unanswered. Please verify all information and make any necessary corrections below.
Application must be signed and dated by the Permittee.
. Certificate Of Coverage Number: AWC410013
2. Facility Name: Whitecedar Dairy
3. Permittee's Name (same as on the Waste Management Plan): Jefferson T Hopkins
4. Permittee's Mailing Address: 8255 White Cedar Rd
City: Browns Summit State: NC
Telephone Number: 336-669-3318 Ext. E-mail: mahnk4 a,aol.com
5. Facility's Physical Address: 8255 White Cedar Rd
City: Browns Summit State: NC
6. County where Facility is located: Guilford
7, Farm Manager's Name (if different from Landowner):
8, Farm Manager's telephone number (include area code):
9. Integrator's Name (if there is not an Integrator, write "None"):
10, Operator Name (OIC): Mary Ann Hopkins Phone No.: 336-669-3316
11. Lessee's Name (if there is not a Lessee, write "None"):
12. Indicate animal operation type and number:
Current Permit: Operations Type Allowable Count
Cattle - Dairy Heifer 20
Cattle - Milk Cow 50
Oneration Tvnes:
Swine
Cattle
Dry Poultry
Wean to Finish
Dairy Calf
Non Laying Chickens
Wean to Feeder
Dairy Heifer
Laying Chickens
Farrow to Finish
Milk Cow
Pullets
Feeder to Finish
Dry Cow
Turkeys
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
Zip: 27214-9544
Zip: 27214
OIC #: 1008229
Other Tvnes
Horses - Horses
Horses - Other
Sheep- Sheep
Sheep - Other

13. Waste Treatment Lagoons, Digesters and Waste Storage Ponds (WSP): (Fill/Verify the following information.
Make all necessary corrections and provide missing data.)
Structure
Name
Structure Type
(Lagoon/Digester/
WSP)
Estimated
Date
Built
Liner Type
(Clay, Synthetic,
Unknown)
Capacity
(Cubic Feet)
Estimated
Surface Area
(Square Feet)
Design Freeboard
'Redline"
(Inches)
LOWER
Waste Pond
I/l/2006
Full, clay
197,855.00
34,845.00
26.00
UPPER
Waste Pond
1/1/1988
Full, clay
98,969.70
19,950.00
27.00
Submit one (1) copy of the Certified Animal Waste Management plan (CAWMP) with this completed and signed
application as required by NC General Statutes 143-215.10C(d), either by mailing to the address below or sending it via
email to the email address below.
The CAWMP must include the following components:
1. The most recent Waste Utilization Plan (WUP), skned by the owner and a certified technical specialist, containing:
a. The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.)
b. A map of every field used for land application (for example: irrigation map)
c. The soil series present on every land application field
d. The crops grown on every land application field
e. The Realistic Yield Expectation (RYE) for every crop shown in the WUP
f The maximum PAN to be applied to every land application field
g. The waste application windows for every crop utilized in the WUP
h. The required NRCS Standard specifications
2. A site map/schematic
3. Emergency Action Plan
4. Insect Control Checklist with chosen best management practices noted
5. Odor Control Checklist with chosen best management practices noted
6. Mortality Control Checklist with selected method noted - Use the enclosed updated Mortality Control Checklist
7. Lagoon/storage pond capacity documentation (design, calculations, etc.) Please be sure the above table is
accurate and complete. Also provide any site evaluations, wetland determinations, or hazard classifications that may be
applicable to your facility.
8. Operation and Maintenance Plan
If your CAWMP includes any components not shown on this list, please include the additional components with your submittal.
(e.g. composting, digesters, solids separators, sludge drying system, waste transfers, etc.)
I attest that this application has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that,
if all required parts of this application are not completed and that if all required supporting information and attachments are not
included, this application package will be returned to me as incomplete.

Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application may be subject to civil penalties up to $25,000 per violation. (18
U.S.C. Section 1001 provides a punishment by a fine of not more than $10,000 or imprisonment of not more than 5 years, or both
for a similar offense.)
Print the Name of the Perm ittee/Lan downer/ Signing Official and Sign below. (If multiple Landowners exist, all landowners
should sign. If Landowner is a corporation, signature should be by a principal executive officer of the corporation):
Name (Print): A r4l PAA A �/nl!!5 Title: dW7ferg
Signature: A't 14/► tr Date: ' 13
Name (Print): Title:
Signature: Date:
Name (Print): Title:
Signature: Date:
THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS:
E-mail: [e-mail]
NCDEQ-DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
If you have any questions regarding this application or the general permits, please call [phone].

Cep &4-e 0- I
This plan has been prepared for:
Whitecedar Dairy
Mary Ann Hopkins
8255 Whitecedar Rd
Browns Summit, NC 27214
336-669-3316
Whitecedar Dairy
11117/2021
This plan has been developed by:
Guilford SWCD
Millie Langley
3309 Burlington Rd
Greensboro, NC 27405
336, 641, 2440
- , a( Q��
Developer 69nature
Type of Plan: Nutrient Management with Manure Only
Owner/Manager/Producer Agreement
I (we) understand and agree to the specifications and operation and maintenance procedures
established in this nutrient management plan which includes an animal waste utilization plan for
the farm named above. I have read and understand the Required Specifications concerning animal
waste management that are included with this plan.
4nat a (owner)
Signature (manager or producer)
Date
Date
This plan meets the minimum standards and specifications of the U.S.Department of Agriculture -
Natural Resources Conservation Service or the standard of practices adopted by the Soil and
Water Conservation Commission.
Plan Approved By: A. J, - )1. ao }aoz-\
Techni I Specialist Signature Date

Planned Crops Summary
Whitecedar Dairy
The table shown below provides a summary of the crops or rotations included in the plan for each field. Realistic Yield estimates
and Plant Available Nitrogen (PAN) recommendations are also provided for each crop as well as the crop's P2O5 Removal
Rate. The Leaching Index (LI) and the Phosphorous Loss Assessment Tool (PLAT) Rating are also provided for each field,
where available.
If a filed's PLAT Rating is High, any planned manure application is limited to the phosphorous removal rate of the harvested
plant biomass for the crop rotation or multiple years in the crop sequence. Fields with a Very High PLAT Rating should receive
no additional applications of manure. Regardless of the PLAT rating starter fertilizers may be recommended in accordance with
North Carolina State University guidelines or recommendations. The quantity of P2O5 applied to each crop is shown in the
following table if the field's PLAT rating is High or Very High.
12/20/2021 11:39:14 AM 1 13

Planned Crops Summary
Whitecedar Dairy
Tract
Field
Total
Wettable
SMU
LI
Crop Name
RYE
Recom-
PLAT
P2O5 (lbstacre)
Acres
Acres
mended
Rating
Crop
PAN
Removal Applied
6473 1
1 8.6
L8.6 Pp62
NA
Fescue Pasture
4.2 Tons
139
Unknown 7
NA
6473 3
3.2
3.2
CIC2
NA
Fescue Pasture 4.6 Tons
152
Unknown
7
NA
6473
4
7.6
5.7 CIC2
NA
Fescue Pasture
4.6 Tons 152
Unknown
7
NA
6473
6
16.2
12.2
CIB2
NA
Fescue Pasture
4.9 Tons
162
Unknown
8
NA
.6473 7
19.7
14.7 CIB2
NA
Corn, Grain
147 Bushels
135
Unknown
65
NA
Barley, Grain
79 Bushels
118
Unknown
30
NA
Soybeans, Manured, Double Crop
41 Bushels
159
Unknown
33
NA
6473
7a
6.2
4.7
Ck6
NA
Corn, Grain
147 Bushels
135
Unknown
65
NA
Barley, Grain
79 Bushels
118
Unknown
30
NA
Soybeans, Manured, Double Crop
41 Bushels
159
Unknown
33
NA
6473
8
10.5
7.9
CIB2
NA
Fescue Pasture
4.9 Tons
162
Unknown
8 NA
6473
10
5.4
5.4
CIB2 NA
Fescue Pasture 4.9 Tons
162
Unknown
8 NA
1000535
1 6.8
6.8 ClB2
NA
Fescue Pasture
4.9 Tons 162
Unknown
8
NA
1000536 1
9.2
6.9
CIB2 NA
Fescue Pasture 4.9 Tons
162
Unknown 8
NA
1000536
2
11.4 8.6 ClB2
NA
Fescue Pasture
4.9 Tons
162
Unknown
8
NA
1001278
2
8.7
8.7
RaB
NA
Fescue Pasture
3.9 Tons
129
Unknown
6 NA
1001278
3
8.6
8.6
CkB
NA
Fescue Pasture
4.9 Tons
162
Unknown
8 NA
1001278
6
31
31 CkB
NA
�-
Fescue Pasture
4.9 Tons
162
Unknown
8
NA
Totals:
153.10
133.00
12/20/2021 11:39:14 AM 213

Planned Crops Summary
Whitecedar Dairy
Notes: 1. In the tract column, — symbol means leased, otherwise, owned.
Ll
Potential Leaching
Technical Guidance
Low potential to contribute to soluble nutrient
None
<2
leaching below the root zone.
Moderate potential to contribute to soluble nutrient
Nutrient Management (590) should be planned.
> = 2 & < = 10
leaching below the root zone.
High potential to contribute to soluble nutrient
Nutrient Management (590) should be planned. Other conservation
leaching below the root zone,
practices that improve available water holding capacity of soil and
improve nutrient use efficiency should be considered. Examples are
> 10
Cover Crops (340) to scavenge nutrients, Sod -Based Rotations (328),
Long -Term No -Till (778), and edge -of -field practices such as Filter
Strips(393) and Riparian Forest Buffers (391).
P Loss Index
Rating
P Management Recommendation
0 - 25
Low
No adjustment needed; N based application
26 - 50
Medium
No adjustment needed; N based application
51 - 100
High
Application limited to crop P removal
> 100
Very High
Starter P application only
12/20/2021 11:W14 AM 313

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C

Required Specifications For Animal Waste Management
1. Animal waste shall not reach surface waters of the state by runoff, drift,
manmade conveyances, direct application, or direct discharge during
operation or land application. Any discharge of waste that reaches surface
water is prohibited.
z. There must be documentation in the design folder that the producer either
owns or has an agreement for use of adequate land on which to properly
apply the waste. If the producer does not own adequate land to properly
dispose of the waste, he/she shall provide evidence of an agreement with a
landowner, who is within a reasonable proximity, allowing him/her the use of
the land for waste application. It is the responsibility of the owner of the
waste production facility to secure an update of the Nutrient Management
Plan when there is a change in the operation, increase in the number of
animals, method of application, receiving crop type, or available land.
3. Animal waste shall be applied to meet, but not exceed, the nitrogen needs
for realistic crop yields based upon soil type, available moisture, storical data,
climatic conditions, and level of management, unless there are regulations
that restrict the rate of applications for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons per acre per
year. Waste may be applied to land eroding at more than 5 tons per acre per
year but less than 10 tons per acre per year provided grass filter strips are
installed where runoff leaves the field (see USDA, MRCS Field Office Technical
Guide Standard 393 - Filter Strips).
s. Odors can be reduced by injecting the waste or by disking after waste
application. Waste should not be applied when there is danger of drift from
the land application field.

s. When animal waste is to be applied on acres subject to flooding, waste will
be soil incorporated on conventionally tilled cropland. When waste is applied
to conservation tilled crops or grassland, the waste may be broadcast
provided the application does not occur during a season prone to flooding
(see "Weather and Climate in North Carolina" for guidance).
7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate
such that runoff does not occur offsite or to surface waters and in a method
which does not cause drift from the site during application. No ponding
should occur in order to control odor and flies.
s. Animal waste shall not be applied to saturated soils, during rainfall events, or
when the soil surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner
that the crop is not covered with waste to a depth that would inhibit growth.
The potential for salt damage from animal waste should also be considered.
10. Nutrients from waste shall not be applied in fall or winter for spring planted
crops on soils with a high potential for leaching. Waste/nutrient loading rates
on these soils should be held to a minimum and a suitable winter cover crop
planted to take up released nutrients. Waste shall not be applied more than
30 days prior to planting of the crop or forages breaking dormancy.
11. Any new swine facility sited on or after October 1,1995 shall comply with the
following: The outer perimeter of the land area onto which waste is applied
from a lagoon that is a component of a swine farm shall be at least 50 feet
from any residential property boundary and canal. Animal waste, other than
swine waste from facilities sited on or after October 1, 1995, shall not be
applied closer than 25 feet to perennial waters.
12. Animal waste shall not be applied closer than 100 feet

13. Animal waste shall not be applied closer than 200 feet of dwellings other
than those owned by the landowner.
14. Waste shall be applied in a manner not to reach other property and public
right-of-ways.
15. Animal waste shall not be discharged into surface waters, drainage ways, or
wetlands by a discharge or by over -spraying. Animal waste may be applied
to prior converted cropland provided the fields have been approved as a land
application site by a "technical specialist". Animal waste shall not be applied
on grassed waterways that discharge directly into water courses, and on
other grassed waterways, waste shall be applied at agronomic rates in a
manner that causes no runoff or drift from the site.
16. Domestic and industrial waste from wash down facilities, showers, toilets,
sinks, etc., shall not be discharged into the animal waste management
system.
17. A protective cover of appropriate vegetation will be established on all
disturbed areas (lagoon embankments, berms, pipe runs, etc.). Areas shall
be fenced, as necessary, to protect the vegetation. Vegetation such as trees,
shrubs, and other woody species, etc., are limited to areas where considered
appropriate. Lagoon areas should be kept mowed and accessible. Berms
and structures should be inspected regularly for evidence of erosion,
leakage, or discharge.
18. If animal production at the facility is to be suspended or terminated, the
owner is responsible for obtaining and implementing a "closure plan" which
will eliminate the possibility of an illegal discharge, pollution, and erosion.
19. Waste handling structures, piping, pumps, reels, etc., should be inspected on
a regular basis to prevent breakdowns, leaks, and spills. A regular
maintenance checklist should be kept on site.

zo. Animal waste can be used in a rotation that includes vegetables and other
crops for direct human consumption. However, if animal waste is used on
crops for direct human consumption, it should only be applied pre -plant with
no further applications of animal waste during the crop season.
21. Highly visible markers shall be installed to mark the top and bottom
elevations of the temporary storage (pumping volume) of all waste
treatment lagoons. Pumping shall be managed to maintain the liquid level
between the markers. A marker will be required to mark the maximum
storage volume for waste storage ponds.
22. Waste shall be tested within 60 days of utilization and soil shall be tested at
least annually at crop sites where waste products are applied. Nitrogen shall
be the rate -determining nutrient, unless other restrictions require waste to
be applied based on other nutrients, resulting in a lower application rate
than a nitrogen based rate. Zinc and copper levels in the soils shall be
monitored and alternative crop sites shall be used when these metals
approach excessive levels. pH shall be adjusted and maintained for optimum
crop production. Soil and waste analysis records shall be kept for a minimum
of five years. Poultry dry waste application records shall be maintained for a
minimum of three years. Waste application records for all other waste shall
be maintained for five (5) years.
23. Dead animals will be disposed of in a manner that meets North Carolina
regulations.

Required Soil Test Values
Hopkins Dairy
The Required Soil Test Values shown in the following table provide a summary of recommended actions that
should be taken based off information provided at time of soil tests. Fields that receive manure must have a soil
analysis conducted at least once every three years. High levels of zinc and copper can adversely affect plant
growth. Alternative crop sites must be used when the concentration of these metals approach excessive levels.
Site life can be estimated by dividing the amount of copper and zinc to be applied in Ibs/acre by 0.036 and 0.071,
respectively and multiplying the result by 0,85. By adding this quantity to the current soil index for copper or zinc,
we can predict life of the site for waste disposal.
In addition to copper and zinc indices, this table also provides a summary of lime recommendations for each
crop based on the first crop listed on the most recent soil sample. Application of lime at recommended rates is
necessary to maintain soil pH in the optimum range for crop production. If the first crop or rotation changes,
these recommendations may need to be reevaluated to ensure optimal ranges ofr crop production are
maintained.
Tract ID
Field iD
Crop(s)
pH
Lime Recom.
for Crop(s)
(tonslacre)
Cu-1
Copper
Recommendation
Zn-1
Zinc
Recommendation
6473
7
6.9
0.0
460
0,0
738
0.0
6473
7a
6.9
0, 0
460
0, o
738
0,0
6494
1
5.5
0,0
812
0,0
443
0, 0
6494
2
5.6
0,0
825
0,0
408
0.0
6966
5
5.9
0,0
50
0, o
129
0,0
7035
4
4.9
0,0
201
0, 0
200
0,0
7035
5
5.8
0,0
155
0.0
134
0,0
9618
1
5.3
0,0
53
0.0
72
0.0
9618
2
5.3
0,0
53
0.0
72
0.0
9618
3
7.6
0,0
150
0,0
328
0,0
9618
4
7.6
0,0
150
0,0
328
0.0
9618
5
7
0,0
219
0,0
348
0,0
1000129
1
7
0,0
219
0, 0
348
0,0
1001278
5
6.3
0,0
352
0, o
454
0,0
1001418
1
6.3
0,0
352
0, 0
454
0,0
1001418
2
6.1
0,0
623
0,0
250
0, 0
1001418
3
4.7
0, 0
73
0,0
52
0,0
1001589
6
5.8
0.0
155
0.0
134
0,0
1001589
7
5.6
0,0
825
0.0
408
0,0
1001589
8
6.8
0,0
58
0, 0
228
0,0
1001589
9
6.8
0,0
58
0,0
408
0,0
5/17/2019 1:16:20 PM 1 12

Required Soil Test Values
Hopkins Dairy
1001589
10
6.8
0,0
58
0,0
228
0,0
1001589
11
6.7
0,0
90
0.0
228
0,0
1001618
1
6.3
0,0
139
0,0
192
0,0
1001618
2
5.7
0,0
471
0,0
112
0,0
1001618
3
6
0.0
286
0,0
289
0,0
1001618
4
5.8
0,0
255
0,0
126
0.0
1001618
5
6.3
0,0
546
0, 0
322
0,0
1001619
1
5.4
0,0
623
0,0
210
0.0
1001619
2
4.8
0,0
244
0,0
64
0,0
1001619
3
5.6
0, 0
411
0,0
195
0.0
1001620
2
6.4
0,0
256
0,0
206
0,0
1001620
3
6.2
0.0
219
(),0
159
0.0
1001620
5
6.2
0,0
219
0,0
169
0,0
1001620
6
5.9
0,0
174
0,0
111
0,0
Zinc and Copper Toxicity Levels in Soils
Metal
Soil Test Index
Recommended Action
Zn
300
Limit application on peanuts. Maintain soil pH - 6.0.
S00
Cease application on peanut land. Maintain soil pH >= 6.0.
2000
Caution: seek alternative site (all crops). Maintain soil pH - 6.0.
3000
Cease application (all crops). Maintain soil pH - 6.0.
Cu
2000
Caution: seek alternative site (all crops). Maintain soil pH - 6.0.
3000
Cease application (all crops). Maintain soil pH - 6.0.
5/17/2019 1:16:20 PM 212

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EMERGENCY ACTION PLAN
PHONE NUMBERS
DWQ 33Co - _770 - goo
EMERGENCY MANAGEMENT SYSTEM 3b& - (Jql — 2X 7
SWCD 33c, - &11- 02�Ao
NRCS 33Ie - 3-15 -5401 x 3
This plan will be implemented in the event that wastes from your operation are leaking,
overflowing, or running offsite. You should not wait until wastes reach surface waters or leave
your property to consider that you have a problem. You should make every effort to ensure that
this does not happen. This plan should be posted in an accessible location for all employees at the
facility. The following are some action items you should take.
1. Stop the release of wastes. Depending on the situation, this may or may not be possible.
Suggested responses to some possible problems are listed below.
A. Lagoon overflow -possible solutions are:
a. Add soil to berm to increase elevation of dam.
b. Pump wastes to fields at an acceptable rate.
c. Stop all flows to the lagoon immediately.
d. Call a pumping contractor.
e. Make sure no surface water is entering lagoon.
B: Runoff from waste application field -actions include:
a. Immediately stop waste application.
b. Create a temporary diversion to contain waste.
c. Incorporate waste to reduce runoff.
d. Evaluate and eliminate the reason(s) that caused the runoff.
e. Evaluate the application rates for the fields where runoff occurred.
C: Leakage from the waste pipes and sprinklers -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Close valves to eliminate further discharge.
d. Repair all leaks prior to restarting pumps.
December 18, 1996

D: Leakage from flush systems, houses, solid separators -action include:
a. Stop recycle pump.
b. Stop irrigation pump.
c. Make sure no siphon occurs.
d. Stop all flows in the house, flush systems, or solid separators.
e. Repair all leaks prior to restarting pumps.
E: Leakage from base or sidewall of lagoon. Often this is seepage as opposed to flowing
leaks- possible action:
a. Dig a small sump or ditch away from the embankment to catch all seepage, put in a
submersible pump, and pump back to lagoon.
b. If holes are caused by burrowing animals, trap or remove animals and fill holes and
compact with a clay type soil.
c. Have a professional evaluate the condition of the side walls and lagoon bottom as soon
as possible.
2. Assess the extent of the spill and note any obvious damages.
a. Did the waste reach any surface waters?
b. Approximately how much was released and for what duration?
c. Any damage noted, such as employee injury, fish kills, or property damage?
d. Did the spill leave the property?
c. Does the spill have the potential to reach surface waters?
f. Could a future rain event cause the spill to reach surface waters?
g. Are potable water wells in danger (either on or off of the property)?
h. How much reached surface waters?
3: Contact appropriate agencies.
a. During normal business hours, call your DWQ (Division of Water Quality) regional office;
Phone - - . After hours, emergency number: 919-733-3942. Your phone call
should include: your name, facility, telephone number, the details of the incident from item
2 above, the exact location of the facility, the location or direction of movement of the
spill, weather and wind conditions. The corrective measures that have been under taken,
and the seriousness of the situation.
b. If spill leaves property or enters surface waters, call local EMS Phone number - -
c. Instruct EMS to contact local Health Department.
d. Contact CES, phone number - - , local SWCD office phone number - - , and
local NRCS office for advice/technical assistance phone number - -
December 18, 1996

4: If none of the above works call 911 or the Sheriffs Department and explain your problem to
them and ask that person to contact the proper agencies for you.
5: Contact the contractor of your choice to begin repair of problem to minimize off -site damage.
a. Contractors Name: S+CVf Car4f-+r tk F ff, LeW 5 1 , el;bwvi "e
b. Contractors Address: `8401 1�ic�dlt ricl r S. ?4l1 4' �59Z(�t��
c. Contractors Phone: 33U- 654 -2/433 home 33G' �5l"
6: Contact the technical specialist who certified the lagoon (MRCS, Consulting Engineer, etc.)
a. Name: _M;illt Cl
b. Phone: 33 - Ct 1-
7: Implement procedures as advised by DWQ and technical assistance agencies to rectify the
damage, repair the system, and reassess the waste management plan to keep problems with
release of wastes from happening again.
December 18, 1996

Version —November 26, 2018
Mortality Management Methods
Indicate which method(s) will be implemented.
When selecting multiple methods indicate a primary versus secondary option.
Methods other than those listed must be approved by the State Veterinarian.
Primary Secondary Routine Mortality
Burial three feet beneath the surface of the ground within 24 hours of knowledge of animal
death. The burial must be at least 300 feet from any flowing stream or public body of water
(G.S.106-403). The bottom of the burial pit should be at least one foot above the seasonal
high water table. Attach burial location map and plan.
Landfill at municipal solid waste facility permitted by NC DEQ under GS 15A NCAC
13B .0200.
f7 Rendering at a rendering plant licensed under G.S. 106-168.7.
Complete incineration according to 02 NCAC 52C .0102.
A composting system approved and permitted by the NC Department of Agriculture & Con-
sumer Services Veterinary Division (attach copy of permit). if compost is distributed off -farm,
additional requirements must be met and a permit is required from NC DEQ.
{� In the case of dead poultry only, placing in a disposal pit of a size and design approved by the
U NC Department of Agriculture & Consumer Services (G.S. 106-549.70).
a El Any method which, in the professional opinion of the State Veterinarian, would make possible
the salvage of part of a dead animal's value without endangering human or animal health.
(Written approval by the State Veterinarian must be attached).
Mass Mortality Plan
Mass mortality plans are required for farms covered by an NPDES permit. These plans are
also recommended for all animal operations. This plan outlines farm -specific mortality man-
agement methods to be used for mass mortality. The NCDA&CS Veterinary Division sup-
ports a variety of emergency mortality disposal options; contact the Division for guidance.
• A catastrophic mortality disposal plan is part of the facility's CAWMP and is activated
when numbers of dead animals exceed normal mortality rates as specified by the State
Veterinarian.
• Burial must be done in accordance with NC General Statutes and NCDA&CS Veterinary
Division regulations and guidance.
• Mass burial sites are subject to additional permit conditions (refer to facility's animal
waste management system permit).
• In the event of imminent threat of a disease emergency, the State Veterinarian may enact
additional temporary procedures or measures for disposal according to G.S. 106-399.4.
AJA)U4 alx4u
Signature of Farm ner/Manager
>4,- M, � C, )
Signature of Teci6al 4ecialist
L"2 g lane
Date
,5 1 f �
Date

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36° 14' 3T N
3V 14: 10'N
Soil Map—Guil€ord County, North Carolina
N (Redcedar Dairy %1000535)
I
3 �
Map Scale: 1:3,W if printed on A porhait (S.S' x 11") sheet
� Meters �
N 0 50 100 200 30D
A
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0 150 300 000 900
Map projection: Web Mercator Comermordinates: WGS84 Edge tics: UTM Zone 17N WGSM
usDADA Natural Resources Web Soil Survey 3/13/2024
Conservation Service National Cooperative Soil Survey Page 1 of 3
36" 14' 3T' N
36° 14' Ur N

Soil Map —Guilford County, North Carolina
Map Unit Legend
Redcedar Dairy T-1000535
Map Unit Symbol
Map Unit Name
Acres in A01
Percent of AOI
CkC
Clifford sandy loam, 6 to 10
2.6
19.2%
percent slopes
1
CIB2
Clifford sandy clay loam, 2 to 6
percent slopes, moderately
8.0
59.61
eroded
�
NaB
Nathalie sandy loam, 2 to 6
1.01
7.3%
slopes
}percent
NaC
Nathalie sandy loam, 6 to 10
1.8
13.1 %
percent slopes
PoE
-- —
Poplar Forest sandy loam, 15
-- --
— --
0.1
_—
0.8%
to 35 percent slopes
�Totals for Area of Interest
13.4
100.0%j
USDA Natural Resources Web Soil Survey 3/13/2024
Conservation Service National Cooperative Soil Survey Page 3 of 3

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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 of 15A NCAC 271' .1304(c) and 15A NCAC 2T .1305(d) this form is official notification
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste Management Facility. This form
must be submitted to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of
.y No: 1 r _ / 3
Previous Owncr(s) Name: _,T6 44 f- Lst3>J T 146PPIA0e, Phone No: 3
New Owner(s) Name: 111F) & tj 14xw Nv p k t e--5 Phone No: 3 56, 661 3 I
New Farm Name (if applicable): Mail ing Address: RX65LL&'Jap— & MvAfS W5 j 7-/II
Faun Location: Latitude and Longitude: . aio I -?A. (e5gz5 County:__aA111,6ed
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.): JFA-f- +r1 is (o cap�ej ct+ end, o i W h k of&C Rj
DGMTH "IT IT-047 i [i5l A
Type of Swine No. of Aniruals
• Wean to Feeder
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
o Farrow to Finish
o Gilts
o Boars
Type of Poultry No. of Animals
❑ Layer
❑ Pullets
Other Type of Livestock:.
Type of Cattle No. of Animals
Vtairy -/O
n Beef
Number of Animals:
Acreage Available for Application: I f53, Required Acreage: /ow) _
Number of Lagoons I Storage Ponds: Total Capacity:_ _1 ('IAII Cubic Feet (ft3)
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 NPDF,S Permit and completion of this form authorizes the
Division of Water Resources to issue the required permit to the new land owner.
Name of
Signature
Name of r
Name of Manager (ifflifferent from owner)
Signature:
Please sign and return this form to:
M
N. C. Division of Water Resources
April 23, 2012
-/3-A
Date: 3 _ /3 - J.