260072_Routine Inspection_20230220

ivision of Water Resources
Facility Number - % 0 Division of Soil and Water Conservation
0 Other Agency
type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
1eason for Visit: j12outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ' (j461 Arrival Time: ,' �30,9 Departure Time: V1134 /S77i County:jzoy Region:
Farm Name: "M '-� Owner Email:
Owner Name: �, � / J�6U A-c' Phone:
Mailing Address:
Physical Address:
Facility Contact: --�e'i%� Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
V
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
I
Farrow to Feeder
� O DU
Farrow to Finish
Gilts
Boars
Latitude:
Phone:
Integrator: r7_6m
Certification Number: `f� Z// .?
Certification Number:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacityy Pop.
Layers
Non -Layers
Pullets
Other Turkey Poults
FI Other
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)
2. Is there evidence of a 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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes �io ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
0 NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes Zf No ❑ NA 0 NE
❑ Yes &No ❑ NA ❑ NE
Page I of 3 511212020 Continued

Facility Number: - Date of Inspecti
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes �No
❑ NA
0 NE
a. If yes, is waste level into the structural freeboard?
❑ Yes ❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure
6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): r_ �
5. Are there any immediate threats to the integrity of any of the structures observed?
[:]Yes allo
❑ 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
❑ Yes E f No
❑ NA
❑ NE
waste management or closure plan?
1 threat, notify DWR
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environ;(o
7. Do any of the structures need maintenance or improvement?
ZYes
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes PNo
❑ 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
kYes jKlOo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes [E 'No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes "21-No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ 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 T es:
13. Soil Type(s): GL
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Eno ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ,�No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes /� No ❑ NA ❑ NE
acres determination? >0
17. Does the facility lack adequate acreage for land application?
❑ Yes 2'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes _,E�J"No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes Efr No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes _,Ea'No
❑ NA
❑ 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 E�r'No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking [:]Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1 " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes fjNo
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes -6 No
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑NA ❑NE
Page 2 of 3 511212020 Continued

Facility Number: Date of Inspection: '
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes J2 No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes J,-2'1Go
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 to provide documentation of an actively certified operator in charge? ❑ Yes ,D'No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes .❑"No
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?
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes f!:f'No ❑ NA ❑ NE
❑ Yes E2-No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes
EfNo
❑ NA
❑ NE
❑ Yes
Pl­No
❑ NA
❑ NE
❑ Yes
] ' o
❑ NA
❑ NE
Reviewer/Inspector Name: sCI '� ,���Sd %� Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 511212020

FACT LITY #:� / FARM NAME:_
- DUE EVERY 5 YEARS
- EXPERIATION DATE
- CURRENT NUMBER OF ANIMAL _
- OIC CAR ES R NO
PERMIT (*19)
LAGOON LEVEL
�vUo
NUMBER OF ANIMALS
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES �G 4
- ODOR CONTROL CH K LIST E OR NO
- Irrigation Plan Map YES OR N
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER /
DATE ���" ° a2 NITROGEN LEVEL
DATE ` NITROGEN LEVEL
DATE NITROGEN LEVEL ?�
�olr�Il�� Fri
SOIL REPORT /
- EVERY 3 YEARS: DATE �� l,3
- P-1 (NO MORE THEN 400)
- PH (Note if 4 or less)
- Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUTS NO MORE THEN 300)
I R R 2 (#2,)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N) _
Not over PAN CROP TYPES
FLOW RATES NITRO N (N)
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
CROP TYPES
NITROGEN (N)
CROP TYPES
NITROGEN (N)

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBR9TED EVERY OTHER YEAR
DATE OF CALIBRATIONst-
- FLOW RATES /S1�
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT ,ry
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
DUE EVERY YEAR: DAT
0:
P:
0:
P:
0:
P:
0:
P.
SLUDGE (#21 &25)
% RATIO OF SLUDGE
% RATIO OF SLUDGE
• RATIO OF SLUDGE
• RATIO OF SLUDGE
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM A CROP YEILDS 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 1 st— Ends March 313t
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 13t
Rye: Opens September 1st - Ends March 31 st
Oats: -Opens September 1st- Ends April 15th
Wheat: Opens September 1 st - Ends April 30th
Soybeans: Opens April 1 st- Ends September 15th
Fescue: Opens August 1 st - Ends July 31 st
Sorghum Hay: Opens March 15th - Ends August 31 st