760050_Compliance Evaluation Inspection_20211020

Division of Water Resourceq
Facility Number - F ] 0 Division of Soil and Water ,servation
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: I IOTI Arrival Time:❑ m Departure Time:FVV_(33__j County:CCJJ(Al J )Region: �20
Farm Name: ��►�-�1+1'-(�� it l Owner Email: "�0f
Owner Name: P(�Yl v� ll iaYYIS Phone: �O y 16a-
Mailing Address: VI E) 1 V C' i' p
Physical Address: 4f(�JI I
Facility Contact: P(AL I' CAM)S Title: Phone:
Onsite Representative: I Integrator:
Certified Operator: Certification Num er I
Back-up Operator: Certification Number:: \,
Location of Farm: Latitude D 1 t1 Longitude: I
U_'; 4a"l 6 —7 0 Wi l l i �,7 ZlrYY�41� L
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish La er DairyCow
Wean to Feeder Non-Layer Dair 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 Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other -Turkey Pouets
Other
Discharp,es and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes KI 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 XNo ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number:- - Date of Inspection:
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes g 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: ws p \f'J_�
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes A 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 ANo ❑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 0 No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? [] Yes KNo ❑ 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 ❑ N E
maintenance or improvement?
Waste Application
10.Are there any required buffers, setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ N E
maintenance or improvement? 7�
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 ❑ Application Outside of Approved Area
12.Crop Type(s): 5 D, oe--�
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 � ment. Yes ❑No ❑ NA ❑ NE
Waste Application Weekly Freeboar ❑Waste Analysis ❑Soi Analysi €ere— ®Weather Code
Rainfall Stoking t❑Crop ield 120 Minute Inspections PQ Monthly and 1" Rainfall Inspections 7rnVe3c
22. Did the facility fail two in it and maintain a rain gauge? Yes [� No ❑ N�A✓ ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? [—] Yes P�No NA ❑ NE
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Facility Number: jDate of Inspection:
24. Did the facility fail to calibrate waste ap, 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 P0 No ❑ NA ❑ N l
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes Vj No ❑ NA ❑ Nl
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes No ❑ NA ❑ N F,
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 ❑ N I
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 2q No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes N 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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Reviewer/Inspector Name: rA 1`1 Phone: %
Reviewer/Inspector Sign ture. Date:
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