310501_Compliance Evaluation Inspection_20230914

Division °of:Wateri Resources
Facility Nu_ tuber
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Sp l
O Division of'Soil and: Water Conservation
h
r .
p Oth gency
Type of Visit: © Compliance Inspection O Operation Review O Structure Evaluation O Technical Assistance
Reason for Visit: Q Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: ' j Arrival Time: Departure Time: County:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Region:
Facility Contact: r; �cm hyv-.9 S, Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current"
Design
Current e
Design Current `
Swine Capacity
Pop
Wt Poultry : Capacity
P,op s
Cattle Capacity
:1'op
_
q
K o
Wean to Finish
ILayer
Dairy
Layers
Non -Layers
Pullets
Turkey Puults
Other
Turkeys
Discharees and Stream Impacts
Discharees and Stream Impacts
Cow
1. Is any discharge observed from any part of the operation? ❑ Yes 0'� ❑ NA ❑ NE
Discharge originated at: El Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ a ❑ No .,NA NE
b. Did the discharge reach waters of the State? (If yes, notify DWR) ❑ Yes ❑ No [�W ❑ 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 ❑ A ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes I��N0❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑Yes ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: 3 i - S 0 jDate of Inspection: C1Lf
Z-1
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 _ <A
❑ NE
Structure 1 Structure 2 Structure 3 Structure 4
Structure 5
Structure 6
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ 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
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
lto ❑ NA
❑i14
❑ NE
8. Do any of the structures lack adequate markers as required by the permit?
❑ Yes
E; <o ❑ 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
Ej<o ❑ NA
❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
❑ Yes
dNo ❑ NA
❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
ZI No ❑ NA
❑ 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
_/
II , o ❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
EPAo ❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
El ❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
F_jXoo/❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
El Yes
❑ 0 ❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
❑ Yes
Ea<o ❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
P _ .- ❑ NA
❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑ Maps ❑ Lease Agreements ❑Other:,
21. Does record keeping need improvement? If yes, check the appropriate box below. es ❑ No ❑ NA ❑ NE
❑ Waste Application ❑ W kly Freeboard ❑ 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 [o ❑ 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 To NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check [:]Yes To ❑ 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? 0 Yes o ❑ 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
To ❑ 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
040 ❑ 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
0 Yes
No ❑ 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
— /
I (�QE
❑ Application Field ElLagoon/Storage Pond ❑ Other:
TTT
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
❑ Yes
E3No ❑ NA
❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
N❑ NA
❑ NE
34. Does the facility require a follow-up visit by the same agency?
El Yes❑
VNNA
❑ NE
Reviewer/Inspector Signature: Date:
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