030001_Compliance Evaluation Inspection_20180913

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ivision of Water Resources"
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Facility. Number ; .® Division of Soil and Water Conserya tion
q
rE Other Agency
Type of Visit: Compliance Inspection O Operation Review O Structure Evaluation O Tec ical Assistance
td7 Reason for Visit: Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 O er 0 Denied Access
Date of Visit: 13 ZQ Arrival Time: p Z O Departure Time: Cou Q h an/ Region: �5 R Q
Farm Name: �j [L �n &AA b j I � f Wr fib Owner Email: I r o � � .
co ryj
Owner Name: �I)eLV 1 AT (S&" j 0 Phone: aJ& — 2 % 7-
Mailing Address: �3()r3 4_� 0_M,t ` �,�, S p&*-+qL, 19 %s
Physical Address:
Facility Contact: r,\Q,\(l j D'r A OL* Or1
Onsite Representative: )- Ma i( r a. a x 6 n Integrator:
Phone: 6, 33tp ` 363 — 13 S 1
Certified Operator: QlJ( Certification Number: a to fw S 6
310 1
Back-up Operator: 2 Certification Number:
I n
Location of Farm: Latitude: 31P a .3 31 �� 2-0 Longitude: $ 1 j (� 34 11
Us 1+ Wy z
z) s
s s ��j
Swine
Wean to Finish
Wean to Feeder
Feeder to Finish
Farrow to Wean
Farrow to Feeder
Farrow to Finish
Gilts
Boars
Other
Other
Design Current Design Current
Capacity Pop. Wet Poultry Capacity Pop.
Layer
Non -Layer
Design Current
Dry Poultry Capacity Pon.
Layers
Non -Layers
Pullets
Turkeys
Turkey Poults
Other
Discharges 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? (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?
Cattle
Dairy Cow
Dai Calf
Dairy Heifer
Dry Cow
Non -Dairy
Beef Stocker
eef Feeder
2-001
Beef Brood Cow
❑ Yes [ tNo
s nQWL i
❑ N ❑ NE M
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes ❑ No ❑ NA ❑ NE
❑ Yes [:]No
❑ Yes KNo
❑ Yes �No
❑NA ❑NE
❑ NA ❑ NE
❑ NA ❑ NE
Page I of 3 21412015 Continued

Facili dumber: - 0 jDate of Inspection: C1 1
Z
Waste Collection & 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: P k
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in):
5. Are there any immediate threats to th ' tegrity of any of the structures observed?
❑ Yes
oNo
❑ 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?
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
❑ No
( rNA
❑ 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;rNo
❑ 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
1� 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?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropriate box.
X] Yes
❑ No
❑ NA
❑ NE
❑ Yes
o
rN
❑ NA
❑ NE
❑ Yeso
�NA
❑ NE
❑ Yes
[N, No
❑ NA
❑ NE
❑ Yes
[ No
❑ NA
❑ NE
❑ Yes No ❑ NA ❑ NE
❑ Yes iii%No ❑ NA ❑ NE
❑ WUP [:]Checklists []Design ❑ Maps ❑ Lease Agreements ❑ Other:
21 oes record keeping need i rovement? ❑ Yes WNo ❑ ❑ NE
ste Applicat' n e kly Freeboard ❑ Waste AnalysisTonthlyt Analysis Weather Code
Rainfall tocking Crop Yield nu a nspec ions and 1" Rainfall Inspections Elgl .a�o..
22. Did the facility fail to install and maintain a rain gauge? ❑ Yes 6 No ❑ NA ❑ NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No []eA ❑ NE
Page 2 of 3 21412015 Continued

acili 'dumber: &3 - 01 Date of Inspection: ;2 O JTJ
24. Did the facility fail to calibrate waste application equipment as required by the permit? ❑YesNo ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check ❑ Yes ❑ No J*5jrNA ❑ 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 D?No ❑ NA ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? ❑ Yes gNo ❑ NA ❑ 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?
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
permit? (i.e., discharge, freeboard problems, over -application)
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
(Application Field ❑ Lagoon/Storage Pond ❑ Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on -site representative?
34. Does the facility require a follow-up visit by the same agency?
❑ Yes 0 No ❑ NA ❑ NE
❑ Yes gNo ❑ NA ❑ NE
❑ Yes 0 No ❑ NA ❑ NE
Yes [:]No
❑ Yes ONO
❑ Yes CSfNo
❑ NA ❑ NE
❑ NA ❑ NE
❑ NA ❑ NE
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Reviewer/Inspector Name:
Reviewer/Inspector Signatui
Page 3 of 3
Phone: 136 —111p 96 99
Date: 13 7-0
21412015