040007_INSPECTION_20201102

��\Vl � 17 - T 1
Division of Water Resources
Facility Number - J 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: g 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 /17: � J
��
Date of Visit: (/i'"C Arrival Time: J'I; 5 5 P Departure Time:r�r County: •Yt cc 1�( Region: ' 1 �I
Farm Name: C7---6, ` i-t, l Owner Email:
f 4 �LL(!
Owner Name: � ,17w '�t�S � � h-Op, c� Phone:
Mailing Address:
Physical Address: k r r
Facility Contact: l 5 s i b 1 Title: Phone:
Onsite Representative: L f Integrator: �� `sit4'` '{,( 0,
lc Certified Operator: Certification Number: 2-Z. CC
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder 5 1^ 3 5 GZ Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dr Poult Ca s aci Po 1. Non-Dairy
Farrow to Finish • -- Beef Stocker
Gilts I.Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
Other •Turke Poults
Other •Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes I3No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes 0 No R-‹-A ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No E A ❑ 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 ❑ NoA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes l__J 1V ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Ai No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

'Facility Number: li - 7 IDate of Inspection:X(4,()(r74' -q
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? D Yes [ -No ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No Q1)11] NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 2—.2^
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 [ 1‘)— ❑ 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.o any of the structures need maintenance or improvement? Yes Q,2sfe ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes Ekilr ❑ 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 6 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑,Fdo ❑ 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
El Outside of Acceptable Crop Window 1:1
(1Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): C 11 S.CT t) t-
13. Soil Type(s): KO bvt'et
. Do the receiving crops differ from those designated in the CAWMP? El Yes V��►� ❑ NA ❑ NE
A
1 . Does the receiving crop and/or land application site need improvement? at Yes I,No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Rio ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes EsriC ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes Lg'l(o ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes To ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes L No ❑ NA ❑ NE
the appropriate box.
0 WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ['Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes Et< ❑ NA ❑ NE
El Waste Application El Weekly Freeboard El Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
El Rainfall ❑Stocking El 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 ElNA ElNE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? IDYes It No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: i' - 7 Date of Inspection: 5t
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 ❑L ❑ 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 �Io NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes 10'No ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes p...No El NA El NE
and report mortality rates that were higher than normal? P
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes [ 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 Q,Pdo ❑ 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 ❑,ISO ❑ NA ❑ NE
0 Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes 0 ':o ❑ 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).
C' ,Li5v'ri f— 01 6`7ot S t j=.4 t -2c(?
is, wadect9 ce /dl .ct SG C�� s
10 -30 6 6 c
Reviewer/Inspector Name: v I iZ) v vl/` /J Phone: t 3 3 '3 33 V
Reviewer/Inspector Signature: 1j L' ° &..) a Date: t 4()Cr
Page 3 of 3 2/4/2015