030021_Compliance Evaluation Inspection_20180911

Division of Water Resources
Facility Number 0�Division of Soil and Water Conservation
w.
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: )) ZO Arrival Time: Departure Time: I2 Z-S County: Ite� egion: �S(�
Farm Name: 1 V12�5 7)0 Vry Faa-m Owner Email: [i
Owner Name: �-}-�.Q� � �p 1 Vi ��7 Phone:
I
Mailing Address: 4 02 (/i �S I �-e-!' ��-A RaOj I NC
Physical Address:
Facility Contact: A elo jV1 n eTitle:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Phone: 3 3 (o (o !j_ -7 - Q
Integrator:
to
Certification Number:
Certification Number:
Latitude: 3(o 3 Q/ n 6 Longitude: $ f O � 0 �:3 Z t�
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Swine
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -La er
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Dry Poultry Canacitv Pon.
Layers
Non -Layers
Pullets
Turkeys
-Turkey Poults
Other
Discharaes 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?
Design Curren
Cattle • Capacity
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
.Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes 1� No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes N"No ❑ NA ❑ NE
❑ Yes WNo ❑ NA ❑ NE
Page 1 of 3
21412015 Continued

Fat iliNumber: 3 - '2- jDate of Inspection: g ! / .Z-O
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
1� 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: Ntj +� . 6 YlO
Spillway?: N b
Designed Freeboard (in): _12—
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
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?
1� 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?
T'
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
k No
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
96 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): Lr-n S I Q 2_ A 1-6w
( -QP,5CX) \1
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
C6 No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
9fNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
❑ No
„ R-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
N No
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
ONo
❑ NA
❑ NE
the appropriate box.
❑ WUP ❑ Checklists ❑ Design []Maps ❑ Lease Agreements
❑ Other:
W21. oes record keeping need im rovement? P aP}�e}giate Q =l'ow.
Freeboard Waste Analysis Analysis
❑ Yes [g No
s-
❑ N
Weather
❑ NE
Code
aste Applic ion Weekly oil
�tocking Monthly
[Rainfall ❑ Crop Yield ❑ 120 Minute Inspections and 1" Rainfall
Inspections
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
0 No
❑ NA
❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
Z 1QA
❑ NE
Page 2 of 3
21412015 Continued

lFeNtity Number: - 2-1 jDate of Inspection: t / 76
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Aj No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
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:
❑ NA ❑ NE
NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge?
❑ Yes
0 No
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
CRr&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
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
j`j No
❑ NA
❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
77��
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 � No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
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❑ Yes M No ❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signatu
Page 3 of 3
20,5'eJ3 V-C)CV_ Phone: �3a �P • q �@�!
re: Date: -IL Z®tT
21412015