710078_Inspection_20181107

- Division of Water Resources �.
O Division of Soil and Water Conservation
FAcfiity Number - ®
< 0 Other Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review Structure Evaluation 0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint GYFollow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: �! Arrival Time: II I S Departure Time: I S County: Region:
Farm Name: Cr or� ,&(LGw 1514,t�,wk Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: Lon Con a.r, Integrator:
- �v-
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Design. Current .Design Current Design-Curent
Swine Capacity Pop. Wet Poultry Capacity Pop. "Cattle Capacity- Pop.
Wean to Finish Layer Dairy Cow
Wean to Feeder on-Layer Dairy Calf
Feeder to Finish Dairy Heifer
Farrow to Wean s Design Current <. Dry Cow
Farrow to Feeder Dry Poultry Capacity Pop. Non-Dairy
Farrow to Finish ILayers Beef Stocker
Gilts Non-Layer Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys
Other Turkey Poults =
Other Other
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? Yes [:] No ❑ NA ❑ NE
Discharge originated at: [Zstructure ❑ Application Field ❑ Other:
a. Was the conveyance man-made? ❑ Yes Oa-No ❑ NA ❑ NE
b. Did the discharge reach waters of the State?(If yes,notify DWR) 9 Yes ''❑ No ❑ NA ❑ NE
c. What is the estimated volume that reached waters of the State(gallons)? T1y7
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 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: - Date of Inspection: -
);0aste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes PNo ❑ 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: 2-
Spillway?:
Designed Freeboard(in):
Observed Freeboard(in): 33 Jo
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes j To . ❑ 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 0 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 0 No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes 14 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 0 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):
13.Soil Type(s):
14.Do the receiving crops differ from those designated in the CAWMP? ❑ Yes ❑ No ❑ NA E] NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No 0 NA �Z 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? ❑ Yes ❑ 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 ❑ No ❑ NA [0 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 M 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 ❑ NA �NE
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Facility Number: - Date of Inspection:
Y,.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 [A NE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA n 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) 7W
31.Do subsurface tile drains exist at the facility?If yes,check the appropriate box below. ❑ Yes ❑ No ❑ NA [21 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 [ No ❑ NA ❑ NE
34.Does the facility require a follow-up visit by the same agency? ❑ Yes No ❑ NA ❑ NE
Coe `(refer-to.questiou#):Egpla any_YES..answers'a'ndlor any_additioualtrecori mendations_orrany other.comments:
.�,
Ilse-drawin s;of facility,to�better&xpIain sitnatioris'(use.addition ag al es as necessary). . e•
ye4 Po,
n ftj e- 61
n nti�jw
Reviewer/Inspector Name: 1 �/�,�y� Phone: f,O'7-7,6j -�73IC
Reviewer/Inspector Signature: ZI / � Date: 7 l�
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