820369_Application_20211225

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:
Previous Name of Farm:
Previous Owner(s) Name:
New Owner(s) Name:
New Name of Farm:
Mailing Address:
Farm Location:
Kendrick Eason Nursery #2
Kendrick Eason Farms. LLC
Larry & Charlotte Tanner
Tanner Girls Nursery #2
Facility No: 82-369
Phone No:910-862-3115
Phone No:910-987-4733
2793 Elizabethtown Hwy. Roseboro. NC 28382
Latitude and Longitude: 34.892754 / 78.52281 County: Sampson
Please attach a copy of a county road map with Location identified and describe below (Be specific: road names, directions,
milepost, etc.): Take NC 242 south of Roseboro approximately 3.5 miles to farm on right.
Operation Description:
Type of Swine No. ofAnimals
Wean to Feeder 3552
0 Feeder to Finish
❑ Farrow to Wean
❑ Fan -ow to Feeder
0 Farrow to Finish Other Type of.Livestock: Number ofAnimals:
0 Gilts
❑ Boars
Type of Poultry
❑ Layer
❑ Pullets
No. ofAnimals
Type of Cattle No. ofAnimals
❑ Dairy
C[ Beef
Acreage Avails e for Application: 6.842 Required Acreage: 6.842
Number ofLagoons' Storage Ponds :2 Total Capacity: 178296 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. 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 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 Pre&ous Land Owner: Kendrick Eason Farms. LLC
Signature:
Name of New
Signatu
Owner: Larry & Charlotte Tanner
-A —EwJwt
Name of Manager(if different from owner):
abate: 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 Mail Service Center
Raleigh, NC 27699-1636
May 2, 2007

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