790001_Inspection_20190812

i
Iusitif
I It{u?d II nxiN('i��li# +lltttt@�f iAHts.' i s7f. Cll�li�i �i3; .i 1=.i¢f= s 14h9t#11 I 1��
Type of Visit: Q,Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit�Roouutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: R ( Arrival Time: Departure Time: County: I` Region:(uc _
Farm Name: Ar iTit_ V Owner Email: .�Q,_v�'
ail:: for Qo Ir�C -�Z,y -US
Owner Name: 1, 0,IJk F-e Phone:
Mailing Address: k2D C-Q: �e I t_k F-ol 1 1�1U1_Ce�-I WlQS$ai NC, 2776'Z�
`Physical Address: 72 �1� LG ���� RCI � �lyi NC '17DZ5
Facility Contact: �( ��0.W Title: Phone: �1
Onsite Representative: Integrator: V C +VgC7.-yij
Certified Operator: Certification Number:
Back-up Operator: ZU'C'SO -{. �'�' .� Certification Number:
Location of Farm: Latitude: Longitude: ICI
It PP
x . i. } ��CaAe1i141 ,c,:uk'il Tilslt f j� ! ,"f' {I Wean to Finish ILayer Dairy Cow
Wean to Feeder `{ Non-Layer Dairy Calf
Feeder to Finish 7150 9 {
t ��� E,�� � Dairy Heifer
i I
Farrow to Wean Dry Cow
Farrow to Feeder Il x Non-Dairy
t
Farrow to Finish Layers Beef Stocker
Gilts Non-La ers Beef Feeder
Boars Pullets Beef Brood Cow
1 �I 141 { If i �{ tl Edit I, 1 Turke
Turke Poults �l { R S((lt'�( {E`t
Other Other € $ {�} ai{{l5y!u(�E![ti s �
,11 LL 4 .ili f.Ylil!'xii+ic tf II�A ll la{�S{4� I EiI�
Discharees and Stream Impacts
1. Is any discharge observed from any part of the operation? ❑ Yes EJ/No ❑ NA ❑ NE
Discharge originated at: ❑ Structure ❑ Application Field ❑ Other:
I
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 ❑ Ng ❑ NA ❑ NE
2. Is there evidence of a past discharge from any part of the operation? ❑ Yes o ❑ NA ❑ NE
3. Were there any observable adverse impacts or potential adverse impacts to the waters ❑ Yes Io ❑ NA ❑ NE
of the State other than from a discharge?
i
Page I of 3 21412015 Continued
I

Facili Number: Date of inspection:
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
I
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 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 0�0 ❑ 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 envi onmental 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 �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 E No ❑ NA ❑ NE
maintenance or improvement?
Waste Application
10.Are there any required buffers,setbacks,or compliance alternatives that need ❑ Yes [t�No ❑ NA ❑ NE
maintenance or improvement?
11.Is there evidence of incorrect land application?If yes,check the appropriate box below. ❑ Yes E/ 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): I.e- e
13. Soil Type(s): j
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 Q No ❑ NA ❑ NE
16.Did the facility fail to secure and/or operate per the irrigation design or wettable ❑ Yes 64o ❑ NA ❑ NE
acres determination?
17.Does the facility lack adequate acreage for land application? El Yes L� rx ❑ NA ❑ NE
18. Is there a lack of properly operating waste application equipment? ❑ Yes ❑ NA ❑ NE
NReauired Records&Documents
19.Did the facility fail to have the Certificate of Coverage&Permit re ily available? ❑ Yes �N ❑ NA ❑ NE
20.Does the facility fail to have all components of the CAWMP readily available?If yes,check El Yes Io ❑ NA ❑ NE
the appropriate box.
❑W[JP ❑Checklists ❑Design ❑Maps ❑ LeaseAgreements ❑Other:
21.Roes record keeping need improvement?If yes,check/fie appropriate bX1, ❑ Yes No ❑ NA ❑ NE
aste Applic on ❑�jYeekly Freeboaz Waste AnalysisAnalysis �drs [Weather Code
Rainfall Stocking Crop Yield 120 Minute Inspectionsy and 1"Rainfall Inspections Sludge Survey
22.Did the facility fail to install and maintain a rain gauge? ❑ Yes 2/No ❑ NA ❑ NE
23. If selected,did the facility fail to install and maintain rainbreakers on irrigation equipment? ❑ Yes ❑ No Q NA ❑ NE
Page 2 of 3 21412015 Continued

Facility Number: - p Date of Inspection: 141
24.Did the facility fail to calibrate waste application equipment as required by the permit? ❑ Yes l No ❑ NA ❑ NE
25. Is the facility out of compliance with permit conditions related to sludge? If yes,check El Yes Io ❑ 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 ❑ N ❑ NE
27. Did the facility fail to secure a phosphorus loss assessments(PLAT)certification? ❑ Yes ❑ No 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? 'A mv\
29.At the time of the inspection did the facility pose an odor or air quality concern? ❑ Yes Eo ❑ 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 ffj N ❑ 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 H 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
�rv�bao��vtinetn } ? losl- v,sli kk:s Nol:)
Q�Cd Lk)
aa�o-�{s�S w
01
el�s 7 j,-s
VI
p tSlt1 e k kd
.Spi is �u 2 01 g
i
o 0 N f N ® — 5
Reviewer/Inspector Name: ( `(�� Phone:Q?� 2
Reviewer/Inspector Signature: ate:
Page 3 of 3 21412015