820015_Routine Inspection_20220426

13/Ir 9/ ?7 /G3
': Dtookrn of Water•Reso urces r1 8 , :'
Facility Number pilau - /� 0 Division of Soil and water Conservation m. £ €'�� w i
0 Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: /,- Arrival Time: / ,,CIU Departure Time: County: Region:L: -O
Farm Name: G( _9 /6 Owner Email:
Owner Name: r Phone:
Mailing Address:
Physical Address:
Facility Contact: % Title: Phone:
Onsite Representative: r( Integrator: /"/
Certified Operator: !r (.- 2(z=-?_,VC? Certification Number: /(96, 3—
Back-up Operator: ( �L �% Certification Number: 'v2� /,,5�'
7
Location of Farm: Latitude: Longitude:
Design Current. Design .Current. . Design Current .,..
Swine Capacity Pop. Wet Poultry : Capacity .. Pop. Cattle Capacity Pop,ri
Wean to Finish Layer Dairy Cow •
Wean to Feeder • Non-Layer Dairy Calf I
Feeder to Finish job1� 0 Dairy Heifer
Farrow to Wean • • Design Current Dry Cow
Farrow to Feeder D Poultr Ca+ad Po 1. Non-Dairy
Farrow to Finish •La ers -- Beef Stocker _
Gilts U Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
Other 1 Turke Poults -- , _ �_ _ g `
lai
Other •Other -- , _ iog ,', E'.;. mi
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? 0 Yes iKNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? 0 Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No 0 NA 0 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 -Er No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes &No n NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 2/4/2015 Continued

Facility Number: - j5 Date of Inspection: 4;14,2(.12
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes a No ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes n No ❑ NA n NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: l 6
Spillway?:
Designed Freeboard(in): I U_(*
/9
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes lEtiNo ❑ NA ❑ NE
(i.e.,large trees,severe erosion,seepage,etc.)
6.Are there structures on-site which are not properly addressed and/or managed through a l Yes 12'No ❑ NA l NE
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? l Yes No ❑ NA f l NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes f rNo pi NA ❑ 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 ❑ Yes ❑lo ❑ NA l NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes Jallo ❑ NA f l NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes "No ❑ NA f 1 NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN 0 PAN>10%or 10 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
12. Crop Type(s). !! -'% !/ - �., e, liele7".ef-eri4
13. Soil T e s J r i� �� /s' •*� ;� - ► /j
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 'f No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? Yes f] No ❑ NA f 1 NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable f 1 Yes E'No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Ye No f 1 NA n NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes O No l NA l NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ceNo n NA f 1 NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ,4'f\10 ❑ NA f 1 NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑Lease Agreements ['Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes lEti\10 ❑ NA ❑ NE
❑Waste Application n Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking l Crop Yield ❑120 Minute Inspections ❑Monthly and 1"Rainfall Inspections ❑Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes ErNo l NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes , No n NA l NE
Page 2 of 3 2/4/2015 Continued

Facility Number: - Date of Inspection: / 7 ,2
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 ❑ Yes 17rNo ❑ NA ❑ NE
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? ❑ YesNo ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes , io ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes, 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? ❑ Yes Q"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?If yes,check the appropriate box below. ❑ Yes ,,❑'`No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ,0-1Clo ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 0 Yes „Er-No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes INo ❑ 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).
toit.5)
Reviewer/Inspector Name: Cl;n-e i ,eL/ at) Phone: 52e a:65' 78
Reviewer/Inspector Signature: J( Date: 7/2-t•
Page 3 of 3 2/4/2015

i
t
( 2-1--11-1‘- ej/
FACILITY#:J -/5FARM NAME: W/� LAGOON LEVEL
PERMIT(#19)
3
- DUE EVERY 5 YEARS J t
- EXPERIATION DATE 9!!*7 4 NUMBER OF ANIMALS LS ef�
- CURRENT NUMBER OF ANIMAL GO C-4- OIC CARD YES OR NO ._ '�'^`
WASTE UTILIZATION PLAN (WUP)(#20)
a
SOIL TYPES Beerz,t,e,e4
CROP TYPES b
- ODOR CONTROL CHECK LIST YES OR NO
- Irrigation Plan Maps-YES'OR NO
WASTE REPORT(#21) ,
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE l°1/ 7/dl'/ NITROGEN LEVEL t 05
DATE /? )/2-/
NITROGEN LEVEL
DATE 4966/AI NITROGEN LEVEL 1 6
SOIL REPORT(#21)
- EVERY 3 YEARS: DATE
- P-I (NO MORE THEN 400)
- PH(Note if 4 or less)
- Cu/ZN (NO MORE THEN 3000)CU ZN
OF PEANUTS NO MORE THEN 300)
IRR2(#21)
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)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION(#24)
- EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
- DATE OF CALIBRATION
- FLOW RATES
RAIN FALL(#21)
-INITIAL AFTER 1"RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
SLUDGE(#21&25)
-DUE EVERY YEAR: DATE //l 7 /
0: ei � P: %RATIO OF SLUDGE 5:3 — d.
0: P: %RATIO OF SLUDGE
0: P: %RATIO OF SLUDGE A-6(''
0: P: %RATIO OF SLUDGE
OTHER FORMS(#22 AND#21)
RAIN BREAKER FORM CROP YEILDS A' 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 31st
Corn:Opens February 15th-Ends June 30th
Cotton:Opens March 15th-Ends August 1st
Rye: Opens September 1st-Ends March 31st
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 31st