670077_Compliance Evaluation Inspection_20230612

p'D�vasXon
of Water Resources`
Facility Nafnbe
U Dflvision of Soil and
Wate 'C
wwm�
Other Agency
'n
..
s
_,..
-{
Type of Visit: @) 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:
(, Z Z
Arrival Time:
Departure Time: lJ County:
Farm Name:
'�-c.
Owner Email:
Owner Name:
Phone:
Mailing Address:
Physical Address:
Facility Contact: I�y w')G A ( I" V­,C, ,„ Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Region:
Phone: (0 O ��
Integrator:
Certification Number:
Certification Number:
Longitude:
& Or�E
iTesagn Current
Uesigu Current Design Current
;
Savine
?Capacity Pop
�?6�et Paaltry Capacity
°' Top. Cattle Capacity Pope
Wean to Finish
Layer
Dairy Cow
log
Wean to Feeder
2pC) i7
Non -Layer
Dairy Calf
Feeder to FinishDairy
Heifer
PIA
Farrow to Wean
' Desigia
Gain ent Dry Cow
Farrow to Feeder
Drj 1'oultrY`�ta=Gad Laity
, ' Pop Non -Dairy
Farrow to Finish
W"
Layers
- Beef Stocker
Gilts
_`
3'
Non -Layers
Beef Feeder
g
M
Boars
a
Pullets
= Beef Brood"Cow
R�
_
TurkeysMWAA-
`- € ,
iJhM
Turkey Pouets
Others
IN,-
KA € .
rE�,;. i
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes
0"N"'o ❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
1-17
a. Was the conveyance man-made?
❑ Yes
❑ No EfNA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
[—]No � NA
I�
❑ 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
❑ N ZfTNA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes
❑ NA
LJ/No
❑ 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 1 of 3
511212020 Continued

Facility Number: - `Z J Date of Inspection: 6
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
EWo ❑ NA NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
[—]No A
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier: Z---
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
or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
❑ Yes
2<o ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Ej? o ❑ 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
o _ ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
214o ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
UKO ❑ 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
_T No ❑ 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
0e>o"" ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
1 c ❑ 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
� ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ YesV
❑ 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
No ❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
o ❑ NA
❑ NE
Page 2 of 3
511212020 Continued

Facility Number: - -'1'1 1 jDate of Inspection: 6 1 a 1Z3
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 ❑ Yes E-Nc ❑ 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 lA ❑ 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
2 A ❑ NE
10
❑ Yes ;/No
❑ Yes
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes ❑ No , ❑ NA E
❑ Yes
❑ Yes
❑ Yes
ZN ❑NA ❑NE
61do NA ❑ NE
o ❑ NA ❑ NE
M
Reviewer/Inspector Signature: Date: ,� l
Page 3 of 3 511211020