040007_Inspection_20191014

1M&S 15 OCT 1 lily
r: Q'131vision of Water Resources
Facility Number O Division of Soil and Water Conservation s
O Other Agency
rype of visit: ompliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Zeason for Visit: ' 13Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: / Arrival Time: - `!9 Departure Time: Q; ounty: Anso� Region:
Farm Name: Gold -Cre-ek- 11 Owner Email: �—
Owner Name: �iat3' �iG d Phone:
Mailing Address:
Physical Address:
Facility Contact: t� ' Ok6 t U Title:
Onsite Representative: 1 l
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: A `fj `
Certification Number: - 2 S 1 7
Certification Number:
Design`_ `Current_ - Design Current
Wean to Finish
Wean to Feeder 9 SC Z 2.6�p
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
-Other
Other
Discharges and Stream Impacts
Wet Poultry Capacity Pop.
Layer
Non -La er
Design Current
Dry Pnultry C nnneity Pan -
Layers
Non -Layers
Pullets
Turkeys
TurkeyPouets
Other
Longitude:
Design °Current
Cattle Capacity, Pop.,
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
1. Is any discharge observed from any part of the operation?
❑ Yes
E2_No---E] NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
0 Yes
❑ No
[E-NX
0 NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
❑ 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
6
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[n No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
F N- o
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: - Date of Inspection: Or
Waste Collection & Treatment
4.*1Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
[ZLNQ—ffj NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
�A
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Q 55 '❑
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
`�
❑ 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
E3-No,
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Ej.?,to
❑ 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
E;kPFe
❑ 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 To ❑ 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): ✓` k�_C't_.
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
[A -Nu-
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[g-NS-`
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
E2-Nu-
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
Q'ivo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑'15-o--❑
NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
to
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
❑ 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 �o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 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? [:]Yes 2-1Voo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

ge
Facilit# Number: - Date of Inspection: j (9G 0
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [n'1 o� ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ 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 Q'lgo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [�❑ NA ❑ NE
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 ❑ Lagoon/Storage Pond ❑ 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 EI - ❑ NA ❑ NE
❑ Yes [�o ' ❑ NA ❑ NE
❑ Yes E3.NG ❑ NA ❑ NE
❑ Yes ❑moo ❑ NA ❑ NE
❑ Yes
❑15—o
❑ NA
❑ NE
❑ Yes
ET —No
❑ NA
❑ NE
❑ Yes
[j No
❑ NA
❑ NE
Coenin- ents (ref'to question #) B plain any YES answers and/or any additional recommendations_ or any otlier;commcnts
Use drawings of facility to better explain situations (use additional pages as necessary). _
ca,<<b
y ice- 3 z �k 7v
r a
Reviewer/Inspector Name: �, ` l
Reviewer/Inspector Signature: v
Page 3 of 3
Phone: �10^"25 3- 333
Date: t t(
21412015