310581_Application_20220805

Notilie:ttion of Change of Ownership
Anitltal %VaSte Management Facility
(Please type or print all information that does ant require a signature)
In accordance with ilte requirements of 15A NCAC 2T .1304(c) and 15A NCAC 2'1' .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 inter than GU days following the transfer of ownership.
General Information:
Previous Name of Fann:
Previous Owner(s) Name:
New Owner(s) Name:
New Farm Name (if applicable):
Richard Sholar Faris
Richard D. Sholar
Daniel EC April Raynor
Daniel Raynor Farms
Mailing Address: 439 Edmund Brinson Rd. Beul:nille, NC 28518
Farm Location: Latitude and Longitude: 34.751548 / 77.815927
Facility No: _ 31 __- 581
Phone No: 910-285-4430
Phone No: 910-271-1415
County: I7uplin
Please attach a copy ofa county road map with location identified, and provide life location address and driving directions
below (Be specific: road names, directions. milepost. etc.): Take NC 41 west ofChincivapin approximately 4 miles to Deep
Bottom Rd and turn left. Travel 2. t miles to Angola Bay Rd and turn right. Travel 2.1 miles to farm on the right.
Operation Description:
Type of Swine No. of Animals Type of Poultry No. of Animals T)ne of Cattle No. of -Animals
© Wean to Feeder 0 Layer 0 Dairy
i0 Feeder to Finish 4320 0 Pullets 0 Beef
0 Farrow to Wean
❑ Farrow to Feeder
© Farrow to Finish Other 7)'pe of Livestock: Number of Animals:
0 Gills
❑ Boars
Acreage Available for Application: 47
Required Acreage: 40.47
Number of Lagoons t Storage Ponds: 2 Total Capacity: 897.961 Cubic Feet (ft3)
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon eltilliging. 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. 1 (we) understand that there must he 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 NI 1)t S Permit and completion of this form authorizes the
Division of Water Resources to issue the required permit to the new limit uwaer.
Name of Previous -Land Owner:
Sign nture:
Nance of Newt and wit.r: Daniel Raynor and April'Raynor
Signature:
Name of Manager (i f different from owner):
Sigri hurt : Date:
Richard D. Shofar
Please sign and return this forth ru:
Date: 8/49 /22
Dale: 8/ , /22
N. C. Division of Water Resources
Water Quality Regional Operations Section
Animal Feeding Operations Brandt
1634 Mail Service Center
Raleigh, NC 27699-1436
June 23, 2014
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