850001_Compliance Evaluation Inspection_20181116

Division of Water`,Resourc
acihty Number
I
- ,C\ ��
0 Division of Soil and Water"
a
nervation
. Uta
0 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: j Arrival Time: ' p Departure Time: Z. ; ` County: Region: WSRO
Farm Name: e41 fw- Few _ i' Pi U Faf-m Owner Email:
,
Owner Name: a Q. u_� �n�-�- Phone:
Mailing Address: 12, Ss— A ir% a lrz%Aj 8 e4n neA+ Fam l_lj . , bay) IO u t- V , N C �? 7 b
Physical Address:
Facility Contact: � , (� t E) ' _" V) e_4, Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
QMy Ids—?-7©6
&J °O C. 403 - Cj Z
Phone: 3 3 6 —S l — MUL
Integrator: �-nCje 44144 Q'%+
Certification Number:
Certification Number:
Latitude: 116° 2. i ® f + t Longitude: $ l e ` t 03 t
W2, n 3 r
vv $ ! I�- �e.
Design Current
Design
Current
Design f Current
Swine
Capacity Pop.
Wet Poultry
Capacity
Pop.
Cattle `Capacity„ _ Pop
Wean to Finish
Layer
Dairy Cow
Wean to Feeder
Non -Layer
Dairy Calf 40,
Feeder to Finish
Dairy Heifer
Farrow to Wean
Design
Current
Dry Cow
Farrow to Feeder
Dry Poultry
Capacity
Pop.
Non -Dairy 8
Farrow to Finish
I Layers
113eef Stocker
Gilts
Non -Layers
Beef Feeder`s
Boars
Pullets
Beef Brood Cow 7
Turkeys
09,
Other
Turkey Poults',�
Other
Other
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?
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 Flo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
[:]Yes ❑ No
❑ Yes ;M"No
❑ Yes 5;�No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Page 1 of 3 21412015 Continued

>H acility Number: - ey Date of Inspection:
Waste Collection & Treatment -
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes [XNo ❑ 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: 0
Spillway?: y,
�
Designed Freeboard (in): 014
Observed Freeboard (in): _Jtl _!�'
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes J' 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 W 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?
['Yes ❑ No ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes ER'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 NrNo ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes [5�o ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes ONo ❑ 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): f7P.,
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes dNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 1A 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 2�r-No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes E4 No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes [RNo ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes rj�,No ❑ NA ❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
21oes record keeping need improvement? U_y ,zh k t4e❑ Yes N�No ❑ A ❑ NE
[vJ Waste Application EdW ekly Freeboard [Waste Analysis oil Analysis ��x'a�*_.: T :.ne e=seather Code
[Rainfall [dtocking Crop Yield [i]'i20 Minute Inspections 2Nlonthly and 1" Rainfall Inspections E Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [A No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No S<NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - 0 IDate of Inspection:
24. Did the facility fail to calibrate waste apr_ _<ion equipment as required by the permit?
[]Yes
ZNo
❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
PNo
❑ NA ❑ NE
the appropriate box(es) below.
r] 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
E�'No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
X 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? 3' -s 300'
29. At the time of the inspection did the facility pose an odor or air quality concern?
❑ Yes
[gNo
❑ 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
[WNo
❑ 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
Nr 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
WNo
❑ NA
❑ NE
i daM? Please- 11 r6+5' oV\ ACLU% - iV\ s 'It t ay
c In Reid q ry\o,&A exp-&,9
e� ce-A o
0d t&sk_5 Ave- A4- 202-®c
&A-6bra0ndue,z.0r C
Iudcje Svry dts�e, 12-12-112.011
Reviewer/Inspector Name:
Reviewer/Inspector Signatur
Page 3 of 3
4y io/Zoo = >y(v 4 f 1711V= AS 7
Phone: 336 _ 11 b U 9
Date: i t 11 !2 1 L o i$
21412015