440064_Inspection_20201120

,, Division of Water Resources
Facility Number F4 t O. Division of Soil and Water Conservation
O Other Agency
Pype of Visit: O Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
teason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: ) $0 yQ7 Arrival Time: G841 Departure Time: E�ounty: d Region: 640
Farm Name:.Q� Email: �T
r�� cat �z — 2C-3Vu5
Owner Name: w 0 L tubir"i RyeT'10z�1(_ Phone: 6 V6 — 3-7Lo0
Mailing Address: ,. '9t� ' lTd�yr�r+2y �ed.AT ka v ; t (�c',I, �` �— z�S
r
Physical Address: I �-'f^7 15"1 bz _ ^ —/7 —A) __ %ate N C
Facility Contact: J�I�(a LI�(,efL2N Title: Phone:
Representative: keRa : �� Onsite Re p N 1 S/F � �� �1�'r"-t I egrator
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Other
Other
Design Current
Capacity Pop.
Discharees and Stream Immaets
Certification Number:
Certification Number:
Latitude:35�373 t/0 tr Longitude:
Design
Current
Wet Poultry
Capacity
Pop.
li!Layer
Non -La er
Design
Current
n—P—a—
Canarih
Pnn
Layers
Non -Layers
Pullets
Turkeys
Turkey faults
Other
bC _ / Gam( 1
Design. Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
tyv
Oft
Beef Feeder
Beef Brood Cow
1. Is any discharge observed from any part of the operation? ❑ Yes R�No ❑ NA ❑ NE
Discharge originated at: ❑ Stricture ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify D WR) ❑ 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)
2. Is there evidence of a past discharge from any pail of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
[54 No
❑ NA
❑ NE
❑ Yes
[&No
❑ NA
❑ NE
Page l of 3 21412015 Condoned

Facifity Number: q jDam of Inspection: 11 2.a 2.8
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
rNo
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
$ d'k' St5whffm L Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yea
® No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, era.)
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[Z 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
[jQ No
❑ NA
❑ NE
S. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
EZ 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
[,Z No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
EK No
❑ 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 Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
(Cu, Zn, etc.)
❑ PAN ❑ PAN> 10%or 10 Its. ❑ 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):-r5"$[,CIQ, l G (1.CVh4 2-0 l G,01)'2.V —
13. Soil Type(s): iA6-O2I heNI % &rL)rt/L lu
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?
❑ Yes
allo
❑ NA
❑ NE
❑ Yes
[�[No
❑ NA
❑ NE
❑ Yes
[�f No
❑ NA
❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes
[54,No
❑ NA
❑ NE
1S. 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 & Permi0 readily available?
❑ Yea
[L No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[�gNo
❑ 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
[Z No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑ Stacking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections
❑ Sludge Survey
22, Did the facility fail to install and maintain a rain gauge?
❑ Yes
E�kNo
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
%No
❑ NA
❑ NE
Page 2 of 3
21412015 Continued

Facili Number: IDate of Inspection: 11
Z�
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
25. Is the facility out of compliance with permit conditions related to sludge? If yea, check
❑ Yes
No
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
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
No
Other Issues
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
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
CPI No
`ice
❑ 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
Epo
❑ 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
E�f 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
�tNo
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
E/f No
❑ NA
❑ NE
34. Does the facility require a fallow -up visit by the same agency?
❑ Yes
EKNo
❑ NA
❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
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Phone: (Ba " d-�7(.0 -'XI"I
Date: tj ZfJ l z�
2/4/20I5