310148_Compliance Evaluation Inspection_20200814

Division of Water Resources
Facility Number r5 J7 - F) q(,�, 0 Division of Soil and Water Conservation
0 Other Agency
Reason for Visit: B'Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
r ''
Date of Visit: b 1 r Arrival Time: Departure Time: County: i Region) (?r
Farm Name: U'VtI V1(A.yyf(n J�a;' Owner Email:
Owner Name: n 161'1,N(r) Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: S, w"tW WV'3 UI
Back-up Operator:
Location of Farm:
Swine
Wean to I
We ntolntol
eder to
Farrow to
Farrow to
Other
Other
Title:
Integrator:
Phone:
Certification Number: 1' L 222
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non--
La er
Poults
Design Current
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)?
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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes 0�.° ❑ NA ❑ NE
[:]Yes ❑ No
❑ Yes ❑ No
❑NA ❑NE
❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes 1210 L] NA ❑ NE
El Yes LJJN/o ❑ NA ❑ NE
Page I of 3
21412015 Continuer)

Facili Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3
Identifier: 2
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):�
Structure 4 Structure 5 Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes �o ❑ 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 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 ftJ.No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[.�-tsTo
❑ 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
❑>
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
[U>d"
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
E jXoo
❑ 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
JTQo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
EE'<o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
©.Ko
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
Epo
❑ 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
[ErNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
C2,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 n/No ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [eoFE-1]
NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

FM
Date of Ins ection:
librate waste application equipment as required by the permit? Yes 0
❑ �� ❑ NA ❑ NE
npliance with permit conditions related to sludge? If yes, check
s) below. ❑ eS o ❑ NA ❑ NE
,te annual sludge survey ❑Failure to develop a POA for sludge levels
sludge levels in any lagoon
and date of first survey indicating non-compliance:
ail provide documentation of an actively certified operator in charge?
fail to secure a phosphorus loss assessments (PLAT) certification?
ity fail to properly dispose of dead animals with 24 hours and/or document
nortality rates that were higher than normal?
,e of the inspection did the facility pose an odor or air quality concern?
)ntact a regional Air Quality representative immediately.
, facility fail to notify the Regional Office of emergency situations as required by the
0 (i.e., discharge, freeboard problems, over -application)
ubsurface tile drains exist at the facility? If yes, check the appropriate box below.
Application Field ❑ Lagoon/Storage Pond ❑ Other:
ere any additional problems noted which cause non-compliance of the permit or CAWMP?
Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
Does the facility require a follow-up visit by the same agency?
to question ft Explain any YES answers and/or any addi
Wilily to better explain situations (use additional pages as
ro" C41kA,
/, PU 7, 2
:viewer/Inspector Name:
❑ Yes NA ❑ NE
❑ Yes ❑ No (aNA ❑ NE
❑ Yes [91140 ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
[—]Yes [�Ko ❑ NA ❑ NE
❑ Yes
t No
❑ NA
❑ NE
❑ Yes
txo
❑ NA
❑ NE
❑ Yes
[gyo
❑ NA
❑ NE
❑ Yes
ul,pe
❑ NA
❑ NE
or any other comments.
(.)vlCr,Gjj''
-e/1,7L(J�l LO')
;viewer/Inspector Signature:
Page 3 of 3
Phone: grin 7
Date: c
9 /ANnfe