860010_Compliance Evaluation Inspection_20181120

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Division of water Resources � �Z �� � � ���g..;
Facilt Number O Division of Soil and Water �Conservatiori,
J.
0 Other Agency
..,r .
type of Visit:
Vompliance Inspection 0
Operation Review 0 Structure Evaluation
0 Technical Assistance
2eason for Visit:
0Routine 0 Complaint
0 Follow-up 0 Referral 0 Emergency
0 Other O'Denied Access
Date of Visit: ZO Arrival Time: ; OC)ALA Departure Time: County: Region: 14,j—
Farm Name: ,V l OLD I p , ki d q i? Fair , Owner Email:
Owner Name: Q -t)() t jr U , -=V1 c- / Phone: � C ,e �336 - 7 f Q — 720
y
Mailing Address: I % r �.11 p� 1Gl a� /' aJ 4 , 0 I r � , I j G a 7 ®3 Q
Z
Physical Address: -19
i
Facility Contact: T ll i Pi ( ki Title:
�051, I+o(_%o,� 3,gb— 710 - q33
Onsite Representative:
Certified Operator: pshr-:�V1
Phone:.33(p - z/0 I — X L19 O
Integrator:
Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: 3(p �C) 0 5` Longitude: g 0 3 / S
1+w1 , T-7L , e,*,t4 #(o -- Hvv g9 �G, R. w- Pi ne. LNE, 89) L
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
,.Other
Other
La er
Non -Layer
Design Current
Dry Pouitry Canacitv Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Cattle Capacity Pop.
1Dairy Cow
00
Dairy Calf
airy Heifer
100
O
Dry Cow
O
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
[:]Yes
�<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
N No
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes 5dNo ❑ NA ❑ NE
of the State other than from a discharge?
� � •-' 0
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Facility Number: - j Date of Inspection: J I Z6 .201 1Z
Waste Collection & Treatment r
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? tolyes ❑ No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 z.9tructure r
4 t cture 5 Structure 6
Identifier: Wo Le K Z -0 1 66/0S
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
[V3'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
❑ 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
[]No
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
XNo
❑ 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 WinNdDrift ❑ Application Outside of Approved Area
12. Crop Type(s): l�
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Z No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
W No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ No
[�eNA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[VNo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
r'vr No
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
�0 Yes
❑ No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[RNo
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑ Other:
VWasste
s record keeping need improvement?®, ebelew. Yes ❑ No
Applic ion ErWeekly Freeboard [E]Waste Analysis Soil Analysis ' �rmzsfers
Rainfall Stocking Vrop Yield 531120 Minute nspections Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? [:]Yes Cg'No
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
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❑ Yes ❑ No
❑ NA ❑ NE
❑ Weather Code
❑ NA ❑ NE
EK NA ❑ NE
21412015 Continued

Facility Number: _®- Q Date of Inspection: 1 zp
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes XNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No (ZNA ❑ 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 ONo ❑ NA ❑ NE .
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes � 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? 77��
29. At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes JSrNo ❑ 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
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
56 No
❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
% No
❑ NA
❑ NE
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Reviewer/Inspector Name: Q hone: ����
Reviewer/Inspector Signature:U_" Ltj)4�V " 4 1, �: 11Z.U1._ 01 O
I ` ��4iai2ols
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