310006_Change Ownership Application_20191014

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)(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 of Farm: MAGA 2&3
Facility No: 31-6
Previous Owner(s) Name Murphy Brown, LLC Phone NO: 910-293-3434
New Owner(s) Name: Hilton Agribusiness, LLC Phone No:
Mailing Address: PO Box 2107 Elizabethtown, NC 28337
Farr Location: County: Duplin
Please attach a copy of a county road map with location Identified and described below (Be specific: road names,
directions, milepost, etc.): Take Rosemary Rd for .5 mile, turn left onto US 117 for .6 mile turn left onto SR 1102 onto
Brices Store Rd for 2.0 miles. turn left onto NC 903 for 6.3 miles. (Just before Dalwav) turn Iwff on SR 1947 Rnhhv
Operation Description
Type of Swine No. of Animals
❑
Wean to Feeder
❑
Feeder to Finish
❑
Farrow to Wean
❑
Farrow to Feeder
❑
Farrow to Finish
ice'
Wean to Finish 20,116
❑ Gilts
❑ Boars
Type of Poultry
i❑ Layer
❑ Pullets
No. ofAnimals
Other Typo of Livestock..
Type of Cattle No. of Animals
❑ Dairy
❑ Beef
NumberofAnimals
Acreage Available for Application: 123.82 Required Acreage: 123.82
Number of Lagoons / Storage Ponds: 3 4.109,230 6,415,308 Cubic Feet (ft3)
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Owner / Manager Agreement
I (we) verify that all the above Information Is coned 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 fans 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 slate 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 Land Owner:
Name of New Ln wner:
Signature_
Name of Manager (if different
Data: t.) -C) -
LLC
Date:
Date:
Please sign and return this form to: N.C. Division of water Quality
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mall Service Center
Raleigh, NC 27699-1636
November 1, 2004

Oct 14 19, 09:20a Barwick Agservices
9105900074 p.1
Animal Waste Management System Operator Designation Form
WPCSOCC
NCAC 15A 8F .0201
Facility/Far/ntn Name: /)? A q >b �
Permit #: &S 3 % f7 U 0 �o Facility fD#: 3, - County: Ae—1 -i
Operator In Charge (OIC)
Name: 6 re, 0 gt%P Lee A411 s
Firif Middle ion Jr, ST, ere.
Cert Type I Number: 4- IPQ Y13el Work Phone:( fit)
Signat¢re:_ �.. Date: % —11 /J
e
"t mttify that I ogres to my designation ae the Operator in charge, for the facility noted. I undertand and will abide by the rules
and regulations pertaining to the responsibilities set forth in 15A NCAC 08F.0203 and failing to do so can result in Disciplinary
Actions by the Water Pollution Control System Operatora Ceniflention Commission."
Back-up Operator In Charge (Back-up OIC) (Optional)
First Middle fast Jr. Sr, etc.
Cert Type / Number: Work Phone:
Sinnnture•.• Dale:
"I ratify that I ag to to my designation as Back-up Operator in Charge for the facility Doled. I understand and will abide by the
rules and regulations pertaining to Ora responsibilities set forth in 1SA NCAC 08P .0203 and falling to do so can result in
Disciplinary Actions by the Water Pollution Control System Operators CcA fication Commission."
Owner/Permittee Name: A L. — ✓ 6� � PJS
Phone #: ( ft d ) f , 2— K3P i Faxes: (!/id '2 —
Mail or fax to:
Res," &7007
WPCSOCC
1618 Mall SeMee Center
Raleigh, N.C. 27699-1618
Fax.-919-733-1338
(Retain a copy of this forest for your records)
Date: 9—X2 :zy