820083_Structure Evaluation_20210106

Structure ❑ Application Field
2. Is there evidence of a past discharge from any part of the operation?
Other:
Type of Visit: 0 Compliance Inspection 0 Operation Review 54 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Ok OhI21 I Arrival Time: I; ICE Departure Time:
Farm Name: wytt Nr„-ett rnclorn 13 2 double CwnerEmail:
900
Owner Name:
ccott rnci amb
Phone:
Mailing Address:
Physical Address: I t�
Facility Contact: Clot A �� emu Title: (.Cn CII cr
Onsite Representative:
gclina
Certified Operator:-W% I NO/ 1}'
Back-up Operator: C (Of MCA Iu a m p
Location of Farm:
Latitude:
County:
Region:
Phone:
Integrator: ur( hf► RI
Certification Number:
Certification Number:) Otrj / ( U
Longitude:
lha��
I,
(� Wean to Finish --
r=
���1I
Dairy Cow
Wean to Feeder --I;,
Y Y .
-
-
i !' Dairy Calf
\
)( Feeder to Finish
�`
B •
t I�i
alj
Da' Heifer
Dry Cow
Farrow to Wean
Layers
A 'i�
I"(¢
�'•�I�l
? N n-Dai
` Beef Stocker
--
Farrow toFeeder �.
Farrow to Finish
Gilts
jj
I&
Non -Layers I
i j Beef Feeder
I
Boars
C`
"
Pullets
II
Turke s
Turkey Points
Other
Other
iI
N lla ti'.aGOil"
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at:
Yes 0 No 0 NA 0 NE
1-.goon iNto ditch soh -ere diWp9C
a. Was the conveyance man-made? fl f e, 1 lj Yes No 0 NA 0 NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) 0 Yes No ❑ NA 0 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) 0 Yes D No VD NA ❑ NE
Yes 0 No 0 NA 0 NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No 0 NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
2/4/2015 Continued

Facility Number: 7
cTh
Waste Collection & Treatment
Date of Inspection: II (p' 2/
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
EzYes ❑No ❑NA ❑NE
❑Yes ❑No ❑NA ❑NE
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? Ea Yes ❑ 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 ❑ 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 ❑ 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) 7�
9. Does any part of the waste management system other than the waste structures require 41 Yes ❑ No ❑ NA ❑ NE
maintenance or improvement? ����tltltlG
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
❑ NE
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
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑No ❑NA ❑NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on i
Page 2 of 3
box below.
❑ Soil Analysis
❑ Monthly and 1"
gation equipment?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Waste Transfers ❑ Weather Code
Rainfall Inspections 0 Sludge Survey
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: ?it -
Date of Inspection: tI (0'ZJ
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 ❑ No ❑ NA ❑ 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 ❑ 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 ❑ No 0 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 ❑ 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 0 Yes ❑ 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? ❑ Yes ❑ No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA 0 NE
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Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 2/4/2015