310029_Compliance Inspection_20180710

tJ t 1 kA-1 1 s J',
Division of Water Resources
Facility Number 0 Division of Soil and Water Conservation
0 Other Agency
Type of Visit: Co Hance Inspection Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: Futine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: Jp Arrival Time:
/$ - Departure Time: ¢/ County: �� ' (—
Region: w
Farm Name: e V Y 6-Jam/-A IIA/Is or5 �✓K/ Owner Email:
Owner Name: aS G 4 `e Y C , a d Phone:
Mailing Address:
Physical Address:Facility Contact: C t-r-4,it I)n
at✓7 ,i/T Title: Phone:
OnsiteRepresentative: cr I/ Integrator: UP5 &1rc)
Certified Operator: SL e�r (�. I3 r n dy Certification Number: S O
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.
Can to Finish Layer Dairy Cow
Wean to Feeder Non-La er 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 ILayers I Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults
Other Other
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes ❑_IQo ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes ❑ No rNA
❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) ❑ Yes ❑ No ❑ 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 Ej<A ❑ NE
2.Is there evidence of a past discharge from any part of the operation? ❑ Yes [3'Ro ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes [�f`No ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Number: jDate of inspection: 10,j u
Waste Collection&Treatment
4.Is ttorage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes [DNr ❑ NA ❑ NE
a.If yes,is waste level into the structural freeboard? ❑ Yes ❑ No [3_NA'❑ NE
Structure 1 Structure 2 Structure 3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 32 33 3 Z
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [' 6 ❑ 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 []-?I`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 E3'<o ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 0 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 E 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? I
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes []-q'o ❑ 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): eqko'
13. Soil Type(s): &j n X
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ©<o ❑ NA ❑ NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes nlC❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes Q>N'6__❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes [9-1 o�❑ NA ❑ NE
18.Is there a lack of properly operating waste application equipment? ❑ Yes ❑-1qo_ ❑ NA ❑ NE
Required Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit readily available? ❑ Yes ®-1qo ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes [E o ❑ 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 0-No' ❑ NA ❑ NE
23.If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes 2<o ❑ NA ❑ NE
.Page 2 of 3 214120I5 Continued

Facifi Number: $ Date of Inspection: O i
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes [g�o ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes M-Ko ❑ 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 fast survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge? ❑ Yes [F<o ❑ NA ❑ NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ED-No ❑ NA ❑ NE
Other Issues �-,�
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes LJ-1VO ❑ 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 o ❑ 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 Lh "" ❑ 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 [3 Ko ❑ NA ❑ NE
❑Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes L�J o ❑ NA ❑ NE
33.Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes E No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ET�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).
v' P �a
42-
Reviewer/Inspector Name: 1J t 11 U✓Ar ) Q Phone: d' y33- 3 33�
Reviewer/Inspector Signature: t d/ l� J LA, �/ Date: i(t
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