250029_Inspection_20180423

Faciricy Number
r
• Division of Water Resources
4 Division of Soil and Water Conservation
O Other Agency
pe of visit; 0 Compliance inspection 0 Operation Re► irn 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: 1 Arrival Time:
Departure Time:
Farm Name: SO..5 • CAD crt.XtVi, VCA f v • 5
01.5 Fier Name:
Owner Email:
C.•ounty:Creak', Region:Q
1.241)
❑Phone:
%failing Address: j 1 0 P v#'o + ,f +\t) I # /0C. 35 5 (�`
�}
Physical Address: j
Facility Contact;
Onsite Representative:
Certified Operator:
Rack -up Operator:
1.nrittion of Farm:
Cou x Y \
i7 C 1A3
Title:
Latitude:
Phone:
Integrator: 11 'C�a
Certification Number:
Certification Number:
'Longitude:
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
:
Farrow to Wean
o
(d
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Nun -Layer
Design Current
Dry Poultry Catacity Potr.
Layers
Non -Layers
f
Pullets
Turkeys
Turkey Poults
tither
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy heifer
Dry Cow
Non -Dairy
Beef Stocker
Flecl'Petder
Reel Il: 1 1ci 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?
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. Does the discharge bypass the waste management system? (if yes, notify DWR) ❑ Yes � ❑ NA El NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters El Yes !aEl NA ❑ NE
of the State other than from a discharge?
El Yes I El NA El NE
CIYes El No El NA El NE
❑Yes El No ❑NA ❑NE
Page 1 of 3
2/4/2015 Continued

Facilitti. Number: D _ -
�
Waste t'ollectlan & Treatment
T Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. ]fyes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3
Date of Inspection: LI -23
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
❑ Yes
❑ Yes
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, 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 ansnered yes, and the situation poses an immediate public health or environmental threat, notify DWR
D Yes 2( a ❑ NA D N];
❑ Yes [ No ❑ NA ❑ NE
❑ Yes o ❑ NA ❑ NE
No ❑ NA ❑ NE
❑ No ❑ NA E NE
Structure 6
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 ❑ Yes
maintenance or improvement?
1, is there evidence of incorrect and application? ]fycs, check the appropriate box below. ❑ Yes
❑ Excessive Pending HydrauIic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Ze, etc)
❑ PAN ❑ PAN > 10°%a or 10 ]bs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window 0 Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):?-)14
JLS(}
13. Soil Type(s):
El NA ❑NE
No ❑ NA ❑ NE
l4. Do the receiving crops differ from those designated in the CAWMP?
5. 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?
7. 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'? 1f yes, check
the appropriate box.
❑ MN ['Checklists ❑ Design ❑ Maps ❑ Lease Agreements
2 l . Does record keeping need improvement? if yes, check the appropriate box below. ❑ NE
❑ Waste Application ❑ Weekly Freeboard 0 Waste Analysis ❑ Soil Analysis
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to instal/ and maintain raistbreakcrs on irrigation equipment?
Page 2 of 3
❑ NA ❑ NE
a El NA ❑NE
vie o ❑NA ❑NE
DNA ONE
IAINQ ❑NA ❑NE.
❑ NA ❑ NE
❑ N A NE
d,
Q Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Other:
❑ Yes LJ 'yo ❑ NA
❑ Waste Transfers ❑ Weather Code
1" Rainfall Inspections f ❑ Sludge Survey
❑ Yes
❑ Yes
No ❑I ❑ NE
❑ No LrNA ❑ NE
2/4/2015 Continued

i
FeciIit► Number: tT -c*-
'Date of Inspection:1 ti3— / ( 1
24. Did the facility Fail to calibrate waste application equipment as required by the permit? ❑ Yes
25. is the facility out of compliance with permit conditions related to sludge? lfyes, check ❑ Yes
the appropriate boxes) 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other issues
'S. Did the facility fail to properly dispose of dead animals with 24 hours andlor document
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?
it" es, contact a regional Air Quality representative immediately,
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
permit? (i.e„ discharge. freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below,
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other..
D NA ❑ NE
❑ NA []NE
❑ Yes Q,2$o ❑ , ❑ NE
❑ Yes El No NA [] NE
❑ Yes Clio ❑ NA [] NE
❑ Yes ❑ No ❑ NA sr NE
❑ Yes ❑ NA [] NE
❑ Yes lVo ❑ NA I NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewerhhnspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up \ i4it h:,• the same agent?
❑ Yes
❑ Yes
❑ Yes
4L t
El NA []NE
❑ NA ❑ NE
fl1.t ❑NF
Comments (refer to question #): Explain any YES answers andlor any additional recommetrdtitinns or an:. other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
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,t la ►-; kA< o i c't
c15siz_ &in G o
f\-Ce-c14 Co-nAT tJA-
C_rof Q( cfC
R.c3 tower/Inspector Name:
Reviewer/inspector Signature:
Page 3 of 3
Ns Lu_)
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Phone; _ 239 7
Date: `# ' —
2ff!201 3