820326_Complete File - Historical_20020902

SEP 9 20
Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
Existing
General Information:
Name of Farm:
Owner(s) Name:
Mailing Address:
Farm Location:
Latitude and Longitude: 34 45 09 / 73 18 07
New
or Expanded (please circle one)
Clear Run # 2, 3, 4, & 5 Facility No: 82-326
Black River Farms, LLC Phone No: 910-532-472C.
P.O. Box 1 Harrells, NC 28444
County Farm is located in: Sampson
Integrator: BOC
Please attach a copy of a county road map with location identified and described below (Be specific: road
names, directions, milepost, etc.): Hwy 411 west from Harrells. Farm drive approx. 7 miles on right.
Operation Description:
Type of Swine
I ✓I
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
No. of Animals Type of Poultry
0 Layer
1200 0 Pullets
2750
No. of Animals
Type of Cattle No. of Animals
I —I Dairy
Beef
Expanding Operation Only
Previous Design Capacity
Additional Design Capacity Total Design Capacity
Acreage Available for Application:
52.4 Required Acreage:
Number of Lagoons / Storage Ponds:
Are subsurface drains present on the farm: Yes
If YES: are subsurface drains present in the area of the LAGOON or SPRAY FIELD`( -please circle one)
4 Total Capacity: 1
51.4
or
654 Cubic Feet (ft3)
(please circle one)
**************************************************************************************************************************************
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 approved animal waste management plan for the farm named above and will implement
these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and storage system or
construction of new facilities will require a new certification to be submitted to the Division of Environmental Management 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 run-off of pollutants from
lounging and heavy use areas must be minimized using technical standards developed by the Natural Resources Conservation
Service. The approved plan will be filed at the farm and at the office of the local Soil and Water Conservation District. I (we) know that
any modification must be approved by a technical specialist and submitted to the Soil and Water Conservation District prior to
implementation. A change in land ownership requires written notification to DEM or a new certification (if the approved plan is
changed) within 60 days of a title transfer.
Name of Land Owner: Kenn-th Neil Moore for Black River Farms, LLC
Signature: %1 ,; - Date: X-JS OZ
Name of Manager (if different from owner):
Signature:
Date
AWC -- August 1, 1997 1

Technical Specialist Certification
/. As a technical specialist designated by the North Carolina Soil and Water Conservation Commission
pursuant to 15A NCAC 6F .0005. I certify that the animal waste management system for this farm named
above has an animal waste management plan that meets or exceeds standards and specifications of the
Division of Environmental Management (DEM) as specified in 15A NCAC 2H.201 and the USDA -Natural
Resources Conservation Service (NRCS) and/or the North Carolina Soil and Water Conservation Commission
pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001.0005. The following elements are included in the
plan as applicable. While each category designates a technical specialist who may sign each certification (SD,
SI, WUP, RC, I), the technical specialist should only certify parts for which they are technically competent.
II. Certification of Design
A) Collection. Storage, Treatment System
Check th appropriate box
Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity: storage capability consistent with waste
utilization requirements.
New, expanded or retrofitted facility (SD)
Animal waste storage and treatment structures, such as but not limited to collection systems, lagoons
and ponds, have been designed to meet or exceed the minimum standards and specifications.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy -Brown, LLC
Date Work Completed: 5 - %
Address (Agency): P.O. B x 856 Warsaw 28398 Phone No.: 910-293-3434
Signature: t ,4-r_-- Date: / - 21-0 2
B) Land Application Site (WUP) � or;�;na.i Cep+ • c/a �E 67 ft4w�<
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization;
chosen crop is suitable for waste management hydraulic and nutrient loading rates.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy -Brown, LLC Date Work Completed: J- i?-Da--
Address (Agency): P.O. Box 856 Warsaw 28398 Phone No.: 910-293-3434
Signature: (.AJt
\ i
C) Runoff Controls from Exterior Lots
Check the appropriate box
Date:
i� Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
Facility with exterior lots (RC)
Methods to minimize the run off of pollutants from lounging and heavy use areas have been
designed in accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy -Brown, LLC Date Work Completed:
Address (Agency): P.O. Box 856 Warsaw 28398 Phone No.: 910-293-3434
Signature:
Date:
AWC -- August 1, 1997 2

D). Application and Handling Equipment
Che hthe1appro ' ox
��' xistinexpanding facility with existing waste application equipment (WUP or I)
mat waste application equipment specified in the plan has been either field calibrated or evaluated
in accordance with existing design charts and tables and is able to apply waste as necessary to
accommodate the waste management plan: (existing application equipment can cover the area
required by the plan at rates not to exceed either the specified hydraulic or nutrient loading rates. A
schedule for timing of applications has been established; required buffers can be maintained and
calibration and adjustment guidance are contained as part of the plan).
New, expanded or existing facility without existing waste application equipment for spray irrigation. (I)
Animal waste application equipment specified in the plan has been designed to apply waste as
necessary to accommodate the waste management plan: (proposed application equipment can
cover the area required by the plan at rates not to exceed either the specified hydraulic or nutrient
loading rates; a schedule for timing of applications has been established: required buffers can be
maintained: calibration and adjustment guidance are contained as part of the plan).
Ar
New, expanded or existing facility without existing waste application equipment for land spreading not
using spray irrigation. (WUP or I)
Animal waste application equipment specified in the plan has been selected to apply waste as
necessary to accommodate the waste management plan: (proposed application equipment can cover
the area required by the plan at rates not to exceed either the specified hydraulic or nutrient loading
rates: a schedule for timing of applications has been established; required buffers can be maintained:
calibration and adjustment guidance are contained as a part of the plan).
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy -Brown, LLC Date Work Completed: /- /7-o Z
Address (A e c ): P.O. Bo?(856 Warsaw 28398 Phone No.: 910-293-3434
Signature: (/kwv— Date:
E) Odor Con ol, Insect Control, Mortality Management and Emergency Action Plan (SD.
SI, WUP, RC or I)
The waste management plan for this facility includes a Waste Management Odor Control Checklist,
an Insect Control Checklist, a Mortality Management Checklist and an Emergency Action Plan.
Sources of both odors and insects have been evaluated with respect to this site and Best
Management Practices to Minimize Odors and Best Management Practices to Control Insects have
been selected and included in the waste management plan. Both the Mortality Management Plan and
the Emergency Action Plan are complete and can be implemented by this facility.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy -Brown, LLC Date Work Completed: k 17 -o 2
Address (Agency): P O, Bp?),( 856 Warsaw 28398 Phone No.: 910-293-3434
Signature: _ 1 Date: f - 2. -o Z
F) Written otice of New or Expanding Swine Farm
The following signature block is only to be used for new or expanding swine farms that begin
construction after June 21, 1996. If the facility was built before June 21, 1996, when was it
constructed or last expanded
I (we) certify that I (we) have attempted to contact by certified mail all adjoining property owners and
all property owners who own property located across a public road, street or highway from this new or
expanding swine farm. The notice was in compliance with the requirements of NCGS 106-805. A
copy of the notice and a list of property owners notified is attached.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date
AWC -- August 1, 1997 3

Ill. Certification of Installation
A) Collection, Storage, Treatment Installation
New, expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have
been installed in accordance with the approved plan to meet or exceed the minimum standards and
specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
B) Land Application Site (WUP)
Check the appropriate box
The cropping system is in place on all land as specified in the animal waste management plan.
Conditional Approval: all required land as specified in the plan is cleared for planting: the
cropping system as specified in the waste utilization plan has not been established and the owner
has committed to establish the vegetation as specified in the plan by (month/day/year);
the proposed cover crop is appropriate for compliance with the waste utilization plan.
Also check this box if appropriate
If the cropping system as specified in the plan can not be established on newly cleared
land within 30 days of this certification, the owner has committed to establish an interim
crop for erosion control:
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy -Brown, LLC
Date Work Completed: /-i9- 2.-
Address (Agency): P.O. , 856 Warsaw 28398 Phone No.: 910-293-3434
Signature J�� i Date: / -,2`i Z-
This following signature block is only to be used when the box for conditional approval in III. B
above has been checked.
I (we) certify that I (we) have committed to establish the cropping system as specified in my (our) waste utilization
plan, and if appropriate to establish the interim crop for erosion control, and will submit to DEM a verification of
completion from a Technical Specialist within 15 calendar days following the date specified in the conditional
certification. I (we) realize that failure to submit this verification is a violation of the waste management plan and
will subject me (us) to an enforcement action from DEM.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date
AWC -- August 1, 1997 4

Address (Agency):
Signature:
C) Runoff Controls from Exterior Lots (RC)
Facility with exterior Tots
Methods to minimize the run off of pollutants from lounging and heavy use area have been installed
as specified in the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Phone No.:
Date:
D) Application and Handling Equipment Installation (WUP or I)
Check the appropriate block
lid Animal waste application and handling equipment specified in the plan is on site and
ready for use; calibration and adjustment materials have been provided to the owners
and are contained as part of the plan.
Animal waste application and handling equipment specified in the plan has not been
installed but the owner has produced leasing or third party application and has provided
a signed contract: equipment specified in the contract agrees with the requirements of
the plan: required buffers can be maintained: calibration and adjustment guidance have
been provided to the owners and are continued as part of the plan.
Conditional approval: Animal waste application and handling equipment specified in
the plan has been purchased and will be on site and installed by
(month/day/year); there is adequate storage to hold the waste until the equipment is
installed and until the waste can be land applied in accordance with the cropping system
contained in the plan; and calibration and adjustment guidance have been provided to
the owners and are contained as part of the plan.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy Family Farms Date Work Completed: )-/7-0 42
Address (Agency): P.O. Box 759, Rose Hill 28458 Phone No.:[phone]
Signature: Date: /—
The following signature block is only used when the box for conditional approval in III D above
has been checked.
I (we) certify that I (we) have committed to purchase the animal waste application and handling equipment as
specified in my (our) waste management plan and will submit to DEM a verification of delivery and installation
from a Technical Specialist within 15 days following the date specified in the conditional certification. I (we)
realize that failure to submit this verification is a violation of the waste management plan and will subject me (us)
to an enforcement action from DEM.
Name of Land Owner:
Signature: Date:
Name of Manager (if different from owner):
Signature: Date
E) Odor Control, Insect Control and Mortality Management (SD, SI, WUP, RC or I)
Methods to control odors and insects as specified in the Plan have been installed and are operational. The
mortality management system in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): Dawn Williamson
Affiliation Murphy Family Farms
Date Work Completed: /- / 7- o
Address (Agency): P.O Box 759, Rose Hill 28458 Phone No.: [phone]
Signature: �'i "` -Y%-- Date: /— ; & -Do2
AWC -- August 1, 1997 5

Please return the completed form to the Division of Water Quality at the following Address:
Department of Environment, Health, and Natural Resources
Division of Water Quality
Water Quality Section, Compliance Group
P.O. Box 29535
Raleigh, NC 27626-0535
Please remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the local Soil and Water Conservation District Office and to keep a
copy in your files with your Animal Waste Management Plan.
AWC -- August 1, 1997 6