300010_Waste Pond Closure Form 2021_20210719

Deerview Jersey Farm
c/o Wayne Lutz
300 Lutz Lane
Mocksville, NC 27028
September 25, 2020
Ramesh Ravella
Program Manager
Animal Feeding Operations Program
Division of Water Resources
North Carolina Department of Environmental Quality
1636 Mail Service Center
Raleigh, NC 27699-1636
RE: Request for Rescission of NC DEQ AFO Permit AWC 30-10; Deerview Jersey Farrn; Davie County
Dear Mr. Ravella:
As the permittee, owner, and operator of the Deerview Jersey Farm in Davie County , I am respectfully
requesting immediate rescission of the North Carolina DEQ Animal Feeding Operation (AFO) permit
corresponding to the following information:
Facility: Deerview Jersey Farm
Permittee: Permit Holder's Name
Permit #: AWC 30-10
The depopulation and full shutdown of the dairy was an February 28, 2016. The closure of the structure
to NRCS standards was completed on September 24, 2020. I understand that if the dairy is restarted, I
will be required to apply for a new permit through the Animal Feeding Operations Program prior to
operating.
Please send confirmation of rescission of this permit to my home address provided above. I appreciate
your timely response to this matter. If there are any questions, additional information, or actions
required to fulfill this request, please contact me immediately at (enter phone number here). Thank you
for your assistance.
Sincerely,
Wayne Lutz
Deerview Jersey Farm
cc: Rebecca Chandler; Winston-Salem Regional Office, NC DEQ

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: D / p. j c Li) 1 r )e-
Owner(s) Name: :�.'� f yv L, u T -7
Mailing Address: 3 0 0 vT 2. L0J
bc./Z. C/t U L 11f C. Z C Z Y
Operation Description (remaining animals only):
a, Please 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
o Wean to Feeder
o Feeder to Finish
o Farrow to Wean
o Farrow to Feeder
o Farrow to Finish
o Gilts
o Boars
Type of Poultry No. of Animals
o Layer
o Non -Layer o Dry
Type of Beef No. of Animals o Heifers
o Brood o Calves
o Feeders
o Stockers
Facility No: 3 _1.- / C
Phone No:3- 7 ( 9'7
County:/
Other Type of Livestock:
Type of Dairy No. of Animals
o Milking
Number of Animals:
Will the farm maintain a number of animals greater than the G.S. § 143-215.10B threshold? Yes o No i(
Will other lagoons be in operation at this farm after this one closes? Yes o No oe
How many lagoons are left in use on this farm?: 0
(Name) Re he.Ce Gi OA 6n abet of the Water Quality Regional Operations Section staff in the
Division of Water Resources' Ip r,n Regional Office (see map on back) was
contacted on I/fl/2. a (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 q S g 0 (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 Print): e I./ L4fS t A `1 IJ .. i-' i
Signature:
Date: 7 2 - 6
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): e22 ►1 k'e r-e ✓ -ro '
Affiliation: De7l frt e Jed,' / UM4/ (40, se e cr DI SfII
Address (Age. y): /S 5�, � d'tr. t r� �' Is Placks'i�%4 /I C Phone No.: 3 3e - 7V`. jU 0
Signature:-).,,0( Tie red Date: .fit ;
Return within 15 days following completion of animal water storage pond or lagoon closure to:
N. C. Division of Water Resources
Animal Feeding Operations Branch
1636 Mail Service Center
Raleigh, NC 27699-1636
PLC - 1 Nov 19, 2013