310269_Complaint_20180405

VDivision of Water Resources
Facility Number - O Division of Soil and Water Conservation
W tJ O Other Agency
Type of Visit: Com ' nce Inspection 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
i
Date of Visit: Arrival Time: Departure Time. County: Region:
Farm Name: Owner Email
Owner Name.
Mailing Address:
Physical Address:
Phone:
Facility Contact:
Title::
OnsiteRepresentative:
(IN 'I !S�'r"
((
(Ai
)/t/ S Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Latitude:
Phone:
Certification Number: �D_ f— 7/ y
Certification Number:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layet
IINon-La er
Wean to Finish
W an to Feeder
eeder to Finish
Z.(p
ZOP
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current
Dry Poultry Canacity Prim
Layers
Non -Layers
pullets
Turkeys
Turkey POrdts
Other
Discharges and Stream Impacts
I. 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)?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
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 ONo ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes o 0 NA ❑ NE
of the Slate other than from a discharge?
Page I of 3 21412015 Continued

Facili Number: 2 Date of inspection:
Waste Cgllection & Treatment
4. t- storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes 8'N-o- ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): Z(a
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?
Ef Yes ❑ No ❑ NA ❑ NE
❑ Yes ONo ❑ 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 En No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? 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 Ej No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes LTNo ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes Io ❑ 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):
14.
Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
Ej ❑ 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 to have the Certificate of Coverage & Permit readily available?
❑ Yes
ON ❑ 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 E2No ❑ 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 FfNo ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: Date of Ins ection:
24. Did tPe facility fail to calibrate waste application equipment as required by the permit? ❑ Yes No ❑ NA ❑ NE
2`? Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes a No ❑ NA ❑ NE
the appropriate box(es) below.
❑ Failure to complete annual sludge survey ❑ Failure to develop a PDA 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 P3'?qo_❑ NA NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes []No NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
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
/
I ❑ NA
P
❑ 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
/-
❑,No ❑ 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
0 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
No ❑ 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 4): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional paces as necessarv).
Zoo 4
1,- 1rc«�E'S CPix r �P� 70 /7S
r 45
S -!a re e Doti (�k.,� / �� S<Spe
In Cl/Ca / ^� ��� /S -ss,, e-C rv--- se Z..61*'�vs e/r,
Owk
0VC ®l4- `C6 k yO&-f- fa
Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
Phone: /f iO 7?67 3'y
Date: i S %
2141201 S

I
O
E
Oo
30
N
O
A
2m
J
J
J
J
m
u
m
io
m
by
0
o
a
o
o
po
u � y
y
FO
-
A N
O
O
O
O
O
O
3 N
m �
a� da
09
x
O
o
O
O
O
0
O
0
0
0
O
O
O
O
O
e
W
W
W
m
m
V_
V_
V_
J
v
\ 0 3
v
A
A
A
A
A
w
w
w
W
W
<
G
V d
O�1
m
N
N
N
OZ�
Ha
Fo z
N
N
V
V
J G
V
V
O
O
O
mQd?
D)
N
l0
V
AM
m$
A
OD
N
0
A
m
w
o
0
0
m
0
0
o
n
o
o
m
0
0
0
z
m
m
0
;u
n
A
m
£
A
o
iN
T d
ag=
z y =
(1nN
m
0 D)
d d
ro
A
T
#
O
J yrj
O b
O 0
T
3
c
�
C
�O
C
TO
-
�O
d
n�
.. m
�3a
ve
Oa
m a
a
D- a
O
I
nc�
r�
i
n
m
n
G) o
m
o
m
Z °
m
v
0
o
p
0
6-0

�
\
\
\
\
\
�
\�CIA
�
«
03
ma
\0
\
fm
m
§ )
=
rn
\
DU
Cl
o
<

d p
N
d
00
m
m
rn
3
J
30
Ol
10
b
W
b
M
-Iy
0
0
0
0
0
o
a
3 m
O
O
2 n
O
O
O
O
�3y
d j R
o
0
0
0
0
0
0
n
3 n°
0
n 6
Nj0
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O
O0
W
Ql
(➢
W
Ol
OJ
� 2 � N
N
N
(P
UI
UI
(P
V
V
V
V
V
V
V
N
"ON
N
<l�
N
tIN
N
UI
g g D
b _
N
J
_Z
Fn9D
W
O
O
O
O
O gG�a
N
N
N
N
N
O
W
t0
V
O�
41
N
V
1
O
mS
1
0
n
Q
3
m
m
0
N
A
O
O
N
T d
v
D 3
no
y
Q
m 0
�w
a
f�>
n
Ea
0n�
m m
m q
A
R
Q
N N
6
mo
00
'0
L
I I3
r
d
ma
m
m
�10
C
_Td
N
N O
°
N
0
C
3 Z
m
o
o m
z p
m
N
o O
�
0
FO

O
H
2
00
m
m
m
a
30
N
'm
N
O
E.
rn
O1
rn
rn
m
S
N
S
S
m
.
W
S
nz
may
ON
n
#
_
sow
-
O
a
O
O
O
O
3 v T
vAF
m �
o G
O
O
O
O
O
O
O
O
•'-vn
O
O
O
O
O
O
J
N
N
N
N
N
N
N
N
N
U�
N
avm
m02j
mT
FZ
�D
V
l0
[O
l4
t
(O ooCm=
co
J
V
V
V
V
N
O]
Ol
Ul
Al
M
m
m^mZ
W
N
W
O
A
O
U
o
6
O
\ wo
N
V
O
M
fD
J
OI
N
>
L
N
N
n�
a
a
o
O