090183_Application_20230821

RECEIVED
Notification of Change of Ownership
Animal Waste Management Facility A U G 2 2G:: li
(Please type or print all information that does not require a signature)
In accordance with the requirements of 15A NCAC 2T .1304(c) and 15A NCAC 2T .1305(d) this form is-o£iQation to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste ManageineniA a This
form must be submitted to DWR no,later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: Sin letar Farm LLC Facility No: 0 9 - 18 3
Phone No: 910-874-3198
Previous Owner(s) Name: Isaac B. Sin letar 910-258-7412
New owner(s) Name: Aaron Lavon Blackmon __Phone No:
New Farm Name (if applicable):
BLACKMON FARMS,LLC
Mailing Address: 502 Hog Bay ROad,Bladenboro,NC 28320
o W78° Coup Bladen
Farm Location: Latitude and Longitude: N3 4 / t5'
Please attach a copy of a county road map with location identified, and provide the location address and driving directions
below (Be specific: road names, directions, milepost, etc.): -
911 Address: 2125 Cabbage Road
Bladenboro,NC 28320
Opera in Descri tion:
Type of Swine No. of'Animals Type of Swine No. of Animals Type of Cattle No. of Anima s
❑ Gilts ❑ Dairy
❑ Wean to Feeder 0 Boars ❑ Beef
0 Wean to Finish
0 Feeder to Finish Z, 9 ,0 Tyype of Poultry No. of Animals
❑ Farrow to Wean
❑.Layer
❑ Farrow to Feeder ❑,Pullets
❑ Farrow to Finish
Other Type ofLivestock. _ _ --— Number of Animals:
116 ACRES Re cored Acreage: 103 ACRES
Acreage Available for Application: - q
Number of Lagoons /Storage Ponds: 1 Total Capacity:
1571990 Cubic Feet (ft3)
Owner / Manager Agreement rect and will be updated upon changing. I (we) understand the operation and
I (we) verify that all the above information is cor
fied Animal Waste Management Plan (CAWMP) for the farm named above
maintenance procedures established in the Certi
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 Resources to issue the required permit to the new land owner.
Name of Previous Land Owner: S
. S
Name of New j:, and
Signature: / ' 4 _� `` "" _
Name of Manager (if different from owner):,
Signature:
Please sign and return this form to:
Farm,LLC
AUGUST 15,2023
Date: AUGUST 15, 2 0 2 3
Date:
Animal Feeding Operations
N. C. Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699-1636
June 12, 2015