470028_Application_20230410

RECEIVED
Notification of Change of Ownership APR 1 0 2023
Animal Waste Management Facility
(Please type or print all information that does not require a signature) NC DEO/DWR
Central Offic®
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: u
Previous Name of Farm: � Facility No: I _�_
IqPrevious Owner(s)Name: F(V(MjV—Phone No:_ 1�13 41 S—317
New Owner(s)Name:_ Phone No: Aag 4126,
New Farm Name(if plicable):—Ai� _Q �S3 LLC.
Mailing.Address:_
E-mail Address cc) 1 Y�rti 1 0 4 o
Farm Location: Latitude and Longitude: 34.880166 / -79 318877 T County:_
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.): 4682 N.Duffie Rd,Red Springs,NC 28377
Operation Description:
Type of Swine No.of Animals ' ' r Type of Swine No.of Animals ' Type of Cattle No.of Animals
0 Wean to Feeder O Gilts ❑Dairy
EX Wean to Finish ❑Boars O Beef
O Feeder to Finish 3552
❑Farrow to Wean Type of Poultry No.of Animals
❑Farrow to Feeder Cl Layer
❑Farrow to Finish O Pullets
Other Type of Livestock:— Number of Animals.
Acreage Available for Application: Required Acreage:
Number of Lagoons/Storage Ponds: Total Capacity:_ Cubic Feet(fl3)
Owner/Manager Agreement
I(we)verify that all the above infonnafion 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
,aystdrn to surfece:waters of.the siate either Ahre^t?y th-rough a prase-r ale yatzce:or froit_a storm_vent iess'.severe than.:
the'25-year24=hour stoma and there must not be nui-off from the application of animal waste. I(we)understand that this
facility may be covered by a State Non-pischarge 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. T
Name of 'oLs nd Owne • S .1-. C, /� y�,
Signatu Datec"TT�' UJ2.')
Name of New Land Owner: Hoke Live toe Farms,LLC
Signature:_V l 1
n W.Alex Bryant,Manager Date: 3/29/2023
�
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 Permitting Section
1636 Mail Service Center
Raleigh,NC 27699-1636
March 25,2022