490006_Add-Info Response_20240417

Version —November 26, 2018
Mortality Management Methods
Indicate which methods) 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
Q ® Bunal 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 beat least one foot above the seasonal
high water table. Attach burial location map and plan.
0 Landfill at municipal solid waste facility permitted by NC DEQ under GS 15A NCAC
13B .0200.
aRendering at a rendering plant licensed under G.S. 106-168.7.
aComplete incineration according to 02 NCAC 52C .0102.
aA 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.
ElIn 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).
Q❑ 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 CAW MP 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.
A#� gt-A SAC,14-r-
gnaof Farm Owner/M pager
e
Signature ofTechnica Specialist.
q . / :�,z//
Date
Date

Animal Waste Management Plan Certification
(Please type or print all information that does not require a signature)
or New or
circle
General Information: Permit No: f} "r� 000
Name of Farm: 60C �� i YFacility No: �19
awner(s) Name: Phone No:_`7Cl q —, �a 7
Mailing Address: �, �"
..Farm Location: County Farm is located in:
Latitude and Longitude: 33;' S � W „ ®ato integrator:
Please attach a copy of a county road map with location identified and describe below (Be specific: road
names, directions, milepost, etc.):.1 77 �( „1-
Operation Description: 'tom
Type of Swine No. of Animals
o Wean to Feeder
o Feeder to Finish
o Farrow to Wean
o Farrow to Feeder
o Farrow to Finish
o Gilts
o Boars
Type of Poultry No. of Animals
o Layer
o Non -Layer
Type of Beef No. of Animals
o Drood
a Feeders
o Stockers
Other Type of Livestock,
Type of Dairy
No. ofAnimals
o Milking
'Z.
o Dry
o Heifers
o Calves
Number of Animals: 2 60-5
Expanding operation Only
Previous DeslZn Ca act : � Additional Design Capacity:—Total Design Ca aci :
Acreage Available for Application: Z 3 00
Number of waste structures: —7
Required Acreage: e d ,
Total Capacity: 1C1 Cubic Feet (0)
Are subsurface drains present on the farm: YES or t N0 (please circle one)
If YES: are subsurface drains present in the area of the waste structures (please circle one or both as applicable)
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 approved animal waste management plan for the farm named above and will
implement these procedures. 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 permit application and a new certification to be submitted to the Division
of Water Resources (DWR) and permit approval received before the new animals are stocked. I (we) understand that there must
be no discharge of animal waste from the storage system to surface waters of the state unless specifically allowed under a permit
from DWR and there must not be run-off from the application of animal waste. I (we) understand that run-off of pollutants
from lounging and heavy use areas must be minimized using technical standards developed by the USDA -Natural Resources
Conservation Service (NRCS). The approved plan will be filed at the farm and at the DWR Regional Office and the office of
the local Soil and Water Conservation District (SWCD). I (we) know that any modification must be approved by a technical
specialist and submitted to the DWR Regional 6f5ice and local SWCD and required approvals received from DWR prior to
implementation. A change in farm ownership requires a permit application to be sent to DWR along with a new certification
(if the approved plan is changed)
Name of Land Dq t '-L f1 G
Signature:_ g. Date: S-
Name of Manager (if different from owner):
Date.
AWC -June 18, 2020

Technical Specialist Certification
I. As a technical specialist designated by the North Carolina Soil and Water Conservation Commission pursuant to 15A
NCAC 6H .0104, 1 certify that the animal waste management system for the farm named above has an animal waste
management plan that meets or exceeds standards and specifications of the Division of Water Resources as specified in 15A
NCAC 2T . 13 00 (formerly 211 .0217) and the USDA -Natural Resources Conservation Service and/or the North Carolina Soil
and Water Conservation Commission pursuant to 15A NCAC 2'T .1300 (formerly 2H .0217) and 15A NCAC 6F .0101-.0105.
The following elements are included in the plan as applicable. While each category designates a technical specialist who may
sign each certification (SD, SI, WUP, RC, 1), the technical specialist should only certify parts for which they are technically
competent.
H. Certification of Design
A) Collection Storage, Treatment System
Check the appropriate box
Existing facility without retrofit (SD or WUP)
Storage volume is adequate for operation capacity; storage capability consistent with waste utilization requirements.
o New, expanded or retrofitted facilit (SD)
Animal waste storage and treatment stractues, such as but not limited to collection systems, lagoons and ponds,
have been designed to meet or exceed the minimum standards and specifications.

Site (WUP)
The plan provides for minimum separations (buffers); adequate amount of land for waste utilization; chosen crop is suitable
for waste management; and the hydraulic and nutrient loading rates are appropriate for the site and receiving crop.
Name of Technical Specialist (Please Print): h e PE,
Affiliation Date Work Completed: ffor is- 2.e72-4
Address (Agency): n Phone No.:. 67,6 -11Z-
Signature: _-.. Date: 1Ti7r,~i ��` ooz'o
C) Runoff Controls from Exterior Lots
Check the appropriate box
o Facility without exterior lots (SD or WUP or RC)
This facility does not contain any exterior lots.
Facility with exterior lots (RC)
Methods to minimize the ruin off of pollutants from lounging and heavy use areas have been designed in
accordance with technical standards developed by NRCS.
Name of Technical Specialist (Please Print): Pis
Affiliation Date Work ompleted: P
Address (Agency, W&Phone No.: OZB798
Signature: Date: Avr 15-
AWC - June 18, 2020

D). Application and Handling Equipment
Check the appropriate box
Existing or gmanding facili withcxiswastea lication equipment (WUP or I)
Animal waste application equipment specified in the plan has been either field calibrated or evaluated in accordance
with existing design charts and tables and is able to apply waste as necessary to accommodate the waste management
plan: (existing application equipment can cover the area required by the plan at rates not to exceed either the specified
hydraulic or nutrient loading rates, a schedule for timing of applications has been established; required buffers can
be maintained and calibration and adjustment guidance are contained as part of the plan).
o New, ex anded or existing faciliV without exisgL& waste a lication e ui ment for Vjay irrigation. (I)
Animal waste application equipment specified in the plan has been designed to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the plan
at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications
has been established; required buffers can be maintained; calibration and adjustment guidance are contained as part
of the plan).
New, gUanded, or existing facilily without existing waste a lication e ui tnent for lands spreading not using ra
irrigation. (WUP or I)
Animal waste application equipment specified in the plan has been selected to apply waste as necessary to
accommodate the waste management plan; (proposed application equipment can cover the area required by the plan
at rates not to exceed either the specified hydraulic or nutrient loading rates; a schedule for timing of applications
has been established; required buffers can be maintained; calibration and adjustment guidance are contained as part
of the plan).
C
Name of Technical Specialist (Please Print); :5a Mi�� j . I Vn f�
Affiliation Date Work Co pleted:�
Address (
Signature
E)
1
1 ue ionowmg signature block is only to
21,1996. If the facility was built before dune 21,
t NS
Odor Control Insect Control Mortality Management and Emergtn_cy Action Plan SD
SI WUP RC or
The waste management plan for this facility includes a Waste Management Odor Control Checklist, an Insect Control
Checklist, a Mortality Management Checklist and an Emergency Action Plan. Sources of both odors and insects have
been evaluated with respect to this site and Best Management Practices to Minimize Odors and Best Management
Practices to Control Insects have been selected and included in the waste management plan. Both the Mortality
Management Plan and the .Emergency Action Plan are complete and can be implemented by this facility.
be used for new or expanding swine farms that begin construction after .tune
1996, when %vas it constructed or last expanded
I (we) certify that I (we) have attempted to contact by certified trail all adjoining property owners and all property owners
who own property located across a public road, street, or highway from this new or expanding swine farm_ The notice was in
compliance with the requirements of NCGS 106-805. A copy of the notice and a list of the property owners notified are
attached.
Name of Land Qwllex:�s`'�(
Date: -] S--
Name of Manager (if different from owner): t 77
AWC - June 19, 2020 3 g e' h

Signature: Date:
III. Certification of Installation
A) Collection Storage, Treatment Installation
New,. expanded or retrofitted facility (SI)
Animal waste storage and treatment structures, such as but not limited to lagoons and ponds, have been installed in
accordance with the approved plan to meat or exceed the minimum standards and specifications.
For existing facilities without retrofits, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation
Work Completed:
Address (Agency): Phone No.:
Signature: Date:
E) Land Application Site (WUP)
The cropping system is in place on all land as specified in the animal waste management plan.
Name of Technical Specialist (Please Print): 4i?iw,-e- l - ; a,.,.-.
Affiliation Date WorkCompleted:
Address (Agency):. r Phone No.: Z�e-'VZf-�rjr'
Signature: ? Date:
C) Runoff Controls from Exterior Lots (RC)
Facility with exterior lots
Methods to minimize the run off of pollutants from lounging and heavy use areas have been installed as specified in
the plan.
For facilities without exterior lots, no certification is necessary.
Name of Technical Specialist (Please Print):
Affiliation Date Work Completed:
Address (Agency): Phone No.:
Signature: Date:
D) Application and Handling Equipment Installation (WUP or 1)
Animal. waste application and handling equipment specified in the plan is on site and ready for use; calibration
and adjustment materials have been provided to the owners and are contained as part of the plan.
o Animal waste application and handling equipment specified in the plan has not been installed but the owner has
proposed leasing or third party application and has provided a signed contract; equipment specified in the
contract agrees with the requirements of the plan; required buffers can be maintained-, calibration and adjustment
guidance have been provided to the owners and are contained as part of the plan.
Name of Technical Specialist (Please
Address (Agency
Signature: _
AWC -June 18, 2621
Work Completed: Z-" Z
7 hone No.:
-Date:- ��///sf zt) z f .--

E) Odor Control Insect Control and Mortalit • Mana ement SD SI WUP RC or I
Methods to control odors and insects as specified in the Plan have been installed and are operational. The mortality
management system as specified in the Plan has also been installed and is operational.
Name of Technical Specialist (Please Print): ?1&,e
Affiliation Date Work Completed:_ r5"/zq
Address (Agency): Phone No.: �'z`- i�`c3
Signature: Date:--- /VVia;
Please return the completed form to the Division of Water Resources at the following address:
Department of Environmental Quality
Division of Water Resources
Animal Feeding Operations
1636 Mail Service Center
Raleigh, NC 27699-1636
Please also remember to submit a copy of this form along with the complete Animal Waste
Management Plan to the DWR Regional Office and the local Soil and Water Conservation District
Office and to keep a copy in your files with your Animal Waste Management Plan.
AWC -.tune 18, 2020