820315_Inspection_20200630

/2 t' l ti //P i, ///y f 2.,
Facility Number
Zil
it Division of Water Resources
O Division of Soil and Water Conservation
Q 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:
Arrival Time:
Farm Name: 219i�, :" I L % -t f 5
Owner Name:
Departure Time:
._y
Mailing Address:
Physical Address:
Facility Contact: e, ►- it
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Owner Email:
Phone:
County:�c4.,��t:. j Region:
t 64t Title:
Gr
Latitude:
Integrator:
_
Certification Number: / e; 3 /
Certification Number:
Longitude:
le`3 Pitt
1�,Lrjil
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
J/S`�"'
2e// 1
r
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
illy ruuiii l,a acily
rup.
Layers
Non -Layers
--
Pullets
Turke s
--
Turkey Poults
Other
Design
Current
Cattle
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? ❑ Yes 7 No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No NA 0 NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No p 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) ❑ Yes 0 No ®J NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes lip No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes IJ No 0 NA ❑ NE
of the State other than from a discharge?
Page I of 3
2/4/2015 Continued

Facility Number:,? - 3(��
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?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
Structure 3 Structure 4
❑ Yes
❑ Yes ❑ No r.
1 NA ❑ NE
Structure 5
To No ❑NA ❑NE
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
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
Structure 6
1
❑NA ❑NE
❑ Yes 1p No ❑ NA ❑ NE
7. Do any of the structures need maintenance or improvement? ❑ Yes fr No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ 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 11 No ❑ NA ❑ NE
maintenance or improvement'?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes T, 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
ri Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
n PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
ri Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
1 i
12. Crop Type(s): �_ C( d' "t( Tx( go-1 , te, G-_4S r6--) Y 5"), .t-.. �, it ,_7(c (�t ,�' %'�. � t e: L c, s,,c,
99
13. Soil Type(s): flv b) � t) 1 vct- f
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? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [J No ❑ 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 E1 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ 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 p No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes lb No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued
n Yes No ❑ NA ❑ NE
❑ Yes II, No ❑ NA ❑ NE
❑ Yes II, No ❑ NA ❑ NE
fYes ,No El NA ❑NE
❑ Yes No ❑ NA ❑ NE

'Facility Number: '3/
Date of Inspection:
61/30/243
❑ Yes No ❑ NA ❑ NE
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 ❑ Yes No ❑ NA 0 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 ctit No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ql No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes j4, No ❑ NA ❑ NE
and report mortality rates that were higher than normal? `j�`
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 qj 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. ❑ Yes 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?
❑ Yes [a No
O Yes No
0 Yes No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
:were► + or any additional recommeother comments.
inns (use necessary). as adds tonal a es
� pages
Cctirc-ic
-5IL452- Sirs,-.: ( s (1
S1e Aet f/z2)
ce.,46 13 SLR! w�
/,/ k. /)cam yo75 a-fr
Reviewer/Inspector Name:
A6t,vloto
Phone: 0 —1 3?- 3;0
Reviewer/Inspector Signature:
Page 3 of 3
fria,44
Date:
2/4/2015