820700_Routine_20230330 (2)

-urces
Division of Water Res�o, btM
Facility Number 0 Division of Soil andWater.Conser.vatioif,
Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: I Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1 Arrival Time: Departure Time: County:
t7
Farm Name: f2joCco N Owner Email:
OwnerName: d1fl fam bt Kol(ehd)e 11C Phone:
Mailing Address:
Physical Address:
Region:
Facility Contact: Wi
del
I Hu
�EM (2 fl Title:
Phone:
Onsite Representative:
an-1,11—u-n
JJQI�w
Integrator: Mf I/
Certified Operator: Q
n dc � I �
V ff M
a
N
Certification Number: L62B17
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Design Current ",Design" Current
Swine capacit jCapacity Pop.
y Pop. Wet�Poultty'
LayerI
Non -Layer
Design Current
Dry Poultry Capacity "Pop.,
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
��arrow
to
Gilts
oars
6..
ier
Layers
Non -Layers
Pullets
Turkeys
[TTurkey
Poults
I
I Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: D Structure D Application Field F-1 Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DVvR)
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 �Caplicity
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
,Non -Dairy
113eef Stocker
R W OR T. �M���
D Yes 1� NOEJ NA Ej NE
Yes No
El Yes LN No
D NA D NE
D NA D NE
D Yes No DNA D NE
D Yes No D NA D NE
D Yes No D NA 0 NE
Page I of 3 511212020 Continued

Facility Number: Pa - ::I()Q I jDate of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes
No
F] NA
E] NE
a. If yes, is waste level into the structural freeboard?
E] Yes
No
[] NA
E] NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
Ej Yes
No
E] NA
E] 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
E] Yes
No
E] NA
E] 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 structures need maintenance or improvement?
[:]Yes
qNo
E] NA
Ej NE
8. Do any of the structures lack adequate markers as required by the permit?
E] Yes
No
R
E] NA
E] 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
E] Yes
CS No
Ej NA
E] NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
E] Yes
. No
Ej NA
[:] NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. E] Yes M No E] NA E] NE
F-1 Excessive Ponding Hydraulic Overload E] Frozen Ground E] Heavy Metals (Cu, Zn, etc.)
F� PAN F-1 PAN > 10% or 10 lbs. E] Total Phosphorus F-1 Failure to Incorporate Manure/Sludge into Bare Soil
F-1 Outside of Acceptable Crop Window E] Evidence of Wind Drift E] Application Outside of Approved Area
12. Crop Type(s): U,
13. Soil Type(s): inn CON h
14. Do the receiving crops differ from those designated in the CAWMP? E] Yes q No Ej NA NE
15. Does the receiving crop and/or land application site need improvement? E] Yes Eq No [:] NA NE
16. Did the facil ity fail to secure and/or operate per the irrigation design or wettable Ej Yes N No 0 NA E] NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Ej Yes No 0 NA E] NE
Ej Yes No [:] NA E] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? Ej Yes EQ No Ej NA [:] NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check Ej Yes N No Ej NA Ej NE
the appropriate box.
F-1 VV-UP Ej Checklists 0 Design F-1 Maps E] Lease Agreements F] Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. EJ Yes N No
F� Waste Application E] Weekly Freeboard F] Waste Analysis F] Soil Analysis Ej Waste Transfers
F-1 Rainfall E] Stocking E] Crop Yield Ej 120 Minute Inspections E] Monthly and 1 " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? 0 Yes N No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Ej Yes N No
Ej NA E] NE
E] Weather Code
E] Sludge Survey
Ej NA E] NE
E] NA F] NE
Page 2 of 3 511212020 Continued

lFacility Number: R? -21)() jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes -EQ,,No DNA D NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes 4-Q No D NA ONE
the appropriate box(es) below.
F� Failure to complete annual sludge survey F_� Failure to develop a POA for sludge levels
F-1 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below
F� Application Field D Lagoon/Storage Pond F-1 Other:
32. Were any additional problems noted which cause non-compliance of the permit or CANVMP?
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 agency9
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
D Yes J&No 0 NA D NE
D Yell"R No D NA D NE
E] NE
D Yes No 0 NA
D Yes'_t:��o D NA D NE
Yes No 0 NA E] NE
D Yes 'NNo Ej NA [:] NE
D Yes No
ED] Yes z 0
0 Yes J!;�No
Ej NA D NE
D NA [—] NE
0 NA 0 NE
Phone: III M (2- D I (�
,") 4 -
Date: L.*7
511212020

FARM NAME: LAGOON LEVEL
FACILITY#:&I-0
PERMIT
DUE EVERY 5 YEARS NUMBER OF ANIMALS
EXPERIATION DATE
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO JU_Q -hVffM M I (P I?) I
WASTE UTILIZATION PLAN (WUP) (#20)'
SOIL TYPES I eM, cc) I n ho'4
CROP TYPES �, 1% � 0, (AA, W
ODOR CONTROL CHECK LIST YES OR NO
Irrigation Plan Maps YES OR NO
WASTE REPORT (#21) 1
-GOOD FOR 60 DAYS BEFORE OR AFTER
I
DATE NITROGEN LEVEL L4
DATE12* LI'22 NITROGEN LEVEL
DATE NITROGEN LEVEL M) C),V_
SOIL REPORT (#21)
EVERY 3 YEARS: DATE
F- (N.CMORETHEN4001-
PH (Notaif4orless)
Cu/ZN (NO MORE THEN 8000) C
(IF PEANUTS NO MORE THEN 300)
I RR2 (#21)
over PAN CROP TYPES C6
FLOW RATES N ITROG EN (N)
ZN
Not over PAN 12- CROP TYPES C,�
FLOW RATES NITROGEN (N) 0-M
Not over PAN01— CROP TYPES
FLOW RATES— NITROGEN (N)
Not over PAN CROP TYPES —
FLOW RATES NITROGEN (N)

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION
FLOW RATES
-INITIAL AFTER 1" RAIN EVENT RAIN FALL (#21)
-LOOK FOR ANY LEVEL THAT IS LYSS THEN,THE DESIGNED FREEBORED POA NEEDED.
�;. LUDGE (#21 &25)
-D U E EVERY YEAR: DATE A n/12
0: P: % RATIO OF SLUDGEY.-n
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM CROP YEILDS MORTALITY
*If fields are grazed ther'e '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 1-t- Ends September 30th
Small Grain -Over seed: Opens October I st- Ends March 31st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August Ist
Rye: Opens September Ist- Ends March 31 st
Oats: -Opens September IA'- Ends April 15th
Wheat: Opens September I st - Ends April 30th
.Soybeans: Opens April I Ends September I 5th
Fescue: Opens August Ist- Ends July 31st
Sorghum Hay: Opens March 15th - Ends August 31st
iQ�t �eap_:
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