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HomeMy WebLinkAbout310284_Application_20240401 ti ROY COOPER ,. - Governor ELIZABETH S.BISER ` Secretary RICHARD E.ROGERS,JR. NORTH CAROLINA RECEIVED Director Environmental Quality Jordan Heath February 12,2024 APR 01 2024 SJ&A Farm 109 S Country Club Dr NC DEC/DWA Kenansville,NC 28349 Central Office Subject: Application for Renewal of Coverage for Expiring State General Permit Dear Pennittee: Your facility is currently approved for operation under one of the Animal Waste Operation State Non-Discharge General Permits, which expire on September 30, 2024. In order to ensure your continued coverage under the State Non-Discharge General Permits.�ou must submit an application for permit coverage to the Division of Water Resources (DWR)by April 3.2024. Enclosed you will find a "Request for Certificate of Coverage for Facility Currently Covered by an Expiring State Non-Discharge General Permit."The application form must be completed,signed by the Pennittee,and returned to the DWR by Aoril 3,2024. Mailing Address: NCDEQ-DWR Animal Feeding Operations Program 1636 Mail Service Center Raleigh,North Carolina 27699 1636 Email:animal.operationsndeq.nc.gov phone:(919)707 9129 Please note that you must include one (1) copy of the Certified Animal Waste Manaeement Plan (CAWMP) with the completed and signed application form. A list of items included in the CAWMP can be found on page 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 NC G.S. § 143-215.1 and could result in assessments of civil penalties of up to$25,000 per day. Copies of the animal waste operation State Non-Discharge General Permits are available at www.deq.nc.,ov/animalpermits2024.General permits can be requested by writing to the address above. 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 919-707-9129. Sincerely, Ari , Michael Pjetraj,Deputy Director Division of Water Resources Enclosures: Request for Certificate of Coverage for Facility Currently Covered by an Expiring State Non-Discharge General Permit No:thCarelinrDepartmentafEasiroammtalQnalffi DirisianofWaterResonroes �� 512 North 5alishmT Streei 1636 Mail Seniu CenW Raleigh,North Caroliaa 2'i6W1636 919.40"129 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, 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: AWS310284 2. Facility Name: SJ&A Farm 3. Permittee's Name(same as on the Waste Management Plan): Jordan Heath 4. Permittee's Mailing Address: 109 S Country Club Dr City: Kenansville State: NC Zip: 28349 Telephone Number: 910-290-0858 Ext. E-mail: jbheath88Agmail.com 5. Facility's Physical Address: 379 Kirby Ouinn Rd City: Kenansville State: NC Zip: 28349 6. County where Facility is located: Duplin 7. Farm Manager's Name(if different from Landowner): 8. Farm Manager's telephone number(include area code): 9. Integrator's Name(if there is not an Integrator,write"None"): Murphy-Brown LLC 10. Operator Name(OIC): Christopher A.Heath Phone No.: 910-290-1369 OIC#: 17380 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-Wean to Feeder 2,600 Operation Types: 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 Poultn Gilts Other Non Laying Pullet Other Layers 13. Waste Treatment Lagoons,Digesters and Waste Storage Ponds(WSP):(Fill/Verify the following information. Make all necessary corrections and provide missing data.) Structure Type Estimated Liner Type Estimated Design Freeboard Structure (Lagoon/Digester/ Date (Clay,Synthetic, Capacity Surface Area "Redline" Name WSP) Built Unknown) (Cubic Feet) (Square Feet) (Inches) 1 Lagoon 19.00 Submit 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),either by mailing to the address below or sending it via email to the email address below. The CAWMP must include the following components: 1.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,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,solids separators,sludge drying system,waste transfers,etc.) 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. rJ 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 corpora tion, signature should be by a principal executive officer ofthe corporation): Name(Print): �d'/�YI Title: ( n Signature: _ Date: Name(Print): Title: Signature: Date: _ Name(Print): Title: Signature: Date: THE COMPLETED APPLICATION SHOULD BE SENT TO THE FOLLOWING ADDRESS: E-mail: animal.operations@deq.ne.gov NCDEQ-DWR Animal Feeding Operations Program 1636 Mail Service Center Raleigh,North Carolina 27699-1636 EMERGENCY ACTION PLAN Using this outline as guidance, you should develop a specific emergency action plan for your waste handling system. This plan will be implemented in the event that wastes from your operation are leaking, overflowing, or running off the 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 available to all employees at the facility, as accidents, leaks, and breaks could happen at any time. Your plan should follow this format: 1 . Stop the release of wastes. Depending on the situation, this may or may not be possible. Suggested responses to problems are listed below: a. Lagoon overflow—possible solutions are: add soil to berm to temporarily increase elevation of dam—any permanent alteration of the dam should be approved by a qualified technical specialist pump wastes to field at an acceptable rate stop all additional flow to the lagoon (waterers)—hold waste in house if possible call a pumping contractor make sure no surface water is entering lagoon NOTE: These activities should be started when your lagoon level has exceeded the temporary storage level. b. Runoff from waste application field—actions include: immediately stop waste application create a temporary diversion or berm to contain the waste on the field incorporate waste to reduce further runoff C. Leakage from the waste distribution system: pipes and sprinklers—actions include: — stop recycle (flushing system) pump — stop irrigation pump — close valves to eliminate further discharge — separate pipes to create an air gap and stop flow flush system, houses, solids separators—actions include: — stop recycle (flushing system) pump — stop irrigation pump — make sure no siphon effect has been created — separate pipes to create an air gap and stop flow d. Leakage from base or sidewall of lagoon. Often these are seepage as opposed to flowing leaks—possible action*: dig a small well or ditch to catch all seepage, put in a submersible pump, and pump back into lagoon if holes are caused by burrowing animals,trap or remove animals and fill holes and compact with a clay type soil other holes may be likewise temporarily plugged with clay soil *Lagoon problems require the consultation of an individual experienced in the design and installation of lagoons for permanent repair measures. 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 notes, such as employee injury,fish kills, or property damage? 3. Contact appropriate agencies. a. During normal business hours, call your DEM regional office, at 910-395-3900, after hours, emergency number: 919-733-3942. Your phone call should include: your name, facility, telephone number, the details of incident from item 2 above, the exact location of the facility, and the location or direction of movement of the spill, weather and wind conditions, what corrective measures have been_under taken, and the seriousness of the situation. b. If spill leaves, or is likely to leave, property or enters surface waters, call local emergency management services (EMS) at 910-296- 2160. C. Instruct EMS to contact local Health Department. d. Contact local Soil and Water Conservation District Natural Resources Conservation Service office at 910-296-2121, and Cooperative Extension Service at 910-296-2143for advice/technical assistance. e. If you are a contract swine grower associated with a swine company integrator, contact the company representative. 4. implement procedures as advised by DEM 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. DUPLIN COUNTY COOPERATIVE EXTENSION SERVICE PO BOX 458 KENANSVILLE, NORTH CAROLINA 28349 910-296-2143 DUPLIN COUNTY SOIL AND WATER CONSERVATION DISTRICT NATURAL RESOURCES CONSERVATION SERVICE PO BOX 277 KENANSVILLE, NORTH CAROLINA 28349 910-296-2121 DUPLIN COUNTY EMERGENCY MANAGEMENT SYSTEM PO BOX 909 KENANSVILLE, NORTH CAROLINA 28349 910-296-2160 DIVISION OF ENVIRONMENTAL MANAGEMENT 127 CARDINAL DRIVE EXT WILMINGTON, NORTH CAROLINA 28405-3845 910-395-3900 E��U■�y}��K ''���1Y1MKli! OVAC .::.....:.. ,.....:.. .... .o..Ys�,...... ,.. ,......:. ....s-:: ..........k ....a„0.o..:........a` :`:::.--------- This plan will be implemented in the event that animal manure or lagoon effluent from your operation is leaking, overflowing, or running off the site: Step (1) Stop the release or flow of manure/effluent. Step (2) Assess the extent of the spill and note-any obvious-damages. Step (3) Contact appropriate personnel and agencies. Murphy Family Farms: 800-311-9458 or 910-289-6439 (See Land&Nutrient Management phone list attached) Department of Environmental Management (DEM)Regional Office: DEM after hours emergency: 919-733-3942 Local Emergency Management System:_ Local Natural Resource Conservation Service: Local Cooperative Extension Service: Local Soil and Water Conservation District: Local dirt-moving/heavy equipment companies: Name Phone# 1. 2. 3. --- Local contract pumping/'irrigation equipment companies: Name Phone# 1. 2. 3. Step (4) Implement procedures as advised by MFF, DEM, and technical assistance agencies to rectify the damage, repair the system, and reassess the nutrient management plan to prevent future problems. Note 1: See MFF Environmental Emergency Procedures Flowchart attached Note 2: Seepages 89-91 of the Certification Training Manual for more details. Land&Nutrient Management Certification Manual :nvironmental emergenc ENVIRONMENTAL occurs which has potential for affecting water qualit EMERGENCY PROCEDURES Contact MFF • Serviceperson Lagoon level has Lagoon dike has suddently dropped Irrigation/flush systems breached/broken out without irrigating. malfunctioned creating a significant leak. an a temporary dr Yes an you identi No o you capable f no be built to stop the Construct the discharge stopping source o e discharge? temporary outlet? flow? dike. Yes No Yes Obtain Take action Attempt to an repairs b 'et materials es contain made by farm and make Take measures an you stop th to stop an the discharg Yes necessary to discharge? discharge! effluent on personnel? necessary ffluent be contained o contain spill. property. repairs. property? No No `o Call LNM& Contact LNM Heavy Equipment, personnel and personnel,service Pyramid Contact personnel in: person and Manager. •Land&Nutrient Mngt production •Heavy Equipment merge-, •Servicperson •pyramid Manager. 1 i Monitor situation until help arrives. 1 lnmcert.doc:03291% 64 ©MURPHY FAMILY FARMS Land do Nutrient Management Certification Manual T LNM personnel assess options and call DEM. helicopter need Contact LNM to o assess containmen Yes dispatch helicopter options? (available within 30 minutes). No LNM and Heavy equipment personnel identify equipment needs and dispatch it to the site. LNM personnel procures Heavy Equipment and maintenance staff as needed to aid in response to emergency. %doctunent am will coordinate r efforts. Meet with personnel and actions taken. 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'SG4 �SaatislirrxtilKrtsaliicltn ::..::'::.:: =4Q:S; 5tgCt' tt» 1 .•.� »_•.,.' n4\ v44ir .4 + s0o/566 �C7S .�xt.:.24. ...: Q10129 . y�� y d i7/657-6759:o r`:676d.(Fax ,..�-.:., 4335 91Q1.53.a=4403 01 _.. n. ....., - =sf;,. :t 6er 291t#37 420 k 455 S ... 910I29 523 4335 91D7298 5792 91597-078 or57 2 = — 91.0/259-2798 -N,1%4 office F,\ :: 9101289-6442 Murphy-Brown, LLC 2/17/2017 2822 Hwy 24 West P.O. Box 856 Warsaw, NC 28398 NUTRIENT UTILIZATION PLAN Grower(s): -Jordan_Heath. Farm Name: SJ&A Farm County: Du lin Permit Capacity- Farrow to Wean Farrow to Feeder Farrow to Finish Wean to Feeder 2600 Wean to Finish Feeder to Finish Gilts Boars Storage Structure: Anaerobic Lagoon Storage Period: �180 days Application Method: Irrigation The waste from your animal facility must be land applied at a spewed 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 drop can utilize. 2. ScA types are irnportent as they have dtii'erent intillration rates, leaching potentials, cation exchange capacities,and avaiillablle water hooding capacities. 3, iJorroally waste shall be appal ed to land eroding at Less than 5 tens per acre pac` year, Waste may be applied to land eroding at 3 or rnere tons per we annual,but lass than 10 Wns par we per yew pmvWkq that adeq le#fitter strips are vatabkhed, 4 Da not apply waste ao satpratad*Wka,when it is mwkmg,of when the surltm 4 ftm, Either of these two bona mW makilt in,n wm*to aubm waters which is not ally Unft DWIR reMlatiN& & VFW ce Aftn%shhwM AIN k Qwmdetd to avoid drill and downwind aft s 0. U MM"sm"vral*of ft 0ot is ftw WAR predect"and to tedvM the pooval i t ,ih@ waste eh ld l i � ac ap*licd mt�f m ih "� � '10 Itr �e��fl $�d@ii4�filt:,Y/: lliit�the fit@ err tQ WA41 W n4ft4ft and k4kM OOW WMAM& 10111 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. 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,ft',tons,etc.): Capacity Type Waste Produced per Animal Total Farrow to Wean 3203 gaUyr galtyr Farrow to Feeder 3861 gaUyr galtyr Farrow to Finish 10478 galtyr gal/yr 2600 Wean to Feeder 191 gaUyr 496,600 gaUyr Wean to Finish 776 gal/yr gal/yr Feeder to Finish 927 gal/yr gal/yr Gilts 1015 gaUyr galtyr Boars 2959 gaUyr galtyr Total 496 cao gaUyr --AMOUNT OF PLANT AVAILABLE NITROGEN PRODUCED PER YEAR (Ibs): Capacity Type Nitrogen Produced perAnimal Total Farrow to Wean 3.84 Ibs/yr Ibstyr Farrow to Feeder 6.95 Ibs/yr Ibs/yr Farrow to Finish 18.86 Ibs/yr lbs/yr 2600, Wean to Feeder 0.34 Ibs/yr 884 Ibs/yr Wean to Finish 1.4 Ibs/yr Ibstyr Feeder to Finish 1.67 Ibs/yr Ibstyr Gilts 1.83 lbstyr Ibs/yr Boars 5.33 Ibs/yr Ibs/yr Total 884 Ibs/yr 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. LAND UTILIZATION SUMMARY The following table describes the nutrient balance and land utilization rate for this facility Note that the Nitrogen Balance for Crops indicates the ratio of the amount of nitrogen produced on this facility to the amount of nitrogen that the crops under irrigation may uptake and utilize in the normal growing season. Total Irrigated Acreage: 32.3 Total N Required 1st Year: 4744.54 Total N Required 2nd Year: 2923.78 Average Annual Nitrogen Requirement of Crops: 3,834.16 Total Nitrogen Produced by Farm: 884.00 Nitrogen Balance for Crops: (2,950.16) The following table describes the specifications of the hydrants and fields that contain the crops designated for utilization of the nitrogen produced on this facility. This chart describes the size, soil characteristics,and uptake rate for each crop in the specified crop rotation schedule for this facility. 2 of 11 � � IIIIIAI�Y�YIA �I�� N IAAII���I n �1 ���I@�1�1 I INI �� �III�� IAII I�������Allll �j IAI I AIAI IE�'�"6�IIIIIN I II IE66169EAAYIIIIAIII A ��Ge����G���������� ��i��!J����� ��� 'p �� �min I� III IIIII���111 ������I !� u���;���� ii ����������r������r�uiii�il �� iANNI�IINIIANN�AIII INYII�IIgINN IN II�II�IYI� III�III �I�� �E �� �� i�i� in nnnm � �� III IIINIII ��9995'I�IIII�IIIIIIIIIIIIIIIII� I,ill� l� hii! Iil!� N ������ �� ������ f��� ��,�:����, t This plan does not include commercial fertilizer. The farm should produce adequate plant available nitrogen to satisfy the requirements of the crops listed above_ 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. In interplanted fields (i.e.small grain,etc,interseeded in bermuda),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 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 the 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. Bermudagrass should be grazed or cut to a height of about two inches before drilling for best results. CROP CODE LEGEND Crop Code Crop Description-Harvested As �^ A Barley Grain Crop 1 B Grazed Hybrid Bermudagrass Pasture/Grazed C Hybrid Bermudagrass Hay Hay B/C Comb.Hybrid Bermudagrass Graze/Hay Combination D Com-Grain Grain Crop E Com-Silage Silage F Cotton Cotton Lint G Grazed Fescue Pasture/Grazed H Fescue Hay Hay I Oats Grain Crop J Rye Grain Crop K Grazed Overseed Pasture/Grazed(Seeded in Bermudagrass) L Overseed Hay Hay(Seeded in Bermudagrass) M Grain Sorghum Grain Crop N Wheat Grain Crop O Soybean Grain Crop P Pine Trees Pine Trees S Small Grain Grain Crop/Hay(After Grain Crop) CC Cover Crop Not Harvested; Burned/Disked In SWG Swithgrass Biomass Crop Acres shown in the preceding table 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. 4 of 11 SLUDGE APPLICATION: The following table describes the annual nitrogen accumulation rate per animal in the lagoon sludge Farm Specifications PAN/ r/animal Farm Total/;r Farrow to Wean 0.8 Farrow to Feeder 0.96 Farrow to Finish 3.9 2600 Wean to Feeder 0.07 182 Wean to Finish 0.27 Feeder to Finish 0.34 Gilts 0.39 Boars 0.55 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 182 pounds of plant available nitrogen per year and will accumulate in the lagoon sludge based on the rates of accumulation listed above. If you remove the sludge every 5 years, you will have approximately 910 pounds of plant available nitrogen to utilize. Assuming you apply this PAN to hybrid bermuda grass hayland at the rate of 300 pounds of nitrogen per acre,you will need 3 acreas of land. If you apply the sludge to corn at a rate of 125 pounds per acre,you will need 7.28 acres of land. Please note that these are only estimates of the PAN produced and the land required to utilize that PAN. Actual values may only be determined by sampling the sludge for plant available nitrogen content prior to application Actual utilization rates will vary with soil type,crop, and realistic yield expectations for the specific application fields designated for sludge application at time of removal. 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 that an irrigation system is installed to properly irrigate the acres shown in the preceding table. Failure to apply the recommended rates and amounts of nitrogen shown in the tables may make this plan invalid. '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>180 days of temporary storage and the temporary storage must be removed on the average of once every 6 months. In no instance should the volume of the waste 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 the tables. 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 prior to applying the waste. 5 of 11 Application Rate Guide The following is provided as a guide for establishing application rates and amounts. Soil Application Rate Application Amount Tract Hydrant Type Crop inlhr * inches _ T7106.3 L1 PaA D 0.45 1 T71063 L2 PaA D 0.45 1 T71063 L3 PaA D 0.45 1 T71063 L4 MCC H 0.65 1 T71063 L5 AuB D 0.6 1 T71063 L6 AuB D 0.6 1 T71063 L7 AuB D 0.6 1 6of11 Additional Comments: This NUP has been updated to reflect the new production rates and RYE'S. This is a revision of the NUP prepared by Bill Thomas of Duplin County Soil &Water Conservation Service. All acreage used in this NUP is based on the irrigation design and wetted acres prepared by Bill Thomas with no changes to fields or acreages. _ This plan has is now all row crops using a 2 year crop rotation of corn, wheat and soybeans_ 7 of 11 NUTRIENT UTILIZATION PLAN CERTIFICATION Name of Farm: SJBA Farm Owner: Jordan Heath Manager: 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 nutrient management plan for the farm named above. I/we know that any expansion to the existing design capacity of the waste treatment and/or storage system, or construction of new facilities,will require a new nutrient management plan and a new certification to be submitted to DWR before the new animals are stocked. I/we understand that I must own or have access to equipment, primarily irrigation equipment, to land apply the animal waste described in this nutrient management plan. This equipment must be available at the appropriate pumping time such that no discharge occurs from the lagoon in the event of a 25 year 24 hour storm. I also certify that the waste will be applied on the land according to this plan at the appropriate times and at rates which produce no runoff. This 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 NCDWR upon request. Name of Facility Owner: Jordan Heath Signature: �L Date Name of Manager(if different from owner): Signature: Date Name of Technical Specialist: Toni W. King Affiliation: Murphy-Brown, LLC. Address: 2822 Hwy 24 West, PO Drawer 856 Warsaw, NC 28398 Telephone: (910) 293-3434 Signature: ., .� 2. Date 8of11 NUTRIENT 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 the waste, he/she shall provide evidence 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 waste production facility to secure an update of the Nutrient Utilization Plan when there is a change in the operation, increase in the number of animals, method of application, recieving crop type, or available land. 3 Animal waste shall be applied to meet, but not exceed, the nitrogen needs for realistic crop yields based .upon soil type, available moisture, historical data, climatic conditions, and level of management, unless there are regulations that restrict the rate of applications 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 eroding at more than 5 tons per acre per year but less than 10 tons per acre per year provided grass filter strips are installed where runoff leaves the field (See USDA, MRCS Field Office Technical Guide Standard 393 -Filter Strips). 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 land application field. 6 When animal waste is to be applied on acres subject to flooding, waste will be soil incorporated on conventionally tilled cropland. When waste is 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 and flies. 8 Animal waste shall not be applied to saturated soils, during rainfall events, or when the surface is frozen. 9 of 11 NUTRIENT UTILIZATION PLAN REQUIRED SPECIFICATIONS 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. 10 Nutrients from waste 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 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. 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 discharge or by over-spraying. Animal waste may be applied to prior converted cropland provided the fields have been approved as a land application site by a "technical specialist". Animal waste shall not be applied on grassed waterways that discharge 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. 10 of 11 NUTRIENT UTILIZATION PLAN REQUIRED SPECIFICATIONS 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. 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 pre-plant 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 nutrient, unless other restrictions require waste to be applied based on other nutrients, resulting in a lower application rate than a nitrogen based rate. Zinc and copper levels in the soil shall be monitored and alternative crop sites shall be used when these metals approach excessive levels. pH shall be adjusted and maintained for optimum crop production. Soil and waste analysis records shall be kept for a minimum of five years. Poultry dry waste application records shall be maintained for a minimum of three years. Waste application records for all other waste shall be maintained for a minimum of five years. 23 Dead animals will be disposed of in a manner that meets North Carolina regulations. 1 11 of 11 1 H qq C A [ W c v � R c C N 0 N � Oo m e -:T Lr'N N O 2 �7 cM �t 1cn �7 a1N N as e-I n C � O u 0 O O Q OO a cc)cn M cM N C-I C) o -- - - - - - — — — — t` A= N it F-I — — — — - - - - - - - — — - - — O ro � Y - - 4 N N N N N N N N o � Vzn y; la u � 00 In r) cy .D O a �: to w e "D to co 'D � :o QD al (- o w 1 — _ Iu 0 r 0 00 0 A O' O O O N N 4-1 O r. N N N .•-•I N N U � R1 C r- V, � > "I Oi III W .n a, N N N N N N N El. alIU01 43, ct L S cn M cn - 7 M M D u ro Q) a> M r li l o Z � to M o a _.1 v O 41 0 va'i ro n o j IF � H — U) nlrD 0O r !. rm,am FIR MITI E • Y � t � I.��A. .• .•, i`�:� r r f i.a,.' �::; 1 t:s a s t r,. .r f� h ffl, �� G� ,�a•.. .���- � a', t� ;MFY�: _♦ ♦ O 1 i "mot c tc t � ! 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'�J -1}i°r �t��-�� , �#'�t '�. r r�r-- �"��.� S 7'Sa' oa�'�(�b ,4��Y\ �Sl'�� �15 �.4 �Ja fl � \'[j�, ♦ i�1� �t � ; �� ♦ : � 4 YLiI �''.l��y�^: . �5h� �.t Sa l#��! /'(t`.`�.�i �r y!• �v� f G,y� 1a Alt w .1 y' =tt. } t � 1: 1♦'Glt�- 4 iC i � >n+ 4is 7tr�l.,-L r i� .� , 1'♦ F � � s 1? > } ' $ t .1 �.f f � ,. f+�` � � "',� l i x'1`�� Y�t �7•���1� ,� � �- � �,,{ i ( t r �r.+ it _� ;.♦ 1t fr.i.1 � t "e �} +4r K ',� !V i {, �, i� r1 � t 1t � � `+ 1 ��� t - ,'�:� �,.�_t ••} f Y'- jl� .'.a♦`�'` ! ti -�� S:♦\ 2� ,tl it 4 1 � �. � ti F �3 v > V~t+ ti � .���,;�.. �y4{t� 4 <� l.tv � �..• � L � t .,1 ,i�' L +��k F-f. ry jj."hyf�j!":�. Y,�.��,^!�1t `.`'1-,`^ ' >>,� �fY,.,�'.. �:Y ; ,•- j�t+ay[rti�, -i' T r t' -� i V "`'34S'?.��i �5 \< < #1L � iV`', 'a \ scy S�` r•' , `� �� -4,��. '1 a 'J, i;� re F ♦ti•• '� '7 r � e �'y{��f fi .. t \�;ti S �,- r r.. . -i , � •t r s � r .�ti j.r� ", �4't�''� y � aC �� �?`•4`. '4 ',I` r~i-�. t+{, i .t,It + +r �It. ly `Y; a .� l�z����"C' F>rl3ihe .p ♦, i Y 1 �1 !1 ^,el. v.� � � t �� +� �� ♦:dy �+,. � 4 ) � � . 7 il��'C, ,,K,._ {r �.��l.l.t aj`�>,F;�� 'lei C.ue waS+U Ve PC,l�S ,,fu►dple-worksbeets may U needed) HARD HOSE TRAVELER IRRIGATION SYSTEM Hard Hose Traveling Gun System COMPUTATIONAL WORKSHEET 1. Farm number(identification) I Field number(identification) Z�k L q , 1c. 2. Irrigation system designation_Existing irrigation system _New/expanded irrigation system 3. Number of travel lanes # Interior lanes #Exterior lanes feet]Length of pull(Ll) # interior lanes #Exterior lanes [feet]Length of pull(L2) #Interior lanes #Exterior lanes [feet]Length of pull(L3) 4. Wetted diameter ;kO [feet] from Field Data Worksheet 5. Spacing Qk Hydrant spacing[feet] [as a percentage of wetted diameter) 6. Hydrant layout _Multiple hydrants —Single hydrant —Excessively spaced hydrants 7. Read the irrigated area per travel pull for the given wetted diameter from the appropriate table and column based on pattern,spacing, and travel lane location. Travel lane length(LI) Interior or * Exterior Cane/hydrant) (a)Acres start end of pull from Table 150 9'0 Column 19 1(b)Acres middle portion of pull(Ll) (Pull length 1 S[feet] X Wetted width [feet]} 143,560 _ C (c)Acres stop end of pull from Table Column <- Ll Total acres for travel lane Iength (Ll) (Sum: a+b +c) Travel Lane length V)_Interior or Exterior Cane/hydrant) • �g(a)Acres start end of pull from Table ♦ oIumn 40 s C G ! (b)Acres middle portion of pull(L2) Ct,}}c'00,e t f (Pull length [feet] X Wetted width [Feet]}143,560 (c)Acres stop end of pull from Table Column Total acres for travel lane length (L2) (Sum: a+b + c) • r Travel lane Iength Interior or_Exterior Cane/hydrant) SS (a) Acres start end of pull from Table (b)Acres middle portion of pull(L3) O {pull length,_SU[feet] X Wetted width [feet]} /43,560 (c)Acres stop end of pull from Table�V► olumn .3 Total acres for travel Iane length%3) (Sum: a+b +c) 8. Multiply the tabulated irrigated acreage value per travel pull by the number of pulls of each category in the field.Add all of these,and this is the total irrigated acreage for the field. (a) Acres per travel lane Iength (L1) X 4 Lanes = Acres (b)Acres per travel lane length (1.2) X #Lanes = Acres (c) Acres per travel lane length (B) X #Lanes = Acres 8-iJ,_Total CAVw.WP wettable acres for field (Sum:8a+8b+ 8c) Wettable Acre Computational Worksheet Completed by: Date: /k Signature of technical specialist IS 1 � �, �, 12� x2?�U � �l3 .��v w .� } . �� � .� ��� X ����y���G� _ ` -.. ..� �. �, 1 <• � ����� G o�i� �, � + �,� �,� . , � i // �� � 7 \ � / *� / � . : � `� . a2 \ �. ?R � � , �. 7 < ,.Nf� •!` t.h r try :�,i'",c, yi.\"'4 i, ..\�+ t.;\•, .h• c 1-' f. � yi?z • r , l f ' �-.� �+�'���`,` jar �0. ��J +'xCL. ,I,� :, f •: .nn` �" µ, X. 2\�v.` ,4 {•��`,Sn t� � �� � f ,� 1 1.''i �lli!, � .' `fit ?'4 'Y72:, e�l 1. . ywr.Y;1;lwl y`..,-::i 7 � '� 1 '' J yCi-i ''•i•f• '<��7rf r r ti .y �L'I � -�-�.; 1:,�. �.>'0 1 _rt .fir_ 1�\�w •,'!M`,r ;•'x � r.l .� �.+ �• � \�S .ri K fie• � � -k•�' r 1 Y , r 9 n A Dt 5 b e A-A- 4-e p!•s-,q l 1 /YJ¢�,�TEe�VT6rlv'1l—.. j T8/r•1.�Ai4 _ir/ l?.' /�a uJR: T•ee:_O__bN. 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Q, Q -• '='cl, n v .� 0 (U 0 0 O 1.. 0 •" ° ,n.w dcnrnV) UU W0z Mortality Management Methods (check which method(s) are being implemented) a Burial three feet beneath the surface of the ground wiihin 24 hours after knowledge of the death. The burial must be at least 300 feet from any flowing stream or public body of water. Rendering at a rendering plant licensed under G.S. 106-168.7 Complete incineration 0 In the case of dead poultry only, placing in a disposal pit of a size and design approved by the Department of Agriculture 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 of the State Veterinarian must be attached) r December 18, 1996 INSECT CONTROL CHECKLIST FOR ANIMAL OPERATIONS source Cause BMP's to Minimize Odor Site Specific Practices (Liquid Systems) Flush Gutters Accumulation of solids U.Kush system is designed and operated sufficiently to remove accumulated soilds from gutters as designed. (-'9'emove bridging of accumulated solids at discharge Lagoons and Pits Crusted Solids ( .aintain 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��f surface. Excessive Vegetative Decaying vegetation 17110aintain 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 Systems) Feeders Feed Spillage ( ) Design, operate and maintain feed systems (e.g., bunkers and troughs) to minimize the accumulation of decaying wastage. { ) Clean up spillage on a routine basis (e.g. 7-10 day j interval during summer; 15-30 day interval during winter). Feed Storage Accumulations of feed residues ( ) 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 bre•wer'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. Animal Holding Areas Accumulations of animal wastes ( ) Eliminate low area that trap moisture along fences and feed wastage and other locations where waste accumulates and 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). --November 11, 1996 r , SWINE FARM WASTE MANAGEMENT ODOR CONTROL CHECKLIST ,urce Cause BMP's to Minimize Odor Site Specific Practices Farmstead Swine production egetative or wooded buffers; (commended best management Mites; ( )Good judgment and common sense Animal body surfaces Dirty manure-covered animals (4,trry floors Floor surfaces Wet manure-covered floors lted floors; (-),4ot terers located over slotted floors; ( ) Feeders at high and of solid floors; IJ,Scrape manure buildup from floors; (t-15_nderfloor ventilation for drying Manure collection pits Urine ( )�raquent manure removal by flush,pit re harge,or scrape Parital micorbial decomposition ( Underfloor ventilation Ventilation exhaust fans Volatile gases; (-.IKan maintenance; Dust ( ) fi'&nt air movement Indoor surfaces Dust ( Washdown between groups of animals ( ) Feed additives; ( ) Feeder covers; ( ) Feed delivery downspout extenders to feeder covers tanks Agitation of recycled lagoon ( ) Flush tank covers liquid whiles tanks are filling ( ) Extend fill lines to near bottom of tanks with anti-siphon vents Flush alleys Agitation during wastewater (4.6'Koerfloor flush with underfloor conveyanance ventilation Pit recharge paints Agitation of recycled lagoon ( ) Extend rechard lines to near bottom of liquid while pits are filling pits with anti-siphon vents Lift stations Agitation during sump tank filling ( ) Sump tank covers and drawdown Outside drain collection Agitation during wastewater ( ) Box covers or junction boxes conveyance End of drainpipes at lagoon Agitation during wastewater Extend discharge point of pipes underneath lagoon liquid level Lagoon surfaces Volatile gas emissions ( r er lagoon liquid capacity Biological mixing Correct lagoon startup procedures Agitation ( linimum surface area-to-volume ratio ( Minimum agitation when pumpirig ( 1 Mechanical aeration () Proven biological additives Irrigation sprinkler nozzles High pressure agitation Irrigate on dry days with little or no wind Wind drat (-r imum recommended operation pressure Pump intake near lagoon liquid surface ( ) Pump from second-stage lagoon A­JC--November 11, 1996 ,Storage tank or basin Partial microbial decomposition O Bottom or midlevel loading ,surface Mixing while filling ( )Tank covers Agitation when emptying () Basin surface mats of solids ( ) Proven biological additives or oxidants Settling basin surface Partial micobial decomposition () Extend drainpipe outlets underneath liquid Mixing while filling level Agitation when emptying ( } Remove settled solids regularly Manure, slurry or sludge Agitation when spreading ( it injection of slurry/sludges spreader outlets Volatile gas emissions {'} Wash residual manure from spreader after use ( ) Proven biological additives or oxidants Uncovered manure, slurry Volatile gas emissions while drying ( S it infection of slurry/sludges or sludge on field surfaces il incorporation within 48 hours (') Spread in thin uniform layers for rapid drying ( ) Proven biological additives or oxidants Dead animals Carcass decomposition ( roper disposition of carcasses Dead animal disposal Carcass decomposition ( ) Complete covering of carcasses in burial pits pits ( ) Proper location/construction of disposal pits Incinerators Incomplete combustion ( ) Secondary stack burners Standing water around Improper drainage VrGrade and landscape such that water drains facilities Microbial decomposition of away from facilities organic matter Manure tracked onto public Poorly maintained access roads Y: Farm access road maintenance 1)oads from farm access Additional Information: Available From: Swine Manure Management; 0200 Rule,'BMP Packet NCSU-County Extension Center Swine Production Farm Potential Odor Sources and Remedies, EBAE Fact Sheet NCSU-BAE Swine Production Facility Manure Management: Pit Recharge--Lagoon Treatment; EBAE 129-88 NCSU-BA:: Swine Production Facility Manure Management: Underfloor Fluse--Lagoon Treatment; EBAE 129-83 NCSU-BAE Lagoon Desig and Management for Livestock Manure Treatment and Storage; EBAE 103-83 NCSU-BAD Calibration of Manure and Wastewater Application Equipment; EBAE Fact Sheet NCSU-SAE Controlling Odors from Swine Buildings; PIH-33 NCSU-Swine Extension Environmental Assuranc Program: NPPC Manual NC Pork Produces Assoc Options for Managing Odor; a report from the Swine Odor Task Force NCSU Agri Communications Nuisance Concerns in Animal Manure Management: Odors and Flies; PRO107, 1995 Conference Proceedings Florida Cooperative Extension F MORTALITY MANAGEMENT METHODS (check which method(s) are being implemented) ( } Burial three feet beneath the surface of the ground within 24 hours after knowledge of the death. 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N eO cc M C Co dWC w ~ 00 W U W b o U W u a d7 u C c W o u CAv .� o O .a ts. Er c c cc � W op cci o a. b O N .m b ca to Cas 4 W C. .o N U cI. -E o " co .. L ca aci E- C N a W O I- N o c. Er.u. o 0 -0 p cc -0-0W 00 u c b L1. Z t'1 3 C o a. oC u .S ca 1,83 _ `- u q• •-U. 0 p p VC � a � cc m � } Q N na. a0.. a; o .atew cXw E -,0 O O Q •� -0b •� O 7 �r •4 O a N ►V. V 7 U. an O °� O 7 c `-• ca O CLO CL- g -0 ca Q • a td co as 1 9 cc. Ex. qU O u N C 7 •7 •7 7 O C ca oc � ca`. r: r E p _ o U N C •C. v •n .� .3r V C C3 b 3 3 3 3 00 m o c 4 U clid cnrnvnv) z O d 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, 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: AWS310284 2. Facility Name: SJ&A Farm 3. Permittee's Name(same as on the Waste Management Plan): Jordan Heath 4. Permittee's Mailing Address: 109 S Countiti,Club Dr City: Kenansville State: NC Zip: 28349 Telephone Number: 910-290-0858 Ext. E-mail: jbheath88(@gmail.co 5. Facility's Physical Address: 379 Kirby Quinn Rd City: Kenansville State: NC Zip: 28349 6. County where Facility is located: Duplin 7, Farm Manager's Name(if different from Landowner): 8. Farm Manager's telephone number(include area code): 9. Integrator's Name(if there is not an Integrator,write"None"): Murphy-Brown LLC 10. Operator Name(OIC): Christopher A.Heath Phone No.: 910-290-1369 OIC#: 17380 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-Wean to Feeder 2,600 Operation Types: Swine Cattle Dry Poultry Other TVves 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 13. Waste Treatment Lagoons,Digesters and Waste Storage Ponds(WSP): (Fill/Verify the following information. Make all necessary corrections and provide missing data.) Structure Type Estimated Liner Type Estimated Design Freeboard Structure (Lagoon/Digester/ Date (Clay,Synthetic, Capacity Surface Area "Redline" Name WSP) Built Unknown) (Cubic Feet) (Square Feet) (Inches) 1 Lagoon 19.00 Submit 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), either by mailing to the address below or sending it via email to the email address below. The CAWMP must include the following components: 1. The most recent Waste Utilization Plan(WUP),signed bN 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,solids separators,sludge drying system,waste transfers,etc.) 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 143-215.613, 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): O ��� Title: V_ Signature: Date: 'o�y Name(Print): Title: Signature: Date: Name(Print): — Title: Signature: 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