090004_Inspection_20200331

.• 7, • "' ;NM, 1
t iiiit ` 0 Division of Sail and'Waiar.Caaaservah* . £dim sr xi
pe of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance ;
t
ason for Visit: i Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access i
pp
ite of Visit: i 1 old,4_,LAOArrival Time: /1JJO7 Departure Time: /t c't P County: lJ 1 aSBk Region: R4 y i
rm Name: Cwjk (y I Owner Email: I-1 I'"\S I Arrt 6 '°7'C 1 O
1 1
vner Name: r4(�r-pity` g arc �v Li_cc- Phone: i•
ailing .address:
1
iysical Address: a
1
Icility Contact: (4'l+K-- AvK t vi f Title: Phone: /� r ;
Inte rator: �rt44Ld—I r-`V
mite Representative: g
ratified Operator: LI Certification Number: '1 F P 713
ick-up Operator: 'Kt lq e C'- dQ Certification Number: 2 S 2_3-
ication 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 Non-Layer Dairy Calf
Feeder to Finish 0 600 75 b� p;',0,X:.'4,-,, -.. � ' Dairy Heifer
Farrow to Wean s'0 0 - Design Current Dry Cow
Farrow to Feeder it 6 e .-D -.TA]._ Ca•aei, Po a Non-Dairy
Farrow to Finish y IMEEM1111._- Beef Stocker
Gilts I Non-La ers -- Beef Feeder
Boars II Pullets -- Beef Brood Cow -
is bitter gam_ ,.;:. Il Turke Poults -_
Other IIOther
lischar!es and Stream Impacts
.Is any discharge observed from any part of the operation? n Yes ®' ❑ NA ❑ NE
Discharge originated at: ❑ Structure 0 Application Field ❑ Other:
a. Was the conveyance man-made? 1 1 Yes n No PINA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) 1 Yes ❑ No I I '�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) n Yes ❑ No KNA ❑ NE
>..Is there evidence of a past discharge from any part of the operation? I 1 Yes 1 1/No n NA ❑ NE
9.Were there any observable adverse impacts or potential adverse impacts to the waters n Yes dNo n NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

(Facility Number: Cr - N Date of Inspection:3I 'V&A_ 2A)
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes C] NA ❑ NE
a. If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ID-NAID-tstA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 36 `Q Z-
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑.o ❑ 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 M o ❑ 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? n Yes [�'No n NA n NE
8.Do any of the structures lack adequate markers as required by the permit? n Yes ["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 n NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need n Yes Mr-No J f NA n NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes nVNo n NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
n PAN D PAN> 10%or 10 lbs. n Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
n Outside of Acceptable Crop Window n Evidence of Wind Drift ❑ Application Outside of Approved Area
12.Crop Type(s): rl C}� He qt.. 0
13.Soil Type(s): tee Le," in C-ek: ,
14.Do the receiving crops differ from those designated in the CAV ? n Yes E 1'To D NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ErNo ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable n Yes [ To ❑ NA ❑ NE
acres determination?
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 [(No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? I I Yes ErNo n NA n NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check F I Yes LJ 1�o n NA n NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps El Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes [ No ❑ NA ❑ NE
n Waste Application n Weekly Freeboard El Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
n Rainfall ❑Stocking n Crop Yield ❑120 Minute Inspections ❑Monthly and 1" Rainfall Inspection ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [*No ❑ NA n NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes dNo ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

li
Facility Number: - Date of Inspection:-fir ll .21
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 [ 1''Io ❑ NA n 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 No ❑ NA n NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document n Yes o ❑ NA n 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 n/o ❑ 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 n Yes I I'Ner.) ❑ 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 atX25--- n N A ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes (q-NN'o n NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ElNo ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes NO n 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
0
&A
boo qr.( -- Pc, i
� r
C
Reviewer/Inspector Name: t tt UVI. Phone: l 0 t 3 33 3 V
,,
Reviewer/Inspector Signature: tiV tNI4.n ++j Date: pi c.k..t(
Page 3 of 3 2/4/2015