520075_Owner (Name Change)_20171017

APPENDIX 2.2A
Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
In accordance with the requirements of 15A NCAC 2H .0217(a)(1)(FI)(xii) this form is official notification to the Division of
Water Quality (DWQ) of the transfer of ownership of an Animal Waste Management Facility. This form trust be submitted
to DWQ no later than 60 days following the transfer of ownership.
General Information:
Name of Farm: OiTILl-WA'rM FAV-M NEW NAM6'-iztel-r-- "A"FAVrM Facility No: 62 - 75
Previous Owner(s) Name: aA-V-VF�-/ Giofbbs Phone No: 2ti2-56(-402$
New Owner(s) Name: G76ja6N Phone No: 252-5 do.531 f
Mailing Address: Fytzyf w LA 6y"eF , 146 28961
Fann Location: Latitude and Longitude: 755 M elf l -1`I 2�) $6 County: SoN�
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.): W6coy-F-',I Netx-M SIY)r30F taPA-p A Fyevg (Mt Rzo" We4F- (3tzra(Ti14
Operation Description:
Type of Swine No. of Animals
❑ Wean to Feeder
R Feeder to Finish -Z
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Type of Poultry No. of Animals Type of Cattle No. ofAnimals
❑ Layer ❑ Dairy
❑ Pullets ❑ Beef
Other Type of Livestock: NannberofAnimals:
Acreage Available for Application: SA S Required Acreage: '1j+.14-
Number of Lagoons / Storage Ponds : ( Total Capacity: *01,160 Cubic Feet (ft3)
Owner / Manager Agreement
I (we) verify that all the above information is correct and will be updated upon changing. I (we) understand the operation and
maintenance procedures established in the Certified Animal Waste Management Plan (CAWMP) for the farm named above
and will implement these procedures. I (we) know that any modification or expansion to the existing design capacity of the
waste treatment and storage system or construction of new facilities will require a permit modification before the new animals
are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application system to
surface waters of the state either directly through a man-made conveyance or from a storm event less severe than the 25-year,
24-hour storm and there must not be run-off from the application of animal waste. I (we) understand that this facility may be
covered by a State Non -Discharge Permit or a NPDES Permit and completion of this form authorizes the Division of Water
Quality to issue the required permit to the new land owner.
Name of Previous Laud Owner: P4*✓E/
Name of N-ew Land Ofvner_r V46"Av-v &-9M" VF3A
Name of M$nager(if different from
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 27699-1636
Date: 16 �11 O T
November 1, 2004

APPENDIX 11.1A
ANIMAL WASTE MANAGEMENT SYSTEM
OPERATOR IN CHARGE
DESIGNATION FORM
ANIMAL WASTE MANAGEMENT SYSTEM:
Facility ID Number:
1i2 --75
County:
V W Rei
OPERATOR IN CHARGE gel y I (i
Home Mailing Address ' /V
City, , CiL11% L StateL� Zip
Certificate # qi& 0 , Social Security # 43 J-�I- ��j'/
Work PhoneG�(y ' 3l C� Home Phone
Signature Date ' 0
v
OWNER 617�Ecu bvM liz4fw "A„ FAY-m
Mailing Address zit Ra tov
City 6wtube
State N6 Zip 'Z6661 Telephone# [phone]
Signature� Date (o/ /?
Please Mail to: WPCSOCC
Division of Water Quality
1618 Mail Service Center
Raleigh, N.C. 27699-1618

APPENDIX 2.2A
Notification of Change of Ownership
Animal Waste Management Facility
(Please type or print all information that does not require a signature)
In accordance with the requirements of I SA NCAC 2I-I .0217(a)(1)(H)(xii) this form is official notification to the Division of
Water Quality (DWQ) of the transfer of ownership of an Animal Waste Management Facility. This form must be submitted
to DWQ no later than 60 days following the transfer of ownership.
General Information:
Name ofFanu: 61114.WAIIVM FAVNI NSW NA'M5' 13zIQLE °A-FAV-Vl Facility No:
Previous Owner(s) Name: t4*V-✓p 5ou&6.� Phone No: 26*4-666-4023
New Owner(s) Name: h14WApjJ OR.[ 4i" Phone No: 252-660.531 i
Mailing Address: 312 rM20iP DR LA 6VA'Nde, N6 28951
FannLocation: Latitude and Longitude: 3e7 12. 41l / 7'1 20 36 County: SbNES
Please attach a copy of a county road map with location identified and describe below (Be specific: road names, directions,
milepost, etc.): h40twrU SmF, OF taOAVI Afl� I MI Pgv t WrSR MIJ.a 1314
Operation Descriution:
Type of Swine No. of Animals
❑ Wean to Feeder
14 Feeder to Finish Z$00
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Type ofPoultry No. ofAnhnals Type of Cattle No. ofAnimals
❑ Layer ❑ Dairy
❑ Pullets ❑ Beef
Other Type ofLivestock: Number of Animals:
Acreage Available for Application: so, S Required Acreage: 21+.tf
Number of Lagoons / Storage Ponds : ( Total Capacity: Gi61r 160 Cubic Feet (ft3)
Owner / Manager Agreement
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 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 man-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 maybe
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 Previous
Name of
NJME
Name of NlGager(if different from
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 27699-1636
Date: /J/l-? C/ Z
November 1, 2004

APPENDIX 11.1A
ANIMAL WASTE MANAGEMENT SYSTEM
OPERATOR IN CHARGE
DESIGNATION FORM
ANIMAL WASTE MANAGEMENT SYSTEM:
Facility ID Number:
*2-7y
County:
Z`oW Eei
:P**�*�:k�:�:l•k:P*:4��*�;:Pk�:P*����+*:Pk*:Pk�*���*****k*ki: �; A*��***ki: kk:l•
OPERATOR IN CHARGE 1 I I I
Home Mailing Address S /V�'—, ( = jq,
City )OIL, Q/ I' V State 10L
Zip, a� ` �.
Certificate # 96606 '- _ Social Security # 223
Work Phone�j �l jCj Hoine Phone
Signature1u Date Y ' 0 `
OWNER 1=tutazp eezt Eeu �igA rpm "A" Fxw�
Mailing Address 'Piz Fa***,r-ty
City � 6 "&f,
State N6 Zip 286r1 Telephone# R52•660-6311
Signature Date /6/t7��7
Please Mail to: WPCSOCC
Division of Water Quality
1618 Mail Service Center
Raleigh, N.C. 27699-1618

Goldsboro Hog Farms, Inc.
Friday, November 05, 1999 Updated 10/17/2017
Producer: Richard Creech
Farm Name:
Telephone # :
Type of Operation :
Number of Animals
Application Method:
Triple "A" Farm
312 Forest Drive
La Grange,NC 28551
[phone]
Feeder to Finish Swine
2880 hogs design capacity
Irrigation
The waste from your animal facility must be land applied at a specified rate to prevent
pollution of surface and/or groundwater. The plant nutrients in the animal waste should be
used to reduce the amount of commercial fertilizer required for the crops in the fields where
waste is to be applied. This waste utilization plan uses nitrogen as the limiting nutrient.
Waste should be analyzed before each application cycle. Annual soil tests are strongly
encouraged so that all plant nutrients can be balanced for realistic yields of the crop to be
grown.
Several factors are important in implementing your waste utilization plan in order to maximize
the fertilizer value of the waste and to ensure that it is applied in an environmentally safe
manner. Always apply waste based on the needs of the crop to be grown and the nutrient
contents of the waste. Do not apply more nitrogen than the crop can utilize. Soil types are
important as they have different infiltration rates, leaching potentials, cation exchange
capacities, and avaialable water holding capacities. Normally waste shall not be applied to
land eroding at greater than 5 tons per acre per year. With special pre -cautions, waste may
be applied to land eroding at up to 10 tons per acre per year. Do not apply waste on
saturated soils, when it is raining, or when the surface is frozen. Either of these conditions
may result in runoff to surface waters which is not allowed under DEM regulations. Wind
conditions should also be considered to avoid drift and downwind odor problems. To
maximize the value of the nutrients for crop production and to reduce the potential for
pollution, the waste should be applied to a growing crop or applied to bare ground not more
than 30 days prior to planting. Injecting the waste or disking will conserve nutrients and
reduce odor problems. This plan is based on waste application through irrigation for this is
the manner in which you have chosen to apply your waste. If you choose to inject the waste
in the future, you need to revise this plan. Nutrient levels for injecting waste and irrigating
waste are not the same.
The estimated acres needed to apply the animal waste is based on typical nutrient content for
this type of facility. Acreage requirements should be based on the waste analysis report from
your waste management facility. Attached you will find information on proper sampling
techniques, preparation, and transfer of waste samples to the lab for ananlysis. This waste
utilization plan, if carried out, meets the requirements for compliance with 15A NCAC
21-1.0217 adopted by the Environmental Management Commission.
Page 1

AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
2880 hogs X 1.9 tons waste/hogs/year = 5472 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
2880 hogs X 2.3 Ibs PAN/hogs/year = 6624 PAN/year
Applying the above amount of waste is a big job. You should plan time and have appropriate
equipment to apply the waste in a timely manner.
The following acreage will be needed for waste application based on the crop to be grown,
soil type and suface application.
TABLE 1 :
ACRES OWNED BY PRODUCER
-,
---.
-
SAIL TYPE CLASS-
CROP
--
YIELD LBS AW COMM
ACRES
LBS AW
APPLI .
TIME
TRACT
FIELO
DETERMINING PHASE
CODE
N/ACRE NIACRE
USED.
_
--
- --"
gH
- 6.5
325
0
5.9
1918
--
MAR-OCT
8780
1
ONSLOW ALL
SG
1
-
50
-
0
5.9
295
SEP-A PR
--.
8780
-.-.
- 1
--
ONSLOW ALL
-. -.
--
--.
6.5
-.
325
-
0
5.6
-
1820
MAR-OCT
--
g7gp
2
- --
ONSLOW ALL --
gH
SG
_
- 1
50
0
5.6
280
-"
SEP-APR
8780
- 2
L
ONSLOW ALL
. -.
6.5
-
325
0
-
8.4
-
2730
-
MAR -OCR
8780
3A
ONSLOW ALL
"
BH
50
0
8.4
420
SEP-APR
—.
8780
--
- 3A
ONSLOW ALL --.--"
--
SG
1
6.5
-.
325
0
-
4.5
-
463
1225
--
MAR-AOCR
-.-
g7g0
3B
ONSLOW ALL _
BH
1
50
0
4.5
225
SEP-APR
.--.
g780
- 31
-
ONSLOW ALL
---- --
SG
-"
_
-
TOTALS:
9150
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
NOTE: The applicator is cautioned that P and K may be over applied while meeting the N
requirments. Beginning in 1996 the Coastal Zone Management Act will require farmers in
some eastern counties of NC to have a nutrient management plan that addresses all
nutrients. This plan only addresses Nitrogen.
Page 2

TABLE 2: ACRES WITH AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land. See required specifications 2.)
Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow
summer annuals.
* Indicates a Crop Rotation
* Acreage figures may exceed total acreage in field due to overseeding.
**Lbs AW N (animal waste nitrogen) equals total required nitrogen less any commercial
nitrogen (COMM N) supplied.
The following legend explains the crop codes used in TABLES 1 and 2 above:
CROP CODE
BH
SG
GRAIN
CROP
UNITS LBS N/UNIT
TONS 66
50 _
Page 3

TOTALS FROM TABLES 1 AND 2
ACRES
LBS AW
N USED
— —
[TABLET 24 4r
—.
9,150
9,150
TOTALS: 244
AMOUNT OF N PRODUCED:
63624
"BALANCE -2,526
*** This number must be less than or equal to 0 in order to fully utilize the animal waste N
produced.
Acres show in each of the preceeding tables are considered to be the usable acres excluding
required buffers, filter strips along ditches, odd areas unable to be irrigated, and perimeter
areas not receiving full application rates due to equipment limitations. Actual total acres in the
fields listed may, and most likely will be, more than the acres shown in the tables.
NOTE: The Waste Utilization Plan must contain provisions for periodic land application of
sludge at agronomic rates. The sludge will be nurturient rich and will require precautionary
measures to prevent over application of nutrients or other elements. Your production facility
will produce approximately 1065.6 pounds of plant available nitrogen (PAN) per year in the
sludge that will need to be removed on a periodic basis. This figure is PAN when
broadcasting the sludge. Please be aware that additional acres of land, as well special
equipment, may be needed when you remove this sludge.
See the attached map showing the fields to be used for the utilization of waste water.
APPLICATION OF WASTE BY IRRIGATION
The irrigation application rate should not exceed the intake rate of the soil at the time of
irrigation such that runoff or ponding occurs. This rate is limited by initial soil moisture
content, soil structure, soil texture, water droplet size, and organic solids. The application
amount should not exceed the available water holding capacity of the soil at the time of
irrigation nor should the plant available nitrogen applied exceed the nitrogen needs of the
crop.
Your facility is designed for 180 days of temporary storage and the temporary storage must
be removed on the average of once every 5.92 months. In no instance should the volume of
waste being stored in your structure be within 1.63 feet of the top of the dike.
If surface irrigation is the method of land application for this plan, it is the responsiblity of the
producer and irrigation designer to ensure that an irrigation system is installed to properly
irrigate the acres shown in Tables 1 and 2. Failure to apply the recommended rates and
amounts of Nitrogen shown in the tables may make this plan invalid.
The following table is provided as a guide for establishing application rates and amounts.
APPLICATION APPLICATION
TRACT FIELD SOIL TYPE CROP RATE (inlhr) AMT (inches)
.. -- SG 0.50 r '1
5780 - 1 z 3A,-36NSLOW ALL 7
i 2 '1
8780 3A,3B ONSLOW ALL BH 0.50
— ..
;This is the maximum application amount allowed for the soil assuming the amount of
nitrogen allowed for the crop is not over applied. In many situations, the application
amount shown cannot be applied because the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil conditions.
Page 4

NARRATIVE OF OPERATION
This WUP has been amended to reflect wettable acres utilizing a current FSA map to scale
(1"=660') and actual field measurements. A D-1 and irrigation parameter information is
provided as supporting documentation.
Pulls 1,2 & 3B will be sprigged with bermuda grass in the spring of 2006, weather and soil
conditions permitting.
Page 5

PLANS & SPECIFICATIONS
1. Animal waste shall not reach surface waters of the state by runoff, drift, manmade
conveyances, direct application, or direct discharge during operation or land application. Any
discharge of waste which reaches surface water is prohibited. Illegal discharges are subject
to assessment of civil penalties of $10,000 per day by the Division of Water Quality for every
day the discharge continues.
2. The Field Office must have documentation in the design folder that the producer either
owns or has long term access to adequate land to properly dispose of waste. If the producer
does not own adequate land to properly dispose of waste, he shall provide NRCS with a copy
of a written agreement with a landowner who is within a reasonable proximity, allowing
him/her the use of the land for waste application for the life expectancy of the production
facility. It is the responsibility of the owner of the facility to secure an update of the Waste
Utilization Plan when there is a change in the operation, increase in the number of animals,
method of utilization, or available land.
3. Animal waste shall be applied to meet, but not exceed, the Nitrogen needs for realistic crop
yields based on soil type, available moisture, historical data, climate conditions, and level of
management, unless there are regulations that restrict the rate of application for other
nutrients.
4. Animal waste may be applied to land that has a Resource Management System (RMS) or
an Alternative Conservation System (ACS). If an ACS is used the soil loss shall be no greater
than 10 tons per acre per year and appropriate filter strips will be used where runoff leaves
the field. These filter strips will be in addition to "Buffers" required by DEM. (See FOTG
Stantard 393 - Filter Strips and Standard 390 Interim Riparian Forest Buffers).
5. Odors can be reduced by injecting the waste or disking after waste application. Waste
should not be applied when there is danger of drift from the irrigation field.
6. When animal waste is to be applied on acres subject to flooding, it will be soil incorporated
on conventionally tilled cropland. When applied to conservation tilled crops or grassland, the
waste may be broadcast provided the application does not occur during a season prone to
flooding. (See "Weather and Climate in North Carolina" in the NRCS Technical Reference -
Environment file for guidance.)
*7. Liquid waste shall be applied at rates not to exceed the soil infiltration rate such that
runoff does not occur offsite or to surface waters and in a method which does not cause drift
from the site during application. No ponding should occur in order to control conditions
conducive to odor or flies and to provide uniformity of application.
8. Animal waste shall not be applied to saturated soils, during rainfall events, or when the
surface is frozen.
9. Animal waste shall be applied on actively growing crops in such a manner that the crop is
not covered with waste to a depth that would inhibit growth.
10. Waste nutrients shall not be applied in fall or winter for spring planted crops on soils with
a high potential for leaching. Waste nutrient loading rates on these soils should be held to a
minimum and a suitable winter cover crop planted to take up released nutrients. Waste shall
not be applied more than 30 days prior to planting of a crop on bare soil.
11. Any new swine facility sited on or after October 1, 1995 shall comply with the following:
the outer perimeter of the land area onto which waste is applied from a lagoon that is a
component of a swine farm shall be at least 50 feet from any residential property boundary
Page 6

shall not be applied
and from any perennial stream or river (other that an irrigation ditch or canal. Animal waste
other than swine waste e�en ialfacilities
ters't(SeenStandard C393b Fi ter St ps)
closer than 25 feet to p
12. Animal waste shall not be applied closer than 100 feet to wells.
r than 200 feet of dwellings other than those
13. Animal Waste shall not be applied close
owned by the landownwer.
in a manner not to reach other property and public right - o way
14. Waste shall be applieds or wetlands by
Animal waste may be applied to prior converted croplands
15. Animal waste shall not be discharged into surface waters, dra�ntechn cal specialist".
discharge or by over -spraying. application site a directly into water
roved as a land s that discharge
provided they have been approved
on grassed waterway
t when applied lication causes no runoff or drift
Animal waste should not be applied
courses,excep
lied at agronomic rates and the app
from the site. etc.,
*16. Domestic and industrial waste from
into the animal waste management system.
shall not be dischargedwashdown facilities, showers, toilets, sinks,
vegetation will be establishedsal egetation shall be on all disturbed areas
*17• A protective cover of appropriateto rotect the vegetation.
(lagoon embankments, berms, pipe runs, etc.). If needed, special
are limited to areas where
and other woody species,
provided for these areas and shall be fenced, as nec smo ed and accessible. Lagoon berms
vegetation such as trees, shrubs,
considered appropriate. Lag°aegularly be kept
for evidence of erosion, leakage or discharge.
and structures should be inspected s to be suspended or terminated, the owner is
18If animal production at the facility ipossibility
ting a "closure plan' which will eliminate the
*.
responsible for obtaining and nd iand erosion.
of an illegal discharge, pollution
*19. Waste handling structures, piping, pumps, reels, etc., should be inspected on a regular
basis to prevent breakdowns, leaks, and spills. A regular maintenance checklist should be
kept on site. vegetables and other crops for direct
cropsl waste is used on for direct human
20. Animal waste can be used r, a rotation that includes ve applications of
human consumption. However, if lied as a preemergence with no other
consumption, it should only be applied
animal waste during the crop season.
and bottom elevations of the
volume) of all waste treatment lagoons. Pumping shall t
*21. Highly visible markers shall be installed to mark the op
temporary storage (pumping
managed to maintain the liquid
dume f e uel between the waste storage ponds.
A marker will be required to mar
the maximum storage
22. Waste shall be tested within 60 days of utilization and soil shall be tested least annually
at'
sites where waste products are applied. Nitrogen shall be the rate -determining es
d and alternative
l be monitc
element. Zinc and copper levels in th exceoils e slssive levels�.ePH shall be adjusted for t for
shall be used when these metals approachears.
optimum crop production amd maintd. Secords shall be maintained for three () y ll be p
five (5) years. Poultry dry waste application
Waste application records for all other waste shall be maintained for five (5 years.
Department of
23. Dead animals will be disposed of in a manner that meets North Carolina Dep Page 7

Agriculture regulations.
* Liquid Systems
Page 8

NAME OF FARM: Triple "A" Farm
OWNER i MANAGER AGREEMENT
I (we) understand and will follow and implement the specifications and the operation and
maintenance precedures estalished in the approved animal waste utilization plan for the farm
named above. I (we) know that any expansion to the existing design capacity of the waste
treatment and/or storage system or construction of new facilities will require a new utilization
plan and a new certification to be submitted to DEM before the new animals are stocked.
I (we) understand that I must own or have acces to equipment, primarily irrigation equipment,
to land apply the animal waste described in this waste utilization plan. This equipment must
be available at the appropriate pumping time such that no discharge occurs from the lagoon
in a 25-year 1-day storm event. I also certify that the waste will be applied on the land
according to this plan at the appropriate times and at rates that no runoff occurs.
NAME OF FACILITY OWNER: Richard Creech
SIGNATURE: DATE: {e/lsr�t
NAME OF M NAGER (if different from owner):
please print
SIGNATU
DATE:
NAME OF TECHNICAL SPECIALIST: George H. Pettus
AFFILIATION: Mountain 2 Sea Environmental LLC
ADDRESS (AGENCY): 12 Hampton Lane
Weaverville, NC 28787
(828) 785(�-33339----511
SIGNATURE:- DATE: 10 Ocy IOU
Page 9