740043_Inspection 2021_20210818

Facility Number
LA'n
Division of Water Resources
❑ Division of Soil and Water Conservation
d Other ,igency
I ipe of Visit: *Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical :issistnnee
Reason for Visit: • Rntiiine 0 Complaint 0 Follow -op 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Earm Name:
Is -ate
Arrival Time:
Car Ge�q✓ ryt5
Owner Name: + , ciYpy\ f
Depariorc l ime:
Owner Email:
Phone:
C'ountr: ram+
Region:\--'\ck
Mailing Address: lirizcILCI
p, j r i IC. c t} r' et I 0-1Q r -
Physical Address:
C
Facility Contact: j C a� Title:
Onsite Representative: o''da4.- CrheL
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: M t t-l/.-t fiC)I
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wain to Finish
Wean to Feeder
7A TSALT
ecdcrtoFinish
111.0
Farrow to Wewl
Farrow to Feeder
Farrow to Finish
(.ii Ii`
Iin;3rs
Other
(Mier
Design Current
Wet Poultry Capacity Pup,
L_av�r
Nun -Layer
Dry Poult
Design Current
Capacity P
Layers
Non -Layers
Pullets
Turkeys
1 urkey Pcxults
t
t ether
Cattle
Design Current
Capacity Pop,
Dairy cow
Dairy Calf
Dairy Llcifcr
Dry Cow
Non -Dairy
Beef Stocker
Beef I ceder
B
Beef tlrooti Cow
Ilischarecs and Stream Impacts
I _ Is any discharge observed front any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
h. Did the discharge reach waters oldie State? (11yes, notify DWR)
c. What is tltc estimated volume that reached waters of the State (gallons)?
dr flocs the discharge bypass the waste management system'? (lfycs, notify DWR)
2. Is there evidence cif past discharge from any part I. the operation?
3, Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Pu?;t' 1 .J.J'3
❑ Yes No ❑ NA ❑ NE:
❑ Yes ❑ No p NA Q NE
❑ Ves No El NA ❑NE
❑ Yes p No ❑ NA ❑ NE
❑Yes ErNo 0 NA ❑NE
❑Yes o ❑NA El NE
2I4/2015 Ca1Nuurred

LFacility Number: - LI'S
Waste & 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 Structure 2 Structure 3
Identifier:
Spillway?:
Desigmed Freeboard (in):
Observed Freeboard (in):
Date of Inspection: A -
g.—
❑ Yes [r No ❑ NA l__,1 NE
El Yes [] No ❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
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 arc 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 environmental threat, notify DWR
f
Do any o#'the structures need maintenance or improvcrnent?
S. 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?
1. is there evidence of incorrect land application? [f yes, check the appropriate box below.
❑ Yes Ef No [] NA ❑ NE
❑ Yes 4 0 NA ❑ NE
❑ Yesio ❑ NA 0 Ns
❑ Ycs 044o ❑ NA ❑ NE
❑ Yes [/(No ❑ NA ❑ NE
❑ Yes [?No I❑ NA ❑ NE
❑ Ycs Iva ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu. Zn. etc.)
❑ PAN ❑ PAN > [0% or 10 lbs. 0 Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
l2. Crop Types):
l3. Soil Type(s):
[4. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or hind application site need improvement?
❑ Yes 0/No ❑ NA ❑ NE
❑Ycs ▪ ❑NA NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑Ycs No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes o ❑ NA ❑ NE
18, is there a lack of properly operating waste application cquipmcnt? ❑ Yes o ❑ NA [] NE
Required Records & Documents
[9_ Did the facility fait to have the Certificate of Coverage & Permit readily available'? ❑Ycs o ❑ NA ❑ NE
20. Doss the facility fail to have ail components of the CAWMPeadily available? If yes, check ❑Ycs [ lVa 0 NA ❑ NE
the appropriate box.
❑ WI.JP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ['Other:
I . Does record keeping need improvement:' II yes, check the appmpriatc box below. ©Yes o ❑ NA El NE
Q 4`aste Application ❑ Weekly Freeboard ❑ Waste Analysis Soil Analysis ['Waste Transfers ❑ Weather Cndc
Stocking El Crop Yield El 120 Minute Inspections ❑Monthly and I" Rainfall Inspections El sludge Survey
❑ Rainfall
22, Did the facility fail to install and n>aintaln a rain gauge' ❑Yes ❑ NA ❑ NE
23. if selected, did the. facility fail to install and maintain rainbrcakcrs on irrigation equipment'? ❑ Ycs No ❑ N❑ NE
lI�/2413 A [+7nrirrrred
Page 2 of 3

Facility Number; 1 - 1
,Date of inspection:
- -00 1
24, Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [ No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes. check ❑ Ycs 0 No ❑ NA ❑ NE
the appropriate box(es) below.
El 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 dale of first survey indicating non-compliance:
t
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Ycs D o 0 NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes gel No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA 0 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? ❑ Yes [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 No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? 1f yes, check the appropriate box below_ ❑ Yes ❑ ❑ NA ❑ NE
❑ Application Field [] Lagoon/Storage Pond ❑ Other;
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [ No ❑ NA ❑ NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [ No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes o ❑ NA ❑ NE
Comments (refer to question 4): Explain any YES answers andfor any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary),
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ReviewcrllnspcctarNomg: �G f
Reviewer/Inspector Signature:
Date: j
2 4/2015
Phone: o c -Qt-i7 -€ c