740021_Inspection_20211021

LFacility Number
Division of Water Resources
Q Division of Soil and Water Conservation
0 Other Agency
Ttipeof�'isi.t= Compliance Inspection 0 Operation Re►icw O Structure F:%ulu.,tion
LReasan for Visit: � Routine()Technical Assistance
Corn taint 0 Follow-up 0 Referral 0 Emergent) 0 Other 0 Denied Access
Date of Visit;
Arrival Time:
Farm Name; .4\rc k aws. 61 d c\ \-~rx r vV�
Owner Name: f L 5 nt • Sr
Departure Time:I I } ; 3Dc-.4County: T ' Region: ' '
Owner Email:
Phone:
Mailing Address: d (D1 NC Lig S '_j'll1 . L4 + " ( ■ +}
Physical Address:
Facility Contact: Title:
Onmite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Phone:
i—)€�
Certification Number:
Certification Numher:
Longitude:
Swine
Llesigrt Current
Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish
Wean to Feeder
)Feeder to Finish
Farrow to Wean
Ll
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
a;rr
a)er
Design Current
Dry Poultry Capacit► Pop.
Non-1.d3.`r>
Pullets
Turkeys
Turkey Pocks
Other
Cattle
Design Current
Capacity Pop.
Dairy {'o
Dairy Calf
Dairy Heifer
Dry Coy. -
Non -Dairy
Beef Stocker
Beef Feeder
lteel 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 convey, ance man-made?
b. Did the discharge reach waters of the State? Elf yes, notify DWR)
e. What is the estimated voiurne that reached waters of the State (gallons)?
d. Does the discharge bypass the waste management system? (lf'yes, notify DWR) ❑ Yes ,No ❑ NA ❑ NE
2. Is there evidence ofa past discharge from any pan of the operation?
❑Yes Ny El NA ❑NE
3, were here any observable adverse impacts or potential adverse impacts to the waters ❑ Yes EN40 ❑ NA ❑ NE
of the Slate other than from a discharge?
❑ Yes LJ ", 0 NA ❑NE
❑ Yes ❑ No ❑ NA ❑ hIE
❑Yes ❑No ❑NA ❑NE
5/12/2020 Continued
Page 1 of 3

Facility Numbet7 R./ _ a >l
Date of Inspection; 10--2 I -2( 1
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. 1f yes. is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in);
❑ Yes
❑ Yes
Structure 5
5. Are there any immediate threats to the integrity of any of the structures observed? ID Yes dNn ❑ NA 0 NE
(i.e., large trees. severe erosion, seepage, etc.)
b. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes IZI No ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 mere answered yes, and the situation poses an immediate public health or environment threat, notify D►VR
7. Do any of the structures need maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Ldno ❑ NA ❑ NE
(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?
WSW 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. [+Ales ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground © Heavy Metals (Cu, Zn. ete,)
0 Failure to Incorporate Manure'Sludge into Bare Soil
❑ PjN Q PAN > 10% or 10 lbs. ❑ Total Phosphorus
Outside of Acceptable Crop Window ❑ Evidence of Wind Drill ❑ Application Outside of Approved Area
12. Crop Type(s): e , d C.4f
13. Soil Type(s):
21, Does record keeping need improvement? If yes. check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑Stocking lop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections Sludge Survey
22, Did the facility fail to install and maintain a rate gauge? 0 Yes o ❑ NA ❑ NE
23. If selected, did the facility Call to install and maintain rainbreakers on irrigations equipment? l Yes . No ❑ ❑ N
S/f 2,2D20NA CraarinuEed
Page 2 of3
❑ Yes No ❑ NA ❑ NE
lE ' es ❑ No ❑ NA ❑ NE
❑ Yes 1=14.10 0 NA ❑ NE
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? ❑ 1'isp ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ NA ❑ NE
Required Recurds & Documents
l9, Did the facility fail to have the Certificate of -Coverage & Permit readily available? ❑ Yes❑ El NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? lfyes, check Q Yes No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑t)tlh r:
Yes ❑ No ❑ NA Q NE

16
'Facility Number: 4nR - l J
Date of Inspection: `a 1-1
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. is the facility out of compliance with permit conditions related to sludge? 1 f yes. check
the appropriate box(es) below.
O Failure to complete annual sludge survey
❑ Non -compliant sludge loels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
2S. Did the facility fail to properly dispose of dead animals with 24 hours andror 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:
❑ Yes
E3 Yes
❑Failure to develop a POA for sludge Levels
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fai] to discuss review,'inspection with an on -site representative'?
34. Does the Facility require a follow-up visit by the same agency?
❑ t1
❑ } �'
❑ NA NE
DNA ❑NE
Q �,� ❑ NE
No ❑ NA ❑ NE
tJ l`o ❑ \A ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
I No ❑NA ❑NE
\ti
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
Comments (refer to question ##): Explain any l'ES answers andlor any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessark.)_
Reviewer/inspector Name:
Res, iewrr/InspeL't0r Signature:
Page 3 of 3
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Date: t Q — d
S// 2/2020