310150_Compliance Inspection_20181220

(OrDivision of Water Resources
Facility Number --1 rj�70 O Division of Soil and Water Conservation
O Other Agency
Type of Visit: C�o/in�fiance Inspection Operation Review O Structure Evaluation Technical Assistance
Reason for Visit: Ud"Routine O Complaint O Follow-up O Referral O Emergency O Other O Denied Access
Date of Visit: l Z -a o - Arrival Time: 30 Departure Time: ® County:
Farm Name: 6, on &VICI Fq/M Owner Email:
Owner Name:
Mailing Address:
Physical Address:
Facility Contact:
OnsiteRepresentative: W;no(-e.
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Finis
Wean to Feed,
Feeder to Fini
Farrow to Wa
Farrow to Fee
Farrow to Fini
Gilts
Boars
Other
Other
Phone:
Title:
Latitude:
Phone:
Integrator:
Certification Number:
Certification Number:
Longitude:
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
[Non -Layer
La er
Other
Design Current
DischaMes and Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)? _
d. Does the discharge bypass the waste management system? Of yes, notify DWR)
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Region:
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes x No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes
[:]No
❑ NA
❑ NE
❑ Yes
WPNo
❑ NA
❑ NE
[—]Yes
Z No
❑ NA
❑ NE
Page I of 3 21412015 Continued

Facility Number: 3 Date of Inspection: a -2a-
Waste Collection & Treatment
4. is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
❑ Yes
N 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: ( 3
Spillway? -
Designed Freeboard (in):
Observed Freeboard (in): a 3 23 31
5. Are there any immediate threats to the integrity of any of the structures observed?
❑ Yes
[ 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
® No
--
❑ NA
❑ NE
waste management or closure plan?
TT
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
fail No
1
❑ 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
O 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 thee evidence of incorrect land application? If yes, check the appropriate box below.
❑ Yes
�jNo
❑ 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)
13. Soil Type(s):
14 Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
14No
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
f'7FNo
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
❑ Yes
[Jallo
❑ NA
❑ NE
acres determination?
17. Does the facility lack adequate acreage for land application?
❑ Yes
[10 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?
❑ Yes
N No
❑ NA ❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
[Zj 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 I" Rainfall Inspections
❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge?
❑ Yes
W No
❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rambreakers on irrigation equipment?
❑ Yes
❑ No
❑ NA p, I NE
Page 2 of 3
21412015 Continued

Facili Number: 3 Date of Inspection:
24. Dtd-th'e facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
No
❑ NA ❑ NE
s
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
Z No
❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes
❑ No
q NA ❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
❑ Yes
*o
❑ 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
1� 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
M 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 ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
❑ Yes
`P No
❑ NA ❑ NE
34 Does the facility require a follow-up visit by the same agency?
❑ Yes
Qa No
❑ NA ❑ NE
Comments (refer to question #): Explain any YES answers and/or any additioutii recommendations or any other comments.
Use drawings o(tacitity to better eaplAin situations (use additional pages as necessary).
��x P.rbs�ov� sPo+S I 41�e_ ��el�s 3i- e. v _5i� ovk 1a-2o�l�D
�ecai�s cwe. 2.weA oa 12-2,7-(5
1V a sold `Sa^p (,s s',/L,� '�26 # � � ✓� � � ;.I ��rA� 20
5e/'d copy /''►� I . �) I; n CAe,—, yo v
SIJA �RlZ2
Send copy a'r CAL +u CCJj aAck
Perm; �-
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page 3 of 3
Phone: I1 Q',7Cf6_ 7336
Date: 12 - Z %-4
21412015