310253_Compliance Evaluation Inspection_20200924

r ; " Wivision of Water -Resources °I 5 ..,
FaciliNumber �3 0 Division of Soil,and Water, Conservation ... `
tY 0 "'°
:0 Other Agency
Type of Visit: 7Routine
Hance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: = �lxj- a.Ua6 Arrival Time: Departure Time: County: �1 j lv� Region(-
Farm Name: t Y1Y\fZilY\ Owner Email:
Owner Name: _ovP_-k1'\_0L+ti. �ft„pp @1)1Nd Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: o S Lxn i e r—
Certified Operator: 6-10.E GE/m, Ho'i—a
Back-up Operator:
Location of Farm:
])esign Current
Swine ° Capacity .Pop. °
Wean to Finish
Wean to Feeder
Feeder to Finish aTTO of
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Title:
Integrator:
Phone:
Certification Number:
Certification Number:
Latitude:
Design • -Current
Wet Poultry
Capacity Pop.
Layer
Non -Layer
Design ° Current .v °
Dry Poultry
CaDicity PdD. - °
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
° ` ` Design `.Current • ;
Cattle, : Capacity Pop. `
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
o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
o ❑ NA
❑ NE
b. Did the discharge reach waters of the State? If es, notify DWR)
g ( Y
❑ Yes
� ❑ 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
o ❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
N�Zo
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 21412015 Continued

Facility Number: Date of Inspection:
- oZ(3a�b
Waste Collection & Treatment �--��
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Ek<o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
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.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes QXo ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes IZNo ❑ NA ❑ NE
❑ Yes [M/No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes�Wo ❑ 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 QA ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes [P/No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 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): i <71-1-r-�
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes IVN0
0 NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ER"Njo
❑ 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
P/No ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
To ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
Io ❑ 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 EaXo ❑ 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 N ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: 3 1 - R53 I jDate of Inspection: —ate �r��d
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes.
LIB No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
M/o ❑ NA ❑ N$
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
EXO ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No E3 NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
to ❑ 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
EZNo ❑ NA ❑ NE
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
[:]Yes
to ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA M-KE
❑ 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?
❑ YesE;(Noo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
L,_J/o ❑ 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 pages as necessary).
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FOA
510
a- Q)19 ,
Reviewer/Inspector Name: a tJ F� )2."
Reviewer/Inspector Signature:
Page 3 of 3
Phone: L I t2) G 1-7
Date:
21412015