470029_Routine Inspection_20210723

SiMe, f-3
Facility Number
:Division of Water Resources
Q ivisi+ n of foil and;Water . ,
0 Other Agency
Type of Visit: )FI Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 112outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
iij
Arrival Time:
Departure Time:
ive Farn 3 whim f��M
wner Name: RDKP liveslnCk Nisi tip
Mailing Address:
Physical Address:
Facility Contact:
101.5
Owner Email:
Phone:
County: tto•Ke
Region: ro
J J(,Q G' ve l r em Title: fal l wager
i e
Onsite Representative:Ice Gv€tetp
Certified Operator:
Back-up Operator:
Location of Farm:
gale
Latitude:
Integrator:
Phone:
Certification Number:gg Oaf
Certification Number:
Longitude:
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
1,
pa)
Other
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Current
Poi
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)?
d. Does the discharge bypass the waste management system? (If yes, notify DWR) n Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No 0 NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
❑ Yes
❑NA ❑NE
❑ Yes
❑ Yes
No ❑NA ❑NE
No ❑ NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number:
7`�f
Date of Inspection: 7/?,,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?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
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
❑ Yes j2to ❑ NA ❑ NE
❑ Yes El No ❑NA ❑NE
Structure 5 Structure 6
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.
❑ Yesr,El%lo ❑ NA ❑ NE
❑ Yes ,,❑'o ❑ NA ❑ NE
❑ Yes o I] NA
❑ Yes .2I�io ❑ NA
❑ Yes ,❑'`I\io ❑ NA
0 Yes JNo ❑ NA
❑ Yes „ErNo ❑ NA
❑ 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
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
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
1.9. 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
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Yes .-E`No
❑ Yes ._"No
❑ Yes 'No
❑ Yes --{No
❑ Yes D No
❑ Yes ,a1<io
❑ Yes ,®- o
❑ Other:
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NA Li NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes o
❑ Waste Transfers
❑ NA ❑ NE
❑ 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 1<f0 ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes o ❑ NA ❑ NE
2/4/2015 Continued
Page 2 of 3

Facility Number: iil
(Date of Inspection: 1 f%,fl
24. Did the facility fail to calibrate waste application equipment as required by the permit?
El Yes No ❑NA ❑NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No 0 NA 0 NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey n 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 ❑ 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 ❑ Yes 6, 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 cl 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? n Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? n Yes No ❑ NA ❑ NE
Fep wone,Ng or tQJooN bQ-vVN the. ((JWNS
looc1
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
pie font -end Ion r
a R;o0WOOf
Phon=919 Mn9ils
Date:
2/4/2015

FACILITY#: I7--c) FARM NAME: ispC,
FREEBOARD ACTUAL LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATION DATE 9(bj21 NUMBER OF ANIMALS 1-1 Q)t.�/py�
- ACTUAL NUMBER OF ANIMAL `oi6f55 (JOt1ilfie,
- OIC CARD YES OR NO 02 el Ve
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES Otf0 K, (Ndht1 Mkt
CROP TYPES VS,
- THE UTLIZATION PLAN SH ULD HAVE A (-) NEGATIVE NUMBER
- ODOR CONTROL CHECK LIST YES OR NO
- Irrigation Plan Maps
WASTE REPORT (a21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE SIo�D Ai NITROGEN LEVEL �. JW
SOIL REPORT (#21)
EVERY 3 YEARS: j DATE 11'251 1
P-I (NO MORE THEN 400) j
PH (Note if 4 or less)
MORE THEN 3000)CU v ZN
Cu/ZN (NO
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21)
ZONE ACRES PAN v ! CROP TYPE
� �g6t, FLOW RATES 6 NITROGEN (N) 11G,i • - 1) .► t(p
120 Min inspection initialed Weather Code
Commercial Fertilizer Chicken Litter
CALBRIATION (#24)

- EACH REEL SHOULD BE CALIBRATED
- DATE DUE EVEqWO YEARS - FLOW RATES 11-Y)
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-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 IERY YEAR: DATE
0: a . , `"L P: Ca % 1
�J � RATIO 10 OF SLUDG�
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM CROP YEILDS ` MORTALITY
tia
Judi ai
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON
SEEPAGE LAGOON BARE AREAS TREES OR GRASS NEED TO
BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) ALIVE CROP HARVESTED
FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED
BINS LAGOON GARBAGE