760010_Inspection_20221031

iiSWS,i$t*
i1#f 4
AA
as*
Type of Visit: p Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Arrival Time:
lu.1)-oA
12.eddi n3 aims�P2rIm 2
aims ILec!cThlc Phone: 'VA q63-4090
Departure Time:
VA \b a County: of V I Region:Mg-0
Owner Email:
Mailing Address: �' 4 b ,MU Y 6mra . l SO 9h i 0 l v C 2-1t O
Physical Address: 4 `00 I�f l i t r it m as ., s t l °, ( J V 2-1360
Facility Contact:
C()05 'Maine
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
0
Latitude:
Integrator:
Phone:
Certification Number:
god o - Igwrs!
Certification Number:
qq
Longitude:
ust 1 t , 7 Cedes( Ware fai -1-u° 7 O ous s t t d 7 (gym tt born CA. IS. 7
(Z t aYYP r fzx(rv' itek •
ff�g} 4
g�� ffla�h e+¢x vv#i�k¢{t{��s.g#rosffr
o •- a
u#fi{e �A@¥ff4 :"'1k}
y . }mv+,.rc �iR +ri
kn-8 9•Mq #+7a rt4'm3 ao&' t4lit#ff a61Fj.'k
yyae, ##g r ff etRoutx
at�rl�y`r�t
4§ #6 Y'#tl %k t", q•M Hr W{i
'jrb� °ar .p5e�i8.„ a�s
1
Wean to Finish
r1
Layer
Dairy Cow
Wean to Feeder
Non Layer
¢
Dairy Calf
{�•
Feeder to Finish
f3U
`
1 ���3asp"
aa+ a"+i$ $t
s�sdvs"off«sh;}aai;
Dairy Heifer
Farrow to Wean
a
*as
-si
ams9'r.'e is
DryCowf
$..
1?iii11 trtrd 1°• 1ff
+�r �• .t �" paflf3'.
1 #
ff � ��
Non -Dairy
Farrow to Feeder#1r
Layers
Beef Stocker
•
Farrow to Finish
Gilts
x*
Non -Layers
Beef Feeder
r-
Boars
Pullets
$
Beef Brood Cow
:.%$,8vff
TurkeysTurke''�1aassea�&�t+tt$$a#
a
r++iiiii*iakaga`�e'e
g
k�4, * �{+a, ++a x a sk '•s �+ # t *
Poults
Other
Other
armSms a {
. §
E#A4%#6A$9dk5-�..l3atr'Sktt'aaxaatrxff+6+ff•=atp'p#F %x�##0x5xe
ones ak=f xP#fr
+ a�a
•&sa�Yg}$t+f 1. kkk'.�-m:{ as a �� � ' � $$
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?
b. Did the discharge reach waters of the State? (If 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? (If yes, 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?
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes No ❑NA ❑NE
❑ Yes
❑ Yes
❑ Yes
❑ No ❑ NA ❑ NE
X No ❑ NA ❑ NE
No ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number:
(0
'Date of Inspection: ' QI at I
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
Lein
`
614 "
❑ Yes $No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes /4 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 'gt 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?
ID Yes No ID NA ID NE
❑ Yes IS1 No ❑ NA ❑ NE
ID Yes IANo ID NA ONE
❑ Yes t No ❑ NA ❑ NE
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):
13. Soil Type(s):
SC ti-e.
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 ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement?-1 yesrchee .. 'ate -box below:
^r,���,v�
Waste Application ID Weekly Freeboard ❑ 9urlT�ia
ost-
Rainfr" p j I Stocking Crop Yield 120 Minute Inspections
22. Dir' ,ility fail to install and maintain a rain gauge?
23. I' ..ed, did the facility fail to install and maintain rainbreakers on irrigation equipment?
s2of3
❑ Yes % No ID NA ID NE
ID Yes c:81
No ❑NA ❑NE
ID Yes , No ❑NA ❑NE
❑ Yes ISNo ❑ NA ❑ NE
❑ Yes %,[ No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No No ❑ NA ❑ NE
❑ Other:
141 Yes ❑ No
f1 Waste-T-Faansfers
Monthly and 1" Rainfall Inspections
❑ Yes IA No
❑ Yes ❑ No
❑ NA ❑ NE
14 Weather Code
Sludge Survey
❑NA ID NE
NA ❑ NE
2/4/2015 Continued

Facility Number: 1 b - (c)
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.
Date of Inspection: l ()1 2j( ( ten —
El Yes [1:1No ❑NA ❑NE
❑ Yes X No ❑ NA ❑ NE
❑ 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 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? lr.\�f
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 01,1
No ❑NA ❑NE
❑Yes JXINo ❑NA ❑NE
❑Yes No El NA ❑NE
❑ Yes No ❑ NA ❑ NE
❑ Yes J No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
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 No ❑ NA ❑ NE
❑ Yes nNo ❑NA ❑NE
❑ Yes No ❑ NA ❑ NE
„an �[irtlar ,,an.
S l ualy, Su rVe c e 51-a+-us 2. Co`MP124-e 3 Ply- f-crei
CGkbrnhhcM tug {-In;Syear (9,b2`d').
a\ SCIls lue, `03<4 •
nA . ;s2CA UJA\-e a-I-vA,cliS for
clot
a
Ce\S"Ln ear_
eirn,i oft 5 WI Gyi,rvle.tQeeath(AA I 7 ffj l�L\77esDc1
�p (�L uoulderJuv& InspecaL��e,s-
Reviewer/Inspector Name:
Reviewer/Inspector Signatur
Page 3 of 3
Phone: ✓ t 7105--
Date:
5/12/2020