730010_Compliance Evaluation Inspection_20190313

r'yw -_j ' 1 C) + W Division df Water Resources
Facility Number �1.� � � 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 9 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ri Departure Time: ti', County: 2e r v Region:
Farm Name: Tho 4,n o Yckt- m_'5 ?or }C et, p Owner Email:
Owner Namc:3 rn w,j, Th o Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Title: Phone:
Integrator:
Certified Operator: fi ' „ T h c 4n. Certification Number: j LO'i
Back-up Operator:
Location of Farm:
Latitude:
Certification Number:
Longitude:
Other I ITurkeyPoults
Other I 10ther
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
Design Current
❑ NA
Design
Current
Design Current
Swine Capacity Pop. '
Wet Poultry
Capacity
Pop.
Cattle Capacity Pop.
Wean to Finish
ry
"Layer
❑ NA
❑ NE
c. What is the estimated volume that reached waters of the State (gallons)?
Dairy Cow
Wean to Feeder
Non -La er
I
❑ NA
❑ NE
Dairy Calf
Feeder to Finish
Ti V.
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
Dairy Heifer
Farrow to Wean
of the State other than from a discharge?
'Z'No
Design
Current
I Cow
Pr
Farrow to Feeder
Calpacify
Pop.
Non -Dairy
Farrow to Finish
a
La ers
Beef Stocker
Gilts
Non -Layers
Beef Feeder
Boars
1
IPullets;
Beef Brood Cow
Other I ITurkeyPoults
Other I 10ther
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation?
❑ Yes g No
❑ 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 No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
❑ NA
❑ NE
of the State other than from a discharge?
'Z'No
Page 1 of 3 21412015 Continued

Facill Number: r - C) Date of fns ection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes �TNo ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes E3-No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 1;2"No ❑ 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 J�] No
❑ NA
❑ NE
waste management or closure plan?
❑ Yes
❑ No
❑ NA ❑ 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?
❑ Yes PNo
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes fallo
❑ NA
❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks)
2 i. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
9. Does any part of the waste m1anag9megl~syste n other than the waste structures require
❑ Yes ❑ No
❑ NA
❑ NE
maintenance or improvement?
❑ 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?
L
Waste Anplication
No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes No
❑ NA
❑ NE
maintenance or improvement?
2/412015 Continued
1 l . Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes No
❑ NA
❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ TotaI 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 0 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes ZNo
❑ 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 [a No
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
D Yes ❑ No
❑ NA
❑ NE
Reguired Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[2TNo
❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
2 i. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
[,2 No
❑ 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
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
2/412015 Continued

Facility Number: jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ YesNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 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 provide documentation of an actively certified operator in charge? ❑ Yes [/No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes T� No ❑ NA ❑ 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?
❑ YesNo
0
[:]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
E] NA ❑ NE
permit? {i.e., discharge, freeboard problems, over -application)
TT
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes No
❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes [� No
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
❑ Yes dNo
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes [7 No
❑ NA ❑ NE
Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments.
Use drawia s of facility to better a Iain situations (use additional pages as necessary).
a ©O %,k� .S s L c S Q.r►,.e w
Vj ova"
w~c�n b Lk_V'C( '-'-7 11 '') o
WOO -7-7q3
.5470 y
o96L- o
Reviewer. -'Inspector Name:
Reviewer.1nspector Signatui
Page 3 of 3
v
1,U 6
9190 1.5
6149 1.s3
a v 1 -(U'- CW
3- aa- 114a ► s Co", ytr)
51 gDn)
J\ 0 ja�
Phone:! I _f — ' I r fl — �o�o
Date:
21412015