310604_Compliance Evaluation Inspection_20230727

Division of Water Resources
Facility Number 3k (Oq 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: IOCompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: GrIkoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: County: &0
Farm Name: sLl,(. GJ fk b(/!]I��t &LLL'M Owner Email:
Owner Name: �d'i(y�{ 11 �U /(J 1 t Ul�j%�H_ Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: jo",'A" ml llf,—
Certified Operator: muffMu./PbVz
Back-up Operator:
Location of Farm:
Title:
Latitude:
Phone:
Integrator:
Region: tw/W
Certification Number: l73�j
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
to Finish C "J La er
to Feeder Non -Layer
to Wean
Farrow to
Boars
Other
Other
Design Current
Discharees 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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes 21VO ❑ NA ❑ NE
❑ Yes
[—]No
❑ NA
❑ NE
[:]Yes
[:]No
❑ NA
❑ NE
[—]Yes
[—]No
❑ NA
❑ NE
❑ Yes
❑-Ko
❑ NA
❑ NE
❑ Yes
o
❑ NA
❑ NE
Page I of 3 511212020 Continued

Facility�Facility=erg O
Waste Collection & Treatment Date of Ins ection:
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? },.��Np/
a. If yes, is waste level into the structural freeboard? Yes _ ❑ NA ❑ NE
Structure ] ❑ Yes ❑ No ❑ NA ❑ NE
Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?: _
Designed Freeboard (in): _
Observed Freeboard (in): �-
5. Are [here any immediate threats to the integrity of any of the structures observed
(i.e., large trees, severe erosion, seepage, etc.) �] Yes ❑ NA ON E
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan? ❑ Yes No ❑ NA NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify D R
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit? ❑Yes6 ❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks) ❑ Yes EDA ° ❑ NA ❑ NE
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement? ❑yes n No
Waste Application `� ❑ NA ❑ NE
l0. Are there—quired buffers, setbacks, or compliance alternatives that need
maintenance or improvement? ❑ Yes
L]_Mo ❑ NA ❑ NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. f�/
❑ Excessive Pending ❑ Frozen
Hydraulic Overload ❑ ❑Yes � No ❑ NA ❑ NE
❑PAN Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN � 10% or 10 lbs. ❑ Total Phosphorus P ❑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?
15. Does the receiving crop and/or land application site need improvement? El Yes o ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑Yes° ❑ NA ❑ NE
acres determination? ❑ Yes
° ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment? ❑Yes L;,Alo ❑ NA ❑ NE
Required Records & Documents ❑ Yes ° ❑ NA 19. Did the f❑ NE
acility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? Ifyes, check ❑ Yes 19-No ❑ NA ❑ NE
the appropriate box. ❑ Yes No ❑ NA NE
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other: ❑
1. Does record keeping need improvement? If yes, check the appropriate box below. I-7,�r
—1 Waste Application Weekly Freeboard ❑Yes LJ ivO ❑ We ❑ NE
Rainfall ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers
❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑Weather Code
2. Did the facility fail to install and maintain a rain gauge? Monthly and 1"Rainfall Inspections
❑Sludge Survey
3. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 21 �° ❑ NA ❑ NE
Page2of3 ❑ Yes LJ No ❑ NA ❑ NE
511212020 Continued

Facilit Number: Date of Inspection: ^7 a d
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [�Wo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ETNo ❑ 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 D<o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes ❑ No [?"N' A ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
Ua�N} M 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
Eg,< ❑ 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
g-lo_ ❑ NA
❑ NE
permit? (i.e., discharge, Freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
[:]Yes
E]-Ko ❑ NA
❑ NE
❑ Application Field ❑ Lagoon/storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
[—]Yes G jXo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
[—]Yes Q o ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes F!�No ❑ 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 necessarv).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: q/lJj�;Ly 06 �p
Date: 710l.%1,5�
511212020