670047_Compliance Evaluation Inspection_20230608

M Division of Water Resources_,
Fic"Hit Number ° -. rz (� Z , y Division of Soil andWater Coriservahon,., ° a
Y 0- C-1
_ 0 Other Agency
Type of Visit: ED 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: Arrival Time: Departure Time: County: Region:
Farm Name: 5 DI&Ay li_ Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: 0-
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design -Current'-,
Design.
Current
Design CurrenU,-
Swine .-Capacity _ Pop
Viet Poultry,,, v
Capacity
Pop.
CattleCapacity .Pop -
Wean to Finish I
ILayer
Layers
Non -Layers
Pullets
Other
Turkeys Turkey Poults
Dairy Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: /� ❑ a. Was the conveyance man-made? ❑ Yes ❑ ❑ No XA NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ <A ❑ 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 ❑ N❑ No A NE
2. Is there evidence of a past discharge from any part of the operation? ❑ [`No❑ Yes NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 5/12/2020 Continued
Page 1 of 3 5/12/2020 Continued

Facility Number: L17 - qjj jDate of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Io
a. If yes, is waste level into the structural freeboard? [:]Yes ❑ No
Structure 1
Identifier: A
Spillway?:
Designed Freeboard (in):
Structure 2 Structure 3 Structure 4
Observed Freeboard (in):_
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?
❑ NA ❑ NE
E <"' ❑ NE
Structure 5 Structure 6
❑ Yes [rNNo ❑ 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 threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes ❑4o❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [—]Yes ❑"'>9 ❑ 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? •1111
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes
No
❑ NA
❑ NE
maintenance or improvement?
i
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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
[:]�/o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
l__ I<o
0 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
�o
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
640
❑ NA
❑ NE
Reauired 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
❑ Yes
Oe<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
Eal o_'�
❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis
❑ Waste Transfers
❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
04
❑ 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: 6 - Date of Inspection: (, 1Z
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes O�No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes YNo ❑ 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 - ❑ ❑ N NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No ❑ NE
Other Issues .
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [:]Yes �o ❑ 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
ZNo ❑ 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
ffNo ❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do drains
subsurface tile exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No ❑ NA
NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
[rNo, ❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
E o, ❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
0 ❑ NA
❑ NE
Reviewer/Inspector Signature: "L. Date: u C 3- ', 3
Page 3 of 3 511212020