310834_Compliance Evaluation Inspection_20230905

U Division of Water Resources
Facility Number '� 1= )� O Division of Snil and Water Conservatnon ;
O Other Agency, _ =
Type of Visit: Z Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: ® Routine O Complaint O Follow-up O Referral O Emergency; O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: County: Region:
Farm Name: -l�jF��.�r C�Nj Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: ��b�,1�t�!�r Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
m
Design `
Swine Capacrty:r
urrent
Pop...:' V
1-T_-
Wean to Finish
Wean to Feeder
S 2-00
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
.Other,
Latitude:
Phone: 1l 10 Z&O, 2-8 LA
Integrator:
Certification Number:
Certification Number:
Longitude:
_ Desn `Current Design= Curreut-
tejt-Toultry ' . Capacity Pqp :Cattle _ Ca city
f Po _
Design Current
DryPoultry,_: -,. Ca aci 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
NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
FZlit'
❑ 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
6 NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes]
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 1511212020 Continued

Facility Number: i - T5-3 Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes a o ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No WNA ❑ NE
Structure I Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 2 (o
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 679 ❑ NA ❑ NE
❑ Yes CWNo ❑ NA ❑ NE
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 I i No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes 5Xo ❑ 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 Q ' O ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑%o ❑ 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 [2/No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes EJ/o ❑ 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 EZ No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑' o ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes E41NO ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes o ❑ 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
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge?
❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ®No ❑ NA ❑ NE
❑ Yes 5/No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number: 31 - &- a Ll I I Date of Inspection: 9 Y /
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes E] Y? ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 0,416 ❑ 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 E14o ❑ N ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes [:]No VA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes ❑ No L d" lit' ❑ 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 ONE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAW T?
❑ Yes No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes ErNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes F2/No ❑ NA ❑ NE
Cominents`(refer to question, #): Explain ,any YES'answers and/or -any additional recommendations or any, other eomi:nents..,:- _7
Use drativin s ®f facility .to lietter explain sitnations (use°addihonafv es°as necessaryi.
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Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
VT' U '�?
Phone: 910 E 20 �)
Date: J 2�
511212020
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