670019_Compliance Evaluation Inspection_20220104

V
Division of WaterResources.
Facility, Number % - L O bivision of Soil and water'Conservatioa `
0 Other Agency ..
rype of Visit: 10' Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Zeason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I 1 1 "f l Arrival Time: L_1_2,1� Departure Time: IC�� County:
Farm Name: Ckct S0_ i2-1n, r tr S Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: 13 fe H c� 0. L' (^ S< Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Region:
Phone: Q 16V 9!5; Z 3 4
Certification Number:
Certification Number:
Usgn ` Current Design , Current,
Sti iite� f . bipacity; ' Pop.",, ` �'�'et.P'oulfiy � Capacity"- Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish O J
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
",Other', rc
Layer
Non -Layer
Design Current
Dr* Poultry Cauacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
.Design' Current: .
Cattle _ ... *Capacity Pop, ;
Dairy Cow
Dairy Calf
Dairy Heifer
Cow
_Dry
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
Q1VO ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No EJONA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No Er 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
❑ No NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
o ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facility Number: - L q jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No E<A ❑ 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 o U 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 0 No ❑ 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 environmental1___'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? ❑ YesE-<o'
❑ 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 ❑ O Yes [��❑ NA ❑ NE
maintenance or improvement?
Waste Application /
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ®,O ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. DYes UV46 ❑ NA ❑ NE
❑ Expessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
D P'A ❑ 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
EKo
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
es
❑ No
❑ NA
❑ NE
16. Did the facility fail 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
ENo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
040 0
❑ NA
❑ NE
Required Records & Documents
//
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑'No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
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
❑`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
[D I o
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA
E]'NE
Page 2 of 3
511212020 Continued

i
Facility Number: jDate of Inspection:
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 pen -nit conditions related to sludge? If yes, check El Yes�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. Didtl`ie facility fail to provide documentation of an actively certified operator in charge? ElYes El -No ❑ NA ❑ NE
27. DIhe facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No E2- A ❑ NE
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:
❑ Yes E2- o ❑ NA ❑ NE
❑ Yes LJ o ❑ NA ❑ NE
❑ Yes ❑/<o ❑ NA ❑ NE
❑Yes ❑No ❑NA ul
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? ❑ Yes ff No ❑ 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).
& +
re—G
At.(i
�A �� I
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
r
Date:
511212020