020006_Compliance Evaluation Inspection_20211006

C'Division.of Water Resources
Facility Number sZ. - . 0 Division of Soil and Water Conservation
O Other Agency
Type of Visit: &Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ((- -Z Arrival Time: i t. 3-0 Departure Time:1451 County: Region:
Farm Name: (cij4? l,"-t%S Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
.i-Ct16 2 -
=-Design`' Current y' Design `Current ":Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow (j, .,
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish d _ Dairy Heifer
Farrow to Wean Design `Current Dry Cow
Farrow to Feeder D Poultr Ca 1 aci Po..' Non-Dairy
Farrow to Finish IMEEMI -- Beef Stocker
Gilts •Non-Layers -- Beef Feeder
Boars •Pullets -- Beef Brood Cow
Other •Turke Poults
Other •Other
Discharjzes and Stream Impacts -
1.Is any discharge observed from any part of the operation? ❑ Yes [ o ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ 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? ❑ YesIo ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters E Yes E No ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: Lv.Z - 'Date of Inspection: (0 —Z(
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑ 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): (t1
Observed Freeboard(in): ?-5
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes Er< ❑ 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 environmental threat,notify DWR
I-T
7.Do any of the structures need maintenance or improvement? ❑ Yes Kalo ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 111,24o ❑ 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 ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yeso ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑ 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? ❑ Yes t❑KO ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? 0 Yes E No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yeso ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑moo ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes IK-o ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes IIVI/o ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes To ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes []olio ❑ 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 LJ,VO 0 NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No ❑ NA E
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Facility Number: 2 - Date of Inspection: JU Z(
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes Quo ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No to ❑ 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 provide documentation of an actively certified operator in charge? ❑ Yes fo ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No L EI41 ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes o ❑ NA ❑ NE
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? ❑ Yes [ To ❑ NA ❑ 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 0 Yes Ll ° ❑ 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 [iE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes Ergo ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ISrgo ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes 131'1‘ ❑ NA ❑ NE
Comments(refer to question'#):Explainany YES answers and/or any additional recommendatiohs.or any other comments.
Use drawings=of facility to better explain situations(use additional pages as necessary).
Ct UV' 9^evii\ AjOri On ake-- Lt.)4.1
wl.s �cAir- -6 x Cct,rba behre,
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n'1 vi.,,t /kcDa 33C — (4a — si0 /
Reviewer/Inspector Name: /'"t l((/i.C.e./ / `(6267 per— Phone:
Reviewer/Inspector Signature: %7� �= �L^' Date: /0 2-1
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