020003_Inspection_20230127

{ •Division of Water Resources
Facility Number 62, - b3 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: •Compliance 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: -fl-1 Arrival Time:[ I O:CAD Departure Time: II ;(lb County:Akkaa84, Region: nel eo
Farm Name: Qom„1 p}p Da;r Owner Email: •
Owner Name: 13cw\ \A P , e. Phone:
Mailing Address:
Physical Address: „tin res/\ e ✓�
Facility Contact: ¢ , Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
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 50 b 11-
Wean to Feeder Non-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey,Poults
Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes N'No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑Application Field ❑ Other:
a. Was the conveyance man-made? El 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 No El NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [YNo ❑ NA ❑ NE
of the State other than from a discharge?
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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? ❑ 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: I4 P, ;114.( .._
Spillway?: �(�g FJ-er /V"D
Designed Freeboard(in): � Si •
Observed Freeboard(in): 1 Z, 1(Q
5.Are there any immediate threats to the integrity of any of the structures observed? ❑X Yes ❑ 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 I2'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 IN No El NA El 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 ❑X No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. El Yes No ❑ NA 0 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 rz No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ® No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ® No ❑ NA 0 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 2 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 ® Yes ❑ No ❑NA ❑NE
the appropriate box.
❑WUP ['Checklists ❑Design El Maps ❑ Lease Agreements ❑Other:
21.Does record keeping need improvement?If yes,check the appropriate box below. .:1; Yes ® No ❑ NA ❑NE
❑Waste Application ❑Weekly Freeboard El 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 © No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 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? ❑ Yes ❑ No DNA E NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes 2 No ❑ NA ❑ 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 aC No E 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?
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes []No ❑ 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 ® No E 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 ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes © No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? n Yes © No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes 0 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).
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Reviewer/Inspector Name: �, � 5-, ' l' Phone:
Reviewer/Inspector Signature: Date: I-2.-7-Z3
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