820114_Application_20220215

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 fort 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 Informstion:
Previous Name of Farm:
Previous Owner(s) Name:
New Owner(s) Name:
New Name of Farm:
Williamson Swine Farm
Kermit Williamson
Linda Williamson
Facility No: 82-114
Phone No:910-590-5044
Phone No:910-590-5044
Williamson Swine Farm
Mailing Address: 17 Pond Ln_, Clinton, NC 28328
Farm Location:
Latitude and Longitude: 34.876094 / 78.274656 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 US 421 south of Clinton 9.7 miles to Moseley Ave. Turn right, travel .8 miles to farm on the left.
Operation Description:
Type of Swine Na of Animals Type of Poultry No. of Animals Type of Cattle No. of Animals
❑ Wean to Feeder 0 Layer 0 Dairy
eel Feeder to Finish 7320 © Pullets Cl Beef
❑ Farrow to Wean
0 Farrow to Feeder
0 Farrow to Finish Other Type of Livestock: Number ofAnimals:
❑ Gilts
❑ Boars
Acreage Availab : for Application: 41.95
Required Acreage: 41.95
Number o agoons . Storage Ponds :2 Total Capacity: 1,214,356 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. 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 owner.
Name of Previous Land 9wner: Kermit Williamson
dz-b-AaA t, G'Ve[&. 'JDate: 2/14/22
Signature:`f 6Lk
Name of New Land ner: Linda Williamson
Signature: i -d.. A ,f ,i-{ ink, gri'-- Date:2/14/22
Name of Manager(if different from owner):
Signature: Date:
r
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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