310477_Compliance Evaluation Inspection_20230830

.tom ® Division of Water Resources
Facility Number O Divisi i' of Soiland Water Conservation
O Other.gency
type of Visit: *> Compliance Inspection O Operation Review O Structure Evaluation p Technical Assistance
2eason for Visit: ® Routine O Complaint O Follow-up 0-Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: ® County:
Farm Name: ����-�— �V�w� Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: KL,,�J— E-14(^ S Title:
Onsite Representative: AKJJ , ifC_ ;^
Certified Operator:
Back-up Operator:
Location of Farm:
t -
Design 'Current
Swine
Capacity Pop:
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Latitude:
Integrator:
Region:
Phone: I ( 0 ?,Q G76-3
Certification Number:
Certification Number:
Longitude:
°, Design Current
Wet Poultry Capacity Pop -° 3, Cattle
_Design Current
Drv, Poultry , Capacity Pn» 3
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
-Design Current
',Capacity Pop.
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
❑ 4o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No A NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ 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)
❑ Yes
❑ No ❑ A
❑ 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
El Yes
o ❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

30
Facility Number: i - Lk i Date of Inspection: 21,1 Z7
Waste Collection & Treatment /
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [ .Pao
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No
Structure 1
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): IT,
❑ NA ❑ NE
��A❑ NE
Structure 2 Structure 3 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 0ioNA ❑ NE
❑ Yes o ❑ 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 ❑ 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 ❑ ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑Yes E'' "'� NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes o ❑ 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):
i
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ./ No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ YesF3'_No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes EKO ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? El Yes Z( ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ YesKN ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ 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. �eslpdo ❑ NA ❑ NE
❑ Waste Appli ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall C c-g ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 2 of 3
511212020 Continued /

Facility Number: \ - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
El Yes
❑ NA
0 NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
��o❑ NA. '
❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑Failure to develop'a POA for sludge le vel�V'��
9
❑ Non -compliant sludge levels in any lagoonell
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
E],No' ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No E 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?
❑ Yes ❑(<o ❑ NA ❑ NE
❑ Yes �o ❑ NA ❑ NE
❑ Yes ErNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA �E
[-]Yes 910h0
❑ Yes ro
❑ Yes
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
xevieweriinspecior ivame: Ivy rnone: I -
Reviewer/Inspector Signature: Date: J Z3
Page 3 of 3 511212020