770018_Inspection_20191118

/ �51 Wl,' l `t AI V V l `t
(9 Division of Water Resources
F�Ieility Number 'r p - O Division of Soil and- Water Conservation.; ;
r-
O Other Agency t.-
Type of visit: o=utine
inn Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: ®u Arrival Time: Departure Time: ; ounty: 9(�A
Farm Name: G�� �� �� lyl �+a✓t,.,- Owner Email:
Owner Name: h ✓�(�� i Phone:
Mailing Address:
Physical Address:
Facility Contact: Chm)r -ye, k1 Title:
Onsite Representative:
\I
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean ,
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
1Boars
Other
Other
,Design Currenf-
'Capacity' Pop.
Latitude:
Phone: (�rI
Integrator:
Region:
Certification Number: 72 O J '? 0
Certification Number:
Design,
Current
Wet Poultry, ,
Capacity
Pop:'
Layer
Non -La er
Design
Current
Dry Poultry
C.4naeity
Pan_
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
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?
[—]Yes
�o
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
E"KA
❑ 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)?
I
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
❑ Yes
❑ No
[�NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
E No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
ENo .
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: jDatc of Inspection: / 7
Waste Collection & Treatment
,4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 4:] f ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No D>?r— ❑ 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
[ 10
❑ 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
t 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?
❑ Yes
ETNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Ea"No
❑ 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
Ea o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes
To
❑ NA
❑ NE
maintenance or improvement?
0
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Yes ❑ NA ❑ NE
❑ Excessive Pon ' g ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN t/ 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): 1=6w `G IJ e�`� 1 (i
13. Soil Type(s): C �-ewa c ct 00 a✓�l`
14. Do the receiving crops differ from those designated in the CAWMP? '\ ❑ Yes [D,,Ko ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [21<o ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 9<0 ❑ NA ❑ NE
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
❑ Yes
En/No
❑ NA
❑ NE
❑ Yes
✓ No
❑ NA
❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [r No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes E2<o ❑ 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. EK[,'Gs Vo ❑ 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 o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes UNo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - ( Date of Inspection: NOV
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
�No
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
E o
❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey 0 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
ElN
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
to
❑ 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.
0. 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 [RTo ❑ NA ❑ NE
❑ Yes M- No ❑ NA ❑ NE
❑ Yes No,
❑ Yes 2 No
❑ Yes ENO
❑ Yes E2'/No
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Corriii�ents (refer to'questioit )ft Ex_plaifi any' YES answers.and/or any additional recoriimendations ofany other comments.
Use drawings of facility to better explain situations (use additional pages_as necessary). - s
c-- q W4 e --- Lo Lt�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
(17d-t-XV 1-t�
Phone:
Date:u U
21412015