310834_Compliance Evaluation Inspection_20191203

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Division of Water Resources
Facility Number - O Division of Soil and Water Conservation
O Other Agency
Type of Visit: Q Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
treason for Visit: OD Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: 3 [ Arrival Time: (� ` Departure Time:
c� — — c�-
Farm Name: �v►.� � � `� �" Owner
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: s k'r Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Latitude:
® County:
Email:
Integrator:
Region:
Phone:
Certification Number:
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Design, Current
Dry Poultry Canacitv Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
to
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
4 J 1V
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) i
❑ 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
ZNA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[]-No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: 1 - T3 q jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes EJ<o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No La"NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Spillway?. -
Designed Freeboard (in): 1 Cl '5-
Observed Freeboard (in): alli;�
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes R17No ❑ 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 [2/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? dyes VNo
o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 2<0 ❑ 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 allo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [t] N ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E No ❑ NA ❑ NE
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 box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes EfNo ❑ NA ❑ NE
❑ Yes YNo ❑ NA ❑ NE
❑ Yes E21'No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. [L] Yes ❑ Nc
❑Waste Application [Weekly Freeboard [Waste Analysis oil 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?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑NA ❑NE
❑ Weather Code
Judge Survey
❑ Yes ©'l l�o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA QIE
Page 2 of 3 21412015 Continued

Facility Number: 0 Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes ❑ No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check E21'�es ❑ No
7ai
propriate box(es) below.
7lure to complete annual sludge survey �ilure to develop a POA for sludge levels
[r% 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 0 No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No
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?
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:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes YNo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes 2'o ❑ NA ❑ NE
34. Does the facilityrequire a follow-up visit by the same agency? ❑ Yes LJ Nc ❑ NA ❑ NE
q p
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).
SI s u fvey o ?o is
fW-054-rec 5-D), 56 r 2-
c4e j< 15- 00-�� 1�1'y "'i f"M
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
2/NA ❑ NE
t o wc- J s 10 -770 2
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes [3'No ❑ NA ❑ NE
❑ Yes [2/No ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA Lam" /E
6,f►�S ,U�r� i er
Phone: Of C 7 Z ).-
Date: Z19
21412015