310268_Inspection_20191031

Division of Water Resources
Facility Number F 7 2; �k - � 0 Division of Soil and Water Conservation
Other Agency
Type of Visit: e Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Q) Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I I Arrival Time:Departure Time: County:
AFarm Name: Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: eillTitle:
1
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Design Current
Swine Capacity Pop.
Wean to
to
M,
Other
Other
Latitude:
Integrator:
Region:
Phone: l t0 U-S �}ZAQ-
Certification Number:
Certification Number:
Design Current
Wet Poultry Capacity Pop.
Mayer
Design Current
Discharges and Stream Imoacts
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)?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Coxc
❑ Yes 12<0 ❑ NA ❑ NE
❑ Yes
[]No
[3` A
❑ NE
❑ Yes
❑ No
[]A
❑ NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No LSrNA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes 13<0 ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes No ❑ NA ❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

Facili Number: - Date of Inspection: 11
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Q Yes No
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No
Structure 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in): t q `S
Observed Freeboard (in):
❑ NA ❑ NE
2 NA ❑ NE
Structure 4 Structure 5 Structure 6
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 To ❑ NA ❑ NE
❑ Yes 1 No ❑ 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? Q Yes [3-No DNA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [2'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 91<0 ❑ NA Q NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 01,40 Q NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. Q Yes [] No ❑ NA ❑ NE
Q 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)
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
(a No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
F?4<es
❑ No
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
2 No
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[�rNoo
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
540
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
ff No
Q NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
No
Q NA
❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other
21. Does record keeping need improvement? If yes, check t appropriate box below. Yes ❑ No Q NA Q NE
❑ Waste Application ❑ Weekly Freeboard Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections '11Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? Q Yes No Q NA V
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Q Yes ❑ No Q NA
Page 2 of 3 21412015 Continued

Facili Number: 3 1 -
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
the appropriate box(es) below.
_/ ❑ NA ❑ NE
No ❑ NA ❑ NE
❑ 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 C NA ❑ NE
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.
❑ 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?
fer to question #): Explain any YES answers and/or any addii
of facility to better explain situations (use additional pages as
VJ 0Y" Cam" ° ' A S Pr;,��
[:]Yes dNo ❑ NA ❑ NE
❑ Yes CNo ❑ NA ❑ NE
❑ Yes [Z/No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA Ca<E
❑ Yes E2 o
❑ Yes [ZINy
[:]Yes 90
ons or any other
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
S o 1 C1'e, Zo 19
m4C-- (,:,o (�c,7
J®4-a zsc,k0., YLCL_o '--"'9
�vaAA h
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
e \13
C_ o I � <j
Phone: e71y7c►6 -77-1 S
Date:
21412015