310691_Compliance Evaluation Inspection_20230727

Facility Number i , � ULAivrston of Water Resource
F6_C, J Q Division of Soil and Water Conservation
Q Other Aoenry
15..4 m trance Ins ection P
P O eration Review COQ Structure Evaluation
Reason for Visit: Routine O Technical Assistance
Q Complaint Q Follow-up p Referral
Q Emergency Q Other Q Denied Access
Date of Visit Farm NameArrivalme: Arrival Time: Departure Time: County:
�-
Owner Email:
Owner Name: [il M0�/i'
Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title: _
Onsite Representative: ^^' /�J,
VC.✓Ili. f � /�//'Gt.
Certified Operator: Awe,
Back-up Operator:
Location of Farm:
Design Current
Swine Capacitv Pnn
Other
Latitude:
Phone:
Integrator:
Region: U/1160
Certification Number:
Certification Number:
Design Current
Wet Poultry Capacity Pop,
Non -La er
La er
Design Cur.•a..r
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: 0Structure DApplication Field
a. Was the conveyance man-made? ❑Other:
b. Did the discharge reach waters of the State? (If yes, notify D WR)
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)
Is there evidence of a past discharge from any part of the operation?
Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page I of 3
Longitude:
Design Current
Cattle Capacitv Pno
❑ Yes � ❑ NA ❑ NE
Yes O No
Yes 0 No
Yes D No
❑ Yes le -No
Yes BK
❑ NA D NE
NA ONE
DNA ONE
❑ NA ❑ NE
❑ NIA ❑ NE
511212020 Continued

Facilit Number:
Date of Ins ection: a
Waste Collection &Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
NA
a. If yes, is waste level into the structural freeboard? ❑ Yes o A ❑ NE
0 N
Structure 1 Structure� Yes No ❑ NA ❑ NE
2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):PO
�— U _
5. Are there any immediate threats to the integrity of any off the structures observed
(i.e., large trees, severe erosion, seepage, etc.) ❑ Yes Qyo DNA ONE
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes No DNA D NE
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?
8. Do any of the structures lack adequate markers as required by the permit? Yes �� NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks) ❑ Yes E!�N011NA NE
9. Does any part of the waste management system other than the waste structures require
0 Yes maintenance or improvement?
o NE
� NA �
WasteApplication
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement? ❑ Yes .No DNA D NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 12- j
❑ Excessive Ponding ❑ Frozen
Hydraulic Overload Yes ° ❑ NA ❑ NE
Ground �] Heavy Metals (Cu, Zn, etc.)) '"
❑ PAN D PAN > 10% or 10 lbs. D Total Phosphorus
P ❑Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window
❑ Evidence of Wind Drift 0 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? Yes NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable Yes �No NA ❑ NE
acres determination? ❑YesVo NA NE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment? Yes EP,'NO0 NA ❑ NE
Required Records & Documents ❑ Yes Q,Atb O NA NE
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 Yes �lo NA NE
the appropriate box. ❑ Yes No NA NE
❑WUP nCherklict
a u 11.aps U Lease Agreements [Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
] Waste Application Weekly Freeboard ❑Yes �N
❑Waste Analysis 0 Soil Analysis D Waste Transfers
] Rainfall 0 Stocking Q Crop Yield 0 120 Minute Inspections 0 Monthly and I " Rainfall Inspections
2. Did the facility fail to install and maintain a rain gauge? ,��•
3. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑Yes u IN
2 of ❑ Yes No
oD NA ONE
❑ Weather Code
❑ Sludge Survey
❑NA ❑NE
❑ NA ❑ NE
511212020 Continued

Facility Number: Date of Inspection: '
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes CEPM
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes o
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?
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:
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes &>a ❑ NA ❑ NE
❑ Yes ❑ No Q,X / ❑ NE
❑ Yes Q-�Ido ❑ NA ❑ NE
❑ Yes E2-No ❑ NA ❑ NE
❑ Yes ®.I�o ❑ NA ❑ NE
❑ Yes ❑'� ❑ NA ❑ NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes E0 Tjo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [a<o ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes Eg-No ❑ NA ❑ NE
Comments (refer to question ft 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).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: g/Q,jol(/ (f�( r�
Date: 7 /ai IQ S
511212020