860004_Compliance Evaluation Inspection_20240603

Division of Water Resources
Facility Number 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ID Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Arrival Time:®L Departure Time: County: �.t- Region ` C
Farm Name: j 1� {�j � Owner Email:
Owner Name: Phone:
,y-
Mailing Address: OD/_ NK ?_ 11 i n , W C 21&UZi
Physical Address:
Facility Contact: (: 1 I I �l t�t 1 'e"1 Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number: q hY��ZTi go
Back-up Operator: _i6a( i C�0-)oSto Certification Number: U htS_W I J 1 125
Location of Farm: Latitude: 1`';Z�� P °1 Longitude: 2( ��t; ' 111 I%
s d ,•t (4 ► e1711'i'M�C+ iz',11'• 1 l<: l l'�b lt�' c
Design Current Design Current Design Current
Swine Capacity Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish I JLayer I Dairy Cow
Wean to Feeder I INon-Layer I 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 I Layers I I Beef Stocker
Gilts Non-Layers Beef Feeder ;
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharges and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes P<No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? [:] 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 ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [gNo ❑ NA ❑ NE
of the State other than from a discharge?
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Facili Number: - Date of Inspection:
Waste Collection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes kNo ❑ 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:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): "1 t
5. Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes gNo ❑ 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 Z o ❑ 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 UD�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 0 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 <4 No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes 1No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes KNo ❑ NA ❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes qNo ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes 5No ❑ 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 Ro ❑ NA ❑ NE
the appropriate box.
❑WUP ❑Checklists ❑Design ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement? If yes,--check4he-apprepriate4)ex-below. ❑ Yes �No ❑ NA ❑ NE
❑��ie�a ien keekly Freeboard ❑ ❑ ❑W4"&Tra_sf� ❑W ffimEsde
�ainfall ]Stocking ❑Cfep� ❑12 Monthly and 1" Rainfall Inspections ❑%=rnd y
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes J;JNo ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No Q NA ❑ NE
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`' �Id
Facili Number: - Date of Inspection:
12A-
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes-,&No ❑ NA ❑ NE
JJ
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑j No X 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 provide documentation of an actively certified operator in charge? ❑ Yes)4No ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes )Ea 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 CyNo ❑ 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 [:�J'No ❑ NA ❑ N E
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 RNA ❑ N E
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes A No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes _RNo ❑ NA 0 NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes 15?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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17
Reviewer/Inspector Name: . Phone:
1e�
Reviewer/Inspector Signature: � "�� Date:
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