HomeMy WebLinkAbout260016_Routine_20231027Facility No.
Farm Name
Owner
Sack -up
00C
Time In I L i q9,7
Circle: General or
FREEBOARD: Design 11 JU JU `-
Observed = J�
Crop Yield
Rain Gauge
Soil Test
Weekly Freeboard
Spray/Freeboard Drop _
Weather Codes ;
Waste Analysis:
Date
Wettable Acres
_ Daily Rainfall
120 min Inspections
Nitrogen (N)
Time Out Dare
Integrate
Site Re^
No.tob5z(09 °C�t' wit Rye
No. AvA, CAB, Wj Tit..
NPDES
Sludge Survey.
Calibration/GPM
Waste Transfers
Rain Breaker
PLAT
1-in Inspections
Date Nitrogen (N)
v v1Y lJIV II VI oul
O Other Agency
Type of Visit: 0
Compliance Inspection 0
Operation Review O Structure Evaluation
O Technical Assistance
Reason for Visit:
0 Routine O Complaint
O Follow-up O Referral O Emergency
O Other O Denied Access
Date of Visit: (�I nmp, Arrival Time: Departure Time: � County: 1, VI IARegion: "I Tel.'
Farm Name: P-10 ft` R 1��— Owner Email:
r
Owner Name: e I t f o "� � 1 "/ j Phone:
Mailing Address:
Physical Address:
Facility Contact: J Q rn -c S l a m b Title:
Onsite Representative: _ 0 rn-e
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to I
Wean to I
Feederto
Farrow to
Farrow to
Farrow to
Other
FT
Latitude:
Phone: /� p
Integrator: Pro�a9P
Certification Number: OI (OI1 j
Certification Number:
Design Current
Design Current
Capacity Pop.
Wet Poultry Capacity Pop.
Layei
Non -
Non -La er
Design Current
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ 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?
Longitude:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes (h No ❑ NA ❑ NE
❑ Yes No
❑ Yes k
No
❑NA ❑NE
❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page I of 3 511212020 Continued
..mare a,ouecpon & 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 I Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: P— B
Spillway?: NO No
Designed Freeboard (in): (q
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? r�
(Le., large trees, severe erosion, seepage, etc.) ❑Yes I \ I No ❑ NA ❑ NE
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?
❑ Yes -N No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks) ❑ Yes q No ❑ NA ❑ NE
9. Does any part of the waste management system other than the waste structures require )
maintenance or improvement? ❑ Yes No ❑ NA ❑ NE
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement? ❑Yes No ❑ NA ❑ NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes m No ❑ NA ❑ NE
❑ Excessive Ponding ❑Hydraulic Overload ❑
Frozen Ground ❑ Heavy Metals (Cu, 2
❑ PAN ❑ PAN > 10% or 10 tbs. ❑ 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): Cp ('UH 1Z L
13. Soil Type(s):
1�081111!oKAVAW
14. Do the receiving crops differ from those designated in the CAWMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
❑AUP ❑Checklists n Desi" M KAr -. MY ---- . ___
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ Yes No
❑ &A ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
❑Other:
21. Does record keeping need improvement? If yes, check the appropriate box below.
❑ Yes No ❑ NA D NE
❑ Waste Application ❑ Weekly Freeboard ❑ Waste Analysis ❑ Soil Analysis ❑ Waste Trans rs ❑ Weather Code
❑ Rainfall ❑ Stocking ElCrop Yield ❑ 120 Minute Inspections ❑ Monthly and V 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 N ❑ NA ❑ NE
Page 2 of 3
S/12/2020 Continued
24. Did the facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
[allo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes
[ 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
No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
E No ❑ NA ❑ NE
"�
Other Issu
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 tile drains exist at the facility? If yes, check the appropriate box below.
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
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?
RA TlL_ C
[:]Yes
[�LNo
❑ NA
❑ NE
❑ Yes
[�No
❑ NA
❑ NE
❑ Yes
B No
❑ NA
❑ NE
❑ Yes �4No ❑ NA ❑ NE
❑ Yes No
[:]Yes No
❑ NA ❑ NE
❑ NA ❑ NE
- - --- ..._ .........1.. 1-- u .,,.,....-UN "." Uy ujc same agency! U Yes LjNo 0 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).
bv-abee4� bU l Piahf-eq
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone:
Date:
5112/2020
1.