820334_Compliance Inspection Routine_20210415

Diyisionot %atex Resources
Division of Soil and'!.
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:
19:26 1
Farm Name: \I 3 r t eh-e;
Owner Name: aani �OtGoN
Mailing Address:
Physical Address: ry�yy�
Facility Contact: man< p--e�A1 ioN
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
11
Departure Time:
a.5v
Owner Email:
Phone:
Title: owner
It
Latitude:
Certification Number:
Certification Number:
Longitude:
County: 5QI IIfOOt V
Region: 11
LASER �H®
APR 1 9 2021
DEO/rump vmptoa
Phone: FAYETTEVILLE REGIONAL OFFICE
Integrator: P92
179,e/
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?
Yes '1.No NA El NE
• Yes \No ❑ NA ❑ NE
El Yes SNo El NA El NE
Yes rallo ID NA NE
▪ Yes 'S.No NA NE
El Yes is No NA NE
Page I of 3
5/12/2020 Continued

:Facility Number: En_ -
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?:
Designed Freeboard (in): 19
:Date of Inspection: '1 ! lG/ i/2 1 I
❑ Yes tNo ❑ NA ❑ NE
❑ Yes N No ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Observed Freeboard (in): 3y
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.) ❑YesNo El NA ❑ NE
6. Are there structures on -site which are not properly addressed and/or managed through a 0 Yes sISL0
NoNA
waste management or closure plan?
❑ NE
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 0 NE
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, El Yes No ❑ NA ❑ NE
dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require ❑ YesNo 0 NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
❑ YesNo ❑ NA ❑ NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN 0 PAN > 10% or 10 lbs. 0 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): RQAtni dO 1 ov-er.cge
13. Soil Type(s): /h' !!l
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes iSisNo ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes No ❑NA ❑NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No acres determination? ❑ NA ❑ NE
17. Does the facility lack adequate acreage for land application?
❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes No ❑ NA 0 NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes cNo Ej NA D NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑YesNo ❑ NA 0 NE
the appropriate box.
❑WUP ❑Checklists ❑Design 0 Maps 0 Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. �(tl/��p /qn�t
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis ❑ SoilTill'al sis O 0 Yes � No ❑ NA ❑ NE
y Waste Transfers Weather❑Code
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections ❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? g
❑ Yes 'NI No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes tcl No ❑ NA 0 NE
Page 2 of 3
2/4/2015 Continued

(Facility Number: FLO - 339
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:
El Yes
Yes
�NA ❑NE
NA D NE
26. Did the facility fail provide documentation of an actively certified operator in charge? Yes No � NA Q NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? Yes".Yes".15k o D NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document Yes �Vo D 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 N D NA 0 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 YeNo D NA 0 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. 0 Yes r.13.„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' Io
O Yes N
O Yes
N
❑ NA
❑ NA
❑ NA
�NE
• NE
� NE
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ccitibitutton ( due &'i d eC es foal.
Reviewer/Inspector Name:
Ka�Ie Rh-1--edi1ot
Reviewer/Inspector Signature:
Page 3 of 3
Phone: 111, F37 • 7715
Date: {IOO
2/4/2015