820283_Routine_20221216

Facility Number
0-vision of Water Resources
O Division of Soil and Water Conservation
Q 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:
Departure Time:
Farm Name: je.%0�' � 1 //r , T 2 yu f'`t' re.Zi'
Owner Name: Jc-4-r. _ -FP
Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
Phone:
County:.
Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Title:
Design Current
Capacity Pop.
Latitude:
Phone:
Integrator: T7-75r�;�.
Certification Number:
Certification Number:
Longitude:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Dry Poultry
Non -Layers
Pullets
Turkeys
Turkey Poults
Design Current
Capacity Pos.
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: [n Structure rn Application Field Elj 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)?
Cattle
Beef Stocker
Beef Feeder
Design Current
Capacity Pop.
n Yes o C NA IT NE
rn Yes pi No fn NA NE
Yes No NA n NE
d. Does the discharge bypass the waste management system'? (If yes, notify DWR) Yes
2. Is there evidence of a past discharge from any part of the operation'? n Yes
3. Were there any observable adverse impacts or potential adverse impacts to the waters n Yes
of the State other than from a discharge?
n No n NA NE
135� NA fn NE
0
NA
NE
Page 1 of 3
5/12/2020 Continued

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?
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
Structure 3 Structure 4
❑ Yes
❑ Yes
Structure 5
LJ< ❑ NA ❑ NE
❑No f]NA ❑NE
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes
(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
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?
1 1 . Is there evidence of incorrect land application? If yes, check the appropriate box below.
No ❑ NA ❑ NE
❑rNo ❑ NA ❑ NE
Res ❑ No
❑ Yes N6
❑ Yes
10
❑ Yeslio
fYes No
❑ NA El NE
El NA ❑NE
❑ NA ❑ NE
❑ NA ❑NE
❑ NA ❑NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. n 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): ;!✓�`11/41 sr itkjr�
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No
15. Does the receiving crop and/or land application site need improvement? ❑ Yes Q'10
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes '1 o
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes []`No
18. Is there a lack of properly operating waste application equipment? ❑ Yes 12rNo
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [ No
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 17<o
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
O NE
❑ NE
❑ NE
❑ NE
❑ NE
R '° Ell NA ❑NE
n Waste Application ❑ Weekly Freeboard ❑ Waste Analysis n Soil Analysis ❑ Waste Transfers
❑ Rainfall [1 Stocking n Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge'? ❑ Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
❑ Weather Code
❑ Sludge Survey
No ❑ NA 0 NE
2/No ❑NA ❑NE
5/12/2020 Continued

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.
n Failure to complete annual sludge survey 7 Failure to develop a POA for sludge levels
f 1 Non -compliant sludge levels in any lagoon
List structure(s) and .late of first survey indicating non-compliance:
Yes Er\lo n NA n NE
n Yes E/vNo n NA ❑ NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? E Yes Er<o 7 NA E NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? n Yes FNo NA E NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document 7 Yes l� l i"o ❑ NA n 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 Er.lo fl NA Ej 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 Q No NA El 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 Yes [i NA E] NE
1-1 Application Field [1 Lagoon/Storage Pond [1 Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? n Yes ErNo NA El NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? n Yes RNo NA NE
34. Does the facility require a follow-up visit by the same agency? n Yes 10 Ei 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).
7,
', '
L•-i'J L7
1 L..t4cry z.5.
Le i 11 ke-
Reviewer/Inspector Name:
/'e
�7--J Phone:
0-Lb'tA51
Reviewer/inspector Signature: a Date:
Page 3of'3
5/12/2020