770001_Inspection_20190220

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(DINvision of Water Resources
'F�cility Number O Division of Soil and Water Conservation
O Other Agency
Type of Visit: C�ompp lance Inspection Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: (t�'Itoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 1 Arrival Time: (�o� Departure Time: ounty: Region:
Farm Name: 2t�i << ��`� L`— Owner Email:
Owner Name: 0 Llq I,G l ���` "`S Phone:
Mailing Address:
Physical Address:
M 9
Facility Contact: r lcx=t' G 5 L'( Title:
Onsite Representative:
�l
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Latitude:
Phone:
Integrators- fleu-o! T
Certification Number: 4 b % 3
Certification Number:
Design Current Design Current
Capacity Pop.. Wet Poultry Capacity Pop.
Layer
Non -Layer
Wean to Finish
Wean to Feeder
Feeder to Finish
- TOO
f &7
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Dry Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
DischarsTes and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes Eg-Vo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [—]Yes ❑ No ®1NA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No Q A ❑ NE
c. What is the estimated volume that reached waters of the State (gallons)? J
d. Does the discharge bypass the waste management system? (If yes, notify DWR) ❑ Yes ❑ No 0 A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes ' D'No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [2 No ❑ NA ❑ NE
of the State other than from a discharge? o
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Facility Number: 77 - 0i, Date of inspection: 0
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes Q'No ❑ NA ❑ NE
y a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No U- <A ❑ NE
Structure 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
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 E No ❑ NA ❑ NE
❑ Yes 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? ❑ Yes 10 ❑ 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 Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ET'N'o ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes 10 ❑ 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): I �Gu--t 148C c'&-'xU
13. Soil Type(s): owk-u-vrf-- t gall od h
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑11 o- ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes [�o ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes �o ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes L ],<o' ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes �1� ❑ NA ❑ NE
Required Records & Documents ��11
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 22es
o NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check o ❑ 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 o ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis EB<iilalysis ❑ 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 VNo
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ NA ❑ NE
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Facility Number: - 1je of jDate of Inspection: , 3
l
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes EN�o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ©, o ❑ 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 2 No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes E3 1Vo ❑ 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 ✓ No ❑ NA ❑ NE
❑ Yes 0NNo ❑ NA ❑ NE
❑ Yes 0'Tq-o ❑ NA ❑ NE
❑ Yes D 1V o ❑ NA ❑ NE
C s o ❑NA ❑NE
❑ Yes [TNo ❑ NA ❑ NE
❑ Yes dNo ❑ 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).
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Name: Reviewer/Ins ector r '
P � � ' i� Phone: r�ni(r q,3,� 3 3j3
Reviewer/Inspector SignaturA4
e: Date:
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