760005_Compliance Evaluation Inspection_20180206

Division of Water Resourcf _
Facility Number
Division of Soil and`Water
ier-nation
0 Other=Agency
�
type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
teason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: Departure Time: It ounty: �Region:
Farm Name: K L.S !S 1Ayl n -e— Owner Email: >
Owner Name: %Il� A r ( F- i V1 Phone: 3310 — 6 Z Z
Mailing Address: PC) ,66 4 GO 0 (,1' r+ NL, a %. q
Physical Address: -52
Facility Contact: V-19- & V' 14 1 n Title:
Onsite Representative:
Certified Operator: il
19
Phone: 3,3ZP -'31 q — 1 ty � 7
Integrator:--�
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: 35648 `i 3 / Longitude: 13 % 3$ j 1
l) 5 viZ �1`i -�o Y�C. jf w 4 `q �u`t-h,� fio j 11n➢ 12 da
- Sand C Pd Is
Design Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
arrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current Design Current
Wet Poultry " Capacity Pop. Cattle ,Capacity Pop.
Layer
Non -Layer
Design Current
DrvPoultry Canacity Pon.
Layers
Non -Layers
Pullets
Turkeys
TurkeyPoults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes XNo ❑ NA ❑ NE
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)
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?
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
JyNo
❑ NA
❑ NE
❑ Yes
;k No
❑ NA
❑ NE
Page I of 3 21412015 Continued

]FacilityNumber: - Q Date of Inspection: ��,�Cj
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
l- a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
l Identifier:
009
Spillway?: V66 1Z
it
Design d Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes XNo ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
Structure 5 Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
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?
19 Yes
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
WNo
❑ 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
WNo
❑ 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):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑ Yes
Nd'No
❑ NA
❑ NE
Yes
❑ No
❑ NA
❑ NE
❑ Yes
of
NOOONro
❑ NA
❑ NE
❑ Yes
XNo
❑ NA
❑ NE
❑ Yes
[To
❑ NA
❑ NE
[]Yes KNo ❑ NA ❑ NE
❑ Yes J)J`�4o ❑ NA ❑ NE
❑ Other:
21. oes record keeping need im vement? I _ ❑ Yes No ❑ A ❑ NE
ste A licatio ekl Freeboard Waste Anal sis Soil Analysis [Weather Code
PP }r Y Y Y
Rainfall L]^dtJ(tocking Crop Yield 20 Minute Inspections Ionthly and V Rainfall Inspections ®'Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes XNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No 0;(NA ❑ NE
Page 2 of 3 21412015 Continued

Date of Inspection:
01
lFacHity Number: -
24. Did the facility fail to calibrate waste apAl tion equipment as required by the permit?
❑ Yes
Noo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
[�o ❑ 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 provide documentation of an actively certified operator in charge?
❑ Yes
9No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
o ❑ 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
[X/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
XNo ❑ 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.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes XNo ❑ NA ❑ NE
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
eo
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes X No ❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
& 1'%zg /71,5 i -7
Phone: 1% 7 (�p(
Date: 2-
2/4/2015