310109_Application_20221205

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�{ Animal Waste Management Facility
NGDe°I (Please type or print all information that does not require a signature)
In dctrOYeotance with the requirements of 15A NCAC 2T .1304(c) and 15A NCAC 2T .1305(d) this form is officia r cation
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste Management Facility. %l`H
fomr must be submitted to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: Jimmy Britt Farm Facility No: 31 - 109
Previous Owner(s) Name: Jimmy Carroll Britt Phone No:
New Owner(s) Name: Chase Edmond Britt Phone No: (252) 286 - 2701
New Farm Name (if applicable): Chase Britt Farm
Mailing Address: 441 Coy Smith Rd. Albertson, NC 28508
Farm Location: Latitude and Longitude: 35" 04- 48" / 77" 46' 37" County: Duplin
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.): 267 Jimmy Lee Rd. rink hill, NC 28572
Operation Description:
Type ofSwine No. ofAnimals Type of Sufine No. of Animals Type of -Cattle No. of Annuals
❑ Wean to Feeder 0 Gilts 0 Dairy
❑ Wean to Finish 0 Boars 0 Beef
RI Feeder to Finish 5420
❑ Farrow to Wean Type ofPoultly No. of Animals
❑ Farrow to Feeder 0 Layer
❑ Farrow to Finish 0 Pullets
Other Type of Live.stock: Number of Animals:.
Acreage Available for Application: 76.21 Required Acreage: 58
Number of Lagoons / Storage Ponds: 3 Total Capacity: 1,143,493 Cubic Feet (ft3)
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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. 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. 1 (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 Previ s Land Owner: Jimmy C. Britt ^�
Signature: 1 (._ 1 r 1`[^- Date: d r
Name ol'Nci>- and Uwe
Chase E. Britt
d�
Signature: C-� Date: a
Name of Manager (if different from owner):
-Signature: Date:
Please sign and return this form to: Animal Feeding Operations
N. C. Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699-1636
June 12, 2015.