310191_Compliance Evaluation Inspection_20230510

Facility Number= - F1u, 17
V Division of Water Resources
O Division of Soil and Water Conservation
O Other Agency
of Visit: 15 Compliance Inspection 0 Operation Review O Structure Evaluation 0 Technical Assistance
infor Visit: C74outine O Complaint O Follow-up O Referral O Emergency Q Other Q Denied Access
Date of Visit: Arrival Time: Departure Time: County: l xp n
Farm Name: Il 1%%
wyk.6_I 'JL1 VL.._ Owner Email: �—
Owner Name: \ Jpryat � ,', Y"' Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: CU!'dt.l <4 ID,as :.. Lan tiCtnlwiC l�.
Certified Operator: 0 MA a S, i }
Back-up Operator:
Location of Farm:
Swine
to Finish
to Feeder
rto Finish
v to Wean
v to Feedei
v to Finish
Other
Latitude:
Phone:
Integrator•
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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)?
Region: W i 1(o
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes �N i❑ NA ❑ NE
[—]Yes [—]No
❑ Yes ❑ No
❑NA ❑NE
❑ NA ❑ NE
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 UXo NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑Yes [i�o �❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facilit Number: ( - Date of Ins ection: U
Waste Collection & Treatment ��'
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes (3 o ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
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 �Yo ❑ 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 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 n Flo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes E2-No ❑ 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 [5No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes EJ.No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes dNo ❑ 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fait 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
❑ Yes
ES>o
❑ NA
❑ NE
❑ Yes
allo
❑ NA
❑ NE
❑ Yes
[DNo
❑ NA
❑ NE
❑ Yes
©-No
❑ NA
❑ NE
❑ Yes
®'No
❑ NA
❑ NE
❑ Yes
0 No
❑ NA
❑ NE
❑ Yes
[]-No
❑ NA
❑ NE
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 0'5o ❑ 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 [�No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [ o ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

[Facility Number: lit Date of Inspection: 5 a
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ Wo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes I]"`o ❑ 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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?
(refer to question #): Explain any YES answers and/or any addil
gs of facility to better explain situations (use additional pages as
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes 0 Vo ❑ NA ❑ NE
❑ Yes ❑ No E31TA ❑ NE
❑ Yes ❑,Io ❑ NA ❑ NE
❑ Yes D-1KO ❑ NA ❑ NE
❑ Yes EDo ❑ NA ❑ NE
❑ Yes [cg4o ❑ NA ❑ NE
❑ Yes DNo
❑ Yes ©No
❑ Yes EI/No
or any
❑NA ❑NE
❑NA ❑NE
❑ NA ❑ NE
comments.
Phone: tF o (10
Date: lrJ at5
511212020