260019_Compliance Inspection_20241118

Division of Water Resources
Facility Number 'mp - O Division of Soil and Water Conservation
O Other Agency
Type of Visit: O 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: Arrival Tinter Departure'U nte: Coll nh: )AM,1)0dt0 Region:
)Harm\ante: Spy), lU, V'�/(.?('dow �-- __W �'�.I�Vr►�afiY��l� Otitiner Entail:
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Owner Name: ? 1 Phone:
Mailing Address:
Physical Address:
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Facility Contact: '°9 ,� �1 'Title: Phone:
Onsfte Representative: 1 Integrator:
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Certified Operator: ,tsy�F Certification Number: t =
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Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacity Pop. «'et Poultry Capacity Pop. Cattle Capacity Pop.
Wean to Finish Layer I Dairy Cow
Wean to Feeder I INIon-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 Lavers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poalts
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 1t No ❑ NA [] NI:
b. Did the discharge reach waters of the State?(lf ycs, notify DM R) ❑ Yes �] No [] NA ❑ NI.
c. What is the estimated�olume that reached waters of the State(gallons)? T�
d. Does the discharge bypass the xcaste management system?(If yes,notify DWR) ❑ Yes No ❑ NA ❑ Nf
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes No ❑ NA ❑ N L
3. Were there anv observable adverse impacts or potential adverse impacts to the waters Yes Y
No ❑ NA ❑ N1
of the State other than front 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 0 NE
a. If yes.is waste level into the structural freeboard? ❑ Yes No ❑ NA ❑ NE
Structure l Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier: .b
Spill«'ay?: s U
Designed Freeboard(in): _
Observed Freeboard(in): _
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes )E4No ❑ 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 N 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 t No ❑ NA ❑ 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 No [] NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application'? If yes,check the appropriate box below. ❑ Yes 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): , 9 bUU S 9
13. Soil Type(s): ��1✓Glr1��►tiwL. t,UY ��K� —D I&wbckr� W 1L�}Y1xy-yi
14. Do the receiving crops differ from those designated in the CAWMP? ❑ 'Yes No ❑ NA ❑ NE
15. Does the receiving crop and/or land application site need improvement? ❑ Yes M 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 No ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? 0 Yes N No D NA NE
Required Records& Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes MNo ❑ NA ❑ NE
20. Does the facility fail to have all components of tile C:AWMP readily available?If yes,check ❑ Yes N 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. [] Yes ELNo ❑ NA ❑ NE
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis 0 Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and l" 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 qNo ❑ NA ❑ NE
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Facilit Number: - ICI jDate 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 ❑ 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 'E� No ❑ 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 ❑ 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 J&No ❑ NA ❑NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes TNo ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes MNo ❑ 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: n Phone:
Reviewer/Inspector Signature: Date: '� 1
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