310349_Compliance Evaluation Inspection_20230928

Facility Number -,,j; 3=�el O Division of Soil and Water Conservation
O Other Agency
Visit: Com Hance Inspection Operation Review O Structure Evaluation O Technical Assistance
for Visit: Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: e ° Arrival Time: Departure Time: County: -2-
Farm Name: nN�'w G{OwyA Owner Email:
Owner Name: '` w� �. KX//1K.N1/� Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
a�a �
Onsite Representative: U cnu.� p /l i (XC-(
Certified Operator: CO/_(S YIJ/I�j
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
to Feeder
to Wean
to
Other
Phone:
Integrator:
Region: W 1OD
Certification Number: C9- 6' b 7c'
Certification Number:
Latitude: Longitude:
Design Current
Wet Poultry Capacity Pop.
La er I I
]Non -Layer
Design Current
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes �o ❑ NA ❑ NE
[—]Yes
❑ No
[:]NA
❑ NE
❑ Yes
[—]No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
©No
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facility Number: '3 - 3 Date of inspection:
Waste Collection & Treatment
4. Is storage_capacity -(structural-plusstorm -storage plus heavy rainfall) less than -adequate?—
❑ Yeso❑-NA❑
NE
a. If yes, is waste level into the structural freeboard?
❑ Yes
❑ No
❑ NA
❑ NE
Structure I Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): 1915
Observed Freeboard (in): Ig S_
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
E3-<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
❑ 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
L7 ivo
❑ 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
ED-No
❑ 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
[l_f Pdo
❑ 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
Eg<o
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
[] Pt'o
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
E; _
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
E3'No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
CJ 1Vo
❑ NA
❑ NE
Reauired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes [i]>o ❑ NA ❑ NE
[—]Yes B<o ❑ NA ❑ NE
❑Other.
21. Does record keeping need improvement? Ifyes, check the appropriate box below. ❑ Yes Rio ❑ 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 ❑Ao ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ (l Yes No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facility Number:
Date of Inspection: 3
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes FOAo ❑ NA ❑ NE
25. Is the facility out of compliant
the appropriate box(es) below.
to sludge? If yes, check U Yes
❑ 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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?
NA n NE
❑ Yes
EilTo
❑ NA
❑ NE
❑ Yes
❑ No
0-NA
❑ NE
❑ Yes
Q'IFo
❑ NA
❑ NE
❑ Yes [�ro ❑ NA ❑ NE
❑ Yes E?No ❑ NA ❑ NE
❑ Yes
�o
❑ NA
❑ NE
❑ Yes
E�Ko
❑ NA
❑ NE
❑ Yes
[j No
❑ NA
❑ NE
❑ Yes
No
❑ NA
❑ NE
(Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments. I
Use drawings of facility to better explain situations (use additional paces as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Phone: 9/o Say of yO
Date: 16 /t
Page 3 of 3 511212020