090173_Inspection_20201217

Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: lRoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
ry.7
Region: I 1 `t)
Date of Visit:
Arrival Time:
III OF-)
Departure Time:l rg'
Farm Name: to Fn rrrrc, Luc Owner Email:
Owner Name: 6 V i ( C, reA LC
Mailing Address:
Phone:
County: SIM4Mjer1
ENTERED TO
LASERFICHE
Physical Address:
Facility Contact: C U Nj I hw i L l` Title:
Onsite Representative: ` i C
Certified Operator: 'bnch I d rrlif-fh C; u
Back-up Operator: J O h n t g fI Cr
Location of Farm:
FAYETTDEQ/C;i'1:R N( P:OS
LLB �? . ,r ,_: 9CF-.
Phone:
Latitude:
Integrator: jr) Ith f I
Certification Number:
Certification Number:
Longitude:
110005
i oo`-/ 7 /
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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)
2. Is there evidence of a past discharge from any part of the operation?
ere there any observable adverse impacts or potential adverse impacts to the waters
the State other than from a discharge?
of 3
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes IR No ❑ NA ❑ NE
❑ Yes No
O Yes No
❑ Yes sq No
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
2/4/2015 Continued

Facility Number: i - 173 1
IDate of Inspection: 12I 1112 C
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3
TUB f I F2-
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 4
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?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
❑ Yes
❑ Yes
D Yes tEl No ❑ NA ❑ NE
❑ Yes LI No ❑ NA ❑ NE
Structure 5 Structure 6
f `t N
NL
17
v*
7. Do any of the structures need maintenance or improvement? ENTE n
�
8. Do any of the structures lack adequate markers as required by the perrr6t r-,
S ECrr ,
(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
maintenance or improvement?
Waste Application
EAYETTEF P '''
10. Are there any required buffers, setbacks, or compliance alternatives that hlre
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes
❑ 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): GCS rc1 �: t � J D Q U) C
13. Soil Type(s): Pti \Cj r a rni . L51 fj C\, •e, 6v\'
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes
18. Is there a lack of properly operating waste application equipment? ❑ Yes
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
❑ Yes
❑ Yes No ❑ NA ❑ NE
❑ Yes It' No ❑ NA ❑ NE
No ❑NA ❑NE
No ❑NA ❑NE
❑ Yes ,] No ❑ NA ❑ NE
❑ Yes 131 No ❑ NA ❑ NE
No ❑NA ❑NE
pNo ❑NA El NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
No ❑ NA ❑ NE
�No ❑NA ❑NE
No ❑ NA ❑ NE
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Tran'fers
0 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
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
No ❑ NA ❑ NE
❑ Weather Code
114No ❑NA ❑NE
No ❑ NA ❑ NE
2/4/2015 Continued

4Facility Number: 9 -
Date of Inspection: I Lj j 7' G L
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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:
❑ Yes In No In NA ❑ NE
Yes o ❑ NA ❑ NE
❑ Yes Ei No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes qNo ❑ NA ❑ NE
❑ Yes IN No ❑ NA ❑ NE
❑ Yes IRNo ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
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 h, No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
'71( FD,r- 10ft,/-7A
ENTERED
LASERFICHE
DEQ/D VAN 1,,; rtP
FAYETTEVILL.r_ 7GjG; .
Reviewer/Inspector Name: K(I�I ' FCri t-,r- (
Reviewer/Inspector Signature: ('tA 1... `r' ' J ( ,�,
Page3of3
Phone: I �; 1 -(2) 91 t Cj
Date:
1ZI11I
2/4/2015