820485_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 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: 82-0485 Certificate Of Coverage Number: AWS820485.
2. Facility Name: Whitfield Livestock #2
\_,, "� . ��. � - .
3. Landowner's Name (same as on the Waste Management Plan): Id
4. Landowner's Mailing Address: 920 Houses Mill Rd
City: Newton Grove State: NC Zip: 28366
Telephone Number: 910-594-1897 Ext. E-mail:
5. Facility's Physical Address: 1670 Kenan Weeks Rd
City: Newton Grove State:
6. County where Facility is located: Sampson
7. Farm Manager's Name (if different from Landowner):
g, Farm Manager's telephone number (include area code):
9. Integrator's Name (if there is not an Integrator, write "None"):
10. Operator Name (OIC): T
G� �v ✓� • G� O �1L�17
11. Lessee's Name (if there is not a Lessee write "None"):
12. Indicate animal operation type and number:
Current Permit: Operations Type
Swine - Feeder to Finish
Operation Types:
NC
Zip: 28366
Murvhv-Brown LLC
Phone No.: `9t9-9'i5 59A5— OIC #:
Allowable Count
800
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
R2CENEDPACDEODWE
MAR 2 8 2019
waterqus lity
Magi®rtal ®�la�tltaras �eeTit,

ROY COOPER
MICHAEL S. REGATV `� ` �•.M. ;��
Sermrcry
LINDA CULPEPPER NORTH CAROLINA.
Dfreaar Environmental Quality
February 27, 2019
Whitfield Livestock 42
920 Houses Mill Rd
Newton Grove, NC 28366
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 https://deq.nc.Lov/about/divisions/water-resources/water-quality-reeional-operations/afo or by writing or calling:
NCDEQ-DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
Telephone number: [phone]
In order to assure your 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 Facility Currently Covered by an
Expiring State Non -Discharge General Permit." The Mplicati n form must be completed. signed and returned by April 3, 2019,
Please note that you must include one ill copv of the Certified Animal Waste Manatement Plan [CAWMPI with the
completed and signed application form. A_ list of items included in the CAWMP can be found on pace 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): Fay etteville Regional Office, Water Quality Regional Operations Section
Sampson County Soil and Water Conservation District
AFOG Section Central Files - AWS820485
Murphy -Brown LLC
Nortr Caro ;iaDegartmentofEvvrwrrsnta Qua t I DvsonofWatsrRelourws
M2 N. Sa sbur, St. 11636 Ma ServiceCenter I Ra egh, North Caro na 276�-1636
9 19. 7 0 7 .9-DO 0

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
2-4e, 5 m
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 143-215.1OC(d) to the address below.
The CAWMP must include the following components:
1. The most recent Waste Utilization Plan (WUP), signed 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: [e-mail]

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, signature should be by a principal executive officer of the corporation):
Name:
Signatur Date: '�c�_
Name:
Signature:
Name:
Signature:
Title:
Date:
Title:
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: [phone]
E-mail: [e-mail]
FORM: RENEWAL -STATE GENERAL 02/2019

Version —November 26, 2018
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
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.
1-1 0 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).
a a Any method which, in the professional opinion of the State Veterinarian, would make 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.
Signature of Faro{fiwner/Manager A
xt,��. (�'-1veZ&///
Signature of Technical Speciallis
f
Date
Dat

e �
ANIMAL WASTE UTILIZATION PLAN
Producer: A.L. WHITFIELD
Location: 1670 KENAN WEEKS RD.
NEWTON GROVE NC 28366
Telephone: [phone]
Type Operation: Existing Feeder to Finish Swine
Number of Animals: 800.00 hogs
(Design Capacity)
STORAGE STRUCTURE: Anaerobic Waste Treatment Lagoon
APPLICATION METHOD: Irrigation
The waste from your animal facility must be land applied at a
specified rate to prevent pollution of surface water 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 the 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:
1. Always apply waste based on the needs of the crop to be
grown and the nutrient content of the waste. Do not apply
more nitrogen than the crop can utilize.
2. Soil types are important as they have different infiltration
rates, leaching potentials, cation exchange capacities, and
available water holding capacities.
3. Normally waste shall be applied to land eroding at less than
5 tons per acre per year. Waste may be applied to land
eroding at 5 or more tons per acre annually, but less than
10 tons per acre per year providing that adequate filter
strips are established.
4. 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 DWQ regulations.
Page: 1

ANIMAL WASTE UTILIZATION PLAT
5. Wind conditions should also be considered to avoid drift and
downwind odor problems.
6. 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 not more than 30
days prior to planting a crop or forages breaking dormancy.
Injecting the waste or disking will conserve nutrients and
reduce odor problems.
This plan is based on the waste application method shown above. If
you choose to change methods in the future, you need to revise this
plan. Nutrient levels for different application methods 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. In some cases you may want to have plant
analysis made, which could allow additional waste to be applied.
Provisions shall be made for the area receiving waste to be flexible
so as to accommodate changing waste analysis content and crop type.
Lime must be applied to maintain pH in the optimum range for specific
crop production.
This waste utilization plan, if carried out, meets the requirements
for compliance with 15A NCAC 2H .0217 adopted by the Environmental
Management Commission.
AMOUNT OF WASTE PRODUCED PER YEAR (gallons, ft3, tons, etc.)
800 hogs x 1.9 tons waste/hogs/year = 1520 tons
AMOUNT OF PLANT AVAILABLE NITROGEN (PAN) PRODUCED PER YEAR
800 hogs x 2.3 lbs PAN/hogs/year = 1840 lbs. 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 surface application.
Page: 2

TRACT
FIELD
ANIMAL WASTE UTILIZATION PLAN
TABLE 1 o ACRES OWNED BY PRODUCER
SOIL TYPE & CLASS- CROP YIELD LBS
DETERMINING PHASE CODE AW P
PER I
OrA
OrA
r WaB
3
a
END
APPLY
METH
BP 4.7 235
I
SG j1 150
I I
BP
235
I
�4.7
SG
1
I
1
150
BP
4.1
I
1205
SG
1
50
I
�I I
COMM N
**
* LBS
PER
ACRES
AW N
AC
USED
or-------
RESID.
APPLIC
N
TIME
0
3.47
815.45
MAR-OCT
0
3.47
173.5
SEP-MAY
0
2.97
1697.95
MAR-OCT
0
2.97
1148.5
SEP-MAY
0
1.98
1405.9
MAR-OCT
0
1.98 �99
SEP-MAY
TOTAL12340.3
- Indicates that this field is being overseeded (i.e. interplanted)
or winter annuals follow summer annuals.
?DOTE: The applicator is cautioned that P and K may be over applied
while meeting the N requirements. In the future, regulations may
require farmers in some parts of North Carolina to have a
nutrient management plan that addresses all nutrients. This plan
only addresses nitrogen.
Page: 3

ANIMAL WASTE UTILIZATION PLAN
TABLE 2 -. ACRES WITH NOTARIZED AGREEMENT OR LONG TERM LEASE
(Agreement with adjacent landowners must be attached.)
(Required only if operator does not own adequate land.
See required specification 2.)
TRACT (FIELD
SOIL TYPE & CLASS -
DETERMINING PHASE
END
CROP YIELD
CODE
APPLY
METH
LBS
AW N
PER AC
COMM N
PER
AC
or
RESID.
N
Indicates that this field is being overseeded (i.e
winter annuals follow summer annuals.
**
ACRES
* LBS
AW N
USED
APPLIC
TIME
TOTAL10
interplanted) or
In interplanted fields (i.e. small grain, etc, interseeded
in bermudagrass), forage must be removed through grazing,
hay and/or silage. Where grazing, plants should be grazed
when they reach a height of six to nine inches. Cattle
should be removed when plants are grazed to a height of four
inches. In fields where small grain, etc, is to be removed
for hay or silage, care should be exercised not to let small
grain to reach maturity, especially late in the season (i.e.
April or May). Shading may result if small grain gets too
high and this will definitely interfere with stand of
bermudagrass. This loss of stand will result in reduced
yields and less nitrogen being utilized. Rather than
cutting small grain for hay or silage just before heading as
is the normal situation, you are encouraged to cut the small
grain earlier. You may want to consider harvesting hay or
silage two to three times during the season, depending on
time small grain is planted in the fall.
The ideal time to interplant small grain, etc, is late
September or early October. Drilling is recommended over
broadcasting. Dermudagrass should be grazed or mowed to a
height of about two inches before drilling for best results.
Page-. 4

ANIMAL WASTE UTILIZATION PLAN
** Acreage figures may exceed total acreage in fields due to
overseeding.
* lbs AW N (animal waste nitrogen) equals total required nitrogen
less any commercial nitrogen (COMM N) supplied.
The following legend explains the crop codes used in tables 1 and 2 above:
CROP CODE
CROP j UNITS
PER UNIT
50
50
BP
SG
HYBRID BERMUDAGRASS-PASTURE
SMALL GRAIN OVERSEEDED
TONS
AC
TOTALS FROM TABLES 1 AND 2
ACRES
TABLE 1 8.42
TABLE 2 0
TOTAL 8.42
*** BALANCE
LBS AW N USED
2340.3
0
2340.3
-500.3 I
-------------------
*** This number must be less than or equal to 0 in order to
fully utilize the animal waste N produced.
Page- 5

ANIMAL WASTE UTILIZATION PLAN
*** This number must be less than or equal to 0 in order to fully
utilize the animal waste N produced.
Acres shown in each of the preceding 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.
See attached map showing the fields to be used for the utilization of
animal waste.
SLUDGE APPLICATION:
The waste utilization plan must contain provisions for periodic land
application of sludge at agronomic rates. The sludge will be nutrient
rich and will require precautionary measures to prevent over application
of nutrients or other elements. Your production facility will produce
approximately 296 pounds of plant available nitrogen per year in the
sludge.
If you remove the sludge every 5 years, you will have approximately 1480
pounds of PAN to utilize. Assuming you apply this PAN to hybrid
bermudagrass hayland at the rate of 300 pounds of nitrogen per acre, you
will need 4.93333333333 acres of land. If you apply the sludge to corn at
the rate of 125 pounds of nitrogen per acre, you will need 11.84 acres
of land. Please be aware that these are only estimates of the PAN and
land needed. Actual requirements could vary by 25a depending on your
sludge waste analysis, soil types, realistic yields, and application
methods.
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.
If surface irrigation is the method of land application for this plan,
it is the responsibility of the producer and irrigation designer to ensure
.hat an irrigation system is installed to properly irrigate the acres
shown in Tables 1 and 2. Failure to apply the recommended rates and
Page: 6

ANIMAL WASTE UTILIZATION PLAIT
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.
(Tract I Field
11811
Soil Type 1 Crop
1 OrA
2 OrA
3 WaB
-1
-2
-3
SG
Application RatelApplic. Amount
(in/hr) (inches)
0.50
0.50
*1.30
*0.96
*
*
*
* 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 of the nitrogen limitation. The maximum
application amount shown can be applied under optimum soil
conditions.
Your facility is designed for`±2'°6:00 days of temporary storage and the
temporary storage must be removed on the average of once every 6.00
months. In no instance should the volume of the waste be stored in
your structure be within the 25 year 24 hour storm storage or one foot
of freeboard except in the event of the 25 year 24 hour storm.
It is the responsibility of the producer and waste applicator to
ensure that the spreader equipment is operated properly to apply the
correct rates to 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.
Call your technical specialist after you receive the waste analysis
report for assistance in determining the amount of waste per acre and
the proper application rate prior to applying the waste.
NARRATIVE OF
OPERATION
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5v.�ukcac�4 �cdr�
acce0.R�t
Page- 7

WASTE UTILIZATION PLAN
REQUIRED 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.
2. There must be documentation in the design folder that the
producer either owns or has an agreement for use of adequate
land on which to properly apply the waste. If the producer does
not own adequate land to properly dispose of waste, he/she shall
provide a copy of an agreement with a landowner who is within a
reasonable proximity, allowing him/her the use of the land for
waste application. 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, climatic conditions, and
level of management, unless there are regulations that restrict
the rate of application for other nutrients.
4. Animal waste shall be applied to land eroding less than 5 tons
per acre per year. Waste may be applied to land that is eroding
at 5 or more tons, but less than 10 tons per acre per year
providing grass filter strips are installed where runoff leaves
the field. (See FOTG Standard 393 -Filter Strip)
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" 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 odor or flies.
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. The potential for salt damage from animal
waste should also be considered.
Page: 8

WASTE UTILIZATION PLAN
REOUIRED SPECIFICATIONS
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 the crop or forages breaking
dormancy.
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 any residential
property boundary and from any perennial stream or river (other
than 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 landowner.
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 a discharge or by over -spraying.
Animal waste may be applied to prior converted cropland provided
they have been approved as a land application site by a
"technical specialist". Animal waste shall not be applied on
grassed waterways that discharges directly into water courses,
and on other grassed waterways, waste shall be applied at
agronomic rates in a manner that 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.). Areas 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.
Berms and structures should be inspected regularly for evidence
of erosion, leakage or discharge.
Page- 9

WASTE UTILIZATION PLAN
REOUIRED SPECIFICATIONS
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 preplant with no further 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 for 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 and maintained. Soil and waste
analysis records shall be kept for five 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.
23. Dead animals will be disposed of in a manner that meets North
Carolina regulations.
Page: 10

ANIMAL WASTE UTILIZATION PLAN
WASTE UTILIZATION PLAN AGREEMENT
Name of Farm WHITFIELD LIVESTOCK INC.
Owner/Manager Agreement
I (we) understand and will follow and implement the specifications
and the operation and maintenance procedures established 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 storage system or construction of new
facilities will require a new certification to be submitted to the
North Carolina Division of Water Quality (NCDWQ) 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 from a storm event less severe than the 25-year, 24-hour
storm. The approved plan will be filed on -site at the farm office
and at the office of the local Soil and Water Conservation District
and will be available for review by NCDWQ upon request_
Name of Facility Owner: A.L. WHITFIELD
(Please print)
Signature: 4 7. v f Date: �2 _ �3
Name of Manager (If different from owner) :
Signature: _ Date:
Name of Person Preparing Plan: (Please print)Wilson Spencer
Affiliation:NRCS Phone No.
Address (-Agency) 8-1 County Complex Rd.
Clinton NC 28328
Signature. Date:
Page. 11

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5. TEMPORARY STORAGE REQUIRED
DRAINAGE AREA:
Lagoon (top of dike)
Length * Width =
265.0 100.0 26500.0 square feet
Buildings (roof and lot water)
0.0 square feet Describe this area.
TOTAL DA 26500.0 square feet
Design temporary storage period to be 160 days.
5A. Volume of waste produced
Feces & urine production in gal./day per 135 lb. ALW 1.37
Volume = 108000 lbs. ALW/135 lbs ALW * 1.37 gal/day 160 days
Volume = 175360 gals. or 23443.8 cubic feet
5B. Volume of wash water
This is the amount of fresh water used for washing floors or volume
of fresh water used for a flush system or excess water. Flush systems
that recirculate the lagoon water are accounted for in 5A.
Volume = 0.0 gallons/day * 160 days storage/7.48 gallon
Volume = 0.0 cubic feet per CF
5C. Volume of rainfall in excess of evaporation
Use period of time when rainfall exceeds evaporation by largest amount
160 days excess rainfall = 7.0 inches
Volume = 7.0 inches * DA / 12 inches per foot
Volume = 15458.3 cubic feet
5D. Volume of 25 year - 24 hour storm
Volume = 7.0 inches / 12 inches per foot * DA
Volume = 15458.3 cubic feet
TOTAL REQUIRED TEMPORARY STORAGE
5A. 23444 cubic feet
5B. 0 cubic feet
5C. 15458 cubic feet
5D. 15458 cubic feet
TOTAL 54360 cubic feet

6. SUMMARY
Temporary storage period____________________>
160
Rainfall in excess of evaporation=====______>
7.0
25 year - 24 hour rainfall__________________>
7.0
Freeboard___________________________________>
1.0
Side slopes____________________________
3.0
Inside top length___________________________>
265.0
Inside top width_______________________-___
100.0
Top of dike elevation_______________________>
50.8
Bottom of lagoon elevation__________________>
37.0
Total required volume______________________=>
162360
Actual design volume________________________>163288.06
Seasonal high watertable elevation (SHWT)===>
0.0
Stop pumping elev.__________________________>
0.0
Must be > or = to the SHWT elev.====______>
0.0
Must be > or = to min. req. treatment el.=>
43.0
Required minimum treatment volume=====______>
108000
Volume at stop pumping elevation=====_______>
95148
Start pumping elev._________________________>
0.0
Must be at bottom of freeboard & 25 yr. rainfall
Actual volume less 25 yr - 24 hr rainfall===>
147830
Volume at start pumping elevation=====______>
95148
Required volume to be pumped________________>
38902
Actual volume to be pumped__________________>
0
Min. thickness of soil liner when required==>
2.0
7. DESIGNED BY:
DATE:
APPROVED BY:
DATE:
NOTE: SEE ATTACHED WASTE UTILIZATION PLAN
COMMENTS:
days
inches
inches
feet
: 1
feet
feet
feet
feet
cu. ft.
cu. ft.
feet
feet
feet
feet
cu. ft.
cu. ft.
feet
cu. ft.
cu. ft.
cu. ft.
cu. ft.
feet

I% p "kjj V�
-- ---------
0q,
zll
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ZJAULt VA

Swine Farm Waste Management Odor Control Checklist
BMPs to Minimize Odor Site Specific Pract
Source Cause
ices
Farmstead • Swine production J9 Vegetative or wooded buffers;
Ig Recommended best management practices;
® Good judgment and common sense
Animal body surfaces • Dirty manure -covered animals El Dry floors
Floor surfaces • Wet manure -covered floors ® Slotted floors;
� Waterers located over slotted floors; �.:
❑ Feeders at high end of solid floors;
❑ Scrape manure buildup from floors;
❑ Underfloor ventilation for drying
Manure collection pits
• Urine;
❑
Frequent manure removal by flush, pit recharge,
• Partial microbial decomposition
or scrape;
❑
Underfloor ventilation
Ventilation exhaust fans
Volatile gases;
0
Fan maintenance;
Dust
R
Efficient air movement
JR
Washdown between groups of animals;
Indoor surfaces
Dust
M
Feed additives;
❑
Feeder covers;
R
Feed delivery downspout extenders to feeder
Flush tanks
Agitation of recycled lagoon
liquid while tanks are filling
❑
❑
sewers
Flush tank covers;
Extend fill lines to near bottom of tanks with
anti -siphon vents
• Agitation during wastewater
❑
Underfloor flush will, underfloor ventilation
Flush alleys
conveyance
Agitation of recycled lagoon
)a
Extend recharge lines to near bottom of pits
Pit recharge points
liquid while pits are filling
with anti -siphon vents
Agitation during sump tank
O
Sump tank covers
Lift stations
filling and drawdown
Outside drain collection
• Agitation during wastewater
❑
Box covers
or junction boxes
conveyance

Source
End of drainpipes at
lagoon
Lagoon surfaces
Irrigation
nozzles
Storage tank or basin
surface
ranee
BMPs to Minimize wor I
Agitation during wastewater Mr Extend discharge point of pipes unaerneoul
convevance lagoon liquid level
Volatile gas emissions;
Biological mixing;
Agitation
High pressure agitation;
Wind drift
Partial microbial decomposition;
• Mixing while filling;
• Agitation when emptying
Settling basin surface • Partial microbial decomposition;
Mixing while filling;
Agitation when emptying
Manure, slurry or sludge • Agitation when spreading;
spreader outlets • Volatile gas emissions
Uncovered manure,
slurry or sludge on field
surfaces
Volatile gas emissions
drying
Wend animals • Carcass
Dead animal disposal
pits
Incinerators
Carcass
Incomplete combustion
l81 Proper lagoon liquid capacity;
2F Correct lagoon startup procedures;
19 Minimum surface area -to -volume ratio;
F1 Minimum agitation when.pumping;
❑ Mechanical aeration;
0 Proven biological additives
t$[ Irrigate on dry days with little or no wino;
of Minimum recommended operating pressure;
® Pump intake near lagoon liquid surface;
Cl Pump from second -stage lagoon
O Bottom or midlevel loading;
❑ Tank covers;
❑ Basin surface mats of solids;
❑ Proven biological additives or oxidants
❑ Extend drainpipe outlets underneath uquia
level;
❑ Remove settled solids regularly
CI Soil injection of slurrylsludges;
❑ Wash residual manure from spreader after use;
❑ Proven biological additives or oxidants
❑ Soil injection of slurry/sludges
❑ Soil incorporation within 48 hrs.;
❑ Spread in thin uniform layers for rapid drying;
❑ Proven biological additives or oxidants
IK Proper disposition of carcasses
❑ Complete covering of carcasses in burial pits;
❑ Proper location/construction of disposal pits
O Secondary stack burners
Cam:&w Q..o..ifi prarfirec

-� Cause BMPs to Minimize Odor Site Specific Practices
• Source Grade and landscape such that water drains
---
Standing water around • Improper drainage; IN
facilities . Microbial decomposition of away from facilities
organic matter
Manure tracked onto • Poorly maintained access roads Farm access road maintenance
public roads from farm
access
Additional Information: _---�--- -- —
Swine Manure Management; 0200 Rule/BMP Packet
Swine Production Farm Potential Odor Sources and Remedies; EBAE Fact Sheet
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
r — BWS to Control Insects Site Specific Practices _
-Source Cause
Liquid Systems
ed
Flush Gutters • Accumulation of solids sufficiently to remove accumulatedFlush system is designed and t
fic
solids from
gutters as designed.
C3 Remove bridging of accumulated solids at
discharge
Lagoons and Pits Crusted Solids 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 -
8 inches over more than 30% of surface. T
Decaying vegetation Maintain vegetative control along banks of
Excessive Vegetative y g g lagoons and other impoundments to prevent
Growth accumulation of decaying vegetative matter
along water's edge on impoundment's perimeter.
Dry Systems
Feeders • Feed Spillage 0 Design, operate and maintain feed systems (e.g.,
bunkers and troughs) to minimize the
accumulation of decaying wastage.
9 Clean up spillage on a routine basis (e.g., 7 -10
day interval during summer; 15-30 day interval
Feed Storage • Accumulations of feed residues u
W]
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 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.

Source Cause
Animal Holding Areas Accumulations of anthri tes O
and feed wastage
O
Dry Manure Handling Accumulations of a A wastes O
Systems
0
O
_ BMPs to Control Insects• Site Specific Practices
Eliminate low areas that trap moisture along
fences and other locations where 'waste
accumulates and disturbance by animals is
minimal.
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). _ —-
Remove spillage on a routine basis (e.g., 7 - 10
day interval during summer; 15-30 day interval
during winter) whert manure is loaded. for land
application or disposal.
Provide for adequate drainage around manure
stockpiles.
Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and
manure handling areas as needed.
r ent of Entomology, Box 7613, North Carolina State University,
For more information contact the Cooperative Extension Service, Departm
Raleigh, NC, 27695-7613.

Insect Control Checklist for Animal Operations
Source Cause BMPs to Control Insects Site Specific Practices
Liquid Svstems
Flush gutters Accumulation of solids
® Flush system is designed and operated sufficiently
to remove accumulated solids from gutters as
designed
® Remove bridging of accumulated solids at
discharlae
Lagoons and pits • Crusted solids
® 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
Excessive vegetative • Decaying vegetation
0 Maintain vegetative control along banks of
growth
lagoons and other impoundments to prevent
accumulation of decaying vegetative matter along
water's edge on impoundment's perimeter.
Dry S stems
Feeders Feed spillage ® Design, operate, and maintain feed systems
(e.g., bunkers and troughs) to minimize the
accumulation of decaying wastage
0 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
Feed storage Accumulations of feed D
BMPs to Control Insects Site Specific Practices
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)
0
Inspect for and remove or break up accumulated
Animal holding areas • Accumulations of animal El
solids in filter strips around feed store=$e as needed
Eliminate low areas that trap moisture fences
wastes and feed wastage
along
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 needed)
Dry manure handling Accumulations of animal IT
Remove spillage on a routine basis (e.g.,
systems wastes
7- to 10-day interval during summer; 15- to 30-day
interval during winter) where manure is loaded for
land application or disposal
®
Provide for adequate drainage around manure
stockpiles
0
Inspect for and remove or break up accumulated
wastes in filter strips around stockpiles and manure
handlin 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

EMEL= ENCY A r,� ON LAN
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:. W
jyi r ld L i Vi stotle . z
Permit #:
La," Facility ID#:
Operator In Charge (OIC)
Name:r� I � r " 5 h f Lavw . -�y2jc_
First 1 Middle Last Jr, Sr, Ole.
County: _ —
Cert Type [Number: 99;��� Work Phone: O /Q ) ��1'k - 1 C1z l
Signature. _
Date: _ �7 - - J
"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 I SA 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)
Name:
Fast
Cod Type / Number:
Signature:
Middle Last Jr, Sr etc.
Work Phone: (
Date:
"I certify that I agree to my designation as Back-up 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"
Owner/Permittee Name: �_ ',s \a, , - . �+ `— � ` Z- ti C__ � Nqs'-
Phone #: (� ��)"�" - '� �`�1e Fax#: �� }
Signature:
(Owner or authorized agent)
Date: U
Mail, fax or a nall the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: [phone]
original to: Email: eertailmin"",uctlenr:eov
Mall or fax a copy to the Asheville
Fayetteville
Mooresville
appropriate Regional Offrce: 2090 US Hwy 70
225 Green St
610 E Center Ave
Swannanoa 28779
Suite 714
Suite 301
Fax: [phone]
Fayetteville 28301-5043
Mooresville 28 1. 15
Phone:828.296A500
Fax:910.486,0707
Fax:[phone]
Phoen:910.433.3300
Phone:[phone]
Washington
Wilmington
Winston-Salem
943 Washington Sq Mall
127 Cardinal Dr
450 W. Hanes Mali Rd
Washington 27889
Wilmington 28405-2845
Winston-Salem 27105
Fax:[phone]
Fax:[phone]
Fax:[phone]
Phone:[phone]
Phone:[phone]
Phone:[phone]
(Retain a copy of this form for your records)
Raleigh
3800 Barrett Dr
Raleigh 27609
Fax: [phone]
Phoue:919.791.4200
Revised 05-2015

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Dlrector
Linda Whitfield
Whitfield Livestock #2
920 Houses Mill Rd
Newton Grove, NC 28366
Dear Linda Whitfield:
NORTH CAROLINA
Environmental Quality
April 8, 2019
Subject:
Additional Information Request
Application No. AW S 820485
Whitfield Livestock #2
Sampson County
The Animal Feeding Operation Program of the Division of Water Resources (Division) has completed a
preliminary review of your renewal permit application package. Additional information is required
before we may continue our review. Please address and submit tire following item(s) within 30 (thirty)
days of receipt of this letter:
1. Change in Ownership: The owner name for this facility in our records is different than the person
signing the application package. Please fill out a change of ownership form if there has been a
change on ownership of this facility, A blank copy of the Change of Ownership form attached
and can also be found at:
17t 7s:%idc<t.rzc /about/divrsso2t5jwafer'-resourc 5 water -resources pernvts, astewater-
lxranclr/afiirnal-feeciisra eratic l - erini€:iapplicatioll
2. Change in OIC/Phone Number/etc.: Our record show that the name of the OIC/ phone
number/etc. changed in your permit application. Please fill out the attached Operator Designation
form.
Please reference the subject application number when providing the requested information. All revised
and/or additional documentation shall be signed, dated and sent to my attention at the address below. The
Information can also be submitted electronically at 20-19PeruitRenewal((�-nedenrcgv
Please feel free to contact me at 919-707-3665. if you have any questions regarding this letter,
Sincerely,
Miressa D. Garoma
Animal Feeding Operations Program
cc: Fayetteville Regional Office, Water Quality Regional Operations Section
AFOGWS Section Files — AWS820485
D_E Qom- North Carolina Department of Environmental Quality I Division of Water Resources
512 North Salisbury Street 11636 Mail Service Center I Raleigh, North Carolina 27699-1636
919.707.9000

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 2T .1304(c) and 15A NCAC 2T .1305(d) this form is official notification
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste Management Facility. This
form must be submitted to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: U 4' Ij-1d _ �S U Facility No: -
Previous Owners) Name: O L tO' � �e� > (6-'( Phone No: Q y
NeWOwner(s)Narne: )-rilldN 1 llgei d Phone No: 9jo'
New Farm Name (if applicable): // /
Mailing Address: ll (o 1401A/vtl11 Kal
Faun Location: Latitude and Longitude: / County:
Please attach a copy of a county road map with location identified, and provide the location address and driving directions
below (Be specific: road names, directions, milepost, etc.):
Operation Description:
Type of Swine No. gI'Anin:als Type of Swine No. of Animals
Type of Cattle No. ofAninrals
❑ Wean to Feeder ❑ Gilts
O Dairy
❑Wean to Finish ❑ Boars
❑ Beef
E'Feeder to Finish
❑ Farrow to Wean
Type ofPoulhy No. ofAninrals
❑ Farrow to Feeder
❑ Layer
❑ Farrow to Finish ��
❑ Pullets
Other Type ofLivestockr Number of Animals: fl
Acreage Available for Application: Required Acreage:
Number of Lagoons / Storage Ponds:_ Total Capacity:
Cubic Feet (ft3)
Owner / Manager Agreement
I (we) verify that all the above information is correct 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 farm 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 constriction of new facilities will require a permit modification before the new
animals are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application
system to surface waters of the state either directly through a man-made conveyance or from a storm event less severe than
the 25-year, 24-hour storm and there must not be run-off from the application of animal waste. I (we) understand that this
facility may be covered by a State Non -Discharge Permit or a NPDES Permit and completion of this form authorizes the
Division of Water Resources to issue the required permit to the new land owner.
N. C. Division of Water Resources
Water Quality Regional Operations Section
1636 Mail Service Center
Raleigh, NC 27699-1636
June 12, 2015

Animal Waste Management System Operator Designation Form
Facility/Farm Name:
Permit It:
Operator In Charge (OIC)
First
`eld Lo
Cert Type /Number: qq 5-5IA
WPCSOCC
NCAC 15A 8F .0201
Facility ID#:
Last
County:
✓q A, etc.
Work Phone: (91U ) rQGik (J�l
Date: �5 - 1:2 -' 19
"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)
Name:
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 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." \ ��
Owner/Permittee Name: \\,— 'v K�\'m--- `� , -� C��
Phone #: Fax#:
Date: ® \
(Owner or authorized agent)
Mail, fax or entail the WPCSOCC, 1618 Mail Service Center, Raleigh, NC 27699-1618 Fax: [phone]
original to: Email: certadmin 2ncdenr.eov
Mail or fax a copy to the Asheville
Fayetteville
Mooresville
appropriate Regional Office: 2090 US Hwy 70
225 Green St
610 E Center Ave
Swannanoa 28778
Suite 714
Suite 301
Fax: [phone]
Fayetteville 28301-5043
Mooresville 28115
Phone:[phone]
Fax:[phone]
Fax:[phone]
Phoem 910.433.3300
Phone: [phone]
Washington
Wilmington
Winston-Salem
943 Washington Sit Mall
127 Cardinal Dr
450 W. Hanes Mall Rd
Washington 27889
Wilmington 28405-2845
Winston-Salem 27105
Fax:[phone]
Fax:[phone]
Fax:[phone]
Phone:[phone]
Phone:[phone]
Phone:[phone]
Raleigh
3800 Barrett Dr
Raleigh 27609
Fax: [phone]
Phone:[phone]
(Retain a copy of this form for your records)
Revised 05-2015