310189_Compliance Evaluation Inspection_20231109

DivisionofWater'Resond urce
Tactility I�uanber 4 "1 0�� O'Div�son of Soil aV6'ater Gonservahon =
(QT 1her,Agenicy
Type of Visit: © 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: 12,,l Arrival Time: ® Departure Time: ICJ County:
Farm Name: Qf -e IAe IJ f- •a `\ �-�^-� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact: �y « IY �a Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
8 Swine Capaci��.
Wean to Finish
Wean to Feeder
Feeder to Finish 4400
Farrow to Wean
Farrow to Feeder
`" Farrow to Finish
Gilts
Boars 1pullets
Turkeys
©ther Turkey Poults
Other
Phone:
Integrator:
Region:
Phone: r c3 ` q 0
Certification Number:
Certification Number:
Latitude: cJ j • Longitude:
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)
-17. t-U'_
Beef Brood Cow,,'m
h
t
❑ Yes No ❑ NA ONE
❑ Yes
[—]No
NA
EKA'
❑ NE
❑ Yes
❑ No
❑ 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 E16NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? - [:]Yes d o ❑ NA ❑ NE
adverse impacts to the waters ❑ Yes t�No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potentialp
of the State other than from a discharge?
511212020 Continued
Page 1 of 3

Facility Number: . a - i Date of Inspection: 1 ( S 27
Waste Collection & Treatment
4. Is storage capacity (sttructmal plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
la. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: k
Spillway?:
Designed Freeboard (in):
2<0�EINA ❑NE
❑ No NA ❑ NE
Structure 6
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
Dol<o ❑ 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�tat,
notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
NNA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
❑ 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ffNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes To ❑ 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
ZNo ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑XO ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
P-N`o"__❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
E;P?o ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
5io ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
oo ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
EIQo ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements
❑Oth r:
21. Does record keeping need improvement? If yes, check the appropriate box below.
17Yes
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
Zyo
❑ NA ❑ NE
23. If selected did the facilityfail to install and maintain rainbreakers on irrigation equipment?
El Yes
fNo
❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number:I k - ' Date of Inspection: t cl Z)
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes t❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ �O_
Yes ❑ 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? ❑ Yes No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No 6�AO 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?
❑Yes U o ❑NA ❑NE
❑ Yes E No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA D<E
❑ Yes ❑'No ❑ NA ❑ NE
❑ Yes E3<o NA ❑ NE
❑ Yes o ❑ NA ❑ NE
Gpmmens (refer;to question #)xpiain any l'ES said/or any addnhonal rec©mmrendatibns or:any otter comments
tJse dra�viu s'gf:faciti :!o bettgr etc lain,situahoais`: use additipnai Aa es as; necessar
g Ig i g._ Y) .
Reviewer/Inspector Name:
°L ��� Phone: C®� ZO,� S(O
Reviewer/Inspector Signature: Date:
Page 3 of 3 511212020