820336_Routine_20220727

Facility Number
Division of Water Resources
O Division of Soil and Water Conservation
0 Other Agency
Type of Visit:
Reason for Visit:
Date of Visit:
Farm Name:
Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
9? Routine 0 Complaint 0 Follow-up
.1 71
Arrival Time:
NU1R
J
Mom.OwnerName:fTOft�Q
Mailing Address:
Physical Address:
Facility Contact: G
0 Referral 0 Emergency 0 Other
Departure Time:
Owner Email:
Phone:
County:
0 Denied Access
Region: FP)
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm:
1,c
0,
JaIrne
Title:
sp.
Latitude:
Integrator:
Phone:
Certification Number:
Certification Number:
Longitude:
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
n
Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Design Current
Layer
Non -Layer
Design Current
Dry Poultry Ca s acit Po
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: n Structure Application Field LJ 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?
Cattle
Dairy Cow
Design Current
Capacity Pop.
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes No 111 NA El N E
No nNA [] NE
No NA [1] NE
n Yes
n Yes
n Yes
No nNA ENE
No nNA E NE
No [] NA 0 NE
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Facility Number:
Waste Collection & Treatment
Date of Inspection:
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):
❑ Yes
❑ Yes
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5
L1N2
No ❑NA ❑NE
No ❑ NA ❑ NE
Structure 6
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes No ❑ NA D 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 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? 1p Yes ❑ No 0 NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes No 0 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
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 No ❑ NA ❑ NE
❑ Excessive Ponding ❑ Hydraulic Overload ❑ Frozen Ground ❑ Heavy Metals (Cu, Zn, etc.)
❑ PAN ❑ PAN > 10% or 10 lbs. ❑ Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
fl Yes No ❑ NA ❑ NE
❑ Outside of Acceptable Crop Window ❑ Evidence of Wind Drift ❑ Application Outside of Approved Area
12. Crop Type(s): . 3ermu
()ay, , Og ee q
13. Soil Type(s): NO) (Al
14. Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ( No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? V Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable n Yes N No ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes I\ No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes IN No ❑ NA ❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available? ❑ Yes No ❑ NA 0 NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check ❑ Yes No ❑ NA ❑ NE
the appropriate box.
❑ WUP El Checklists ❑ Design n Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below. ❑ Yes ,'Ej No ❑ NA ❑ NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Transfers ❑ Weather Code
n Rainfall 7 Stocking ❑ Crop Yield 7120 Minute Inspections ❑ Monthly and 1" Rainfall Inspections n Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes No ❑ NA ❑ NE
Page 2 of'3 5/12/2020 Continued

Facility Number:
Date of Inspection:
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
ri Failure to complete annual sludge survey
n Non -compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
n Yes
n Yes
Failure to develop a POA for sludge levels
No NA Ei NE
No nNA [] NE
26. Did the facility fail to provide documentation of an actively certified operator in charge? Li Yes No
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? n Yes ] No
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or 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)
31. Do subsurface file drains exist at the facility? If yes, check the appropriate box below.
n Application Field
Lagoon/Storage Pond n Other:
n Yes n No
Yes N No
LI Yes ('-, j N o
n Yes (q No
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP'?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
n Yes
n Yes
n Yes
No
No
No
NA nNE
n NA NE
n NA 0NE
n NA pi NE
n NA El NE
El NA ❑NE
❑NA El NE
El NA El NE
Ell NA nNE
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).
K� wDvlq oI 6 k)eQA InchQ
DPP ogoon to WOflK oh
Reviewer/inspector Name:,
Reviewer/Inspector Signature:
Lf--oht-Q},Th
/Jf
0-m---enPr
Phone:
Date:
Iu
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