760012_Compliance Evaluation Inspection_20180222

Division of Water R"our,,
O Division of Soiland°Water Conseryat►on� -
{
ac�hty Number
4 'x
0 Other Agency
y:}
`'
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: Arrival Time: Ob Departure Time: County: Region: W$�Q
Farm Name: y^ Owner Email:
Owner Name:1-sonw Phone: 6-1y+ 1 CQ 15 - / 3Q
Mailing Address: -T 7 q& W a hA, l �,� JJ� A ll? pq &-n N� 73 ( %
Physical Address: /PD2_7_ 0LA I�,e� Ivl,l U 1 • , P-awt6. Ito-4y) 1 + N6, 7,3 ( 7
Facility Contact: / r� "1M� a rl Title: Phone
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Z rA S y_-an -70 q a ( 8 7- " 616 .S Certification Number:
Location of Farm: Latitude: 3S c610 t �� t Longitude: 1 �� b 3to d
v S �� 3 1 S� �-m 1-I& , e. m o.u� eY i, t+ c- +u irn llz'P_r to I l ! o
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Cur -rent
Wet Poultry
Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry
Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
,TurkeyPoults
Other
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?
Cattle
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes ONo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
[:]Yes
❑ No
❑ NA
❑ NE
❑ Yes
% No
❑ NA
❑ NE
Yes
❑ No
❑ NA
❑ NE
Page I of 3 21412015 Continued

Facility Number: '7 & - j Z jDate of Ins ection: 02 Q2®)
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 4 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: LQ �j�� It1CfeSmall5mall Side —
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 62 0
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [)6 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 ko ❑ 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 ❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
/❑� Yes JgNo
❑ 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
❑ 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
11
12. Crop Type(s): Rl Q raLl V)
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Na o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
jXrNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
KNo
❑ 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
<O
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes EyNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes <o ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need i provement? a appre�r-iahexbele�v- ❑Yes No ❑ A ❑ NE
gEg/wste Application ®We kly Freeboard Waste Analysis oil Analysis rs �WWeather Code
nfall tocking rop Yield �20 Minute Inspections onthly and 1" Rainfall Inspections +Tryer
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 NKNA ❑ NE
Page 2 of 3 21412015 Continued

Facility,.Number: '7 jDate of Inspection: Z
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [N 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? ❑ Yes X<10 ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes eNo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
9No
❑ 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
[10
❑ 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
KNo
❑ 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
R 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
j(N o
❑ NA
❑ NE
2"kesoic" on e__s blishej ®vx a.%l doLwts ? Ry5+ r .,r, eo1°�ir_1U el eSfor+5
?� Tre_5 o.�6n S Ma % Sid e d QoV- �
a r
i zof 3re-6 5 dve n 2oap, CRF-Z. -_SaV4 �
ec� �O res
r
Ave- t r1 aol9e Soli cl
• a�ca�-mot �► van a� h ^4�.��necai 2�e5 4 D ra5� i v\ e a°1'
� P �P
n� 4-zb ����o��V',t� tom
V)�r5e Pa-5�-ou---e-5 ® Ackd t-.e,'!56 by Fa t I a o I
pl",se re'_ t n ;5_V&-l► 5 PA bv" T)e.Xt- '1'6`'.4'' din
�j bw\ia. n LOQ '5 f e'+8> L04,
cc�n►t'e ` . i `` I. � � . I
•`33 BSZ-
Reviewer/Inspector Name: _M_ 6 SSQ, 1<06e-bro Lle­ Phone: ' 2j-776— 2617
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412015