510102_Compliance Evaluation Inspection_20211104

Division of Water Resources
Facility Number 0 - D Z O Division of Soil and Water Conservation
O Other Agency
Type of Visit: .t�FCompliance Inspection Operation Review Q Structure Evaluation Q Technical Assistance
Reason for Visit: RrRoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: , Arrival Time: ? Departure Time: , County�4'" i4=_ Region: z
Farm Name _� 5 a to 0 ✓ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address: fx 1 S
Facility Contact: Title: Phone:
Onsite Representative: Integrator: q�-CrirA^t {�
Certified Operator:
Back-up Operator:
Certification Number:
Certification Number:
Location of Farm: Latitudes( 3q { 11 � Longitude: `7"19, 2$14 ST -Z
3 rs vJ r �J, Fj%jv
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish J4L1 (b 1
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop.
La er
[Non -Layer
Poults
Design Current
Discharges and Stream Imoacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes ,ETNo ❑ NA ❑ NE
❑ Yes
❑ No
Ga*lC[A
❑ NE
❑ Yes
❑ No
)2nA
❑ 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 ❑ No ErNA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes jE5'_Vo O NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ;2►No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facili Number: - 0 Z Date of Inspection; t I % 1Z O L
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ YesO'No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No g3-NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): 101 _j °n
Observed Freeboard (in): � J -37-
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes 2<o
❑ 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 ;2No
❑ 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?
0 Yes
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
e_Fo_oMo
9. Does any part of the waste management system other than the waste structures require
❑ Yes
❑ NA
❑ NE
maintenance or improvement?
'L244o
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes 0<
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
❑ NA
❑ NE
'2
❑ 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 �No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes [allo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes gE'Ro
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes �io
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes ;2-YVo
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes ,E3<o
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes En*N o
❑ 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 20f4o
❑ 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 J�!J`No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E20f�o
❑NA ❑NE
❑ Weather Code
❑ Sludge Survey
❑ NA ❑ NE
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facili Number: - 10 Z Date of Inspection: t-
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes ZNo
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes X 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 to provide documentation of an actively certified operator in charge?
❑ Yes o
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes g'No
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours andior document
[] Yes
❑ NA ❑ NE
and report mortality rates that were higher than normal?
'C21<0
24. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes Z'No
❑ 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 �No
❑ 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 ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes ZNo
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review?inspection with an on -site representative?
❑ Yes ;eNo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes No
❑ 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: 0 1 5�I�
K
Reviewer/Inspector Signature:
Page 3 of 3
PhoneCtI R— "t l 1~ f Z 7
Date:[
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511212020