030008_Compliance Evaluation Inspection_20201201

Division of Water Resources
Facility Number - LT _:1 O Division of Soil and Water servation am
O Other Agency
Type of Visit: 3KCompliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit:0 Routine O Complaint O Follow-up O Referral O Emergency O Other IO Denied Access
Date of Visit: I 1 X I Arrival Time: �,. Departure Time:�] County• 1 Y 01111 Region:
Farm Name: O� n fS l t� rS ( Owner'Email:
Owner Name: FAVVl Y) , i mm\ To i 11�S Phone:
Mailing Address: 5q ( I V v y �I S V I y "l CA �� ��1�15
Physical Address: /--I d6q 4\,-j y U D 16 siQ(,l 1y G 'D-06;-In
Facility Contact: �5ayy lY) Title: Phone: 36 3 jj�j— LH`�t I
Onsite Representative: `1 Integrator:
Certified Operator: y Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude:, I 1 Longitude:
USSa- `i V\.f 7 � ��15 7 N C `�q w >
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish 41
a er DairyCow
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dail
Farrow to Finish La ers 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 )Q 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 No ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: - Date of Inspection:
v
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 6No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Strueture 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 [ No ❑ N A ❑ 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? r
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? ❑ Yes No ❑ NA ❑ 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 No ❑ NA ❑NE
maintenance or improvement?
Waste Application
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 ❑ No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals( u,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
p yp ( ) Cc)( n �1GL�.,
12. Cro T es :
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? 7�
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? V Jc; 1--,'\rz jx,y ❑ Yes [A 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 nee !Weekly
provement? ] Yes ❑ No ❑ NA ❑ NE
Waste Application Freeboar ❑Waste Analysis Soil Anal y ' ❑Waste Transfers Weather Code
Rainfall Stocking Crop Yield ❑Monthly and I" Rainfall Inspections
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 maintaain rainbreakers on irrigation equipment? ❑ Yes 7❑� No NA ❑ NE
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Facilit Number: C jDate of Inspection: ► �
24. Did the facility fail to calibrate waste apt ation equipment as required by the permit? ❑ Yes No ❑ 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 to provide documentation of an actively certified operator in charge? ❑ Yes [VI 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 [Z 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 ft 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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or Nam ` qVReviewer/Inspect �U / IDS
Reviewer/Inspector Sign �� 1� ��A( � Date:
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