820595_Routine Inspection_20230810

_ ,(division of Water Resources
Facility Number t 7) - 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 0"Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical. Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: - Al -rival Tillie: ` r'4> De �a� tore Time• �r-- s County : Re ioR�:
iY
Farm Name: � � ' ,� , r �� , ,u � y{,�� � O6N�ne� Small:
Owner Name: � �,,�� � -��` �f�� � � Phone:
,Mailing Address:
Physical Address:
Facility Contact: _- z t° :. ; i ;a,, r. Title:
Onsite Representative: 11
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Latitude:
Phone:
Integrator.
Certification Number:
Certification Nninber:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Wean to Finish
Wean to Feeder
Feeder to Finish
•y,;. ''
`c o l�
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
ory Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys _
Turkey Points
Other
Dischar(es and Stream Impacts
1. Is an_y discharge observed from any part of the operation?
Discharge originated at: E] Structure Application Field Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (I f yes, notify DWR)
C. What is the estimated volume that reached waters of the State (gallons)?
d. Does the discharge bypass the Nvaste management system? (Il'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 `Matt other than from a discharge'?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stockei-
Beef Feeder
Beef Brood Cow
E] Yes Q` No E] NA N F
Yes F� No D NA NE
Yes 17 No O NA NE
Yes [:] No [-] NA NE
Yes ,.F-] "No F] NA F-1 NE
�] Yes "F-� No 0 NA ❑ NF
hug, e 1 o f 3 J/1212020 Colitinue

Facility Number: - , _ Date of Inspection:
Waste Collection & Treatment
NE
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
] No
❑ NA
❑
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
P
Identifier: f
Spillway?:
Designed Freeboard (in): P ,�a
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
❑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
Q 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 Q-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
12. Crop Type(s):
13. Soil Type(s): r
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? ❑ Yes ENo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes EJ-No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes _DNo ❑ NA ❑ NE
❑ Yes [D` No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes �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 E-No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ 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 ❑ No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑-No
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3
511212020 Continued

Facility Number: jDate of Inspection: Y
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑'No
25. Is the facility out of compliance with permit conditions related to sludge`? If yes, check ❑ Yes F"No
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 •❑No
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 the 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`?
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑ Yes Ej No ❑ NA ❑ NE
❑ Yes [❑ No ❑ NA ❑ NE
❑ Yes ❑-No ❑ NA ❑ NE
❑ Yes `o No ❑ NA ❑ NE
❑ Yes
[❑ No
❑ NA
❑ NE
❑ Yes
.❑,No
❑ NA
❑ NE
❑ Yes
❑,,]-No
❑ 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
Prase 3 o1'3
Phone:
Date:
511212020

FACILITY #: � � ''5FARM NAME: � � � LAGOON LEVEL 33
PERMIT c19r
- DUE EVERY 5 YEARS
- EXPERIATION DATE
- CURRENT NUMBER OF ANIMAL
- OIC CARD YES OR NO
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 (#21)
-GOOD FOR 60 DAYS BEFORE OR AFTER
DATE `3���! 3
NITROGEN LEVEL-,?,
DATE 1 G � 'G '-3
NITROGEN LEVEL —"-
DATE �G �� /
NITROGEN LEVEL 2-,l ,�/
7l a ? b-3
2 - a-C/
SOIL (#21)
- EVERY 3 YEARS:
%REPORT
DATE
- P-1 (NO MORE THEN 400)
- PH (Note if 4 or less)
- Cu/ZN (NO MORE THEN 8000) CU
(1F PEANUTS NO .MORE THEN 300)
Not over PAN
FLOW RATES
Not over PAN
FLOW RATES
I R R2 (#2-1)
CROP TYPES
_ZN
NIT4(N)
CROP TYPES
NITROG
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN
FLOW RATES
CROP TYPES
NITROGEN (N)

CALBRIATION (#24)
EACH REEL SHOULD BE CALIBRATED EVERY OTHER YEAR
DATE OF CALIBRATION
FLOW RATES
RAIN FALL (#21)
-INITIAL AFTER I" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED POA NEEDED.
-DUE EVERY YEAR: DATE
% U /, S LU D G E (#2-1 & 25)
0: P: % RATIO OF SLUDGE 31Y
0: P: % RATIO OF SLUDGE
0: P: % RATIO OF SLUDGE
0: P. % RATIO OF SLUDGE
OTHER FORMS (#22 AND 421)
RAIN BREAKER FORM CROP YEILDSMORTALITY
*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 1;t- Ends September 30th
Small Grain. Over seed: Opens October 1 st - Ends March 31 st
Corn: Opens February 105th - Ends June 301h
Cotton: Opens March 15th -Ends August 1st
Rye: Opens September 13t-Ends March 313t
Oats: -Opens September 1st- Ends April 15th
Wheat: Opens September 13t - Ends ,April 30th
Soybeans: Opens April 13t- Ends September I Sth
Fescue: Opens August 13t- Ends July 31 st
Sorghum Hay: Opens March 15th - Ends August 31 st