820490_Routine Inspection_20220330

s
3/-�902�
©"Division of Water Resources
Facility Number , - � 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 1mpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency ellger 0 Denied Access
Date of Visit:_45 �rrival Time. Departure Time: 31W County, '7 Region: Fg D
Farm Name: bGE"?"1----7 —E I Y 5 / f �` -• Owner Email:
r� t�°
Owner Name: C_L;1 %U Cc:1 G Phone: 970 /31
Mailing Address:
Physical Address:
Facility Contact: ( i - J Title: z - ��7.-- Phone:
Onsite Representative: �� Integrator:c��`
Certified Operator: Certification Number: /' is'.7419
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer _Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current _Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
_Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
_Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Q No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ 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? ❑ Yes Q'N<o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: - z° is Date of Inspection: <
Waste Collection& Treatment
4. Is storage capacity(structural plus stone storage plus heavy rainfall)less than adequate? n Yes n No n NA [.]'INIE
a. If yes,is waste level into the structural freeboard? 0 Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑ No ❑ NA ❑l E
(i.e.,large trees,severe erosion, seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes ❑ No ❑ NA LINE
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? ❑ Yes ❑ No n NA ❑'NE
8. Do any of the structures lack adequate markers as required by the permit? n Yes n No ❑ NA El NE
(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 . l-V.es ❑ No n NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need n Yes n No n NA
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. 0 Yes ❑ No n NA E
❑ Excessive Ponding ❑ Hydraulic Overload n Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
n PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus n Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ 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 ❑ No n NA ji NE
15. Does the receiving crop and/or land application site need improvement? n Yes ❑ No n NA r NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable n Yes n No ❑ NA NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes 0 No n NA NE
18. Is there a lack of properly operating waste application equipment? n Yes ❑ No n NA ❑14E
Required Records&Documents �.
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? n Yes n No n NA E'NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check n Yes n No 0 NA R-NE
the appropriate box.
❑WUP n Checklists n Design n Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes n No n NA 0-NE
n Waste Application n Weekly Freeboard n Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall n Stocking n Crop Yield ❑120 Minute Inspections ❑Monthly and 1" Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? n Yes ❑ No n NA 0--NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? n Yes n No ❑ NA I I IC
Page 2 of'3 2/4/2015 Continued

Facility Number: y -- 1199 Date of Inspection:3— (2
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA "l
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No ❑ NA
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:
26.Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes ❑ No ❑ NA Er<
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA --E' lE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA Er
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 u 1Vo ❑ 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?If yes,check the appropriate box below. ❑ Yes ❑ No ❑ NA
❑ 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 [/�No ❑ NA ❑ NE
Comments(refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations(use additional pages as necessary).
44-6/ tA4
de-4771 aji 72-14?"aie u,1 .-"/E---7.---4) <
X(0 e
- A As.
y?6,9
elA
oel/167 A pa/ cti; 7,76-,..)-e.c- ,s_./1 1,0:4 72--z7:
,1913
(16
Reviewer/Inspector Name: Phone: ASS/
Reviewer/Inspector Signature: Date:
c /
Page 3 of 3 2/4/2015