790012_Compliance Evaluation Inspection_20231221

Division of Water Resources
Facility Number - 0 Division of Soil and Water Conservation
0 Other Agency
V
pe of Visit: ®Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ��J ZI i 12 Arrival Time: ���j� Departure Time: (�j i�37� County:RO('kl Wan Region: „ 1 �
Farm Name: \jam 1'1 ( IC -kM OwnerEmail�T(�YlY1('
Owner Name: %)tM4C r cx6<" ter Phone:
Mailing Address:
s
Physical Address:
Facility Contact: lln(Wge)r Title: Phone: -3(u Oo2
Onsite Representative: Integrator:
Certified Operator: Certification Number: Q hts bi 12-I3' I"2
Back-up Operator: Certification Number: —�
Location of Farm: Latitude: Longitude: v19 e �)b ' C1 $I
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish ILa er I Dairy Cow
Wean to Feeder I INon-Layer I 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 Layers I Beef Stocker
Gilts Non-Layers I Beef Feeder
Boars Pullets I Beef Brood Cow
Turkeys
Other Turkey Poults
Other VV _TF;_5__Fj 0 to I I 10ther
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 ❑ 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 gNo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes t5No ❑ NA ❑ NE
of the State other than from a discharge?
Page l of 3 21412015 Continued

Facili Number: - Date of Inspection: Z
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 $;�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 -EZ/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 El�o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ No ;2fNA ❑ 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes JEJ'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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes KNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes J�jNo ❑ 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 0 No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes _qNo ❑ NA ❑ NE
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes '5kNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes allo ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists [:]Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? ye , ❑ Yes 'KNo ❑ NA ❑ NE
Waste Application ❑wrekly-Freeboard ,Waste Analysis ❑•fieil ad sis ❑Waste�'ransfers Weather Code
Zainfall Stocking ❑Crop ❑126-Minutte4nspeetiens• Ionthly and 1" Rainfall Inspections ❑S1x rummy
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ZNo ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - Date of inspection: 12j, 2-1
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ��❑ No ANA ❑ 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? ❑ Yes ONo ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes g'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
ga and report mortality rates that were higher than normal? 'g '6k&—MS �`
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes -E 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 &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 0 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 'gNo ❑ 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).
Reviewer/Inspector Name: 1 ISI� 1�C � Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412015