990008_Compliance Evaluation Inspection_20230725

Division of Water Resources
Facility Number Fq_cl—1 - 1175E 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1-1 ZS 123 Arrival Time: Departure Time: 5 rv, County: Region:wS �j
Farm Name: Pi mu LLL Owner Email:
Owner Name: PrrA Phone:
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Mailing Address: ri Cal %3�i k Uc, 2(paS
Physical Address: k x rvbn VA \1C1dLny ke_ NC-
Facility Contact: Ay j L(X' 'o yin Title: Phone:
Onsite Representative: Integrator:
Certified Operator: c' Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude:2koo Di, 00" Longitude:?jU°5(6' SAC"
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dai Cow -? I( \
Wean to Feeder r 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 I Layers 113eef Stocker
Gilts Non-Layers 113eef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
FE Other
Dischar¢es 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 ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ 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 PZNo ❑ NA ❑NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters TYes Wo ❑ NA ❑ NE
of the State other than from a discharge? Yop
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Facilit Number: CM - Date of Inspection:
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):
Observed Freeboard(in):
5.Are there any_immediate threats to the integrity of any of the structures observed? ❑ Yes KN o ❑ NA ❑ N E
(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? X'Yes ❑ No ❑ NA ❑.NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes j<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 R NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes ❑ No [Z 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 ❑ No R 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 ❑ No r7r NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes FNo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes "E<No ❑ NA ❑ 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 54,No ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? ❑ Yes RNo ❑ NA ❑ NE
❑ n JK Weekly Freeboard ❑Wa��s ❑Seil-Anal ysis ❑VK�nsfers "ED Weather Code
Rainfall ❑Steslirt6,❑Ctep`f� ❑ s Ionthly and 1" Rainfall Inspections ❑
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 [ZNA ❑ NE
Page 2 of 3 511212020 Continued

Facili Number: 01CI - Date of Inspection:-1
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA XNE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No RNA ❑ 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 �<No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes �gj No ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No )KNA ❑ 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 ;A,,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 1$2�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 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 'EgLNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes MNo ❑ 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: > Phone: _�✓`Q 1l�y�1D
Reviewer/Inspector Signatur . Date:
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