960121_Inpsection 2021_20211119

Facility Number �
Facility Number 7
IT
3•Pc of 1'isit: > echoic:al �.tiistanrc
['amplianre Inspection Operation kericx — Structure Esaluation
Reason for \ hit:Denied Recess
Routine 0 Complaint 0 Fullu�+-tfp 0 Referral 0 Emeraenc� Other
C)
t?°-- Departure Time � County: r`' Region:
I Pt
• Division of Water Resources
0 Division of Soil and water Conservation
0 Other Agencs,
Date of l itiit:
Arrival Time:
Farm tame:_
(lx ncr Aanec:
Owner Email:
Phone:
Mailing Address: —7 5 +•c C L '"` G17V) "'+h i �e1►Q, 1 NC 3
6,5
Physical Address:
Facility Contact: U ► L , C 4 Title: Phone-
Onsite Represeniathe: CtCJi, S-711 Integrator: i)iNe 5
Certified Operator: W i \ 1 c-Ck S•l')
Bark -up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
ik
Design Current
Swine Capacity Pop.
ll Lain ue Finish
Fenn to Feeder
Feeder to Finish a&/ a
Farrow to Wean
it .
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet I'uuJtr) Capacity Pop.
L
Layer
un-i.a)cr
i)ry Poulin
Design Current
Capacity !Para.
layers
Non -Late n
Pullets
rut -keys
Turkey Pottlts
Other_
Cattle
Design Current
Capacity Pop.
!bin Cow
-
[)air!,. Calf
!)air) Heifer
Dn. Cow
Non -Dairy
—
'
Net -Stocker
Beef Feeder
1
1h ei' Brood Co,A
Discharges and Stream Impacts
I. Is any discharge observed From any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field
a. Was the conveyance man-made?
❑ Other:
❑ des 71(in ❑ NA D NE
❑ Yes ❑ No a NA El NE
b, Did the discharge reach waters ofthe State? Of yes, notify DWR) El Yes ❑ No ❑ NA t_iNE
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 ❑ es ❑}y° NA ❑ NE
2. la there evidence of a past discharge from any part of the operation? ❑ Yes V i Nd ❑
NA ❑NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes f
Eddie State other than froma discharge?�0 El NA q NE
Page Iof.�
511212020 Continued

Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. [f yes, is waste level into the structural freeboard?
Structure 1 S ture 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): _ 3s-3
4'r
r
'Date of Inspection: 1 v
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
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 IWs H
❑ Yes
❑ Yes
❑ Yes
❑ Yes
Structure 5
LLJ
❑ NA ❑ NE
No ❑NA ❑NE
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 ❑ Yes I'' ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes. check the appropriate box below. ❑ Yes 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):
❑ Yes IZ No Q ❑ NE
❑ Yes �tio ❑ NA ❑ NE
l3_ Soil Type(s):
❑ Yes No
❑ NA ❑ NE
El NA ❑NE
El NA ❑NE
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 fait to have all components of the CAWMP readily available? If yes, cheek
the appropriate box.
❑ WL1P ❑Checklists 0 Design ❑ Maps ❑ Lease Agreements ❑other:
21. Does record keeping need improvement? if yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard fl Waste Analysis El Soil Analysis
0 Rainfall Stocking ❑ Crop Yield ❑ 120 Minute Inspections 0 Monthly and 1"
22. Did the facility fail to install and maintain a rain gauge?
23. !f selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
❑ Yes
❑ Yes
❑ Yes
0 Yes
❑ Yes
❑ Yes
❑ Yes
[' Nn
o
❑ NE
❑ NE
[] NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ Yes No
❑NA N$
0 Waste Transfers ❑ Weather Code
Rainfall Inspections 0 Slud$e Survey
1:2/ijt�o ❑ NA ❑ NE
1No ❑NA ❑NE
St1212020 Continued
0 Yes
❑ Yes

Facilft� lurntter: 4.1,g - tit ! Date of Inspection:
24. Did the Facility fail to calibrate waste application equipment as required by the permit? ❑ y `�
25. Is the facility out of compliance with permit conditions related to sludge'? 'ryes, check ❑ Y c s
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 tail to 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 normal?
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 tiie drains exist at the facility'? If yes, check the appropriate box below.
�] Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ErNO
33. Did the Review•er!Inspector fail to discuss revicw,finspectioa with an on -site representative. 0 Yes
to ❑ NA ❑ �L
34. Does the facility require a follow-up visit by the same agency'-
❑
El Yes
❑ o :4 El NE
Comments (refer to question #): Explain any YES anss ers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
ter,,
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Rev. iewer inspector Name:
R ev ieweri Inspecto r S ignature:
Page 3 of 3
Yes
0 Yes
❑ Yes
❑ Yes
DYes
O Yes
p NA p NE
❑ NA ❑ NE
❑ NA
No NA
❑ NA
❑NA
❑NA
❑ NA
,/iCiA CR 31
C - ,0'
alAy
❑ NE
❑ NE
❑ NE
El NE
❑ NE
❑ �E
> � �c4+ -0.437
Date:
5/12/7020 �~