090016_Routine_20210826

Division of Water R
Divigiou of SbilMid
her,"Agenc`
yan
Type of Visit: .9 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Q Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 7.J! )• at I Arrival Time:
Farm Name:
5 5
Naien Twenty
Owner Name: H Q rrl Might- fa MG I I C,
Mailing Address:
Physical Address:
Facility Contact:
Departure Time:
1.Ct7
Owner Email:
Phone:
ict.•
County:
Region:
IJ�
Cv rhi S sahAAuC Title:Te , rec.
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
me
Latitude:
Integrator:
Phone:
5mth field
Certification Number:
Certification Number:
Longitude:
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' eut; i NcpecbION
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)
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 ['No ❑NA ❑NE
❑ Yes No [!'NA ❑NE
❑ Yes ❑ No / NA ❑ NE
❑ Yes ❑No QNA ❑NE
❑ Yes / ado ❑ NA ❑ NE
❑ Yes No ❑NA ❑NE
Page I of 3
5/12/2020 Continued

Facility Number: 0 9
Co
Date of Inspection: F5 •aI
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):
❑ Yes [iNo ❑ NA ❑ NE
❑ Yes ®No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
1 2
NO IJO
1 `1'. 5 19.5
616 oct
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 0/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 d o ❑ 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? bare 1.420-r Yes ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes dNo ❑ 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 o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 11No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. des ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
gPAN ❑ 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 Ty'pe(s): Cc4Vt,L Bermuda, (full RJe, . cDrhl
13. Soil Type(s): NDtFC)1 K, goIdSbbro
14. Do the receiving crops differ from those designated in the CAWMP? Off
[Yes ❑ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?AlUel If llfl b Ef Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable l e [Yes ❑ No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? "Yes ❑ No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? dYes ❑ No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ,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 box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ 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 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: O9 - Ito
Date of Inspection: B•0(o. 2j
❑ Yes [4No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check dYes ❑ No ❑ NA ❑ NE
the appropriate box(es) below.
2.Failure to complete annual sludge survey El Failure to develop a POA for sludge levels
Non -compliant sludge levels in any lagoon r� 1•(�
List structure(s) and date of first survey indicating non-compliance: it ] f 0, 'of 5' 0/ I .. ita it /' /5
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?
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.
❑ 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?
Reviewer/Inspector Name: Ka 1 1 l' fb n t of
Reviewer/Inspector Signature: 00eL0-1 ,(% at
El Yes [ No ID NA El NE
El Yes No El NA El NE
❑ Yes +❑%No ❑ NA ❑ NE
❑ Yes dNo ❑ NA ❑ NE
❑ Yes l "No ❑ NA ❑ NE
❑ Yes dNo ❑ NA ❑ NE
❑ Yes /No ❑ NA ❑ NE
❑ Yes [{No ❑ NA ❑ NE
El Yes No El NA El NE
Phone:9[� IT ,^ nn(p. 91 1
Date: (`�'9//,2' f�
Page 3 of 3
2/4/2015

FACILITY #: 9 - FARM NAME: � IMO 41)
FREEBOARD
ACTUAL LAGOON LEVEL at-_,r7(I/
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATION DATE
- OIC CARD YES OR NO
NUMBER OF ANIMALS I;) OLIO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES 0 /
CROP TYPES
THE UTLIZATION PLAN SHOULD HAVE A (-) NEGATIVE NUMBER
ODOR CONTROL CHICK LIST YES OR NO
Irrigation Plan Maps es
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER DATE 2 I I O f c202 I NITROGEN LEVEL �0. B L I,r
I I jsq
SOIL REPORTT (#21)
- EVERY3YEARS: DATE
• P-1 (NO MORE THEN 400) PH ( ote if 4 or less)
• Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
MENTAL CHECK OF CROP AND FIELD NUMBERS
IRR2 (#21)
ZONE ACRES PANa9)S CROP TYPE l.e7
FLOW RATES 110 NITROGEN (N) ® q I Iq ' 0.68
120 Min inspection initialed Sec Weather Codes
Commercial Fertilizer NI 0 Chicken Litter IV
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