310854_Compliance Evaluation Inspection_20201116

C9Divisi0n of Water Resources . —
_' Facility :Number 3 - g ° ; O Division of Soil and Water Conseryation.'
Q Other Agency
Type of Visit: Comm Hance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: G outine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: -1 -aooZo Arrival Time: d� pry, Departure Time: County: L-)UP1i n Region: 1, j gp
Farm Name: e bri cue. $ q Owner Email:
Owner Name: graR1I -S E. '� RI cE Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: _-S�rv�e5 t grlee Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Desigq Current F' ° Design °Current 3
Swine A ° Capacity Pop. Wet Poultry Capacity_'- Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish O
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Layer
Non -Layer
Design ,Current
Dry PouItry ''Capacity Pon:
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other '
Cattle
Design Current
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 E]No ❑ 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 yes, notify DWR) ❑ Yes To ❑ 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)
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
E? o
❑ NA
❑ NE
❑ Yes
19To
❑ NA
❑ NE
❑ Yes
To
❑ NA
❑ NE
Page I of 3 21412015 Continued

Facility Number: 3 - 54 7 jDate of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rai fall) less than adequate? ❑ Yes ZNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ZNo ❑ NA ❑ NE
I
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
i
Designed Freeboard (in):
a Observed Freeboard (in): _
5. Are there any immediate threats to the integrity of any of the s
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed:
waste management or closure plan? .
If any of questions 4-6 were answered yes, and the situation 1
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the
maintenance or improvement?
-es observed? ❑ Yes No ❑ NA ❑ NE
managed through a ❑ Yes No ❑ NA ❑ NE
�s an immediate public health or environmental threat, notify DWR
[—]Yes To ❑ NA ❑ NE
permit? ❑ Yes E hlo ❑ NA ❑ NE
structures require ❑ Yes 2 No ❑ NA ❑ NE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ZNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check th e appropriate box below. Yes ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
EAN ❑ 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): S &y, Rjq I
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the
15. Does the receiving crop and/or land application site need i
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination? j
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. l
❑ WUP ❑ Checklists ❑ Design [:]Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below
❑ Yes �No
❑ Yes LR'<o
❑ Yes E1 J o
❑NA ❑NE
❑NA ONE
DNA ❑NE
❑ Yes
To
❑ NA
❑ NE
❑ Yes
ER<o
❑ NA
❑ NE
❑ Yes
[S? o
❑ NA
❑ NE
[:]Yes
[4o
❑ NA
❑ NE
❑ Other:
❑ Yes ❑'No
❑ Waste Application ❑ Weekly Freeboard ❑ Waste �nalysis ❑ Soil Analysis ❑ Waste Transfers
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute InspeI tions ❑ Monthly and 1" Rainfall Inspections
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?
Page 2 of 3 '
❑ NA ❑ NE
❑ Weather Code
❑ Sludge Survey
❑ Yes Eg o ❑ NA ❑ NE
[:]Yes Q'No ❑ NA ❑ NE
21412015 Continued

Facility Number: - Date of inspection: - /6—ate
24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes EB NNo
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes E34o
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 [lam] No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No
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:
0 NA ❑ NE
0 NA ❑ NE
❑NA ❑NE
2TA ❑ NE
❑ Yes h" N' o ❑ NA ❑ NE
❑ Yes 2* o ❑ NA ❑ NE
❑ Yes [,i]'No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ENE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[ <o
0 NA
0 NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
E3 o
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes [a-Ko ❑ 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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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
1.1
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Phone:
Date:
21412015