010009_Compliance Evaluation Inspection_20180605

Division of Water Resources �
Facility Number - c Division of Soil and Water C.,..��ration . i .'NT 0 Other°Agency
j
type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 9 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: e Arrival Time: Q® Departure Time: County: �y:0.MGrCeRegion:� V�
Farm Name: q r M Owner Email: O) ( F l
�_
T
Owner Name: ` Phone:
M ailingjkddres • I �6,_ r' 16'&.
Physical Address: 16 G6 Q or ` 1 � • /S n o vJ l.,
_A
Facility Contact: 1 I p �� �0. Title: Phone:
L-il %1 i aura r S 1 wiw►ie- Ho I I ►c� xy .3A - 7(a ;3 7�
Onsite Representative: Integrator:
Certified Operator: �J�f 1 p�Yr� q \ Certification Number:
Back-up Operator: Certification Number:
Location of Farm:
Latitude:
Longitude:
>46 6 1 NC IV Lin c / (Zd, . P motor �% l � e a, . J
FaLrm on (9
ASO � �
Design Current Design Current Design�urrent
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle. Capacityi, Pop k
Wean to Finish
Wean toTeeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
La er Dairy Cow
Non -Layer Dairy Calf
Dairy Heifer
Design Current Dry Cow
Dry Poultry Capacity Pop. Non -Dairy
Layers
Non -Layers
Pullets
Turkeys
,Turkey Poults
Other
Beef Stocker
Beef Feeder
Beef Brood Cow
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? [:]Yes WNo ❑ 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)
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 XNo ❑ NA ❑ NE
❑ Yes FNo ❑ NA ❑ NE
r
Page I of 3 21412015 Continued

Facili Number: jDate of Inspection: )
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? es ❑ 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: :II UO—ax 44- 2. RA
Spillway?: �T
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures o served . es 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 ;VNo ❑ NA ❑ NE
waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immed' te'public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? "n-Ili]
Yes
❑ No
❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permi!�.
Yes
❑ No
❑ NA ❑ NE
(not applicable to roofed pits, dry stacks, and/or wet stacks) u7O/
9. Does any part of the waste management system other than the waste structures req4irC t
❑ Yes
No
❑ NA ❑ NE
maintenance or improvement? do
T`
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
XNo
❑ 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 pf Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s)
13. Soil Type(s): J
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes XNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ;WNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes []No WNA ❑ NE
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
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes D No
❑ Yes WNo
Yews No
❑ Yes ;VNo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Other:
❑ Yes 0
No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections
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 ,fNA ❑ NE
Page 2 of 3 21412015 Continued

Facili Number: - jDate of Inspection:
24. Did the facility fail to calibrate waste appiiumon 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 IVI 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 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes No ❑ NA ❑ NE
Other Issues YNo
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes I ❑ 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?
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
❑ 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 0 No ❑ NA ❑ NE
❑ Yes DjKo ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes eNo
❑ Yes Dja'No
❑ Yes N� No
❑ NA ❑ NE
❑ NA ❑ NE
❑NA ❑NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
Phone: AS- I jb - ` 0!1
Date: /'Pp� ' b2ot I
liX1+321412015