310455_Follow up_20210528

C Dhvisiozi of Water Resources
Facility, Number- , ®-I ; 5 $ O Division of�96H'and WatenConservation
.� ;s`�� �,1 . ` , • ". O,Otheir•Agency` .. s
Type of Visit: ce Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: GCRentmi _0 Complaint &Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time: ° ° Departure Time: County: „PG i t.J Region: W ! AVFarm Name: QnN Dti d- Atj?JA NAfLR_t tt Owner Email:
Owner Name: W 6 tj f2F_j2 • RA N OI UMZ&E LL Phone:
Mailing Address:
Physical Address:
Facility Contact:
Title:
Onsite Representative: ;SACo & HAREF U_ Integrator:
Certified Operator:
Back-up Operator:
Location of Farm:
Latitude:
Phone:
Certification Number:
Certification Number:
Design � Current. ° Design 'Current
Swine Capacity ' Pop. Wet Poultry "" Capacity Pop,
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Otherk
Other
Layer
Non -Layer
Design Current:
Dry Poultry "Ca achy . Pop.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
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 feallonsl?
Longitude:
Cattle
y Cow
y Calf
y Heifer
Cow
Beef Stocker
Beef Feeder
Beef Brood Cow
Design. Current
Capacity Pop.
[:]Yes ZNo ❑ NA ❑ NE
❑ Yes ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE

Facility Number: -SrDate of Inspection: 5 - -Q;R-
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes rf
XNo
NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: I -
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes EXNo ❑ 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 [2/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? ❑ Yes EA ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes [ 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 O/No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.-Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes 0 No ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes E2(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 Drift ❑ Application Outside of Approved Area
12. Crop Type(s): P,14, 5 & 0
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 Records & 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 ❑ Checklists ❑ Design ❑ Maps 0 Lease Agreements
❑ Yes C7 No ❑ NA ❑ NE
E Yes ❑ No ❑ NA ❑ NE
0 Yes F No ❑ NA ❑ NE
❑ Yes
[3"No
❑ NA
ONE
Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ Yes
❑ No
❑ NA
❑ Other:

Facility Number: 31 - Date of Inspection: 93—aZod t
24. Did the facility fail to calibrate waste application equipment as required by the permit? [fYes ❑ No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No ❑ NA El"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 to provide documentation of an actively certified operator in charge? Yes ❑ No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes ❑ No [YNA ❑ NE
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.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes ENo ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes E2rNo ❑ 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 drawings of facility to better explain situations (use additional ua2es as necessary).
[:]Yes EfNo ❑ NA ❑ NE
❑ Yes E3"No ❑ NA ❑ NE
❑ Yes 0No ❑ NA ❑ NE
❑ Yes �To ❑ NA ❑ NE
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