510107_Compliance Evaluation Inspection_20230327

(9 Division of Water Resources
Facility NAumber 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: (��Compliance Inspection 0 Operation Review ()Structure Evaluation 0 Technical Assistance
Reason for Visit: O'Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: C0unty:73_Ad5-fVJ Region: A/Zx
FarmName: �Cf /:,�4,erK Owner Email:
Owner Name:
Phone:
Mailing Address:
Physical Address: ;Z,90/ ilhaMV; AJ- Fv a 9- OAK5
Facility Contact: 14coorl'5 j*'4AVJ14*A' —Title: Phone:
Onsite Representative:
Integrator: 6ne)
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Swine
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
I I L yer
I INon-Layer
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
.Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Pullets
Poults
Design Current
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
D!X Cow
Non -Dairy
Beef Stocker
Beef Feeder
jBeefBroodCow
Dischar2es and Stream Impacts
_Z
1. Is any discharge observed from any part of the operation?
[:]Yes
0--No
E] NA
[] NE
Discharge originated at: E] Structure 0 Application Field F1 Other:
a. Was the conveyance man-made?
Yes
No
El"NA
F] NE
b. Did the discharge reach waters of the State? (if yes, notify DWR)
Yes
No
Fj_N A
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)
F] Yes
E]N
E5"N A
NE
2. Is there evidence of a past discharge from any part of the operation?
[j Yes
F] NA
Ej NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
E] Yes
No
0 NA
Ej NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

lFacility Number: 51 - /tq 7 --:::] I Date of Inspection - �- IA -
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
Yes
L!rNo
[:] NA
NE
a. If yes, is waste level into the structural fireeboard?
Yes
[:] No
C31N' A
N E
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in).
Observed Freeboard (in), L 5'
5. Are there any immediate threats to the integrity of any of the structures observed?
Yes
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
eNo
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 E�N NA 0 NE
8. Do any of the structures lack adequate markers as required by the permit? El Yes VNo 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 Cj No NA NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
Yes CfNo
NA
NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
Yes C5No
NA
NE
M Excessive Ponding 0 Hydraulic Overload E] Frozen Ground E] Heavy Metals (Cu, Zn, etc.)
Ej PAN M PAN> 10% or 10 lbs. Total Phosphorus [:] Failure to Incorporate
Manure/Sludge into
Bare Soil
[] Outside of Acceptable Crop Window E] Evidence of Wind Drift 0 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?
NW
Yes E�N
E3 NA
E] NE
15, Does the receiving crop and/or land application site need improvement?
Yes No
Pf,
[:] NA
E] NE
16, Did the facility fail to secure and/or operate per the irrigation design or wettable
Yes E2/No
E] NA
E] NE
acres determination?
17, Does the facility lack adequate acreage for land application?
No
Yes ff �(
NA
NE
)8, Is there a lack of properly operating waste application equipment?
Yes E(N o
NA
NE
Required Records & Documents
19� Did the facility fail to have the Certificate of Coverage & Permit readily available?
Yes
No
0�(
E] NA
E] NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
Yes
No
[:] NA
E] NE
the appropriate box.
OWUP ElChecklists [] Design [:] Maps [] Lease Agreements
E]Other:
2 1. Does record keeping need improvement? If yes, check the appropriate box below.
F] Yes
O'No
E] NA
E]NE
F-1 Waste Application F1 Weekly Freeboard 0 Waste Analysis E] Soil Analysis
0 Waste Transfers
0 Weather Code
[JRainfall E] Stocking E] Crop Yield [3120 Minute Inspections EjMonthly and I" Rainfall Inspections
E] Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
E] Yes
r(N�o
E] NA
Ej NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
[-]Yes
6"No
F] NA
F] NE
Page 2 of 3 511212020 Continued

IFacility Number: ,(/ -/07 :1 jDate of Inspection: 3. 7_77 - 7-5 :7
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes EJ�No [:] NA F] NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check F] Yes E"No Ej NA NE
the appropriate box(es) below.
F� Failure to complete annual sludge survey EjFailurc to develop a POA for sludge levels
F� 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 EfNo NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes Ff No NA NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document Yes Z-No 0 NA E:] NE
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? Yes ZNo 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 ffNo NA Ej NE
pen -nit? (i.e., discharge, freeboard problems, over -application)
3 1. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. Yes EfNo NA [:] NE
F1 Application Field E] Lagoon/Storage Pond F-1 Other:
32. Were any additional problems noted which cause non-compliance of the pen -nit or CAWMP? Yes EJ'No E] NA [D NE
33. Did the Reviewer/inspector fail to discuss review/inspection with an on -site representative? Yes E No NA NE
34. Does the facility require a follow-up visit by the same agency? Yes fj 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).
o z_ 3 &A
61,.ekAf �A
A
WA 57ri 13 tJ
fit
A
d.,ff V -0 "t
Reviewer'Inspector Name: Phone: it i-111 - �2-31
Reviewer..'Inspector Signature: Date: 3 - 2-7-.7,3
Page 3 of 3 511212020