820655_Routine Inspection_20220414

,-E'5ivision of Water Resources 6111))c K
Facility Number - - LASE 0 Division of Soil and Water Conservation I�`2()
0 Other Agency C✓
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: -E Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: rfAAVA Arrival Time: 2j.3 Departure Time: c� o ff f County. Region: F�
Farm Name: e C7.r r-,.:/ / ..cA, Owner Email:
Owner Name: e11... Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
it ''On site e Representative: Integrator:
Certified Operator: SiCie Certification Number: J( q 7?5---
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow
x Wean to Feeder (5 O Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dr Poultr Ca•aci Po i. Non-Dairy
Farrow to Finish MIESEEMIE-- Beef Stocker
Gilts •Non-La ers -- Beef Feeder
Boars U Pullets -- Beef Brood Cow
Other •Turkey Poults
•Other --
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes flo No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? n Yes ❑ No r7 NA n NE
b. Did the discharge reach waters of the State? (If yes,notify DWR) ❑ Yes ❑ No p-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) n Yes n No VI NA n NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes GZ1 No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes ti No ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: 9� - 6S 'Date of Inspection: 7/
Waste Collection&Treatment
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 ❑ NA ❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in): /
Observed Freeboard(in): (g.
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes IfSNo n 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 [i No n NA n 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 No ❑ 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 -N No ❑ NA 0 NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No 0 NA ❑NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes M No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals(Cu,Zn,etc.)
❑ PAN ❑ PAN> 10%or 10 lbs. ❑ Total Phosphorus El 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): "' ,j �k%a/ t, C/vi- �O( l ,4,2, z-dlJ
1 e OS
13. Soil Type(s): Py
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ESI No ❑ NA n NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes Itt No n NA n NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable 0 Yes No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes 11 No n NA El NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes No ❑ NA ❑NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes 'No ❑ NA ❑NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check El Yes No ❑ NA ❑NE
the appropriate box.
❑WUP ['Checklists ❑Design ❑Maps ❑Lease Agreements El Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes c No ❑ NA ❑ NE
El Waste Application El Weekly Freeboard El Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
Rainfall ❑Stocking El Crop Yield ❑120 Minute Inspections El Monthly and 1"Rainfall Inspections El Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes it No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 1K1 No ❑ NA ❑NE
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Facility Number: 8:2 - /05 5 — Date of Inspection: W/c/L1...).._
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes �No ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check n Yes [ No ❑ NA ❑ NE
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a POA for sludge levels
El 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? n Yes No ❑ NA ❑NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes No ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes [ No ❑ NA ❑ NE
and report mortality rates that were higher than normal? �T
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes m No ❑ NA El 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 El Yes IN No ❑ NA ❑ 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. ❑ Yes No ❑ NA n NE
El Application Field -❑ Lagoon/Storage Pond El Other: �C
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes IN No ❑ NA ❑NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? El Yes No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? El Yes No ❑ NA El 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 pages as necessary).
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Reviewer/Inspector Name: t f r{ f//�,e(s 0 it) ft(1t IJ()( Phone: 6-;j .-.3s---9-'2Y-S"--
Reviewer/Inspector Signature: .42 t.,. 14c-e-e.40-7-2-, <OkkQJ 2C (
Date: �,% T l��-
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