HomeMy WebLinkAbout410018_Compliance Evaluation Inspection_20211217Type of Visit: pC
Reason for Visit:
pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
Arrival Time:
y ' 55a
Departure Time:
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Mailing Address:
Physical Address:
Facility Contact:
Owner Email:
County:61AI c(c Region: WS120
Phone:
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Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
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Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
3 5 ° sky' LI2'
Longitude: 9 n 3- G "
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Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Layer
Non -Layer
Non -La ers
Pullets
Turke Poults
Other
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?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Dai Calf
Dai Heifer
Non-Dai
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes IA No ❑ NA ❑ NE
❑ Yes, No ❑ NA ❑ NE
❑ Yes iRit No ❑ NA ❑ NE
❑ Yes
❑ Yes
❑ Yes
El NA El NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3
5/12/2020 Continued
Facility Number: r-
g
Date of Inspection: 174 11 / ZJ
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes ( No El NA El NE
a. If yes, is waste level into the structural freeboard? El Yes Tallo ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
WW
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes `g[ sio El NA ❑ NE
(i.e., large trees, severe erosion, seepage, etc.) 7�
6. Are there structures on -site which are not properly addressed and/or managed through a ❑ Yes 1:4No ❑ 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 it No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes SNo El NA El 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 TZCNo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes lf"i No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes V{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): \d �sf rail\ , Cala 3n5k-A
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes KNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 1` iNo ElNA ❑ 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 No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes yallo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ❑ 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.
►�1
❑ Yes ,No ❑ NA ❑ NE
Waste Application Weekly Freeboard 'Waste Analysis / 4 Soil Analysis Waste Transfers— keather Code
Rainfall ViStocking Crop Yield K20 Minute Inspections 1:/ Monthly and 1" Rainfall Inspections ❑ Sludge SrrvPy
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 st NA ❑ NE
5/12/2020 Continued
Page 2 of 3
Facility Number: ill - 1 x
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Date of Inspection: l Z I )1- ( Z 1
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
❑ Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
❑ Yes
❑ Yes
❑ Failure to develop a POA for sludge levels
CZkIo ❑ NA ❑ NE
❑ No NA ❑ NE
26. Did the facility fail to 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
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
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
❑ Yes
❑ Yes
'No ❑ NA ❑ NE
❑ No XNA ❑ NE
�No ❑ NA ❑ NE
Vii•To ❑ NA ❑ NE
KNo ❑ NA ❑ NE
❑ No 5(NA ❑ NE
igNo
KNo
No
❑ NA
❑ NA
❑ NA
❑ NE
❑ NE
❑ NE
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or a
of facility to better explain situations (use additional pages as necessary).
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Date:
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