960179_Inspection 2021_20210928

Facility Number
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• Division of Water Resources
0 Dirisinn of Soil and 1'4 ater Conseil otiun
Q Other Agency
Fype of Visit; • Compliance Inspection i Operation Review Q Structure l-.valuation 0 Technical Assistance
Reason for Visit: t Routine Q Complaint 0 Follow-up 0 Referral 0 Entergcncti 0 Other
4S 1
Date of Visit: Arri► al Time: Departure Time:I
Farm Name:�tf {`
Owner Name: ire. tr [ C�. 1-cv fir_
✓tom
Owner Email:
Phone:
0 Denied Access
NC -
Mailing Address: D.O F�+C �1/ \\\ 1 is
Physical Address:
Facility Contact:
Onsite Representatise:
Certified Operator:
Back-up Operator:
Location of Farm:
1t \ Title:
Latitude:
Integrator;
Phone:
Certification Number:
Certification Number:
Longitude;
Swine
Design Current
Capacity Pop.
4O can to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Poult Ca act Po
Cattle
Design Current
Capacity Fop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cov.
❑ischar ,es and Stream Impacts
] . 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? (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 adverse impacts to the waters
of the State other than from a discharge?
Page iof3
❑ Yes EfiNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑Yes 0 No El NA El NE
❑ Yes
❑ Yes
❑ Yes
❑No ❑NA ❑NE
Ny ❑ NA ❑ NE
❑ NA ❑ NE
5/1202020 Continued

Twilit], Number: C, - �.
[Date of Inspection; .)`i37.1 J
11 xste Collection rk 1'real men t
4 Is tti'rtge capacity tstrth'1ur:il plus sionU storage plti.. Ice:o \ rainfall) less than t1d1'quate?
a. If yes, is waste level into the .iruLturitl freeboard?
identifier,
Spiliv�y;':
Designed Freeboard (in):
Struetun 1 tiirucltirr 2
Obsere ed Freeboard ON: _1,1
5. Lti tiro ❑ NA 0 NE
Are there any immediate threats to the integrity of any of the structures Deserve? Yd. ❑
(i.e.. large trees, severe erosion, seepage, etc.)
6. Are their structures on -site Ahich are not properly addressed and/or managed through a [] l es ❑ No 0 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 12/No
❑ Yes [No
Structure i Structure 4
❑ Yew
❑ Yr4
Structure S
Nn ❑ NA ❑ NE
No ❑ NA ❑ NE
Structure fi
7. Do any of the structures need maintenance or improvement?
8. Do any oldie structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
❑ NA
Q NA
p NE
❑ NE
9, Does any part of the waste management system. other than the waste structures require ❑ Yes [Vo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10, Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes allo ❑ NA ❑ NE
maintenance or improvement?
1 1. is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals {Cu, Zn, etc.)
❑ PAN ❑ PAN : 10% or 10 Ihs. ❑ Total Phosphorus ❑ Failure to Incorporate ManuretSludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind []rift ❑ Application Outside of Approved Area
12. Crop Type[s):
13, Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes o ❑ NA ❑ NE
15. Does the receiving crop andlor land application site need improvement? El Yes No ❑ NA ❑ NE
16. Did the facility fail to secure andior operate per the irrigation design or wettable ❑ Yes ] No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? 0 Yes [No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yeso ❑ NA ❑ NE
keoaired Records & Documents
l9. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes 040 ❑ NA El NE
20. Does the facility fail to have all components of the CAWMP readily available? [ryes, check ❑ Yes "No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yeso ❑ NA [j NE
0 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? ❑ Yea ErfiNo ❑ NA ❑ NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment'? ❑ Yes DrNo ❑ NA Q NE
Page 1 of 3 5II2/2020 Continued

1Faeilit umber: ( _ 1—j ( hate of Inspection:
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 for sludge levels
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ Yes a
▪ Yes
❑ NA ❑ NE
[tin ❑ NA ❑ NE
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
28. 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 ache 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
❑ Yes
❑ Yes
❑ Y
❑ Yes
❑ Yes
32. Were any additional problems noted which cause non-compliance ofthe permit or CAWMP?
33. Did the Reviewer: Inspector fail to discuss reviewlinspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[] Yes
❑ Yes
No
6/No
•in ❑ NA
❑NA
❑ NA
❑ NA
El<lo ❑ NA
No ❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or an) other comments.
Use drawings of facility to better explain situations fuse additional pages as necessary}.
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Reviewcr1lttspector Name-
Reviewer/Inspector Signature:
Page 3 of 3
Date:
hae C 1-0,)3(1
-1% -2 (
5I12/7020