820146_Routine_20230330

_7W
Div'isjOnOfWat&Re9ources
-Ate Co ti
ili 'it ber" Divisibubf Soil, and W., r nserva -lon'3
e7),
00ther gency:
Fype of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit. �LRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency. 0 Other 0 Denied Access
Date of Visit: Region: fizo
5 Arrival Time: �� Departure Time: M= County
Farm Name: NA tf IDD t 109 Owner Email:
e: u a
Owner Nam iT-vir rfl �QnM INC Phone:
Mailing Address:
Physical Address:
M V r A9
Facility Contact:Udll hjj�E[04N Title: 751 Phone:
Onsite Representative: ty n S Integrator: rnfy
11-11
Certified Operator: ON 0 11 hvffEM Certification Number:
Back-up Operator:
Location of Farm:
C
XV
Latitude:
Certification Number:
Longitude:
C urreitt Design Current,
ulfiy Capacity-, POP Cattle,
''0
e
Wean to Feeder
Feeder to Finish
Farrow to Wean
,Farrow to Feeder
Farrow to Finish
Gilts
Boars
Layer
JNon-Laye r
Design �,C rrent
Pd Itry _,Capa
Dry u city "Topl.,
Layers
Non -Layers
Pullets
Turkeys
i Turkey Poults
I Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure Application Field F� 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
E] Yes No
E] Yes No
Ej Yes No
0 Yes No
Ej Yes No
Ej Yes 1� No
E] NA 0 NE
Ej NA Ej NE
E] NA E] NE
E] NA Ej NE
E] NA E] NE
E] NA E] NE
Page I of 3 511212020 Continued

IFacility Number: jDate of inspection:
Waste Collection & Treatment
plul
4. Is storage capacity (structural plus storm storage lus heavy rainfall) less than adequate?
El Yes
No
E] NA
E] NE
a. If yes, is waste level into the structural freeboard?
Ej Yes
No
Ej 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?
E] Yes
No
N
F-1 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
Ej Yes
N No
Ej 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?
E] Yes
No
E] NA
E] NE
8. Do any of the structures lack adequate markers as required by the permit?
Yes
No
Ej 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
E] Yes
No
NA
Ej NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
Yes"�No
NA
E] NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Yes No Ej NA Ej NE
F-1 Excessive Ponding 0 Hydraulic Overload Ej Frozen Ground E] Heavy Metals (Cu, Zn, etc.)
F-1 PAN F-1 PAN > 10% or 10 lbs. Total Phosphorus Ej Failure to Incorporate Manure/Sludge into Bare Soil
F-1 Outside of Acceptable Crop Window Evidence of Wind Drift Ej Application Outside of Approved Area
pe,
12. Crop Type(s): 51 b
13. Soil Type(s): \,jkA 1114 1 It
14. Do the receiving crops differ from those designated in the CAWMP? Yes No [:] NA NE
15. Does the receiving crop and/or land application site need improvement? El Yes No Ej NA NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable Ej Yes Q\ o [:] NA Ej NE
acres determination?
17. Does the facility lack adequate acreage for land application?
[:] Yes
N No
[] NA
Ej NE
18. Is there a lack of properly operating waste application equipment?
Ej Yes
Tg No
Ej NA
E] NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
Ej Yes
T�Q No
Ej NA
E] NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
E] Yes No
E] NA
NE
the appropriate box.
F'�WUP E]Checklists [:]Design Ej Maps Ej Lease Agreements
Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below.
Yes
No
F] NA
NE
Waste Application F ] Weekly Freeboard E] Waste Analysis E] Soil Analysis
Ej Waste Transfers
E] Weather Code
F� Rainfall E] Stocking 0 Crop Yield 0 120 Minute Inspections E] Monthly and 1 " Rainfall Inspections
E] Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
E] Yes
Rl*,;o
0 NA
E] NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Ej Yes
I�No
E] NA
E] NE
Page 2 of 3
511212020 Continued

IFacility Number:ejj., - jLJ(0 Wate Tof Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes t No Ej NA D NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Yes O'No D NA ONE
the appropriate box(es) below.
F� Failure to complete annual sludge survey F-1 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: (0
26. Did the facility fail to provide documentation of an actively certified operator in charge? Ej Yes No D NA D NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? El Yes No F-1 NA [—] NE
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-1 Application Field 0 Lagoon/Storage Pond F� Other:
'r-,n
Yes No
D Yes No
D Yes No
D Yes No
E] NA Ej NE
D NA D NE
D NA [—] NE
0 NA [:] NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Ej Yes No Ej NA D NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? E] Yes [A No DNA D NE
34. Does the facility require a follow-up visit by the same agency? D Yes NOE] NA 0 NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any ot'her comments.
Use drawings of facility to better explain situations,(use additional pages as necessary).
"2-5- hlqh gjUdoej VD�C_eflL7
N
Reviewer/inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone, - HE g7l 9
.qjj
Date: M.
511212020

FACILITY#: FARM NAME: LAGOON LEVEL���I 0 0)
PERMIT
DUE EVERY 5 YEARS
EXPERIATION DATE NUMBER OF ANIMALS
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR No
L_-T-.--mqAcq
n�
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPEScai nhD9
CROP TYPES G13, �Af)
ODOR CONTROL CHE�CK LIST YES OR NO
Irrigation Plan Maps YES OR NO
WASTE REPORT (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATEoQ, 91b NITROGEN LEVEL
D AT E-a. tP- 1-12 NITROGEN LEVEL
DATE NITROGENLEVEL 0.9)
SOIL REPORT (#21)
- EVERY 3 YEARS: DATE r_._2
- P-1 (N.0 MORE THEN 400) ro
- P H (Note if 4 or less) 6 12-
CuIZN (NO MORE THEN 8000) CU ZN
(IF PEANUTS NO MORE THEN 300)
I R R2 (#2-t)
9�0 . .
Not over PAN CROP TYPES
) 1- ?25
FLOW RATES NITROGEN (N
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N) 0.qo
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
RAIN FALL (#21)
-INITIAL AFTER 1" RAIN EVENT _6Z
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
-DUE EVERY YEAR: DATE 12-- 11, 2_Z SLUDGE (#21 &25)
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 gr azed 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 Ist- Ends September 30th
Small Grain -Over seed: Opens October 1st- Ends March 31-t
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March I 5th - Ends August I -t
Rye: Opens September Ist- Ends March 31st
Oats: -Opens September 1�c- Ends April 15th
Wheat: Opens September I A - Ends April 30th
Soybeans: Opens April 1st- Ends September 15th
Fescue: Opens August 13t- Ends July 31st
Sorghum Hay: Opens March 15th - Ends August 31st