960010_Inspection 2021_20211005

Facility Number
• Division of Water Resources
❑ Division of Soil and Water Conservation
Q Other Agency
I
1.)Reason for Visit: • Routine 0 Complaint
Pe of 1 kit: compliance inspection (11rcr:jttiitn Rev reN 0 Structure F.ti•aluatio Q ech ical Assistance
0 Denied Access .--1
Date or Visit:
Arrival 'lime:
Farm Name;c,Y,,..sri Star, d
Departure Time:
Owner Name: lv G s r1 i,.; ti n
Mailing Address:
Physical Address:
Facility Contact:
(honer Email:
Phone:
County: Region:
Onsite Representative:
Certified Operator:
Rack -up Operator:
Location of Farm:
Title:
ter{ ► ,r)s,y)
Latitude:
Integrator:
Phone:
Certification Number:ef) ci r3 !
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Lk 4::EE1 10 Feeder
%(i
ceder to Finish
17t'Q
0
Farrow to Wean
Farrow to Feeder
I ' arrow to Finish
hilts
Boars
Other
1-7tlthcr
Design Current
Wet Poultry Capacity Pnp. Cattle
Layer
Non -Layer
Dn. Poultry
Design t'urrcnt
Ca aril
I a}ers
tun -Layer
Pullets
Turkeys
'f urkev Poults
Other
Design Current
Capacity Pop.
Dairy
Daily Calf
l]uin• Heifer
Dry Cow
Lon -Dairy
Iicef Stucker
Beef Feeder
l3L*eI Brood GM
Discharges and Stream Impacts
I. 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 arthe 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 advert impacts to the waters
of the State other than from a discharge?
❑ YcZN" ❑ NA ❑ NE
❑ Yes El No [JNA El NE
❑ Yes Li No QNA NE
Page 1 of 9
Yes ❑
• Yes
❑ 'Yes
DNA ❑Nl=
NA NE
NA ❑NE;
214/201 S Continued

Facility Number: -
�� ast exertion & 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?
[ate of 'Inspection: i o -; - Z1
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
D Yes [-(N NA ❑NE
❑Yes NA ❑NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity ofany of the structures observed? ❑ ''es [ o ❑ 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 [J4(c ❑ 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?
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 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 EliNo [ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
❑ Yes [] No ❑ NA ❑ NE
❑Yes ErNa ❑NA ❑NE.
❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, 2n, etc.)
❑ PAN ❑ PAN 10%or 10 Ibs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure:Sludge into Bare Soil
❑ Outside of Acceptable Crap Window ❑ Evidence of Wind Dritt ❑ Application Outside of Approved Area
�(
12. Crop Type(s): e T
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 12(No ❑ NA
15. Does the receiving crop and/or land application site need improvement? [] Yes [ o [] NA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yeti [No ❑ NA
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 8c Documents
19. Did the facility tail to have the Certificate of Coverage & Permit readily available? ❑ Yes o ❑ NA r] 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.
❑tyUp ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ['Other:
21. Does record keeping need improvement? if yes, check the appropriate box below. ❑Yes lacNo ❑ 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
El Yes L'No ❑ NA ❑ NE
22. Did the facility fail to install and maintain a rain gauge?
23. if selected, did the facility fail to install and maintain rainhreakers on irrigation equipment:' ❑Yes to ❑ NA ❑ NE
5/12/2020 Continued
Page 2 of 3
❑ NE
❑ NE
❑ NE
❑ Yes 0 o ❑NA ❑NE
❑ Yes] No ❑ NA ❑ NE

Date or Ins 1 ectiun:
�It>-5
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 ['Failure to develop a POA kw sludge levels
❑ Non -compliant sludge levels in any lagoon
List structurc(s) and date of first survey indicating non-compliance:
❑ Yes
❑ Yes
ID NA ❑NE
No ❑ NA ❑ NE
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) cenification?
Other Issues
2K. Did the facility fail to properly dispose of dead animals with 24 hours andlor 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? lfyes, check the appropriate box below,
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Ycs
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance of the permit or CA W hip?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
44. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ Yes
d No
1/1No
[�No ❑NA ❑NE
❑NA ID NE
❑ No ❑ NA ❑ NE
6 No ❑ NA ❑ NE
[ No
[4No
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
DNr
Comments (refer to question #): Exptain any YES answers andlor any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessan').
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13-27- L-I )95 - - ,
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Cr of .k 014.See. d
Reviewer/inspector Name: 1'
Reviewer inspector Signature:
Page 3 of 3
Date:
2,1/2015