820156_Application_20220419

RECEIVED
APR 2 0 2022
Notification of Change of Ownership
Animal Waste Management Facility NC DEQ/DWR
(Please type or print all information that does not require a signature) Central Office
in accordance with the requirements of 1SA NCAC 2T .1304(c) and 15A NCAC 2T . I305(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: Eliwdl Lake Facility No: 82-156
Previous Owner(s) Name: Ernest Smith Farms. Inc �r Phone No:910-529-1129 /
New OwnerAlf Name. if g �, » 6 11105.140 1! • e 3 one No: ,/Y1 9/O-""Jr9D �-7D/.3
New Name of Farm: St
� Mailing Address. i 4SD tEkiV��l� id�� ��Iig�i�h� �G�w
Farm Location. Latitude and Longitude: 4.49'26" / 78.26' 04" 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 lid, Turn lei. travel 1 mile to path on righL Farm at the end
of the path.
01teration Description:
Type of Swine No. of Anintals Type of Poultry No. of Animals Type of Cattle No of Animals
O Wean to Feeder O Layer 0 Dairy
alit Feeder to Finish j200 0 Pullets 0 Beef _
O Farrow to Wean
O Farrow to Feeder
0 Farrow to Finish
0 Gilts
❑ Boars
Other Type of Livestock Number of Animals
Acreage Avail : . . for Application: 30.5 Required Acreage: _ 30.5
Number of : goons Storage Ponds ;1 Total Capacity: 550,289 design liquid level Cubic Feet (ft3)
•t*•#Ni
Owner / Manager Agreement
1 (we) verify that all the above information is correct and will be updated upon changing. 1 (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. 1(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 NPDI3S Permit and completion of this form authorizes the
Division of Water Quality to issue the required permit to the new land owner.
Name of Free
Signature:
Name alNew L .dOwf: r ,i'k t r Pa-S
Signature: t
d Ow, rnest Smith Farms, Inc
Date: 12/10/21
Date:12/10121
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

RECEIVED
APR 2 0 2022
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