330002_Inspection_20230912

Facility Number
LJ 1A VLOLVLL VL TT ALCI X\GODUX 4Ga
0 Division of Soil and Water Conservation
O Other Agency
Type of Visit: ?5 Compliance Inspection 0 Operation Review 0 Structure Evaluation U Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County:4ecj�
Region: RRO
Farm Name:
Owner Name:
Mailing Address:
Owner Email:
Phone: L4
Physical Address: WC I? Q ,[ 2 Bo±f lltc a O
Facility Contact: XxY�.Title: Phone:a� !dt'% ' i
Onsite Representative:
Integrator:
Certified Operator: Certification Number: A LLA 9 $ (nS`j
11
Back-up Operator:
Location of Farm:
r) III NC
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Certification Number:
Latitude: Longitude:
a.+t 1 e M
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
FLayer
551 1 Non -Layer
Pullets
Other
Poults
Design Current
Discharaes and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c What is the estimated volume that reached waters of the State (gallons)?
Design Current
Cattle Capacity Pop.
Dairy Cow
Daig Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes
[] No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes q No ❑ NA ❑ NE
2. is there evidence of a past discharge from any part of the operation? ❑ Yes (M No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 5/1212020 Continued

[Facility Number: - Date of Inspection;
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage h rainfall) less than adequate? []Yes No ❑ NA ❑ NE
a. If yes, is waste level int t tural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I. c �lt e Structure 5 S cture 6
Identifier:_
Spillway?: ^ &Q (`rp ft;b No (L.O
Designed Freeboard (in): L4 R(4
Observed Freeboard (in): ( 1,9 (1 Etfnal
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
Z 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
V No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
L6 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
Un No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
0 No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
E] 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):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
P No
❑ NA
❑ NE
l5. Does the receiving crop and/or land application site need improvement?
❑ Yes
[A No
DNA
❑ 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
0 NA
❑ NE
Required Records & Documents
t9. 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
n 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 P No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes d No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [7j No
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continuea

Facili Number: 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] 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:
❑ Yes �] No
❑ Yes [ No
❑ Yes No
❑ Yes No
❑ Yes [ No
❑ Yes fi No
[] NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? [:]Yes V No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review! inspection with an on -site representative? ❑ Yes EyNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ 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).
a 0 a a b, plm+ 10 Pi a V C-
340 D Y c Y o A
��LXLL_
aoa.o
�� 3 a a^C-10f 30 +Act.upj
c
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
X-)L 111 19 — of + U -�.1Cot
Phone: 919 9 -0 '
423
Date: %
511212020