310237_Application_20210312

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
RECEIVED
MAR 12 2021
In accordance with the requirements of 15A NCAC 2T .1304(c) and 15A NCAC 2T .1305(d) this form is officia • ' ion
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste ManagNCD' �'=I.;I�i."This
form must be submitted to DWR no later than 60 days following the transfer of ownership. Centres ce
General Information:
Previous Name of Farm: Herman Davis Houston Farm Facility No: 31 -237
Previous Owner(s) Name: William M. Dotson Phone No: 910-298-4362
New Owner(s) Name: Christopher E. Rhodes _Phone No: 910-296-7334
New Farm Name (if applicable): CR Farms
Mailing Address: 417 N. Blizzardtown Road, Beulaville, NC 28518
Farm Location: Latitude and Longitude: f .. 56_ _6 "/ nT 50' _489N County: Duplin
Please attach a copy of a county road map with location identified., and provide du; location address and driving directions
below (Be specific: road names, directions, milepost, etc.):
158 Atkinson and Blizzard Lane, Kenansville, NC 28349
Operation Description:
Type of Swine No. of Animals. Type of Swine No. of Animals Type of Cattle No. of Animals
0 Wean to Feeder 0 Gilts 0 Dairy
0 Wean to. Finish 0 Boars , 0 Beef
El Feeder to Finish 2.940
0 Farrow to Wean Type of Poultry No. of Animals
0 Farrow to Feeder 0 Layer
0 Farrow to Finish 0 Pullets
Other Type of Livestock: _ _ Number of Animals:
Acreage Available for Application: 25.15 Required Acreage: 21.00
Number of Lagoons / Storage Ponds: 1 Total Capacity: 588,929 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 aischargt; of animals .vasty: 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 and Owner: William M. Dotson
Sigaaturk �.�..r a.." Date: ^ 3 — -/
Name of New Land Owner: Christo her E. Rhodes hh
'�% �4 i E Date: J- -21
Signature
Name of Manager (if different from owner):
Signature: Date:
Please sign and return this form to: Animal Feeding Operations
N. C. Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699-1636
June 12, 2015

RECEIVED
MAR 12 2021
NC DEQ/DWR
Central Offic
i
1
Animal Waste Management System Operator Designation Form
WPCSOCC
NCAC 15A 8F .0201
Facility/Farm Name: CR Farms
Permit #: AWS3100237 Facility ID#: 31 - 237 County: Duplin
Operator In Charge (OIC)
Name: William M
Dotson
First
Middle
Cert Type / Number: AWA 16363
Signature
Last
Jr. Sr, etc.
Work Phone: ( 910 298-4362
Date: 3_ 3 " 2-1
"I certify that I agree to my designation as the Operator in Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities set forth in 15A NCAC O8F .0203 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
Back-up Operator In Charge (Back-up OIC) (Optional)
First Middle Last Jr. Sr. etc.
Cert Type / Number: Work Phone: ( )
Signature: Date:
"I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities set forth in 15A NCAC 08F .0203 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Owner/Permittee Name: Christopher E. Rhodes
Phone #: [phone]
Signatur
Fax#:(
er or authori agent)
Date: 3- 3-21
Mail or fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax: [phone]
(Retain a copy of this form for your records)
Revised 13t2007