310419_Compliance Evaluation Inspection_20181212

Division of Water Resources
Facility Number � - � 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Co npliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Routine O Complaint O Follow-up 0 Referral O Emergency O Other 1Q Denied Access
e.
Date of Visit: i iL.i iL.i i� Arrival Time: Departure Time: County: n ` Region:
Farm Name: UPI OW a(W/ Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Phone:
Facility Contact: Title:
Onsite Representative: �...j�.t�_ YEA
Certified Operator
Back-up Operator:
Location of Farm:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Other
Other
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current
Design Current
Capacity Pop.
Wet Poultry Capacity Pop.
11-ayer
Non-- La er
Design Current
Dry Poultry Canneity Pon -
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
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)?
1-1( re
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes WNo ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
d. Does the discharge bypass the waste management system?
'(If
nyes, notify DWR) ❑ Yes El No ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? l(�00h Yes ,❑../No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the vat
rs ❑ Yes I yl No ❑ NA ❑ NE
of the State other than from a discharge? x/
Page I of 3 21412015 Continued

Facili Number: Date of Inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ No ❑ NA ❑ NE
Structure I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier.
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): SS
5 re there any immediate threats to the integrity of any of the structures observed? Yes ❑ 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 No ❑ 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 Application
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 IX I No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, eta)
❑ 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
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 to have the Certificate of Coverage & Permit readily available?
❑ Yes
No
❑ 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.
q❑WUP ❑Checklists ❑ Design ❑ Maps ❑ Lease Agreements ❑Other:
Does record keeping need improvement? If yes, cl� the appropriate box below. 14 Yes ❑ No ❑ NA ❑ NE
Waste Application ❑ Weekly Freeboard Waste Analysis ❑ Soil Analysis ❑ Waste Transfers Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and I" 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 No ❑ NA ❑ NE
Page 2 of 3 21412015 Continued

Facilit Number: t - Date of inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑( Yes
M No ❑ NA ❑ NE
O25. s the facility out of compliance with permit conditions related to sludge? If yes, check
I�[I Yes
❑ No ❑ 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
No NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
ElYes
❑ No NA ❑ NE
777777tltltltltltl
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
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
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
�[
I N No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
777
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
No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
No ❑ NA ❑ NE
Comments (refer to question #): 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).
S— H "Ve S YV s +11\N•n Q W a 11 6' o�19yy GVtX'1e_
S t a U_f\.y S _ Ok� (�e wG
�� C1 J-is d`t, AA l Q_ WC' I I
21 - Wc+ k aG�IS��'S— WA is 10a &0
3",rr.�lA �+k• QU -, wp%- Ir��2S
CLtsi�A l011-7 P l M
AoS X_+V e c'cl a-
► 2 rV Y l �
d aj Il(& p
ply, tr � � vt 2s . r_ Wyy
Zs - s�j�
WGtSW AW tilMvi�n�
POD- i US, �rnu�r.o
ae.e1A � G,a� lad otx� Pr
Ix� t r&UA, VC I_ A VK
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
N
ipV k� a
sad e ��ts
G ✓cal b., (0tlu
rs e4• �`� P � dacu 4�D a W(�
to -taz -1 �
Phone: )t0I 19(Q—�3�/
Date: 2
21412015