820089_Compliance Inspection Routine_20210211

Facility Number
10 Division of Water Resources
0 Division of Soil 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:
Farm Name:
Owner Name:
Arrival Time:
Cr4C f(irmci Ur4C
O i' 15 Ali
Departure Time:
chrr�3-toFh2r Ien CThIor
Mailing Address:
Physical Address:
Facility Contact:
r. DO
Owner Email:
Phone: 1 I
County: SO infig) f Region: Fro
off Mtitt house rd.
greet- rnoore
Onsite Representative: cQ rn e
Title: TeCh fzC
Certified Operator: C hn'- tO f I er Oen t)(y l Ok
Back-up Operator:
Location of Farm: j 5 I ['Olin) H o 2 I'ci
Latitude:
Integrator:
Phone: 110 - t 32. 117
Certification Number: I NO
Certification Number:
Longitude:
r cjt iri#ected bi 60Wirb marble g1a-69/
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
r11 2.o
3000
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Wet Poult
Design Current
Capacity Pop.
Layer
Non -Layer
Layers
Von -Layers
Pullets
Turkeys
Turkey Poults
Dther
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ 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)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past discharge from any part 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 INo ❑NA ❑NE
❑ Yes ❑ No NA ❑ NE
❑ Yes No giNA ❑NE
❑ Yes
❑ Yes
❑ Yes
❑No NA
No ❑ NA
No ❑ NA
❑ NE
❑ NE
❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number:
Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate'?
a. if yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identi•Cer:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
30 3�
❑Y• es ,� No ❑NA ❑NE
ri Y• es ❑No NA Li NE
Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes A 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 No 0 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
Watch For
7. Do any of the structures need maintenance or improvement? Bare armg ❑ Y• es1;4 No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Y• es K1 No ❑ NA 0 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 ysl No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 7k No ❑ NA ❑ NE
maintenance or improvement'?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Excessive Ponding j4 ( 1 Hydraulic Overload ❑ Frozen Ground N ❑ Heavy
❑ PAN ❑ PAN > 10% or 10 lbs. p] Total Phosphorus
Evidence of Wind Drift ❑ Application
❑ Outside of Acceptable Crop Window
12. Crop Type(s):
t�)
❑ Yes ❑ No ❑ NA ❑
Metals (Cu, Zn, etc.)
[1 Failure to Incorporate Manure/Sludge into Bare Soi1H
Outside of Approved Area N
NE
13. Soil Type(s): m hpi fl
wagrCM
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?
17. Does the facility lack adequate acreage for land application'?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available'?
20. Does the facility fail to have all components of the CAWMP readily available'? If yes, check
the appropriate box.
[ 1 WUP Checklists ❑ Design ❑ Maps Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard [ 1
Rainfall Li Stocking Crop Yield [1 120 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge'?
23. 11 selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'?
Page 2 of 3
Waste Analysis U Soil Analysis
❑ Yes 1141 No Ft NA ❑ NE
❑Yes tli No ❑NA ❑NE
Y• es iyciNo ❑ NA ❑ NE
❑ Yes Sj No ❑ NA ❑ NE
❑ Yes A No ❑ NA ❑ NE
Y• es No [ NA ❑ NE
pi Y• es No ❑ NA ❑ NE
ri Other:
LI
❑ Waste
Yes
❑ Monthly and 1" Rainfall Inspections
[— Y• es
n Y• es
]No (--NA flNE
sfers ri Weather Code
❑ Sludge Survey
No ❑ NA NE
No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number:
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
❑ Failure to complete annual sludge survey E 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 ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes it 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? illqd� ❑Yesp
No El NA El NE
If yes, contact a regional Air Quality representative esentative immediately. 4
30. Did the facility fail to notify the Regional Office of emergency situations as required by the ❑ Yes ;tf,;1 No ❑ 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. n Yes A No ❑ NA ❑ NE
❑ 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? NO
❑Yes ❑No ❑NA LINE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
n Yes
❑ Yes
❑NA ❑NE
E] NA ❑NE
No ❑ 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).
*SPtgv fi'eid wpm me centerPiwt LooKs nice,
Note: Keep on etc on vot-thtiat to41--e qt-og oN \qt1 (1'9e) bUnKs
Note none htvcec or fitc are veciKing, 4\-al fields GIN iN
gtbq CM41-tioll at ffe tlmP Dt IlloRqfoh,
Note- planted t\l-Q\Ct-A kw VA - br& &e wet (vhdttl�p5
i� didY� r 9tow
otkotot\ due, )\ogil
Reviewer/Inspector Name:
Phone:
Reviewer/Inspector Signature: ? Date:
Page 3 of 3
2/4/2015