310017_2018 irrigation_20190318

1
FORM TRAN-1
Animal Waste Transfer Record
Record Each Transfer of Waste Between Lagoons or Third Party
(�/� Facility Number
Farm Owner \ ' lU � , Irrigation Operator
Owner's Address �t C7 �a c&YX ��l I �( _ Irrigation Operator's Vt� � E� 1 ) 3q � �� ( I
wQ\\0.L�� 1 " �-' � `��r' Address LLQ� \VC, c7b ' 4
Owner's Phone # Operator's Phone #
Date rNutient7(lagoonID)
ransfer To 'Volume "Third Party Information
n ID or third party) Transferred Permit # NamePhone-�� 1 leSrY � fl �I3 ) i � (�l� V Pt
'Volume Transferred must be recorded in gallons , tons, or cubic yards. 3114)2003
"Third Party must be provided with nutrient analysis.
Haste Transfers over 4 cubic yards must be accepted by a permitted facility or a field in the permittee's WUP .