710079_Inspection_20181107

Division of Water Resources
Facility Number , 0 Division of and Water,Conservation.
Q Other•Agency
Type of Visit: 0 Compliance Inspection 0 Operation Review . Structure Evaluation O Technical Assistance
Reason for Visit: O Routine O Complaint &follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit:L` �/7 J Arrival Time: I Departure Time: 2 S County: Region:
Farm Name: 5-4- 5L/_� Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: Title: Phone:
Onsite Representative: -!!Eft�� � �,r- 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 La er 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 Poultryy Capacity Pop. Non-Dairy
Farrow to Finish Layers Beef Stocker
Gilts Non-Layers Beef Feeder
Boars Pullets Beef Brood Cow
Turkeys _
Other = Turkey Poults
Other rjOther
Discharges and Stream Impacts
1.Is any discharge observed from any part of the operation? ❑ Yes Po ❑ 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 EA No ❑ NA ❑ NE
3.Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes W No ❑ NA ❑ NE
of the State other than from a discharge?
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Facility Plumber: - ZI jDate of Ins ection:
h
Waste Collection&Treatment
4.Is storage capacity(structural plus storm storage plus heavy rainfall)less than adequate? ❑ Yes �No ❑ NA E] 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):
5.Are there any immediate threats to the integrity of any of the structures observed? ❑ Yes E ❑ NA E] 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 0No ❑ 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? El Yes [�No ❑ NA ❑ NE
8.Do any of the structures lack adequate markers as required by the permit? ❑ Yes f"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 [V1No ❑ 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 [ 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 �] NE
15.Does the receiving crop and/or land application site need improvement? ❑ Yes ❑ No ❑ NA P9 NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes ❑ No ❑ NA Vn NE
acres determination?
17.Does the facility lack adequate acreage for land application? ❑ Yes ❑ No ❑ NA (E 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 [N 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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IFaciHty plumber: jDate of In ction: j -1
24:Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes 0 No ❑ NA NE
25.Is the facility out of compliance with permit conditions related to sludge? If yes,check ❑ Yes ❑ No ❑ NA M 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 ONE
27.Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No ❑ NA 10 NE
Other Issues
28.Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes ❑ No ❑ NA N 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 [M 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 10 No ❑ NA 0 NE
permit?(i.e.,discharge,freeboard problems,over-application)
31.Do subsurface the drains exist at the facility?If yes,check the appropriate box below. ❑ Yes ❑ No. ❑ NA W NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32.Were any additional problems noted which cause non-compliance of the permit or CAWNIP? ❑ Yes ❑ No ❑ NA J0 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
Comments(refer;to guest�on#):,ExplAif.,anyYES answers and/or,any-additional recommendations or,any other-,Comments=�'
Use ilra�vings:of facility to3better ex law situatidns. use additional pages as necessa
P. ( pg. J'),�
,� 2d
JWe_, la'0 KS V `�
Reviewer/Inspector Name: ��/�jj��� � �-- Phone: WO 7 33(;;
Reviewer/Inspector Signature: Date:
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