09159_Inspection_20191217

iJ011-oio1ct—rC--tJ7g3 cs�,Pl1 `- 6— l�
Division of Water Resources
Facility Number U,' - /j'— 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: S t ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: //1-f r Arrival Time: / ;9-0 Departure Time: PA; County: (L,1-w-- Region:
Farm Name: (3 j �u/,rjC Owner Email:
Owner Name: Ze, _ zocy A� t./6,f /,�/ Phone:
U l l
Mailing Address:
Physical Address:
Facility Contact: r'?��1 - Title: Phone:
Onsite Representative: i � Integrator: r5��
Certified Operator: Certification Number: ,,,;-2i qt."
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Tean to Feeder 4'0,0 (o 1V09 Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. • Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes • 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 No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Q N ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: 1 }�f' Date of Inspection: /2r1 7.— i/9
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:
Spillway?:
Designed Freeboard(in): f
Observed Freeboard(in): ;9-
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes lErClo ❑ 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 lE 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 E<Iro ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ) ❑ Yes ['NNo ❑ 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 No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes El o ❑ 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): 7rila-Ja- f rev�a!y i;V
13. Soil Type(s): Z3-
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 ❑ 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 [Co ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes E'No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes [2]' o ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes 0 ❑ 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 ❑Weekl Freeboard aste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
ainfall ❑Stocking aCiroP Yield D 120 Minute Inspections ❑Monthly and 1"Rainfall Inspections ❑Sludge Survey
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? 0 Yes Er< ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number:t!gOL-- /5-6/- Date of Inspection: /:? /�--, -C1)
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 [f]N ❑ 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 Q No ❑ NA ❑ NE
Other Issues �
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes L7 o ❑ 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 L 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 12to ❑ 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 12t< ❑ 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? Ts ❑ No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
02�fOhLGA O oa7-X- T 124 G‘J"c% 01-cifr275
iwo
407
/JD yr Q- .Gt_7 /1445 //' emu r �
,094 29
530 .11`i-99Ps eoreIJ H)'/"
L-1i1� 1�ev7 Gf ke.
/(5?0-7-1-17D I A' 7,2e,/6.f r ci
1 1rp
geC"5'e -1 Aar ;- - 341 cvfiliee7r
Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 2/4/2015