310123_Application_20230210

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(c) and 15A 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: Rosa Farm Facility No: 31 -123
Previous Owner(s) Name: James Kenneth Barnhill Phone No: [phone]
New Owner(s) Name: Daniel Hank Bond Phone No: (910) 289 - 7527
New Farm Name (if applicable): Bonds Bacon #1
Mailing Address: 260 Batchelor Bay Road Wallace, NC 28466
Farm Location: Latitude and Longitude: 34° 50' 3 / 77° 55' 17• 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.): 332 Carrtown Road Rose Hill, NC 28458
Operation Description:
Type of Swine No. of Animals
❑ Wean to Feeder
❑ Wean to Finish
Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
© Farrow to Finish
3,672
Type of Swine
❑ Gilts
❑ Boars
No. of Animals
Type of Cattle No. of Animals
0 Dairy
0 Beef
Type of Poultry No. of Animals
❑ Layer
❑ PulIets
Other Type of Livestock: _ Number of Animals:
Acreage Available for Application: 54.77 Required Acreage: 34.77
Number of Lagoons / Storage Ponds: 1 Total Capacity: 753,260 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 Resources to issue the required permit to the new land owner.
Name of Pre
Signature:
us Land Owner:
James Kenneth Barnhill
Name of New, and 1-\ Owner:
�Signature:
gac,-42-4
Daniel Hank Bond
Date: 1/24/2023
Name of Manager (if different from owner):
Signature:
Please sign and return this form to:
Date: 1/24/2023
Date:
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

Animal Waste Management System Operator Designation Form
WPCSOCC
NCAC 15A 8F .0201
Facility/Farm Name: Bonds Bacon #1
Permit #: AWS310123 Facility 1D#: 31 _ 123 County: Duplin
Operator In Charge (OIC)
Name: Daniel Hank Bond
First Middle Lust Jr, Sr, etc.
Cert Type / Number: AWA 1006460 Work Phone: ( 910 ) 289-7527
Signature: fD4t l )1A,L ia�� Date: 1/24/2023
"1 certify that I agree to my designation as the Operator in Charge for the facility noted. I understand and will abide by the rules
and regulations pertaining to the responsibilities set forth in 15A NCAC 08F .0203 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operators Certification Commission."
Back-up Operator In Charge (Back-up OIC) (Optional)
Melinda P.
Bond
First
Cert Type /
Signature
Middle Last
umber: AWA 1006458
Azta)
Jr, Sr, etc.
Work Phone: ( 910 ) 289-7528
Date: 1/24/2023
"I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and will abide by the
rules and regulations pertaining to the responsibilities set forth in I5A NCAC 08F .0203 and failing to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators Certification Commission."
Owner/Permittee Name: Daniel Hank Bond
Phone #: [phone]
Signature:
(Owner or authorized agent)
Fax#: ( )
Date: 1/24/2023
Mail or fax to: WPCSOCC
1618 Mail Service Center
Raleigh, N.C. 27699-1618
Fax: [phone]
(Retain a copy of this form for your records)
Revised 8R007