040010_INSPECTION_20201102

'`Wv1 l t• I c- '- cXi p C)
Division of Water Resources
Facility Number 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: �i� EM Arrival Time: t -1P Departure Time: ' County: 40 S 0 n Region: b 1T
Farm Name: t-Co cJ I0 i \ .e 6 "`",,-✓L Owner Email:
Owner Name: L,ijr!• 0t t h\Pr'eLI Phone:
Mailing Address:
Physical Address:
Facility Contact: L.t k t S V t�L ' Title: Phone:
Onsite Representative: t Integrator: Vrt
Certified Operator: Certification Number: / (�
Back-up Operator: Certification Number:
Location of Farm:/ Latitude: Longitude:
!-pq N t- -smil. ft1. 190'
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 S S ZC b 0 f Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dr Poultr Ca•aci Po.. Non-Dairy
Farrow to Finish • . -- Beef Stocker
Gilts •Non-La ers -- Beef Feeder
Boars II Pullets -- Beef Brood Cow
EIREM
Other •Turke Poults
Other •Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes Ea.bta---❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No E -N ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ NoA ❑ 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 ❑ NoA n NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes Q'lqi; ❑ 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?
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Facility Number: % (Date of Inspection: CI
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 ©A ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 31
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ❑moo ❑ 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 ❑ N-6 ❑ 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? n Yes Io ❑ NA n 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 El
❑ 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 No ❑ NA 0 NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
n PAN ❑ PAN> 10%or 10 lbs. El Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑l ^Evild/ence o Wind Drift j�❑ Application Outside of Approved Area
12.Crop Type(s): �SC� 49 r V l4•1 ` l�108
I l)vtokt13. Soil Type(s): Cv{1 v/ Col r U t4 i .C,i4/61 C4'°--e cM E C '✓
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes [f N ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? n Yes ffNo ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Io ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes IDP;ICi ❑ NA n NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes o ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes 10 El NA n NE
20. Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes lal( ❑ NA ❑ NE
the appropriate box.
❑WUP ['Checklists ❑Design 0 Maps ❑ Lease Agreements El Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes Ergo ❑ 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 N n NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 1_J No ❑ NA ❑ NE
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(Facility Number: - /(' (Date of Inspection: ! / / ZJ
24.Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes ❑ No ❑ NA n N• E
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No n NA n N• E
the appropriate box(es)below.
n 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? n Yes D No ❑ NA n NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? n 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 ❑ 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
O Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ❑ No ❑ NA n NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? n Yes ❑ No ❑ NA n NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA n 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).
I41 b_ 6 � ( 2�
6-, Li _ F—
Cdt -24
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e�. r` t& "S.� vt Si�iUl 11 '
I
Reviewer/Inspector Name: I I 1 ()Vdip Phone:510— `NJ` 3 3 I
Reviewer/Inspector Signature: �� Q.tN\ Date: `-t/ `V
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