310760_Application_20221115

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(e) 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 Iater than 60 days following the transfer of ownership.
General Information:
New Name of Farm: MAC Farms 16-20 Facility No: 31-760
Previous Owner(s) Name: Roy Brock Phone No:919 r—
New Owner(s) Name: MAC Farms, LLC Phone No:919-738-7059
Mailing Address: 618 Kermit Warren Rd, Mt. Olive, NC 28365
Farm Location: Latitude and Longitude: 35.109176 178.020799 County: Duplin
Please attach a copy of a county road map with Iocation identified and describe below (Be specific: road names, directions,
milepost, etc.): Take NC 403 east of Faison approx. 5.3 miles to Beautancus Rd, turn right. Travel 3 miles to farm on left.
Operation Description:
Type ofSwine No. of Animals Type ofPoultiy No. ofAnimals Type of Cattle No. of Animals
❑ Wean to Feeder ❑ Layer ❑ Dairy
l l Feeder to Finish 3675 0 Pullets ❑ Beef
❑ Farrow to Wean
0 Farrow to Feeder
❑ Farrow to Finish Other Type of Livestock: Number ofAnhnals:
❑ Gilts
❑ Boars
Acreage Available for Application: 30.83 Required Acreage: 30.83
Number of Lagoons / Storage Ponds :1 Total Capacity: 760,533 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 L Owner: Rov Beck !!
Signature:
Name of New La 1'O1 r: MAC Far , LLC
Date: /%' r-�2
Signature: r � misfe 4i ,1J j Lf G Date: /f /3 2
Name of Manager( different from owner):
f
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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