290017_Compliance Evaluation Inspection_20181231

Division of Water Resource,
Facility Number Ltl�� - l , 0 Division of Soil and Water k--aservation
0 Other Agency
Type of Visit: IF Compliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0,Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: '� \_ Arrival Time:'T Departure Time:E= County: k\ ( Region:\NS.Eb
Farm Name: yyixy-a l Yam( 'Di h �Jrf,, Owner Email:
Owner Name: V yl (A Phone:
Mailing Address: v1 f y �� � i1_ (�� OV
Physical Address:" Oki NvVy ' q Lce t�jpD NV 0-1 �-q -t
Facility Contact: 'Tn\n h U"/)an Y V ay Title: Phone:
Onsite Representative: Integrator:
(poi �h Yl 011 rS
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: y JC d i l (�, i Longitude: QC
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder HNon-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 Beef Brood Cow
Turkeys
Other Turkey Poults
Other MOther
Discharp-es and Stream Impacts
1. Is any discharge observed from any part of the operation? Yes ❑ No ❑ NA ❑ NE
Discharge originated at: FUI 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 M No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 4 No ❑ NA 0 NE
of the State other than from a discharge?
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Facili Number: - Date of Inspection:
b
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? 4 Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 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 ❑ 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 '7� 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? 4 Yes [:] No ❑ N A ❑ 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 A No ❑ NA ❑ N E
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes 4 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(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 E] Application Outside of Approved Area
12. Crop Type(s): �'`��` �I�YGI�U� Sl(6"&
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes 0 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 ,5�1 No [DNA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? �? ❑ Yes MNo ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? S%*WS JY ❑ Yes No ❑ NA ❑ NE
Required Records&Documents 0V
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?If yes,check the appropriate box below. ❑ Yes qNo ❑ NA ❑ NE
pp i ,Weekly Freeboard - =av=aete, lysise
Rainfall f?sftc�Crop Yield Monthly and V Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge?\6S Irp��r ❑ Yes M No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No XNA ❑ NE
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Facili Number: jDate of Inspection: 3 '
24.Did the facility fail to calibrate waste application 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 0 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 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 0 NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 urs 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 Lr'7'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 [j 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 EA No ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 0 Yes No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? 1V Yes No ❑ NA 0 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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Reviewer/Inspector Name: ' 1 Phone:�����q�
Reviewer/Inspector atu
Date: 1 t,
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