820521_Lagoon Closure Form-Rescission Request_20240130

APPENDIX 3.1
Animal Waste Storage Pond and Lagoon Closure Report Form
(Please type or print all information that does not require a signature)
General Information:
Name of Farm: Ross Barefoot
Owner(s) Name:
Mailing Address:
Ross Barefoot
7117 NC HWY 242 S
Dunn, NC 28334
Facility No: 82 - 591
Phone No: 919-820-3223
County: Sampson
Operation Description (remaining animals only):
XPlease check this box if there will be no animals on this farm after lagoon closure. If there will still be animals on the site
after lagoon closure, please provide the following information on the animals that will remain.
Operation Description:
Ti pe of Sx ine No. of Animals
o Wean to Feeder
o Feeder to Finish
o Farrow to Wean
o Farrow to Feeder 620
o Farrow to Finish
o Gilts
o Boars
Type of Poult1y No. of Animals
o Layer
o Non -Layer
Tt pe of Beef No. of Animals
o Brood
o Feeders
o Stockers
Other Tlpe of Livestock.
Will the farm maintain a number of animals greater than the 2H .0217 threshold?
Will other lagoons be in operation at this farm after this one closes?
How many lagoons are left in use on this farm?: 0
T} pe of Dairy No. of Animals
o Milking
o Dry
o Heifers
o Calves
'umber of. Inimals
Yes o No o X
Yes o No o X
(Name) Diane Harrison of the Water Quality Section's staff in the Division of
Water Quality's Fayetteville Regional Office (see map on back) was contacted on 11-15-2023 (date)
for notification of the pending closure of this pond or lagoon. This notification was at least 24 hours prior to the
start of closure, which began on I 1(date).
I verify that the above information is correct and complete. I have followed a closure plan, which meets all NRCS
specifications and criteria. I realize that I will be subject to enforcement action per Article 21 of the North
Carolina General Statutes if I fail to properly close out the lagoon.
Name of LandwnerV(PasPrint): Ross Barefoot
Signature: Date: /2" ZZ �3
The facility has followed a closure plan which meets all requirements set forth in the NRCS Technical Guide
Standard 360. The following items were completed by the owner and verified b) me: all waste liquids and
sludges have been removed and land applied at agronomic rate, all input pipes have been removed, all slopes have
been stabilized as necessary, and vegetation established on all disturbed areas.
Name of Technical Specialist (Please Print): Henry Faison
Affiliation: Sampson Soyrand Water Conservation District
Address (Agency): 80
Signature:
Return within 15
PLC - 1 March 18, 2002
Road suite 110 Clinton NC 28328
Phone No.:910-592-7963 EXT 3
Date: ak&�
g completion of animal water storage pond or lagoon closure to:
N. C. Division Of Water Quality
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636