820232_routine_20221014

Facility Number
ozi9
Division of Water Resources
Q Division of Soil and Water Conservation
Q Other Agency
Type of Visit:
Reason for Visit:
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency O Other 0 Denied Access
Date of Visit: vtr .'L -1 Arrival Time: ru • 1 Departure Time:
Farm Name: -11
Owner Name: Jfl1 - . �ejeolc
Mailing Address:
Physical Address:
Facility Contact:
11:3V j rapc IN Region: -go
ner Email:
Phone:
oilim BY1d1014
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Une
Title: t 9?-
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Latitude:
Phone:
Integrator:
Certification Number
Certification Number:
Longitude:
Design Current Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part ofthe operation?
Discharge originated at: [1 Structure r Application Field
fl Other:
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
[� Yes No
NA fl NE
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 v.iatc:rs of the State (gallons)?
d. Does the discharge bypass the waste management system? (I f yes, notify DWR )
Is there evidence ()la past discharge from any part of the operation`?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Yes
fl Yes No
Yes No
Yes
Yes No
No fl NA NE
NA I—1 NE
NA NE
NA NE
NA I-1 NE
Page 1 of g
5/12/2020 Continued

Facility Number:
Date of Inspection:
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 I Structure 2
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): rj
Structure 3 Structure 4
n Y• es
Li Yes
Structure 5
No I NA NE
No 7N• A [IJN• E
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? [i Yes No E NA N• 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
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.
Excessive Ponding
n Yes INo NA NE
n Y• es t No n NA NE
Yes No I NA nNE
(i Yes
n Y• es
Yes
Hydraulic Overload n Frozen (:round n Heavy Metals (Cu, Zn, etc.)
ENA nNE
No 7NA EiNE
[NA nN• E
n PAN n PAN > 10% or 10 lbs. n Total Phosphorus n Failure to Incorporate Manure/Sludge into Bare Soil
Outside of Acceptable Crop Window I Evidence of Wind Drift n Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
1 4. 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.
n WUP Checklists Design Maps n Lease Agreements [Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
[
Waste Application
Weekly Freeboard Waste Analysis
Rainfall Stocking Crop Yield
120 Minute Inspections
—1 Soil Analysis
n Yes No n NA n NE
Yes 1:SNo NA n NE
nl Yes qNo n NA [] NE
n Yes N\No n N• A nNE
Yes nNo n N• A n NE
n
Yes No NA 7 NE
Yes [ No NA nNE
Yes No
I
Waste Trans ers
Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge`?
23. selected. did the facility tall to install and maintain ralnbreakers on irrigation equipment'?
Page 2 of 3
Yes
Yes
II
NA - NE
n Weather Code
n Sludge Survey
No C N• A NE
0
NA
NE
5/12/2020 Conthlued

Facility Number: Q)a -
1
Date of Inspection: 10-1ij• ✓1,2
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.
r] Failure to complete annual sludge survey 7 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:
❑Yes ❑No ❑NA ❑NE
[i Yes 7 No ❑ NA ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? Yes [1 No n NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification'? n Yes E No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document n 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? ri Yes E No n 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 7 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 n No ❑ NA ❑ NE
1-1 Application Field
❑ Lagoon/Storage Pond L] Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No E NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ No ❑ NA n 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).
QM�-\\ fsAIM, Nu
can}ia�
i`bw aWuS, small YAM\15 O \kgtoN'
Reviewer/Inspector Name: \c6viA, hAfflti
Reviewer/Inspector Signature: "O
Phone:
Date: 1i1Vf/./
Page 3of3
5/12/2020