310280_Compliance Evaluation Inspection_20231122

_ • - 9'D1Vi8i0II of Water Resources `
facility Niinibe - _ i -' �� O Division of Soil ;and Water` Coiase� Yation _
0 Other Agency -
of Visit: (g) Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
in for Visit: ® Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I it, j �-r_ L Arrival Time: Departure Time: © County:
Farm Name: G(c., .q. ,e_ Nu rs / vfk2s t t-kl (� IN VI—3 a Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: - V " 9\ C. ( K",ne Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude: 0 `) 6
Integrator:
Region:
Phone: e to 3 �, a1?giq
Certification Number:
Certification Number:
Longitude: -)Y e L'§ q
ent
dDeiign .: Curren
De
Design Current , sign ,Curr,
Sine Capacity,Popa _Wet Poteltxy s „Capacity ,'opCattle Caacriy op. -
Wean to Finish
Wean to Feeder
"7 C)
Qi
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Layer
Non -Layer
Design Current
lJry Poultry Capacity Pop.,
Pullets
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
ur eys
Other n - Turkey Poults
Other _
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes E3<o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
NA NE
a. Was the conveyance man-made? �.
❑Yes
Li No
0
❑
b. Did the discharge reach waters of the State? (If yes, notify D)ATR)
❑ Yes
❑ No
E54'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)
[:]Yes
[:]No
NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
[3No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
[:]Yes
�rNo
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 511212020 Continued

Facility Number: 3 i - Z Date of Inspection: I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No [2114A ❑ NE
Structure 1
Identifier: Q ��
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 2
Structure 3
f' 1'
_ T_4
Z�
Structure 4 Structure 5 Structure 6
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?
❑ Yes ❑'No U NA ❑ NE
❑ Yes [3/No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental t reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑Yes Lam' i� u ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 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 ZNo ❑ 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
13<
El NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
FN5
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
E2�No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
VNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes❑
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
No
❑ 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
Z1v
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
7No
❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: '3 - 2�j'9 jDate of Inspection: 1 t 1�Z ?'
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes �:XoEINA ❑ 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? ❑ Yes E2KNo ❑ N ❑ 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 ❑ Yes No ❑ NA ❑ 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 No ❑ 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 No ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA FJ<
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? El Yes FN
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? El Yes❑ NA ❑ NE
Comments (refer to question `#) Exlilain,any YES answers and/or'any additional recommendations or any othercomments `
Use drawings :of faeility to better explain situati ns (use additional pages as, necessary): r
r
�wav �� S�-W T�� C, W%.V\,cr C,-- 5 ��
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
)f
Phone: ion Q'0 3 S 1 0
Date: t '
5112620