030005_Compliance Evaluation Inspection_20231026 (2)

Division of Water Resources
Facility Number LV� - 0 A 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 0 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: Arrival Time: Departure Time: County: �� Region:
Farm Name: Owner Email:
T
Owner Name: -hop jl�'m\ej Phone:
Mailing Address: UAQO e ya�`xi VA , E (mVs \,Ac— 26UQ5
Physical Address:
Facility Contact: (AC-A p Title: 1y\ML 7 K Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: y -��� ��'' Longitude: UO° GJ 6 t U r`
aej t4 -74 W > _ l-1 S >US 'A ivy wci v\J ?� CI\ak \A. i V-8
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I 11-ayer X Dairy Cow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current I Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. jNon-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars jPullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other
Dischar1jes and Stream Impacts
1. Is any discharge observed from any part of the operation'? Yes ❑ No 0 NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field Other:
a. Was the conveyance man-made'? /, El Yes
No ❑ NA ❑ NE
b. Did the discharge reach waters of the State? (If yes,notify DWR) TA Yes 7❑D No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)? �m n V n
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? O\Yes ❑ No MNA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters FYes �No ❑ NA ❑ NE
of the State other than from a discharge'?
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Facilit Number: jDate of inspection: a
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes [] No ❑ NA A NE
1 J� a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA [] NE
Structure 4v Structure 2 Structure 3 d,Structure 4 Structure 5 Structure 6
Identifier: C \Ae& (VA Milk/on1SP
Spillway?: J �/
Designed Freeboard(in):
Observed Freeboard(in):
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.) A,
6.Are there structures on-site which are not properly addressed and/or managed through a ❑ Yes ❑ No ❑ NA N I
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 ❑ No ❑ 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 gther than the waste structures require Yes ❑ No ❑ NA ❑ NE
maintenance or improvement? � �}YY� �
Waste Application !m
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): ��UV
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes Q No ❑ 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 ❑ NA tp NE
acres determination? 7�
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ 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 No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes 0
No ❑ NA ❑NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? Yes [] No ❑ NA NE
Waste Application Weekly Freeboard Waste Analysis ❑Soil Analysis Waste Transfers eather Cod
Rainfall fttockin d ❑i26 tv A hispeetia 5 fintites [ Monthly and V Rai fa l Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [—] No ❑ NA
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No KNAgNE
NE
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Facilit Number: jDate of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No 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 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 X No ❑ NA 0 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?
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes WNo ❑ 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 ANo ❑ NA ❑ NE
permit?(i.e.,discharge,fi•eeboard problems,over-application)
31. Do subsurface tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes 4 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 ❑ No ❑ 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#): 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: ' ( ( ` fty)c��V C`— � Phone: -J L 7t"p'"11C)
Reviewer/Inspector Signatr t Date: I D1,2 /a-5
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