820445_Compliance Inspection Rountine_20210401

Division of Wafer
Division' of Soil and Water Conservation]
Other Agent
Type of Visit: 0 Compliance Inspection 0 Operation Review Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Follow-up Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:
Farm Name:
411121
ND%thON farm (Sflw)
Owner Name: \ormQn NQ`glOF
10:0(p
Mailing Address:
Physical Address:
Facility Contact:
Arrival Time:
Phone:
Departure Time:
W.oI)
County: sQml ttI`i Region: WO
Owner Email: ENTERED TO
LASERFICHE
APR 1 9 2021
DEQ/DWR WORDS
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
Title:
frAYk1TEVILLE REGIONAL OFFICE
Phone:
Discharges and Stream Impact
1. Is any discharge observed fron
Discharge originated at:
a.
b.
c.
d.
Was the conveyanc
Did the discharge r
What is the estimc
Does the discharl
fence of a past di
observable ar
r than from
Latitude:
part of the operation?
icture ❑ Application Field ❑ Other:
Integrator:
�lmit-hEfrj tl
Certification Number:
Certification Number:
Longitude:
Jj Yes ❑ No
❑ NA ❑ NE
'the State? (If yes, notify DWR)
iched waters of the State (gallons)?
tagement system? (If yes, notify DWR)
'e operation?
,ntial adverse impacts to the waters
❑ Yes t I��7yy551 No
❑Yes 17�INo
❑ NA
❑ NA
❑ NE
❑ NE
❑ Yes
❑ Yes
❑ Yes
0] No
4.No
No
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑NE
5/12/2020 Continued

[Facility Number: wa - yy 5
Date of Inspection: Lill 2,1
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?
Structure 1
Identifier:
Spillway?:
Designed Freeboard (in):
Structure 2 Structure 3
Structure 4
❑ Yes
❑ Yes
Structure 5
❑ No ❑ NA ❑ NE
❑ No ❑NA ❑NE
Structure 6
observed Freeboard (in):ttgduo d'I suIrv-e is SQM1N9 — 19•(pFS
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ITNo ❑ NA ❑ 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?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofers pits, dry stacks, and/or wet stacks)
9. Does any part of the waste ma
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
ment system other than the waste structures require
h0Vs2
leAKINq
❑ Yes
❑ Yes
tt] Yes
❑ No ❑ NA ❑ NE
No ❑NA ❑NE
❑ No ❑ NA ❑ NE
❑ Yes ❑ No 0 NA''14LVE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes ❑ No ❑ NA \St NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s):
13. Soil Type(s):
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 Recors & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑WUP 0 Checklists 0 Design ❑Maps Lease Agreements ['Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes 0
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis
y ❑Soil Analysis ❑Waste Trans
❑ Rainfall ❑ Stocking ❑ Crop Yield ❑ 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes
Page 2 of 3
❑ Yes
❑ Yes
❑ Yes
❑ No
❑ No
❑ No
❑ NA NE
❑ NA
❑NA ```\��\��E
❑ Yes ❑ No ❑ NA .craIIE
❑ Yes 0 No ❑ NA ELNE
❑ Yes
O Yes
❑ No ❑ NA
❑No ❑NA NE
No ❑ NA Di
fers ❑ Weather ode
❑ Sludge Survey
No ❑ NA NE
❑No ❑NA ONE
2/4/2015 Continued

(Facility Number: %Q - ly 5
Date of Inspection: '-q 1I2i
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 ❑ No ❑ NA NE
❑ Yes ❑ No ❑ NANE
26. 26. Did the facility fail provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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?
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
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 Application Field ❑ Lagoon/Storage Pond ❑ Other:
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
❑ Yes
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
❑ Yes
❑ Yes
❑ No 0 NA 'UNE
❑ No ❑ NA thkrE
❑ No ❑ NA ELNE
❑ No ❑ NA"NE
❑ No ❑ NA a\NE
❑ No ❑ NANISZE
❑ No
❑ No
❑ No
❑ NA SN
❑ NA
❑ NA‘NEIN
4Wic 6tgf€ Svrvded fhe IagooN marKer R readiNg a1 survey
chows Pnfl � Is oR \D 6.5 it &vrvey chows -I, we If ft
o,o g-e flag Sinew lowest area,. IcUia
49. house 1 1 s kaKing at th-e. f,whd
ThAk-e 15 c�So f �-11oN N-eCur q, pl�,.e
Oleah-ed ors cah UCohihb �. tpRa ID(1-exnt that- needs to be
issue
Nbbt. Crean q5h ;j \c/goo\n i%rQc vgMU, lootfi-Wc) n-e-ed1-6.
51-Quusy mar'KJ3/4 s etc.
NE
NE
Reviewer/Inspector Name: Katie %fl t- V t
Reviewer/Inspector Signature: < Jj
Page 3 of 3
l
Phone: 9I 9 B9 LY I l k
Date:
2/4/2015