820122_Inspection_20190924

IS 1 VvV7
®'Division of -Water Resource`s
7,acxy N litumber z 0 Division of'Soil and_Water Conservation
_ -. -
_ -Q Other Agency
Type of Visit: Z-57ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 04outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: s Arrival Time: Departure Time: County: -C-Aftps'ply
Farm Name: CV► Pij�' Owner Email:
Owner Name: rlA e-t l N Phone:
Mailing Address:
Physical Address:
Facility Contact: Title:
Onsite Representative: tL
Certified Operator: K
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
s Farrow to Finish
Gilts
Boars
' Other -
Other
Latitude:
Region:
Phone:
Integrator: RK44 ec -(I' %Jill
Certification Number: ZDO "q
Certification Number:
Longitude:
Design'
Current
Design _Current ti =
Design
Current
Capacity
Pop " ,
Wet Poultry Capacity -Pop Cattle
Capacity
,' Pop
Discharges and Stream Imuacts
La er
Non -Layer
Design , Current_-
Dry Poultry Canaeitv'' Pon -
Layers
—.Non-Layers
Pullets
Turkeys
Turkey Poults
Other
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
1. Is any discharge observed from any part of the operation?
❑ Yes
[j'No
❑ NA
❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
❑ Yes
❑ No
ffrNA
❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR)
❑ Yes
❑ No
E? 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
2rNo
❑ NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
❑ Yes
U No
❑ NA
❑ NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

FaciWy Number: - 2- jDate of Inspection: S
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Q A ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No C ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: ®' ` J..2 1_ ® 2—
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):_
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 5DWo' ❑ 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
R4<o
❑ 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
0Do any of the structures need maintenance or improvement?
es
❑ No
❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
[ o
❑ 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
[B>o
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
[:]Yes
Eg�X6
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes KJ<o
❑ 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): <-- S Gp�l s o
13. Soil Type(s): No la-
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes 5;1"�0
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes EdeNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes [LP -No
❑ NA
❑ NE
acres determination?
-
17. Does the facility lack adequate acreage for land application?
❑ Yes To
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ YesF�J<
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
El"No
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
Ep4o
❑ NA ❑ NE
the appropriate box.
❑ WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes
52"No
❑ NA ❑ 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
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
Ee"No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
❑ No
O NA ❑ NE
Page 2 of 3
21412015 Continued

Facility Number: - Date of Inspection: 2,'
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes R No
25. Is the facility out of compliance with permit conditions related to sludge? if yes, check Yes ❑ No
the appropriate box(es) below.
90'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 F No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes �lO
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?
❑ NA ❑ NE
❑NA ❑NE
❑ NA ❑ NE
❑NA ❑NE
❑ Yes P"�o ❑ NA ❑ NE
❑ Yes To ❑ NA ❑ NE
❑ Yes EE o ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes UK
❑ Yes Ea -go
❑ Yes Wo
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Comments (refer to'question #f): Explain any YES answers and/or any additional recorremendations or any°other comments.
Use drawings of facility ;to better.explain situations (use additional pages as necessary).s
l
0,-2, �'C5 3, � '(6
�e( (9 -,3 3-s 36 1"'
- � MOW dovo _ t mck 6 C1_L � dog,jr Q
'. s ( S " "L' L-ts
Cell 1(0- 309_�e5
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: TLA 3 3-33J 1
Date:
21412015