820258_Routine_20220727

Facility Number
25ff
Division of Water Resources
0 Division of Soil and Water Conservation
0 Other Agency
VANg
Lk.
Type of Visit:
Reason for Visit:
Date of Visit:
Farm Name:
Owner Name:
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
1
2,1 2 L
Arrival Time:
flueH 4k1
A6rj NC.
Mailing Address:
Physical Address:
Facility Contact: C,U\ \ y
Onsite Representative: Cj
Dep2rture I inie: L
1 Countr:�1 Region:
Owner Email:
Phone:
Title:
Certified Operator: R1)flo V d CaflnC
Back-up Operator:
Location of Farm:
Latitude:
Integrator
Phone:
Certification Number:
Certification Number
Longitude:
jt4
Ley(p9--.
Swine
Design Current
Capacity Pop.
Wean to Finish
Wean to Feeder
I O Q
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
1
Design Current
Wet Poultry Capacity Pop. Cattle
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pop.
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation'?
Discharge originated at: [j Structure
Application Field Cl Other:
Design Current
Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
Li Yes y No fl NA 0 NE
a. Was the conveyance man-made'? El Yes
b. Did the discharge reach waters of the State? (Ilycs, notify DWR) Yes
c. What is the estimated volume that reached waters of the State (gallons)?
No NA fl N E
No ! INA riNE
d. Does the discharge bypass the waste management system? (lf yes. notify DWR) I Yes
2. Is there evidence of a past discharge From any part ot'the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
I
Yes No
I-1 Yes
No ❑ NA
NA
�I
NE
NE
No I NA fl NE
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Facility Number:
Date of Inspection:
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?:
Designed Freeboard (in):
Observed Freeboard (in):
Structure 1 Structure 2
38
Structure 3 Structure 4
❑ Yes
❑ Yes
Structure 5
No ❑ NA ❑ NE
No ❑ NA ❑ NE
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? f] Yes b No ❑ 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 6 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 [ 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 \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?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes r)v No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus n Failure to Incorporate Manure/Sludge into Bare Soil
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift n Application Outside of Approved Area
12. Crop Type(s): Be r if.,--\e, (Jula I - , c�` I A , CW
u3
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes N No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? 0 Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes [n No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes p No ❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes Ej No ❑ NA ❑ NE
the appropriate box.
[] WUP ❑Checklists f] Design ❑ Maps n Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes N No ❑ NA ❑ NE
['Waste Application ❑ Weekly Freeboard n Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
n Rainfall ❑ Stocking n Crop Yield ❑ 120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections n Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes n No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes tj No ❑ NA ❑ 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? n Yes
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
7 Failure to complete annual sludge survey
LI Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
Failure to develop a POA for sludge levels
Yes
nNA Li NE
n NA NE
26. Did the facility fail to provide documentation of an actively certified operator in charge?
Yes
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification'? n Yes
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document E] Yes No
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? n Yes
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 n Yes
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. 1 Yes 17,1 No
n Application Field n Lagoon/Storage Pond
Other:
32. Were any additional problems noted which cause non-compliance of the permit or C'AWMP? n Yes ,F1 No
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? n Yes 'No
34. Does the facility require a follow-up visit by the same agency? n Yes
No NA [] NE
No ❑ NA ❑ NE
nNA El NE
No NA nNE
No ❑ NA nNE
nNA []NE
El NA NE
NA (l NE
\No ❑ NA 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).
f01- v\Wcic tt--E fl-Pe giqcc.
Reviewer/Inspector Name:
Phone: q9')1
Reviewer/Inspector Signature: ' G�
t
-FDf
10_/1—:
Date:
Page 3 of 3 5/12/2020