490088_Compliance Evaluation Inspection_20221229

Facility Number
77
grDivision of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: �om fiance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ('Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
rrival Time:
Departure Time:( /220
/ (Pr4,C f/11_S• (.9( £4,1 (/v6Owner Email:
Mailing Address:
Physical Address:
Facility Contact:
Phone:
County:
Region:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:
g-Pc7-9-g,
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
649
1tQ-
Dairy Calf
/SV
°i n
Dairy Heifer
/g'O
-18
Dry Cow
CO
0
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
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)
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
El NA ❑NE
❑Yes ❑No ❑NA El NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑No ❑NA ❑NE
❑ Yes ['No ❑NA_ ❑NE
❑ Yes [VNo ❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued

Facility Number: III - gg
Date of Inspection: 2-f2Z-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
❑ Yes Ro ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
L) Identifier: !'I €i4 /yli/k 81r4 New JP
Spillway?:
Designed Freeboard (in): Z S, 2 2/Z- ( -22.
Observed Freeboard (in): j 3 6" CO s f
Y
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
IE7Yes ❑ No ❑ NA ❑ NE
❑ Yes ['No ❑ NA ❑ NE
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?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes f'No ❑ NA ❑ NE
❑ Yes allo ❑ NA ❑ NE
El Yes [lNo I] NA El NE
❑ Yes dNo ❑ NA ❑ NE
❑ Yes 12No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs.
❑ Outside of Acceptable Crop Window
12. Crop Type(s):
13. Soil Type(s):
❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
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.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis Soil Analysis
I]Rainfall ❑ Stocking ElCrop Yield ❑ 120 Minute Inspections [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
❑ Yes INo El NA El NE
❑ Yes g/No ❑ NA ❑ NE
❑ Yes �No ❑NA ❑NE,
❑ Yes dNo ❑ NA ❑ NE
❑ Yes 12/No ❑NA ElNFj
❑ Yes 'No ❑ NA ❑
❑ Yes dNo ❑ NA El
❑ Other:
[v'Yes El No ❑ NA ❑ NE
❑ Waste Transfers ❑ Weather Code
❑ Sludge Survey
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes �No El NA ❑ NE
5/12/2020 Continued

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