DHEC Form 2513 "Standard Application Form for Agricultural Permit Transfer of Ownership or Operation" - South Carolina

What Is DHEC Form 2513?

This is a legal form that was released by the South Carolina Department of Health and Environmental Control - a government authority operating within South Carolina. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2020;
  • The latest edition provided by the South Carolina Department of Health and Environmental Control;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of DHEC Form 2513 by clicking the link below or browse more documents and templates provided by the South Carolina Department of Health and Environmental Control.

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Download DHEC Form 2513 "Standard Application Form for Agricultural Permit Transfer of Ownership or Operation" - South Carolina

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Standard Application Form for Agricultural Permit Transfer of
Ownership or Operation
Please Type or Print
All areas are required to be completed, if not applicable, write N/A
Section 1 – FACILITY INFORMATION
DATE
FACILITY NUMBER
ND
A TRANSFER OF OWNERSHIP
OR A TRANSFER OF OPERATION BY LEASE AGREEMENT
PERMIT NUMBER
DATE ISSUED
OLD FARM NAME
COUNTY
SITE ADDRESS
DATE OF TRANSFER
NAME OF INTEGRATOR
CONFINED ANIMAL MANURE MANAGER NAME
CAMM NUMBER
IF NONE, TRAINING DATE
Section 2 – CONTACT INFORMATION
NEW FACILITY OWNER
ADDRESS
PHONE NUMBER (WORK)
(HOME)
(CELL/BEEPER)
NEW FACILITY OWNER'S EMAIL ADDRESS
NEW FARM NAME
ORIGINAL FACILITY OWNER
ADDRESS
PHONE NUMBER (WORK)
(HOME)
(CELL/BEEPER)
ORIGINAL FACILITY OWNER'S EMAIL ADDRESS
NEW OPERATOR’S NAME
ADDRESS
PHONE NUMBER (WORK)
(HOME)
(CELL/BEEPER)
OPERATOR'S EMAIL ADDRESS
Section 3 – MANURE MANAGEMENT
NUMBER OF ACRES TRANSFERRED/LEASED
NUMBER OF HOUSES TRANSFERRED/LEASED
ANY TREATMENT/STORAGE STRUCTURES TRANSFERRED/LEASED
MANURE HANDLING: o DRY or o WET
ARE YOU PLANNING TO LAND APPLY THE MANURE? o YES or
o NO
ARE YOU PURCHASING OR LEASING THE MANURE UTILIZATION AREAS?
o YES
or
o NO
HOW WILL MANURE PRODUCED AT THE FACILITY BE HANDLED?
NEXT PROJECTED MANURE CLEAN-OUT DATE?
ANY TEMPORARY MANURE HANDLING PLANS?
ARE YOU UTILIZING CONTRACT DISPOSAL OF MANURE WITH BROKER?
o YES or
o NO
NAME AND PERMIT NUMBER OF BROKER
DAILY METHOD OF DEAD ANIMAL DISPOSAL
EMERGENCY METHOD OF DEAD ANIMAL DISPOSAL
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
DHEC 2513 (01/2020)
Standard Application Form for Agricultural Permit Transfer of
Ownership or Operation
Please Type or Print
All areas are required to be completed, if not applicable, write N/A
Section 1 – FACILITY INFORMATION
DATE
FACILITY NUMBER
ND
A TRANSFER OF OWNERSHIP
OR A TRANSFER OF OPERATION BY LEASE AGREEMENT
PERMIT NUMBER
DATE ISSUED
OLD FARM NAME
COUNTY
SITE ADDRESS
DATE OF TRANSFER
NAME OF INTEGRATOR
CONFINED ANIMAL MANURE MANAGER NAME
CAMM NUMBER
IF NONE, TRAINING DATE
Section 2 – CONTACT INFORMATION
NEW FACILITY OWNER
ADDRESS
PHONE NUMBER (WORK)
(HOME)
(CELL/BEEPER)
NEW FACILITY OWNER'S EMAIL ADDRESS
NEW FARM NAME
ORIGINAL FACILITY OWNER
ADDRESS
PHONE NUMBER (WORK)
(HOME)
(CELL/BEEPER)
ORIGINAL FACILITY OWNER'S EMAIL ADDRESS
NEW OPERATOR’S NAME
ADDRESS
PHONE NUMBER (WORK)
(HOME)
(CELL/BEEPER)
OPERATOR'S EMAIL ADDRESS
Section 3 – MANURE MANAGEMENT
NUMBER OF ACRES TRANSFERRED/LEASED
NUMBER OF HOUSES TRANSFERRED/LEASED
ANY TREATMENT/STORAGE STRUCTURES TRANSFERRED/LEASED
MANURE HANDLING: o DRY or o WET
ARE YOU PLANNING TO LAND APPLY THE MANURE? o YES or
o NO
ARE YOU PURCHASING OR LEASING THE MANURE UTILIZATION AREAS?
o YES
or
o NO
HOW WILL MANURE PRODUCED AT THE FACILITY BE HANDLED?
NEXT PROJECTED MANURE CLEAN-OUT DATE?
ANY TEMPORARY MANURE HANDLING PLANS?
ARE YOU UTILIZING CONTRACT DISPOSAL OF MANURE WITH BROKER?
o YES or
o NO
NAME AND PERMIT NUMBER OF BROKER
DAILY METHOD OF DEAD ANIMAL DISPOSAL
EMERGENCY METHOD OF DEAD ANIMAL DISPOSAL
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
DHEC 2513 (01/2020)
Section 4 – ANIMAL TYPES & NUMBERS
AVERAGE ANIMAL LIVE WEIGHT = average exit weight + average entry weight = (__________) + (________) = _________ pounds
2
2
Type(s) of Animals
Maximum # of Animals
Normal Production
Manure Produced
Additional Scraped
Acres for Land
(at any one time)
Animal Live Weight
(tons/yr or gal/yr)
Solids or Compost
Application
(pounds)
(tons/yr)
Section 5 - CERTIFICATION
I HEREBY CERTIFY THAT ALL OPERATIONS, MAINTENANCE AND ASSOCIATED ACTIVITY PERTAINING TO THIS
SITE SHALL BE ACCOMPLISHED PURSUANT TO AND IN KEEPING WITH THE TERMS AND CONDITIONS OF THE
APPROVED PLANS. I HAVE READ THIS APPLICATION AND AGREE TO THE REQUIREMENTS AND CONDITIONS
THAT ARE CONTAINED WITHIN. THE INFORMATION SUBMITTED IS, TO THE BEST OF MY KNOWLEDGE AND
BELIEF, TRUE, ACCURATE, AND COMPLETE. I HEREBY GRANT AUTHORIZATION TO THE DEPARTMENT OF
HEALTH AND ENVIRONMENTAL CONTROL THE RIGHT OF ACCESS TO THE SITE AT ALL REASONABLE HOURS
FOR THE PURPOSE OF SAMPLING AND ON SITE INSPECTIONS.
Printed Name /New Owner or Leasee
Signature/New Owner or Leasee
I HEREBY CERTIFY THAT I AM TRANSFERRING OWNERSHIP OF THE ABOVE LISTED ACREAGE AND AGRICULTURAL
BUILDINGS AND/OR MANURE TREATMENT/STORAGE STRUCTURES TO THE NEW FACILITY OWNER.
Printed Name/Original Facility Owner
Signature/Original Facility Owner
"Personal Information provided on this document is subject to public scrutiny or release."
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
DHEC 2513 (01/2020)
D-2513 APPLICATION INSTRUCTIONS - Agricultural Animal Facility Permit Transfer of Ownership or Operation
Purpose:
This form must be completed and submitted for DHEC approval for the transfer of ownership or operation of agricultural animal facilities
Item-by-Item Instructions:
Section 1 - Facility Information.
Date: Enter the date of application.
Facility Number: Leave blank, the Department will provide the facility number.
Transfer type: Indicate whether this is an application for a transfer of ownership or for a transfer of operation by lease agreement.
Permit Number: Provide the permit number for the permitted facility. Date Issued: Provide the date on which DHEC issued the permit.
Old Farm Name: Give the name of the agricultural animal facility prior to transfer.
County: Give the county in which the facility is located.
Site Address: Give directions to the facility from the nearest town or state road.
Date of Transfer: Enter the projected date of closing on the property/facility transfer of ownership or operation.
Name of Integrator: Enter the name of the integrating company the facility plans to grow for
Certified Manure Manager: Has a representative for the farm operation completed the Confined Animal Manure Managers (CAMM) class
conducted by Clemson Extension Service? If so, please include the name and CAMM number of the farm representative, but if not, include
the date for the class that a representative has registered.
Section 2 - Contact Information.
New Facility Owner: Enter the name, address and phone number of the new person who will legally owns the property on which the agri-
cultural animal facility is located.
Previous Owner’s Name, Address, and Phone Number: Enter the name, address and phone number of the person from whom the facility
is being purchased.
New Operator’s Name, Address, Phone Number: Enter the contact information for the new facility operator (if different).
New Farm Name. The name you intend on calling the farm once it's transferred to you.
Section 3 – Manure Management.
Number of acres transferred/leased: Enter the number of acres included in this transfer.
Number of houses transferred/leased: Enter the number of houses or animal barns included in this transfer.
Treatment/Storage Structures transferred/leased: Enter a description of any manure treatment or storage structures that are included in
this transfer (if applicable).
Manure Handling: Circle DRY or WET to indicate the type of manure handling for this operation.
Land Application: Circle YES or NO to indicate whether the manure will be land applied.
Manure Utilization Areas: Circle YES or NO to indicate whether the manure utilization areas of fields that are in the current manure man-
age- ment plan for this facility are being purchased or leased.
Manure Handling: Indicate the method of manure handling proposed for this facility.
Next Manure Clean-out Date: Provide the estimated approximate date of the next manure clean out for this facility.
Temporary Manure Handling: If the method of manure handling proposed for this facility will not be submitted at this time, then provide the
plan for handling the manure until the updated manure management plan can be submitted.
Manure Broker: Circle YES or NO to indicate whether a manure broker will be used for contract disposal of the manure from this facility and
provide the name and permit number of the broker to be used (if applicable).
Method of Dead Animal Disposal: Identify the daily and emergency method of dead animal disposal planned for this facility.
Section 4 – Animal Types & Numbers.
Average Animal Live Weight: Calculate the average weight of one animal unit by taking the average exit weight plus the average entry
weight and divide by two.
Type of Animal Operation: The animal type that is proposed to be grown at this facility (i.e. swine, dairy, turkey, poultry, etc....).
Maximum # of Animals (at any one time): The maximum number of animals at the facility at any one time.
Normal Production Animal Live Weight (lbs): The maximum number of animals at the facility at any one time multiplied by the average animal
live weight of those animals.
Total Manure Produced (tons/year or gal/year): The amount of manure produced by the animals in the span of one year. This amount should
be represented in tons per year for dry manure and in gallons per year for wet manure.
Additional Scraped Solids or Compost: Provide the amount of manure that will be scraped or handled separately from the primary treatment/
storage method or any compost that is produced at the facility.
Acres for Land Application: The value here should be the number of acres available, that you are designating as manure utilization areas.
Section 5 – Certification.
For this section, please read the certification statements and have the appropriate person(s) sign the certification.
DHEC Processing Procedures:
Two (2) copies of the submittal package are submitted to DHEC. After Permitting, DHEC files the original in the main project file, located
in DHEC’s central office. DHEC sends a copy of the approved package to the appropriate EA Regional Office .
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