820718_Routine Inspection_20230808

4aTivision of Water Resources
Facility Number �� ��/ 0 Division of Soil and Water Conservation
0 Other Agency
type of Visit: _'ompliance Inspection 0 Operation Review 0 Sta ucttu-e Evaluation 0 Technical Assistance
leason for Visit: aRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time' �r ,i,� .mil?� � Departu►-e Time: ,�) +���� County , -: �°��;� ';�'a�a Region:
l
Farm Name:_ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:Title:
i�
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Design Current Design Current
Capacity pop. Wet Poultry Capacity Pop.
_ Layer
Non -Layer
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Dry Poultry Capacity Pop
Layers _
Non -Layers
Pullets
Turkeys
Turkey Points
Other
Discharges and Stream lmljacts
1. Is any discharge observed from any hart of the operation?
Discharge orl-Mated at: Structure [� Application Field Other:
a. Was the Coll vevarice m<in-made?
b. Did the discharge reach \-, aters of the State? (11- yes.. notify D'A7R)
C. What is the estimated voh-ime that reached waters of the State (gallons)?
d. Does the discharge bypass the waste mana(.yeoicnt system? (]ryes, 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
0 Yes _D`No D NA L-] NE
O Yes 0 No
Ej Yes [,-,l No
NA NE
NA [j N'E
Yes No NA [] NF
[:] Yes . No 0 NA [7 NE
0 Yes 40 No E] NA ❑ NE
Page 1 of'3 i/12/2020 Continued

Facility Number:`..,' -. - t ;;�' Date of Inspection:�
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate'?
❑ Yes
E!jNo
❑ NA
❑ 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
f }
Identifier:
Spillway?:
Designed Freeboard (in): if
Observed Freeboard (in):j (�
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
�❑'No
❑ 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
Q No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
❑`No
❑ 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
❑ Yes
„F-TNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
,❑ No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑"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
.. 6
12. Crop Type(s): �� 1� �� �w a.. > !�=
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0-No ❑ 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?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑_No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ 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 Q No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes F No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes -❑ No ❑ 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 E]"'No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ','�es� 10 ❑ NA ❑ NE
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:(��� , �y
26. Did the facility fail to provide documentation of an actively certified operator in charge? ❑ Yes ONo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [;�'No ❑ 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)
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?
Reviewer/Inspector Name: 4- ji a n _e 1* t-w el5
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes [ o ❑ NA ❑ NE
❑ Yes E�J_No ❑ NA ❑ NE
[:]Yes �No ❑ NA ❑ NE
❑ Yes 4Efr No
[—]Yes -E�r No
❑ Yes [El No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
Phone: ( `
Date: Vh?_X3
511212020

FAOI LITY #:� _ ( FARM NAME:
6�- -t3?' _
- DUE EVERY 5 YEARS
- EXPERIATiON DATE
- CURRENT NUMBER OF ANIMAL
- OIC CARD YES OR NO
PERMIT (*iq)
NUMBER OF ANIMALS
WASTE UTILIZATION PLAN (WUP) (#20)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECK LIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT (#zt)
-GOOD FOR 60 DAYS BEFORE OR AFTER
f e
DATE ` ` �3
NITROGEN LEVEL
DATE (1� l 3
NITROGEN LEVEL
DATE 9 I '3
NITROGEN LEVEL 1. 5 �
v
SOIL REPORT (z,)
- EVERY 3 YEARS:
DATE 3
- P-1 (NO MORE THEN 400)
- P H (Note if 4 or less)
- Cu/ZN (NO MORE THEN 3000) CU ZN
(IF PEANUT S NO MORE THEN 300)
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
I R R 2 (#2-1)
CROP TYPES
NITROGEN (N)
CROP TYPES
NITROGEN (N)
CROP TYPES
NITROGEN (N)
CROP TYPES
NITROGEN (N)
LAGOON LEVEL

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION 7/13
FLOW RATES , . _
RAIN FALL c�i)
-INITIAL AFTER 1" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
�� Iq
/��SLUDGE (#2-� &z�-DUE EVERY YEAR: DATE C
0: q., l P: 7 % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND 421)
RAIN BREAKER FORM LZv CROP YEI LDS 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 301h
Small Grain. Over seed: Opens October 1st- Ends March 31st
Corn: Opens February 15th - Ends June 30th
Cotton: Opens March 15th - Ends August 1st
Rye: Opens SeptemberIst - Ends March 31st
Oats: -Opens September 1st- Ends April 1511,
Wheat: Opens September 1st - Ends April 30th
Soybeans: Opens April 1st- Ends September 15th
Fescue: Opens August 1st- Ends July 31st
Sorghum Hay: Opens March 15th - Ends August 31 st