820329_Compliance Inspection Routine_20210708

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Facility Number
Division of Water Resources
Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 1p Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: i30 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
aod
Arrival Time:
Darden form I F)
Departure Time:
Owner Name: Wfl(jlen
Jo `do-rr)
Owner Email:
Phone:
Mailing Address:
Physical Address:
Facility Contact: Crbt 4 014 Title:�� Ch fC
Onsite Representative:
Certified Operator: anti(IctitileN
Back-up Operator:
Location of Farm:
Latitude:
County:
fORegion:
Phone:
Integrator: rectap
Certification Number: I TO
Certification Number:
Longitude:
Swine
Design Curren
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
0
Other
Other
Design Current
et Poultry Capacity Pop.
Layer
Non -Layer
Cattle
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?
O Yes No ❑ NA 0 NE
❑ Yes No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes laNo0 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)
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 1SI,No ❑ NA ❑ NE
O Yes NNo ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ 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?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1
t
Structure 2
NO NO
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?
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
n Yes
❑ NA ❑ 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?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No El NA ❑NE
n Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
(Cu, Zn, etc.)
❑ PAN ❑ 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): CO\1 ut€ > ctibeaNC.) Poetrnvciai hCI
13. Soil Type(s): t V 0 r l O 11<, N a g tap)
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 ['Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
k
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA 0 NE
No ❑ NA 0 NE
No ❑ NA ❑ NE
No ❑NA ❑NE
No ❑ NA ❑ NE
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ 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 cl No 0 NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
2/4/2015 Continued
Page 2 of 3
❑ Yes No
❑ Waste Transfers

Date of Inspection: -1. &���,d
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 0 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? n Yes n No ❑ NA 0 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 ❑ 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 n Yes NNo ❑ 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 RNo ❑ 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
❑ Yes No ❑ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
❑ NE
to question
Ili ty to be
e
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Me +hXe is dome fed ur,ger fed biro>. ciemn mon ',jou
can. ,r can attract attc:
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
•
�e
Phone: C1 19 ' P1(D ".t 711.2
Date: t
2/4/2015

FACILITY#: �a`� 59 I FARM NAME:nr,dy kulCn
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS /�.
- EXPERIATION DATE ����(� I NUMBER OF ANIMALS G�(�/
- ACTUAL NUMBER OF A IMAL
- OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES OiltotK;
CROP TYPES COLT e,
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHE9K LIST YES OR NO
Irrigation Plan Maps V_
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE (Q I 1(21I
EVERY 3 YEARS:
P-I (NO MORE THEN 400)
PH (Note if 4 or Tess)
NITROGEN LEVEL
SOIL REPORT (#21)
DATE giDici
Cu/ZN (NO MORE THEN 3000) CU
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
ZONE ACRES PAN
FLOW RATES Q,t z
‘'VD
1
120 Min inspection initialed\J,C
Commercial Fertilizer
IRR2 (#21)
ZN V'
CROP TYPE oeirrriv (t, iE
NITROGEN (N) gv•
Weather Codes
Chicken Litter
Vvivq1Pea (-Ptc3ila P'\\ V(1)
CALBRIATION (#24)

- EACH REEL SHOULD BE CALIBRATE j
- DATE DUE EVERY TWO YEARS GJ 16 6iO
- FLOW RATES
RAIN FALL (#21)
- INITIAL AFTER 1" RAIN EVENT V
- LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED
-LOOK FOR BIG NUMBER DIFFERENCES SEE THAT THEY MATCH THE IRR2
FORM
SLUDGE (#21 & 25)
-DUE EVERY YEAR: DATE 4(0-.11d)()
0: P: ; . % RATIO OF SLUDGE 43
9O
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM' CROP YEILDS
c*, will
V3Q preeNt,
VISUAL CHECK
MORTALITY
FOUNDATION OR PIT LEAKS PIPE LEAKS ' LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES '
WINTER CROP(OVER;SEEDED) i'' ALIVE CROP HARVESTED
FIELDS ; " 6 GOOD HEALTHY CORPS CORRECT
CROPS , NO PONDING ,°' REELS FEED
BINS r LAGOON GARBAGE