780034_Routine Inspection_20220221

Facility Number
''Division of Water Resources
0 Division of Soil and Water Conservation
O Other Agency,
Type of Visit: .erCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: R/A / Alt Arrival Time:
Farm Name:
Owner Name: ,d,
oe-rodemi
Mailing Address:
Physical Address:
Facility Contact:
Departure Time:
Owner Email:
Phone:
Coun
Region:
Onsite Representati e: `/
Certified Operator:
Back-up Operator:
Location of Farm:
itle:
Phone:
Latitude:
Integrator:
Certification Number:
Certification Number:
Longitude:
243
Swine
Design Current.
Capacity Pop.
A
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
,-Tor
Other
Other
Design Current
Wet Poultry Capacity Pop,
Layer
Non -Layer
Ca
Design Curre
Capacity Pc p
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?
❑ Yes FfNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
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) ❑ Yes ' No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? 0 Yes i2rNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Eio ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3
2/4/2015 Continued

Facility Number: -2 F - 3
Date of Inspection:, Ill /v2
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 Freeboard (in):
d.
El Yes ,? No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA 0 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 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 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.
O Yes 21\10 ❑ NA ❑ NE
❑ Yes No ❑ NA 0 NE
❑ Yes 2'No ❑ NA ❑ NE
❑ Yes �,❑'No ❑ NA ❑ NE
❑ Yes ,❑i'No ❑ NA ❑ NE
❑ Yes ❑ NA 0 NE
❑ Yes Er -No ❑ NA ❑ NE
n Excessive Ponding ❑ Hydraulic Overload El Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
n PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
n Outside of Acceptable Crop Window
12. Crop Type(s):
13. Soil Type(s):
❑ Evidence of Wind Drift
/04A
❑ Application Outside of Approved Area
4 .6 01X-4-'3"---ceil A/4
14. Do the receiving crops differ from those designated in the CAWMP?
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 ❑ Design El Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
El Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑'Soil Analysis
❑ Rainfall ❑ Stocking ❑ Crop Yield T20 Minute Inspections
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
❑ Yes ...Er -No ❑ NA
❑ Yes j No ❑ NA
❑ Yes No ❑ NA
❑ NE
❑ NE
❑ NE
❑ Yes J7JNo ❑NA El NE
❑ Yes „''No ❑ NA ❑ NE
n Yes j'No ❑ NA 0 NE
El Yes --e'No ❑ NA ❑ NE
❑ Other:
1-Yes ❑ No ❑ NA ❑ NE
❑ Waste Transfers ❑ Weather Code
El Monthly and 1" Rainfall Inspections ludge Survey
❑ Yes ,®"No 0 NA ❑ NE
El Yes ,ErNo ❑ NA ❑ NE
2/4/2015 Continued

Facility Number: r
Date of Inspection: /'j / a
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.
ailure 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:
O Yes ErSlo ❑ NA ❑ NE
„a -Yes 10 ❑ NA ❑ 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? n Yes ,,io ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes .aSio ❑ 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? n Yes _�--No 0 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 n Yes Er;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. n Y• es • rNo ❑ 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?
'mr
Use dra
to quesll
ility to be
y YES answers and/o a
it -nations (use additional pages
n Y• es --`No ❑ NA ❑ NE
❑ Yes iallo ❑ NA ❑ NE
❑ Yes El Io ❑NA ❑NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
014,
Phone: Q/11 ; j, — 9 7
Date: ! , / 14)--
2/4/2015

FACILITY#: FARM NAME:
LAGOON LEVEL
PERMIT (#19)
- DUE EVERY 5 YEARS
- EXPERIATION DATE NUMBER OF ANIMALS
- CURRENT NUMBER OF ANIMAL
- OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECK LIST YES OR NO
Irrigation Plan Maps YES OR NO
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE
1136 d NITROGEN LEVEL
DATE q 01"fd,)•/ NITROGEN LEVEL 01-q
DATE
//51/G-/ NITROGEN LEVEL G)
SOIL REPORT (#21) `/
EVERY 3 YEARS: DATE 5jl / i 0,2
ti
- P-I (NO MORE THEN 400) '�—�--- 3 /
PH (Note if 4 or less)
- Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300) 4-3
Not over PAN
FLOW RATES
IRR2 (#21)
CROP TYPES
Not over PAN CROP TYPES
FLOW RATES NITRO
NITROGEN (N)
,,e4a44-/
Not over PAN
FLOW RATES
CROP TYPES
NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBATEP EVERY OTHER YEAR
DATE OF CALIBRATION !��
FLOW RATES 11 a)
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
,9;h, ��vr�. SLUDGE (#21 &25)
-DUE EVERY YEAR: DATE "- , 'll `''
/o RATIO OF SLUDGE - 0
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