310022_Compliance Evaluation Inspection_20201027

C1 Division of Water Resource's",
Facil tyNuniber 3 1 - ® O Division of Soil and Water Conservation
O Other Agency'
I S":..,7 ..
of Visit: Cpliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
in for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: -a Arrival Time: aw. Departure Time: a,,,_ County: IJ
Farm Name: xTX P_ 'S cJCSorl T pRM Owner Email:
Owner Name: W I LUam L 3Accsot1 Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: Oic.1,. l &,Ik'-
Certified Operator: NA`c.V.,f0 >e er•�
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Region: W($o
besigu .Current: Design Current', " f laesign.Current
Swine A ° Capacity Pop. Wet Poultry: Capacity. Pap. . Cattle ;' ~Capacity" Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish 14300 Lhbo
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Othex
Other
Layer
Non -Layer
Design ° Current•
- "Dry Poultry . ' Canaetty 'POD.
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
E_
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑Yes
FEI 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
i
No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
E�No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[:]Yes
LyNo
❑ NA,
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: - OL;L I Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes CNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes EKNo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: — 5 �� _ p I -1 S6c I (o -ao(_D 6- I O E
Spillway?:
Designed Freeboard (in): --S- p q fl
Observed Freeboard (in): 1XZL S -3 C)
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes dNo ❑ NA ❑ NE
(i.e., largetrees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes O/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 [gNo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes EJ-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 E] o ❑ 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 EZINo ❑ 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 ® o ❑ 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?
❑ Yes ErNo
❑ Yes VNo
❑ NA ❑ NE
❑NA ❑NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? [:]Yes EdNo ❑ 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 2No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil 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? ❑ Yes U3"No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [�No
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: "31 - as jDate of Inspection: ®,?'4 ao�
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [�rNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E�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 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 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No [� 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 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?
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 E2(No ❑ NA ❑ NE
❑ Yes [ "No ❑ NA ❑ NE
❑ Yes ED No ❑ NA ❑ NE
❑ Yes EVNo ❑ NA ❑ NE
❑ Yes E�No
❑ Yes �IN
❑ Yes [ No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to question ft 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):
p I� was re c rf Rd $ evevq l
.e ��Y1�mvrn .�`Jot7�. �CJHIS. -��r �Gr>hS �I ��� 9S 9��1�, �� �'-1/� '�/�
LIB ��Q ufl° OS�� Q a GoY� leV(' �G DWI?- 0 i +
e rn;,ntw.Jvv� �:►e D isfJ�, 4n!•a:S, n�'� `�c}.reSSe•� �`V% pezS$ ift$e iC WSe
�or— floor` S .S$.,rl;"> a,�
c)�5,�
Poor 0�_ �_x-r S�(p$�- ®v,- LA2.00^_ C
cdvi D ojANUL.�u.&.j , WA JASf
Av3 a� las-� 3 ,yt-5,
Reviewer/Inspector Name: Phone: Cj jq c j �_qs-�-j
Reviewer/Inspector Signature: ,�/Jj/ � Date: I ® - D-7 4201-0
Page 3 of 3 21412015