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Home My WebLink About310580_Permit Renewal Application 2019_20190410State of North Carolina Department of Environmental Quality Division of Water Resources Animal Waste Management Systems Request for Certification of Coverage Facility Currently covered by an Expiring Sate Non -Discharge General Permit On September 30, 2019, the North Carolina State Non -Discharge General Permits for Animal Waste Management Systems will expire. As required by these permits, facilities that have been issued Certificates of Coverage to operate under these State Non -Discharge General Permits must apply for renewal at least 180 days prior to their expiration date. Therefore, all applications must be received by the Division of Water Resources by no later than April 3, 2019. Please do not leave any question unanswered Please verify all information and make any necessary corrections below. Application must be signed and dated by the Permittee. 1. Farm Number: 31-0580 Certificate Of Coverage Number: AWS310580 2. Facility Name: David Price Farm 3. Landowner's Name (same as on the Waste Management Plan): David Price 4. Landowner's Mailing Address: 179 Outlaw Bridge Rd City: Albertson State: NC Zip: 28508 Telephone Number: 919-658-2781 Ext. E-mail: 5. Facility's Physical Address: 215 Outlaw P1 Dr City: Albertson State: NC Zip: 28508 6. County where Facility is located: Duplin 7. Farm Manager's Name (if different from Landowner): 8. Farm Manager's telephone number (include area code): 9. Integrator's Name (if there is not an Integrator, write "None"): Maxwell Foods LLC 10. Operator Name (OIC): 1— Phone No.: °-38-36e 11. Lessee's Name (if there is not at Less 'N ne' d (kr V `ftV, a v 12. Indicate animal operation type and number: Current Permit: Operations Type Swine - Feeder to Finish Operation Types: Allowable Count 1,440 OIC #: •16.55i—;' Swine Cattle Dry Poultry Other Types Wean to Finish Dairy Calf Non Laying Chickens Horses - Horses Wean to Feeder Dairy Heifer Laying Chickens Horses - Other Farrow to Finish Milk Cow Pullets Sheep - Sheep Feeder to Finish Dry Cow Turkeys Sheep - Other Farrow to Wean Beef Stocker Calf Turkey Pullet Farrow to Feeder Beef Feeder Boar/Stud Beef Broad Cow Wet Poultry Gilts Other Non Laying Pullet Other Layers 13. Waste Treatment and Storage Lagoons (Verify the following information is accurate and complete. Make all necessary corrections and provide missing data.) Structure Name Estimated Date Built Liner Type (Clay, Synthetic, Unknown) Capacity (Cubic Feet) Estimated Surface Area (Square Feet) Design Freeboard "Redline" (Inches) #1 5/13/1990 '-fC /Dtioo s )(fly "ice/-9 Mail one (1) copy of the Certified Animal Waste Management Plan (CAWMP) with this completed and signed application as required by NC General Statutes 143-215.10C(d) to the address below. The CAWMP must include the following components: 1. The most recent Waste Utilization Plan (WUP), sit ned b\ the owner and a certified technical specialist, containing: a. The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.) b. A map of every field used for land application (for example: irrigation map) c. The soil series present on every land application field d. The crops grown on every land application field e. The Realistic Yield Expectation (RYE) for every crop shown in the WUP f. The maximum PAN to be applied to every land application field g. The waste application windows for every crop utilized in the WUP h. The required NRCS Standard specifications 2. A site map/schematic 3. Emergency Action Plan 4. Insect Control Checklist with chosen best management practices noted 5. Odor Control Checklist with chosen best management practices noted 6. Mortality Control Checklist with selected method noted - Use the enclosed updated Mortality Control Checklist 7. Lagoon/storage pond capacity documentation (design, calculations, etc.) Please be sure the above table is accurate and complete. Also provide any site evaluations, wetland determinations, or hazard classifications that may be applicable to your facility. 8. Operation and Maintenance Plan If your CAWMP includes any components not shown on this list, please include the additional components with your submittal. (e.g. composting, digesters, waste transfers, etc.) As a second option to mailing paper copies of the application package, you can scan and email one signed copy of the application and all the CAWMP items above to: 2019PermitRenewal@ncdenr.gov I attest that this application 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. Note: In accordance with NC General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application may be subject to civil penalties up to $25,000 per violation. (18 U.S.C. Section 1001 provides a punishment by a fine of not- more than $10,000 or imprisonment of not more than 5 years, or both for a similar offense.) Printed Name of Signing Official (Landowner, or if multiple Landowners all landowners should sign. If Landowner is a corporation, signaturesh uld be by a principal executive officer of the corporation): Name: -u 4 eG e' Signature: f Title: a ;/ f. A" Date: ) .— 2 G Name: Title: Signature: Date: Name: Title: Signature: Date: THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS: NCDEQ-DWR Animal Feeding Operations Program 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Telephone number: (919) 707-9100 E-mail: 2019PermitRenewal@ncdenr.gov FORM: RENEWAL -STATE GENERAL 02/2019 ROY COOPER Governor MICHAEL S. REGAN seatrary LINDA CULPEPPER Director NORTH CAROLINA Environmental Quality February 27, 2019 David Price David Price Farm 179 Outlaw Bridge Rd Albertson, NC 28508 Subject: Application for Renewal of Coverage for Expiring State General Permit Dear Permittee: Your facility is currently approved for operation under one of the Animal Waste Operation State Non -Discharge General Permits, which expire on September 30, 2019. Copies of the new animal waste operation State Non -Discharge General Permits are available at hlins://deu.nc.gov/about/divisions/water-resources/water-uualirv-regional-operations/afo or by writing (ir calling: NCDEQ-DWR Animal Feeding Operations Program 1636 Mail Service Center Raleigh, North Carolina 27699-1636 Telephone number: (919) 707-9100 In order to assure tour continued coverage under the State Non -Discharge General Permits. you must submit an application for permit coverage to the Division. Enclosed you will find a "Request for Certificate of Coverage Facilit\ Currentlti Covered by an Expiring State Non -Discharge General Permit." The application form must be completed. signed and returned by April 3. 2019. Please note that you must include one al copy of the Certified Animal Waste Mangement Plan CCAWMP) with the completed and signed arnlicalon form, A list of items included in the CAWMP can be found on nage 2 of the renewal application form. Failure to request renewal of your coverage under a general permit within the time period specified may result in a civil penalty. Operation of your facility without coverage under a valid general permit would constitute a violation of NCGS 143-215.1 and could result in assessments of civil penalties of up to $25,000 per day. If you have any questions about the State Non -Discharge General Permits, the enclosed application, or any related matter please feel free to contact the Animal Feeding Operations Branch staff at 919-707-9100. Sincerely, Jon Risgaard, Section Chief Animal Feeding Operations and Groundwater Section Enclosures cc (w/o enclosures): Wilmington Regional Office, Water Quality Regional Operations Section Duplin County Soil and Water Conservation District AFOG Section Central Files - AWS310580 Maxwell Foods LLC 14.9., North Casrna Department of Snvaonmente tQuality 1 Division of Water Resources 312 N. Sahsbuy St_ 1 1636 Mal Service Center 1 Relays, Mara+ Caro9ina 27699.1636 919.707 9000 Mortality Management Methods Indicate which method(s) will be implemented. When selecting multiple methods indicate a primary versus secondary option. Methods other than those listed must be approved by the State Veterinarian. Primary Secondary Routine Mortality ❑ ❑ ❑ ❑ El El Version —November 26, 2018 Burial three feet beneath the surface of the ground within 24 hours of knowledge of animal death. The burial must be at least 300 feet from any flowing stream or public body of water (G.S.106-403). The bottom of the burial pit should be at least one foot above the seasonal high water table. Attach burial location map and plan. Landfill at municipal solid waste facility permitted by NC DEQ under GS 15A NCAC 13B .0200. Rendering at a rendering plant licensed under G.S. 106-168.7. Complete incineration according to 02 NCAC 52C .0102. A composting system approved and permitted by the NC Department of Agriculture & Con- sumer Services Veterinary Division (attach copy of permit). If compost is distributed off -farm, additional requirements must be met and a permit is required from NC DEQ. In the case of dead poultry only, placing in a disposal pit of a size and design approved by the NC Department of Agriculture & Consumer Services (G.S. 106-549.70). Any method which, in the professional opinion of the State Veterinarian, wouldmake possible the salvage of part of a dead animal's value without endangering human or animal health. (Written approval by the State Veterinarian must be attached). Mass Mortality Plan Mass mortality plans are required for farms covered by an NPDES permit. These plans are also recommended for all animal operations. This plan outlines farm -specific mortality man- agement methods to be used for mass mortality. The NCDA&CS Veterinary Division sup- ports a variety of emergency mortality disposal options: contact the Division for guidance. • A catastrophic mortality disposal plan is part of the facility's CAWMP and is activated when numbers of dead animals exceed normal mortality rates as specified by the State Veterinarian. • Burial must be,done in accordance with NC General Statutes and NCDA&CS Veterinary Division regulations and guidance. • Mass burial sites are subject to additional permit conditions (refer to facility's animal waste management system permit). • In the event of imminent threat of a disease emergency, the State Veterinarian may enact additional temporary procedures or measures for disposal according to G.S. 106-399.4. ,F•4 "2- 2 ' / f Signature of Farm Owner/Manager Date Signature of Technical Specialist Date WASTE UTILIZATION PLAN Goldsboro Hog Farms, Inc. Friday, August 02, 1996 Producer : David Price Farm Name : David Price 441 Scotts Store Rd. Mt.Olive,NC 28365 Telephone # : (919) 658-9860 Type of Operation : Feeder to Finish Swine Number of Animals : 1440 hogs design capacity Application Method: 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 2H.021 7 adopted by the Environmental Management Commission. Page 1 of 9 AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.) 1440 hogs X 1.9 tons waste/hogs/year = 2736 tons AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR 1440 hogs X 2.3 lbs PAN/hogs/year = 3312 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 TRACT FIELD SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC. DETERMINING PHASE CODE N/ACRE N/ACRE USED TIME 5024 6 BLANTON 0-5% BH 4.5 225 0 3.58 805.5 MAR-SEP TOTALS: 805.5 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 of 9 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.) TRACT FIELD 5010 5010 5010 5010 5010 2 3 4 SOIL TYPE &CLASS- CROP YIELD LBS AW COMM ACRES LBS AW APPLIC. DETERMINING PHASE CODE N/ACRE N/ACRE USED TIME BLANTON 0-5% BP 3.4 170 0 5.17 BLANTON 0-5% BP 3.4 170 0 5.17 BLANTON 0-5% BLANTON 0-5% BP BP 3.4 3.4 170 170 0 4.43 0 4.43 BLANTON 0-5% 878.9 MAR-SEP 878.9 MAR-SEP 753.1 MAR-SEP 753.1 MAR-SEP 0 1.57 266.9 MAR-SEP TOTALS: 3530.9 Indicates that this field is being overseeded (i.e. interplanted) or winter annuals follow summer annuals. BP 3.4 170 * 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 Tess any commercial nitrogen (COMM N) supplied. The following legend explains the crop codes used in TABLES 1 and 2 above: CROP CODE CROP BP HYBRID BERMUDAGRASS-PASTURE BH HYBRID BURMUDAGRASS-HAY UNITS LBS N/UNIT TONS 50 TONS 50 Page 3 of 9 TOTALS FROM TABLES 1 AND 2 ITABLE 1 ACRES LBS AW N USED 3.58 806 TABLE 2 20.77 3,531 TOTALS: 24.351 4,336 AMOUNT OF N PRODUCED: 3,312 *** BALANCE -1,024 *** 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 532.8 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 1.75 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 (in/hr) AMT (inches) 5010 1,2,3,4,5 BLANTON 0-5% BP 0.75 5024 6 BLANTON 0-5% BH 0.75 *1 * 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 of 9 NARRATIVE OF OPERATION This WUP has been revised to reflect wetted acres by pulls. Mr. Price would like the option of overseeding his bermuda with small grain, but doesn't want to be required to by his WUP. In the event he were to overseed, he must not apply animal waste to the bermuda after August 31, he may apply 100 Ibs of N to the overseeded small grain in split applications using 50 lbs/acre from Sept 15 to Oct 30 and 50 Ibs/acre in February - March. The small grain needs to be harvested or removed by April 7. Page 5 of 9 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 anv residential property boundary Page 6 of 9 and from any perennial stream or river (other that an irrigation ditch or canal. Animal waste other than swine waste from facilities sited on or after October 1, 1995), shall not be applied closer than 25 feet to perennial waters. (See Standard 393 - Filter Strips) 12. Animal waste shall not be applied closer than 100 feet to wells. 13. Animal Waste shall not be applied closer than 200 feet of dwellings other than those owned by the landownwer. 14. Waste shall be applied in a manner not to reach other property and public right - of ways. 15. Animal waste shall not be discharged into surface waters, drainageways, or wetlands by discharge or by over -spraying. Animal waste may be applied to prior converted croplands provided they have been approved as a land application site by a "technical specialist". Animal waste should not be applied on grassed waterways that discharge directly into water courses, except when applied at agronomic rates and the application causes no runoff or drift from the site. *16. Domestic and industrial waste from washdown facilities, showers, toilets, sinks, etc., shall not be discharged into the animal waste management system. *17. A protective cover of appropriate vegetation will be established on all disturbed areas (lagoon embankments, berms, pipe runs, etc.). If needed, special vegetation shall be provided for these areas and shall be fenced, as necessary, to protect the vegetation. Vegetation such as trees, shrubs, and other woody species, etc. are limited to areas where considered appropriate. Lagoon areas should be kept mowed and accessible. Lagoon berms and structures should be inspected regularly for evidence of erosion, leakage or discharge. *18. If animal production at the facility is to be suspended or terminated, the owner is responsible for obtaining and implementing a "closure plan" which will eliminate the possibility of an illegal discharge, pollution and erosion. *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. 20. Animal waste can be used in a rotation that includes vegetables and other crops for direct human consumption. However, if animal waste is used on crops for direct human consumption, it should only be applied as a preemergence with no other applications of animal waste during the crop season. *21. Highly visible markers shall be installed to mark the top and bottom elevations of the temporary storage (pumping volume) of all waste treatment lagoons. Pumping shall be managed to maintain the liquid level between the markers. A marker will be required to mark the maximum storage volume fpr waste storage ponds. 22. Waste shall be tested within 60 days of utilization and soil shall be tested at least annually at crop sites where waste products are applied. Nitrogen shall be the rate -determining element. Zinc and copper levels in the soils shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted for optimum crop production amd maintained. Soil and waste analysis records shall be kept for five (5) years. Poultry dry waste application records shall be maintained for three (3) years. Waste application records for all other waste shall be maintained for five (5) years. Page 7 of 9 23. Dead animals will be disposed of in a manner that meets North Carolina Department of Agriculture regulations. * Liquid Systems Page 8of9 NAME OF FARM: David Price OWNER / 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. (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: David Price i" SIGNATURE:; r, ;' ./1L ,s DATE: 3 - -7 NAME OF MANAGER (if different from owner): SIGNATURE: DATE: NAME OF TECHNICAL SPECIALIST: George H. Pettus AFFILIATION: Goldsboro Hog Farms, Inc. ADDRESS (AGENCY): PO Box 10009 SIGNATURE: Goldsboro, NC 27532 (919) 778-3130 C4}fit4-J please print DATE: 2 1 A't»rzcN �1 Page 9 of 9 Landowner/Operator Name: Address: Telephone: TABLE 1 - Field Specifications IRRIGATION SYSTEM DESIGN_ PARAMETERS PAVtp ?r-ice (1 SeoTT SToiZE 1�D. VV1T. 0L-tt/G, NC 2S36c 658-9i3bo County: Date: pciL-)UN 2q wt AfzGN 401 Fide Number 1 2 Approximate Maximum Useable Size of Fleld2 (acres) 5.17 5.17 4 5 6 4l'.43 .14-3 (.57 3..58 Soll Type 13LA-N-1"0N 14 Scope (%) d,5 1, Crop(s) 13't mupA P4151-t4 ., Maximum Application IWO (Whr) .75 Maximum Application per Irrigation • Cycie3 . (inches) ' 1. 00 EXHIBIT D-1 Comments maaq Pre eYeres 1Jl?D 1, 14 11 11 ,1 1. Ll ft F3 eltrvi -p A 1.1 Ate/ It '1 44 k 14 I, h 1, 1, 1) - I See attached map. 2Total field acreage minus required buffer areas. 3Refer to N. C. Irrigation Guide, Field Office Technical Guide, Section U G. Annual application must not exceed the agronomic rates for the soil and crop used. NRCS, NC JUNE; .1996 I, //,J_'✓7rZGY-►'l a2 hereby give you, Oy7 ) Landowner permission to apply the effluent from your hog operation on_; acres of my land. This permission is granted for the life of the proposed hog operation or for as long as / ,e 1ire. is the owner. The effluent is to be applied in a manner that will not cause any problems: For example - apply the effluent with irrigation equipment, disk in and seed a cover crop, plant row crops, inject into the soil,. and etc. I, Pair, , will be responsible for all the expenses incurred for the above, but, /avp,,! /l : �!,:l;�.fr will control the time the effluent can be applied to the soil. The effluent will be applied in a manner and time that will not present any problems or inconveniences to the existing farming operations. After pumping, a minimum of feet of effluent should remain in the lagoon. This agreement is between said parties: Landowner Owner of Hog Operation 3- /53o" Date Operator: : David Price Asbuilt County: —: Duptin Date: _ 08/24/06 Dist.to nearest residence (other than owner): 0 ft. sows (farrow to finish):==- sows (farrow to feeder): eder):=== head (finishing only): - 1440 sows (farrow to wean): head (wean to feeder): — 0 Ave. Live Weight for other operations(ibs.)=> Storage volume for sludge accum. (cu. ft.):=> Treatment Volume (min. 1 cu_ ft./ib.) > 1.0 25 Year - 24 Hour Rainfall (in.) 7.5 Rainfall in excess of evaporation (in.) 7.0 Drainage area of buildings & lots (sq. ft.)-> Volume of wash water (gallons/day)— Temporary storage period (days) 180 Freeboard (ft.): 1.0 Side slopes (inside lagoon): 2.5 : 1 Inside top length (ft.). > 368.0 Inside top width (ft,): > 137.0 Top of dike elevation (ft.): 48.6 Bottom of lagoon elevation (ft.):---mm--- ) 35.7 Seasonal high water table(SHWT) elev.(ft.):=> 0.0 Total required volume: _ 302793 cu. ft. Actual design volume:------- _ 409001 cu. ft. Stop pumping el.(. or = to 0.0 ft.SHWi)> 44.8 ft. (> or = to 41.7 ft.Min.) Required minimum treatment volume: 194400 cu. ft. Volume at stop pumping elevation: 284355 cu. ft. Start pumping elev.:' - > 46.9 ft. Volume at start pumping elevation: 376053 cu. ft. Actual volume less 25yr-24hr rain: 377491 cu. ft. NOTE: Verify that temp. storage is adequate: Req. volume to be pumped:====> 76883 cu. ft. Actual volume to be pumped:==> 91708 cu. ft. _*5O 4 Ai) i) 14- (fie., L , 1— A-1390) Ed NdTV:EO 900E jE •find EETE96E0Z6 : '0N Xti9 : NONJ . David Price ESS: Mt. Olive, NC E AND SIZE 1440 topping OPERATION CLASS 11 DESIGNED BY Jimmy Vinson DATE 5-14-90 APPROVED BY Jimmy Vinson DATE 5-14-90 PERMANENT STORAGE 1440 Hogs x PA6E 2 135 |bs per hog 1 Cu Ft per /b. 194400 Cu Ft TEMPORARY STORAGE 194400 |bs of animal x 1.35 cu. ft. of waste per day per 1000 |bs of animal wt. x 180 days 47239 Cu Ft RAINFALL LESS EVAPORATION 7" X 51814 sq. ft. surface area per 12"per ft 30225 Cu Ft RAINFALL - 25 YR. 1 DAY STORM X 51814 sq. ft. of surface area per 12" per ft. 32384 Cu Ft CUT TO FILL RATIO TOTAL STORAGE NEEDED TOTAL STORAGE AVAILABLE AMOUNT OF FILL DIKE 304248 Cu Ft 11268 Cu Yds 339291 Cu Ft 12566 Cu Yds 90022 Cu Ft PAD 85000 Cu Ft TOTAL SETTLEMENT 10% 175022 Cu Ft 17502 Cu Ft --------- TOTAL AMOUNT OF FILL 192524 Cu Ft 7131 Cu Yds TOTAL EXCAVATION 227847 Cu Ft 1.2: 1 8439 Cu Yds ^ � ' AND MAINTENANCE �Mis lagoon is designed for waste treat—mentc°usrm/. The time re�uired for the with minim um odo r r conditions, flushing operations, and reacbed may vary -ue to sail P(afluid level to be the amount of fresh water added to the system. Land application of waste water is recognized method of disposal. Irrigation by using cent traveler is the preferred and most c effi i P «» ' 3u»' or the effluent from the (a800n Care should meth«d to dispose of waste t» Prevent damage to the crops u/ be taken � when applying the fie/ds, «Ps and to prevent runoff from The following items are to be carried out: 1. Begin pump -out of the lagoon when fluid / | of the outlet Pipes or at a pre -determined /e«e reaches invert e evat�on. 2.Stop pump -out before the lagoon depth is less than 6 f t deep a ". � a pre -determined depth (Thi ee favorable bacteria) ^ s prevents the loss of 3.d The recommended amount to apply per irrigation is one inch _ maximum recommended application rate is 0.5 inch per hour.' 4' It is recommended that the treatment / '/2 its capacity to prevent excessive » «d a8«»» be PrecharSed to �ta8es of the operation.prechar / rs d«rih8 beginning the initial waste entering the |8 »3 reduces the concentration of Solids should be co a8»»» thereby reducing odors covered with water at a/| times. ^ 5. Keep vegetation on the embankment and areas around the lagoon and buildings mowed, 6. Repair any eroded areas and establish in veSetat'on. 7,/sc The Clean Water Act of 1977 prohibits the discharge Poutants into waters of the United States De »f c^vi/|r»»me»t' Health, and Natural Reso ^ The u Partme»t of Management Sect/on, has the reurces' Wastewater sponsib law. ///ty for enforcing this 8. All surface water /s to be diverted f adequate and stable outlet,,r»m the la3»»» to an CERTIFICATION: Iherebymaintenance certify that I understand the operation and i t requirements stated above. Furthermore, I understande»a»ce aceh«r,�� are required in order to /and app|y the was� how many c e |a8«»» may have to be pumped 2 or m ti e a»o that design has been explained to me and I aeSreemes a year. This `ated in the design. I also certify that twith a// provisions .her than mine or my tenants. within 750 f here are »» residence I understand that compliance with thisfeet »f this »Peration, someone from suing me because of nuisance or other reasons. /�� Signature David Price </PROXIMATE ANNUAL NITROGEN (N) AND PHOSPHORUS (P) PRODUCTION '' N: 34059 LB P: 9934 LB TONS OF WASTE STORED: 2834 BEFORE ANY EFFLUENT IS APPLIED TO THE LAND IT SHOULD BE ANALYZED TO DETERMINE THE EXACT NUTRIENT CONTENT. THE NCDA LABORATORY IN RALEI6H PERFORMS WASTE ANALYSES. YOU SHOULD CONTACT AGRONOMIC SERVICES DIVISION NCDA, BLUE RIDGE ROAD CENTER RALEI8H N.C. 27611 PHONE: 919-733-2655 WHEN APPLYING THE EFFLUENT TO CROPLAND IT SHOULD BE DISK AND A COVER CROP SEEDED OR A ROW CROP PLANTED TO PREVENT EROSION. SOME OF THE EFFLUENT COULD BE USED FOR IRRIGATION PURPOSES DURING THE GROWING SEASON. LAND REQUIREMENTS FOR WASTE APPLICATION 1440 capacity Feeder to Finish operation: Land Avail. Land Required 28.0 27.4 ac. of cropland planted to corn 0.0 12.7 ac. of coastal bermuda8rass--8razed 0.0 10.4 ac. of coastal bermuda8rass--hay 0.0 20.2 ac. of fescue --grazed 102.3 percent of land required is available 0 sow Farrow to Feeder operation: Land Avail. Land Required 0 0.0 ac. of cropland planted to corn 0 0.0 ac. of coastal bermuda3rass--3razed 0 0.0 ac. of coastal bermudaSrass--hay 0 0.0 ac. of fescue --grazed ERROR percent of land required is available 0 sow Farrow to Finish operation. - Land Avail. Land Required 0 0.0 ac. of cropland planted to corn 0 0.0 ac. of coastal bermudaSrass--grazed 0 0.0 ac. of coastal bermuda8rass--hay 0 0.0 ac. of fescue --grazed ERROR percent of land required is available BEGIN PUMPING THE EFFLUENT WHEN THE FLUID LEVEL REACHES outlet pipe ------------------------------ DO NOT LOWER THE FLUID ANY LOWER THAN 4.0 ft. ------------------------------ LLONS TO BE PUMPED EVERY 6 MONTHS 823858 gallons THE EFFLUENT SHOULD BE APPLIED AT A RATE THAT WILL NOT CAUSE ANY RUNOFF ONTO SURROUNDING AREAS OR LEACHING INTO THE GROUND WATER RECOMMENDED APPPLICATION RATE IS 0.5 INCHES PER HOUR AND THE MAXIMUM RECOMMENDED APPLICATION AMOUNT IS INCH PER IRRGATION David Pri jAEDIN8 SPECIFICATIONS EA TO BE SEEDED APPLY THE FOLLOWING USE THE SEED MIXTURE INDICATED 2 AC. 2000 LBS. 8-8-8 FERTILIZER 4 TONS DOLOMITIC LIMESTONE 200 BALES SMALL GRAIN STRAW ( ) 100 LBS. FESCUE GRASS ( ) 70 LBS. OATS 100 LBS. BAHIA GRASS 8 LBS. WEEPING LOVE GRASS (X) 24 LBS. HULLED BERMUDA 8RASS ( > 40 LBS. UNHULLED BERMUDA GRASS ^`»ERT ALL WATER TO hyb/d s»r8ham for quick cover, - V A STABLE OUTLET ( (HE NEAREST RESIDENCE IS 760 FT. F.B.M. 50.0 ft. ELEVATION OESCRIPTION Nail /n 18" pine 30 ft. E. of A 0+00 VERY IMPORTANT - PLEASE READ CAREFULLY -------------------------------------- 'HE LA8OON AND THE AREA AROUND THE HOG HOUSES MUST BE SEEDED WITH 'ITHER A TEMPORARY OR PERMANENT GRASS, DEPENDING ON THE TIME OF THE 'CAR, WITHIN THIRTY (30) DAYS FROM THE TIME THE BUILDINGS ARE COM `LETED AND READY FOR USE. (WE RECOMMD THAHAT THE LAGOON AREA SIDE - �LOPES, DRAINS AND ETC.. AS WELL AS THE SIDE SLOPES OF THE P'*D BE iEEDED WITHIN FIFTEEN (15) DAYS AFTER CONSTRUCTION THE SOIL WILL /-`T DRY OUT AS MUCH IF SEEDED WITHIN THIS TIME FRAME WHICH WILL ESULT IN A MUCH BETTER STAND OF GRASS.) PAGE 5 David Price PAGE r . DEPTH EAREA OF TOP - AREA OF BOTTOM +' XSE C%1-lLLIME--AREA OF M]:D LC:T':[t:ll 7 6.0 27 VOLUME = DEPTH E L ): W -I- L X W -I 4 )< L ); 6 27 t_UN - --- " 315 +60 f265 -4 %-' : 2903 6.0 10.0 E 1491503 VOLUME' = rare() 'OLt.JIvIE 248583.3 CU.. FT. 27.0 VOLUME v'I_fLL�I'IL_ = 9206.8 L•U a y D s n 9000n0 5q.ft 204 47 can ft.r needed SLOPESe 1 27 DEPTH • i 1 EAREA OFTOP + AREA I J1.- BOTTOM . ': t '0L. (fi_ = ---_ _ _ _.---..--..----..----..--..---..-- 6. -. ;: ��rtE:, OF i�irD�~�i 27 DEPTH E L L )�� a X a ._.[_tiM_ _+ :: l._. ), I= a 10.0 E. '-fL.UM_ =6.0 _..... _..... OLUME 6.0 160 > 62.5 +• 110 X 12.5 • : - 4R208.3 C:U.. FT.. LL.Ur1E. _--•---•---- 27.0 •IL-.. = 1785.5 CU . YDS . 12814.0 S CI n f t .. 27 • mosommom • mammonism um ••••••••••■ i no 1 !I mo:tAimmod lomisSilliallill ' mripme • y m• s Nomomm mommeild iill isms +. „TT rsio•N•si lggi "•Ainwim • ! o 1_11 II. -1-1---1_. 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MENIMMINFIZZIMINIMIMMINIIIIIIIENNIIIMISIO ; --; r-•• • r ;•'i-.1, 11.11.11.11.1. - : ..... ; . • , _1 • -- usit••••••=wi . 17 -1 1 1 c_ - •IMMI.IIMIMIENIM MOM mon ommansimmailmi••••••=•••••••••••■•• H, _IT _ • ma __•••••=••••••••••••••••••••••••• • . • , .". , • 1.11111.11111.1.11 • • ' L._ li-Mill.....11M=ERMEMMEMEMME lUUlj A -- ;) I:r SR. /30.1a ' . . .. � �o�s .. -ice= 1: j ;-1-j:I ANIMAL WASTE MANAGEMENT PLAN CERTIFICATION FOR EXISTING FEEDLOTS Please return the completed form to the Division of Environmental Management at the address on the ierse side of this form. Name of farm (Please print) : 1>AV ID FizI c Mailing Address: 1+41 sco rs STOF-. 1zP. IVPr OLIVE, NG z13(c5 Phone No.: tll of - b5d -clSbo County (of farm): pu pi. I N Farm location: Latitude and Longitude: 35° OS54" / 77° 50' 15 (required). Also, please attach a copy of a county road map with location identified: Type of operation (swine, layer, dairy, etc.) : SWINE (FE)>FR ro ) Design capacity (number of animals) : 11440 ...Average size of operation (12 month population avg.): 1400 'Average acreage needed for land application of waste- (acres) : 27 die-1zEs Technical Specialist Certification As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 6F .0005, I certify that the existing animal waste management system for the farm named above has an animal waste management plan that meets the operation and maintenance standards and specifications of the Division of Environmental Management and the USDA - Soil Conservation Service and/or the North Carolina Soil and Water Conservation Commission pursuant to 15A NCAC 2H.0217 and 15A NCAC 6F .0001 - .0005. The following elements and their corresponding minimum criteria have been verified by me or other designated technical specialists and are included in the plan as applicable: minimum separations (buffers); adequate quantity and amount of land for waste utilization (or use of third party); access or ownership of proper waste application equipment; schedule for timing of applications; application rates; loading rates; and the control of the discharge of pollutants from stormwater runoff events less severe '"an the 25 - year, 24 - hour storm. When checked, see reverse side of form for conditions/exceptions. Name of Technical Specialist (Please Print): GEoiz& N. Ve-rats Affiliation (Agency): NVIr-pNMPNITAt_ Mlu. -.C-o .g mac, rq,zoi, INc Address (Agen ): 5000q U-oc,I ,-ate+ NC 27532 Phone No.: Gllq-77Qj-313o Signature: Date: 3p rvtpy qb Owner/Manager Agreement I (we) understand the operation and maintenance procedures established in the approved animal waste management plan for the farm named above and will implement these procedures. I (we) know that any expansion to the existing design capacity of the waste treatment and storage system or construction of new facilities will require a new certification to be submitted to the Division of Environmental Management before the new animals are stocked. I (we) also understand that there must be no discharge of animal waste from this system to surface waters of the state either directly through a man-made conveyance or through runoff from a storm event less severe that the 25-year, 24-hour storm. The approved plan will be filed at the farm and at the office of the local Soil and Water Conservation District. Name of Lai l Owner (Please Print): ,,, Signature: �y,,l � �.,. Date: S ? '— Name of Manager, ifdifferent from owner (Please print): Signature: Date: mote: A change in land ownership requires notification or a new certification (if the approved plan is changed) within 60 days of a title transfer. DEM USE ONLY: ACE# rrn-a IRRIGATION SYSTEM DESIGN_ PARAMETERS Landowner/Operator Name: pA VI t? p R (Ge Address: LI-61• 1 5eo1T 5Tog.E RV, mei. oLtVC, Nc 25365- Telephone: qlq- 656-qi36o TABLE 1 - Field Specifications Fleld1 Number Z 3 5 6 Approximate Maximum Useable Size of Fieid2 (acres) 5. 17 5.(7 4.43 Li.43 (.57 3.58 County: Date: Zq ►IAAi2GN ' ? Soll Type 111 Crop(s) l3-61ziviaP4 pAsi-1444E „ it 14. -� Maximum Application Ratc3 (fir) .75 1) Maximum Application per Irrigation Cycle3 (?aches) (. 0 0 11 Comments nnAy 00ERs��ven 1, tt ti 1t F3 M4vIcirDA 1-( A"( 't tc lc (, (, • Ct tt 1See attached map. 2Tota1 field acreage minus required buil'er areas. 3Refer to N. C. Irrigation Guide, Field Office Technical Guide, Section 11 G. Annual application must not exceed the agronomic rates for the soil and cro used. P NRCS, NC JiJNE; .I 996 „:1). .6:ii--44.44.:jr!•:1.`;1* 1...,...07- .... 2.1er .4 • . -*- 'rkl.-••Ci""jt 44V-Ic"r til!'f''' '.'•'•,i-ir'.3' •J Y3' 4, °I. -111'.' -''IrS1..• •' --,-.: - 1,1 - 4444 .c. .-. f• ...- -.' IN- .1. • .-, -i-C• 'L'..t.,.171'<g g...iV'' ."..eaC..; i'.1,2ei - . t ,••:. • ' - Vt'51-4.:V..k...ei•-.Z.• • - l'.4'..4,'r.1;71NYfi ',4/vf- X./PO..5(.0-P . • • - • \ ••,./ , 4- 2 .” • „•- ' • - • .4:-A • 3.3 : • . 103 / ' G • . .. v•?: -.._• -,..,:. ,•.:-, i ./ ... -...--- — ..._, . ' : —N '---:•-1 ',:::-.-'1 . , ..e- \"„0 >-4•-f,i4)....'.,.-:.• ;-,, e '...I-, ' '-:•-s•f.41:- cf) • • 6 le. A. • -: • , •••••. ,,...k:-..-''..-.. . .. ' - . 0 ..... ... ... ......1 ...• Wti• '. .'1 --i.q.... "'A- Is / 441-rf ' 4.-:-., ;,- „.47,4-1-- --a-- --: --• -- .._-, ./ L: -,,i',-.!.• ,0 •• - -•e-14.• - -S.- - • Y co:1 tet r.:;•Itz 0.9 F .0\ GENERAL INFORMATION: 1.] Facility Name: David Price Farm 1.2 Print Land Owner's name: David Price 1.3 Mailing address: 441 Scotts Store Rd City, State: Mt. Olive NC Telephone Number (include area code): 658-8559 1.4 County where facility is located: Duplin Department oState of North Carolina f Environment and Natural Division of Water Resources y Non -Discharge Permit Application Form (THIS FORM MAY Y BE PHOTOCOPIED FOR USE AS AN ORIGINAL) General Permit - Existing Liquid Animal Waste Operations The following questions have been completed utilizing informationp s on file with the Division. Please P P review the information for completeness and make any corrections which are ap ro riate. If a question has not been completed by the Division, please complete as best as possible. Do not 1 any question unanswered. eave Zip: 28365 1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include copy of a county road map with the location of the farm identified): East of Outlaws Bridee. Take SR 1306 East from Hw 111. Farm is 1.0 mile -- take left at blue ost. 1.6 Print Farm Manager's name (if different from Land Owner): 1.7 Lessee's / Integrator's name pP if applicable; please circle which type is listed): Ive 's S. ring ( 1.8 Date Facility Originally Began Operation: 01/01/90 Creek Farm, Inc. 1.9 Date(s) of Facility Expansion(s) (if applicable): _ 2. OPERATION INFORMATION: 2.1 Facility No.: 31 (county number); 580 2.2 Operation Description: Swine operation (facility number). Feeder to Finish 1440- Certified Design Capacity Is the above information correct? The "No. of Animals" should be the maximum num er or which the waste management structures were designed. yes; no. If no, correct below using the design capacity of the facility T e of Swine No. of Animals 0 Wean to Feeder 0 Feeder to Finish 0 Farrow to Wean (# sow) 0 Farrow to Feeder (# sow) 0 Farrow to Finish (# sow) Other Type of Livestock on the farm: FORM: AWO-G-E 5/28/98 Lly_p_La_AwAy No. of Animals T e of Cattle No. o f Animals 0 Layer 0 Dairy 0 Non -Layer 0 Beef 0 Turkey Page 1 of 4 31 - 580 _ No. of Animals: 2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application system): 66.00 ; Required Acreage (as listed in the AWMP): 27 2.4 Number of lagoons/ storage ponds (circle which is applicable): 2.5 Are subsurface drains present within 100' of any of the application fields? 2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or NO (please circle one) YES or NO (please circle one) 2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only) YES or NO (please circle one) What was the date that this facility's swine houses and lagoon were sited? What was the date that this facility's land application areas were sited? 3. 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. 3.1 One completed and signed original and one copy of the application for General Permit - Animal Waste Operations; 3.2 Two copies of a general location map indicating the location of the animal waste facilities and field locations where animal waste is land applied; 3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility does not have a CAWMP, it must be completed prior to submittal of a general permit application for animal waste operations. The CAWMP must include the following components: 3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (PAN) produced and utilized by the facility. 3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.) 3.3.3 A map of every field used for land application. 3.3.4 The soil series present on every land application field. 3.3.5 The crops grown on every land application field. 3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP. 3.3.7 The PAN applied to every land application field. 3.3.8 The waste application windows for every crop utilized in the WUP. 3.3.9 The required NRCS Standard specifications. 3.3.10 A site schematic. 3.3.11 Emergency Action Plan. 3.3.12 Insect Control Checklist with chosen best management practices noted. 3.3.13 Odor Control Checklist with chosen best management practices noted. 3.3.14 Mortality Control Checklist with the selected method noted. 3.3.15 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. 3.3.16 Operation and Maintenance Plan. If your CAWMP includes any components not shown on this list, please include the additional components with your submittal. FORM: AWO-G-E 5/28/98 Page 2 of 4 31- 580 Applicants Initials Facility Number: 31 - 580 'acility Name: David Price Fann 4. APPLICANT'S CERTIFICATION: 1, (Land 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 Date 5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner) 1, (Manager's name listed in question 1.6), 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 QUALITY WATER QUALITY SECTION NON -DISCHARGE PERMITTING UNIT POST OFFICE BOX 29535 RALEIGH, NORTH CAROLINA 27626-0535 TELEPHONE NUMBER: (919) 733-5083 FAX NUMBER: (919) 733-0719 FORM: AWO-G-E 5/28/98 Page 3 of 4 31 - 580 _ OF ISION OF WATER QUALITY REGIONAL OFFICES (1/98) Asheville Regional WQ Supervisor 59 Woodfin Place Asheville, NC 28801 (704) 251.6208 Fax (704) 251-6452 Avery Macon Buncombe Madison Burke McDowell Caldwell Mitchell r.u2a�ai:�. Polk Clay Rutherford Graham Swain Haywood Transylvania Henderson Yancey Jackson Fayetteville Regional WQ Supervisor Wachovia Building, Suite 714 Favetteville, NC 28301 )486-1541 'rax (910) 486-0707 Anson Moore Bladen Richmond Cumberland Robeson Harnett Sampson Hoke Scotland Montgomery Winston-Salem Regional WQ Supervisor 585 rraughiowo Sit ct Winston-Salem, NC 27107 (910) 771-4600 Fax (910) 7714631 Alamance Rockingham Alleghany Randolph Ashe Stokes Caswell Surry Davidson Watauga Davie Wilkes Forsyth Yadkin Guilfacd FORM: AWO-G-E 5/28/98 Washington Regional WQ Supervisor 943 Washington Square Mall Washington, NC 27889 (919) 946-6481 Fax (919) 975-3716 Beaufort Jones Berrie - Lenoir Camden Martin Cbowan Pamlico Pasipairuk Currimck Perquimans Dare Pitt Gates TYrell Greene Washington Hertford Wayne Hyde Mooresville Regional WQ Supervisor 919 North Main Street Mooresville, NC 28115 (704) 663-1699 Fax (704) 663-6040 Alexander Cabarrus Catawba Cleveland Gaston lredell Lincoln Mecklenburg Rowan Stanly Union Page 4 of 4 Raleigh Regional WQ Supervisor 3800 Barrett Dr. Raleigh, NC 27611 (919) 5714700 Fax (919) 733-7072 Chatham Nash Durham Northampton Edgecombe Orange Franklin Person Manville r a ce Halifax Wake Johnston Warren Lee Wilson Wilmington Region. WQ Supervisor 127 Cardinal Drive Extension Wilmington, NC 28405-3845 (910) 395-3900 Fax (910) 350-2004 Brunswick New Hanover Carteret Onslow Columbus Pander Duplin x State of North Carolina Department of Environment and Natural Resources _ Division of Water Quality Non -Discharge Permit Application Form (THIS FORM MAY BE PHOTOCOPIED FOR USE AS AN ORIGINAL) General Permit - Existing Liquid Animal Waste Operations The following questions have been completed utilizing information on file with the Division. Please review the information for completeness and make any corrections which are appropriate. If a question has not been completed by the Division, please complete as best as possible. Do not leave any question unanswered. 1. GENERAL INFORMATION: 1.1 Facility Name: David Price Farm 1.2 Print Land Owner's name: David Price 1.3 Mailing address: 179 Outlaw Bridge Rd. City, State: Albertson, NC Zip: 28508 Telephone Number (include area code): 658 850 &58.2181 1.4 County where facility is located: Dunlin 1.5 Facility Location (Directions from nearest major highway. Please include SR numbers for state roads. Please include a copy of a county road map with the location of the farm identified): East of Outlaws Bridge. Take SR 1306 East from Hw• 111. Farm is 1.0 mile -- take left at blue post, — 1.6 Print Farm Manager's name (if different from Land Owner): 1.7 Lessee's / Integrator's name (if applicable; please circle which type is listed): Ivey's Sprinu Creek Farm. Inc. 1.8 Date Facility Originally Began Operation: 01/01/90 1.9 Date(s) of Facility Expansion(s) (if applicable): 2. OPERATION INFORMATION: 2.1 Facility No.: 31 (county number); _ 580 (facility number). 2.2 Operation Description: Swine operation Feeder to Finish 1440- Certified Design Capacity Is the above information correct? 1Gyes; no. If no, correct below using the design capacity of the facility The "No. of Animals" should be the maximum number for which the waste management structures were designed. Type of Swine No. of Animals • Wean to Feeder • Feeder to Finish • Farrow to Wean(# sow) • Farrow to Feeder (# sow) • Farrow to Finish (# sow) Type of Poultry No. of Animals Type of Cattle No. of Animals • Layer • Dairy • Non -Layer • Beef • Turkey Other Type of Livestock on the farm: _ No. of Animals: FORM: AWO-G-E 5/28/98 Page 1 of 4 31- 580 2.3 Acreage cleared and available for application (excluding all required buffers and areas not covered by the application system): 2.4 Number o 66.00 : Required Acreage (as listed in the AWMP): z 24.35 storage ponds (circle which is applicable): 2.5 Are subsurface drains present within 100' of any of the application fields? 2.6 Are subsurface drains present in the vicinity or under the lagoon(s)? YES or YES or (please circle one) (please circle one) 2.7 Does this facility meet all applicable siting requirements? (Swine Farm Siting Act, NRCS Standards, etc.) (Swine Only) or NO (please circle one) What was the date that this facility's swine houses and lagoon were sited? 1'VL4'4 1ef R 0 What was the date that this facility's land application areas were sited? 3. 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. Applicants Initials 3.1 One completed and signed original and one copy of the application for General Permit - Animal Waste Operations; 3.2 Two copies of a general location map indicating the location of the animal waste facilities and field locations where animal waste is land applied; 3.3 Two copies of the entire Certified Animal Waste Management Plan (CAWMP). If the facility does not have a CAWMP, it must be completed prior to submittal of a general permit application for animal waste operations. The CAWMP must include the following components. Some of these components may not have been required at the time the facility was certified but should be added to the CAWMP for permitting purposes: 3.3.1 The Waste Utilization Plan (WUP) must include the amount of Plant Available Nitrogen (PAN) produced and utilized by the facility. 3.3.2 The method by which waste is applied to the disposal fields (e.g. irrigation, injection, etc.) 3.3.3 A map of every field used for land application. 3.3.4 The soil series present on every land application field. 3.3.5 The crops grown on every land application field. 3.3.6 The Realistic Yield Expectation (RYE) for every crop shown in the WUP. 3.3.7 The PAN applied to every land application field. 3.3.8 The waste application windows for every crop utilized in the WUP. 3.3.9 The required NRCS Standard specifications. 3.3.10 A site schematic. 3.3.11 Emergency Action Plan. 3.3.12 Insect Control Checklist with chosen best management practices noted. 3.3.13 Odor Control Checklist with chosen best management practices noted. 3.3.14 Mortality Control Checklist with the selected method noted. 3.3.15 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. 3.3.16 Operation and Maintenance Plan. If your CAWMP includes any components not shown on this list, please include the additional components with your submittal. FORM: AWO-G-E 5/28/98 Page 2 of 4 31-580 cility Number: 31 - 580 racility Name: David Price Farm 4. APPLICANT'S CERTIFICATION: I, PA✓19 P1z(Land Owner's name listed in question 1.2), attest that this application for DA-ViD PztC6 FAer—M (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 Date ''< 5. MANAGER'S CERTIFICATION: (complete only if different from the Land Owner) 1, _ (Manager's name listed in question 1.6), 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 QUALITY WATER QUALITY SECTION NON -DISCHARGE PERMITTING UNIT POST OFFICE BOX 29535 RALEIGH, NORTH CAROLINA 27626-0535 TELEPHONE NUMBER: (919) 733-5083 FAX NUMBER: (919) 733-0719 FORM: AWO-G-E 5/28/98 Page 3 of 4 31- 580 Animal Waste Management System Operator Designation Form WPCSOCC NCAC 15A 8F .0201 FaciIity/Farm Name: David Price Farm Permit #: AWS-310550 Facility ITV: 31 - 580 County: Duplin Operator In Charge (OIC) Name: Rob First Harvey Vinson Middle Last Jr, Sr, etc. Cert Type / Number: #,r26081_ _ ,' Work Phone: ( 252)560-1058 Signature. Date: 77 ()' ) "I certify that I agree to my designation as the Operator in Charge for the facility noted. I understand 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 Operators Certification Commission." Back-up Operator In Charge (Back-up OIC) (Optional) First Middle Last Jr, Sr, etc. Cert Type / Number: Work Phone: Signature: Date: "I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and willabide 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 Operators Certification Commission." Owner/Permittee Name: David Price Phone #: ( 9119)252-0343 Fax#: ( 1 gn fI Date: • ._ — / 7•/ Signature: (Owner or authorized agent) Mail or fax to: Revised 8/2007 WPCSOCC 1618 Mail Service Center Raleigh, N.C. 27699-1618 Fax: 919-733-1338 (Retain a copy of this form for your records) Swine Farm Waste Management Odor Control Checklist Source Farmstead Cause • Swine production BMPs to Minimize Odor Jm Vegetative or wooded buffers; la Recommended best management practices; fa Good judgment and common sense Site Specific Practices Animal body surfaces • Dirty manure -covered animals ,® Dry floors Floor surfaces • Wet manure -covered floors ® Slotted floors; El Waterers located over slotted floors; ❑ Feeders at high end of solid floors; ❑ Scrape manure buildup from floors; O Underfloor ventilation for drying Manure collection pits • Urine; • Partial microbial decomposition Ventilation exhaust fans • Volatile gases; Dust ❑ Frequent manure removal by flush, pit recharge, or scrape; ❑ Underfloor ventilation Indoor surfaces • Dust rig Fan maintenance; 1131 Efficient air movement • Washdown between groups of animals; l Feed additives; O Feeder covers; ® Feed delivery downspout extenders to feeder ce+gers Flush tanks • Agitation of recycled lagoon liquid while tanks are filling Flush alleys Pit recharge points • Agitation during wastewater conveyance ❑ Flush tank covers; ❑ Extend fill lines to near bottom of tanks with anti -siphon vents O Underfloor flush with underfloor ventilation • Agitation of recycled lagoon liquid while pits are filling Lift stations • Agitation during sump tank filling and drawdown la Extend recharge lines to near bottom of pits with anti -siphon vents O Sump tank covers Outside drain collection • Agitation during wastewater 0 Box covers or junction boxes conveyance Source Cause BMPs to Minimize Odor End of drainpipes at • Agitation during wastewater El Extend discharge point of pipes underneath lagoon conveyance lagoon liquid level Lagoon surfaces • Volatile gas emissions; ET Proper lagoon liquid capacity; • Biological mixing; CT Correct lagoon startup procedures; • Agitation a Minimum surface area -to -volume ratio; El Minimum agitation when.pumping; O Mechanical aeration; Irrigation sprinkler nozzles • High pressure agitation; • Wind drift Storage tank or basin surface Site Specific Practices O Proven biological additives El Irrigate on dry days with little or no wind; R. Minimum recommended operating pressure; ® Pump intake near lagoon liquid surface; O Pump from second -stage lagoon • Partial microbial decomposition; 0 Bottom or midlevel loading; • Mixing while filling; 0 Tank covers; • Agitation when emptying 0 Basin surface mats of solids; O Proven biological additives or oxidants Settling basin surface • Partial microbial decomposition; 0 Extend drainpipe outlets underneath liquid • Mixing while filling; level; • Agitation when emptying 0 Remove settled solids regularly Manure, slurry or sludge • Agitation when spreading; 0 Soil injection of slurry/sludges; spreader outlets • Volatile gas emissions 0 Wash residual manure from spreader after use; Uncovered manure, • Volatile gas emissions while slurry or sludge on field drying surfaces O Proven biological additives or oxidants O Soil injection of slurry/sludges O Soil incorporation within 48 hrs.; O Spread in thin uniform layers for rapid drying; O Proven biological additives or oxidants IR Proper disposition of carcasses O Complete covering of carcasses in burial pits; O Proper location/construction of disposal pits Dead animals Dead animal disposal pits Incinerators • Carcass decomposition • Carcass decomposition • incomplete combustion 0 Secondary stack burners Source Standing water around facilities Manure tracked onto public roads from farm access Cause • Improper drainage; • Microbial decomposition of organic matter BMPs to Minimize Odor 21 Grade and landscape such that water drains away from facilities Site Specific Practices • Poorly maintained access roads 111 Farm access road maintenance Additional Information : Swine Manure Management ; 0200 Rule/BMP Packet EBAE Fact Sheet Swine Production Farm Potential Odor Sources and Remedies ; Swine Production Facility Manure Management: Pit Recharge - Lagoon Treatment ; EBAE 128-88 Swine Production Facility Manure Management: Underfloor Flush - Lagoon Treatment ; EBAE 129-88 Lagoon Design and Management for Livestock Manure Treatment and Storage ; . EBAE 103-83 Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet Controlling Odors from Swine Buildings ; PIH-33 Environmental Assurance Program ; NPPC Manual Options for Managing Odor ; a report from the Swine Odor Task Force Nuisance Concerns in Animal Manure Management Odors and Flies ; PRO107, 1995 Conference Proceedings Available From : NCSU, County Extension Center NCSU -BAE NCSU - BAE NCSU - BAE NCSU - BAE NCSU - BAE NCSU - Swine Extension NC Pork Producers Assoc NCSU Agri Communications Florida Cooperative Extension • Insect Control Checklist for Animal Operations Cause BMPs to Control Insects Site Specific Practices Source Liquid Systems Accumulation of solids 0 Flush system is designed and operated Flush Gutters • Accumsufficiently to remove accumulated solids from gutters as designed. ❑ Remove bridging of accumulated solids at discharge d Solids IS Maintain lagoons, settling basins and pits where Lagoons and Pits • Crusted pest breeding is apparent to minimize the crusting of solids to a depth of no more than 6 - 8 inches over more than 30% of surface. Eir Maintain vegetative control along banks of lagoons and other impoundments to prevent accumulation of decaying vegetative matter along waters edge on impoundment's perimeter. Excessive Vegetative • Decaying vegetation Growth Feeders • Feed Spillage Feed Storage • Accumulations of feed residues Dry Systems ❑ Design, operate and maintain feed systems (e.g., bunkers and troughs) to minimize the accumulation of decaying wastage. 7 - 10 Clean up spillage on a routine basis (e.g., day interval during summer; 15-30 day interval during winter). ❑ Reduce moisture accumulation within and around immediate perimeter of feed storage areas by insuring drainage away from site and/or providing adequate containment (e.g., covered bin for brewers grain and similar high moisture grain products). 0 Inspect for and remove or break up accumulated solids in filter strips around feed storage as needed. Source Cause BMPs to Control Insects. Animal Holding Areas • Accumulations of animal wastes 0 Eliminate low areas that trap moisture along and feed wastage fences and other locations where 'waste accumulates and disturbance by animals is minimal. O Maintain fence rows and filter strips around animal holding areas to minimize accumulations of wastes (i.e., inspect for and remove or break up accumulated solids as Site Specific Practices needed). Dry Manure Handling • Accumulations of animal wastes 0 Remove spillage on a routine basis (e.g., 7 - 10 Systems day interval during summer; 15-30 day interval during winter) where manure is loaded for land application or disposal. O Provide for adequate drainage around manure stockpiles. O Inspect for and remove or break up accumulated wastes in filter strips around stockpiles and manure handling areas as needed. For more information contact the Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University, Raleigh, NC, 27695-7613. . Insect Control Checklist for Animal Operations Source Cause _ iBMPs to Control Insects Site Specific Practices Flush gutters Liqyid Systems • Accumulation of solids ® Flush system is designed and operated sufficiently to remove accumulated solids from gutters as designed ® Remove bridging of accumulated solids at discharge Lagoons and pits • Crusted solids Excessive vegetative • Decaying vegetation growth ® Maintain lagoons, settling basins and pits where pest breeding is apparent to minimize the crusting of solids to a depth of no more than 6 to 8 inches over more than 30 percent of surface ® Maintain vegetative control along banks of lagoons and other impoundments to prevent accumulation of decaying vegetative matter along water's edge on impoundment's perimeter. Dry Systems Feeders • Feed spillage ® Design, operate, and maintain feed systems (e.g., bunkers and troughs) to minimize the accumulation of decaying wastage ® Clean up spillage on a routine basis (e.g., 7- to 10- day interval during summer; 15- to 30-day interval during winter) AMIC - November 11, 1996, page 1 Insect Control Checklist for Animal Operations Source Cause BMPs to Control Insects _ Site Specific Practices Feed storage • Accumulations of feed ® Reduce moisture accumulation within and around residues immediate perimeter of feed storage areas by ensuring drainage is away from site and/or providing adequate containment (e.g., covered bin for brewer's grain and similar high moisture grain products) ® Inspect for and remove or break up accumulated solids in filter strips around feed storage as needed Animal holding areas • Accumulations of animal CI Eliminate low areas that trap moisture along fences wastes and feed wastage and other locations where waste accumulates and disturbance by animals is minimal El Maintain fence rows and filter strips around animal holding areas to minimize accumulations of wastes (i.e., inspect for and remove or break up accumulated solids as needed) Dry manure handling • Accumulations of animal ® Remove spillage on a routine basis (e.g., systems wastes 7- to l0-day interval during summer; 15- to 30-day interval during winter) where manure is loaded for land application or disposal In Provide for adequate drainage around manure stockpiles El Inspect for and remove or break up accumulated wastes in filter strips around stockpiles and manure handling areas as needed For more information contact: Cooperative Extension Service, Department of Entomology, Box 7613, North Carolina State University, Raleigh, NC 27695-7613. AMIC - November 11, 1996, page 2 EMERGENCY ACTION PLAN PHONE NUMBERS Division of Water Resources (DWR) Emergency Management System (EMS) Soil and Water Conservation District (SWCD) Natural Resources Conservation Service (NRCS) This plan will be implemented in the event that wastes from your operation are leaking, overflowing, or running off site. You should not wait until wastes reach surface waters or leave your property to consider that you have a problem. You should make every effort to ensure that this does not happen. This plan should be posted in an accessible location for all employees at the facility. The following are some action items you should take. 1. Stop the release of wastes. Depending on the situation, this may or may not be possible. Suggested responses to some possible problems are listed below. a. Lagoon overflow -possible solutions are: 1) Add soil to berm to increase elevation of dam. 2) Pump wastes to fields at an acceptable rate. 3) Stop all flows to the lagoon immediately. 4) Call a pumping contractor. 5) Make sure no surface water is entering lagoon. b. Runoff from waste application field -actions include: 1) Immediately stop waste application. 2) Create a temporary diversion to contain waste. 3) Incorporate waste to reduce runoff. 4) Evaluate and eliminate the reason(s) that caused the runoff. 5) Evaluate the application rates for the fields where runoff occurred. c. Leakage from the waste pipes and sprinklers -action include: 1) Stop recycle pump. 2) Stop irrigation pump. 3) Close valves to eliminate further discharge. 4) Repair all leaks prior to restarting pumps. 1 November 23, 2016 d. Leakage from flush systems, houses, solid separators -action include: 1) Stop recycle pump. 2) Stop irrigation pump. 3) Make sure no siphon occurs. 4) Stop all flows in the house, flush systems, or solid separators. 5) Repair all leaks prior to restarting pumps. e. Leakage from base or sidewall of lagoon. Often this is seepage as opposed to flowing leaks- possible action: 1) Dig a small sump or ditch away from the embankment to catch all seepage, put in a submersible pump, and pump back to lagoon. 2) If holes are caused by burrowing animals, trap or remove animals and fill holes and compact with a clay type soil. 3) Have a professional evaluate the condition of the side walls and lagoon bottom as soon as possible. 2. Assess the extent of the spill and note any obvious damages. a. Did the waste reach any surface waters? b. Approximately how much was released and for what duration? c. Any damage noted, such as employee injury, fish kills, or property damage? d. Did the spill leave the property? e. Does the spill have the potential to reach surface waters? f. Could a future rain event cause the spill to reach surface waters? g. Are potable water wells in danger (either on or off of the property)? h. How much reached surface waters? 3. Contact appropriate agencies. a. During normal business hours, call your DWR regional office, phone number: . After hours, emergency number: 1-800-858-0368. Your phone call should include: your name, facility, telephone number, the details of the incident from item 2 above, the exact location of the facility, the location or direction of movement of the spill, weather and wind conditions. The corrective measures that have been under taken, and the seriousness of the situation. b. If spill leaves property or enters surface waters, call local EMS, phone number: Instruct EMS to contact local Health Department. c. Contact the following for advice/technical assistance: 1) Cooperative Extension, phone number: 2 November 23, 2016 2) local SWCD office, phone number: 3) local NRCS office, phone number: 4. If none of the above works call 911 or the Sheriffs Department and explain your problem to them and ask that person to contact the proper agencies for you. 5. Contact the contractor of your choice to begin repair of problem to minimize off -site damage. a. Contractors Name: _ b. Contractors Address: c. Contractors Phone: 6. Contact the technical specialist who certified the lagoon (NRCS, Consulting Engineer, etc.) a. Name: __ b. Phone: 7 Implement procedures as advised by DWR and technical assistance agencies to rectify the damage, repair the system, and reassess the waste management plan to keep problems with release of wastes from happening again. 3 November 23, 2016 Animal Waste Management System Operator Designation Form WPCSOCC NCAC 15A 8F .0201 Facility/Farm Name: David Price Farm Permit #: AWS-310580 Facility ID#: 31 - 580 County: Duplin Operator In Charge (OIC) Name: Rob First Harvey Vinson Middle Cert Type / Numbly # 26081 Last Jr, Sr, etc. Signature: ,942 Work Phone: ( 252)560-1058 Date: ,..% Al "I certify that I agree to my designation as the Operator in Charge for the facility noted. I understand 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 Operators Certification Commission." Back-up Operator In Charge (Back-up OIC) (Optional) First Middle Last Jr, Sr, etc. Cert Type / Number: Work Phone: Signature: Dale: "I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and willabide by the rules and regulations pertaining to the responsibilities set forth in 15ANCAC 08F .0203 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." Owner/Permittee Name: David Price Phone #: (919)252-0343 Fax#: ( ) Signature: /t (owner or autho ized agent) Date: 7--/ 1 -17 Mail or fax to: WPCSOCC 1618 Mail Service Center Raleigh, N.C. 27699-1618 Fax: 919-733-1338 (Retain a copy of this form for your records) Revised 8/2007 Animal Waste Management System Operator Designation Form WPCSOCC NCAC 15A 8F .0201 Facility/Farm Name: Triple B Hog Farms, LLC./Daryl Floars. Permit #: AWS-310556 Facility ID#: 31 - 556 County: Duplin Operator In Charge (OIC) Name: Bobby Darvl Floars First Middle Last Jr, Sr, etc. Cert Type / Number: # 1006459 Work Phone: ( 919)738-4196 Signature: V ./ Date: 7 9--0 "I certify that I agree to my designation as the Operator in Charge for the facility noted. 1 understand 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 Operators Certification Commission," Back-up Operator In Charge (Back-up OIC) (Optional) First Middle Las! Jr, Sr, etc. Cert Type / Number: Work Phone: Signature: Date: "I certify that 1 agree to my designation as Back-up Operator in Charge for the facility noted. I understand and willabide 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 Operators Certification Commission." Owner/Permittee Name: Bobby Daryl Floars/Triple B Hog Farms, LLC. Phone #: (919)738-4;77,7 Fax#: ( 1 q Signature: / � Date: 9 r 9�.-)l(Owner or aut agent) Mail or fax to: WPCSOCC 1618 Mail Service Center Raleigh, N.C. 27699-1618 Fax: 919-733-1338 (Retain a copy of this form for your records) Revised 8/2007 Animal Waste Management System Operator Designation Form WPCSOCC NCAC 15A SF .0201 Facility/Farm Name: Floars Sow Farm, LLC./Daryl Floars. Permit#: AWS-310402 Facility!➢#: 31 - 402 County: Duplin Operator In Charge (OIC) Name: Bobby Daryl First Middle Cert Type / Numbers # 11Q6459 Signature: Floars Last Jr, Sr, etc. Work Phone: ( 919)738-4196 Date: A0 ` 1 6( "I certify that I agree to my designation as the Operator in Charge for the facility noted. I understand 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 Operators Certification Commission." Back-up Operator In Charge (Back-up OIC) (Optional) First Middle Last Jr, Sr, etc. Cert Type / Number: Work Phone: Signature: Date: "I certify that 1 agree to my designation as Back-up Operator in Charge for the facility noted. I understand and willabide 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 Operators Certification Commission." Owner/Permittee Name: Bobby Daryl Floars/Triple B Hog Farms, LLC. Phone #: (919)738� Fax#: ( ) Signature: Date: 3 f _) T (Own or authorized agent) Mail or fax to: WPCSOCC 1618 Mail Service Center Raleigh, N.C. 27699-1618 Fax: 919-733-1338 (Retain a copy of this form for your records) Revised 8/2007 Animal Waste Management System Operator Designation Form WPCSOCC NCAC 15A 8F .0201 Facility/Farm Name: Roy G. Nation Swine Permit#: AWS-960010 Facility ID#: 96 - 10 County: Wayne Operator In Charge (OIC) Name: Rob First Harvey Vinson Middle Cert Type / Numbe, # 26081. Signature: Last Jr, Sr, etc. Work Phone: ( 252)560-1058 Date: 4 D '1J9 "I certify that I agree to my designation as the Operator in Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities set forth in ! 5A NCAC 08F .0203 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." Back-up Operator In Charge (Back-up OIC) (Optional) First Middle Last Jr, Sr, etc. Cert Type / Number: Work Phone: Signature: Date: "I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. I understand and willabide 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 Operators Certification Commission." Owner/Permittee Name: Roy G. Nation Swine/Karen Vinson Phone #: (919)222-3070 Signature: jv2 t& zv i& rc (Owner or authorized agent) authorized Mail or fax to: WPCSOCC 1618 Mail Service Center Raleigh, N.C. 27699-1618 Fax: 919-733-1338 (Retain a copy of this form for your records) Fax#: ( ) 20/y Date: 3 Revised 8/2007 Animal Waste Management System Operator Designation Form WPCSOCC NCAC 15A 8F .0201 Facility/Farm Name: Wiggins Farms, Inc. Permit #: AWS-540046 Facility ID#: 54 - 46 County: Lenoir Operator In Charge (OIC) Name: Maria First Lynn Wiggins Middle Last Jr, Sr, etc. Cert Type / Number: # 999322 Work Phone: ( 919)580-8268 Signature Date: Q 2� < Date: 31 / U/Q / 1 "I certify that I agree to my designation as the Operator in Charge for the facility noted. I understand and will abide by the rules and regulations pertaining to the responsibilities set forth in I5A NCAC 08F .0203 and failing to do so can result in Disciplinary Actions by the Water Pollution Control System Operators Certification Commission." Back-up Operator In Charge (Back-up OIC) (Optional) First Middle Last Jr, Sr, etc. Cert Type / Number: Signature: Date: Work Phone: "I certify that I agree to my designation as Back-up Operator in Charge for the facility noted. 1 understand and willabide 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 Operators Certification Commission." Owner/Permittee Name: Jimmy Wiggins/Wiggins Farm, Inc. Phone #: (252)521-3633 Signature: .5.1 2j41 M (Owner or au Mail or fax to: Fax#:( ) WPCSOCC 1618 Mail Service Center Raleigh, N.C. 27699-1618 Fax: 919-733-1338 (Retain a copy of this form for your records) Revised 8/2007