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HomeMy WebLinkAbout960110_Inspection_20191017Division of Water Resources Facility Number %�p — - � 0 Division of Soil and Water Conservation 0 Other Agency ILI Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: ®/ Arrival Time: Departure Time: County: Region: Farm Name:Owner Email: Owner Name: e� � � Phone: Mailing Address: Physical Address: --�G, Facility Contact: Onsite Representative: Z2,,0,Z X Certified Operator: Back-up Operator: Location of Farm: Swine Title: Phone: Integrator: Certification Number: Fro Q % :;2— Certification Number: Latitude: Design Current Design Current Capacity Pop. Wet Poultry Capacity Pop. Layer I I ::::] 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 Layers Non-L Pullets Turkey Poults Other Design Current A Discharges 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? Longitude: Design Current Cattle Capacity Pop. Dairy Cow Dairy Calf Dairy Heifer Dry Cow .Non -Dairy Beef Stocker Beef Feeder Beef Brood Cow ❑ Yes d No ❑ NA ❑ NE ❑ Yes [:]No ❑ NA ❑ NE ❑ Yes [:]No ❑ NA ❑ NE ❑ Yes ❑ No ❑ Yes o ❑ Yes JNo ❑ NA ❑ NE ❑ NA ❑ NE ❑NA ❑NE Page I of 3 21412015 Continued Facility Number: M //Or Date of Inspection: / Waste Collection & Treatment 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ N A ❑ N E 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: Spillway?: Designed Freeboard (in): �jo2 Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes 12f 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 [jNo ❑ 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 AP lication 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 6No ❑ 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): CZL - . ��S 13. Soil Type(s): 14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes o ❑ NA ❑ NE 15. Does the receiving crop and/or land application site need improvement? ❑ Yes No ❑ NA ❑ NE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes iNo ❑ NA ❑ NE acres determination? 17. Does the facility lack adequate acreage for land application? ❑ Yes o ❑ 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 o ❑ N A ❑ NE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes ��No ❑ 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 Ed 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 Inspectioio ❑ Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? ❑ Yeso ❑ NA ❑ NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE Page 2 of 3 21412015 Continued Facility Number: - Date of Ins ection: d— / — 9 24. Did the facility fail to calibrate waste application equipment as required by the permit?,10� ❑ Yes 264o ❑ NA 0 NE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes j(No ❑ NA ❑ NE the appropriate box(es) below. 'bau- ad/q' ❑ 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 d No ❑ NA ❑ NE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? [:]Yes GZ�No ❑ 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? []Yes E�No ❑ Yes [0"'No ❑ Yes [v](No ❑ NA ❑ NE ❑NA ❑NE ❑ NA ❑ NE [:]Yes 02(No ❑ NA ❑ NE [:]Yes YNo ❑ NA ❑ NE ❑ Yes a6o ❑ NA ❑ NE [:]Yes C3 No ❑ NA ❑ NE Comments (refer to question ft Explain any YES answers and/or any additional recommendations or any other comments. Use drawings of facility to better explain situations (use additional pages as necessary). Reviewer/Inspector Name: Phone: g3-a 476� Reviewer/Inspector Signature: Page 3 of 3 Date: LZ a 21412015