820474_Owner (Name Change)_20210622

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 2T .1304(c) and 15A NCAC 2T .1305(d) this form is official notification
to the Division of Water Quality (DWQ) of the transfer of ownership of an Animal Waste Management Facility. This form
must he submitted to DWQ no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: Three W Farms Facility No: 82-474
Previous Owner(s) Name: Three W Farms, LLC Phone No:704-651-0326
New Owner(s) Name: Chase & Emily Piercy Phone No:910-249-0416
New Farm Name: Bamboo Farm
Mailing Address: 4148 Union School Rd. Clinton, NC 28328
Faun Location: Latitude and Longitude: 34.938589 / 78.2305863 County: Sampson
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.): Take US 701 south of Clinton to Rowan Rd. Turn left travel .7 miles to Reedsford Rd. Turn right, travel
approx. 4.8 miles to farm on left.
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Wean to Feeder ❑ Layer 0 Dairy
Feeder to Finish 3864 0 Pullets 0 Beef
❑ Farrow to Wean
Cl Farrow to Feeder
❑ Farrow to Finish Other Type of Livestock: Number of Animals:
❑ Gilts
❑ Boars
Acreage Available for Application: 65.33 Required Acreage:29.67
Number of Lagoons / Storage Ponds :2 Total Capacity: 1,114,099 Cubic Feet (ft3)
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Owner / Manager Agreement
1 (we) verify that al] 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 NPDES Permit and completion of this form authorizes the
Division of Water Quality to issue the required permit to the new land owner.
Name of Previous Land Owner:
Signature: \ A
Name of New Land Ow
Signature:
Three W Farms, LLC
•
Chase Pierce, Emily Piercv
Date:6/2/2020
1
Date:6/2/2020
Name of Manager(if di Brent from owner):
Signature:
Please sign and return this form to:
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
May 2, 2007
Date: