820706_Application - Change Ownership_20200622

RECEIVED
Notification of Change of Ownership
Animal Waste Management Facility JUN 2 '2 2020
(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 offs 99QMW
to the Division of Water Resources (DWR) of the transfer of ownership of an Animal Waste Managemeniftlir"Ay'PU
form must be submitted to DWR no later than 60 days following the transfer of ownership.
General Information:
Previous Name of Farm: J L Hog Farm Facility No: 82 - 706
Previous Owner(s) Name: Lynwood P. Spell -- DECEASED
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New Owner(s) Name: John L. Spell Phone No: 910-214-4020
New Farm Name (if applicable): J L Hog Farm
Mailing Address: 103 vista Drive Clinton, NC 28328
Farm Location: Latitude and Longitude: 34 59 50 / 78 27 06 County: Sampson
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.): 2.0 miles North West of Concord (Hwy 24) on SR 1306 (The Avenue)
Oneration Description:
Type of Swine No. ofAnimals
® Wean to Feeder 6080
❑ Feeder to Finish
❑ Farrow to Wean
❑ Farrow to Feeder
❑ Farrow to Finish
❑ Gilts
❑ Boars
Type of Poultry No. of Animals
❑ Layer
❑ Pullets
Other Type of Livestock.•
Type of Cattle No. ofAnimals
❑ Dairy
❑ Beef
Number ofAnimals:
Acreage Available for Application: 16 Required Acreage: 10.5
Number of Lagoons / Storage Ponds: 1 Total Capacity: 420,904 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 construction of new facilities will require a permit modification before the new
animals are stocked. I (we) understand that there must be no discharge of animal waste from the storage or application
system to surface waters of the 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.
Name of Previous Land Owner: Lynwood P. Spell = DECEASED
Signature:
Name of New Land Owner: John L. Spell
Signature rZ Date:��(1
Name of Manager (if different from owner):
Signature: Date:
Please sign and return this form to:
N. C. Division of Water Resources
Aquifer Protection Section
Animal Feeding Operations Unit
1636 Mail Service Center
Raleigh, NC 27699-1636
April 23, 2012