040005_INSPECTIONS_20201102

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0 Division of Water Resources
Facility Number Li - j 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: •Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ®Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: 1 eparture Time: o` County:8 Si) Re ion:
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Farm Name: 4 ID 4_- ill 12.0,ti F6`1Y1- Owner Email:
Owner Name: t1_., 0 ct/.e la 4-12� e Phone:
Mailing Address:
Physical Address:
Facility Contact: 1 4.e it(6kt-ft, Title: Phone:
Onsite Representative: t! ( Integrator: lA( 6" S pi, 9 --4
Certified Operator: t ( Certification Number: 16 t 1 o
Back-up Operator: Certification Number:
location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer _ Dairy Cow
Wean to Feeder 7c 11(, 6 y Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder D Poult Ca'aci Pot. Non-Dairy
_Farrow to Finish I -- Beef Stocker
Gilts I Non-La ers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
InifflagniM
Other •Turke Poults
Other I Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes IJI--11° ❑ N \ n NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No Er\T"-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) n Yes ❑ No NA n NE
2.Is there evidence of a past discharge from any part of the operation? (1 Yes [ 10 ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes El-No ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: 4-4' - Date of Inspection: 7 cf' 'J
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? n Yes 1211Q-jc- ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No ❑N ❑ 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? n Y• es al4trr ❑ 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 1-7 Y• es In'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 D'1CFCC ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 1/1.-116-- ❑• 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 "" ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes [ o D NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application?If yes,check the appropriate box below. El Yes To ❑ 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/G El Evidence of Wind Drift El Application Outside of Approved Area
1i 12.Crop Type(s): F'eS C`t-e
13. Soil Type(s): t° l A.(00V— � k `t"T"wa1,G/Gt -C)).Q- (t/ � e
14. Do the receiving crops differ from those designated in the CAWMP? n Yes No n NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑1 o ❑ N A ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable n Yes a il�o n N.\ ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? n Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? n Y• es ❑ ❑ NA n NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? n Yes [a'Ivo ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes a1`"' E• l NA n NI
the appropriate box.
❑WUP ['Checklists ❑Design ❑Maps ❑ Lease Agreements ❑()ther:
21.Does record keeping need improvement?If yes,check the appropriate box below. n Yes El No ❑• NA ❑ NE
El Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis 0 Waste Transfers ❑Weather Code
0 Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and 1" Rainfall Inspections El Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? n Yes 1=J '� ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes re-No ❑ NA ❑ NE
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Facility Number: Li
- 5 'Date of Inspection:
24.Did the facility fail to calibrate waste application equipment as required by the permit. ❑ Yes ❑ No ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ 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? ❑ 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 ❑ 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 n 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 ❑ No ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? n 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).
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I 2 35Reviewer/Inspector Name: l y' O a 41) Phone: lI(1 " v I
Reviewer/Inspector Signature: Gid 1 u,�/\ Date: 9.s1° f
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