310082_Application Attachment_20230721

State of North Carolina
Department of Environmental Quality
Division of Water Resources
Animal Feeding Operations Permit Application Form
(THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL)
State Digester General Permit — Farm Digester System
1. GENERAL INFORMATION:
1.1 Facility name: Vestal Farm
1.2 Print Owner's name: David John Kilpatrick
1.3 Mailing address: 131 Oak Manor Ln
City, State: Magnolia, NC
Zip: 28453
Telephone (include area code): (910) 290 - 0151 Fax: O -
Email:
1.4 Physical address: 899 NC 50 South
City, State: Magnolia, NC Zip: 28453
Telephone number (include area code): ( ) -
Latitude 34 56 00' Longitude 77 56 19' (Decimal Degrees from Google Earth)
1.5 County where facility is located: Duplin
1.6 Facility location (directions from nearest major highway, using SR numbers for state roads): Travel NC 50 South from
Kenansville approximately 2 miles farm is located on the left
1.7 Farm Manager's name (if different from Landowner):
1.8 Lessee's / Integrator's name (if applicable; circle which type is listed): Smithfield Foods
1.9 Facility's original start-up date: Date(s) of facility expansion(s) (if applicable):
1.10 Design Contact name:
Phone(____) - Email:
2. OPERATION INFORMATION:
2.1 Facility number: 3J-oz
2.2 Operation Description:
Please enter the Design Capacity of the system. The "No. of Animals" should be the maximum number for which the
current swine waste management system is permitted.
Type of Swine No. of Animals ape of Poultry No. of Animals
❑ Wean to Feeder ❑ Layer
x❑ Feeder to Finish 9792
❑ Farrow to Wean (# sow)
❑ Farrow to Feeder (# sow)
❑ Farrow to Finish (# sow)
❑ Wean to Finish (# sow)
❑ Gilts
❑ Boar/Stud
❑ Other Type of Livestock on the farm:
❑ Non -Layer
❑ Turkey
❑ Turkey Poults
Type of Cattle No. of Animals
❑ Beef Brood Cow
❑ Beef Feeder
❑ Beef Stocker Calf
❑ Dairy Calf
❑ Dairy Heifer
❑ Dry Cow
❑ Milk Cow
No. of Animals:
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page I of 6

2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application
system):
Acres
Required Acreage (as listed in the CAWMP):
Acres
Existing Application Area (pre -construction):
Acres
Proposed Application Area (post -construction):
Acres
Is there a change to the existing WUP?
YES or NO (circle one)
Is the Existing WUP attached?
YES or NO (circle one)
Is the New (if applicable) WUP attached?
YES or NO (circle one)
2.4 List and Describe all Storage/Treatment Structures Below:
a. DIGESTER or other PRIMARY TREATMENT: (double click on "Select" for drop -down menu box)
Treatment
Existing?
Name of
Treatment
Type of
Liner
Surface
Type of
Cover
Ttl Capacity
Req'd Capacity
Unit Type
(YEN)
Unit
Material
Area
Material
(cu. Ft.)
(cu.ft.)
Digester
Y
I
60mm
47,999
60mm
339,139
synthetic
synthetic
Select
Select
Select
Select
Select
Select
a.l Are engineering designs, drawings, specifications, and details attached? YES or NO (circle one)
b. SECONDARY TREATMENT/STORAGE: (double click on "Select" for drop -down menu box)
Name of Storage
Unit
Existing?
(Y/N)
Type of Liner
Material
Surface Area
Ttl Capacity
(cu. Ft.)
Req'd Capacity
(cu.ft.)
Lagoon
Y
40mm synthetic
265,946
3,264,234
Select
Select
Select
2.5 Are KNOWN subsurface drains present within 100' of any application fields? YES or NO (circle one)
2.6 Are KNOWN subsurface drains in the vicinity or under the waste management system? YES or NO (circle one)
2.7 Does this facility meet all applicable siting requirements? YES or NO (circle one)
2.8 Describe Water Movement between Barns, Digesters, and Storage Ponds (double click on "Select" for drop -down menu
box)
Location
Pump Station or
Gravity
pipe Size
Minimum Pump
Ca acit
Plan Sheet
Reference
GPM
TDN
Select
L'i
I
tll"/
Select
S
t"
Select
Select
67%% ✓1
Select
Select
NIJ
Select
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 2 of 6

3.
Select
REQUIRED ITEMS CHECKLIST:
Please indicate that you have included the following required items by signing your initials in the space provided next to each
item.
A licant's Initials
3.1 One completed and signed original of the application for Digester Animal Waste Management
System Application Form.
3.2 A general location map indicating the location of the animal waste facilities and field locations
where animal waste is land applied and a county road map with the location of the facility
indicated.
3.3 Documentation that new digester structure(s) meets the Swine Farm Siting Act, for swine
operations.
3.3.1 Site Map. The scale of this map shall not exceed 1 inch = 400 feet.
3.3.2 All proposed digesters to occupied residences > 1500 feet OR no closer than existing setback.
Existing setback = feet
3.3.3 All proposed digesters to schools, hospitals, churches, outdoor recreational facilities, national parks, state
parks, historic properties, or childcare centers > 2500 feet OR no closer than existing setback.
Existing setback = feet
3.3.4 All proposed digesters to property boundaries > 500 feet OR no closer than existing setback.
Existing setback = feet
3.3.5 All proposed digesters to Public Water supply wells > 500 feet.
3.3.6 The map shall show the location of any property boundaries and perennial streams, or rivers located
within 75 feet of waste application areas.
3.4 One copy of all engineering documents, including, but not limited to, calculations,
equipment specifications, plan and profile drawings to scale, construction materials,
supporting equations or justifications.
3.5 A detailed narrative of the Farm Digester Animal Waste Management System.
3.6 A copy of the CAWMP which must include the following components. Some of these
components may not have been required at the time the facility was initially certified but must
be added to the CAWMP for permitting purposes:
3.6.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (P
produced and utilized by the facility
3.6.2 The method by which waste is applied to the disposal fields (e.g., irrigation, injection, etc.)
3.6.3 A map of every field used for land application
3.6.4 The soil series present on every land application field
3.6.5 The crops grown on every land application field
3.6.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP
3.6.7 The PAN applied to every application field
3.6.8 The waste application windows for every crop utilized in the WUP
3.6.9 The required NRCS Standard Specifications
3.6.10 A site schematic
3.6.11 Emergency Action Plan
3.6.12 Insect Control Checklist with chosen best management practices noted
3.6.13 Odor Control Checklist with chosen best management practices noted
3.6.14 Mortality Control Checklist with the selected method noted
3.6.15 Lagoon/storage pond capacity documentation (design, calculations, etc.); please be sure to include any
site evaluations, wetland determinations, or hazard classifications that may be applicable to your
facility
3.6.16 Site Specific Operation and Maintenance Plan
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 3 of 6

If your CAWMP includes any components not shown on this list, please include the additional components with your
submittal. (Composting, waste transfers, etc.)
4. ENGINEER'S CERTIFICATION:
(P.E. representing Owner's name listed in question 1.2),
attest that this application for (Facility name listed in
question 1.1) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required
parts of this application are not completed and that if all required supporting information and attachments are not included, this
application package will be returned to me as incomplete.
Signature
Engineer's Seal
Date
5. FARM OWNERMERMITTEE CERTIFICATION:
I, David John Kilpatrick (Owner/Permittee name
listed in question 1.2), attest that this application for Vestal Farm (Facility name
listed in question 1.1) has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all
required parts of this application are not completed and that if all required supporting information and attachments are not included,
this application package will be etumecL as incomplete. 2
Signature Date �.+ -2 I—,Z ..)
6. MANAGER CERTIFICATION: (complete only if different from the Farm Owner)
I, (Manager's name listed in question 1.7), attest that this
application for (Facility name listed in question 1.1) has
been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this
application are not completed and that if all required supporting information and attachments are not included, this application
package will be returned as incomplete.
Signature Date
THE COMPLETED APPLICATION PACKAGE, INCLUDING ALL SUPPORTING INFORMATION AND MATERIALS,
SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NORTH CAROLINA DIVISION OF WATER RESOURCES
WATER QUALITY PERMITTING SECTION
ANIMAL FEEDING OPERATIONS PROGRAM
1636 MAIL SERVICE CENTER
RALEIGH, NORTH CAROLINA 27699-1636
TELEPHONE NUMBER: [phone]
FORM: AWO-STATE-G-DIGESTER-7/07/2022 Page 4 of 6