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820213_Inspection_20201008
d` -0' /o-16---,a, 7 � Division of Water Resources x :Facility Number ' 1 0 Division of Soil and Water Conservation - ti �3, 0 Other�=Agency. "'. w �� Type of Visit: erCom lance 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: /0-8 Arrival Time: g-'. V Departure Time: County: © Region: 0 Farm Name: �iS-mod' Far vL. Owner Email: Owner Name: C-/`acVrt- eg e jS-r;d- Phone: Mailing Address: Physical Address: Facility Contact' 6-r t..-efe" ADO/' Title: /reL, .?ce, Phone: Onsite Representative: e Sar.-4.+ Integrator: .;f r Y/p/ Certified Operator: Ca % f!'L ,V-IS ✓' Certification Number: 't7$ Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Design Current.,y = Design°, Current Design Current Swine Capacity Pop Wet Poultry `Capacity Pop:. '_ Cattle Capacity Pop a � TT Wean to Finish Layer - Dairy Cow - Wean to Feeder Non-Layer Dairy Calf C'eeder to Finish $"$'fl 3Z�p� _ R Dairy Heifer Farrow to Wean .Design- Current Dry Cow _ Farrow to Feeder - °; D Poultr Ca`�aciPo Non-Dairy Farrow to Finish - M . �� Beef Stocker Gilts ~'E III Non-Laers ° Beef Feeder Boars ,' Pullets Beef Brood Cow .Other •Turke Poults Other Other �� Discharges and Stream Impacts 1.Is any discharge observed from any part of the operation? ❑ Yes 'No ❑ NA ❑ 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 ❑ 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 ❑ No ❑ NA ❑ NE 2.Is there evidence of a past discharge from any part of the operation? ❑ Yes eNo ❑ NA ❑ NE 3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ErNo ❑ NA ❑ NE of the State other than from a discharge? Page 1 of 3 2/4/2015 Continued Facility Number: - p2 f Date of Inspection: /0-8 -f 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 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? ❑ Yes D o ❑ 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 la‘ ❑ 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 Q No ❑ NA ❑ NE 8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes [E]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 IZK ❑ NA ❑ NE maintenance or improvement? Waste Application 10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes L`J l(o ❑ NA ❑ NE maintenance or improvement? 11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes IZI No ❑ 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 Drifts ❑ Application Outside of Approved Area 12. Crop Type(s): zi4,u ti,' — bu ' - -iJ Garrz/Lull 13. Soil Type(s): 7JD1 ) 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 a ❑ 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 E 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 0 Yes Eo ❑ NA ❑ NE the appropriate box. ❑WUP ❑Checklists ❑Design n Maps n Lease Agreements ❑Other: 21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes to ❑ 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 12 o ❑ NA ❑ NE 23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes [/]rNo ❑ NA ❑ NE Page 2 of 3 2/4/2015 Continued Facility Number: /�� - /3 Date of Inspection: e f�-4 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 1VO ❑ 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 aio ❑ NA ❑ NE 27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes E No ❑ NA n NE Other Issues 28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document El Yes E 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 Q 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 io ❑ 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 [io ❑ NA ❑ NE ❑ Application Field ❑ Lagoon/Storage Pond ❑ Other: 32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes [r'No ❑ NA ❑ NE 33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes 4 o ❑ 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 drawngs=of facility to better explain situations(use additional pages as necessary): GC — dor- - I c/'d L �' r,� /e2 ' �,r-/ .. ^-�GvY/ i� cGcYJ f9 n ��' yyc/ re-cDre 'i % / pc, n/i dDe jail L Jr( /S }mow 7e-ea /,E`G/� . Dn /!?— A20 -ad 1-7 r~Lr Reviewer/Inspector Name: /Y �i Phone: /l— € —2, 7 Reviewer/Inspector Signature: Date: Page 3 of 3 2/4/2015