090166_Application_20220208

Notification of Change of Ownership
Animal Waste Management Facility
('lease type or print all information that does not require a signature)
In accordance with the requirements of 15A NCAC 2T .1304(e) and 15A NCAC 2T .1305(d) this form is official notification
to the Division of Water Quality (DWQ) of the transfer of owrnership of en Animal Waste
folly Management Facility. This form
must be submitted to DWQ no later t 60 days
wing the transfer of owntrslrip.
General 1pfermation:
Name of Farm; Coked Branch Nursery
Previous Owner(s) Name:_ Crooked Branch. Nursery Inc
New Owner(s) Name: Miry Swine Ferns LLC
New Farm Name: t (ale ;.i Brant h N aaer •� _
Mailing Address:___-- i;ox 2" 1;,F,Iinbethunvit NC 283.37
Farm Location: Latitude and Longitude: ,34.546837 / 78.719699
Please attach a copy of a county road map with location identified and des be below (Be specific: road names, directions,
milepost. Pru.-t _ 4, 3G� hri✓
Facility No: 9.166
Phone No:220-874-3850
Phone No:910-874-29 I 2
41,
County: Bladeta
Operation Descrietian:
Type of Swine No. rf4nimals Type ofPoUlhy No. ofAnimals Type ofCattle No. ofrinimals
Sig Wean to Feeder 6080 0 Layer 0 Dairy
0 Feeder to Finish 0 Pullets 0 Beef
Farrow to Wean
©Farrow to Feeder
© Farrow to Finish O Gilts Other Type of Livestock - Number ofAriim als,
© Boars
Acreage Available for Application: -- 1 7 Required Acreage;
Number of lagoons f Storage Ponds :1 Total Capacity; 44 /, 6 r (tic Feet (t )
**.s***************s**************.****************************************#air**I*srr
Owner / Manger 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
and will implement these procedures. I (we) know that any modification
Planoto the ex kin the farm namedy aboveft
waste treatment and. storageexpansion to the existing desigta capacity of the
system or constr�on of new facilities will require a permit modification before the new animas
are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application system to
she 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 Land Own! r Crooked Brana_h Nurses=' Irl4
Signature: �5-1
..Irate:
Name of New Laud Owner: Snits Far . LLC
Signature:. .. .
Name of IVlanager(if diiferaar & m owner):
Signature:�
Date:
Please sign and retain, this form to: N. C. Division of Water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
Date:
May 2, 2007

Freeways
e Existing
Ine s ' Needs Improvement
Recommended
Expressways
iuimmor Existing
® Needs Improvement
allReallNeil Recommended
Boulevards
monio Existing
Needs Improvement
Recommended
Cumberland
c v /
Crook 6(4,04
m b
US
Other M Jar Thoroughfares
Existing
Needs Improvement
Recommended
Minor Thoroughfare!
Existing
- Needs Improvement
' Recommended
Q Existing Interchange
O Proposed Interchange
• Existing Grade Separation
O Proposed Grade Separation
CICNiles
0 1 2 4 6
Figure 1
Sheet 2 of 5
Base map dare: January 2010
Reter to CTP document for more details
Highway Map
Bladen County
Comprehensive
Transportation Plan
Plan date: October 5- 2015