670008_Rescission_20210910

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: Jordan's Pig Farm Facili kisis08
Owner(s) Name: Edward D Jordan gp 1
Mailing Address: 2350 Belgrade Swansboro Rd Phone No: 910 389 3678 0 2021
Maysville, NC 28555 County: Onslow NC Decybmin.
R
weftraf
Operation Description (remaining animals only.):
o 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 Type of Poultry No. of Animals Type of Dairy No. of Animals
Wean to Feeder 3840 o Layer o Milking
o Feeder to Finish o Non -Layer o Dry
o Farrow to Wean Type of Beef No. of Animals o Heifers
o Farrow to Feeder o Brood o Calves
o Farrow to Finish o Feeders
o Gilts o Stockers
o Boars Other Type of Livestock: Number of Animals:
Will the farm maintain a number of animals greater than the G.S. § 143-215.10B threshold? Yes o No X
Will other lagoons be in operation at this farm after this one closes? Yes o No X
How many lagoons are left in use on this farm?: None
(Name) Steve West of the Water Quality Regional. perations Section staff in the
Division of Water Resources' Wilmington Regional Office (see map on back) was contacted
on 9/1/2021 (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 9/3/2021 (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 ner Please P 'nt): Edward D Jordan
a �]
Signature: ( [� Date: 9 -- 7 - 02/
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): ( J vl n Gt lJ Ci' (faC' .
Affiliation: nooct�l) e OJ&fie
Address (Agen
Signature:
A ): 4O &' 1g di ( o's 56?.,JLLG 7'iV/ &Phone No.: &/D) 937 -130g
�► A4. • /;0CL2 Date: 9— %' c J
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