820315_Routie Inspection_20230803

Facility Number
(--YDivision of Water Resources
0 Division) of Soil and Water Conservation
O Other Agency
Fype of Visit: O"Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
2eason for Visit: O -Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: ,; A1val Tinge: 1 ,! Depal"ti 7 1 Count`': Region:
Farm Dane: Owner Email:
'r
Owner Dame: - f Phone:
Y:i kil a
Mailing Address:
Physical Address:
'r
Title:
Facility Contact. W .LL, f f ,'�, �A�` A Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Latitude:
Phone:
Integrator:
9 �•
Certification lumber:
Certification Dumber:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Wean to Finish
Wean to Feeder
Feedel' to Flillsh
Fallow to W earl
Fallow to Feeder
Farrow to FMIsh
Gilts
Boars
Other
I I I I I
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Points
Other
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Daily Calf
Daily Helfer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feedel
Beef Brood Cow
Discharges and Stream In) )acts
1. Is any discharge observed fi-om any part of the operation`?
Yes
� Ej'No
NA
NC
Discharge originated at: Structure Application I'icld Other:
a. Was the conveyance illan-made?
Yes
D No
NA
NE
b. Did the discharge leach watei's of flic State'.' O f yes, notify DWR)
❑ Yes
D No
❑ NA
0 NE
c. What IS the CSt1111atCd VOIL1111C that Peached waters Of the State (gallollS)'?
d. Does the discharge bypass the waste management system? (If yes. notify DWR)
[__] Yes
E] No
NA
0 NF
2. Is therc evidence ora bast discharge from any part o!,tlhe operation?
❑ Yes
-EJ"No
DNA
0 NE
3. Were there any observable adverse impacts or potential adverse 11111,)acts to the waters
❑ Yes
E] No
D NA
[_� NE
of the State othel' thall I1'0111 a d1SC11al'(,?C,)
Ptioe I of'3 511212020 Continued

Facility Number: jDate of Inspection
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
'❑'No
❑ 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
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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
❑"No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
EI-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
❑ No
❑ 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 [D'No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground
❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 100/o 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
12. Crop Type(s): J ',' r' /,.'� ,ti:--.� o f-�, �_� . .r �_ �,
,; ;�
�. ,�`,°`
13. Soil Type(s):
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?
Q'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 _n No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather- Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes -L" No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ❑'No ❑ NA ❑ NE
Page 2 of'3 511212020 Continued

Facility Number: r ,�'_ - �` Date of Inspection
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes _ ❑ No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ,E] No ❑ 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:
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)
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`?
❑ Yes.--❑ No ❑ NA ❑ NE
❑ Yes -❑ No ❑ NA ❑ NE
❑ Yes E❑` No DNA ❑ NE
[:]Yes E No ❑ NA ❑ NE
❑ Yes '❑ No
❑ Yes ❑' No
ElYes ❑ No
❑ Yes No
❑ Yes E] No
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages as necessary).
Reviewer/Inspector Name
Reviewer/Inspector Signature
PtWe 3 o1'3
Phone: �_>
Date:
511212020