670048_Compliance Evaluation Inspection_20230629

, '<Y
U, Division of Water.'Resources
ac by Numb re , �7 �i
QAvision ofS aud.Water`;Conservj(i nas
r Agency
€tithe
Type of Visit: D 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: C, 12-9 M Arrival Time: Departure Time: ='� County: Region:
Farm Name:1'.�1i1Q-3 Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:n�"�' 7
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
} �. .. H
€
��
': 3'i 3ss�✓`•k �# ,-ems :. .. 5#"y� , 3
Design current Des�gCetrrent
_ .i , s
Design€, Cur�eiit.,,,.
me _
Capacity,
t'op ' WetPogltry Capa t�y3 PopCattle
ap ty '09
. .. ., ,:.
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
Z'Z '
'-3-MM
Dairy Heifer
Farrow to Wean
4"De gu Current,
Dry Cow
Farrow to Feeder
Dr 'ouTtry €, , . Ca amity,, Pop
Non -Dairy '
Farrow to Finish
Beef Stocker
Gilts
Beef Feeder
_
Boars
Ej- Km
sk
Beef Brood Cow
Un
:.
„. °..
F
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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 ❑ �
❑ 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
A
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
❑ Yes❑
NA
FN
❑ 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?
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Facility Number: Date of Inspection: G (Z
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes O&o ❑ ;NA< NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: 1
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes E 1V o ❑ 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 To ❑ 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 N�o ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes ❑e 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 E i o ❑ NA ❑ NE
maintenance or improvement?
Waste Application �—,,�
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes Ldi�o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes EV10❑ 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
�Ko ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
D�1 o ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
To ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
D/ o ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes E: io ❑ NA ❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes �o
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes IVo
❑ 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 O/No
I ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yesr2e
❑ NA ❑ NE
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511212020 Continued

Facility Number: jDate of Inspection: 2 ,
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 70D
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ 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 rNA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? El Yes ❑ No ❑ 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 ffNo ❑ NA ❑ NE
[:]Yes [] No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Yes No NA d1V�
❑ Yes
❑ Yes
❑ Yes
[3'No ❑ NA ❑ NE
VNN ❑ NA ❑ NE
❑ NA ❑ NE
Reviewer/Inspector Signature: Date: 23
Page 3 of 3 511212020