310765_Compliance Evaluation Inspection_20241119 (2)

ivision of Water Resources
Facility Number - [ O Division of Soil and Water Conservation
p Other Agency
Type of Visit: ompliance Inspection 0 Operation Review p Structure Evaluation Q Technical Assistance
Reason for Visit: O Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: ( Z Arrival Time: Departure Time: f�� County: �L> Region:
Farm Name: Owner Email:
Owner Name: 5 Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
I
I
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er Dairy Cow
can to Feeder Non-La er Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dr _Poultry Ca aeit Pop. Non-Dairy
Farrow to Finish ILayers Beef Stocker
Gilts Non-La ers Beef Feeder i
Boars Pullets Beef Brood Cow
Turkeys €
Other Turkey Puults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Cg-<�o ❑ 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? 0 Yes 2'< ❑ NA 0 NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [. 110 []NA ❑ NE
of the State other than from a discharge?
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Facilit Number: - Date of Inspection: 12,
Waste Collection &Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? Yes to ❑ 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?:
i
Designed Freeboard(in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Io ❑ 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 �Io ❑ 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 Q4 ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [5-�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 Q No ❑ NA ❑ NE
maintenance or improvement?
Waste Application J
10. Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes ❑.P�o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes O o ❑ 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 CAWMP? ❑ Yes Q4 ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes D tleo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes to ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes [DINo [3 NA ❑ NE
Required Records & Documents //
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes E] o ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes,check ❑ Yes [g4o ❑ 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 o ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis []Waste Transfers ❑Weather Code
❑Rainfall []Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and I"Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [gNo ❑ NA VNE
23. 1f selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? [:) Yes [:] No ❑ NA
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Facility Number: Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes to ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes DING-" ❑ 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 o ❑ N/A ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No Q A ❑ 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 to ❑ 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 E?< ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems,over-application)
3 I. Do subsurface tile drains exist at the facility? If yes,check the appropriate box below. ❑ Yes ISKO ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Io ❑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? ❑ Yes to ❑ 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).
Te CD Y-45 , 6ta
pa VD s1Y1 �0c�-3
Reviewer/Inspector Name: Phone: C�l'o� a 1 tP66
Reviewer/Inspector Signature: Date:
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