820502_Compliance Inspection_20210617

Facility Number
igDivision of Water Resources
Division of Soil and Water Conservation
0 Other Agency
Type of Visit:
Reason for Visit:
Date of Visit:
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
L.P - 11.2j
Farm Name:
Arrival Time:
Departure Time:
Owner Name: Lotwe,tte
Mailing Address:
Physical Address:
Facility Contact: CUfb
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Owner Email:
Phone:
County:
m
Region:
s eat -WIN‹ T,tl.:recH 4:
Phone:
Onsite Representative: Integrator: Prectqe
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
19-10
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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)?
-I. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes't'No ❑ NA ❑ NE
'ence of a past discharge from any part of the operation'? ❑ Yes No ❑ NA ❑ NE
-)bservable adverse impacts or potential adverse impacts to the waters ❑ Yeszl No ❑ NA ❑ NE
',an from a discharge?
❑ YjiSt No ❑ NA ❑ NE
❑ YesNo ❑ NA ❑ NE
❑ YesNo ❑ NA ❑ NE
5/12/2020 Continued

Facility Number: -
Date of Inspection: (- IT 2-1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Y• es No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? fl Y• es No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?: N
Designed Freeboard (in):
Observed Freeboard (in):
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?
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 -1,No ❑ NA ❑ NE
❑ Yes )3,No ❑ NA ❑ NE
n Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes lNo E 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
1 1. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes N No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN 0 PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
1.
tmucWi
13. Soil Type(s): V i NI V
auetauten
❑ Yesj No ❑ NA ❑ NE
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes TEtNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable U Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? IT Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ri Yes No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? n Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available'? If yes, check fl Yes 1 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 No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Trans ers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield n 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ,,ffil No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3
5/12/2020 Continued

Facility Number: 8(0,�
Date of Inspection: (f11) 2l
❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 1;No ❑ NA ❑ NE
the appropriate box(es) below.
n Failure to complete annual sludge survey 0 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:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes f1 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 0 Yes N
No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document n Yes c No ❑ NA ❑ NE
and report mortality rates that were higher than noiiiial?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes NI 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 y No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains cxist at the facility? If yes, check the appropriate box below. ❑ Yes y 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 ` No ❑ NA ❑ NE
❑ Yes M No ❑ NA ❑ NE
❑ Yes 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).
comiqt has Wt€7PN 1-nt aoa5�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
t eb n o
ginreoui
Phone: 917i ' /1( rl i5
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Date: h
2/4/2015