820098_Application_20220928

Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
hi accordance with the requirements of 15A NCAC 2T .1.304(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 fortis
must be submitted to DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farris: Beaver Dam Farm Facility No: 82-98
Previous Owner(s) Name: William Marson Warren Phone No:910-385-8813
New Owner(s) Name: Garrison Stray&bn Phone No: 910 '5-3
Mailing Address: 455 Lake Artesia Rd. Turk2y, NC 28393
Farm Location: Latitude and Longitude: 35.028748 / 78.258430 County: Sampson
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc_): Take NC 403 north from Clinton @pvroximately 4 miles to Pine Ridge Rd. Turn right, travel a x.l mile to
Beaver Rd. Turn right, farm is .3 miles on dgIlL
Operation Description:
Type ofSwine No. of Animals
❑ Wean to Feeder
EKE Feeder to Finish 3720
❑ Farrow to Wean
© Farrow to Feeder
© Farrow to Finish
❑ Gilts
❑ Boars
Type ofPou117y
Cl Layer
0 Pullets
No. ofAnimals
Type of Cattle
❑ Daily
❑ Beef
No. ofrtnimals
Other Type of Livestock: Number of 4nimals:
Acreage Avail for Application:25.86 Required Acreage: 25.86
Number of L*oonsJ Storage Ponds :1 Total Capacity:_ 7S4,429 Cubic Feet (0)
Owner 1 Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. 1(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 roan -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
Signature:
Date: 1111 /2021
Name of New Land Owner: Garrison Stray
Signature: Date:11/1/2021
Naive of Manager(if different from owner):
:Signature:
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 276"-1636
Date -
May 2, 2007

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