780034_Routine_20230223

(Al1Division of Water Resources INFacility Number` 0 Division of Soil and Water Conservation 0 Other Agency a-9 -1 2 3
Type of Visit: WiConlipliance Inspection a Operation Review 0 Structure Evaluation Q Technical Assistance
Reason for 'V'isit: lRoutine Q Complaint 0 Follow-up O Referral O Emergency 0 Other a Denied Access
Date of Visit: 2 �,.23 Arrival Time: :oo Departure Timc: q, Lin County: ID M 1
Farm Name; A fMM�__ Owner Email:
Owner Name: "N. L_ v I Cj -�_- Phone:
wiling Address:
Physical Address:
Region:
Facility Contact: 3 1 rflffid � Title: MMA `FTI Phone:
1 Onsite Representative: jj_MM1 0. Integrator: �Ml+n�pj d
Certified Operator
Backup Operator:
Location of Farris:
Latitude:
Certification Number: V
Certification Number:
Design Current Design Current
Swine Capacity Pop. Vet Poultry Capacity Pop.
Wean to Finish
Wean to Feeder �y
Feederto Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
y5o
Other TT
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers _
Non-1-ayei-s —
Pullets
Tul-l{eys
Turkey Points
Othel-
Dischar„;es and Stream ImL)acts
1. Is any clischarge observed from any part ofthe operation?
Discharge originated at: Stl'nctUI'C EIApplic�!tion Field Other:
a. V1ias the conveyance man-made:''
b. Did the dischai-<,e reach waters ofthc State`? (Ifyes, notify DWh)
c. What is the estimated volume that reached waters of, the Stale (gallons)?
d. Does the discharge bypass the waste mana0 anent system? (lfyes, notify DW[Z)
2. Is there evidence of a past dischar��e 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 disclhar1(ye`.'
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Daisy Calf
Dairy Heifer
Dry Cow_
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
El Yes No ❑ NA NE
Y c s No NA NE
F�] Yes [] No NA ❑ NE
�] Yes
[:]No
'E� NA
NE
[] Yes
[-] No
NA
NE
0 Ycs
F] No
NA
❑ NE
Pry, e 1 o f'3 511212020 Continued

�acilaty Number: - Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? El Yes
a. If yes, is waste level into the structural freeboard? [j Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identi 1 ier: I
Spillway'.': IV _U
Designed Freeboard (in):
Observed Freeboard (in): p�
NNo ❑ NA ❑ NE
No ❑ NA ❑] NE
trLIClure 6
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
No
❑ 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
No
❑ NA
❑ 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 structurn es eed maintenance or improvement'?
Yes
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
No
[❑ 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 No ❑] NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
1 1. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ( No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑(Cu, Heavy Metals (CZn, etc.)
❑ PAN ❑ PAN > 1004) 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): ��, _kg-,K�Fldl What st��fn-K u [N -
13. Soil Type(s): -�D Iy--1
���
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
N,
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement'?
❑ Yes
MNo
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No
❑ NA
❑ NE
acres determination?
17.
Does the facility lack adequate acreage for land application?
❑ Yes
No
❑ NA
❑ NE
18.
Is there a lack of properly operating waste application equipment'?
❑ Yes
No
❑ NA
❑ NE
Required
Records & Documents
19.
Did the facility fail to have the Certificate of Coverage &, Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20.
Does the facility fail. to have all components of tfle CAWMP readily available'? Ifyes, checl�
0 Yes
� No
❑ NA
❑ NE
the appropriate box.
❑ WUP [:]Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement`? Ifyes, check the appropriate box below. ❑ Yes)k
No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis [_❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
??. Did the facility fail to install and maintain a rain gauge`? ❑ Yes No
23. 11'selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No
❑ NA s_J NE
❑ Weather Code
❑ Sludge S UFVey
❑ NA ❑ NE
❑ NA L] NE
Pi- ; e 2 n f' 3
511212020 Cmithmed

Facility Number: I jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No
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 structures) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator- in charge? ❑ Yes No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification`? ❑ Yes No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or 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`?
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
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:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
Reviewer/Inspector Name:
❑ Yes No
❑ Yes No
❑ Yes 1 No
❑ Yes V No
❑ NA ❑ NE
❑ NA ONE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ Yes V No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes RNO ❑ NA ❑ NE
Reviewer/Inspector Signature:
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