540031_2019 Inspection_20190410

Division of Water Resources
-Facility Number C - �� 0 Division of Soil and Water Conservation
-0 Other Agency
Type of Visit: ®-Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit: ® Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: )O Arrival Time: r4 Departure Time: J C County:
Farm Name: w \q TCt • ri\ U-(_ fv\— Owner Email:
Owner Name: R�,.�II�e QV`+ A\S UL\ Phone:
Mailing Address: �`i t) \ J� t,r 'Pr'YIA VA
Physical Address:
Facility Contact: \ Y`QMT �1* lt� \ Title:
Onsite Representative: \ Y"Pj�
Certified Operator:
Back-up Operator:
Location of Farm:
Swine
Wean to Fi
Wean to Ft
Feeder to t
Farrow to
Farrow to I
Farrow to I
Gilts
Other
Other
Latitude:
Phone:
Integrator: (Ay -
Certification Number:
Certification Number:
Longitude:
Design Current
Design Current
Capacity Pop.
Wet Poultry Capacity Pop,
NNon-- La er
Design Current
Discharges and Stream lmnacts
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? (If 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:w( U
s3a
Design Current
Cattle Capacity Pop.
Dairy Cow
Dairy Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
Beef Feeder
Beef Brood Cow
❑ Yes [D No ❑ NA ❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes
❑ No
❑ NA
❑ NE
❑ Yes ❑ o ❑ NA ❑ NE
[:]Yes [ ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
Page 1 of 3 21412015 Continued

JumbrR IDate of Inspection — Q
Collection & Treatment
,torage capacity (structural plus storm storage plus heavy rainfall) less than adequate? ❑ Yes
a. If yes, is waste level into the structural freeboard? ❑ Yes
Structure I Structure 2 Structure 3 Structure 4 Structure 5
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on -site which are not properly addressed and/or managed through a
waste management or closure plan?
T❑ NA ❑ NE
o❑ NA ❑ NE
Structure 6
❑ Yes No ❑ NA ❑ NE
❑ Yes No ❑ NA ❑ NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or envir mental threat, notify DWR
7. Do any of the structures need maintenance or improvement? Yes ELIVo ❑ NA ❑ NE
8. Do any of the structures lack adequate markers as required by the permit? ❑ Yes Lti No DNA ❑ 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 WN(o ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need ❑ Yes E21<0 ❑ NA ❑ NE
maintenance or improvement?
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. ❑ Yes O�No ❑ NA ❑ NE
❑ Excessive Pending ❑ 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
,r�
12. Crop Type(s): " 1 -SG \ \'JZl t Sjs
13. Soil Type(s): vo1'+Q` L
14. Do the receiving crops differ from those designated in the CAWMP?
❑ Yes
❑ NA
❑ NE
15. Does the receiving crop and/or land application site need improvement?
❑ Yes
N
❑ NA
❑ NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
determination?
❑ Yes
�
❑ NA
❑ NE
acres
17. Does the facility lack adequate acreage for land application?
❑ Yes
N
❑ NA
❑ NE
18. Is there a lack of properly operating waste application equipment?
❑ Yes
10
❑ NA
❑ NE
Required Records & Documents
19. Did the facility fail
to have the Certificate of Coverage & Permit readily available?
❑ Yes
ErNo
❑ NA
❑ NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
❑ Yes
ET<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 I" Rainfall Inspections /❑ Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes [�. o D N71 ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No —Lj✓ /NA ❑ NE
Page 2 of 3 21412015 Continued

umber: S` - Date of Inspection: )-
,he facility fail to calibrate waste application equipment as required by the permit?
❑ Yes
o
❑ NA
❑ NE
the facility out of compliance with permit conditions related to sludge? If yes, check
❑ Yes No
❑ NA
❑ NE
pe 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 EfNo
❑ NA
❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
❑ Yes ❑ No
Ej`NA
❑ NE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document ❑ Yes F1 NK ❑ 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 EfINE
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 I LNO ❑ NA ❑ NE
permit? (i.e., discharge, freeboard problems, over -application) WNo
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. ❑ Yes ❑ NA ❑ NE
❑ Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? ❑ Yes 2� o ❑ NA ❑ NE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative? ❑ Yes [VN ❑ NA ❑ NE
34. Does the facility require a follow-up visit by the same agency? ❑ Yes Ly"VO ❑ NA ❑ NE
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).
t✓�C.` �'L 1 t r aJ_�' ; 5 ) �--`;—, O )'6 i - 7 � I . (D (N
CV-3 -I(6 ).AI_ 1 . 17-> )
Sol CS
V4-,9i7 i � � , %��>15
%-3-1< 1
vML-C-S Wl ih
,CA
'Pr4_.2,e.>oc .%A
Oct!e) `u'1
C.2yVT1G6_-_ '.
Cbrr-ew"
-1 \ Sri bate C YCCILS on `�6—>ti
Reviewer/Inspector Name:
NZ--- w
Phone:
Reviewer/Inspector Signature:
Page 3 of 3
Date: 1 ~ ) D
21412015