960028_Inpsection 2021_20211203

Facility Number • Division of Water Resources
- 0 Division of Soil and Water Conservation
0 Other Agency
T' pe "1 : • Compiiance Inspection • on Review Operation
Reason for Visit:p 0 Structure Eti-a{ualiun 0 Technical Assistance
• Routine Q Com faint 0 Follow-u 0 Referral 0 Fmer ency 0 Other 0 Denied Access
Date of Visit:
Arrival Time:
Departure Time:
Farm Name: 'be • -jc.4 '
Owner Name: (y)1o ,.) �1 arUji
I i ' `+��k
Mailing Address: . ikkg. v Y' ► ,4
Physical Address:
FP. • -,JD i
y 1 ',"3O County: Ct-1 ruL.
Owner Email:
Phone:
StAf
Region:
/
•
Facility Contact: C
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
^ 1..1.) ►cit. Title: Phone:
Latitude:
Integrator: S iVi i 1.T o f (CI
Certification Number:
Certification Number:
Longitude:
"un•5,\le (Cdevrt y /
Design Current
Swine C'apacitr Pop.
Wean to Finish
Wean to Feeder
Feeder to Finish
LN
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
F
Design Current
Design Current
Wet Poultry Capacity Pop• Cattle Capacity Pop.
'Layer
teen -Layer
lfry Poult
Design Current
Ca ad Pon.
1-:i)ers
Non -Layers
Pullets
Turkeys
Turkey Puults
Other
{3airti Crow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Bccf Druid C'ovi
1]i,dk•barte, and Stream impacts
1. is any discharge observed from any part oldie 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?
Page ! of 3
❑ Yes
❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
El Yes ❑No NA DNE
a Yes hits ❑ NA ❑ NE
❑ Yes Q/N[r ❑ NA ❑ NE
❑ Yes , o ❑ NA ❑ NE
5/12/2020 Continued

Facility Number: 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?
identifier:
Spillway?:
3--
Date of Inspection:
❑ Yes
❑ Yes
Structure l Structure 2 Structure 3 Structure 4 Structure 5
Designed Freeboard (in):
Observed Freeboard (in): ' 1
No 13 NA ONE
❑ No ❑ NA ❑ NE
Structure 6
5. Arc there any immediate threats to the integrity of any of the structures observed? ❑ye„
No ❑ NA 0 NE
(i.e.. large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which arc not properly addressed and/or managed through a
• Peso ❑NA ❑NE
waste management or closure plan?
Harty of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
❑ NA ❑ NE
❑ NA ID NE
7. 1]o any of the structures need maintenance or improventenf?
8. Dn any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits. dry stacks, and/or wet stacks)
4. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes o ❑ NA ❑ NE
maintenanca or improvement?
11. Is there evidence of incorrect land application? if yes, check the appropriate box below. ❑ Yes Ell<ici ❑ NA ❑ NE
❑ Excessive Pending ❑ Hydraulic Overload ❑ Frozen Ground 0 Heavy Metals (Cu. Zit, etc.)
❑ PAN D PAN - 10% or 10 lbs. ❑ Total Phosphorus ❑ Failure to incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ElEvidence of Wind Drift D Application Outside of Approved Area
12. Crop Typc(s): V4
7j
13. Soil Typc(s):
14. Do the receiving crops differ from those designated in the CAWMP? [] Yes
15. Does the receiving crop and/or land application site need improvement? ❑ Yes
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a tack of properly operating waste application equipment?
Ret uired Records & Documents
I. Did the facility fail to have the Certificate of ['overage & Permit readily available? ❑Yes IffNa D NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check 1] Yes [No ❑ NA ❑ NE
the appropriate box.
❑WOP ❑C'hecklists ❑ Design ❑ Maps ❑ [-ease Agreements El Other;
❑ Yes [ NO ❑ NA ❑ NE
❑Waste Application
El Weekly Freeboard ❑ Waste Analysis ❑ Sail Analysis [] Waste Transfers ▪ Weather Code
El Rainfall ❑ Stocking El Crop
Yield El 120 Minute Inspections El Monthly and 1" Rainfall Inspections El Sludge Survey
21. Does record keeping need improvement'? Ifycs. check the appropriate box below.
22. Did the facility fail to install and maintain a rain gauge?
❑ ❑
73_ If selected. did the facility fail to install and maintain ntinbreakcrs on irrigation equipment:' ❑YcsYes1Vao ❑ NA(VA 0
❑ NE
N1
l/412D13 Conrrn,ued
Page 2of3
❑'No ❑ NA
❑ NE
❑ Yes
❑ Yes
❑ Ycs
❑ Yes
❑ Yes
o
No
❑ NA
❑ NA
❑ NA
❑NA
• NA
❑ NE
❑ NE
❑ NE
❑ NE
❑ NE

Facility Numher: { �p - 1 'Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the Permit.? ❑ties
25, Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes
the appropriate boxes) below.
❑ Failure to complete annual sludge survey ❑ Failure to dewlap a POA fur sludge levels
❑ Non-. oinpliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
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 andior 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)
3I I. Do subsurface tile drains exist at the facility'? If yes, check the appropriate box below.
yes
❑ Yes
❑ Y'cs
❑
❑ Yes
❑ Yes
❑ Application Field ❑ LagoontStorage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the pcmtit or CAWMP? ❑ Yes
33. Did the Revicwerflnspector fail to discuss review/inspection with an on -silt representative'? ❑ Yes
34. Does the facility require a follow-up visit by the ti:uuc :,E:enry' ❑ i cs
pNA ❑NE
❑ NA ❑ '%E
❑NE
❑ NE
No ❑ NA
LJ 1r° ] NA
04 ❑ NA
1:1 `•o ❑ NA ❑ NE
❑ NE
❑ NE
❑ NE
IYNo ❑ NA ❑ NE
d ❑ NA ❑ NE
❑t' ONE
Comments (refer to question #): Explain any YES answers andlur any additional recommendations or any other comments.
Use drawings of facility to better explain situations (use additional pages Hs necessary).
Ct5- e 4110113l a s -zl
1-2t—�-1
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— 4 I
Croy c fat
AL d (LJ I6" -
Rcvicwc`tfir pector Name:
Reviewer/Inspector Signature:
Page ,3 of 3 �]
Date: L2 -- � f
2f412015