310182_Compliance Evaluation Inspection_20200127

(0 Division of 'Water Resources
Facility Number ° �j� O Division of Soil and'Wat0.Conservation
a �.".
Otherr Agency
Type of Visit: v C�o2pliance Inspection Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Cy'Routine O Complaint O Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I Ol a-j- 1 06 Arrival Time: O Departure Time: YTS County:
Farm Name: A $ j 6NE %or A P—m Owner Email:
Owner Name: 1 wl -fira 'H Y &j eT-H r-P_f4 a—r-r Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Region: WF—D
Phone:
No
Integrator: ' 4P o Cs
I- alfa
Certification Number: M
Certification Number:
Longitude:
° Design Current 'Design 'Current'. ,• °° . 'Design ' Currentt
Swine ` . ' Capacity 'Pop. - Wet Poultry Capacity. ` Pop, , • � .:Cattle �, �ty !Pop -
Wean to Finish
Wean to Feeder
`?,
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other. °
Other
Layer
Non -Layer
-Design Current'.:
Drv, Poultrv` Capacity' Pour
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
[:]Yes
IdNo
❑ NA
❑ NE
Discharge originated at: ❑ Structure - ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
E�No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
WNo
❑ 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
EKNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
[DINo
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: 31 - Date of Ins ection: p a�} a0a a
Waste Collection & Treatment
S'
No
NA
NE
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes
❑
❑
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[]
❑ 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
E2/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 [BNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes E04o ❑ 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 EZNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application 6
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 EZ/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): ge'ev"'j de"
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
� o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
VNo
❑ 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
[RNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
E/No
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
[Yes
❑ No
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking [yCrop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
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
F]�No
❑ NA
❑ NE
Page 2 of 3 21412015 Continued

Facility Number: "3 - �L jDate of Inspection: 01
907.
24. Did the facility fail to calibrate waste application equipment as required by the 'permit?
�es
❑ 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
[Z Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance: la ao lq %l uj ,
5WV Q-1
0.3i AA
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
ErNo
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
�Xo
❑ NA
❑ NE
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 exis at the facility? If yes, check the appropriate box below.
❑ Application Field at
Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [dNo ❑ NA ❑ NE
❑ Yes dNo ❑ NA ❑ NE
❑ Yes [No ❑ NA ❑ NE
dYes ❑ No ❑ NA ❑ NE
❑ Yes E f No
❑ Yes TfNo
❑ Yes Cj'No
❑NA ❑NE
❑NA ONE
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments. I
Use drawings of facility to better explain situations (use additional pages as necessary).
_ Soi l S0.Mple N e summer a-oac
1
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ap Cow. ( i ftce aS a
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CAP YIELD G "P� ;? -S- Zh P"P-.1L•s
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t'�" ►mac+ � �or'2 i �S�C-�i�r
Toni �ew� `.S �J�in� T"6ft
Reviewer/Inspector Name: 75 }]H N :PE LO. - Phone:
Reviewer/Inspector Signature: /j�s(/� Date: Q —a'7— aoa a
Page 3 of 3 21412015