310161_Compliance Inspection_20180629

.D 111 -') t JLk. 1 t o 1�
ivision of Water Resources
Facility Number - ® O Division of Soil and Water Conservation
O Other Agency
of Visit:
for Visit:
O Referral O Emergency O Other O Denied Access
Date of Visit: uNe /+I3Arrival Time: Departure Time: County: 1Vt Region: 421 I
Farm Name: J L urtiJQyA (; fYU5 /` /�/
OwnerName: �1`l� �✓c�cV s"aAS
Mailing Address:
Physical Address:
Facility Contact: Ct� r-y-1 S [2d'W It fii ` Title:
Onsite Representative: t i
Certified Operator: cS-f >°U C C 1 3 !'U--� y
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
C q
8L
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
Owner Email
Phone:
Phone:
Integrator• f t( (3 S
Certification Number: / & o'5 0
Certification Number:
Design Current
Wet Poultry Capacity Pop.
Myer
Non -La er
Design Current
Discharges 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)?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes
0'NO
❑ NA
❑ NE
❑ Yes
❑ No
❑,14A
❑ NE
❑ Yes
❑ No
0 NA
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No L�j NA U NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes E NN ❑ 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 I of 3 214,12015 Continued

FacUi Number: Date of Inspection:
Waste Collection & Treatment
4i.Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes UX6—_❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No � ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Idenhfien
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 3 M .Z 7 'Z
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
2'114-o
❑ 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
E]"90
❑ 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
�o
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
E N
❑ 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
E2-Ko
❑ 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 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): G 6,— P S6 0
13. Soil Type(s)
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Q -
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
E3'No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
EjNo'
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
L5"11O
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail have Certificate Coverage & Permit
Yes
NA
NE
to the of readily available?
❑
D<o
❑
❑
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
ElNo
❑ 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 Duo ❑ 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 � ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA ❑ NE
Page 2 of 21412015 Continued

IFacWty Number: jDate of Inspection: n G
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes KF o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes (D-Ko' ❑ 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 provide documentation of an actively certified operator in charge? ❑ Yes ®-146❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ElYes D_1Q0_� ❑ NA ❑ NE
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 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 CAWIvV?
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?
❑ Yes ❑ ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes L.f Ko ❑ NA ❑ NE
❑ Yes ❑-<o ❑ NA ❑ NE
❑ Yes
4d o
❑ NA
❑ NE
❑ Yes
ET'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).
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3 Lt, ti
L[ q,3
A- (o - q31-33 3
Reviewer/Inspector Name: i�j�t Ol)hICP Phone:%-133,333V
Reviewer/Inspector Signature: t y Ll h kC L J Date: / TV kt, IS
Page 3 of 3 21412015