820601_Inspection_20200818

Division of Water Resources
Facility Number - 'b O ( 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: gy Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Deniede Access
Date of Visit: f��(�(,7-0 Arrival Time: I ,S P Departure Time: County: 5�V4 PS()'l) Region: rA /
Farm Name: �,l y se iv �`��'l�'` Owner Email:
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Owner Name: �w 1 1 ct Da ,rj 111 Phone:
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Mailing Address:
Physical Address:Facility Contact: Q f n t) (-c` `Q Title: Phone:
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Onsite Representative: L Integrator: � �. 'CLA
Certified Operator: q21i 4 ttjcALL' k( Certification Number: 1, 161
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
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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 Non-Layer Dairy Calf
Feeder to Finish .5 rf l e Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder _ Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars _ Pullets Beef Brood Cow
Turkeys
Other Turkey Pouets _
Other Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes lV"v ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other: '
a. Was the conveyance man-made? ❑ Yes ❑ No Q/_ A ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No lE" 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) ❑ Yes ❑ No Efrek ❑ NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yeso ❑ 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: 60 Date of Inspection:/ (6 4u(.r Z.
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ®filo ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes 0 No fl' ❑ 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 LUX ❑ 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 10 ❑ 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 t reat,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 []N ❑ 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 L.Q4 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes Io ❑ 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.)
❑ 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): 8 giG 0 /-1rP
13. Soil Type(s): )Vo /
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes E3' o ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes a1,7❑ 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 LLJ'1V ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes LJ No ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yeso ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes M7No ❑ 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 ❑ 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 ❑ NA El NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of 3 2/4/2015 Continued

Facility Number: - Coo Date of Inspection: /c/-('1(y
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes CJ 1VU' ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ 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? ❑ Yeso ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes I o ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ILI-'1C❑ 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 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 Lam° ❑ 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 NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes N�o El NA n NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? El [�`No ElNA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ar N-o ❑ NA ❑ NE
Comments(refer to question#):Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings of fa ility to better explain situations(use additional pages as necessary).
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Reviewer/Inspector Name:
�!� L kit l UVU rL Phone:`L) ` �
Reviewer/Inspector Signature: LI�' f PJ Date:Page 3 of 3 2/4/20 5