670087_Compliance Evaluation Inspection_20210714

Division of Water Resources
Facility Number - O Division of Soil and Water Conservation
O Other Agency
Type of Visit: 19) Compliance Inspection 0 Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: ® Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: Arrival Time: Departure Time: F"Z— 3 C-) _I County: Region:
Farm Name: 1 Sa Owner Email:
Owner Name: Phone:
Mailing Address: _
Physical Address:
Facility Contact: h ,, Title:
Onsite Representative: 1^� ' _ `(- Q
Certified Operator:
Back-up Operator:
Location of Farm:
Design . Current
Swine Capacity Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish Zgo 40
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
FF
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current
Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Pouets
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)
Design Current
Cattle , Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes E3 o ❑ NA ❑ NE
❑ Yes
❑ No
2<A' A
❑ NE
❑ Yes
❑ No
FZ NA
❑ 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 NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes E No NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Ej No ❑ NA ❑ 11�-
of the State other than from a discharge?
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Facility Number: 10 �] - q77 jDate of Inspection:
Waste Collection & Treatment I r
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes No - ❑ NA ❑ NE
a. If yes, is waste level into the structural freeboard? ❑ Yes [—]No ��A❑ 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?
❑ Yes7No
o 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
❑ 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 environmen
threat, 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
o ❑ 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
❑Xo ❑ NA ❑ NE
maintenance or improvement?
Waste Application
<No
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
n NA ❑ NE
maintenance or improvement?
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 ❑ 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):
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 ❑ Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below
❑ Yes ❑�o ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes To ❑ NA ❑ NE
❑ Yes <No NA ❑ NE
[:]Yes to ❑ NA ❑ NE
❑ Yes Q°N❑ NA NE
❑ Yes to ❑ NA ❑ NE
❑ Other: 11-1
❑ 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 No ❑ NA NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No E3XA ❑ NE
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Facility Number: - Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes 9�0�D 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 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 IVA ❑ 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:
❑ Yes 04o ❑ NA ❑ NE
❑ Yes �No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
[:]Yes [:]No ❑ NA D'NE
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes
34. Does the facility require a follow-up visit by the same agency?
❑ Yes
[/F�o ❑ NA ❑ NE
r❑ NA ❑ NE
No ❑ NA ❑ NE
Il
Reviewer/Inspector Signature: Date: 1 Zi
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