310043_Application_20211221

Name of Previous Land Owner:
Signature: _ .-, (`_ _ 4 t �.----'"
Name of New [mod owner:--ReiS Price Hog Farms
Type ofPaultry
© Layer
0 Pullets
Signature:„ 772. -
Name of Manager(if different from owner):
Notification of Change of Ownership
Animal Waste Management Facility
(Please t, Pe or print all information that does not require a signature)
In accordance with the requirements of 15 A 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 owvnership.
General Information:
Previous Name of Farm: Jordan Farrn Facility No: 31-4
Previous Owner(s) Name: Maxwell Foods, LLC Phone No:9 I 9-778-3130
New owner(s) Nance: R&S Price HOE, Fanns Phone No:919-222_2508
New Faun Name: R&S Price Hog Farm
Mailing Address:
651 Atlas Price Rd. Seven 5prines, NC 28578
Farm Location: Latitude and Longitude: 35.08' 47' 177.51'13' County: Duplin
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost. etc.): Take NC 1 1 1 north of Albertson 2.8 miles to farm on right.
Operation Description:
Type of Swine No. of./I-throats
© Wean to Feeder
֩ Feeder to Finish 5760
Farrow to Wean
0 Farrow to Feeder
© Farrow to Finish Other Type of Livestock: Number GI -Animals:
El Gilts
0 Boars
No, of Animals
Type efCuitle No. ofAninals
0 Dairy
© Beef
Acreage Available for Application: 36.08 Required Acreage: 36.08
Number of Lagoons / Storage Ponds :1 Total Capacity: ].140.703 Cubic Feet (ft3)
4***************r*************************************$**********************4***4*
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 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 anima! 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.
Maxwell Foods. LLC
Date:12/10/21
Date:12/10/21
Signature:
Date:
Please sign and return this form to:
N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mai! Service Center
Raleigh, NC 27699-1636
May 2, 2007

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