310257_Compliance Evaluation Inspection_20191120

IType of Visit: M 7Routine
pliance Inspection U Operation Review U Structure Evaluation U Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: - U-- ^ Arrival Time: 3 O Departure Time: 1 as County:
Farm Name: �; ,.� q S �� rn k `z Owner Email:
Owner Name: CVa; Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: PJUdd y Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Longitude:
Region:
Swine
Wean to Finish
Wean to Feeder
Design Current
Capacity Top,
Wet Poiiltry.
La er:"
Non -La er
Design
Capacity
Cui rent
Pop, _
Design Current
Cagle . Capacity Top.
Dairy Cow
Dairy Calf
Feeder to Finish
a $ QD.Soo
Dry Poultry
Design
C;LP acit^
Current
Pti
Dairy Heifer
Farrow to Wean
D Cow
Farrow to Feeder
Non -Dairy
Farrow to Finish
Layers
Beef Stocker
Gilts
Non -Lavers
Beef Feeder
Boars
Pullets
Beef Brood Cow
Other
Turke s
Turkey Poults
Other
Other
Discharges 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)?
[]Yes EdNo ❑ NA ❑ NE
❑ Yes
[EfNo
❑ NA
❑ NE
❑ Yes
E�No
❑ NA
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes N ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes INo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 21412014 Continued

Facility Number: - Date of Inspection: a O —
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
E�No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
E(No
❑ NA
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:i
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): a Cj
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[ f 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
[Zf/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 U No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [Z(No ❑ 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 [EI/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 dNo' ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate b .
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
dNo
❑ NA
❑ NE
❑ Yes
Fv--,rNo
❑ NA
❑ NE
❑ Yes 1� No ❑ NA ❑ NE
❑ Yes allo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Yes , �o ❑ NA ❑ NE
UP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. Yes ❑ No
EvWaste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections [Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes g No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA FdNE
Page 2 of 3 21412014 Continued

Facility Number: - a Date 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
d o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
El Yes
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
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
E2/No ❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
/No
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
❑ Yes [
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
tNo
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ NA
[2/NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
ElYes 2I 1
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
N
❑ Yes —WNo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
❑ NA
❑ NE
S;)v, Irr').'S sn;�-;�,1 >t� I r0.;h�ak1
Use McASUred �Jo'j o"fe-s n"-i expecle'l
reed +o Upd--i Woe to ihClvdl' erM�c�0. in t'�e��iS Where Crop for, 1S iV\
Abe V") al50 Check �-ke f %9h fc ►�q ke 5%>M JAat all Crbrs �-A,,� ly wan-f �a
P )Qn f i v, t I e �,+u,-C oar incl v ded
Add feSS +9po s )— Z R2'a1S No wee gPl'l; CQ+► orl no- eel
ge Svre +d S, 9V-� "d daiv N U 1F
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
�o N �EiL 2 Phone:
/,% �✓ICJV Date: I I — a ) I
21412014