020005_Compliance Evaluation Inspection_20211222

©'Division of Water Resources
Facility Number 2.. - „5- 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: (D'tom fiance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: (Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: /77 rbe 7,1 Arrival Time: 3 U Departure Time: 30 County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address: "
Facility Contact: �ii MR-cei-iters, Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
/9--P C, — t)cptrrA
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer Dairy Cow rb
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow _
Farrow to Feeder Dry Poult Ca i acit Po . Non-Dairy
Farrow to Finish EIM11.111 Beef Stocker
Gilts •Non-Layers -- Beef Feeder
Boars •Pullets Beef Brood Cow
Turkeys
Other II Turkey Poults --
Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes 111 No ❑ 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? ❑ Yes ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Le No No ❑ NA ❑NEI
of the State other than from a discharge?
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Facility Number: Z - j Date of Inspection: /VZzlz,(
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yeso ❑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): Z-3
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes ID/6o ❑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 El/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 111 \To ❑ NA ❑NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes [(�4No ❑ 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 [ /No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ NE
maintenance or improvement?
i
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. n Yes Et/No ❑ NA ❑ NE
El Excessive Ponding El Hydraulic Overload ❑ Frozen Ground El Heavy Metals(Cu,Zn,etc.)
❑ PAN El 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 [►/"No ❑NA ❑
15.Does the receiving crop and/or land application site need improvement? ❑ Yes 4No ❑ NA ❑ N
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes E No ❑ NA ❑ :
acres determination?
17.Does the facility lack adequate acreage for land application? El Yes [ "No El NA ❑ :
18.Is there a lack of properly operating waste application equipment? ❑ Yes El/No ❑ NA ❑ N
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes [✓rNo ❑ NA ❑ :
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ENo ❑NA ❑ :
the appropriate box.
❑WUP El Checklists El Design ❑Maps ❑Lease Agreements ['Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. ❑ Yes [ No ❑NA ❑NE
El Waste Application ❑Weekly Freeboard El Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑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 ITINo ❑NA ❑
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑No ❑NA 2INE
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Facility Number: Z - s Date of Inspection: (?i`2 7 -(
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes L To ❑ NA ❑ NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No D VA ❑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 �To ❑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 El/No ❑ 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 ' o ❑ 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 ❑ Yes ❑, o ❑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 ❑NAE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 4o ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes o ❑NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA E 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: file&L ,e1(61z Phone:
//0,0 Z�
Reviewer/Inspector Signature: ���' �� Date: 1 Z1,
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