330058_Compliance Evaluation Inspection_20240828

AW S k7-Division of Water Resources
Facility Number 3 - O Division of Soil and Water Conservation
O Other Agency
Type of Visit: Z Compliance Inspection 0 Operation Review Q Structure Evaluation p Technical Assistance
Reason for Visit: .V Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Z $. z.A Arrival Time: D Departure Time: / : County: E dC dOM/jt Region: AA o
Farm Name �f Q /� /L{ �y i 1 �`� �- A_ Owner Email:
Owner Name: Kgodsz-ACA �Alz m S aGd L . Phone:
Mailing Address:
Physical Address: 476 SP t/�!f/ /��lJfG / h , �41//1 AZA 1�1zgOP-0
Facility Contact: s 7-,4 L L Y rq tk ,44,C2
Onsite Representative: ✓,j pJA ,6 'Z.5 Z - d YE Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Ll L11
Feeder to Finish
-
Farrow to Wean
,
Farrow to Feeder
Farrow to Finish
Gilts
Boars
C-
Other
Latitude:
Phone: Z .�Z - 8) 3- 3 8 V o
Certification Number:
Certification Number:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Laver
z
Design Current
Pullets
Other
Poults
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharees and Stream Impacts
No
1. Is any discharge observed from any part of the operation?
[:]Yes
E
❑ NA
❑ NE
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 from any part of the operation?
[] Yes
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
No
❑ NA
❑ NE
of the State other than from a discharge?
Page I of 3 511212020 Continued

Facili Number: 33 - Date of Inspection: .--1� g
Waste Collection & Treatment Z y
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No [] NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4
Identifier: p 1 f� 4P-1 F"d
!� . ��t s�cor�b� F1 - BD � icor�nll/Z
Spillway?:
Designed Freeboard (in): �- Z
Observed Freeboard (in): Ll Z _ fJ
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
.Stgicqire 5 Structure 6
Pt _rioJ
❑ Yes No ❑ NA ❑ NE
❑ Yes [7TNo [] NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental reat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes L'J N ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑Yes No ❑ 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 ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 21"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 GAWMP?
❑Yes
,❑ No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
,a"No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
No
[] NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
Np
❑ NA
❑ NE
19. Is there a lack of properly operating waste application equipment?
❑ Yes
[Z�No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage &Permit readily available? ❑Yes E�l❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check [] Yes F 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 No ❑ 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 dNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes E]rNo ❑ NA ❑ NE
Page 2 of 3 511212020 Continued

Facili Number: 3 3 - S'9 IDate of Inspection: - -L 8 - -z
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Er <No❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ YesEr-No ❑ 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 M1<0 ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes &0-
❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ZI 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?
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 No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
[:]Yes [N DNA
❑ Yes No ❑ NA
❑ Yes ZrNo ❑ NA
❑ NE
❑ NE
❑ 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).
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Reviewer/lnspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: I / I - 711 Z 5"/
Date: - Sy"- -4_�
511212020