820126_Routine Inspection_20230918

Type of Visit: ,('Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:�I Departure Time: County: LLI Region: IA
Farm Name: Owner Owner Email: T '
Owner Name: _ jrn®LG. Phone:
Mailing Address:
Physical Address:
Facility Contact: 2j-Fligg Se- Title:
Onsite Representative:
Integrator:
Phone:
Certified Operator: Certification Number:
OOK
Back-up Operator:
Location of Farm:
Certification Number:
Latitude: Longitude:
�Ira ,�
e I
l� �I
k'h ,Aoki
Wean to Finish
Layer
Dairy Cow
Wean to Feeder OD
Non -La er
Dairy Calf
Feeder to Finish 66
Dairy Heifer
Farrow to Wean a-DD
all
Dry Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
Pullets
Beef Brood Cow
�?k
,!;,
gill'
Turkeys
„±Rti'�
s
Turke Poults
}}
Other
HM
tf.
F! f Y I � �i�•�
�
Discharges and Stream Imoacts
1. Is any discharge observed from any part of the operation?
❑ Yes 4f]�No
❑ 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?
❑ Yes E�No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes Ef�No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facili Number: - Z Date 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 freebbard?
❑ Yes ❑ No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier: L
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): '' t 3
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/ofmanaged through a
❑ Yes )E]-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 4E]"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 4�o
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes -ENo ❑ NA ❑ NE
❑ Excessive Pending ❑ 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 5 ��
12. Crop TYpe(s): GAL{/./' / //K�+ �i /� /�L1.0 d.5 /'TtT "00' C�/tctawy✓z�f 5'J� K�ve%�
13. Soil Type(s): Ivy /{Ct /i'//`j
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes �❑i tiIo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? '2'1'es �Vo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E j% ❑ 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?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑LeaseAgreements
[—]Yes ,e'flo ❑ NA ❑ NE
❑ Yes �]J�o ❑ NA ❑ NE
❑ Yes Je o
❑ Yes �No
❑Other:
❑ NA ❑ NE
❑NA ❑NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes J�o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [:]Monthly and V Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ❑i-No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes J❑ o ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: Date of Iuspectiou: /b
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes .Jallo [_]NA [_]NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes jE!j`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?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes __ED-No
❑ NA
❑ NE
❑ Yes F,�No
❑ NA
❑ NE
❑ Yes �❑-- Flo
❑ NA
❑ NE
❑ Yes _ No ❑ NA ❑ NE
❑ Yes . e No ❑ NA ❑ NE
❑ Yes EFNo ❑ NA ❑ NE
❑ Yes QNo
❑ Yes ' ff No
❑ Yes Q'No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA El NE
Phone: 'Flo F35r-
Date: ;/ / ?423 '
511212020

FACILITY#: FARM NAME: �(/�G�C/ / LAGOON LEVEL
PERMIT(")
- DUE EVERY 5 YEARS
- - EXPERIATION DATE NUMBER OF ANIMALS
CURRENT NUMBER OF ANIMAL
OIC CARD YES OR NO
WASTE UTILIZATION PLAN (WUP) (*20)
SOIL TYPES
CROP TYPES
- ODOR CONTROL CHECKLIST YES OR NO
- Irrigation Plan Maps YES OR NO
WASTE REPORT (#s+)
-GOOD FOR 60 DAYS BEFORE OR AFTER ,2,16e 7 -
DATE ? C 3 NITROGEN LEVEL ,JO
DATE 3/1,2
/ 8,3 NITROGEN LEVEL ,0Z) -2.ceo o ,s-q P%,J
DATEL-3 NITROGEN LEVELZ'/(, J-5-?
SOIL REPORT
- EVERY 3 YEARS: DATE-
- P-1 (Np MORE THEN 400)
- PH (Note ii4 or less) ,
- Cu/ZN (NO MORE THEN 8000) CU ZN
(IF PEANUTS NO MORE THEN 300) -
IRR2 (m­I)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N) _
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)
Not over PAN CROP TYPES
FLOW RATES NITROGEN (N)

CALBRIATION (> 4)
EACH REEL SHOULD BE CA/LI� R�A'T'E^D EVERY OTHER YEAR
DATE OF CALIBRATION �SJ�
FLOW RATES aw /41g 06- Zj(5- 4,0-b&fbti
RAIN FALL (#21)
-INITIAL AFTER I" RAIN EVENT
-LOOK FOR ANY LEVEL THAT IS LESS THEN THE DESIGNED FREEBORED PDA NEEDED.
/a / �aSLUDGE lu2ia2s)
-DUE EVERY YEAR: DATE
0: P: 7,0 %RATIO OF SLUDGE
J! O:P,�P: ¢,D % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
O: P: % RATIO OF SLUDGE
OTHER FORMS (#22 AND #21)
RAIN BREAKER FORM CROP YEILDS_MORTALITY_ _
*If fields are grazed there will be no crop yields
VISUAL CHECK
FOUNDATION OR PIT LEAKS PIPE LEAKS_ LAGOON SEEPAGE. LAGOON BARE
AREASTREES 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 �- Ends September 30t
Small Grain Over seed: Opens October 1 n- Ends March 31st
Corn: Opens February 15N - Ends .tune 30t
Cotton: Opens March 15N- Ends August 1st
Rye: Opens September 1st- Ends March 31 st
Oats: Opens September 1�c- Ends April 15t
Wheat: Opens September 1st- Ends April 30t
Soybeans: Opens April 1st- Ends September 153
Fescue: Opens August 1st- Ends July 31�t
Sorghum Hay: Opens March 15* - Ends August 31 st