140003_2020 Annual Inspection_20200925

Division of Water Resources
Facility Number - ® 0 Division of Suit and Water Conservation
0 Other Agency
Type of Visit: • Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: • Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit j%i,yy/ ,39J Arrival Time: Departure Time: County: OaAA)&M Region:
Farm Name: `UpSI�q ����� /'�
16-ia- I C�.ItiC� ��C Owner Email: J,Ale'SCv,.rf /�( /L
Owner Name: ��t qj /� /f �p�Z jP�hone: /�j J C � — L — 76p (6
Mailing Address: ))1C �j� 17 (�P6 tyl�— ��� �n� ,'Fd, 61-6U,,n 1N_�G,1U Ituj C . OZJ /���
Physical Address: ++� ``"Tb 7 d'G-2IUC� tVlt �� E.d, < '/0 t-. ��w3yd�
Facility Contact: L.lJ1 �ri3Gn A�JOZ Title: Phone: 0CA''�/Q-' �3`/
Onsite Representative: Integrator:
Certified Operator: lotsl_TEAe'y (s�U�iJ VFJ�7PeR_)Certification Number:
Back-up Operator:
Location of Farm:
Swine
Other
Other
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
IN
Non--
La er
Design Current
Dry Poultry Capacity Po .
a
[s
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ S0ucmre ❑ Application Field ❑ Other.
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State(gallons)?
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non-Dair
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes qNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
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 die operation?
❑ Yes
�No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
[�f No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facili Number: IDate of Inspection: Fo
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes allo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 �Sttructure 3 Structure 4 Structure 5 Structure 6
Identifier. , � � l S4�7a :S ` 'd ` DO Ilftl �-�
Spillway?:
Designed Freeboard (in):
q
Observed Freeboard (in): � 'r
LRLrCat %b�
'
5. Are there any immediate threats to the integrity of any of the
structures observed?
❑ Yes
E,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
EkNo
❑ 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 5jNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [,NNo ❑ 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 Apnlication
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 ZNo ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Over ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)'
❑ PAN ❑ PAN> 10%or 101bs. ❑ 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):
14, Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
U Yes KNo U NA U NE
❑ Yes g No ❑ NA ❑ NE
❑ Yes [5jNo ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
dNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[k No
❑ NA
❑ NE
Required Records & Documents
19, Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
52LNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
�ANo
❑ NA
❑ NE
the appropriate box.
❑WOP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
KNo
❑ 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 min gauge?
[:)Yes
kNo
❑ NA
❑ NE
23, If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
[kNir
❑ NA
❑ NE
Page 2 of 3
2142015 Continued

Eacili Number: Date of Inspection: e-
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
[XNo
❑ 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
0,No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
allo
❑ 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 glNo ❑ NA ❑ NE
❑ Yes
�1�71 No
YA
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes R�No ❑ NA ❑ NE
❑ Yes Me
❑ Yes CE�No
❑ Yes �Q No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
rw"blrt vk aw- -b7 bece-6ac�v Sa o .
D EN�un�( llau o �rlw + ►�o�t �,' r�tc (.era
/-t % C UI t cA
DeCe-w,b--v 3 k t 2ci21 I�
kua u S -6 � ^
Reviewer/Inspector Name: 713yjl. N�b``�� Y Phone:SZz yn-i97D
Reviewer/Inspector Signature: c 7— Date:'
Page 3 of 3 21412015