290007_Compliance Evaluation Inspection_20210614

ivision of Water Resources
Facility Number L - � 0 Division of Soil and Water Con ation
0 Other Agency
Type of Visit: Compliance Inspection 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: Arrival Time: Departure Time: County: Region:
Farm Name: � (1 �(� (�1��`j (J( Owner Email:
Owner Name: 44k Phone: 3 j n' ( CA
Mailing Address: a �'
Physical Address: ZLex f n nLZI A Z
Facility Contact: �n�P� (A Sm O," Title: Phone:
Onsite Representative: Integrator:
Certified Operator: �n Certification Number:
Back-up Operator: ���� ri c,k ( E I I i r SrY��� Y\ Certification Number:
Location of Farm: Latitude: S u3 1 ' 1 Longitude: `,V'n 1 ' LI "
UIS cozS 1 L.i o w wcJ exi+ ,OL, orshay- rave. VA , � o(n o< �: ►�t��c��
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow 1'
Wean to Feeder Non-Layer Dairy Calf "
Feeder to Finish Dai 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 Other
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 ❑ NA ❑ NI
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ NA ❑ N 1�,
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 ZNo ❑ 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 21412015 Continued

Facilit Number: - 10 Date of Inspection: ( (Vi I
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes 0,N o ❑ 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: New
Spillway?: V
Designed Freeboard(in): IT I-L_
Observed Freeboard(in):
�1J— l 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 [5;�No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes *§ZNo ❑ 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 EZrNo ❑ NA ❑NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes KNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes XNo ❑ 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 ANo ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes bXNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes [] No ZNA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes 'N�o ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes 0,
No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes K.'No ❑ 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 tZrNo ❑ NA ❑ NE
Waste Application Weekly Freeboard Waste Analysis Soil Analysis I—I Waste Trans&rs Weather Code
aanfall Stocking Crop Yield onthly and I" Rainfall Inspections
22. Did the f cility 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 X111A ❑ NE
Page 2 of 3 511212020 Continued

Facilit Number: jDate of Inspection:
24. Did the facility fail to calibrate waste applic..—m equipment as required by the permit? ❑ Yes ANo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No PdNA ❑ 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 P7rNo ❑ 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? L"V 11
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes gNo ❑ NA ❑ NF,
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 KNo ❑ NA ❑ NF
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 VNA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ONo ❑ NA ❑NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Comments(refer to question ft 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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Reviewer/Inspector Name: a C 64Phone:
Reviewer/Inspector Signature: rai�[A ��1���� ,Q, Date: _
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