820232_Application_20220323

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: Garland Sow Farm Facility No: 82-232
Previous Owner(s) Name: South River Land Co Phone No:910-862-1829
New Owner(s) Name: ca51 Li 6 510 :l , F-Acinfo) t.0 C
New Name of Farm: c6lei ! �a y (ribb$
7 l4.) 5/./V/v /&)i3-t1, C 1, t�
Latitude and Longitude: 34.803393 / 78.418485
Phone No:
cllo '3 J (ay
014Mo+e. 13 -eat
Z/ 3L
Mailing Address:
Farm Location:
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 Garland 1.4 miles to Gibbs Rd. Tum left, travel .6 miles to oath on right. Farm at the
end of the path.
Operation Description:
Type of Swine No. of Animals No. of Animals
❑ Wean to Feeder
0 Feeder to Finish
❑ Farrow to Wean
Farrow to Feeder 624
❑ Farrow to Finish
❑ Gilts
❑ Boars
Acreage Available for Application: 13.18
Type of Poultry
❑ Layer
❑ Pullets
Type of Cattle No. of Animals
❑ Dairy
❑ Beef
Other Type of Livestock:. Number of Animals:
Required Acreage: 13.18
Number o agoons Storage Ponds :2 Total Capacity: 541.691 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. 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 Owner: River Land Co
Signature: N ,�.1�) _` kne,:-'vv.._.• Date: 2/28/22
Name of New Land Owner: t^Gi Sle1 err, r:i. ,,,a.,.. r / L[
Signature: . 6- ..... ..----- Date:2/28/22
Name of Man ger(if different from owner):
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