310152_Annual Report_20210302

RECEIVED
Certificate of Coverage or Permit Number
ANIMAL FACILITY ANNUAL GERM ICATION FORNR 0 2 2rIat
C riQDW �
1
Facility Name (as shown on Certificate of Coverage or Permit)
Operator in Charge for this Facility 1( 4 vi
County
Certification # (� ��7 7
Land plication of animal waste as allowed by the above permit occurred during the past calendar year
7YES NO. If NO, skip Part I and Part II and proceed to the certification. Also, if animal waste
applied, please generated but not land lied attach an explanation on how the animal waste was handled.
Part : Facility Information: (2 h`e(IS)
1. Total number of application Fields Kr Pulls 0 (please check the appropriate box) in the Certified Animal
Waste Management Plan (CAWMP): 3 - Total Useable Acres approved in the CAWMP
-, I_--
2. Total number of Fields !✓J or Pulls E (please check the appropriate box) on which land ap lication
occurred during the year: 02 Total Acres on which waste was applied 73. 2
3. Total pounds of Plant Available Nitrogen (PAN) applied during the year for all application sites:
., .T, 9
4. Total pounds of Plant Available Nitrogen/_(PAN) allowed to be land applied annually by the CAWMP and
the permit: _ 2 '7 all q cf
5. Estimated amount of total manure, litter d process wastewater sold or given to other persons and taken
off site during the yearn tons 111 or gallons L (please check the
a appropriate box)
6. Annual average numb o apirnals by type at this facility during the previous year.
7. Largest and smallest n ber of animals by type at this facility at any one time during the previous year:..
Largest 73'I
Smallest ,I
(These number: are for informational purposes only since the only permit limit on the number of animals
at the facility is the annual average numbers) /�� %�
S. Facility's Integrator if applicable: ,� i- /V di
Part 11: Facility Status:
IF THE ANSWER TO ANY STATEMENT BELOW IS "NO", PLEASE PROVIDE A WRITTEN
DESCRIPTION AS TO WHY THE FACILITY WAS NOT COMPLIANT, THE DATES OF ANY NON
COMPLIANCE, AND EXPLAIN CORRECTIVE ACTION TAKEN OR PROPOSED TO BE TAKEN TO
BRING THIS FACILITY BACK INTO COMPLIANCE.
1. Only animal waste generated at this facility was applied to the permitted sites during ZYes C No
the past calendar year.
AFACF 3-14-03 1

2: The facility was operated in such a way that there was no direct runoff of waste from I? Yes ❑ No
the facility (including the houses, lagoons/storage ponds and the application sites) during
the past calendar year. 6Yes There was no discharge of waste to surface water from this facility during the past �J Yes ❑ No
calendar year.
4. There was no freeboard violation in any lagoons or storage ponds at this facility during 7Yes ❑ No
the past calendar year.
5. There was no PAN application to any fields or crops at this facility greater than the EfYes ❑ No
levels specified in this facility's CAWMP during the past calendar year.
6. All land application equipment was calibrated at least once during the past calendar year. Yes ❑ No
7. Sludge accumulation in all lagoons did not exceed the volume for which the lagoon 'Yes C No
was designed or reduce the lagoon's minimum treatment volume to less than the volume
for which the lagoon was designed.
8. A copy of the Annual Sludge Survey Form for this facility is attached to this Certification. K.Yes ❑ No
9. Annual soils analysis were performed on each field receiving animal waste during the Yes ❑ No
past calendar year.
10. Soil pH was maintained as specified in the permit during the past calendar Year? Yes No
11. All required monitoring and reporting was performed in accordance with the facility's fYes No
permit during the past calendar year.
12. All operations and maintenance requirements in the permit were complied with during fYes ❑ No
the past calendar year or, in the case of a deviation, prior authorization was received
from the Division of Water Quality.
13. Crops as specified in the CAWMP were maintained during the past calendar year on all Z(Yes ❑ No
sites receiving animal waste and the crops grown were removed in accordance with
the facility's permit.
14. All buffer requirements as specified on the permit and the CAWMP for this facility were erYes ❑ No
maintained during each application of animal waste during the past calendar year.
"I certify under penalty of law that this document and all attachments were prepared under my direction or
supervision in accordance with a system designed to assure that qualified personnel properly gather and
evaluate the information submitted. Based on my inquiry of the person or persons who manage the system, or
those persons directly responsible for gathering the information, the information submitted is, to the best of
my knowledge and belief, true, accurate, and complete. I am aware that there are significant penalties for
submitting false information, including the possibility of fines and imprisonment for knowing violations."
q 706.) ie)p,9/-Abcyri--- 0-402-11
Permittee Name and Title (type or pnnt)
(1,eaetri )2,-ce)
Signature of Operator in Charge
(if different from Permittee)
Date
Date
AFACF 3-14-03
2

A. Farm Permit or DWQ Identification Number HOG PACK #1 = Back
B. Lagoon Identification HP#1 (Back) 31-152
C. Person(s) Taking Measurements
D. Date of Measurement
E. Methods/Devices Used for Measurement of:
Blake & -Greer Moore
4/17/2020
a. Distance from the lagoon liquid surface to the top of the sludge layer.
pole with disc
b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon.
pole
c. Thickness of the sludge layer if making a direct measurement with "core sampler".
F. Lagoon Surface Area (using dimensions at inside top of bank): 2 (acres)
(Draw a sketch of the lagoon on a separate sheet, list dimensions, and calculate surface area. The lagoon
may have been built different than designed, so measurements should be made.)
G. Estimate number of sampling points:
a. Less than 1.33 acres: Use 8 points
b. If more than 1.33 ac. 2 acres x 6 =
12 , with maximum of 24.
(Using sketch and dimensions, develop a uniform grid that has the same number of intersections as the
estimated number of sampling points needed. Number the intersection points on the lagoon grid so that data
recorded at each can be easily matched.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the
location of the pump intake, take measurements of distance from liquid surface to top of sludge
layer and record it on the Data Sheet (last row); this must be at least 2.5 ft when irrigating.
I_ At the time of the survey, also measure the distance from the Maximum Liquid Level to the Present Liquid
Level (measure at the lagoon gauge pole): 0.8
J. Determine the distance from the top of bank to the Maximum Liquid Level 1.6
(use lagoon management plan or other lagoon records)
K. Determine the distance from the Maximum Liquid to the Minimum Liquid level: 2.4
(use lagoon management plan or other lagoon records)
L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level 1.6
(Item K Minus Item I, assuming the present liquid level is below the Maximum Liquid Level)
M. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the
lagoon bottom (average for all the measurement points) 8.3
N. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top
of the sludge layer (average for all the measurement points): 5.0
0. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer: 3.4
P. Calculate the thickness of the existing Liquid Treatment Zone (Item N minus Item L): 3.4
Q. If Item 0 is greater than Item P, proceed to the Worksheet for Sludge Volume and Treatment Volume.
If Item O is equal to or less than Item P, you do not have to determine volumes.
Completed by: Blake & Greer Moore Date: 4/17/2020
Print Name /Signature

Appendix 2. Sludge Survey Data Sheet* Revised August 2008
Lagoon Identification HP#1 (Back Lagoon)
Completed by: Blake & Greer Moore Date: 4/17/2020
Print Name Signature
(A)
Grid Point
No.
(B)
Distance from liquid surface
to top of sludge
(C)
Distance from liquid surface
to lagoon bottom (soil)
(C)-(B)
Thickness of sludge layer
Ft. & in.
Ft. (tenths)
Ft. & in.
Ft. (tenths)
Ft. & in.
Ft. (tenths)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
5
5
5.25
5
5
4.5
5
4.75
5
5.25
5
5
5.0
5.0
5.3
5.0
5.0
4.5
5.0
4.8
5.0
5.3
5.0
5.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
8
8
8.5
8.25
8
8
8.5
8.5
8.75
8.5
8.5
8.5
8.0
8.0
8.5
8.3
8.0
8.0
8.5
8.5
8.8
8.5
8.5
8.5
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
3.0
3.0
3.3
3.3
3.0
3.5
3.5
3.8
3.8
3.3
3.5
3.5
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
0.0
Number of points with readings
X X
Average of
points
4.99
8.33
X X
3.375
At pump
intake
N/A
4.0
*Alt Grid Points and corresponding sludge layer thicknesses must be shown on a sketch attached to this
Sludge Survey Data Sheet
Appendix 3. Worksheet for sludge volume and treatment volume Revised August 2008

The average thickness of the sludge layer and the thickness of the existing liquid (sludge -free) treatment zone are determined
from the information on the Lagoon Sludge Survey Form ( Items 0 and P, respectively). In this example, the average sludge
layer thickness is 2.5 feet and the existing liquid treatment zone is 3.5 feet. If the lagoon has a designed sludge storage volume,
see notes at end of the woricsheet The dimensions of the lagoon as measured and the side slope are needed
for calculations of sludge volume and of total treatment volume. If the lagoon is a standard geometric shape, the sludge
volume and the treatment volume in the lagoon can be estimated by using standard equations. For approximate volumes
of rectangular lagoons with constant side slope, calculate length and width at the midpoint of the layer, and multiply by layer
thickness to calculate layer volume, as shown in the example. For irregular shapes, convert the total surface area to a square
or rectangular shape. For exact volumes for lagoons with constant side slope, the "Prismoidal Equations" may be used.
Example Your Lagoon
1. Average sludge Layer Thickness (T) 2.5 ft. 3.4 ft.
2. Depth of the lagoon from top of bank to bottom soil surface (D) 11 ft. 10.5 ft.
3. Slope = HorizontaV vertical side slope (S) 3 3.1
4. Length at the top of inside bank (L) 457 ft. 380.0 ft.
5. Width at top inside slope (VV) 229 ft. 205.0 ft.
6. Length at midpoint of sludge layer L", = L-2S(D-(T/2)) 398.5 ft. 325.3 ft.
7. Width at midpoint of sludge layer Wm= W 2S(D-(T/2)) 170.5 ft. 150.3 ft.
8. Volume of sludge (Vs) Vs=Lm Wm T 169,860 ft3 164,843 ft3
9. Volume in gallons: Vsg V*7.5 gal./ft3. 1,273,950 gal. 1,236,325 gal.
10. Thickness of existing liquid tmt. zone (Y) 3.5 ft 3.4 ft
11. Thickness of total treatment zone (Z) Z= T+Y 6 ft 6.8 ft
12. Length at midpoint of total tmt. zone LZ= L-2(S)(D-(Z/2) 409 ft. 335.9 ft.
13. Width at midpoint of total tmt. Zone WZ = W-2(S)(D-(Z/2) 181 ft. 160.9 ft.
14. Volume of total treatment zone (Vz) Vz = LZ WZZ 444,174 ft3 365,850 ft3
15. Ratio ( R ) of sludge layer volume to total Treatment Volume
R = VsNz 0.38 0.45
If the ratio R exceeds 0.50, than a sludge Plan of Action may be required. Check with DWQ for information
on filing the Plan of Action.
Note: If the lagoon has a designed sludge storage volume (DSSV), subtract that volume from both the volume
of sludge (Vs) (Item 8) and from the volume of total treatment zone (Vz) (Item 14), and take the ratio.
Then, R = (Vs-DSSV) / (Vz - DSSV)
Example: If DSSV = 85,000 ft3, then R = (169,860 - 85,000) / (447,174 - 85,000) = 84,860 / 362,174 = 0.24.
16. Design sludge storage volume (DSSV) 85,000
17. Ratio (R) of sludge layer volume to treatment volume adjusted
for designed sludge storage volume 0.24 0.45

Appendix 1. Lagoon Sludge Survey Form Revised August 2008
A. Farm Permit or DWQ Identification Number HOG PACK #1 - Front
B. Lagoon Identification
C. Person(s) Taking Measurements
D. Date of Measurement
HP#1 (Front) 31-152
Blake & Greer Moore
4/17/2020
E. Methods/Devices Used for Measurement of:
a. Distance from the lagoon liquid surface to the top of the sludge layer.
pole with disc
b. Distance from the lagoon liquid surface to the bottom (soil) of the lagoon.
pole
c. Thickness of the sludge layer if making a direct measurement with "core sampler".
F. Lagoon Surface Area (using dimensions at inside top of bank): 2 (acres)
(Draw a sketch of the lagoon on a separate sheet, list dimensions, and calculate surface area. The lagoon
may have been built different than designed, so measurements should be made.)
G. Estimate number of sampling points:
a. Less than 1.33 acres: Use 8 points
b. If more than 1.33 ac. 2 acres x 6 = 12 , with maximum of 24.
(Using sketch and dimensions, develop a uniform grid that has the same number of intersections as the
estimated number of sampling points needed. Number the intersection points on the lagoon grid so that data
recorded at each can be easily matched.)
H. Conduct sludge survey and record data on "Sludge Survey Data Sheet" (Appendix 2). Also, at the
location of the pump intake, take measurements of distance from liquid surface to top of sludge
layer and record it on the Data Sheet (last row); this must be at least 2.5 ft. when irrigating.
I. At the time of the survey, also measure the distance from the Maximum Liquid Level to the Present Liquid
Level (measure at the lagoon gauge pole): 0.6
J. Determine the distance from the top of bank to the Maximum Liquid Level 1.6
(use lagoon management plan or other lagoon records)
K. Determine the distance from the Maximum Liquid to the Minimum Liquid level: 2.4
(use lagoon management plan or other lagoon records)
L. Calculate the distance from the present liquid surface level to the Minimum Liquid Level 0.8
(Item K Minus Item 1, assuming the present liquid level is below the Maximum Liquid Level)
M. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the
lagoon bottom (average for all the measurement points) 9.6
N. Record from the Sludge Survey Data Sheet the distance from the present liquid surface level to the top
of the sludge layer (average for all the measurement points): 5.4
O. Record from the Sludge Survey Data Sheet the average thickness of the sludge layer: 4.2
P. Calculate the thickness of the existing Liquid Treatment Zone (Item N minus Item L): 4.6
Q. If Item 0 is greater than Item P, proceed to the Worksheet for Sludge Volume and Treatment. Volume.
If Item O is equal to or less than Item P, you do not have to determine volumes.
Completed by: Blake & Greer Moore Date: 4/17/2020
Print Name /Signature

Appendix 2. Sludge Survey Data Sheet"` Revised August 2008
Lagoon Identification HP#1 (Front Lagoon)
Completed by:
Blake & Greer Moore
Print Name
Signature
Date:
4/17/2020
(A)
Grid Point
No.
(B)
Distance from liquid surface
to top of sludge
(C)
Distance from liquid surface
to lagoon bottom (soil)
(C)-(B)
Thickness of sludge layer
Ft. & in.
Ft. (tenths)
Ft. & in.
Ft. (tenths)
Ft. & in.
Ft. (tenths)
1
4
4.0
8.5
8.5
4.5
2
5.5
5.5 9
9.0
3.5
3
6
6.0 1 9.75
9.8
3.8
4
6.26 6.3 I 10.25
10.3
4.0
5
5 5.0
9.5
9.5
4.5
6
4.5
4.5
10
10.0
5.5
7
6
6.0
9.5
9.5
3.5
8
6
6.0
9.5
9.5
3.5
9
6.5
6.5
10
10.0
3.5
10
5.5
5.5
10
10.0
4.5
11
4.75
4.8
9.75
9.8
5.0
12
5
5.0
9.5
9.5
4.5
13
0.0
0.0
0.0
14
0.0
0.0
0.0
15
0.0
0.0
0.0
16
0.0
0.0
0.0
17
0.0
0.0
0.0
18
0.0
0.0
0.0
19
0.0
0.0
0.0
20
0.0
0.0
0.0
21
0.0
0.0
0.0
22
0.0
0.0
0.0
23
0.0
0.0
0.0
24
0.0
0.0
0.0
Number of points with readings
X X
X X
Average of
points
5.425
9.616
X X
_
4.1916
At pump
intake
N/A
5.0
X X X X
*AII Grid Points and corresponding sludge layer thicknesses must be shown on a sketch attached to this
Sludge Survey Data Sheet.

Appendix 3. Worksheet for sludge volume and treatment volume Revised August 2008
The average thickness of the sludge layer and the thickness of the existing liquid (sludge -free) treatment zone are determined
from the information on the Lagoon Sludge Survey Form ( Items 0 and P, respectively). In this example, the average sludge
layer thickness is 2.5 feet and the existing liquid treatment zone is 3.5 feet. if the lagoon has a designed sludge storage volume,
see notes at end of the workcsheet The dimensions of the lagoon as measured and the side slope are needed
for calculations of sludge volume and of total treatment volume. If the lagoon is a standard geometric shape, the sludge
volume and the treatment volume in the lagoon can be estimated by using standard equations. For approximate volumes
of rectangular lagoons with constant side slope, calculate length and width at the midpoint of the layer, and multiply by layer
thickness to calculate layer volume, as shown in the example. For irregular shapes, convert the total surface area to a square
or rectangular shape. For exact volumes for lagoons with constant side slope, the "Prismoidal Equations" may be used.
Example Your Lagoon
1. Average sludge Layer Thickness (T) 2.5 ft. 4.2
2. Depth of the lagoon from top of bank to bottom soil surface (D) 11 ft.
12.0 ft.
3. Slope = Horizontal/ vertical side slope (S) 3 3.1
4. Length at the top of inside bank (L) 457 ft. 272.0 ft.
5. Width at top inside slope (W) 229 ft. 248.0 ft.
6. Length at midpoint of sludge layer L, = L-2S(D-(T/2)) 398.5 ft. 210.6 ft.
7. Width at midpoint of sludge layer Wm W-2S(D-(T/2)) 170.5 ft. 186.6 ft.
8. Volume of sludge (Vs) Vs=L,,,W,,, T 169,860 ft3 164,640 ft3
9. Volume in gallons: Vs9 V`7.5 gal./ft3. 1,273,950 gal. 1,234,801 gal.
10. Thickness of existing liquid tmt. zone (Y) 3.5 ft 4.6 ft
11. Thickness of total treatment zone (Z) Z= T+Y 6 ft 8.8 ft
12. Length at midpoint of total tmt. zone LZ = L-2(S)(D-(Z/2) 409 ft. 224.8 ft.
13. Width at midpoint of total tmt. Zone WZ = W-2(S)(D-(Z/2) 181 ft. 200.8 ft.
14. Volume of total treatment zone (Vz) Vz = LW, Z 444,174 ft3 396,963 ft3
15. Ratio ( R ) of sludge layer volume to total Treatment Volume
R = VsNz 0.38 0.41
If the ratio R exceeds 0.50, than a sludge Plan of Action may be required. Check with DWQ for information
on filing the Plan of Action.
Note: If the lagoon has a designed sludge storage volume (DSSV), subtract that volume from both the volume
of sludge (Vs) (Item 8) and from the volume of total treatment zone (Vz) (Item 14), and take the ratio.
Then, R = (Vs-DSSV) / (Vz - DSSV)
Example: If DSSV = 85,000 ft3, then R = (169,860 - 85,000) / (447,174 - 85,000) = 84,860 / 362,174 = 0.24.
16. Design sludge storage volume (DSSV) 85,000
17. Ratio (R) of sludge layer volume to treatment volume adjusted
for designed sludge storage volume 0.24 0.41