860029_Compliance Evaluation Inspection_20240603

Division of Water Resources
Facility Number 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: C)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:
Owner Name: Phone:
Mailing Address: W1pt V-6 o o } w
Physical Address:
Facility Contact: Eikb 1 jer,,n;ew, Title: Phone:
Onsite Representative: �_��t.luir/ll�i�'i Integrator:
Certified Operator: �/ Certification Number: C1A P 1}V 2j-i5t LW
Back-up Operator: Certification Number: Uhn b�
Location of Farm: Latitude: , �;-�;l q-' (,.`; Longitude:
igvv 7 C k%l; 6 iT { ! t t�i ,,(.i i( ��Cl t' 0 �( i� �4,k tti�t(}C(.1�� tat llAC Vo
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I ILayer I Dairy Cow
Wean to Feeder •C' r Non-La er Dai 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 I I Beef Stocker
Gilts Non-Layers I Beef Feeder
Boars Pullets I 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 QNo ❑ 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 S� No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes (VNo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

1 i�)l,!!�
Facility Number: 1 - ? 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?: v'
Designed Freeboard(in): r'��o
Observed Freeboard(in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes tgNo ❑ 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 9 l 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 JZ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes SNo ❑ 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 y No ❑ NA ❑ NE
maintenance or improvement? Ta
Waste Application
10. Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes PNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes TNo ❑ 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): age
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes E�No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes JNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes MNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes WNo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes F;LNo ❑ NA ❑ NE
Required Records &Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes g No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes P�r No ❑ NA ❑ NE
the appropriate box.
❑W UP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement?If � ❑ Yes No ❑ NA ❑ NE
—77-Waste Application Veekly Freeboard 1�1waste Analysis ❑Se44n� ❑Waste--�� Weather Code
J�Uainfall Otocking JXCrop Yield P�120 Minute Inspections �vlonthly and 1" Rainfall Inspections Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes ANo ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No RNA ❑ NE
Page 2 of 3 214120I5 Continued

acility Number: (C act jDate of Inspection: ?
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �No [:3 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? ❑ Yes -$,No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes 0,'No ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ` 4 No ❑ NA ❑ NE
and report mortality rates that were higher than normal?�hCtnvra�Dr
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes I<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 ANo ❑ 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 4NA ❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes qNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes jj�No 0 NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes r%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: ks j�,t, 'j{(1(_ Phone: , '1 At "�!G
Reviewer/Inspector Signatures j-J Date: �Py'f �+.�
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