310385_Application_20231206

Hillari Farm
Earnest R. Kennedy
31 - 385
[phone]
116 Church Road Pink Hill, NC 28572
1,276 Feeder to Finish 0
Earnest R. Kennedy Owner
12/5/2023

NCDENR-DWR
Animal Feeding Operations
1636 Mail Service Center
Raleigh, NC 27699-1636

Subject: Zero Animal Permit Request
for
Individual Swine Waste Management System

To whom it may concern:

My farm currently is not populated with any animals. There are no plans to repopulate at this
time. Therefore, I’m requesting a zero animal permit for individual swine waste management
system from your office.

Farm Information

Farm Name: ___________________________________________Permit #: ________________

Owner(s) Name: ________________________________________Phone #: ________________

Mailing Address: ________________________________________________________________

Farm Design Capacity: _________________________ Current Population: ________________

If you have any questions please contact my consultant Agriment Services, Inc. Please email a
copy of my updated zero permit to my consultant at [e-mail].

Printed Name of Signing Official (Landowner, or if multiple Landowners all landowners should
sign. If Landowner is a corporation signature should be by a principal executive officer of the
corporation):

Name: ________________________________________________Title: ___________________

Signature: _____________________________________________Date: ___________________