820697_Routine Inspection_20220223

/} 12
Facility Numb
�Dlvsion of Water Res()
0 Diviou
sion .of Soil and Water C
( Other Agency
Type of Visit: . etompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: cRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Mailing Address:
Physical Address:
Arrival Time:
,, dd Departure Time:
lowom
County:
Owner Email:
Phone:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
/1
Phone:
//
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
..2a26.757
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
4,ydv
OL-
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Desigi
et Poultry Capac%
omen
Pop.
Layer
Non -Layer
Other
Foul
Design Current
Ca aei Po
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
attle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef 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 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?
❑ Yes ,,oicro ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
O Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ,o 0 NA ❑ NE
❑ Yes , J No 0 NA ❑ NE
Page 1 of 3
2/4/2015 Continued

Facility Number: ' - 2' t 7
Date of Inspection: ,,2/A9�d2,
Waste Collection & 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?
Structure 1
Identifier: 1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
3'5-
Structure 2
Structure 3 Structure 4
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 any of questions 4-6 were answered yes, and the situation poses an immediate public health or en
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 2rNo ❑ NA ❑ NE
❑ Yes No ❑NA ❑NE
Structure 5 Structure 6
❑ Yes 0No ❑ NA ❑ NE
❑ Yes JNo ❑ NA ❑ NE
ronmental threat, notify DWR
es 73'i o ❑NA ❑NE
❑ Yes j"No 0 NA ❑ NE
❑ Yes No ❑NA El NE
n Yes `'No ❑ NA ❑ NE
❑ Yes El'iko ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs.
❑ Outside of Accep ble Crop Window
12. Crop Type(s):
e(s):
13. Soil Type(s): )in
14. Do the receiving crops differ from those desi
❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
7rie;
C6(4'' so-Ivo-6
ed in the CAWMP? ❑ Yes
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 n Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard 'Waste Analysis ❑ Soil Analysis
❑ Rainfall ❑ Stocking Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Ra
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page 2 of 3
O Yes No
❑ Yes No
❑ Yes .."No
❑ YesVo
❑ Yes ,No
O Yes „ 2)1\10
❑ Other:
❑ NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ONE
❑NA ❑NE
❑ NA ❑NE
❑ NA Li NE
.e• Yes 0 No
O Waste Transfers
infall Inspections
❑ Yes
O Yes
❑ NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑'No 0 NA 0 NE
2'No ❑ NA ❑ NE
2/4/2015 Continued

Facility Number:
'Date of Inspection: i�,�
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 0 Yes
the appropriate box(es) below.
❑ Failure to complete annual sludge survey 0 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 No
,N o
❑ NA
❑ NA
❑ NE
❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes . "No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ..g.'No ❑ NA ❑ NE
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? 0 Yes „Eli No ❑ NA ❑ NE
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 ❑ Yes -El No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes eEr No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes ❑NNo ❑ NA ❑ NE
❑ Yes 'No ❑ NA ❑ NE
O Yes No 0 NA 0 NE
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nd/or any a
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
,eersvr6
Phone: /'d
Date: ,/P-,3/€2,2
Page3of3 2/4/2015

99)
FACILITY # -" FARM NAME:
- DUE EVERY SYEARS EXPERIATION DATE / �gio2, /`
`
NUMBER OF ANIMALS
- CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
LAGOON LEVEL
t�WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
eVb4 Oo
CROP TYPES •$O PA 7&
- ODOR CONTROL CHECK LIST ES R NO
Irrigation Plan Maps YES OR NO
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE / 3 (3, NITROGEN LEVEL 1, 9 '')/
DATE` 93 011 NITROGEN LEVEL I > 35
DATE 45)//d O-T_O___— NITROGEN LEVEL `y 3 1
EVERY 3 YEARS:
P-1 (NO MORE THEN 400)
PH (Note if 4 or less)
Cu/ZN (NO MORE THEN 3000) CU (1�w
(IF PEANUTS NO MORE THEN 300)
DATE
IRR2 (#2-)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
ite,e/
ZN
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
,t1:1

CALBRIATION (#24)
EACH REEL SHOULD BE CALlEy2ATED EVERY OTHER YEAR
DATE OF CALIBRATION 4- -
FLOW RATES t `i/ / /5 1--.
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
' SLUDGE (#21 &25)
. �31�)
-DUE EERY YEAR: DATE
O:::!; A P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
RAIN BREAKER FORM
OTHER FORMS (#22 AND #21)
CROP YEILDS MORTALITY
*If fields are grazed there will be no crop yields
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS LAGOON SEEPAGE LAGOON BARE
AREAS TREES OR GRASS NEED TO BE REMOVED EROSION DITCHES
WINTER CROP(OVERSEEDED) HARVESTED FIELDS GOOD HEALTHY CORPS CORRECT
CROPS NO PONDING REELS FEED BINS LAGOON GARBAGE
Bermuda grass: Opens March 1st - Ends September 30th
Small Grain Over seed: Opens October 1st- Ends March 31 st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 1st
Rye: Opens September 1st - Ends March 31 st
Oats: Opens September 1st- Ends April 15th
Wheat: Opens September 1st - Ends April 30th
Soybeans: Opens April 1st- Ends September 15th
Fescue: Opens August 1st- Ends July 31st
Sorghum Hay: Opens March 15th - Ends August 31 st