160001_Compliance Evaluation Inspection_20200903

AJ ` Division of Water Resources
Facility Number tO - u 1 C) Division of Soil and Water Conservation
O Other Agency
INpe of Visit: 46 Compliance Inspection 0 Operation Review O Structure Evaluation O Technical .Assistance
Reason for Visit A Routine Q Complaint 0 Follow-up 0 Referral 0 Emergency Q Other 0 Denied Access
Date of Visit: mmim Arrival Time: C Departure Time: ll County: ('4 e eRegion: W i 20
Farm Name: nolce km Owner Email:
Owner Name: -L �a 7fYlCi Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: lcw 3au
Back-up Operator:
Location of Farm:
Title:
Phone:
�
Integrator: N1N
Q
Certification Number: of 5—
Certification Number: Qq
Latitude: 3�$53 Longitude:-fLp-O"I 15 1
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La mr
Non -La er
Farrow to Wean Design Current
Farrow to Feeder D Poultry Capacity Pop.
Farrow to Finish Layers
Gills Won -Lavers
Boars Pullers
Turkeys
Other Turke Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the opemtion?
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?
Design Current
Cattle Capacity Pop.
Dairy Co.
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes % No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
�../No
❑ NA
❑ NE
❑ Yes
k No
❑ NA
❑ NE
❑ Yes
KNo
❑ NA
❑ NE
Page I of 3 2142015 Continued

y Number: Ilp(„)-
pSI L,—J Date of lns action:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes 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:
8pillwa}9:
.ry
Designed Freeboard (in): P . F5
Observed Freeboard (in): 31' n
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ NA
❑ NE
❑ Yes (0 No
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
C& 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 0 No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes 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 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
N NA
❑ NE
❑ Excessive Pending ❑ 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?
[:3 yes ❑ No
�t
Lry NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ❑ No
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 ❑ No
NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ❑ No.
NA
❑ NE
Re^ ' ed 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 ❑ 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
❑ainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
R
Slu dge
Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes 1%No
❑ NA
'4
❑ NE
23. If selected, did the facility fail to install and maintain minbreakers on irrigation equipment?
❑ Yes ❑ No
NA
❑ NE
214120IS Continued
Page 2 of 3

Owl
Facill Number: Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No Dg 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 strnctare(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes Eft No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No Ig NA ❑ NE
Other Issues
2K 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 ofthe 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? Ifyes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Stomge 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?
any YES answers and/or any
❑ Yes
❑ No
X NA
❑ NE
❑ Yes
❑ No
IONA
❑ NE
❑ Yes
❑ No
NA
❑ NE
❑ Yes
Pg No
❑ NA
❑ NE
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
or
Freerd �l C 7)e ©Ha�
r) N-101. Jogce W 1
Aozdt/)(� A0 9cf m
not-aqc reJ io }1we Sludgy
a
-D5 used t44�e a I}ema� �.re r> d
npc�oaxfe-
ReviewerRnspector Name: ) - Phone: 1((��� ^(0�-�U
Reviewer/Inspector Signature: Date: Gq - 0 j —W
Page 3 of 2142015