310060_Structure Inspection_20181001

Division of Water Resources
=Fieilityr Ll� - O Division of Soil and Water Conservation
O Other Agen
Type of Visit: O Compliance Inspection 00per on Review Structure Evaluation p Technical Assistance
Reason for Visit: O Routine O Complaint Follow-up 0 Referral O Emergency 0 Other O Denied Access
Date of Visit: L1n It I t� I Arrival Time: - Qf) Departure Time: County: Region:
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: l r 5 II (' h / ��t e, Integrator:
Certified Operator: 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 I ILayer I Dairy Cow
Wean to Feeder I INon-l.aver I Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean Design Current Dry Cow
Farrow to Feeder Dry Poultry Ca Dad POD. Non-Dairy
Farrow to Finish I Layers I I Beef Stocker
Gilts Non-Layers Beef Feeder
Boars I Pullets I jBeef Brood Cow
Turkeys
Other Turkey Poults
Other I Other
Discharees and Stream Impacts
I. Is any discharge observed from any part of the operation? ❑ Yes 2fNo ❑ 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 o ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes gN�,'o ❑ NA ❑ NE
of the State other than from a discharge?
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[Facility Number: O Date of inspection: �O
Waste Coltection&Treatment
4. Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes ❑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): � �r S
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes [�Ko ❑ 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 ❑ No ❑ NA
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 ❑ 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 LDS NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes ❑ No ❑ NA [3'NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes ❑ No ❑ NA n 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 ❑ No ❑ NA — NI
15. Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA I LNE /
16. Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA 777""n +'
acres determination? T
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA �NE
E
18.Is there a lack of properly operating waste application equipment? ❑ Yes ❑ No ❑ NA
Required Records&Documents
19. Did the facility fail to have the Certificate of Coverage& Permit readily available? ❑ Yes ❑ No ❑ NA D-NE,
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check ❑ Yes ❑ No ❑ NAB{ ArE/
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 UXF
❑Waste Application ❑Weekly Freeboard ❑Waste Analysis ❑Soil Analysis ❑Waste Transfers ❑Weather Code
❑Rainfall ❑Stocking ❑Crop Yield ❑120 Minute Inspections ❑Monthly and I" 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 ❑ NA lE
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Facili Number: jDate of Inspection: 10 /
24.Did IV facility fail to calibrate waste application equipment as required by the permit? ❑ Yes ❑ No ❑ NA gNE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No ❑ NA
the appropriate box(es)below.
❑Failure to complete annual sludge survey ❑Failure to develop a PDA 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
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA gNE
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 ❑ No ❑ NA
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? ❑ Yes ❑ No ❑ NA
34.Does the facility require a follow-up visit by the same agency? ❑ Yes ❑ No ❑ NA FNE
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).
5ptc-f 10V Syr 4
53
ss Z F3
SLtA sttoke r-Ar^,
Reviewer/Inspector Name: Lt ( e} Phone: ( IO-71&770 y
Reviewer/Inspector Signature: Date: S /�
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