310680_Compliance Evaluation Inspection_20231102

V Division of Water Resources
Facility Number ( _ �� O Division of Soil and Water Conservation
O Other Agencv
Review
for Visit:
Referral
O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: Count PUp%r I ���// nn W��
Y: ^l Region: l.�%t'
Farm Name:__W. 3, �yQJI �� yn� C 3
Owner Email:
[��
Owner Name: 041 /�(Lf l�/Q(C J wIJ 1 C
Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
/
Onsite Representative: lJdlw p P V,6,_
Phone:
Integrator:
Certified Operator:%(/f� p f
Certification Number:
Back-up Operator:
Certification Number:
Location of Farm: Latitude:
Longitude:
Design Current
Swine Capacity Pop.
Other
Design Current
Wet Poultry Capacity Pop.
Layer —�
I_INon-Layer � E�
Design Current
Dry Pnnitry r'......,.:a.. n__
La ers
Non -La ers
Pullets
Turke s
Turke Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: El 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?
Cattle
1Q 1/7Q.j�
Design Current
Capacity Pop.
ererrd
a
Cow
Yes a 0 NA NE
Yes No
Yes No
[:]Yes No
Yes o
Ej Yes No
NA NE
NA ❑ NE
Ej NA NE
NA NE
NA NE
Page I of 3
511212020 Continued

Facility Number: - Date of Ins ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
Uxo-�"❑ 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):
Observed Freeboard (in): �,(7
5. Are there any immediate threats to the i—ntegrity of any of the structures observed?
❑ Yes
10N0❑ 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
� No/ ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
i/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
i'o ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
❑ 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 Pending ❑ 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
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
�rNo ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
No [I—] NA
❑ NE
Required 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
No ❑ 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 ZJN'6— ❑ 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 [D No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain iainbreakers on irrigation equipment? ❑ Yes � ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facilit Number: p Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EQ'NO ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate boxes) 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 QWo ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No C3-<A ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes g<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?
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
pennit? (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?
Comments (refer to question #): Explain any YES answers
Use drawings of facility to better explain situations (use ad
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
any
as
❑ Yes E 11O ❑ NA ❑ NE
❑ Yes Uxo' ❑ NA ❑ NE
❑ Yes [A ❑ NA ❑ NE
❑ Yes [jXo ❑ NA ❑ NE
❑ Yes [D�No ❑ NA ❑ NE
❑ Yes E/No ❑ NA ❑ NE
ons or any other comments.
Phone: Cfror;z y 06 ��
Date: 1142/G
511212020