710017_Application_20220914

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 ISA 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:
Name of Farm: Piney Woods 42
Previous Owner(s) Name: Greenwood Livestock, LLC
New Owner(s) Name: Piney Woods 3. LLC
Mailing Address: 8155 Malpase Corner Rd. Currie. NC 28435
Farm Location: Latitude and Longitude:34.34'l8" 178.03'26" County: Pender
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.): From Buraaw take W Bridges St 1.2 miles. This turns into Piney Woods Rd. Travel 6.5 miles to farm on right
Operation Description:
TypeofS:vine No. ofAnimals Type of Poultry No. of Animals Type of Cattle No. ofAnimals
CI Wean to Feeder 0 Layer 0 Dairy
E+0 Feeder to Finish 3672 0 Pullets El Beef
0 Farrow to Wean
❑ Farrow to Feeder
0 Farrow to Finish Other Type of Livestock: Number ofAnimals:
❑ Gilts
C1 Boars
Facility No: 7171=17
Phone No:910-876-7400
Phone No:910-283-9823
Acreage Available for Application: 28.21 Required Acreage: 28.21
Number of La / Storage Ponds :1 Total Capacity: 786,916 Cubic Feet (ft3)
********* * ******************************Mi***********,,**********,,,,* *c**********
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 NPDBS Permit and completion of this form authorizes the
Division of Water Qiiaiitty to issue the required permit to the new land Owner.
Name of Prevo us Land Owner: Greenwood Livestock, LLC
Signature:'7';----- pate:8/2/2022
Name of New La vlrep Piney Woods 3. LLC
Signature:
Date:8/2/2022
Name of Manager(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

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