310429_Compliance Inspection_20180501

tV Division. ; Nater Resources
11 Facitit)9Number ® - F—Lf2,En O Divi.ion of Soil and Water Conservation
O Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance '
Reason for Visit: it Routine 0 Complaint Q Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I I:;- Arrival Time: Departure Time: County:
Farm Name: i 1.tS c-z> Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:Ghc�—
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feede
Farrow to Finish
Gilts
Boars
Other
Other
Phone:
Title:
Latitude:
Region:
Phone: e-k (o J Ly 6 &a
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La er
Non -La er
Design Current
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes � No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No [A NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes [—]No
X 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
19 NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes 0 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 I of 21412015 Continued 1

Faclli Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? [:]Yes W No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No Z NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: ND
Spillway?:
Designed Freeboard (in): Vq .91,
Observed Freeboard (in): 3b
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
ny No
❑ NA
❑ NE
(i.e., large trees, severe erosion, seepage, etc.)
TT
6 Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[fNo
❑ 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?
(@Des 4W No
bb��❑��Yes
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit9
[� 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
Y No
❑ NA
❑ NE
maintenance or improvement?
Waste Aoolication
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
�S No
❑ NA
❑ NE
maintenance or improvement?
11 Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes M No ❑ NA
❑ 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): �& ryw Q J-' l s�-'/ (EE1 / C
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
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.
❑ Yes M No
[—]Yes No
❑ Yes No
❑ Yes ❑ No
❑ Yes 1�] No
❑ Yes PE No
❑ Yes EP No
0 NE
❑ NA ❑ NE
❑NA El NE
❑NA ONE
❑ NA Fe] NE
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes [�] No ❑ 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes P No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA KI NE
Page 2 of 214,12015 Continued

Facility Number: jDate of Inspection:
24. pid•the facility fail to calibrate waste application equipment as required by the permit? [—]Yes No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes [ No
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 fast survey indicating non-compliance:
26. Did the facility fail 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 conrem9
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/hispector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
to question #): Explain any YES answers and/or any additional
acility to better explain situations (use additional paces as new
1-Yv5k 5TY-t..r-Q "'__Q'ejs
We Cor vie/ cif- I krorr _ ln�-'J-s
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
M3
❑ NA ❑ NE
❑ NA ❑ NE
❑Yes
�qNo
DNA
ONE
❑ Yes
❑ No
❑ NA
[jaNE
❑ Yes
❑ No
❑ NA
[j NE
❑ Yes f� No ❑ NA ❑ NE
❑ Yes [y] No ❑ NA ❑ NE
❑Yes PNo ❑NA ❑NE
❑ Yes
[)�'No
❑ NA
❑ NE
❑ Yes
'] No
❑ NA
❑ NE
❑ Yes
fo No
❑ NA
❑ NE
ons or anV other comments.
Phone:
Date: 1 p
2,4245