670083_Compliance Evaluation Inspection_20240627

Division of Water Resources
Facility Number - 0 Division of Soil and Water Conservation
0 Other Agency
E
e of Visit: C��ommpliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
son for Visit: ("outine 0 Complaint 0 Follow-tip 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: -'' Arrival Time: 06 Departure Time: County:_0I41 8L) Region:
Farm Name.—We I v) -�U U) Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: ��� Integrator:
Certified Operator: Ga" �1 1--o K--, Certification Number: C) t i c•1
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er Dairy Cow
Wean to Feeder d 2I JNon-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Ca aei Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow4�_
Turkeys
Other ur ev Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes (64 No ❑ Ni1 ❑ NL
Discharge originated at: ❑ Structure ❑ Application Field ❑Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?'(If yes, notify DWR) ❑ Yes ❑ No ❑ NA ❑ NE
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) ❑ Yes ❑ No ❑ NA ❑ NE
2. Is there evidence of a past discharge fro►n any part of the operation? ❑ Yes No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes FKNo ❑ NA ❑ NE
of the State other than from a discharge?
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Facilit Number: - Date of Inspection: Z
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes E2LNo ❑ 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): 10
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes VNo ❑ 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 AKNo ❑ 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 MNo ❑ 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 No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ NI
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes No ❑ NA ❑ N F
❑ 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 UNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes cF ,No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes bNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NF
18. Is there a lack of properly operating waste application equipment? ❑ Yes 4� No ❑ NA ❑ NE
Required Records& Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes C4 No ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes &qNo ❑ 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 CNo ❑ 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 " No ❑ 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

Facility Number: - 3 Date of Inspection: 7,710
24. Did the facility fail to calibrate waste application equipment as required by the permit? Yes (] No NA NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ED Yes J No N,\ 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 (X�No NA NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? 0 Yes 0 No QONA NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document [:] Yes No 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 No 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 No 7 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. 0 Yes No n N,1 ONE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? Yes No D NA [] NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? Yes No NA NE
34. Does the facility require a follow-up visit by the same agency? 0 Yes VNo [] 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).
�3 BIZ- l2,L�
010
5d i 1 dam. 202�
Reviewer/Inspector Name: l Phone: Z
Reviewer/Inspector Signature: Date:
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