760050_Free Board and Rainfall 2017_20180418

Division of Water Resources
Facility Number , 0 Division of Soil and Water C vation
0-� o t
z Other Agency,
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: (Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: g ,20 Arrival Time: Departure Time:
County: Region: W-5/Z6
Farm Name: W ,11, 1p, $ di r OwnerEmail:
Owner Name: Phone:/ l`
Sea n t j p_ W 1 1 110.1M S
Mailing Address: 33 06.6- W t 11 jam,_S 1) Qe ry P,A. , 6 b ex-+ N C a 7 Xj $
Physical Address:
Facility Contact: P11 C-`L 1 1 p, rY►,�j Title:
Onsite Representative: �-1 Gl� W I Vt A WI 5
Certified Operator:
Back-up Operator:
Location of Farm:
C_ 3ioZ�-Y77/
Phone: 2 Z / 3Z
Integrator:
N eed h rS b y
Certification Number: 1 Z 131 J zo I T
Certification Number:
Latitude: �J� / t Longitude: %C% 39/ t�
U5 42 Souk. -fa C)ICE i �-I-% w-1v rn 2 0 1� Wit 11 a rvlS -Fo-rm
on
Design Current
Design Current
DesgnxCurrent
Capacity 'Pop.
Wet Poultry
Capacity PoP•
Cattle
Ca`Swinei { ° '
acCa
P v
«PoP d
Wean to Finish
L a er
Dairy Cow
Q
Wean to Feeder
Non -Layer
Dairy Calf
Feeder to Finish
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes *o ❑ NA ❑ NE
[:]No
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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
❑ Yes eNo
❑ Yes "'No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3 21412015 Continued

Facili Ni3mber: - Q Date of Ins ection: 1$ 8
•MW
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
1 a. If yes, is waste level into the structural freeboard? I
ty Structure 1 Structure 2 Structure 3 Structure 4
P �Q�lentifier: y� 5 -�
Spillway?:
Designed Freeboard (in): $ 1
t pf
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 krNo
[:]Yes [�N
❑NA ❑NE
❑ 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? ❑ Yes Cj No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? [:]Yes [�o ❑ 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? ;jr
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes [X"No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. [:]Yes CSJ^o ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.))
❑ PAN ❑ PAN > 10% or 101bs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
e
12. Crop Type(s):
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes �10 ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 0?'*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? 77��
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
❑ Yes C4 No ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes CS�No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes VNo ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
2 . Does record keeping need i provement? s
aste Applic ion [Weekly Freeboa Waste AnalysisYonthly
il
VRainjall Stocking Crop Yield [ 1120 Minute Inspections
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes No _ '1A ❑ NE
Analysis ers Weather Code
and 1" Rainfall Inspections ��'����tfpyey
❑ Yes [yNo ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No NLNA ❑ NE
Page 2 of 3 21412015 Continued

FociliNumber: - Date of Inspection: kill
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 5JC�+A ❑ 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
IV Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
06 No
❑ NA
❑ NE
[:]Yes
O/No
❑ NA
❑ NE
❑ Yes
Ef No
❑ NA
❑ NE
❑ Yes � No ❑ NA ❑ NE
❑ Yes X No ❑ NA ❑ NE
[] Yes ❑ No ❑ NA ❑ NE
❑ Yes UNo
❑ Yes �10
❑ Yes r'1`To
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
L5� - o.' e
LS 1> = D . t7
Phone: — 7
Date:
2/4/2015