770005_Inspection_20190830

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ivision of Water Resources
Facility Number ®— seas 0 Division of Soll and. Water Conservation
0 Other Agency
Type of Visit: t5rCo`mpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ®'Routine 0 Complaint 0 Follow-up Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:Fr',,5 o tf Departure Time: I / v;
Farm Name: NL� 6 F, -, --\ Owner Email:
Owner Name: ry Carf �✓ Phone:
Mailing Address:
Physical Address:
Facility Contact: �w( Cj 4 Title:
Onsite Representative: c
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
At Ce 0"� 6 �fl,1140L � r, za K^-
Region:
Phone:
Integrator: Eln)`s
Certification Number: T 0 7 7!� 8
Certification Number:
Longitude:
Design Current Design Current Design Current.
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity : Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Discharges and Stream Impacts
Layer
Non -Layer
Design Current
Dry Poultry canaeity Pun.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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
�o
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
i
81NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
[ff "NA
❑ 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
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
�No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
rNo
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: 72 - jDate of Inspection: 10 XQ6
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes o[ o NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No �iA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
P
Structure 5
Structure 6
�D
Identifier: Z
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): f02 o
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
E:J I oo ❑ 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
EJ05o ❑ 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
[ ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Q I� ❑ 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
[ ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
E5No ❑ 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 / W 9
13. Soil Type(s): LA Ot i-V
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ['r No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes �No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA 0 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 <o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
Q'�lo
❑ 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
EdONo
❑ 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
[ j<o
❑ NA
❑ NE
Page 2 of 3 21412015 Continued

Facility Number: jDate of Inspection: Jo o(�
24. t)id the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes6
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [C�AIo
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:
❑ NA 0 NE
❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
[:]Yes
�o
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
O-N—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 [q-N—o ❑ NA ❑ NE
❑ Yes [o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
0 Yes Eg-?�M- ❑ NA ❑ NE
❑ Yes ®-I10 ❑ NA ❑ NE
❑ Yes Kivu ❑ NA ❑ NE
❑ Yes P 'vo ❑ NA ❑ 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).
Ot ro� t C 0
Y
G a
Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
Phone: 110- 'l 8 2V
Date: �a r 1" G 11
21412015