760022_Compliance Evaluation Inspection_20201215

Division of Water Resour
Facility Number - Division of Soil and Water Conservation
0 Other Agency
E
pe of Visit: Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
ason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ` Arrival Time:i `v'6�v��r Departure Time: County: Region: SIP-0
Farm Name:_r-IIjLLQ1'1�6 0(1 if G CM LLC Owner Email:
Owner Name: V_Li �-h V-�OL C+t Phone: 156 ?)n—q%,
Mailing Address: Il Jol �AU,' 04A— Mk' nj endtemay\ l C/
Physical Address:
Facility Contact: ys I Title: hone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude:1� 53 tI Longitude:
uS --2 -7 / MG —,� Ex 1'4-- LaVc G+bss +Uro
Design Current Design Current Design Curren
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder on-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets jBeef Brood Cow
Turkeys
Other Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 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 y❑ No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge? T
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Facility Number: - jDate of Ins ection: T
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? Yes ❑ No ❑ 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: USIA V� yv
Spillway?: ✓ ✓
Designed Freeboard(in): —
�yt5
Observed Freeboard(in): d
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 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 No ❑ 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 ❑ No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? (VI Yes ❑ No ❑ NA ❑ NE
(not applicable to roofed pits,dry stacks,and/or wet stacks) IR
9.Does any part of the waste management system other than the waste structures require IX Yes ❑ No ❑ NA ❑NE
maintenance or improvement?
Waste Apulication
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes X] 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): k) VInV 1t'Ql
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ 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 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 ❑ No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes No ❑ NA ❑NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑Lease Agreements ❑Other:
21. Does record keeping need improvement? ths ❑ Yes No ❑ NA ❑ NE
Waste Application Weekly Freeboard Waste Analysis - i I A ;?iu--�—T� ::s [Weather Code
Rainfall X]Stocking IRCrop Yield L7"^44im1W 114spoGtio Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes K No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes K No ❑ NA ❑ NE
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Facility Number: Date of Inspection:
24. Did the facility fail to calibrate waste aE. ation equipment as required by the permit? �❑ Yes No ❑ NA ❑ NE
rmit conditions related to sludge? If yes, check ❑ Yes ❑ No NA ❑ NE
25. Is the facility out of compliance with pe
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 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes 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? ❑ Yes No ❑ 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 ❑ NA ❑ NE
permit?(i.e.,discharge, freeboard problems, over-application)
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 No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ 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).
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Reviewer/Inspector Name: Phone:
Reviewer/Inspector Signatu Date: �
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