090101_Application_20211113

10/27/21, 8:13 AM
Scan_20211026(2).png
Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print ail 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
io the Division of Water Quality (LJWQ) of the transfer of ownership of an Animal Waste Management Facility. This form
must be submitted to DWQ no later than 60 days following the transfer of owner-sbip_
General Information:
Name of Farm: Fletcher McDuffis Fartrns Facility No: 9-1 O1
Previous Owner(s) Name: p 2 �c k�r- f■tc PAtfig- Phone No:910-862-4150
New Owner(s) Name: Robert & Jean .Livingston and Filemeno & Alma Gonzalez Phone No:910-862-1643
New Farm Name: Turnbull White lake
Farm
Mailing Address: 2019 Dowd Dairy Rd, White Oak, NC 28399
Farm Location: Latitude and Longitude: 34.685983 1 78.560908 County: B1aden
Please attach amp), ofa county road map with location identified and describe below (Be specific: road names, directions,
milepost. etc.): Take US 701 north of Elizabethtown 3.7 miles. Turn left onto Sweet Home Church Rd. and travel 2.7 miles to
fax n m on left.
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type ofCattle No. of Animas.
O Wean to Feeder 0 Layer D Dairy
pia, Feeder to Finish 2205 0 Pullets 0 Beef
© Farrow to Wean
© Farrow to Feeder
0 Farrow to Finish Other Type of Livestock: Number ofAnirrrals:
0 Gilts
© Boars
Acreage Avails for Application: 13.46
Required Acreage: 13.46
Number o agocrns Storage Ponds :1 Total Capacity: 20' 3 r1' Cubic Feet (ft3)
****t**** *** *c** ******x,*********** **: ****:******sty********** **g
Owner / Manager Agreement
1 (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 Managernent 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- 1 (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 stone event less severe than the 25-year,
24-hour storm and there must not be run-off from the application of animal waste. 1 (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 Previo s Land Owner: Fletcher McDuffic
Signature: T S4# Date: le— , 1,— r . 2]
Name o]f New .i air I Owner: Robert & Jean Livingston ttFi�lemeno & Alma Gonzalez
YI
Mat! .3r '* dL i t
Name F' • IF g (ifdi`e
weer):'
Signature; Date:
Please sign and return this form to:.
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
May 2, 2007

1 inch 25,600 feet
//gis.biadenco.org
Ganerated by htip
November 8, 2021
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