310455_Compliance Evaluation Inspection_20231221

Division gf,Water Resources
Facility Number 31 y S� 0 Division 4 Soil and WaterConservation
a
er.A 0 Otligency
a.
�3
Type of Visit: 43 Compliance 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: 1 'la Z Arrival Time: i�� Departure Time: County:
Farm Name: e � "- �_-' j,Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: 77y�-C.o `„ 4'-Z- eJ Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
4 Design iC
Swine Capacity
Wean to Finish
Wean to Feeder
Feeder to Finish
L Li 0
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Phone:
Region:
Phone: S [03 5­O 0 C3 6
Integrator:
Certification Number:
Certification Number:
Latitude: `3 Lk. -7 `j Longitude:
t Design „ Current Design Current
Wet Poultry CapacityPop Cattle Capacity Pop
Layer
Non -Layer
rp Design Current e
Di�y Pon- r Capacity-, Pop
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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
No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
Epq'A
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify D WR)
❑ Yes
❑ No
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)
ElYes
o
/
I YNA
77
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
ZN o,
] NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
5/No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facility Number: 13 jDate of Inspection: 1 Z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
No
❑ NA
❑ NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
0 No
D-NA
ONE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure
6
Identifier: 1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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
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 or7-Yes6�L
tal threat, notify DWR
7. Do any of the structures need maintenance or improvement? N1- ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 2 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 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 VfNo ❑ 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 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.
❑ Yes [ 6No
[:]Yes ,/[- /No
❑ Yes ❑ No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes EnNo ❑ NA ❑ NE
❑ Yes to ` ❑ NA ❑ NE
Yes E No, ❑ NA ❑ NE
❑ Yes 4No*"'
❑ NA ❑ NE
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ;Othe�r:,,-'
21. Does record keeping need improvement? If yes, check the appropriate box wsoilAnalysis
Yes ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste 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 E: No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: _ - j Date of Inspection: l?_
21
2�
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 permit conditions related to sludge? If yes, check
Elllres ❑ No
❑ NA
❑ NE
the appropriate box(es) below.
Q-Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ Non -compliant sludge levels in any lagoon
List date first indicating PA � S�'
�I w
nn
structure(s) and of survey non-compliance:
,fY<_i,
26. Did the facility fail to provide documentation of an actively certified operator in charge?
❑ Yes o
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes [:]No
NA
❑ 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:
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?
Comments (refer to question,#): Explain any„YES; answers and/or an additional recomrnei
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
❑ Yes [/] No ❑ NA ❑ NE
❑ Yes / No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
[—]Yes [—]No ❑ NA Ej<
❑ Yes E JrNo_ ❑ NA ❑ NE
❑ Yes ro ❑ NA ❑ NE
Yeso ❑ NA ❑ NE
tiomms "or any other, comments. _.
� Phone:
Date: '12,' d
511212020