310434_Compliance Evaluation Inspection_20200924

kz,
Division'.of, Water Resources ,
u 'Facility Number, 3 O Divislon' of Soil and Water Conservation
O Other Agency
Type of Visit: Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: 7Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: 0 Arrival Time: Departure Time: County:
Farm Name: �� lT'! `-. �ifi�LM Owner Email:
Owner Name: a �,o�h J%L, Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: -uys� LAN ►62
Certified Operator: QLI , N IJ H O/AFL-D
Back-up Operator:
Location of Farm:
Design, Current
Swine Capacity, Pop:
Wean to Finish
Wean to Feeder
Feeder to Finish
`1 O
7 d
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
(Jthee °
Other
Title:
Integrator:
Phone:
Region: VN IR-d
Certification Number: lt5 0_�Ts
Certification Number:
Ltitude:
Design , Current.. .
Wet°Poultry,
Capacity .Pop.
Layer
Non -Layer
`
Design'. Current
Dry Prinitry
C'.anaeity. o Pon.,
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
Design, Current°
Cattle h. .= Opacity 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 No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes N
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes Lid l�0
❑ 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 �/N(o
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes To
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus -heavy rainfall) less than adequate? ❑ Yes ro
❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): q_
Observed Freeboard (in): Z)--
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ 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 E6No ❑ 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 VNo
4❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑ 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 E 1V o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ffNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes M"No ❑ 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): 1� � , S 1''0
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes [.�rNo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes WN
❑ NA
❑ NE
16. Did the facilityfail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes [�o
❑ 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 E3No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes EDXo' ❑ 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 E]�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 Ca"No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ENo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: ' - Date of Inspection: -CP1
24. Did the facility fail to calibrate waste application equipment as required by the permit?' ❑ Yes [ "No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes Eb,- v o ❑ 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 [L]/NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes 62'<o ❑ 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?
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 Ek o ❑ NA ❑ NE
❑ Yes [ENo ❑ NA ❑ NE
[—]Yes ❑ No ❑ NA Vk
❑ Yes ;/No
❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes [gTlo ❑ 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 necessarv).
If', (-�Coi-dS lNec)0 doAa to 10—���%�
NHS PGA-( -S In %mrzkS
I_ Wo,rl- ckv , S�j�.S oh (L2 &mg .
Reviewer/Inspector Name: :�o ut\j R_-R-n Phone:
Reviewer/Inspector Signature: Date:
Page 3 of 3 21412015