510043_Compliance Evaluation Inspection_20211102 (2)

"jalDivislon of Water Resources
Facility Number S �� - © 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1 , o Arrival Time: t eparture Time: t ountya-T+s^1
Farm Name: i Ct t Jy wv_n Swf Owner Email:
Owner Name: zccllt y4ti�f k{, lV 6�r� s Phone:
Mailing Address:
Region: TZR4
0 Zk
Physical Address:��
Facility Contact: Title: Phone: 11 l
Onsite Representative: Integrator: Mo
Certified Operator:
Back-up Operator:
Certification Number:
Certification Number:
Location of Farm: Latitude: K 'T 7 Z Longitud;7
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
-�3 S+�rZC_k'_ . C s C„ 1D5Srot'AS R., r, V\r- (� t,ks
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
I id Layer I I —d
IWT2 Mon -Layer
Poults
Design Current
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
.Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Disch_a_raes and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Z'0No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ZNA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No ,ffTNA ❑ 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 E NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? [:]Yes ZNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes <0 ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Pacili Plumber: - Date of Inspection: t Z.ZoZ
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes ZNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ,E!fNA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ► n Lq-r�G�'�Wy
Spillway?: /
Designed Freeboard (in):
Observed Freeboard (in): 14
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 2 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 ZNo ❑ 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 �No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes eNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ZNo ❑ 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 g5 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes [2'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes 7-
7o
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes eNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes /�No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes ZNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes ;2KNo
❑ 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 No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather
Code
❑ Rainfall ❑Stocking D 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 N'*o
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes %%%' I �40
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: - Date of Inspection: [ J .Z. ZOZt
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes oNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ,Yes ❑ No
the appropriate box(es) below.
�ailure 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 ZNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? M Yes Fes{-Ko
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes Z 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 (' o
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
T
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes �' o
❑ 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 /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 ZNo
❑ NA ❑ NE
33. Did the ReviewerAnspector fail to discuss review! inspection with an on -site representative?
(] Yes �' o
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes Yo
❑ 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
as necessary).
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Reviewer,'Inspector Name:
ReviewerlInspector Signature;
Page 3 of 3
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Date: k-'Z t °2..'D z i
511212020