410021_Inspection_20191028

� � t � y rr� �a,t ,� 1 , r L a�,
:4.,:',irVws t--','4",,,':[4'--:'V'.1.'5,, l'"O`-'----1:4i Iraq.'-:.'t,"1%,,,,,, ,_,,,,,,, .. ';--:774 a
;� ;r c
Type of Visit: V Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: st,81 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access �,�p�,
Date of Visit: Arrival Time:! tU te I Departure Time:I`?.a'p I County:GO(IA U�d Region:1J�'S f--
Farm Name: -1.��n ,Q,Y pa\� Owner Email:
Owner Name: ek,yYtt
CAR S Y\�-fir" Phone: j— b���" ��`3
Mailing Address: 3 '�' I*4-1 \ZO '( ,Con_.,.. �`\.QJ IVG ��
Physical Address: al..
j �(� - G, .(� NC.
FacilityContact:
Cont ac : Aniq AnNO l'"I„ 116 Title: Phone:
Onsite Representative: j
Integrator:
Certified Operator: V Certification Number:
Back-up Operator: Certification Number: �j ,aLocation of Farm: 7...k"
Latitude: �� 5 1` Longitude: `
p e to N C 61 U, cod`''e-dwu-' U4. 12d•g 1-kill VocA- 0.
e , 1 P +
Wean to Finish =' layer Dai Cow
Wean to Feeder -- Non Layer Dai Calf ��
Feeder to Finish -- = --
Dai Heifer
��Farrowto Wean �� - m ��
D Cow
Farrow to Feeder ��AP ,, Non-Dai
Farrow to Finish a'
a
Layers .; Beef Stocker
m Gilts �� :' Non-Layers Beef Feeder
--
•Boars �� - Pullets •Beef Brood Cow
= ' Turkeys --
Turkey Poults
Other �� Other
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? El Yes No ❑ NA ❑ NE
Discharge originated at: ❑ Structure El Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA L. NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ 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 KNo ❑ NA ElNE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes g-No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 2/4/2015 Continued

'Facility Number: tj 1 - 'Date of Inspection: 1 01 ‘ok
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 14 No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: U VW
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): '`I —1&-"-
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ( 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 I' 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 [A No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes tyj 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 %No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 74 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes (X 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
�Croop�Window El Evidence of Wind Drift El Application Outside of Approved Area
12.Crop Type(s): COT / s\1a/e) , gyvkaAt { zu V1 ci tar
13. Soil Type(s): v
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes UrNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 15rNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes I[No ❑ NA El NE
acres determination? 7�'
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes NI No ❑ NA ❑ NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes M.No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes UNo ❑ NA ❑ NE
the appropriate box.
❑WUP ['Checklists 0 Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
INWaste Application Weekly Freeboard Waste Analysis ig.Saii1222 ❑WaStt Tla...fi-i.4. ®Weather Code
NRainfall Ektocking Crop Yield IX 120 Minute Inspections Monthly and 1" Rainfall Inspections ❑7S4t ig�'St7T ---•
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes f4"No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No l (NA ❑ NE
Page 2 of 3 2/4/2015 Continued

(Facility Number: l.t ) - a1 Date of Inspection: 1 v I2(Si 6` cl
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes A No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No N NA 0 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 igl No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes rgl No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes tgi No ❑ NA ❑ NE
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? ❑ Yes 0 No ❑ NA ❑ NE
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 ❑ Yes 4 No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes Al No ❑ NA ❑ NE
-I •*l clot 9TJ D .
9'4 Ca-Li bra b1- c)4 aO O
w..;�r� CAA-ell bA k,''`. li,:(o,\ ` c ��t�A fio4s1� t
°V v s:\r Q&�C'�c, rock r'Vn o
�� ��a �A�- �3 r
--(73-y\, _c.-;a i ils i\- -
\Akt$ ►b Shsl ‘c‘\re1,(15I,A tilso 5(s(ta
� S 0.,' °''� S�`n q. 1 0. b \aNJ �'o o e� �'02r� 16��'��\� ?� Jp u^04`
e
Reviewer/Inspector Name c_a, Cof),‘d t-t.f✓ Phone:331„--ri6- 11
Reviewer/Inspector Signa Date: l b i ai(1 °I
Page 3 of 3 2/4/2015