390002_Compliance Evaluation Inspection_20201023

Facility Number -
.Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 95 Compliance Inspection 0 Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up Q Referral O Emergency Q Other O Denied Access
r
Date of Visit: Arrival Time: 1 Departure Time: County: �,p Region:
Farm Name: C.F. A fon_ aule_1{ ,,,,,awn t } Owner Email:
`11 y- re D 3 —5�3 t:,3
Owner Name: , Phone: ql q — (o Q 3 _ yq cRc4
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative:
Certified Operator: ,
Back-up Operator:
Location of Farm: Latitude;
3 , INSSN ?
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Phone:
Integrator:
Certification Number: yQ
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
La er
Non -La er
Non-L
Pullets
Poults
Design Current
Discharges and Stream Impacts
I - 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)?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes [!I —No ❑ NA ❑ NE
❑ Yes
E2"No
❑ NA
❑ NE
❑ Yes
J�"No
❑ NA
❑ NE
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?
❑ Yes [�fNo
❑ Yes �'No
❑ Yes ([?&o
❑NA ❑NE
[DNA ❑ NE
❑ NA ❑ NE
Page I of 3 21412015 Continued

!Facility Number:
Date of Inspection: 1O
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structur 1 Structure 2 StruT
3 tructure 4
Identifier: �, _0,
Spillway?: )%
Designed Freeboard (in): �j
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
❑ Yes ET —No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes UfNo ❑ NA ❑ NE
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? ❑ Yes 13-No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes P"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 2-No
❑ NA
❑ NE
maintenance or improvement?
Waste Apnlication
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [a -No
❑ NA
❑ NE
maintenance or improvement?
11, is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ,EINo
❑ 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 Drib ❑ Application Outside of Approved Area
12. Crop Type(s). ja 3 apAy
I3. SoiI Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes EErNo
❑ NA
❑ NE
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?
Re wired 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
[/]`No
❑ NA
❑ NE
❑ Yes
Q No
❑ NA
❑ NE
❑ Yes
[allo
❑ NA
❑ NE
❑ Yes
ENo
❑ NA
❑ NE
❑ Yes [`No
❑ Yes _allo
❑Other:
❑ NA ❑ NE
❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ENo ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections ❑ Sludge Survey
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?
❑ Yes [ff No ❑ NA ❑ NE
❑ Yes E!�No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: 4 CY- Date of Inspection:
X
d�tile facility fail to ca�lir �aste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
the aci if�"ty'ut ofcompiiance w�rmit co i{jons r Iated tQ sludge? If es, check ❑ Yes o ❑ NA ❑ NE
the appropriate box(es) below. 0 1 Cr �41
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge Ievels
❑ 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
Ef No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
El No
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[] Yes
�TNo
❑ 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
Callo
❑ NA ❑ NE
If yes, contact a regional Air Quality representative immediately.
30. Did the facility fail to notify the Regional Oft ice of emergency situations as required by the
❑ Yes
E5—No
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
3I. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
E5 No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
❑ No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[7f No
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
UNo
❑ NA ❑ NE
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 ages as necessary).
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Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of
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Phone: l/9 i/
Date: /!) 1 OL3
21412015

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