740039_Inspection_20211026

Division of Water Resources
0 Division of Soil and Water Conservation
▪ ------
Type f Visito Compliance Inspection
Reason for Visit: • Routinei'p 0 Referral O Emergency O Other ❑ Denied Access
0 Complaint 0 Follow-up y
�� gion: ��
Date of Visit: 1
Farm Name:
11}
' ' ,pere,5
0 Other Agency
Operation Hoke, 0 Technical Assistance
0 Structure E►aluatslnn
Arrival Time:
Uw ner Name: :StRikilla 4 j 415
Mailing Address:
Physical Address:
Facility Contact:
Departure Time:
Owner Email:
Phone:
Count+:
Cohn Dyki 5
Onsite Representative: . 1 : r\ 1 tij
Certified Operator: Co rt b
Back-up Operator:
Location of Farm:
Title:
Phone:
Integrator: , IYI ) • T11 e/c1
Certification Number:
Certification Number:
latitude: Longitude:
Swine
Design Current
Capacity Pop.
W'ean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
{
Farrow to Finish
(lilts
Boars
Other
U_
Design Current
Wet Poultry Capacity Pop.
\ ii.I:tier
Design Current
Dry Poultry C'apacitti Pop.
I ..i4trs
Nan -Layers
Pullets
Turkeys
Turkey Puults
Cattle
Design Current
Capacity Pop.
Dairti [•oa
pail) Calf -
Dairy Heifer
Dry Cow
Non -Lary
Beet Stocker
Beef Feeder
Reeft4rood Cov
Disehart*es 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? f 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) ❑ Yeas ❑ No ❑ iVA ❑ NE
2, is there evidence ofa past discharge from any part at' the operation? ❑ Yes ' NA NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ 1'es Ld CVO❑ ❑ ❑ NA D NE
of the State other than from a discharge?
❑ Yes [ Na ❑ NA ❑ NE
❑ Yes No El NA ❑NE
❑ Yes No ❑NA El NE
Page 1 of 3
S/12n020 Continued

Facility Number: 1 r -
3 1 1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) Less than adequate?
a.11.yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?: _
Designed Freeboard (in): 23
Observed Freeboard (in):
31
'Date of inspection: I
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 and of qucytions 4-6 were answered yes, and the situation poses an immediate public
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 we 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.
❑ Yes
❑ Yes
Structure 5
❑ 4"
N
❑ NA ❑ NE
❑ NA ❑ NE
❑�
❑ NE
❑ NE
health or environmental threat, notify DWR
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes I:J No ❑ NA ❑ NE
❑ Yes lallo ❑ NA ❑ NE
[] Yes dNo ❑ NA ❑ NE
❑ Yes LJ No El NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu. Zn, etc.)
❑ PAN ❑ PAN > I0%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. Sod 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
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 available'? if yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
▪ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑Other:
❑ No
12rNo
E(No
Q No
No
d' No
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
El NA ❑NE
❑ NA ❑NE
❑NA ❑NE
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 0 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. 1f selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'? ❑ Yes ❑„ o ❑ lNA ❑ NE
Page 2 of 3 5/12, 202o Continued

Elate of Ins colon: lD
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? If yes, check
the appropriate box(es) below.
❑ Failure to complete annual sludge survey
D Non -compliant sludge levels in any lagoon
List structures) 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 Fait to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals Hith 24 hours andfnr document
and repart 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 the drains exist at the facility? 1f yes. check the appropriate box below.
❑ Application Field ❑ LagouNStorape Pond
'Comments (refer to question #): Explain any YES answers anchor any additional recommendations or any other cowments-
L se dra;zings of facilitt to better explain situations fuse additional pages as necessary),
❑ Other:
ID Failure to develop a POA for sludge levels
El Yes
❑ Yes
❑ Yes
El Yes
32. Vs ere any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer+Inspector fail to discuss re%kw/inspection with an on -site representative:'
34. Does the facility require a follow-up visit by the same agency?
No
do
2' No
&No
dNo
'No
NA
❑ NA
NA
NA
U NA
❑ NA
❑ Yes
El Yes
❑ Yes
EiNo
allo
❑ NA
❑tip
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
[� NE
❑ 4P
❑ NE
El NE
Ct R rc " 0-
3-� - --
3- C ..1
1.0 -3 I -2._c)\-43
1a cis I .2.0
'cL_3 O
LT2 -5=3
.
5fwiA
0 cL„+ c- - 1 cc.)14_02L
a 5 it t;Lot Berg ce_s p t. J r`►c -kc.or ct,-1-
Reviewer/Inspector Name:
Res iewrdl ri pectnr Signature:
Page 3 of
(rkg gM St.;
Pitnnt:; — 7-0= 1
date: /--.2 —.21
i112/202t1