820309_Application_20211225

Name of Ma
Notification of Change of Ownership
Animal Waste Management Facilfy
(Please type or print all information that does not require a signal )
In accordance with the requirements of 15A NCAC 2T-1304Mc) and 15A NCAC 2T .13040 this f41Y11 is of oiai noti$catipn
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 6U days following the transfer of ownership.
General Information:
Previous Name of Farm: Sugar dill Facility No: 82-309
Previous Owner(S) Name: Test Srcith 'anns.'Ince Phone No:210-529-1129
New Owoer(s) Name: South River ]_.and Co. Phone No:910-862-1829
New Name of Farrn: SugarVA)
Mailing Address: PU Box 1416. Elizabethtown. NC 28337
Fwm Location: Latitude and Longitude: 34,811688 1 78.425943 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 411 west of ciiariand 2 mit a to Eb..v211 Rd. Turn lei. travel 1 mile to Latb on left. Baum at the end of
the path.
Operation Description:
Type ofSwine No. of ninmals Type of Poultry No. rfAnimals Type of Cattle No. of Animals
'k® Wean to Feeder 2500 © Layer © Dairy
ail Feeder to Finish 1300 © Pullets D Beef
© Farrow to Wean
0 Farrow to Feeder
© Farrow to Finish Other Type of -Livestock Number of Animals:
© Gilts
❑ Boars
Acreage Available for Application: 22.6 Required Acreage: 22.6
Number o Storage Ponds _2 Total Capacity: 624.942 Cubic Feet (ft3)
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. 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 -of 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 uwaer.
Name of Previous Land Owner: Ernest SmA Fans. Inc
Signature:
Dater 12/10/21
Name of New Ladd Owner: Soytth River Land Co.
Signature:5> t -- az.401
�Peii L6 #FCrraMt tmm ovate* M 1414 w ( , 1 _ 6 ' i _ _ . i
Tease signs And return this form to:
N. C, Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mat Service Cuter
Raleigh, NC 27699-I636
Date:12JIO)21
Date: i }t
May 2, 2097

-
121
7e ILI
try M
'NI ID Yr'
4
0--- +FL -
5.•:-• • S'eap
4
,....,,,...
: .
..1 NeP
c„
\§c\
\\\
tigstoti
SAMPSON' COUNTY

Notification of Change of Ownership
Animal Waste Management Facility
(Please type ar print all information that does not require a signature)
ita accordance with the requirements off 5A NCAC 2T .1304(e) and I5A NCAC 2T .1305(d) this form is official notification
o the Division of Water Quality (DWQ) of the transfer of ownership of an Animal Waste Management Facility. This form
roust be submitted to DWQ no later than 60 days following the transfer of ownership.
Gen erall€nferrnEatiOn:
Previous Name of Farm: Garland Sow Estrin Facility No: 82-232
Previous Owner(s) Name: Ernest Smith Farm Inc Phone No:916-529-1129
New Owners) Name: South River Land Co. Phone No:910-$52-182g
New Name of Faun: band Sow Farm.
Mailing Address: PO Box 1416. El1rabethtawn. NC 28337
Farm Location: Latitude and Longitude: 34.803393 / 78.418485 County: Sampson
Please atrarh a copy of a county road map with location identified and describe below (Be specific: road names, directions.
milepost, etc.): Take NC 41 iwest of GAT .4 piles to Gbbs Rd. Trawl Lett. travel .6 miles to path on. right_ Farm at the
end of the path.
Overation i escriptioa:
Type of Swine No. of Animals Type of Foultry No of Animals Type of Cantle No. a f.4nima1.
❑ Wean to Feeder 0 Layer MI Dairy
0 Feeder to Finish 0 Pullets © Beef
D Farrow to Wean
,Ba Farrow to Feeder 624
0 Farrow to Finish Other Type of Livestock- Number of Animalr:
0 Gilts
❑ Boars
Acreage Available for Application: 13.18 Required Acreage: 18_18
Number- of .� roans Storage Ponds :2 Total Capacity: 541.691 Cubic Feet (ft3)
Owner ages Agreement
l (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 (CA WMP) for the farm named above
and will implement these procedures. l (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 surer waters of the state either directly through a man-made conveyance or fs ono 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 NPI)ES Permit and completion of this forth authorizes the
Division of Water Quality to issue the required permit to the new land owner.
Name of Previous Land Owner. Ernest Smith bums. Inc
Signature:Dater 12/1 e/21
Name of New Land Owner: South Diver Land Co.
5iguature So} 11..].. e j j -- Lc;:s1b a
NameofMart if owner): Mtfro e 12�21
Signature:
Date: 1 2.-t I
Please sign and return this form to; N. C. DlvlSlon Wafer Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
May 2, 2007