290017_Compliance Evaluation Inspection_20231214

Division of Water Resources
Facility Number _,x; - �_IJ O Division of Soil and Water Conservation
O Other Agency
Type of Visit: (D Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
[season for Visit: ® Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Z ; Arrival Time: ���� Departure Time: Cjl County -Al (1 Region:
Farm Name: �����, Av, ^DC�1y\� fir`,%—`�—i'`a�l�il,'�b- Owner Email:
Owner Name: (���� `� \f�' �r Phone:
Mailing Address: a 2=n U) A Ao4 VA f _i 'y',4 n , N L. 7 13_n,).
Physical Address:
Facility Contact: n w(A Title: Phone: %j - ► � /}
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Integrator:
Certification Number:
Certification Number:
Latitude: �j` ``j�'� L1'� Longitude: (6c)0 L'-)' Val'
C, > 1�I H�v� -� �u1 ��1�n Sid G►jd N\\,1 �v4 L 7 V(v^m urn
Swine
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
4NLayer
on -Layer
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Non-L;
Pullets
Other
Poults
Design Current
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Design Current
Cattle Capacity Pop.
Dairy Cowes
Dairy Calf
g
Dairy Heifer
Dry Cow
.Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes No ❑ NA ❑ NE
❑ Yes []No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No
❑ Yes '12:�4o
❑ Yes � No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412015 Continued

Facili Number: a - Date of Inspection: Z
Waste Collection & Treatment )�q�
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? *Yes ANo
❑ 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): Gjl'
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.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ YesNo ❑ 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 o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes o ❑ 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 XNo
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes _ANo
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes j4No
❑ 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 1!3�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
❑ NE
acres determination?
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 O No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes ;KNo
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Other:
21. Does record keeping need improvement? eli lka0A21 ❑ Yes No ❑ NA ❑ NE
aste Application Weekly Freeboard Waste Analysis Soil'Calysis ❑ Waste Tr����� Weather Code
Rainfall Stocking Crop Yield ❑ / \ AMonthly and 1" Rainfall Inspections ❑ e s-af-vey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 534o ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [—]No !P�A ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: cA - Date of Inspection: \Zj J Z�
24. Did the facility fail to calibrate waste application equipment as required by the permit? �0yes ❑ 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 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? LaVIdpt l\
29. At the time of the inspection did the facility pose an odor or air quality concern?
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:
Yes ❑ No ❑ NA ❑ NE
"E❑ Yes ❑ No '5;�T NA ❑ NE
❑ Yes jXNo ❑ NA ❑ NE
❑ Yes �<No ❑ NA ❑ NE
AYes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No CE�NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Ryes Yes ❑ No El NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ��❑Yes JR�No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes JZNo ❑ 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).
�U Moe tav9 h o' n�
tub a���� 51a51a3 32a31a3
011 n.a � b,C l
Reviewer/Inspector Name: dv��
Reviewer/Inspector Signature:
Page 3 of 3
Phone:''11
Date: 12-1414
21412015