770006_Inspection_20190225

%3\1A -3 1"-f-b ;Z- t5 1 l
ivision of Water Resources
Facility Number F-77-1 - O Division of Soil and Water Conservation
'- O Other Agency
Type of Visit: Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: <)--Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: 1&S F-rTj Arrival Time: Departure Time: r''nl)
Farm Name: Owner Email:
Owner Name: % n�rvt 'F�LV �� 14tV L L_ C Phone:
Mailing Address:
Physical Address:
Facility Contact: V u! kC'V V't Title:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
County: le-6ki Region:
Phone:
Integrator: � C %emu `'�Cd'
Certification Number: /7
Certification Number:
Longitude:
Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle
Wean to Finish
Wean to Feeder
Feeder to Finish 7 q(A2
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Discharees and Stream Imuacts
Layer
Non -La er
Design Current
Dry Poultry CanaCity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Capacity Pop.
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 [G]rN`6`�❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No e AA ❑ NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No [ A ❑ 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 6NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? [:]Yes FI-No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters [:]Yes [3 <o ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: jDate of Inspection:
Waste Collection & Treatment
4. Is storage Fapacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes L❑-le—❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No Y❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):_
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
Q-ilo-__❑ 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
t 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
7. Do any of the structures need maintenance or improvement?
❑ Yes
[2'NO ❑ NA
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
2<0 ❑ 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
Io ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
0 No ❑ NA
❑ NE
maintenance or improvement?
-No
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
El ❑ 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):
N
14. Do the receiving crops differ from thJse designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑ WUP ❑ Checklists [:]Design ❑ Maps ❑ Lease Agreements
❑ Yes FINo CI." ❑ NA ❑ NE
❑ Yes To ❑ NA ❑ NE
❑ Yes ®-NO ❑ NA ❑ NE
❑ Yes [-L1_v NA ❑ NE
❑ Yes to Q NA ❑ NE
❑ Yes Ej o NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall 0 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 �to ❑ NA ❑ NE
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n
Facility Number: - , Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ICJ 1V0, ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes DX6 ❑ 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 'El-N-'o ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes Flo ❑ NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes To ❑ 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 To ❑ 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
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 [ No ❑ NA ❑ NE
❑ Yes M No
❑ Yes [�No
❑ Yes - To
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
Reviewer/Inspector Signature: Date:1�-j�L� "1 4
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