090128_routine_20230331

4,
-Division of Water'R sour s,
Ivisio aterC ''s _t.
f So'il d on
F4�ijity,,N` Di -n 9
an
Other Agene
y
Type of visit: (V I Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 06 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
19c)
Farm Name: v-VT-m -Owner Email:
!B tri, I jq C
Owner Name: U Z. Phone:
Mailing Address:
Physical Address:
Facility Contact:Kodd) HVff matV Title:
Onsite Representative: �'to t] j
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator: rnf v
Certification Number:
Certification Number:
Longitude:
D rrent �Desiun Cu t
esign Cu rren
on Pop.,
Swine, acit ­,Ppp. Wet P Itry Ca , Cattle
pacity,
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
arrow to inish
Gilts
Boars
'Ot
her
r
INon-Layer
'Design C r
rent,
Dry'Poultry, Capacity Top.
Layers
Non -Layers
Pullets
Turkeys
TurkeyPoults
I Other
Discharge§ and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: D Structure D 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?
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Ej Yes M No DNA Ej NE
El Yes No
Yes No
NA E] NE
NA [:] NE
Yes "r No Ej NA ONE
N�
D Yes [N No Ej NA Ej NE
V
Lj Yes Lj No [:] NA D NE
Page I of 3 511212020 Continued

Facility Number: C7 - I 2A —1 FDa—teof Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? E] Yes No E] NA D NE
a. If yes, is waste level into the structural freeboard? L_j Yes I N11 No DNA D NE
L�j
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?
El Yes
No
D NA
D 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
Ej Yes
[2 No
E] NA
D 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?
Y e s
0 No
0 NA
ONE
8. Do any of the structures lack adequate markers as required by the permit?
D Yes
V1 No
[:] NA
D 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
El Yes
No
q,
D NA
D NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need 0 Yes � No D NA D NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. DYes MNo DNA ONE
F-1 Excessive Ponding F-1 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
F-1 PAN 7 PAN > 10% or 10 lbs. D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
F-1 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
14. 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?
D Yes
[P No
D NA
D NE
0-,V- [Z'Yes
No
D NA
E] NE
0 Yes
No
Ej NA
D NE
E] Yes
rV_1 No
W
Ej NA
D NE
D Yes
EZ] No
D NA
D NE
Required Records & Documents ' 1
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? D Yes [V] No E] NA D NE
Al�
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check El Yes 171 No D NA D NE
the appropriate box.
F_�),VUP DChecklists EjDesign D Maps 0 Lease Agreements EJOther:
2 1. Does record keeping need improvement? If yes, check the appropriate box below. D Yes IF No
F-1 Waste Application Weekly Freeboard D Waste Analysis OSoil Analysis D waste I ransfers
F-1 Rainfall 0 StockingEj Crop Yield E] 120 Minute Inspections D Monthly and I " Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? D Yes N] No
k �
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? D Yes D No
0 NA D NE
D Weather Code
Ej Sludge Survey
0 NA Ej NE
[-] NA Ej NE
Page 2 of 3 511212020 Continued

Facility Number: G1 -120 jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes No 0 NA 0 NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes No 0 NA 0 NE
the appropriate box(es) below. F,
F-1 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? El Yes No 0 NA 0 NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 0 Yes No E] NA ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document 0 Yes V] No
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? 0 Yes [P No
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the ftional Office of emergency situations as required by the 0 Yes No
permit? (i.e., discharge, freeboardpro'blems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. El Yes No
F-1 Application Field 0 Lagoon/Storage Pond F—i Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Ej Yes E� No
33. Did the Reviewer/Inspector fail to discuss review/ins ection with an on -site representative? 0 Yes E] No
p
34. Does the facility require a follow-up visit by the same agency? 0 Yes FL] No
ary
'S9
LNAD 0 � 1)
' (IT e, CVN0(7(
Reviewer/Inspector Name: KHe ft)"Ot
Reviewer/Inspector Signature:
Page 3 of 3
0 NA 0 NE
0 NA 0 NE
0 NA [—] NE
0 NA 0 NE
0 NA [—] NE
0 NA 0 NE
0 NA 0 NE
Phone: qlq.M.q�19_
Date: 2-3
511212020

FACI LITY #: FARM NAM E:P-et:e LAGOON LEVEL
PERMIT (m)
DUEEVERY5YEARS
EXPERIATION DATE NUMBER OF ANIMALS
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WOP) (#20)
SOfLTYPESQVt, 06111a. lat)++P_J�c 161dua nm
CROP TYPESC&IC
CONTROL Cff
- ODOR ECK LIST YES OR No
- Irrigation Plan Maps YES OR- NO
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE NITROGEN LEVEL 221
DATE IT 2- '22- NITROGEN LEVEL O�
'10 NITROGEN LEVEL
DATE
SOIL REPORT (#21)
- EVERY 3 YEARS: DATE 9) 1-70
- P-1 (N ' 0 MORE THEN 400)
- PH (Note if 4 or le�)
- Cu/ZN (NO MORE THEN 8000) CU ZN_
(IF PEANUTS NO MORE THEN 300)
IRR2 ( 1)
NotoverPAN-. CROPTYPES oyz�w
FLOW RATES 9 C-3 NITROGEN (N)
Not over PAN CROP TYPES &mWe[/
FLOW RATES 9 SID .. - NITROGEN (N) ()A6
Not over PAN 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 LESS THEN THE DESIGNED FREEBORED POA NEEDED.
LUDGE (#21 &25)
-D U E EVERY YEAR: DATE 1'2 -
0: P: % RATIO OF SLUDGE
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 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 Ist- Ends March 31st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August Ist
Rye: Opens September Ist- Ends March 31st
Oats: -Opens September 1�c- Ends April 15th
Wheat: Opens September 1 st - Ends April 30th
Soybeans: Opens April 1st- Ends September 15th
Fescue: Opens August I-st- Ends July 31st
Sorghum Hay: Opens March 15th - Ends August 31st