310385_Compliance Evaluation Inspection_20230928

G.�'Division of Water Resources
Facility Number 4 - j S� 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit:liance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: f I Arrival Time: O Departure Time: County: .1 - L
j"] (
Farm Name: lati n , / Owner Email:
Owner Name: �L�U'l,t,�i- /'�, p—Q�Irt.Q,(V� Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: C14AJ/1U11 XAA�
Certified Operator: �U�uLZf �� h/? Cr\01
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
W an to Feeder
eederF' to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Other
Title:
Integrator:
Phone:
Region: LAO
Certification Number: / 7,�_Sc/
Certification Number:
Latitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -La er
Design Current
Dry Poultry C8D8CitV POD.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
I. 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 DW R)
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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes UN6� ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
[:]Yes ❑ No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
0 o
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facili Number:75 t jDate of Inspection: Q'
Waste Collection & Treatment
4. Is storage capacity _(structural-plusstorm -storage -plus heavy rainfall) less than adequate? ❑—Y-es[B'�❑ NA❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[n-5o ❑ 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
i 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
[ o ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
Ea<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
�No ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
[] No ❑ 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
nX10 ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
ff < ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
EDNc-7 ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
QjN' ❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
2<0 ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
[1,Ko ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
Q<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 l o ❑ 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 LEgN J ❑ NA ❑ NE
❑
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Yes No ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facilit Number:2j jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
❑ NA ❑ NE
25. Is the facility out of complianc
the appropriate box(es) below.
❑ Failure to complete annual sludge survey
to sludge? If yes, check
❑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?
Yes ❑ No ❑ NA ❑ NE
❑ Yes EU-No,' ❑ NA ❑ NE
❑ Yes ❑ No Q-KA ❑ NE
❑ Yes [J�lo ❑ NA ❑ NE
❑ Yes ONo ❑ NA ❑ NE
❑ Yes [I-W ❑ NA ❑ NE
❑ Yes Io
❑ NA
❑ NE
❑ Yes [tjXb
❑ NA
❑ NE
❑ Yes ❑ No
❑ NA
❑ NE
❑ Yes t Io
❑ NA
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility. to better explain situations (use additional pages as necessary).
_ LV
Reviewer/Inspector Name: Phone: �y 'U
Reviewer/Inspector Signature: Date: /Q Ay,2 3
Page 3 of 3 517212020