770013_Routine Inspection_20241113

Division of Water Resources
Facility Number 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: i j-1'5-)6j Arrival Time: Departure Time: County:fLt(/kyyWj Region:
Farm Name: &k1 1 V RVq Owner Email:
Owner Name: 1)am a .StO 1\J,ky\ Phone:
Mailing Address:
Physical Address:
Facility Contact: Y)WCA Su'o Iycm Title: Phone:
Onsite Representative: V. I' " Integrator: �(mom
Certified Operator: jI)CtiV1 J Sul j I V Cal V1 Certification Number: MO
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other
Discharus and Stream Impacts
1. Is any discharge observed from any part of the operation? [:] Yes NLNo ❑ NA ❑ NE
Discharge originated at: ❑ Stricture ❑ Application Field ❑Other:
a. Was the conveyance man-made? ❑ Yes 'E] No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) [:] Yes Q 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 EQ No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters [:] Yes JSJ No ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: - J =' j Date of Ins ection:
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): FL J
Observed Freeboard(in): '-i
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 q No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit'? ❑ Yes Et 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 E] NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes M No 0 NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphors ❑ 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): 0�1�'�t 1 j'�e,f iyi t,t C. I �C,C?
13. Soil T e
p (s): rf)C.
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes NNo [] NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? Yes N No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable 0 Yes N No [] NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? Yes N No [] NA ❑ NE
19. Is there a lack of properly operating waste application equipment? ❑ Yes [S�No 0 NA 0 NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? [] Yes t] No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? if yes,check ❑ Yes 'M 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 EZNo ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and 1" 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 0 NE
Page 2 of 3 511212020 Conthmed

Facili Number: 7 - Date of Inspection: 1
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? ❑ Yes E] No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes No ❑ 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 J�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 '[�:t No ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application)
31. Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes N No ❑ NA ❑NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes JS�No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 'E�LNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes nNo ❑ 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).
�u (Dom SW �O(Ac s G�v�e At 1 SG�inn e, W• ;RA L
Reviewer/Inspector Name: rC%1 A L ml Z 1w 1�(i"t�� 6L Phone:
Reviewer/Inspector Signature: � ,�Z - t/"— Date: U
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