310007_Application_20230526

Notification of Change of Ownet•ship
Animal Waste Management Facility
(Please type or print all inli)nnation that does not require a signature)
In accordance with the requirements of 15A NC AC 2T.1304(c)and I M \CAC 2T .I 305(d) this lorm is official notification
to the Division of Water Resources (DWR) of'the transfer of ownership of an Aninial Waste Management FaciIit . This
form must be submitted to DWR no later than 60 days Billowing the transfer of ownership.
General Information:
Previous Name of Farm: Danny L. Brown Farm Facility No: 31 -7 _
Previous Owner(s) Name: _ Danny L. Brown Phone No: _
NewOwner(s)Name: /00 41 ArUah ('1G1rr-L Phone No: [phone]
New Farm Namc(ifapplicable): LDAnrl tO &- h ,I
ivtailina address: Urr >�r9 TefJGulC,4 G a� 6T
1•urnl Location: Latitude and Longitude: 34• 47' — 1e'o• 1 78_ 2' 'f 04• County: Duplin
Please attach a cop} of a county road map with location identified,and provide the location address and drivin directions
below(Be specific: road names.directions. milepost.etc.): 177 Marshburn Rd. Teachey, NC 28464
(aeration Description:
!1/1e ofSu'inr NO. vf':Ininl(its III)e ol'Sirille AV 0 'Animals '1 il)e qJ 0111le NO. 01':41linu7ls
8 Wean to Feeder 10,400 0 Ciihs O Dairy
❑ wean to Finish ❑ Boars O Beef
❑ Feeder to Finish
❑ Farrow to\Wean TI/T uJ l'011/11l NO nj.U►in1uL�
❑ Farrow to Feeder O Layer
❑Farrow to Finish 0 Pullets
Usher Tye n%Livcslurk: Number OJ.Illmluls:
Acreage available for Application: 26 Required acrcagc: 17
Number of Lagoons• Storage Ponds: 2 Total Capacity: 474,188 Cubic Feet(1,13)
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Owner/Manager Agreen►ent
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 Wanacement Plan (CAWNIP) 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 stacked. I (\\t) understand that there must be no dischal-C (if animal waste front the storage or application
system to surface waters of the state either directly through a man•inade convevance or from a storm even n
t less severe tha
the 25-year. 24-hour storm and there must not be run-off from the application of animal caste. I (we) understand that this
facility may be covered by a State Non-Discharge Permit or a NPDGS Permit and completion of this form authorizes the
Division of Water Resources to issue the required permit to the new land owner.
Name of Previous land Owner: Deceased:Danny L. Brown
Signature: O::tc; Y2312023
Nantc of Ne%c ,: ►d Ot
Si 4"na t u I)alc: '-' 3"2L)23
Name of: Maier(irdifierent 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('enter
Raleigh,NC 2 7699-1630
.June 12,201�