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Attachment A A-2 Reissued Waste Discharge Requirements General Order No. R5-2013-0122 Existing Milk Cow Dairies WATER BOARD WEBSITE AT http://www.waterboards.ca.gov/centralvalley/available documents/index.html#confined. THE ASSESSMENT MUST BE COMPLETED ELECTRONICALLY AND A COPY OF THE RESULTS ATTACHED TO THIS EXISTING CONDITIONS REPORT THAT YOU SUBMIT TO THE EXECUTIVE OFFICER. ADDITIONAL DAIRY FACILITY INFORMATION A. REPORT OF WASTE DISCHARGE SUBMITTED: IS ALL OF THE INFORMATION YOU PROVIDED IN THE REPORT OF WASTE DISCHARGE THAT WAS DUE ON 17 OCTOBER 2005 STILL CORRECT? YES NO IF NO, PLEASE ATTACH A COPY OF YOUR REPORT OF WASTE DISCHARGE WITH THE CORRECTED INFORMATION AND YOUR CORRECTIONS INITIALED AND DATED. B. GROUNDWATER MONITORING: ARE THERE ANY GROUNDWATER MONITORING WELLS AT YOUR DAIRY? YES NO HAS A MONITORING WELL INSTALLATION AND SAMPLING PLAN BEEN SUBMITTED TO THE CENTRAL VALLEY WATER BOARD? YES NO IS GROUNDWATER MONITORING BEING CONDUCTED AT YOUR DAIRY? YES NO C. SUBSURFACE(TILE)DRAINAGE: DO ANY OF YOUR LAND APPLICATION AREAS HAVE A SUBSURFACE(TILE)DRAINAGE SYSTEM? YES NO IF YES, PLEASE INDICATE BELOW THE ASSESSOR PARCEL NUMBER FOR EACH LAND APPLICATION AREA THAT HAS A SUBSURFACE(TILE)DRAINAGE SYSTEM AND THE POINT OF DISCHARGE(E.G.,DRAINAGE DITCH,CREEK, STREAM, EVAPORATION BASIN): ASSESSOR PARCEL NUMBER(S) POINT OF DISCHARGE D. THIRD PARTY USE OF PROCESS WASTEWATER: DO YOU PROVIDE PROCESS WASTEWATER TO A THIRD PARTY FOR THEIR OWN USE? YES NO IF YES,YOU MUST ATTACH TO THIS REPORT A COPY OF A WRITTEN AGREEMENT WITH EACH SUCH THIRD PARTY. THE WRITTEN AGREEMENT MUST COMPLY WITH LAND APPLICATION SPECIFICATION C.2 OF WASTE DISCHARGE REQUIREMENTS GENERAL ORDER NO. R5-2013-0122. E. ANAEROBICDIGESTERS: DOES YOUR DAIRY TREAT PROCESS WASTEWATER IN AN ANAEROBIC DIGESTER? YES NO F. MORTALITY: INDICATE HOW MORTALITY IS HANDLED: RENDERING SERVICE BURIAL OTHER(DESCRIBE) (2)A PRELIMINARY ESTIMATE OF THE NITROGEN AND PHOSPHORUS GENERATED AT,AND IMPORTED TO,YOUR DAIRY,THE NITROGEN AND PHOSPHORUS REMOVED BY CROPS GROWN AT YOUR DAIRY,AND THE NITROGEN AND PHOSPHORUS EXPORTED FROM YOUR DAIRY. THE PRELIMINARY FACILITY ASSESSMENT IS NOT A SUBSTITUTE FOR A WASTE MANAGEMENT PLAN OR NUTRIENT MANAGEMENT PLAN AND SHOULD NOT BE USED FOR DESIGN PURPOSES. THE PRELIMINARY DAIRY FACILITY ASSESSMENT WAS DEVELOPED BY THE MERCED COUNTY ENVIRONMENTAL HEALTH DEPARTMENT IN COOPERATION WITH THE CENTRAL VALLEY WATER BOARD,THE UNIVERSITY OF CALIFORNIA,WESTERN UNITED DAIRYMEN,THE CALIFORNIA DAIRY CAMPAIGN,AND THE MILK PRODUCER'S COUNCIL.