820683_Intergrator Registration Form_20250127

Change of Swine Integrator Registration Form
Farm Name:
Facility Number:a us_ - z*0
Physical Location of the Swine Farm: l',
Owner(s) Name:
Mailing Address:
City, State, Zip Code:
Grower(s) Name if different than Owner:
Mailing Address:
City, State, Zip Code:
Phone: Email:
Current/New Integrator:
Integrator Contact Name:
Mailing Address:
City, State, Zip Code: _
Phone: [phone]
Murphy Family Farms, LLC
John Wesley Hairr
PO Box 1139
Wallace, NC 28466
Email: [e-mail]
l
Owner's Signature / Date
We appreciate your cooperation. This information is required in accordance with G.S. 143-215.10H. If
you have any questions contact the AFO Program at [phone], otherwise please return this form to:
NC Division of Water Resources
Water Quality Permitting Section
Animal Feeding Operations
1636 Mail Service Center
Raleigh, NC 27699-1636
ELECTRONIC SUBMISSION IS ENCOURAGED.
PLEASE EMAIL TO: [e-mail]
CISIR 2025.01.24