820622_Routine_20240406

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�j��. Division of Water Resources
Facility Number - 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: e-Compliance Inspection 0 Operation Rcyiew 0 Structure Ibaluation 0 Technical Assistance
Reason for Visit: a?'outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: f — ': -t Arrival Time: Deparhmc Time: Comm Region:
farm Name. -/1) 2-- 1 rz. "Wt�
OwnerName: Kf-1)) , 71,
:Mailing Address:
Phvsical Address:
Owner Email:
Phone:
Facility Contact: ��z\_ �-�zJ Title:
Integrator: 4gtg,aJ,/
Certification Number:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Phone:
Certification Number:
Latitude:
Design Current
Design Current
Capacity Pop.
Wet Poultry Capacity Pop.
Layci
I
INon-Later 1
��
Wean to Finish
Vean to Feeder
Feederto Finish
Farrow to Wean
Faitm� to Feeder
Fan0\\to Finish
('jilts
Boars
Other
Design Current
Dry Poultry Capacity Pot).
Layers
Non -Lavers
Pullets
Turkeys
Turkey POUhs
Othcr
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ structure ❑ Application Field ❑ Other:
a. Wasthe conveyance man-made'?
b. Did the discharge reach waters of the State? f If ycs. notify D\V'R)
c. What is the estimated volume that reached %caters ofthc State (gallons)'?
d. Does the discharge bypass the waste management system? I If yes, notify DWRI
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 State other than foal a discharge?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry COX
Non-Dair ,
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes No ❑ NA ❑ NI:
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
dNo
❑ NA
❑ NE
❑ Yes
[3'N0
❑ NA
❑ NE
Page I of .511212020 Continued

Facility Number: jDate of Inspection: —
Waste Collection & Treatment
4. Is
No
storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
❑
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
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 ❑ 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 ❑/ NNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes D No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes boo
❑ NA
❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground
❑ Heavy Metals (Cu, Zn, etc.)
❑'GAN ❑ 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): L 'V"w /6V/% f<a �if i Hx-<r s � � f/ t tin //9
13.
Soil Type(s): J�C Gam_
14.
Do the receiving crops differ from those designate in the CAWMP?
❑ Yes
El"No
❑ NA
❑ NE
15.
Does the receiving crop and/or land application site need improvement?
❑ Yes
Q No
❑ NA
❑ NE
16.
Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑- o
❑ 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
El -No
❑ NA
❑ NE
Required
Records & Documents
No
19.
Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑
❑ 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 ❑ 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 ❑ 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 Continuer/

Facility Number: n Date of Inspection: —
L�
24.
Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
O"No
❑ NA ❑ NE
25.
Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
❑'jo
❑ NA ❑ NE
the appropriate box(es) below.
❑ Fallni'e 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 thst survey indicating non-compliance:
26.
Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes
No
❑ NA ❑ NE
27.
Did the facility fail to secure a phosphorus loss assessments (FLAT) certification?
❑ Yes
O--TQo
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
❑ No
❑ NA ❑ NE
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?
❑ Yes
EJ/No
❑ NA ❑ NE
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
❑ Yes
No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problcros, over -application)
3 L 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?
(refer to question it): Explain any YES answers and/or any addii
us of facility to better exolain situations (use additional Dam as
Rei ieAA'CI'/Inspector Name:
Reviewer/Inspector Signature:
Page 3 0/3
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes N
❑ Yes No
ons or any other
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Phone:
Date:
511212020