740021_Permit Renewal Application 2019_20190410

State 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 Perrits for Animal Waste Management Systems will
expire. As required by these permits, facilities that have been issued Certificates of Coverage to operate tinder 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 a// information and make any necessary corrections below.
Application must be signed and dated by the Perntiffee.
I . Farm Number: 74-0021 Certificate Of Coverage Number:
2. Facility Name: Ephraigm Smith Farm
3. Landowner's Name (same as on the Waste Management Plan): Ephraigm H Smith
4. Landowner's Mailing Address: 7267 NC 43 S
Ci ty: Greenville zi 5-a _--) m — 69 CA
Telephone Number: 252 q46 162093ii.
3 OES4
5 Facility's Physical Address; 7267 NC 43 S
City: Greenville
6. County where Facility is located: Pitt
7. Farm Manager's Name (if different from Landowner):
8. Farm Manager's telephone number (include area code):
State: N C
E-mail: cschsmith(&,gmail.com
State: NC
Ephraisim Smith
252-746-4620 Ext.
9.
Integrator's Name (if there is not an Integrator, write 'Nione"):
Murphy -Brown LLC
10.
Operator Name (OIC): Eohraigm H. Smith
Phone No.: 252-714-1963
11.
Lessee's Name (if there is not a Lessee, write "None"):
12.
Indicate animal operation type and number
Current Permit Operations Type
Allowable Count
Swine - Feeder to Finish
4,896
Operation Types,
Swine Cattle
Dry Poultry
Wean to Finish Dairy Calf
Non Laying Chickens
Wean to Feeder Dairy Heifer
Laying Chickens
FaITOW to Finish Milk Cow
Pullers
Feeder to Finish Dry Cow
Turkeys
Farrow to Wean Beef Stocker Calf
Turkey Pullet
Farrow to Feeder Beef Feeder
Boar/Stud Beef Broad Cow
Wet Poulfir
Gilts Other
Non Laying Pullet
Other
Layers
AWS740021
Zip: 27858-9085
Zip: 27858
OIC #: 18290
Other Types
Horses - Horses
Horses - Other
Sheep - Sheep
Sheep - Other

13. Waste Treatment and Storage Lagoons (Verify the following information is accurate and complete. Make all necessary
corrections and provide missing data.)
Structurc
Name
Estimated
Date
Built
Liner Type
(Clay, Synthetic,
Unknown)
Capacity
(Cubic Feet)
Estimated
Surface Area
(Square Feet)
Design Freeboard
"Redline"
(Inches)
PRIMARY
4/16/1991
19.00
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:
I . The most recent Waste Utilization Plan (WUP), signed by 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, wettand 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 CA"P items above to: 2019PermitRenewai*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 arc 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, signature should be by a principal executive officer of the corporation):
Name: (� V, T C� I Title:
Signature k4 CA 4' Date:
Name:
Signature:
Name:
Signature:
Title:
Date:
Title -
Date,
—2
THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS:
NCDEQ-DWIR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
E-mail: [e-mail]
FORM: RENEWAL -STATE GENERAL 02/2019

Nutrient Management Plan For Animal Waste Utilization
This plan has been prepared for:
74-21 Ephraigm Smith
Ephraigm Smith
7267 NC 43 South
Greenville, NC 2 7858
[phone]
07-02-2015
This plan has been developed by:
PJAndrews
Pitt Soil and Water
403 Government Circle
Greenville, NC,27834
252- 7�,�P; F 0 cit. 3
D6velop'er Signature
Type of Plan: Nutrient Management with Manure Only
OwnerlManager/Producer Agreement
I (we) understand and agree to the specifications and the operation and maintenance
procedures established in this nutrient management plan which includes an animal
waste utilization plan for the farm named above. I have read and understand the
Required Specifications concerning animal waste management that are included with
this plan.
Z/
S-ignature (i wrer) Date
d/11a
V
S ill ature (inana r or producek�, Date
This plan ineets the minimum standards and specifications of the U.S. Department of
Agriculture - Natural Resources Conset�N atjonXervice or the standard of practices
adopted by the Soil and Water ConSeI-A"af)6�,,C0MuIiSSi0n.
Plan Approved By:
---------------------------------------- -------------------
978628 Database Version 3.1
2-
Signature Dat/'
----- ---- ---------------- ---- ------------------ ----- ----------------
Date. Printed: 07-02-2015 Cover Page I

Nutrients applied in accordance with this plan will be supplied from the
following source(s):
Commercial Fertilizer is not included in this plan.
S7
Swine Feeder -Finish Lagoon Liquid waste generated 4,538,592 gaWyear by a 4,896
animal Swine Finishing Lagoon Liquid operation. This production facility has waste
Istorage capacities of approximately 180 days.
Estimated Pounds of Plant Available Nitrogen Generated per Year
Broadcast
10453
Incorporated
17953
Injected
19771
Irrigated
11362
May- Avail.
PAN(lbs)*
7�7u;IPAN
Appliedobs)
PANSurplus/
Deficit(lbs)
ActualVolume
Applied (Gallons)
Volume Surplus/
Deficit (Gallons)
Year 1
11,362
12139
-777
4,848,770
-310,178
Year2
---11-,36Z---
----12767----
]
5-,099,-6"
-56r,097
140-te: ------ hasou r--c-e-- 11j,-S m e-a ns-sta- nd-ard -s'o'"u"r'c"e'JU,* - m-- -e--a-n--s--u-,s-e,r-- de-f-i-n-ed sau- nc" e- --------------------------------------------- 11 ----- I -
Max. Available PAN is calculated on the basis of the actual application method(s) identified in the plan fOT this source.
978628 Database Version 3.1 Date Printed: 07-02-2015 Source Page I of I

Narrative
Starting 2014 crop year with Com, PAN of 138 used because previous crop is hybrid bermuda grass with
overseed. Starting 2016 crop year with com, PAN of 118 used due to prior crop being soybeans with 20
lbs of residual N considered.
-------- ---------------------- --------------- -- ---------- -- - --- - ----------------------------------------------------------- ------- ------------
978628 Database Version 3.1 Date Printed: 07-02-2015 Narrative Page I of I