310242_Compliance Evaluation Inspection_20240620

Division of Water Resources
Facility Number r - O Division of Soil and Water Conservation
O Other Agency
I'ype of Visit: ompliance Inspection 0 Operation Review 0 Structure Evaluation Q Technical Assistance
Reason for Visit: eRoutine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: rrival Time: g Departure Time: County: l( Region: VV�
Farm Name: CIA(hn -bolt'VS farm Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Integrator:
Certified Operator: ,y IS 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 La er Dairy Cow
Wean to Feeder I INon-La er 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 Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Urkey Poults
Other
Discharges and Stream Impacts
l. Is any discharge observed from any part of the operation? ❑ Yes I No ❑ NA ❑ N I
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 (0 No ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes (No ❑ NA ❑ NE
of the State other than from a discharge?
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Facili Number: ' - 2 Date-of Inspection: 20
Waste Collection &Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes (W 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:
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 ❑ Nf:
(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 ❑ N A ❑ N I
waste management or closure plan? """�
If any of questions 4-6 were answered yes,and the situation poses an inrrnediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement? ❑ Yes 2J�No ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? 0_1Ycs ❑ 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 6No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes No ❑ NA ❑ NF.
maintenance or improvement?
1 1. Is there evidence of incorrect land application?If yes,check the appropriate box below. [:] Yes No ❑ NA ❑ NF.
❑ 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 0 No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? co Yes ❑ No ❑ NA ❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes No ❑ NA ❑NE
acres determination?
17. Does the facility lack adequate acreage for land application? ❑ Yes d3� No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? Yes ❑ No ❑ NA ❑ NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage&Permit readily available? (g Yes ❑ No ❑ NA ❑ NI
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 ❑Maps ❑ Lease Agreements ❑Other:
21. Does record keeping need improvement?If yes,check the appropriate box below. ci] Yes ❑ No ❑ NA ❑ NE
❑Waste Application ( Weekly Freeboard ❑Waste Analysis Soil Analysis ❑Waste Transfers Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ;;;�Wonthly and I" Rainfall Inspections ❑Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? (14 Yes ❑ No ❑ NA ❑NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? dYes ❑ 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 ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check Vq.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 ❑ No FZ 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 ❑ NA ❑ NE
permit?(i.e.,discharge,freeboard problems,over-application) 17�
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? ❑ Yes [0 No ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ 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: Phone:
Reviewer/Inspector Signature: Date:11
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