090132_routine_20230511

ivislon of WaterResources
_ /
acility Number ]FO Division of Soil'and Water Conservation
0 Other Agency '
Cype of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation Q Technical Assistance
[teason for Visit: (D-M-utine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: �l� , Arrival Time: ; j0 1 Departure Time: ; Coun
Farm Name: �y, rrA,_ -tJ n (ram Owner Email:
Owner Name: bti ), 0 T Z_ ��.� Phone:
Mailing Address:
Physical Address:
Facility Contact: Z:- ✓n7 Title: 19 Cl,, r.7
Onsite Representative:�, Integrator:
Phone:
Certified Operator: -� p� , ti Certification Number:
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Design Current- Design Current
Swine,_ Caacity Pop. i�9etPaultry Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish i7p
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Discharges and Stream Imuacts
Layer
Non -Layer
Design Current "
Div Poultry Capacity' POD.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
Regiolf, * Q
Design Current,° dl
Cattle, Capacity- mP
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
1. Is any discharge observed from any part of the operation?
❑ Yes
L3 o
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
❑ NA
❑ NE
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)
❑ Yes
❑ No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
0 Yes
�o
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
r'�To
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facility Number: - Date of Inspection:.
-
Waste Collection & Treatment
Yes
NA
NE
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑
2<o
❑
❑
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): / C
Observed Freeboard (in):�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
E�J<o
❑ 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
[/] 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 structures need maintenance or improvement? Yes o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Q o ❑ 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 2"res No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Ea"No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes [2-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 ❑ Evidences of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): L / / C V ed ;;_'rJ
13. Soil Type(s): 0 X,"i-
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Q o ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes Ejl�o ❑ NA ❑ NE
16. Did the facility fail to secure and/or -operate per the irrigation design or wettable ❑ Yes [i] No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
�O
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
[2-No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
[:]Yes
[E<o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
[:]Yes
[ 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 ©-No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis 0 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 EE] No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [I -No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑NA ❑NE
Page 2 of 3 511212020 Continued

Facility Number: - Date of Inspection: j
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E11150
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑-90
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 ®-No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Q o
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?
2, A + X aG%' Al z-o Z"t�UJ i �?'^� ice'` /-- ---
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes Q—<o ❑ NA ❑ NE
❑ Yes E2-No ❑ NA ❑ NE
❑ Yes / No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes []'No
❑ Yes [2-tgo
❑ Yes []'ll o
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Phone:
Date:
511212020