820274_Inspection_20210706

1.4
Facility Number
f5a
54 Division of Water Resources
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: NARoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
*1•(p•gI
Arrival Time:
Owner Name: H g p a r I N C
Mailing Address:
Physical Address:
Facility Contact: C,\ Oki N 1 £U1DN J
Departure Time:
Owner Email:
Phone:
County: GI mpg N Region: fro
Title:
Phone:
Onsite Representative: Integrator: TEj 1 l 1 Egon s
Certified Operator: Certification Number: IS 17
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Design _ Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
76(0
rvf GV
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
act Pop.
Dry Poultry Ca p y
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes .-No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes 0 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) 0 Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ro ❑ NA 0 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

Date of Inspection: - -
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 • Structure 2 Structure 3 Structure 4
Iy
31
5. Are there any immediate threats to the integrity of any of the structures observed?
(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 ❑ 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
❑ Yes , _ErNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Excessive Ponding n Hydraulic Overload n Frozen Ground
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
0 Yes
El No ❑NA NE
El No ❑NA NE
❑ Yes _❑ No ❑ NA ❑ NE
❑ Yes l No ❑ NA ❑ NE
❑ Yes Q No LI NA ❑ NE
❑ 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
12. Crop Type(s): S('itrflt)dOj (ft7'/ , 0
13. Soil Type(s): G v f -vi 61 ; wag ry
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application'?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP n Checklists n Design n Maps n Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application
❑ Weekly Freeboard
❑ Rainfall 0 Stocking ❑ Crop Yield
n Waste Analysis n Soil Analysis
n Application Outside of Approved Area
❑ Yes .I No ❑ NA 0 NE
❑ Yes Ft No ❑ NA ❑ NE
❑ Yes ,.,I No ❑ NA 0 NE
n Yes ,,®iNo ❑ NA ❑ NE
❑ Ycs No ❑ NA ❑ NE
❑ Yes No ❑ NA D NE
n Yes kZi No ❑ NA ❑ NE
n Other:
Yes n No ❑ NA ❑ NE
n Waste Transfers ❑ Weather Code
120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
n Yes
❑ Ycs
No ❑ NA ❑ NE
No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: 4` -
Date of Inspection: 7- (9 -�j
Reviewer/Inspector Signature:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
❑ Failure to complete annual sludge survey
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ Yes
❑ Yes
0 Failure to develop a POA for sludge levels
No ❑ NA ❑ NE
No ❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
and report mortality rates that were higher than noiiiial?
29. At the time of the inspection did the facility pose an odor or air quality concern?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes g] No
0 Yes No
❑ Yes ., No
❑ Yes ,,❑r'No
❑ Yes ,-- "No
O Yes`No
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
O Yes to No
❑ Yes �'No
❑ Yes ,Q'No
❑ NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA II] NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑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).
Note: 5oil anqim5 3 sedge survey de b JJ• a!
tea, irRa forms nee4 improvement, need proper Gtaiff
Wn4 time 3 Fiued Cornf7/' 'y out.
Reviewer/Inspector Name: KC? lA tid PO ni-er Ot
Date: '
Cbtc_Q)
Phone:719 9fta 91;5
Page 3 of 3
2/4/2015

FACILITY#: EJoI FARM NAME:
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#19)
DUE EVERY 5 YEARS /��p�
EXPERIATIONDATE gl3�f a`t NUMBER OF ANIMALS�CCC�UII �� �%%LL`'1�
ACTUAL NUMBER OF ANIMAL QCQ
OIC CARD YES OR NO {
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPESQU foal Goa)gram
CROP TYPES GC, Betray/A, gr--61,5s
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHECK LIST ES R NO
Irrigation Plan Maps
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE 5 �j� NITROGEN LEVEL 1 . g(P
SOIL REPORT (#21)
EVERY 3 YEARS: DATE I IoZ i P
P-I (NO MORE THEN 400)1
PH (Note if 4 or Tess)
Cu/ZN (NO MORE THEN 3000) CU / ZN ✓
(IF PEANUTS NO MORE THEN 300) iev ei g gOCC1
MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21)
ZONEI ACRES 169 PAN 2/ S CROP TYPE eetm(.4V I]1'J
FLOW RATES 70 NITROGEN (N) 1• 1
120 Min inspection initialed Weather Co
des
Commercial Fertilizer Chicken Litter
(Am 3 ZV1 tlfle
ne¢4 to be actual tiir,cc
iv be h'\te4
ova IV,
trittle
CALBRIATION (#24)

- EACH REEL SHOULD BE CALIBRATED � pump -Pr-
- DATE DUE EVERY TWO YEARS (I 110026--
- FLOW RATES 9
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT 1
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
nS L G E #21 & 25)
-DUE EVERY YEAR: DATE )� 'O'�o� 0�d
0: 7) ) P: 5 % RATIO OF SL
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM CROP YEILDS � MORTALITY
I
NO rcuN bf ea-KeV i d
o 1G pregeobv
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED
BINS LAGOON GARBAGE