510028_Compliance Evaluation Inspection_20220330

lvislon of Water Resources
Facility Number - O Division of Soil and Water Conservation
O Other Agency
Type of Visit; Compliance Inspection 0 Operation Review () Structure Evaluation (:) Technical Assistance
Reason for Visit: 00koutine 0 Complaint 0 Follow-up 0 Referral Q Emergency Q Other 0 Denied Access
ZL r
Date of Visit: t Arrival Time: Departure Time: I ounty• Rn. nS Region: JZV-4
Farm Name: ��+sW�- Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address: ��,f �-s Fa..rw tt
Facility Contact: Title: Phone: '?I ID _3 F5 0 ti 0
Onsite Representative: Integrator: l%W't ii"SI-Ile
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Certification Number:
Certification Number:
Latitude: 57 t 7 4w —s
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Pullets
Other
Design Current
Longitude: `r� 1 t 5Y+—I—
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 fi3lNo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [—]Yes [—]No JNA ❑ NE
b. Did the discharge reach waters of the State? (if yes, notify DWR) ❑ Yes ❑ No J�rNA ❑ 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 6NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes � o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ZNo ❑ NA ❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

lFacility Number: L57 I - Date of Inspection; 1
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
[] Yes J;R'f o
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes 0 No
❑ NA
ONE
Structure I 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 ;D"*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 Z'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 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 ONo ❑ 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 --�No ❑ 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 ❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes 21'No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes 2�'No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes 0"No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes ;2'�o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes Io
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes *Fe No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes C;�iGo
❑ 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 go
❑ NA
❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes ZfYNo
0 NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: - 2 Date of Ins ection: 0 , 7Z D
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Z"No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes FZ No
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 ,TNo
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes EfNo
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:
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?
❑ NA ❑ NE
❑NA ❑NE
❑NA ❑NE
❑NA ❑NE
❑ Yes ;alIo D NA ❑ NE
❑ Yes ZNo ❑ NA ❑ NE
❑ Yes _ZNo ❑ NA ❑ NE
❑ Yes 2�No ❑ NA ❑ NE
❑ Yes L'No
❑ Yes ['No
❑ Yes ZNo
[:3 NA ❑NE
❑ NA ❑ NE
DNA ONE
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).
o Zo 7 Z� ✓
S 5
r�QIr�S
C �bvr5
Reviewer.. -'Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
3GOX
►/11�� Phone: + —qZ
t
Date: t ?j 1 &0z -
5/12/2020