430001_Inspection_20190903

20kv'ks 1-r fftj'� J�
ivision of Water Resources
Facility Number 4 O Division of Soil and Water Conservation
O Other Agency
Type of Visit: (D�eampliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: 6r1outine O Complaint O Follow-up O Referral ,O Emergency O Other O Denied Access
Date of Visit: 7 Arrival Time: /Q Departure Time: ounty:
Farm Name: K� •r�- 'vL-\ Owner Email:
Owner Name: ZLeLd '55 Phone:
Mailing Address:
Physical Address:
Facility Contact: ��t_tf Ct y-C" Title:
Onsite Representative: C
Certified Operator:
Back-up Operator: .
Location of Farm:
Swine
Latitude:
Nt�G Region:
Phone:
Integrator: &t5)4C'.e
zs�3 Certification Number:
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
(5 I t{ L�I INon-Layer
Wean to Finish
Wean to Feeder
Feeder to Finish
Z Q
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
E71—other
Design Current
Dry Poultry Canacity Pon.
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: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
DairyCalf
Dairy Heifer
D Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes NA ❑ NE
❑ Yes ❑ No [,�rIA ❑ NE
b.. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No E ❑ 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)
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
[:]Yes [2--No
[:]Yes [ oo
a< ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Page I of 3 21412015 Continued

Faciitity Number: - Date of Inspection St
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes g-Ne--ff] NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No E ❑ 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 ❑ 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 Eg-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
ED-No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
RJ,55
❑ 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 No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
�
❑ 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): C a CG
13. Soil Type(s): & NO
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [31 o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [#<o ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable [:]Yes �No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
E�f_No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
�No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate Coverage & Permit
�No
of readily available?
❑ Yes
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
F9 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. ❑ Yes [g-110
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes []'f o
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E305o
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: jDate of Inspection: 3 je
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EJONo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [[�o ❑ 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 Flo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Ej<o ❑ 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 E<11NA ❑ NE
❑ Yes To ❑ NA ❑ NE
❑ Yes EfrNo ❑ NA ❑ NE
❑ Yes EJINo ❑ NA ❑ NE
0 Yes EKo
❑ Yes No
❑ Yes Z No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
Comments (refer to question#): Explain any YES answers and/ rany additional recommendations or any othef comnts me
Use drawings of=facility to better explain situations (use additional pages as necessary).
-70
Reviewer/Inspector Name: �'N `�
Reviewer/Inspector Signature: `
Page 3 of 3
Phone:110— 3 �333
Date: 3
21412015