310153_Compliance Evaluation Inspection_20201116

°Division •of Water Resources . 7?
' Faeility'Number 3 1 S3 O� Division of Soil and Water Conservation
O Other Agency .
of Visit: Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
in for Visit: M Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Il any Departure Time: County: PUj2/ .n Region: lj) 2
Farm Name:
�T f
Owner Email:
Owner Name:
Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator: 'NA -Mt s E R r; C.e
Back-up Operator:
Location of Farm:
%Design , Current
Swine ` ° , Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish 3 VU
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
.Other
Other
Title:
Integrator:
Phone:
Certification Number: Imo G�
Certification Number:
Latitude:
Design Current'
Wet.Poultry °, Capacity Pop.
Layer
Non -Layer
.` Design. ''Current
bry Poultry ` -CanaeitV _ Pon. '
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 Q4 DNA ❑ 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 F3 o ❑ 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 E3�<o ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes �zo
I�❑ NA ❑ 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 1 of 3 21412015 Continued

Facility Number: �5 I - IS-3I jDate of Inspection: -
—apvZU
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:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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
[g,<o
❑ 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
�No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[S
❑ 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
ETNo
❑ 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 [�lo ❑ 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):
-T
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
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?
Required 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.
❑ Yes [Elo
❑ Yes [�o
❑ Yes Q No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes [j4o ❑ NA ❑ NE
❑ Yes E-Ko`�
❑ NA ❑ NE
❑ Yes 24 ❑ NA ❑ NE
❑ Yes 10 ❑ NA ❑ NE
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check t appropriate box below. [ryes ❑ No
❑ Waste Application ❑ Weekly Freeboard 9Waste 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 [] No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes o
❑ NA ❑ NE
❑ Weather Code
El Sludge Survey
❑ NA ❑ NE
[v 1V ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - ] Date of Inspection: l - If,,— �O
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Eo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �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 u 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
❑ Yes
DIN'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?
❑ Yes
F_l o
❑ 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
�Vo
❑ 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
_�To
❑ NA
&I/N"E
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
E2*No
❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
[ o
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
�/No
❑ 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).
- S:v,_ 1 o)a- a- S
U S r- Cor-r'e C_f w�
o►-, ��� -'S, � re-ccdculct�'� 1, No COUP r
+zz 1 > A N APpL I &ram,
PI-e-cocoied Ic�tt SfC�nc� wet
Fi3 '1s -)6el".1
o�- aoa-o, W
the- em ; mum kve. l ,
h e lode weekly S �m�� : r' / r�414 N c-w- 4S .
Reviewer/Inspector Name: 5- "V, I "'
PoA, No4q ()U/f— 'r
Phone: C_ j ?� t 7 - 7 57 7
Reviewer/Inspector Signature: LDate:
Page 3 of 3 21412015