090003_Application_20211026

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In acconcce with
to the Divisi
form must
Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
uirements of 15A NCAC 2T .1304(c) and 15A NCAC 2T .1305(d) this form is official notification
Resources (DWR) of the transfer of ownership of an Animal Waste Management Facility. This
ed to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: Frenches Creek Sow Farm Facility No: 9
Previous Owner(s) Name: Murphy -Brown, LLC
New Owner(s) Name: Pork Palace, LLC
New Farm Name (if applicable):
Mailing Address: P.O. Box 2107, Elizabethtown, NC 28337
Farm Location: Latitude and Longitude: 34
32' 50" / 78
25' 00"
3
Phone No: 910-293-3434
Phone No:
County: Bladen
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.): From White Lake in Bladen County, take NC Hwy 53 East approximately
9.2 miles to the farm entrance on the left.
Operation Description:
Type of Swine
❑ Wean to Feeder
❑ Wean to Finish
No. ofAnimals
❑ Feeder to Finish
Farrow to Wean 2400
❑ Farrow to Feeder
❑ Farrow to Finish
Type of Swine
❑ Gilts
❑ Boars
No. of Animals
Type of Cattle No. ofAnimals
❑ Dairy
❑ Beef
Type of Poultry No. ofAnimals
❑ Layer
❑ Pullets
Other Type of Livestock: Number ofAnimals:
Acreage Available for Application: 57.52 Required Acreage: 38
Number of Lagoons / Storage Ponds: 1 Total Capacity: 1,566,243 Cubic Feet (ft3)
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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 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 Land Owner: Murphy -Brown, LLC
Signatu Date: 10 )11-'2, I
Name of ew d Owner: Pork Palace, LLC
Signature: ( ' Date:
/CAA/i,
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

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