310183_Application_20220713

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not requite a signature)
In accordance with the requirements of I5A NCAC 2T .1304(c) and ] 5A NCAC 2T .1305(d) this form is official notification
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste Management Facility. This
form must be submitted to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: Mike Chambers Farm Facility No: 31 - 183
Previous Owner(s) Name: Mike L Chambers Phone No:
New Owner(s) Name: Hilton Agribusiness, LLC Phone No; 910-862-4549
New Farm Name (if applicable): Grand Holz
Mailing Address: PO Box 2107, Elizabethtown. NC 28337
Farm Locations: Latitude and Longitude: 35_065625 / 77.957714
County: l7upiin
Please attach a copy of a county road map with location identified, and provide the location address and driving directions
below (Be specific: road names, directions, milepost, etc.): Take NC 11 north ofKenansville 2.6 miles to Surnmerlin's XRd
Rd. Turn left, travel 5.4 miles to Furney!ones Rd. Turn Ieft travel _4 miles to farm on the Ieft.
Operation Description:
Type of Swine No. of Animals Type of Pouffly No. of Animals Type of Cattle No. of Animals © Wean to Feeder ❑Layer ❑ Dairy
0 Pullets 0 Beef
11:1g Feeder to Finish 5280
0 Farrow to Wean
© Farrow to Feeder
❑ Farrow to Finish Other Type of Livestock: Number of Animals
❑ Gilts
© Boars
Acreage A for Application: 37.8 Required Acreage: 37.8
Number o Lagoons I forage Ponds: ** * ***2 Total Capacity: 1,099.4334 Cubic Feet (fr3)
*************,****************x:*********************************
Owner IAgreement
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. 1 (we) know that any modification or expansion to the existing design capacity of the
waste treatment and storage system or constriction 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 Resources to issue the required permit to the new land owner.
Name of Previous La Owner: Mike L Chambers
Signature: 4
Name of New Ladd Owner: �- Hilton Agribusiness, LLC
Signature:
Name of Manager (if different gore owner):_
Signature:
Please sign and return this form to:
Date: 6/17/22
Date: 6/17/22
Date:
N. C. Division of Water Resources
Water Quality Regional Operations Section
Animal Feeding Operations Branch
1636 Mail Service Center
Raleigh, NC 27699-163.6
June 23, 2014

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