260004_Inspection_20190204

Division of Water Resources
4cility Number T CO Division of Soil and Water Conservation _ -
O.Other`Agency
Type of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ; Departure Time: ,'(j County: CJL��Y,^,,�/Region:
Farm Name: i 0p-PPI f p /f` (,,Ja*- Owner Email:
Owner Name: 0/1�d✓W_5 a %�G� Phone:
Mailing Address:
Physical Address:
Facility Contact: 4;er/i,vt— jr S Title: Gum"', r/` Phone:
Onsite Representative: Integrator: ?P?n,�
Certified Operator: S° .�_ Certification Number: .9222_�;7
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design
y_
Current '
Desigffi Current
— Desiign Currrent '4 ,:
Swine Capacity
n c.
Pop"".
-
Wet Poultry
Capacity
_
Pop:
Cattle:Capacity P_op
F —
Wean to Finish
RLayerDai
Cow
Wean to Feeder
�0Non-Layer
Dairy Calf
Feeder to Finish
Dairy Heifer
Farrow to Wean
;Design
,Current
Dry Cow
Farrow to Feeder
Dr= Poultx `
Ca ` acf
Pop.
Non -Dairy
Farrow to Finish
;:
La e&rs=
Beef Stocker
Gilts
Noners
Beef Feeder
Boars
Pullets
Beef Brood Cow
o
Turkeys
Other
Turke Poults
_
—
Other
-
Other
= -
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?
Page 1 of 3
❑ Yes No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes ©'No ❑ NA ❑ NE
21412015 Continued

,. Facility Number: -1V I Date of Inspection: Q
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
Identifier: 2-11 Spillway? -
Designed Freeboard (in): '
Observed Freeboard (in): ' 3�
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
No ❑ NA ❑ NE
❑No ❑NA ❑NE
Structure 6
❑ Yes To ❑ NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a
❑ Yes
[3 wo
❑ 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?
0 Yes
10
❑ 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
to
❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
io
❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes D<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)
13. Soil Type(s): � �i {� 61'9A
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
No
❑ 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
No
❑ 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 have
to the Certificate of Coverage & Permit readily available?
❑ Yes
To
❑ NA
❑ 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
//
[3 o
❑ 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
�❑
[�"No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
❑ Yes
2<o
❑ NA ❑ NE
Page 2 of 3
21412015 Continued

Facility Number: (- - I jDate of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
DO Ye
No ❑ NA
❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
Yes
❑ No ❑ NA
❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a POA for sludge levels
❑ 90-n-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
DIM ❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
El"No ❑ NA
❑ NE
Otber Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
[:]Yes
Q 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
E 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
10
❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
E3 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
To
❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
�o
❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[ o
❑ 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 page's as necessary).
D G(j raj PNYo^ G 7� 21
IM
Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
Ph o e�!'%�
21412015