820038_Routine_20210907 (2)

Facility Number
0 Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
6imc) i(Ib!c
Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
.1 Zi
Arrival Time:
Bui I ail N
00
Departure Time:
Owner Name: 1-1 C f(1 rrcj
Mailing Address:
Physical Address:
Owner Email:
Phone:
County: garnpc,NV Region: ftEi1
Facility Contact: C ‘.)1 I I Cj k) f CI
Onsite Representative: CArne
V 7 t o
N
Certified Operator: �oc U
Back-up Operator:
Location of Farm:
Title:
Tem
Latitude:
Integrator:
Phone:
rfthf1e1d
Certification Number: aR (/0 0/
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
\J
Feeder to Finish
jpD 00
C��
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop. Cattle
Layer
Non -Layer
Dry ;Poultry
Design Current
Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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?
❑ Yess'No ❑ NA ❑ NE
❑ 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) 0 Yes No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters 0 Yeso ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
5/12/2020 Continued

Facility Number: 6:,2 -
-c y
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?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier: 1
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 ❑ Yes `,No ❑ 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
❑ Yes -_No ❑ NA ❑ NE
❑ Yes'`..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)
El Yes No ❑ NA ❑ NE
4 Yes .- No ❑NA ❑NE
❑ YesNo ❑ NA ❑ NE
9. Does any part of the waste management system other than the waste structures require ❑ Yes ELNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes iti,No ❑ NA ❑ NE
❑ 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. CropType(s): CNN Whey -^mot cj\I be c r (L ove r: we
Yp C� � � I 1
13. Soil Type(s): NOtfft)U.JQ3!724'fl
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? ❑ Yes No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes [ o ❑ NA ❑ NE
the appropriate box.
❑ WUP EChecklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 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 0 No El NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 0 No ❑ NA ❑ NE
Page 2 of 3 5/12/2020 Continued
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA 0 NE
❑Yes No ❑NA ❑NE
❑ Yes ER No ❑ NA ❑ NE
El Yes q\\_No ❑NA ❑NE

Facility Number: M, - 7D?)
Date of Inspection: 9 . _J ,2-1
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes N° ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 'El.,No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
D 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 r-❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes LNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Ye No ❑ NA 0 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 0 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 ❑ No ❑ NA 0 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.
❑ Application Field
❑ Lagoon/Storage Pond ❑ Other:
❑ Yes r No ❑ NA ❑ NE
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- No ❑ NA ❑ NE
❑ Yes No ❑ NA 0 NE
Comments (refer
Use drawings of fai
emendations or any other comments.
rare 9p b on (c1qoc)rJ,
otieReviewer/Inspector Name:
or\ rWOt
Phone: lig toq(0. 9'7/9
Reviewer/Inspector Signature:
Page 3 of 3
--12„fef
Date: 1
2/4/2015