520018_Change of Ownership_20211216

Signature: aw------—..-----0 ne SiN*uS 7 oc.
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 be submitted to DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farm: Potter's Hill Nursery # 1 & #2
Previous Owner(s) Name:
New Owner(s) Name:
Maxwell Foods, LLC
NC Real Estate Properties, LLC
Facility No: 52-18
Phone No:919-778-3130
Phone No:910-303-9423
Mailing Address: 1627 Stonegate N, Sanford, NC 27332
Farm Location: Latitude and Longitude: 34.989086 / 77.685410 County: Jones
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.): Take NC 41 east of Beulaville approx.6.6 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
)140 Wean to Feeder 6400 0 Layer 0 Dairy
❑ Feeder to Finish 0 Pullets 0 Beef
Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish Other Type of Livestock: Number of Animals:
❑ Gilts
❑ Boars
Acreage Available for Application: 24
Required Acreage: 24
Number of Lagoons / Storage Ponds :2 Total Capacity: 315,280 Cubic Feet (ft3)
************************************************************************************
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 Quality to issue the required permit to the new land owner.
Name of Previous Lan er:--Mgrwell-foods LV
Signature: Date: 60/0ff/
Name of New and Owner: NC Real Estate Properties, LLC and Devon Beachv
Date:
%1—pia.1\
Name of Manager(if differen from caner): q
Signature: Date: / ` 2- 2021
Please sign and return this form to:
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
May 2, 2007

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
Maxwell Foods LLC
Potter's Hill Nursery #1 & #2
PO Box 10009
Goldsboro, NC 27532-0009
Dear Maxwell Foods LLC:
NORTH CAROLINA
Environmental Quality
September 23, 2019
Subject: Certificate of Coverage No. AWS520018
Potter's Hill Nursery #1 & #2
Swine Waste Collection, Treatment,
Storage and Application System
Jones County
In accordance with your renewal request, we are hereby forwarding to you this Certificate of Coverage
(COC) issued to Maxwell Foods LLC, authorizing the operation of the subject animal waste management
system in accordance with General Permit AWG 100000. Please read this COC and the enclosed State
General Permit carefully.
This approval shall consist of the operation of this system including, but not limited to, the management
and land application of animal waste as specified in the facility's Certified Animal Waste Management Plan
(CAWMP) for Potter's Hill Nursery #1 & #2, located in Jones County, with a swine animal capacity of no
greater than the following annual averages:
•
Wean to Finish: Feeder to Finish: Boar/Stud:
Wean to Feeder: 6400 Farrow to Wean: Gilts:
Farrow to Finish: Farrow to Feeder: Other:
If this is a Farrow to Wean or Farrow to Feeder operation, there may be one boar for each 15 sows. Where
boars are unnecessary, they may be replaced by an equivalent number of sows. Any of the sows may be
replaced by gilts at a rate of 4 gilts for every 3 sows.
This COC shall be effective from October 1, 2019 until September 30, 2024 and shall hereby void
Certificate of Coverage Number AWS520018 that was previously issued to this facility. Pursuant to this
COC, you are authorized and required to operate the system in conformity with the conditions and
limitations as specified in the General Permit, the facility's CAWMP, and this COC. An adequate system
for collecting and maintaining the required monitoring data and operational information must be established
for this facility. Any increase in waste production greater than the certified design capacity or increase in
number of animals authorized by this COC (as provided above) will require a modification to the CAWMP
and this COC and must be completed prior to actual increase in either wastewater flow or number of animals.
You are encouraged to update your Swine Odor Control Checklist using the enclosed form. If you do so,
you must send a copy of the updated form to the Animal Feeding Operations Program at the address below.
Please pay careful attention to the record keeping and monitoring conditions in this permit. Stocking and
Mortality Form (STOCK-1) has been updated: all other record keeping forms are unchanged with this
General Permit. Please use the most current record keeping forms.
North Carolina Department of Environmental Quality 1 Division of Water Resources
512 North Salisbury Street 1 1636 Mail Service Center I Raleigh. North Carolina 27699-1636
919.707.9000

If your Waste Utilization Plan (WUP) has been developed based on site -specific information, careful
evaluation of future samples is necessary. Should your records show that the current WUP is inaccurate
you will need to have a new WUP developed.
The issuance of this COC does not excuse the Permittee from the obligation to comply with all applicable
laws, rules, standards, and ordinances (local, state, and federal), nor does issuance of a COC to operate
under this permit convey any property rights in either real or personal property.
Per 15A NCAC 02T .1304 and NRCS standards a 100-foot separation shall be maintained between water
supply wells and any lagoon, storage pond, or any land application of waste.
Please be advised that any violation of the terms and conditions specified in this COC, the General Permit
or the CAWMP may result in the revocation of this COC, or penalties in accordance with NCGS 143-
215.6A through 143-215.6C including civil penalties, criminal penalties, and injunctive relief.
If any parts, requirements, or limitations contained in this COC are unacceptable, you have the right to
apply for an individual permit by contacting the Animal Feeding Operations Program for information on
this process. Unless such a request is made within 30 days, this COC shall be final and binding.
In accordance with Condition II.23 of the General Permit, waste application shall cease within twelve (12)
hours of the time that the National Weather Service issues a Hurricane Warning, Tropical Storm Warning,
or a Flood Watch/Flash Flood Watch associated with a tropical system for the county in which the facility
is located. You may find detailed watch/warning information for your county by calling the
Newport/Morehead City, NC National Weather Service office at [phone], or by visiting their
website at: www.weather.gov/mhx/
This facility is located in a county covered by our Washington Regional Office. The Regional Office staff
may be reached at 252-946-6481. If you need additional information concerning this COC or the General
Permit, please contact the Animal Feeding Operations Program staff at [phone].
Sincerely,
for Linda Culpepper
Director, Division of Water Resources
Enclosures (General Permit AWG 100000)
cc: (Certificate of Coverage only for all ccs)
Washington Regional Office, Water Quality Regional Operations Section
Jones County Health Department
Jones County Soil and Water Conservation District
Central Files (Permit No. AWS520018)
Maxwell Foods LLC