HomeMy WebLinkAbout540042_Other_20230524Change of Swiue Integratota Registration or
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too -0-40, 1 0
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Facility Number: im Sl -. y ; �
Physical Location of the Swine Farm: ,3 q a$ N l�S P f2N d
Owner(s) Name:
Nla ";-ng Address:
CC) r4e S Dr
City, State,, Zip Code: Lam. C443-romh-�Q 4L.
Grower(s) Namel"f different than Owner.
Mailing Address:
55�
City, State, Zip Code: %mmmmmWM0
Phone:
I gn- 50:k I I Email: a!Sok..
Current/New hitegrator'.
tetor Contac4Name10gra
A�ailu�e Address:
40mo a 0- 4 0'0�& k
City, State, Zip Code".,
Phone:
w� a c� 43 e--
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fSvt�ro%
65 a
Cow. ULMD
4 3 ail: %.I,-3LgC YN
Owner'stsi
ro
4S st
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iiiiiiiii""Illjll
re Date
NVe appreciate your cooperation. This information is required in accordance with G.S. 143,a,215.1 Oil., if
you have any questions contact the AFO Unit at (919) 707m9129, otbemri"se please return this form in:
NC Division of Water Resources
Water Quality Permitting Section
Animal Feeding Operations
1636 Mail Service Center
Ralei"gh, NC 27699m-1 636
ELECTRON11C SUBMISSION IS ENCOURAGY-1D. }'LL'ASE EMAIL 7'O: RAMESH RAV-ELLA@NCDENR GOV
CISIR 03&-25-2021