310386_Transfer 2018_20190320

FORM TRAN-1
Animal Waste Transfer Record
Record'Each Transfer of Waste Between Lagoons or Third Party
Facility Number '7J - 3 g(o
Farm Owner William Edward Brock Irrigation Operator
Owner's Address 2337 Pasture Branch Road Irrigation Operator's transfer of water happened on the farm from one lagon
Beulaville, NC 28518 Address to the other la on.
Owner's Phone# [phone] Operator's Phone#
Date Time Nutient Transfer From Transfer To *Volume **Third Party Information
Analysis (lagoon ID) (lagoon ID or third party) Transferred Permit# Name Phone#
10/16/2018 8:00 AM 0.19 2 1 271540 gallons N/A N/A N/A
*Volume Transferred must be recorded in gallons, tons, or cubic yards. 3/14/2003
**Third Party must be provided with nutrient analysis.
Waste Transfers over 4 cubic yards must be accepted by a permitted facility or a field in the permittee's WUP.