820378_Routine_20220907

Facility Number
376
Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Re
Reason for Visit: cif,/ Routine 0 Complaint 0 Follow-up
Date of Visit:
9- 1. 2.2.
ew
Structure Evaluation 0 Technical Assistance
0 Referral 0 Emergency 0 Other 0 Denied Access
Arrival Time: ri • -Q 1 Departure Timbie° , ] County:cam?0 Region: fro
Farm Name: 90ChetA frr of enc t' c 0%1 nei` Z imiis:
Owner Name:
9osh�n fo'rn, of- enc ilc
Mailing Address:
Physical Address:
Phone:
Facility Contact: tEflt
lZho
dc
Onsite Representative:
Certified Operator: den flj
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Title:
Tech
Latitude:
Phone:
Integrator: 74 i i
Certification Number
Certification Number:
Longitude:
995
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Dry Poultry
Design Current
Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ri Structure Application Field Other:
a. Was the conveyance man-made`'
b. Did the discharge reach waters of the State? (1 f yes.. notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (11yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
r—] Yes
No NA n NE
Li Yes
Ci Yes
No LJ NA f NE
No NA rl NE
pi Yes
Yes
n Yes
No 7 NA NE
No 7NA NE
No ('I NA r ] NE
Page 1 (f'd
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Facility Number:
Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes
n Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
a. if yes, is waste level into the structural freeboard?
Identifier: g1 ►q 1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
No IT NA D NE
No 7 NA NE
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? Yes No ® NA fl 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 fl 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?
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?
It] Yes pi No ❑ NA Ell NE
Yes No ❑ NA fl NE
f Yes No
NA ri NE
OYes E—\]No fNA DNE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. IT Yes I1 No NA NE
Li Excessive Ponding n Hydraulic Overload n Frozen Ground [ I Heavy Metals (Cu, Zn, etc.)
PAN 7 PAN > 10% or 10 lbs. F1 Total Phosphorus F1 Failure to Incorporate Manure/Sludge into Bare Soil
fl Outside of Acceptable Crop Window 7 Evidence of Wind Drift fl Application Outside of Approved Area
12. Crop Type(s): C, w► c197, C?) wkl R12
13. Soil Type(s): 1.0r`ft) L t, wag ram) KQ I m i IN
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 (Checklists 11 Design Li Maps Lease Agreements Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
Yes No 0NA 0NE
Yes No ❑ NA ❑ NE
fl Yes ENo 7 NA 7 NE
El Yes No ❑NA 7NE
l Yes 9 No D NA O NE
ri Yes E—silNo DNA ❑NE
fl Yes No El NA ri NE
7 Yes NNo D NA ❑ NE
ri Waste Application Li Weekly Freeboard 7 Waste Analysis ] Soil Analysis 7 Waste Transfers ] Weather Code
Rainfall
Stocking fl Crop Yield n 120 Minute Inspections 7 Monthly and 1" Rainfall Inspections n Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? El Yes No n NA D NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'? ❑ Yes No fl NA fl NE
Page 2 of 3 5/12/2020 Continued

Facility Number:
Date of Inspection:
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
ri Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating, non-compliance:
n Yes
n Yes
pi Failure to develop a POA for sludge levels
Li NA ❑NE
❑ NA ❑ NE
26. Did the facility fail 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 tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field n Lagoon/Storage Pond n Other:
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?
Yes
Yes
❑ Yes
❑ Yes
n Yes
n Yes
No
`No
n No
No
❑ Yes NiNo
❑ Yes No
n Yes
No
❑ NA
NA ❑ NE
❑ NE
❑NA ❑NE
fNA El NE
fNA ❑NE
❑ NA ❑NE
Li NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ 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).
� worK on bare F&t on big MgooN,
is wcucyri Off- fIFE' Gia6s IN b-ertmidai fiI�1A.
tbQtNS IOoK goo taqoo (?KC qoo&/
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone:
919 m(a cil15
Date: 611aa
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