510129_Inspection_20190220

Division of Water Resources
Facility Number - O Division or Soil and Water Conservation
O Other Agency
Type of Visit: Compliance Inspection 0 Operation Review 0 Structure Evaluation O Technical Assistance
Reason for Visit: (Routine O Complaint Q Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit:"15EI I q Arrival Timer Departure Time: County: _ Region: _R
Farm Name: M_ H r&n i Owner Email:
Owner Name: Nviaht MQ46 Phone:
Mailing Address: . I J
Physical Address: Ipp4�.tO flKJfth RrI . SMtl7r6pl_
Facility Contact: D/Pnf hi Wiftl �� /Title: Phone:
Onsite Representative: �/(,,f M► �e ,q vitj Hay Integrator: G�' J, �V/O �tp t�
,�
Certified Operator: 41'al11 �MVO Certification Number: I$�D 7
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design Current Design Current Design Current
Swine Capacih Pop. Wet Poultry Capacity Pop. Cattle Capacity Pop.
\\can to Finish I ll_acer Dai Cow
Wean to Feeder I ]on-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Ca acity Pop. Non-Dairy
Farrow to Finish jLaNeis Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets I lBeefBroodCow
Turkeys
Other Turkey Pouets
I -„r Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes 1Z 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 2S 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: $) jDate of Inspection: a l
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes f�a 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:
Spillway?:
Designed Freeboard(in): a�
Observed Freeboard(in):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [5?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 [51 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 [!�r No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes N 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 N No ❑ NA 0 NE
maintenance or improvement?
11.Is there evidence of incorrect land application? If yes,check the appropriate box below. ❑ Yes [�R 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): Q� 1 kol. A_ro/dl� 61,41
13.Soil Type(s): C�jjPj D
14. Do the receiving crops differ from those designated in the CAWMP? 0 Yes �fl No ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes 0 No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes f�j No ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes R No ❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes 5g No ❑ 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 [P 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 © No ❑ NA ❑ NE
❑Waste Application ❑Weekly 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 � No ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No [g NA ❑ NE
Page 2 of 3 21412015 Continued

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Facility Number: rj 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 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 [51No ❑ NA ❑ NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes R 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 W 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 JZ 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 [�r No ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes [g No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes N No ❑ NA ❑ NE
Comments(refer to question ft 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: )h Sfhn?lt'r Phone: Q�Q�9�-4�3
Reviewer/Inspector Signature: �0' 'k m d" Date: a-o.3s
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Page 3 of U 21412015