820309_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 fo>
to the Division of Water Quality (DWQ) of the transfer of ownership of an Animal Waste Manage
must be submitted to DWQ no later than 60 days following the transfer of ownership.
RFCE e)
MAR 22 2022
al notification
ff his form
General Information:
Previous Name of Farm: Sugar Hill Facility No: 82-309
Previous Owner(s) Name: South River Land Co. _Phone No:910-862-1829
New Owner(s) Name: Beckiiei e a.�5 r.irn:r�_j L. (- C Phone No: C-i/%s 3C T', c'Y
New Name of Farm: L Lai: ( -374/ %Y... 7
Mailing Address: 1 Z? 4t f7r ), 1 e f e •, i�. !
2f.' 52-e
Farm Location: Latitude and Longitude: 34.811688 / 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 Garland 2 miles to Elwell Rd. Tum left. travel 1 mile to path on left, Farm at the end of
the path.
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals Type of Cattle No, of Animals
all Wean to Feeder 2500 0 Layer Cl Dairy
0B111 Feeder to Finish 1300 ❑ Pullets 0 Beef
❑ Farrow to Wean
0 Farrow to Feeder
❑ Farrow to Finish Other Type of Livestock: Number of Animals:
0 Gilts
❑ Boars
Acreage Available for Application: 22.6
Required Acreage: 22.6
Number of . _oons Storage Ponds :2 Total Capacity: 624.942 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: South River and Co.
Signature: Date: 2/28/22
Name of New Land Owner: 13. ' istel 8 5rm , ei-,"4`n4' ( C
1
Signature: ��.--- Date:2/28/22
Name of Ma ager(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