410019_Inspection_20191025

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Type of Visit: 1),Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Ex.Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access p �J,t�
Date of Visit:I \t , 1t\I Arrival Time: l b t 0 0, Departure Time: \`.'5 D o County: ( ,AtovCi Region: w �0
Farm Name: '\\;Q v S,(lit VA,r 9 FAY vv` Owner Email:
Owner Name: Den S .L'iQ \ Phone:
Mailing Address: '6T-i c N C 1 "'1 b1 1V C''loroY\ 61 t€_, N C W-Aq
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Physical Address: I
Facility Contact: \\\ .k(\� Socj_Wk- I `V'VTitle: Phone: 0)�)� 6({-c `\Tlr
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
"ILO E 7 1 bk CND
7 Pant\ 0 h el
... '
. . ¢ ,
Wean to Finish -- Layer Dairy Cow \ C'
•Wean to Feeder -- , Non Layer Dairy Calf
Feeder to Finish
.;;� i4 i-i, � ;NA Dry
=•Farrow to Wean �� ', i Dry Cow p -
•Farrow to Feeder -- .. Non-Dairy
•Farrow to Finish -- F' • -- Beef Stocker
Gilts _.I Non-La ers Beef Feeder
•Boars -- •Pullets -- Beef Brood Cow
EIMICI--
� e i __� „ < •Turke Poults -- ; a
Other � El Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 14 No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes Igl No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes %No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: L{ \ - t q Date of Inspection: 101 a51 i O
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: U, V LO'Aie fr
Spillway?: 1 ,
Designed Freeboard(in):
�� r c)\�
Observed Freeboard(in): C
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA 0 NE
(i.e.,large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes 441 No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 0.No El NA El NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9.Does any part of the waste management system other than the waste structures require El Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ YesV.:1No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. El Yes 810 No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ElApplication Outside of Approved Area
12.Crop Type(s): ref t1 ttkC e-/ O p c vt'✓
13.Soil Type(s):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes N1r No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 154 No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes IV No ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records& Documents
19.Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes [l No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design 0 Maps ❑ Lease Agreements 0 Other:
2 ing need improvement?If yes,check the appropriate box below. Yes ❑ No ❑ NA ❑ NE
Waste Application VA Weekly Freeboard Waste Analysis {]Sei4 sis Weather Code
as iii iW 1 tocking (/ Crop Yie ' [ 120 Minute Inspections cg Monthly and 1" Rainfall Inspections Eittadge-Stirveit
22. Did the facility fail to insta an. maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 1X1 NA ❑ NE
Page 2 of 3 2/4/2015 Continued

(Facility Number: 1 - (Date of Inspection: `p� jl f1G�
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 11 No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No NI NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes VI No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes CA No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes Ex No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes �No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond El Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes jej No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? Aces
] No ❑ NA El NE
34. Does the facility require a follow-up visit by the same agency? es •No ❑ NA ❑ NE
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Reviewer/Inspector Name: L C � C A / '� Phone: )% -11 U—-G
ll Os
Reviewer/Inspector Signature J � � Date:
Page 3 of 3 2/4 015

Division of Water Resources
Facility NumberFT-1 - i g 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: a Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0/Denied Access',1 y�
Date of Visit:LAol?i4 )q I Arrival Time: 1t ;00� Departure Time: i'!6D,Q County: j/`\\Y. QS Region: V"Si2-�
Farm Name: 2Q)1,,Q► 1 lyS Fo,%Iv.. Owner Email:
Owner Name: I9-440eA- ITS Phone:
Mailing Address: '-16 1 MA v'h( Il p ci CJ . C k �_A. M v. Nc- O 621
Physical Address: v
Facility Contact: AAA Ci(.QOILISS Title: Phone: VJ— -- —/�'7��
Onsite Representative: �\ Integrator:
,
Certified Operator: lV Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
NC 61 v.' 7 t 11 N 7 us A N —7 ft, AAA,. 19a( k fa t 7 GI DUfhr1 4) uY'n1
12A&pit, •_� DA.uwiltd• — CO CInco l 1 I .r,(,►. ik. — 0 r n%tyld 10 ge.
r
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer K Dairy Cow 1 TO l a
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow ei)z)
Farrow to Feeder D Poult Ca.aci Po.. Non-Dairy
Farrow to Finish ORMS1.11.-- Beef Stocker
Gilts •Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
MIBEE111.1
Other El Turke Poults
Other IN Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes A No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No E NA ❑ NE
b. Did the discharge reach waters of the State?(If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes X No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: -11 - Date of Inspection: 1 '''7c I i G
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? Yes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes R( No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 141/45 Sp b*X-AL
Spillway?: ‘. /
Designed Freeboard(in):
Observed Freeboard(in): I b '
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes rxiNo ❑ NA ❑ NE
(i.e.,large trees, severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? Yes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes TXI No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes ig No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
El Excessive Ponding El Hydraulic Overload El Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
El PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable� Crop_Window ❑�Eviiddence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): l �1LL VI 1/O�wl ha ly ( ore l la(JO
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes jg No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes [�No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes izz 7 No ❑ NA El NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? El Yes No El NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes E>ii No ❑ NA ❑ NE
the appropriate box.
❑WUP El Checklists El Design El Maps El Lease Agreements El Other:
21.Does record keeping need improvement? If yes,check the appropriate box be Yes ❑ No ❑ NA ❑ NE
Waste Application El Weekly Freeboard El Waste Analysis El Soil Analy ' ❑Wiese Tmeasfars......❑Weather Code
Rainfall St cam' g _V Crop Yield yecligns [4 Mont u ' Rainfall Inspections ear
22. Did the faci ity fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No UeNA El NE
Page 2 of 3 2/4/2015 Continued

'Facility Number: CO - k$ 'Date of Inspection: tag 2(I Ci
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes p No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No K NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes rx No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes X No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 154
' No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes A No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes Ki No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes 1154 No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes IA No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? 1 Yes ❑ No ❑ NA ❑ NE
is(refer to question#):Explain any YES answers and/or any additional recommendations or any other comments.'
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Reviewer/Inspector Na ii (s..ii,. U1 �� if Phone: o h 1 t'C11 O"
Reviewer/Inspector Signature: A Date: k(' ('3 0 I \q
Page 3 of 3 2/4/2015

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Type of Visit: 'Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:I i i.00(,i Departure Time: t1 10 Gil County:4cAatILLO Region: IA)S_
Farm Name: y,lp Lt.G Owner Email:
Owner Name: A A V-00 r vU,V\ Phone:
Mailing Address: 7-X)4 W jc k. C i a c v1 1 1 Q. N G a-' --c
Physical Address: S►'\ Vj1Rw 4(MVet•) "►c*Lst t6 11 Vi .lk. N Cj c 10✓5
Facility Contact: AI-TA. VL�p pry,n n Title: Phone: 1.0q - _()
Onsite Representative: I Integrator:
Certified Operator: (� Certification Number:
Back-up Operator: Certification Number:
2 �o ° a� 64I
Location of Farm: Latitude:.V 6 04 l� Longitude:
4-hit 66C —7 C CA-S v-1 6 rriLr‘a CNN 124k• ."-- . 1 iffy\ 11). )10'U (rIA 0
a x
y !
r, . �: .. - ..i �:s „ , �« ..,: «t a. 1 s-,2 FA
„:�5.v..,_.., Via ..,_ �
���Wean to Finish �� Layer °FA Dai Cow g4"I[�M
Wean to Feeder �� ; Non Layer IN Dai Calf
•Feeder to Finish - •Dai Heifer
•Farrow to Wean
Cow
•Farrow to Feeder �� ,, ' - ,;; . D.Non-Dai .-
•Farrow to Finish '• . •Beef Stocker
•Gilts MI Non-La ers -•Beef Feeder
•Boars •Pullets •Beef Brood Cow
:iii.'41--, a , •Turke Poults
Other , T�
Other
r
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 14 No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field El Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes 0 No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 4No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: C/19 - pN' (Date of Inspection: q I v_i(�c
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes XNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ear f o r (11/41 S P a'
Spillway?:
Designed Freeboard(in):
rt (, 1
Observed Freeboard(in): --��
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ® No ❑ NA ❑ NE
(i.e., large trees,severe erosion,seepage,etc.) 7�
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes ANo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes Wo ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 'No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require 174Yes ❑ No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes t11,No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes 1g No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): .51 tS
13.Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination? 7�
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes tjti No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes �'+No ❑ NA El NE
the appropriate box. TT``
❑WUP CI Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes p No ❑ NA ❑ NE
.Waste Application -ekl Freeboard it Waste Analysis Soil Analysis rs [$Weather Code
Rainfall a'Stockin;45 rop field ❑12 Minute inspections [Monthly and 1" Rainfall Inspections �r er,
•
22.Did the facility fail to insta and maintain'a rain gauge? ❑ Yes ® No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No `I NA ❑ NE
Page 2 of 3 2/4/2015 Continued

(Facility Number:qq - 'Date of Inspection: q l-k1 I lot
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes %No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No ' NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes No ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes V.No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes in No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes [4 No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes VI No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes 1-A No ❑ NA ❑ NE
El Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes M No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
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Reviewer/Inspector Name: aigtiAlAYPhone: — 1 — 0
Reviewer/Inspector Si ature: l Date:
Page 3 of 3 2/4/2015 1 16 kr`;\

Division of Water Resources Y. S Vkl
Facility Number % Q - I 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: zp Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
hReason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: -ss►w Arrival Time:Enm�yj, Departure Time:[4c54 SGNCounty: DIV,(f Region: g_ci
\. v) tq
Farm Name: ow,/ / 0,U3 ---i-eyelj F—arry\_J Owner Email:
L I
Owner Name: 1►'.\� e-n A0 1 l
2._ Phone: '1AE:,— 0tC — k2 11
Mailing Address: ()0 U.)+/ (J0tM.ei1 ,..A/\UC _SVI i IG Iv V D fl
A/Physical Address:
Facility Contact: l f Y1-e- V )A- Title: Phone:
Onsite Representative: \/ Integrator:
Certified Operator: V Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: 59145" Longitude: NO i 0 D1
-r o c i iil9•‘01 O•7 Cuy)U ad-7 icD w 41 .
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish •Layer f Dairy Cow V
Wean to Feeder Non-Layer Dairy Calf v
Feeder to Finish Dairy Heifer f-6
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Poul Ca'aci Po 1. Non-Dairy
Farrow to Finish MIEM -- Beef Stocker
Gilts is Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
IIIIMEEMINII
Other II Turke Poults
Other •Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes EA No ❑ NA ❑ NE
Discharge originated at: ❑ Structure El Application Field El Other:
a. Was the conveyance man-made? ❑ Yes 0 No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ANo ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA El NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: 30 - 0 Date of Inspection: Li (d- i 9
Waste Collection&Treatment •
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? 0 Yes [A No ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: J�s p
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): /)'y
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �( No ❑ NA ❑ NE
(i.e.,large trees,severe erosion,seepage,etc.) T
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes Otl No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes it No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes M.No ❑ NA 0 NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes LisNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes EN No 0 NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes NI No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): TeSeU€ ''U(L
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No El NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes [g No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable_, ❑ Yes EXNo ❑ NA ❑ NE
acres determination?VAIIVAL QC• Vs. SO kats'reo d we., k C
17. Does the facility lack adequate acreage for land application?' ❑ Yes N No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes NI No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes X No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes Dit No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21.Does record keeping need improvement? If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
Waste Application Weekly Freeboard Waste Analysis ql Soil Analysis Bather Code
Rainfall 0&milk ❑Crop Yiold, i� 1:12ad r__ ' eetic Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes rg No El NA El NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ' NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: %ID() - Q (Date of Inspection: L� (.;r4(9
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes tglNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
El Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26.Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes qNo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes IR No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes tp No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the El Yes No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes O] No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes `No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes qNo ❑ NA ❑ NE
Comments(refer to gOestion#):plain any. *flowers and/at any additiorte any #p peata-
Use drawings of*ditty to better la n E '` sithligonihsgesas nec +l
q. C P- - g-ocY tea, ( � rites e-6 -5f-it( ook ;host
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S COlvvetbla 3(Qv tc\ v\)c r La.10
Cu�i bray, w v &c L64"1414‘61 GI let 14 litr4v\(Uk()
r�5
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Reviewer/Inspector Name: ? LDS`Q atatA. ,1jV Phone: �) ,1Ej'G1 1(Q5
Reviewer/Inspector Sign Date: I ti b/I
Page 3 of 3 2/4/2015

6 # € a v s#, u s� b . 1 < s--4 _ _ . im ?
Type of Visit: 01 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: titRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:It \(1( LG( I Arrival Time:[ I Departure Time:I 6 DV I County: Region: (/jJP
Farm Name: coy; toofizry, Ipa.I 6.yriii In G, Owner Email:
1 (162/-.)
I
Owner Name: . ! t( aVl . F. l� In Phone:
Mailing Address: �� I V�S , C ( r I r eka n e do .)-13Q-
Physical Address: NZ
Facility Contact: AI Goa,( ba' Title: Phone:S% 5U- 1 1
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
a 1 r, 0 « ' /34I1
Location of Farm: Latitude: �i 6 U� �� Longitude:
zL-100 IlCISO —> �rart". av, O
Wean to Finish -- Layer _ PS Dai Cow �j����[��' w
•Wean to Feeder �� - Non Layer E Dai Calf �� `
Feeder to Finish Dai Heifer �� __
III Farrow to Wean -- , D Cow --
Farrow to Feeder -- '-'' . ;; Non-Dai --
Farrow to Finish -- -- MI Beef Stocker -- .T
Gilts -- ,,•Non-La ers -- •Beef Feeder --
,,,!
•Boars -- •Pullets -- Beef Brood Cow r --
�� a
,`�„ _„' a E „..... . . 't Turke POURS �� a'�� ' x i��
iOther ( I Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 11 No ❑ NA ❑ NE
Discharge originated at: El Structure ❑ Application Field El Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

'Facility Number: V 1 - 01,, 'Date of Inspection: , L151 19
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes 1No ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: S
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): ''e
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes N No ❑ NA ❑ NE
(i.e., large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes N No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? 'Pt' Yes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes v No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes tyl No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 4 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes raj No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift El Application Outside of Approved Area
1.
12.Crop Type(s): o f n 1 i IQq Q i ) corn jrct-in
13. Soil Type(s): v
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes KNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes lallo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ' NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA 0 NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes [ANo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes 0 No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps Lease Agreements ❑Other:
21. Does record keepin a V in, es,c : . .- ...ropriate box below. Yes ❑ No El NA ❑ NE
Waste Application ❑Weekly Freeboar. ❑Waste Analys -�ei rs Weather Code
Rain a tocking Crop Yield �"'. : R'!.•-- -::- '•• Monthly and 1" Rainfall Inspections ❑Chulpf Survex
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ' 'No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 7kNA ❑ NE
Page 2 of 3 2/4/2015 Continued

'Facility Number: 0 t - 0 A Date of Inspection: `l 11 L
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes (� No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes 7J No ANA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes 1p No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes NtNo ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes 4 No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes IN No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes 14 No ❑ NA ❑ NE
❑ Application Field El Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes V No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
1-17
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Reviewer/Inspector Name: i` - - ' C1.,. A 4 _, Phone:
Reviewer/Inspector Si: a. + �� _ - — Date:
Page 3 of 3 2//2015

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� a-A€- '. %. -_ir ,. '. .:1, ; _ ,. ,. .,. .� a Via,ho- g ` „a*
e -
Type of Visit: IlkCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: EX.Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:I1O\2' tq I Arrival Time:m s,q Departure Timer ,r:\5 p County:KivailtillaRegion: IAReeb
Farm Name: (-Ccy..rncx \ °ai Y Owner Email:
Owner Name: Sph Sohn try._ Phone:
Mailing Address:
Physical Address:
Facility Contact: " r� SQL Title: Phone:
Onsite Representative: ( Integrator:
Certified Operator: li Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
D i r :
Wean to Finish Layer `:PA Dai Cow MU
Wean to Feeder Non-Layer Dai Calf -�
Feeder to Finish `, ..., �� .„ _' _•Dai Heifer
Farrow to Wean c 0 � ..D Cow �� 3 Farrow to Feeder , : .Non-Dai
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers •Beef Feeder --
Boars Pullets •Beef Brood Cow
Turkeys 9 `
{ a4-,..: . ' u-- Turkey Poults 2 .
Other
Other 4 1 0
Discharges and Stream Impacts SkNo
I. Is any discharge observed from any part of the operation? ElYes ElNA ElNE
Discharge originated at: ElStructure ElApplication Field ElOther:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes `3 No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters jYes ❑ No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

'Facility Number: V( - 3E) 'Date of Inspectionko( (I C)
Waste Collection&Treatment 11{
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes 'KtNo ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: %J)SP t J)
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): e,bit leff+-
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Kt No ❑ NA ❑ NE
(i.e., large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes [ No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7.Do any of the structures need maintenance or improvement? ❑ Yes VI No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes NiNo ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes VNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes '[No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. `A Yes ❑ No ❑ NA 0 NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
(N Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): (Qftl cil line' ina,U( Tra,;A g5
13. Soil Type(s): d
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes INo ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes Cgl No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes rIg.1 No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists 0 Design ❑Maps ❑ Lease Agreements ['Other:
21.Does record keeping need improvement?If yes,the ropriate box below. I% Yes ❑ No ❑ NA ❑ NE
Waste Application Weekly Freeboard ❑Waste Analysis 1,4na1ycic u a3te n rs [PWeather Code
Rainfall rig Stocking 0 Crop Yield n"0""' '- —` 1 Monthly and 1" Rainfall Inspections ❑•Sittdg ..
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes TA No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 04 NA ❑ NE
Page 2 of 3 2/4/2015 Continued

'Facility Number: U\ - Date of Inspection: 4O1all IC‘
24.Did the facility fail to calibrate waste application equipment as required by the permit? 'Yes rAl No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No [A NA ❑ NE
the appropriate box(es)below. 7�
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
❑Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26.Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes X] No El NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes [ No ❑ NA ❑ NE
Other Issues �`
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 1%1 No ❑ NA ❑ NE
and report mortality rates that were higher than normal?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes No ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [ No El NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? %Yes El No ❑ NA ❑ NE
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Reviewer/Inspector Name. r' Phone:'
Reviewer/Inspector Si atu : Date: a O (
[9g/
Page 3 of 3 2/4/2015

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Type of Visit: pf Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: IS-1 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 'r Arrival Time:I`O",QA I Departure Time: \�LI 2 I County: (I Region: �'`� V
s„7�
Farm Name: Cot aV&t -A'(rn, Owner Email:
Owner Name: (jrp y\S6v\ Co tA.ravk,-e, Phone:
Mailing Address: I'J 1 f raV\S ovN 0 mil \ . ) P\ ca Sook is rd-ems. ( lc, 21313
Physical Address: I') t 'xV\AA V 12-141• I 1 SQ�I�,#- 6rArd kr c 2-13c3
�V\ (b1Q��' Title: Phone: L.--2.{
Facility Contact: �
Onsite Representative: ' Integrator:
Certified Operator: 'V Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
\jSr)00 413 1 j2,Vt' 10145S . - elvt 0 1 V 6%t 11 •
t W M 011 W
., :`A
4.,1
Wean to Finish Layer ►�Dai Cow 1[�r
Wean to Feeder -' Non-Layer MCA Dai Calf IM►NUW1
Feeder to Finish �'�Dai Heifer �1 �� •
a I! II
Farrow to Wean "�
� � �;, M.�D Cow rr
Farrow to Feeder ,,� El Non-Dai
Farrow to Finish (Layers I.Beef Stocker
Gilts Non-Layers -I.Beef Feeder —_
Boars Pullets Beef Brood Cow --
,- Turkeys {
r Turkey Poults
IOther ,-° Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Z No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes 04 No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes V] No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: -76 - 'Date of Inspection: (01 ` ("1
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes IA No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: Ufr ' -C)(
P Y• ��ptJ�S
S illwa ?: \/ T✓�
Designed Freeboard(in):
n ,i
Observed Freeboard(in): /'1
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA ❑ NE
(i.e., large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes IA No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes Cgi No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ Yes if No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes INo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes IXNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window l,,❑. ,Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): Co rI ►1 I�.l V W� , - C'(1 e/
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes i]No El NA El NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 'No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 'No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes egi No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes d No ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes VI No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes txNo ❑ NA ❑ NE
the appropriate box.
❑WUP El Checklists ❑Design ❑Maps ❑ Lease Agreements El Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes tp No ❑ NA ❑ NE
JZI,Waste Application Weekly Freeboard 'I Waste Analysis nS151171TWysis Q W.A.. Weather Code
[i Rainfall laStocking Crop Yield Xl 120 Minute Inspections SlMonthly and 1" Rainfall Inspections �Shuu1gP e„r.,e.aace
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes g] No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No (yI NA ❑ NE
Page 2 of 3 2/4/2015 Continued

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Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: kb( (I lq I Arrival Time: (45 C . I Departure Time: �:'� I County• a Region:
Farm Name: D, ��l'bh YVt t t 1 CA-1 Owner Email:
,Owner Name: A .
D. V V t " 1 a' Phone:
Mailing Address: p 59— r/t'd I19 A,l � ' , ' �l��ar�N t IV al3
Physical Address: \%
Facility Contact: C9k,4 tbY1 'A t l l i C Y Title: Phone: b— 6��— J
Onsite Representative: Integrator:
Certified Operator: v Certification Number:
Back-up Operator: �A Certification Number: ^
Location of Farm: Latitude: 356 � 'ILA ci
,U Longitude: f 1 ' 44,`
Ow)`S1 710, av Liactte:� L t �d �' v� or c
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Dairy Heifer
;•Farrow to Wean --:43vrt t 3
Dry Cow.
Farrow to Feeder '_ :�� 4 : '-
Non-Dairy
Farrow to Finish _ �� Beef Stocker
Gilts Non-La ers ' ' Beef Feeder
Boars Pullets �� Beef Brood Cow
Other • 1
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Igl No El NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field El Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)?
d. Does the discharge bypass the waste management system?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA CI NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yesgrx3] No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters Yes No ❑ NA El NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: d l - �v (Date of Inspection: in a
I
l 161
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes it No ❑ NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: N S(2 t1111- -
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 's u `ia'"
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes llyi No ❑ NA ❑ NE
(i.e.,large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes,and the situation poses an immediate public health or environmental threat,notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes KNo ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes IA No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks)
9.Does any part of the waste management system other than the waste structures require ❑ Yes tid No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ly,tNo ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): ce5 cue entove_.
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes tgj No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No 0 NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes A No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes j gNo ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes KNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check 0 Yes EXNo ❑ NA ❑ NE
the appropriate box.
❑WUP ['Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? %Yes ❑ No ❑ NA ❑ NE
VIWaste Application 14,6 Weekly Freeboard Waste Analysis Soil Analysis ,_,0I ath r Co e
,Rainfall Sto ing Monthly and I"Rainfall Inspections n '..ago c,un,o.,
22. Did the fa ' ' to install and maintain a rain gauge? ❑ Yes tyl No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No lANA ❑ NE
Page 2 of 3 2/4/2015 Continued

(Facility Number: 0k - 91 (Date of Inspection: 10 1' t ( t
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes % No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No INA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s)and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? 0 Yes 'No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes 'No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 0 No ❑ NA ❑ NE
and report mortality rates that were higher than normal? titj„f; t(
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes FrNo ❑ NA ❑ NE
If yes,contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes IN No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes 1$ No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes $ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 14 No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ "Ps 1.4 No ❑ NA ❑ NE
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Reviewer/Inspector Name: lair / Ak / L: (1) Phone: "--1 t CC
Reviewer/Inspector Si .1reap_- ' Date:
Page3of3 ' 24/2015