740075_Inspection 2021_20210819

Facility Number
L
�'1
Division of Water Resources
0 Division of Soil and Water Conservation
Other Agency
Type of Visit: • ( umpliance inspection Mperation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: fil Routine 0 Complaint O LuAim -up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of'Visit: i5- lc—,31 1 Arrival Time:
Farm Name:
cYk Ir1ti•'
Departure Timer Jo 37.E County:
Owner Email:
Owner Name: i—' ZZ- t L. v U,C Phone:
Mailing Address: 0 3 12jr cin (l . (7i i n C v v 1 t
Physical Address:
YAA-
Region :L
Facility Contact: [ \ Title: Phone:
Onsite Representative: \ 4 CI
Certified Operator:
Back-up Operator:
Location of Farm;
Latitude:
Tntcgrator: I'1i i - y C
Certification Number:
Certification Number:
Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Fcedcr
?-1)_
r ++
I+aG G Jr
Feeder to Finish
Farrow to Wuxi:
Farrow to Feeder
Farrow la Finish
GiIts
Boars
Other
Other
Design Current Design Current
Wet Poultry Capacity Pop. Cattle Capacity Pop.
Layer
Mori -Layer
Design Current
Dry Poultry Cartacit► Pon.
Layers
Non -Layers
urkcys
] urkcy Poults
tiher
Dairy Cow
Dairy Cali
Dairy Hcifcr
Dry Cow
Non -Dairy
Beef Stocker
Beet' Feeder
13cet Brood
Discharges and Stream impacts
1. is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application field E] Other:
a. Was the conveyance Hain-ntadc?
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. Docs the discharge bypass the waste management system? Wyes, notify DWR)
2, Is there evidence of a past discharge from any part of the operation?
3. Wcrc there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of 3
ElYes No 0 NA ❑ NE
❑ Yes ❑No 0NA El NE
❑ Ycs 0 No ❑ NA ❑ NE
❑ Ycs ❑ No ❑ NA ❑ NE,
❑ Yes 1446 ❑NA ❑NE
O Yes Ld No ❑ NA ❑ NE
2/4i2 15 Cominued

IFacilits Number: 'r11 -
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 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed 1,reeboard (in):
25
'Date or Inspection: S- ?1-2 iJ
❑ Yes
❑ Ycs
Structure 4 Structure 5
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, ctc.)
6. Arc there structures on -site which arc not properly addressed and/or managed through a
waste management or closure plan?
If in orquestions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
❑ Ycs 1/ No
O Yes 01/No
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)
4. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
l0, Are there any required butlers, setbacks. or compliance alternatives that need ❑ Ycs ❑ No ❑ NA 0 NE
maintenance or improvement?
l 1. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Ycs [No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen {]round ❑ Heavy Metals (Cu, Zn. etc.)
❑ PAN ❑ PAN: 1O%or l0 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
N o
0/No
Structure 6
0 Ycs dNo ❑ NA ❑ NE
❑ Yes
❑ NA ❑ NE
O NA ❑ NE
1No ❑ NA ❑ NE
l2. Crop Type(s): 5( ( v ••'
13. Soil Type(s):
14, 1)u the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
l6. Did the Fuility fail to secure and/or operate per the irrigation design or wettable
acres determination`?
17, Does the facility lack adequate acreage fur land application'?
1 t, is there a lack of properly operating waste application equipment'?
Required Records & Documents
I9. Did the facility Eai1 to have the Certificate of Coverage & Permit readily available?
20. Does the futility fail to have all components of the CAWMP readily available? lfyes, check
the appropriate box.
❑ WISP ❑Chceklists ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping nerd improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑NA ❑NE
❑ NA ❑ NE
❑ Yes [No ❑ NA ❑ NE
❑ 1'L;a No
❑ Yes l_lNo
❑ Yes [/No
❑ Ycs 12f No
❑ es [ No
❑ 1'c, ©/No
❑ Ye. No
❑ t)ther:
❑ NA 0 NE
❑ NA ❑ �}
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑NE
❑NA El NE
❑ Ycs ❑ No
❑ Waste Transfers
❑ Rainfall ❑ Stock ing 0 Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall inspections
77. Did the facility fail to instal! and maintain a rain gauge?
23, if selected, did the facility tail to install and maintain rainbreakers on irrigation equipment?
Page 2 of ,3
❑ Yes
❑ Yes
N
❑ NA ❑ NE
0 Weather Cade
❑ Sludge Survey
❑NA ❑NE
❑ NA NE
2/4/2015 Caruinued

[Facility. Number: -1Ll - —is 1
IIlute of Inspection: Sr - 11
24. Did ncc 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 structurc(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes [fJ o ❑ NA ill
27. Did the facility fail to secure a phosphorus loss asses..sments (PLAT) certification'? D Yes [ No ❑ NA ❑ NE
Other issues
28. ]lid the facility fail ro properly dispose of dead animals with 24 hours and/or document LiYes diNo ❑ 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? ❑ Yes 1Na ❑ NA ❑ NE
[fyes, 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, Frcehnard problems, over -application)
31. Do subsurface tile drains exist at the facility? if yes, check the appropriate hox below. ❑ YesNo ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes tNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Ycs No ❑ NA ❑ NEr
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
❑ Yes
O Yes
dpu ❑ NA ElN F
No ❑ NA ❑ NE:
Comments (refer to question 4): Explain any'4'ES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
2l4/2015
i