310016_Compliance Evaluation Inspection_20181016

IJ Division of Water Resources
Facility Number - 0 Division of Soil and Water Conservation , i
0Other Agency �/
Type of Visit: O Compliance Inspection 0 O wration Review )Structu re Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint Follow-up 0 Referral 0 Emergency 0 Other {� 0,Denied Access
Date of Visit: IUI I IIPI 12S I Arrival Time: Departure Time: County: Region: w
Farm Name: �Faym Sec I — I z S Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative: ku n S
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
to 1
to 1
Ito
to
Other
Other
Phone:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
IN
Non--
La er
Discharees and Stream Impacts
Design Current
Dry Pmdtry Canacity Pon_
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Design Current
Cattle 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
�] No
NA
NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
I
a. Was the conveyance man-made?
Yes
Ej No
NA
NE
b. Did the discharge reach waters of the State? (If yes, notify D WR)
Yes
❑ No
❑ NA
❑ 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
Ej No
❑ NA
❑ NE
2. Is there evidence of a past discharge from any part of the operation?
Yes
No
NA
❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters
Yes
No
❑ NA
NE
of the State other than from a discharge?
Page 1 of 3 21412015 Continued

31
Facili Plumber: Date of inspection:
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? Yes ❑ No
a. If yes, is waste level into the structural freeboard? ❑ Yes No
Structure 1 Structure 2 Structure 3
Identifier: �— 2ps
Spillway?:
❑NA ❑NE
❑ NA ❑ NE
Structure 4 Structure 5 Structure 6
Designed Freeboard (in):
Observed Freeboard (in):_ I (p
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 PV No ❑ NA ❑ NE
❑ Yes *o ❑ 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 ❑ No ❑ NA E
8. Do any of the structures lack adequate markers as required by the permit? [:]Yes ❑ No ❑ NA E
(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? 77
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes ❑ No ❑ NA E
maintenance or improvement? 0
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA OVNE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.) 555YYY
❑ 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
VYNE
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
NNE
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
Reauired
Records & Documents
19.
Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
❑ No
❑ NA
E
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 ❑ No ❑ NA E
ElWaste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections ❑ Monthly and V 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 9NE
Page 2 of 3 21412015 Continued

Facility Number:
Date of Inspection: I I
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No
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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
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)
❑ NA NE
❑ NA 9NE
❑ Yes ❑ No ❑ NA NE
❑ Yes ❑ No ❑ NA INF
❑ Yes ❑ No ❑ NA [PE
❑ Yes ❑ No ❑ NA [ETNE
❑ Yes No ❑ NA ❑ NE
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
❑ Yes
❑ No
❑ NA
0 NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
E] No
❑ NA
UNE
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).
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"ftm
8'b�Wj NA's a a , yrtr ids,
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: %—�/9 7
Date: ' D I L0",
21412015