820189_Compliance Inspction Routine_20210211

Facility Number
ivision of Water Resources
0 Division of Soil and Water Conservation
o Other Agency
Type of Visit: compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for VisitZoutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
Owner Name:
a) i
Arrival Time: F • 1r/J
jB Fan
Betty hon1Cutt
Mailing Address:
Physical Address:
Facility Contact:€t nitre
Onsite Representative:
Departure Time:
Owner Email:
Phone:
County:
1 ' Region: rro
Title:
Certified Operator: J ocj)w &i Coo mig
Back-up Operator:
Location of Farm:
Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:
PteCtige
Swine
Design Current
Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Dip
Farrow to Finish
Gilts
Boars
Other
Other
Layer
Non -Layer
J
Design Current
Dry Poultry Capacity Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Cattle
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
MIIKSINGINAVEMMOIRSIEs
Discharges and Stream impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
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)
2. Is there evidence of a past discharge from any part of the operation'?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
❑ YesNo ❑ NA ❑ NE
El NA LINE
❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ YesNo ❑ NA ❑ NE
® Yes No ❑ NA ❑ NE
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Facility Number: tc,Z, - I Lc1
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
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:
❑ Yes
❑ Yes
No ❑ NA 0 NE
No ❑ NA ❑ NE
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes IN 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 NI 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. n 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?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes IN No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ 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).
Ndre 4'ue t covt4 Farm want rnte iN aoau.
Note: FJ(1nt(\
oig2evea.jCr cut to WPC- fjeld�
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
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2/4/2015
2I���21

Facility Number:
Waste Collection & Treatment
Date of Inspection: ,1 I ) al
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
n Yes NI No El NA NE
❑ Yes fi No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): C
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes IN No ❑ 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 NI 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?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
❑ Yes No ❑ NA ❑ NE
❑ Yes No 0 NA ❑ NE
9. Does any part of the waste management system other than the waste structures require n Yes No 0 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 1V No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes c No ❑ NA ❑ NE
❑ Excessive Ponding n Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. n Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window Evidence` of Wind Drift El Application Outside of Approved Area
12. Crop Type(s): COc.ttTfl/ �, i n Q 11 Itain bVe4
13. Soil Type(s): Otft(lc , WQ r
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
El Yes k]No ❑NA ❑NE
❑ Yes J No 0 NA ❑ NE
❑ Yes 'tv No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
n Yes No ❑ NA 0 NE
❑ Yes NI No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes 11 No ❑ NA ❑ NE
the appropriate box.
❑ W U P ❑ Checklists ❑ Design ❑ Maps n Lease Agreements ❑ Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ` No 0 NA ❑ NE
n Waste Application ❑ Weekly Freeboard n Waste Analysis ❑ Soil Analysis n Waste Transfers ❑ Weather Code
n Rainfall n Stocking ❑ Crop Yield ❑ 120 Minute Inspections n Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? n Yes No 0 NA ❑ NE
23. if selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? n Yes No ❑ NA ❑ NE
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