HomeMy WebLinkAbout540087_oic_20240219State 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, 2024, 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, 2024.
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. Certificate Of Coverage Number: AWS540087
2. Facility Name: Lenoir Swine Breeders Inc
3. Permittee's Name (same as on the Waste Management Plan): James Pollock
4. Permittee's Mailing Address: 2307 Hwy
City: Kinston x 0
Telephone Number: - xt.
State: NC
E-mail: jimmvpollock a,suddenlink.net
5. Facility's Physical Address: 1167 Bland Howell Rd
Zip: 28504
City: Kinston State: NC Zip: 28504
6. County where Facility is located: Lenoir
7. Farm Manager's Name (if different from Landowner): James Pollock
8. Farm Manager's telephone number (include area code): _- _ _ _ -_ ____,
9. Integrator's Name if there is not an Integrator, write "None" ar
g (� g )� � f
10. Operator Name (OIC): Y� _ _ _ OIC #: -q�
a Pone No.:
11. Lessee's Name (if there is not a Lessee, write "None"). ruv, ca"
"
12. Indicate animal operation type and number:
Current Permit: Operations Type
Swine - Farrow to Wean
Operation Tvnes:
Swine
Wean to Finish
Wean to Feeder
Farrow to Finish
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Boar/Stud
Gilts
Other
Cattle
Dairy Calf
Dairy Heifer
Milk Cow
Dry Cow
Beef Stocker Calf
Beef Feeder
Beef Broad Cow
Other
Allowable Count
550
Dry Poultry
Non Laying Chickens
Laying Chickens
Pullets
Turkeys
Turkey Pullet
Wet Poultry
Non Laying Pullet
Layers
Other Types
Horses - Horses
Horses - Other
Sheep- Sheep
Sheep - Other
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.)
Print the Name of the Permittee/Landowner/Signing Official and Sign below. (If multiple Landowners exist, all landowners
should sign. If Landowner is a corporation, signature should be by a principal executive officer of the corporation):
Name (Print): _.y= Title:
Signature: Date:,
Name (Print):
Signature:
Name (Print):
Signature:
Title:
Date:
Title:
Date:
THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS:
E-mail: animal.operations@deq.nc.gov
NCDEQ-DWR
Animal Feeding Operations Program
1636 Mail Service Center
Raleigh, North Carolina 27699-1636
MIM; ; �
Lenoir Swine Breeders Inc
John Cumin Howard
1373 Davis Mill Rd
Deep Run, NC 28525
252-568-4204
I'llillillil III's 7 111111 1 11111111111 Ill 11
�rkl JTM 211T �!11, !,l 1111 i i
OUR"=
MM �
Eve H. Honeycutt
N C Cooperative Extension
Lenoir County Center
1791 Hwy 11155
Kinston, NC 28504
MAE
Owner/Manager/Producer Agreement
1(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.
Signature (owner) Date
Signature (manager or producer) Date
This plan meets the minimum standards and specifications of the U.S. Department of
Agriculture - Natural Resources Conservation Service or the standard of practices
adopted by the Soil and Water Conservation Commission.
Plan Approved By:
Y-chnica&�- i g�n`a t u . re- Date
148515 Database Version 4.1 Date Printed: 06-13-2018 Cover Page 1