960030_Inpsection 2021_20211119

Facility Number��'� • Division of Iti'atcr Resources
ail- V l 0 Division of Soil and Water Conservation
.tgcnc4
Type of Visit: • t'untpliance Inspection t:l eration Review
Reason far Visit: p Q Structure Evaluation 0 Technical Assistance
Res Routine Q Complaint C i Follow-up Referral r'S Emergency i ]Other Q Denied Access ���
µQ- Region: l.`�
Date of Visit:
0 Other
Arrival Time:
Farm Name:. 10).1 9j a•`-- ssC 3v -.26
Owner Name: t11.i L r I,C;C+ ,W-
Departure Time: l a'aptn. I County:
Owner Email:
Phone;
Mailing Address: , d+ 2 C5k. I ' Pf . 0 f f Lee, i 1')C
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: W
Back-up Operator:
imeotion of Farm:
Title:
\ ck" - S0l�
Latitude:
Integrator:
Phone:
Certification Number: 1 `f 0 5
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop,
lvcan to i-finish
Wean to Feeder
)(Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop,
I ayer
Ilion-L.I)er
Design Current
Dry Paull Capacity Pop.
Layers
Ilion -Lavers
Pullets
_
Turkeys
Turkey Poulis
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
[airy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beet -Stocker
Beef Feeder`
Beef ilrood Col%
Discharges and Stream Impacts
I . Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field
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'? tlfyes, 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
yc, NO ❑tit El NE
of the State other than from a discharge?
Page 1 of
Other
El Yes ❑ No NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
0 Yes
El Yes
❑ Yes
❑N�u ❑ NA ❑ NE
I.LI ,� 0 NA ❑ NE
❑ tom} ❑ NA ID NE
S/lZ 2!J2D Continued

acilirti `umber._ - la
►� aste Collection & Treatment
Date of 1nspsction: J_ —
1. Is •torage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. lfyrs, is waste level into the structural freeboard?
Identifier
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes
❑ Yee
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
arl
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
waste management or closure plan?
1f any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental th
❑ Yes Lr7 "o
❑ Yes 'No
EllIN
E'No
Structure to
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 pan 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 (Cu, Zn. etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to incorporate ManurerSludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
❑ NA
CI NE
DNE
❑ NE
reat, notify D►'4rR
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?
O Yes DIN°
❑NA
❑NA
0 NA
❑ NE
❑ NE
❑NE
❑ Yes 1260 El NA ❑NE
❑Yes [a No ❑NA El NE
wired Records Qot m n
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 availabk? If yes, check
the appropriate box.
f wuP
❑Checklists ❑ Design 0 Maps 0 Lease Agreements
21. Does record keeping need improvement? !ryes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard 0 Waste Analysis
❑ Rainfall QStocking ❑ Crop Yield ❑ l20 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge?
23 lfselected, did the facility fail to install and maintain rainbreakcrs on irrigation equipment?
Page 2of3
❑ Yes
• Yes
❑ NA
O NA
❑ Yes No ❑ NA ❑ NE
❑ Yes o 0 NA ❑NE
❑ Yes No ❑ NA ❑ NE
❑ Yes [ No ❑ NA ❑ NE
❑ Yeso ❑ NA ❑ NE
❑ Yes
❑ Yes
[No ❑ NA ❑ NE
'No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
['Monthly and I" Rainfall Inspections ❑ Sludge Survey
[YID ❑NA ❑NE
❑1` DNA ❑NE
5/12,2020 Caruansted
▪ Yes
❑ Yes
❑ NA
❑ NE

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