260067_Compliance Inspection Routine_20210406

Type of Visit: " compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Q aaontine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I9I(p I21
Arrival Time:
In
Farm Name: VIM egwaon nog flr n
Owner Name: LL1tN egGOn
Mailing Address:
Physical Address:
Facility Contact:
Departure Time:
er 419
Owner Email:
Phone:
County:CUfQn4Region: fro
FNTFRED TO
LASERFICHE
APR 1 9 2021
Title:
DEQ/DWR WQROS
FAYEITEVILLE REGIONAL OFFICE
Phone:
Onsite Representative: Integrator: wage
Certified Operator: LLI 1 j 2N
Back-up Operator:
Location of Farm:
Latitude:
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Layer
Non-Laye
La ers
•INon-La ers
Pullets
Turkeys
Turkey Poults
Other
Certification Number: 9‘037O
Certification Number:
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? ❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ 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) ❑ Yes ZI No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA D NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes /16 No ❑ NA ❑ NE
of the State other than from a discharge?
Longitude:
Dairy Co
Dairy Calf
Dai Heife
Dry Cow
Non -Dairy
Beef Stocker
Beef Feede
Beef Brood Co
❑ Yes 7'No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: Q iQ - 0'7
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
l 9
Ji
Structure 2
Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(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?
Date of Inspection: 9 I (011(
❑ Yes
❑ Yes
Structure 5
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Structure 6
El Yes n No ❑ NA
El Yes No ❑NA
❑ NE
❑ NE
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)
9. Does any part of the waste management system other than the waste structures require ❑ Yes FL No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ['No El NA ❑ NE
maintenance or improvement? T
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. 0 Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable{��Crop Window/CMS)
❑r'Evidence of.Wind [Drift �'❑ Applicatiio�n Outside of Approved Area
12.Crop Type(s): COtti ) CMS)`/1U+jrNaft. U IY/e�✓
13. Soil Type(s): ("Untill.1e) ``%7U%I11s gico
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.
❑ WUP 0Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes No ❑ NA
❑ Yes No ❑ NA
❑ Yes 1221 No ❑ NA
❑ Yes
❑ Yes
�No ❑NA
VNo ❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ Yes �'No ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No 0 NA 0 NE
O Waste Application 0 Weekly Freeboard 0 Waste Analysis ❑ Soil Analysis ❑ Waste ransfers ❑ Weather Code
❑ Rainfall 0 Stocking ❑ Crop Yield ❑ 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes gNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ YeNo ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: a (g - I Y
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 ❑ 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:
▪ Yes
▪ Yes
No ❑ NA ❑ NE
No �NA ❑NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes allo
YesNo
0 Yes No
• Yes eNo
❑ Yes piNo
❑ Yes
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?
Cooiuients (refer:;to q#): Explaii
Use drawings` of faeility`uestion to better' cxpl0
S, anssicrs and/or any addu
ins (use addittortal.pages as, necsary„'):'
❑ Yes 71 No
Yes J] No
O Yes f No
NA 0 NE
� NA ONE
� NA DNE
▪ NA NE
▪ NA NE
• NA NE
O NA DNE
❑ NA DNE
▪ NA D NE
Noei dv2 tD (0vld farm Not I pe4 IN aoc29.
Cein ratiON coIu ge 0/tie b/ cjec 2 -1,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
ittl2, Fbni-ertt
Phone:91 Cr. SCI �lIFf
Date: 41491 2i
2/4/2015