HomeMy WebLinkAbout820621_INSPECTIONS_20171231NORTH CAROLINA
Qepartment of Environmental Quality
\
' -..
'~~~~~~~~~~ ompliance Inspection Operation Review 0 Structure Evaluation OTechnical Assistance
Reason for Visit: ~utine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I CJ:-tf~l itf Arrival Time: I/O! 50 I Departure Time: I p .'J t."J I County: £~,....._ Region: ~--ZJ
Farm Name: 'JQ-;b Yl!? CC?om.l1 eP./J"'"-:;:::/?c. Owner Email:
Owner Name: ~A t1 C(... Lpo.ozh Phone:
Mailing Address:
Physical Address: ...~.b:z::~.:.....:;,__ __________________ r-_____________________ _
~,?. yc-c:.
' _8;=-..:...'-~..::...._r-_..c..;t?t~v-=-a..:....'I"""'L--=-----Title: Facility Contact:
Onsite Representative:
Certified Operator;
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: D Structure D Application Field
a. Was the conveyance man-made?
D Other:
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)?
Phone:
Integrator: ,J?c¥=:
Certification Number: '73'/'7 .,;::aD
Certification Number:
Longitude:
DYes ~o DNA ONE
DYes DNo DNA ONE
DYes DNo DNA ONE
d. Does the discharge bypass the waste management system? (If yes, notifY DWR) DYes DNo DNA ONE
2. Is there evidence of a past discharge from any part ofthe operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page I of3
DYes
DYes
~ DNA ONE
~0 DNA ONE
21412015 Continued
\
-~ I Facility Number: ftC-Ce?-1 I Date of Inspection: F?fO:/R"' I
Waste Collection & Treatment
\ 4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier: ;-t{
Spillway?:
Designed Freeboard (in): J't '
Observed Freeboard (in): • 2:'T
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?
DYes~ DNA ONE
D Yes D No D NA D NE
Structure 5 Structure 6
DYes ~ DNA ONE
DYes ~ DNA D!'JE
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?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes c;:rN"o DNA D NE
D Yes [J-N'"o D NA D NE
D Yes @'No D NA D NE
D Yes [3---N'o D NA D NE
II. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes @1'lO DNA D NE
D Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12. Crop Type(s): // l' /r\. /w} .,-~ / S ~.e.Jr~
; J
13. Soil Type(s):
14. Do the receiving crops differ from those designated in the CA WMP?
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?
l7. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Reguired 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.
OwuP Dchecklists D Design 0 Maps D Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
DYes
[:tYes
DYes
DYes
DYes
DYes
DYes
00ther:
DYes
[3No DNA
0No DNA
EJNo DNA
@1')0 DNA
[d-N"o DNA
l:3t"'o DNA
[3-No DNA
[3-No DNA
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
D Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers D Weather Code
0 Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and I" Rainfall Inspections D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? D Yes c:::t"No D NA D NE
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? D Yes ~o D NA D NE
Page 2 of3 214/2015 Continued
\ ;. I Facility Number: &:2':-G,;;z..-1 IDate oflnspectioo: f q-;j?" I
24. Did the facility fail to calibrate waste application equipment as required by the permit?
t 25 . Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
DYes ~ DNA ONE
DYes ~o DNA ONE
0 failure to complete annual sludge survey 0 Failure to develop a POA for sludge leve ls
0 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?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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-a pplication)
31. Do subsurface tile drains exist at the facility? If yes, ch ec k the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 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/in spection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
0 Yes
0 Yes
0 Yes
DYes
DYes
DYes
DYes
DYes
0 Yes
EJNo DNA ONE
~ DNA ONE
[{J-N-o DNA ONE
(3-No DNA ONE
E}J'iJo DNA ONE
~ DNA ONE
[a""No DNA ONE
~DNA ONE
~DNA ONE
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).
;,'): C-75?1 ft':;:l(,~ {)J<vl'?-~ f}~ /-c.
tJr ftJvr $-r-r-~~ r:T-r?/.
Reviewer/Inspector Name :
Revi ewer/In spector Si gnature:
Page3 of3
Phone: 97!/ -3l?]'-O/'F/ ..-'
Date: ~ -~r-z-e ;Y
2/412015
Compliance Inspection
~utine 0 Denied Access
Arrival Time:l //;IS: I
(}t;>mJJ,
Departure Time: I J2 ! J D I County: ¥~ Region: ~0 Date of Visit: I
Farm Name: Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: &l'"'1-/ /r[ Do rc_ Title:
Onsite Represe ntativ e: _.....,1}..:::~'--..;;:;;;;---------------
Certified Operator: __ 7Q"""'";~..;{£~ .. t.~-'""0L----=L:::.f2..._..t2'-~....:.....::~f'--------
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I . Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field 0 Other:
a. Was the conveyance man-made?
b. Did th e discharge reach waters oftbe State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
Pbone:
Integrator:
Certification Number:
Certification Number:
Longitude:
D Yes ~No
DYes 0No
0 Yes 0No
d. Docs the discha rge bypass the waste management system? (If yes, notify DWR) DYes 0No
2. Is there evidence of a pa st di scharge 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?
Page 1 of3
0 Yes ~No
DYes ~No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
114/2015 Continued
• I Facility Number: ~-? 2 / I nate oflnspection: / /-$1-1 7 I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
ldenti tier:
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?
0 Yes ~ No 0 NA D NE
0 Yes 0 No 0 NA D NE
Structure 5 Structure 6
D Yes ~No D NA D NE
0 Yes Ia No D NA D NE
If any of questions 4-6 were answered ye~ and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~o DNA ONE
0 Yes ~No 0 NA 0 NE
DYes ~No DNA ONE
D Yes ~No 0 NA D NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes [2}No 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Approved Area
12.CropType(s): k/m~/ev-l'o·n-Jb~n ,/;d~a-1=/.:1~
13. Soil Type(s): {'-;rDA: /? n...
)
14. Do the receiving crops differ from those designated in theCA WMP?
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
DYes
0 Yes
DYes
DYes
DYes
Ia No DNA
E;d-No DNA
(2g.No DNA
[}g_No DNA
BNo DNA
ONE
ONE
ONE
ONE
ONE
19. Did the facility fail to have the Certificate ofCoverage & Permit readily available? DYes 0 No DNA D NE
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check D Yes (gJ No D NA D NE
the appropriate box.
DwuP Ochecklists D Design D Maps D Lease Agreements Oother: ----------------------
21. Does record keeping need improvement? If yes, check the appropriate box below. D Yes ~No 0 NA D NE
0 Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers 0 Weather Code
0 Rainfall D Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? D Yes C8 No D NA D NE
23. If selected. did the facility fail to install and maintain rainbreakers on irrigation equipment? D Yes ~o 0 NA 0 NE
Page2of3 2/4/20 I 5 Continued
.
·.
!Facility Number: $:?--/;.?-2 !Date of lns~ection: <J=LP~-, 7 I
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No D NA
25 . Is the facility out of compliance with permit conditions related to sludge? If yes , check 0 Yes [2J_ No DNA
the appropriate box(es) below.
D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
D 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? DYes ~No D NA
27 . Did the facility fail to secure a phosphorus lo ss assessments (PLAT) certification? DYes 12?}_No DNA
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document 0 Yes ~No DNA
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? DYes ~No DNA
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 0 Yes
permit? (i.e., discharge, freeboard problems, over-application)
12?1, No DNA
31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. DYes ~No DNA
0 Application Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No D NA
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA
34. Does the facility require a follow-up visit by the same agency? 0 Yes 12J_No DNA
Comments (refer to question #): Explain any YES answers and/or any additional recommendations or any other comments.
Use drawings offacility to better explain situations (use additional pages as necessary).
O NE
O NE
O NE
ONE
ONE
O NE
ONE
ONE
O NE
O NE
ONE
Reviewer/Inspector Name :
Reviewer/! nspector Signature:
Phone: 9-A;? -?t>3~0t.S7
Date: <j:-/'-/ -;iP; 7 •
Page3 of3 21411015
ompliance Inspection Operation Review 0 Structure Evaluation 0 Technical Assist ance
Reason for V isit: ~tine 0 Complaint 0 Follow~up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 165!-/t. I Arrival Time: I/O .'oD I Departure T imed j...:Z..'JO I County: _5~rr-Region: ffO
F a rm Name: tJO.i·hu o.. Coo(}1.6..z, f?::u"m. I:-n c... Owner Email:
Owner Name: /T!)f)l/,1. a.._ C.oo rZt /,2
Mailing Address:
Physical Address:
Facility Contact: Gtr"r"'r /?1oor-c:..-Title:
Onsite Representative:
C ertified Operator:
Back-up Operator:
Location of Farm: Latitude:
Disc h a rges and S tream Impacts
I . Is any d ischarge observed fr om any pa rt of the operation?
Di sc harge o ri ginat ed a t : 0 Struc ture 0 Applica tion Fi e ld
a. Was the co nveyance man-m ade?
Phone:
0 Other:
b. Di d the di sch arge reach waters o f the State? (If yes, noti fy DWR)
c. What is the es timated volum e th at reached waters o f the Sta te (ga ll ons )?
Phone:
Integrator: .J?r3~
Certification Number: 9-s-//?-'D
C ertification Number:
Longitude:
DYes ~o DNA ONE
0 Y es 0No DNA ONE
DYes 0No DNA ONE
d . Does th e discha rge bypass th e was te management system? (If yes, noti fy DW R) 0 Yes 0 No DNA ONE
2 . ls the re ev ide nce of a pas t di scharge fr om any part o f the o peration?
3. Were th ere a ny o bservab le adverse impacts or potenti a l ad ve rse impacts to the waters
of the State other tha n fro m a disc harge?
Page 1 of 3
DYes ~No
DYes &No
DNA ONE
DNA ON E
21411 01 5 Continue d
"!Facility Number: tJ2: -WI
Waste Collection & Treatment
loate oflnspection: C-31-~1 L I
• 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): !9-
Observed Freeboard (i n):
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 mana ged through a
waste management or closure plan?
DYes {g,No DNA D NE
DYes 0 No DNA 0 NE
StructureS Structure 6
DYes (giNo DNA 0 NE
DYes ~o DNA O NE
If any of questions 4-6 were answered yes, and tbe situation poses an immediate public health or environmental threat, notify DWR
7. Do any ofthe structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
ma intenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
D Yes (S;tNo D NA 0 NE
0 Yes [.3-No DNA 0 NE
DYes @ No DNA O NE
0 Ye s ~No D NA D N E
II. Is there evidence of incorrect land appl icat ion? lfyes, check the appropriate box below. D Yes ~No DNA 0 NE
D Ex cessive Ponding 0 Hydra ulic Overload D Frozen Ground 0 Heavy Meta ls (Cu, Zn, etc.)
0 PAN 0 PAN > 10% or lO lb s. 0 Total Phosphorus 0 Failure to Incorporate Ma nure/S ludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12 . Crop Type(s): p -r:--rmJt-)1?-/~v-c--'3 r-le"""J /earn /t..UJr-d-/;; ~k~z
13 . SoiiType(s): f'3ro?'f-/ L-..e:
14 . Do th e receiving crops differ from those designated in the CA WMP?
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?
23 . If selected, did the facility fail to install and mainta in rainbreakers on irrigation equipme nt?
Page 2 of3
0 Yes ~No D NA O NE
[8l_Yes 0No D NA ONE
0 Yes ~No D NA O NE
DYes ~No DNA O NE
DYes ~No D NA O NE
0 Yes ~;A No D NA ONE
0 Yes ISLNo D NA ONE
00ther:
D Yes ~No
0 Yes 0-No D NA 0 NE
21411015 Continued
tFacility Number: 1{'?---/, ¢'={ !Date of Inspection: F J ;-2-§tA
, 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~o 0NA ONE
DYes ~No 0NA ONE
•
25 . Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels
0 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?
27. Did the facility fa il to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
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?
0 Yes {ZJNo DNA ONE
DYes f=&.No DNA ONE
DYes ~No DNA ONE
DYes EaNo DNA ONE
DYes jgl.No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes [ZNo DNA ONE
0 Yes J29-No DNA ONE
Comments (refer to question#): Explain any YES answers and/or any additional recommendations or aoy other comments.
Use drawings of facility to better explain situations (use additional pages as o~essary). ·
Reviewer/Inspector Name: 2'7';-V'C..-G:~
Reviewer/Inspector Signature: ,d :;::4L=
Page3 of3
Phone: <J/ //-¥JJ-3500
Date: ~.3'/-~/4
21412015
Date of Visit: I j:-I p-/ft Arrival Timed /tl: () o
Farm Name: IJO?h f,(#J'-&'{)~_.,£ j:p;/}1
I Departure Time: I/() :) p I County :$~--Region: lo/-V
/-1{ /1 C., Owner Email:
Owner Name: iJisAu..t:g Loom h Phone:
Mailing Address:
Physical Address: -------------------;-----------------------
Title: ~g;::::>", ~~-~;.....;;;. =--~-?_;(_~, __ Facility Contact: ~1?-e r /J10V/'<-
Onsite Representative: ·~~ Integrator: ~--------________ ~~
Certified Operator: Certification Number: 9-i?''j 7" ):V
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude: .. -\
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation? 0 Yes 1:81. No DNA ONE
Discharge originated at : 0 Structure 0 Application Field 0 Other:
a. Was the conveyance man-made? DYes DNo DNA ONE
b . Did the discharge reach waters of the State? (If yes, notify DWR) DYes 0No DNA ONE
c. What is the estimated volume that reached waters of th e State (gallons)?
d. Does th e discharge bypass the waste management sy stem? (If yes , notify DWR) 0 Yes 0No DNA ONE
2 . Is there evidence o f a past discharge from any part of the operation?
3. Were there any observabl e adverse impacts or potential adverse impacts to the waters
oftb~ State other than from a discharge?
Page 1 of3
0 Yes
0 Yes
~N o DNA ONE
.(eL No DNA ONE
214/1014 Continued
!Facility Number: a-~Y'' loate or Inspection: 9" -; e -;6-I
·\ Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): I'!=
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?
0 Yes [8No 0 NA 0 NE
0 Yes D No 0 NA 0 NE
Structure 5 Structure 6
0 Yes ~:g) No 0 NA 0 NE
0 Yes L8l No 0 NA D NE
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?
8 . Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement ?
Waste Application
I 0. Are there any required buffers , setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~No DNA ONE
DYes ~o DNA ONE
DYes ~No DNA ONE
0 Yes @_No 0 NA 0 NE
II . Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~No DNA 0 NE
0 Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn , etc .)
D PAN D PAN > 10% or lO lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge int o Bare Soil
0 Outside of Acceptable Crop Window 0 Eviden ce of Wind Drift 0 Application Outside of Approved Area
12. CropType(s): {k.cdt!t-/ov~3---L /c.y,.., Jw/J/z&o//.,~
13 . Soil Type(s): G=:oA-(L n_
' I /
I 4. Do the receiving crops differ from those designated in the CA WMP?
15. Does th e receiving crop and/or land application site need improvement?
16 . Did the facility fail to secure and/or operate per the irrigati on design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application ?
18 . Is there a lack of properly operating waste applicatio n equipment?
Required Records & Documents
19. Did the facility fail to have the Certificate of Coverage & Pennit readily ava ilable?
20. Does the facility fail to ha ve all components of the CA WMP readily available? If yes, check
the appropriate box .
OwUP Ochecklists 0 Design 0 Maps 0 Lease Agreements
DYes ~0 DNA
DYes [Zl._No DNA
DYes [&_No DNA
DYes ~No DNA
DYes §No DNA
DYes ~No DNA
DYes ~No DNA
00ther:
ONE
ONE
ONE
D 'NE
ONE
ONE
O NE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes ~No D NA 0 NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code
0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall Inspectio ns 0 Sludge Survey
22. Did the facility fail to in stall and maintain a rain gauge? 0 Yes ~No DNA 0 NE
23.lfselected, did the facility fai l to install and maintain rainbreakers on irrigation equipment? 0 Yes ~No DNA 0 NE
Page2of3 2/411014 Continued
•!Facility N umber:
~ 24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? J f yes, check
the appropriate box(es) below.
0 Yes ~No 0 NA 0 NE
0 Yes r.g.No DNA 0 NE
0 Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date offrrst survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27 . Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Otber Issues
28 . Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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)
DYes
DYes
DYes
DYes
DYes
DYes
~No DNA ONE
jE1 No DNA ONE
(3-No DNA ONE
~No DNA ONE
~No DNA ONE
~No DNA ONE 31 . Do subsurface tile drains exist at the facility? If yes, check the appropriate box below.
0 Application Field D Lagoon/Storage Pond 0 Othe r : -----------------------
32. Were any additional problems noted which cause non-compliance of th e permit orCA WMP? 0 Yes [gNo DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspection with a n on-site representative? DYes ~No DNA ONE
34. Does the facility require a follow-up visit by the same agency? DYes I2J No DNA ONE
Comments (refer to question#): Explain any YF:S an5Wers and/or any addition!ll recommendations or any other comments.
Use drawings of facility to ~;Jetter explain situations (use additional pages as.necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3
Phone: 9;:/lrlJ~
Date: 7h-/p-~/s-
214/2 014
ompliance Inspection
Reason for Visit: erf(outine 0 Complaint
Date of Visit: Region:
Farm Name:
Vo-J.J:J'-1 I Arrival Time: I /I : co I Departure Time: l12= 1 pD I County: ...f~
VQ:.L,Lq t!OoHCJ~ n~>?''i Ll? Owner E mail : -------------
Owner Name: ~J,ua C.~~ Phone:
Mailing Address:
Physical Address: -------------------r-----:~,__--------------------:zz..z.;;;;L:--, Phone: Facility Contact: &r~l" 1?1ovrc_ Title:
Onsite Representative: _$!'-~--=----------------
Ce rtified Operator: ~j l.l eJ. {!o~
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I . Is any discharge observed from any part of the operati o n?
Discharge originated at: D Structure 0 Application Field D Other:
a . Was the conveyance man-made?
b. Did the disc harge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
Integrator: ~f'/._.../_ ~/"bu.)~ Pr-
Certification Number: 9'4(~
Certification Number:
Longitude:
D Yes rgl.No DNA ONE
D Yes 0 No DNA ONE
D Yes 0 No DNA O NE
d. Does the discharge bypass the waste management system? (If yes, notify DWR ) DYes 0 No DNA ONE
2 . Is there evidence of a past di sc harge from any part of th e operation?
3 . Were there any observable adverse impacts or potential adverse impacts to the waters
of th e State other than from a discharge?
Page 1 of3
D Yes
D Yes
~No D NA O NE
No DNA ONE
214110 14 Continued
!Facility Number: lnate of Jnspection: /0-1]-/l-11
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier :
Spillway?:
Designed Freeboard (in): ( l
Observed Freeboard (in): 3<t
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?
0 Yes [19-No 0 NA 0 NE
DYes 0No DNA ONE
StructureS Structure6
0 Yes j2g..No 0 NA 0 NE
0 Yes ~No 0 NA 0 NE
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?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management sy stem other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
0 Yes ~ No 0 NA 0 NE
0 Yes ~ No 0 NA 0 NE
DYes ~No DNA ONE
DYes ~No DNA ONE
I I . Is there evidence of in correct land application? If yes, check the appropriate box b elow. 0 Yes (2J.No 0 NA D NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metal s (Cu, Zn, etc.)
0 PAN 0 PAN > 10% or 10 Ibs . 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12. C rop Type(s): h('tr111J~ { IJ "cr-4cr-j /c..-h'n /wka£ /s ~~
13. Soil Type(s): & a A-I b J"l
14. Do the receiving crops differ from those des ignated in the CA WMP ?
15. Does th e receiving crop and/or land application site need improvement?
16. Did the facility fail to secure and/or operate per the irrigation design or wettabl e
acres detennination ?
17. Does the facility lack ad equate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
19 . Did the faci lity fail to have the Certificate of Coverage & Permit readily ava ilable?
20. Does the facility fail to have all componen ts of theCA WMP readily available? lf yes, c heck
the appropria te box.
0 Yes ~No DNA
DYes ~No DNA
0 Yes ~No DNA
DYes ~No DNA
DYes ~No DNA
0 Yes (gNo DNA
DYes ~No DNA
ONE
ONE
ONE
ONE
ONE
ONE
ONE
Owup D c heckli sts 0 Dcsi !,rn D Maps D Lea se Agreements DOthcr: _________ _
21. Does record keepin g need improvement? If yes, check the appropriate box below. DYes ~No 0 NA 0 NE
D Waste Appl ication 0 Weekly Freeboard D Waste Analysis 0 Soil Analys is 0 Waste Transfers 0 Weather Code
D Rainfall D Stocking 0 Crop Yield D 120 Minute In spection s D Monthly and I " Rainfalllnspections D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? D Yes J:a...No D NA 0 NE
23. If selec ted, did the facility fail to in stall and maintain rainbreakers on irrigation equi pment? 0 Yes .Qg.No DNA 0 NE
Page 2 of3 214/2014 Continued
I Facility Number: loate oflnspedion: /P=I 1-jJ{
• 24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
DYes .f,glNo
DYes (g.No
DNA ONE
DNA ONE
D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? DYes I&J No DNA ONE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) c ertification? DYes 69 No DNA ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes ~No DNA ONE
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? DYes (E. No DNA ONE
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)
D Yes ~No DNA ONE
31. Do sub surface tile drains exist at the facility ? If yes, c heck the appropriate box below. DYes ~No DNA ONE
D Application Field D Lagoon/Storage Pond 0 Other: -----------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes f&No DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspectio n with an on-site representative? DYes _gl.No DNA ONE
34. Does the facility require a follow-up visit by the same agency? D Yes .8J_No DNA ONE
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 (us~ additional pages as necessary).
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3
Phone: Z?p ~~ ..])oo
Date : /o -/..3-.;::b/f
21412014
0 Denied Access
Date of Visit: I =t:Ji'-131 Arrival Time:lj :,,TD
Farm Name: JOslt UP. t'oomb{ hzl'm..
Departure Time: I I 0 '. 30 I CountY,:~~ Region: f]?;p
Owner Email:
Owner Name: J01b u. c.c.. (oo~LJ Phone:
Mailing Address:
Physical Address:
~G;~:.:r:r.:~~,:~rn:::~:~~~~:~~~~~~~~~~-T_i_tl_e_:~~~-~-~-~::J?.:~.~.~~~-~-·:~~::,~~~~~---P-h-o-ne_: ____________________ __ Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of th e operation?
Discharge originated at: 0 Structure D Application Field 0 Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reach ed waters of the State (gall ons)?
Integrator: ~7 25rDUJ r-
a.,~ Certification Number: _l_l5 ''~
Certification Number:
Longitude:
0 Yes ~No DNA O NE
0 Yes 0No DNA ONE
DYes 0 No DNA O NE
d . Does the discharge bypass the waste management system? (If yes, notify DWQ) 0 Yes 0 No DNA O NE
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?
Page 1 of1
DYes
0 Yes
1251 No DNA ONE
pg No DNA ONE
214/101 I Continued
I Facility Number: I Date of Inspection: 9 -~~ --13 I
·• Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): ;'1
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?
DYes ~No DNA ONE
DYes D No DNA D NE
StructureS Structure 6
0 Yes (g. No DNA D NE
DYes i3No DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
I 0. Arc there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes mNo DNA ONE
DYes [;g_No 0 NA D NE
0 Yes ~No 0 NA D NE
DYes 1iZI.No DNA D NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes ~No 0 NA D NE
0 Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN D PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/S ludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Approved Area
12.CropType(s): bt:'/"m~.t)P--/ 'Oc.rc>Ord / CD/"'-/v<t .,_of /5~~~ .z
13. Soil Type(s): {?-tJ A-/ L n
14. Do the receiving crops differ from those desi&rnated in theCA WMP?
15. Does the receiving crop and/or land application site need improvement?
16. Did the facility fail to s'ecure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment?
Page2of3
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
0 Yes (1{No DNA ONE
DYes !34No DNA ONE
DYes Cia. No DNA ONE
DYes LZJ No DNA ONE
DOther:
DYes ~No
DYes ~No DNA ONE
21412011 Continued
I Facility Number: I Date of Inspection: r -J (r-' 3 I
• 24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
D Yes ~No 0 NA 0 NE
DYes ~No D NA O NE
0 Failure to complete annual sludge survey DFailure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge? DYes [2S No DNA ONE
27. Did the faci lity fail to secure a phosphorus loss assessments (PLAT) certification? DYes [IDNo DNA ONE
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes ~No DNA ONE
and report mortality rates that were higher than nonnal?
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.
DYes Gq No D NA ONE
30. Did the facility fail to notify the Regional Office of emergency situations as required by the
pcnnit? (i.e., discharge, freeboard problems, over-application)
DYes ~No D NA ONE
31. Do subsurface tile drains exist at the facility ? If yes, check the appropriate box below. DYes ~No DNA ONE
0 Application Field 0 Lagoon/Storage Pond 0 Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No DNA ONE
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 0 Yes IZ! No DNA ONE
34. Does the facility require a follow-up visit by the same agency? 0 Yes G4No DNA ONE
Comments (refer to question#): Explain any YES answers and/or any additional recommendations or any other comments.
U$e drawings of facility to better explain situations (use additional pages as necessary). ·
Revi ewerflnspector Name:
Revi ewer/Inspector Signarure:
Page 3 of3
Phone: /Jtr-1{3.3~ 3'3 b~
Date: 9~--~ ( _3
21412011
0 Denied Access
Date of Visit: IJ/O-/J3Arrival Timed /1 ,'Jt513-Departure Time: I / !30 I County:~ Region: F/!. 0
Farm Name: JOh:~~,._ C aomf$ Owner Email:
Owner Name: doh~ C03 "1. Js Phone:
Mailing Address:
Physical Address: --------------------------------------------------------------------------------------
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field
a. Was the conveyance man-made?
0 Other:
b. Did the discharge reach waters of the State ? (If yes, notify DWQ)
c. What is the estimated volume that reached waters ofthc State (gallons)?
Phone:
Integrator: .... LltLL<.._.~"-';*"~'Ao...:.L-+--------------r-r
Certification Number:
Certification Number:
Longitude:
DYes J81.No DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
d. Does the discharge bypass th e waste management system? (If yes , notify DWQ) DYes ~No DNA ONE
2. Is there evidence of a past discharge from any part of the operati on?
3. Were there any observable adverse impact s or potential adverse impacts to the waters
of the State other than from a di sc harge?
Page 1 of3
DYes
D Yes
~No DNA ONE
~No DNA ONE
21412 011 Continued
[Facility Number: 3)9-UI I nate of Inspection: -;5-/;I--I 3
Waste Collection & Treatment
' 4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): /9 '
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?
D Yes j29 No 0 NA 0 NE
DYes 0No DNA ONE
Structure 5 Structure 6
0 Yes 0 No 0 NA [23 NE
0 Yes 0 No 0 NA 18iNE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
0 Yes 0 No D NA ~ NE
D Yes D No D NA ro NE
DYes 0No DNA SNE
DYes 0 No 0 NA (giNE
l 1. Is there evidence of incorrect land application? lfyes, check the appropriate box below. 0 Yes ~No D NA 0 NE
D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (C u, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Appl ication Outside of Approved Area
12. Crop Type(s): frt .pfcd= Co f'Yl
13. Soil Type(s):
14. Do the receiving crops differ from those designated in theCA WMP?
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 detennination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
DYes 0No DNA
DYes DNo DNA
DYes DNo DNA
DYes DNo DNA
0 Yes 0No DNA
1;8) NE
~
~NE
8i_NE
og_NE
19. Did the facility fail to have the Certificate ofCoverage & Permit readily available? 0 Yes 0 No DNA i29..NE
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check 0 Yes D No D NA ~NE
the appropriate box.
0WUP Dchecklists 0 Design 0 Maps D Lease Agreements 00ther: ------------------
21. Does record keeping need improvement? lfyes, check the appropriate box below. 0 Yes 0 No 0 NA ~ NE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Weather Code
D Rainfall D Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections D Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes 0 No 0 NA ~NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment ? 0 Yes 0 No 0 NA ~ NE
Page 2 o/3 214/20 11 Continued
"I Facility Number: I Date of Inspection: 3 -12:-1 3
24. Did the facility fail to calibrate waste application equipment as required by the permit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
D Yes 0No DNA ~NE
DYes 0No DNA ~NE
0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date offtrst survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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 regiona I Air Quality representative immediately.
30. Did the facility fail to notify the Regional Office of emergency situations as required b y the
permit? (i.e., discharge, freeboard problems, over-application)
31. Do subsurface tile drains exist at the facility? Ifyes, check the appropriate box below.
0 Application Field 0 Lagoon/Storage Pond 0 Other:
0 Ye s D No 0 NA D[NE
0 Yes 0 No 0 NA ~ NE
D Yes 0 No 0 NA !;3-NE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ~~
------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
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?
0 ·Yes 1]31 No 0 NA D NE
0 Yes g) No 0 NA D NE
DYes ~No DNA ONE
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).
Reviewer/Inspector Name: ... 2'7i~...!r.::...> .:...~-=:.......~---/:-T-J.£:.....:..."---=-::.-------------------------------
Reviewerllnspector Signature: ------"::!:ai£~.:::=~~"""-'---· -------------------------------
Page 3 of3
Phone : 'T/tr4:Y5-.:J3UO
Da te: 3-/ ;).-~/ 3
21412011
ompliance Inspection Operation Review 0 Structure Evaluation
Reason for Visit: e-Ro'"utioe 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: ~ ?-'1;;2} Arrival Time: I//): D D
Farm Name: ?J"ii>huCA. (oo~t.:. ~/»1-
0wnerName: "\[Q)'t uJ r!O?Jrnb
Departure Time: Ill : 3 U
/;p:;
I County: .5'~-t~ Region: FJ< 0
Owner Email:
Phone:
I
Mailing Address:
PhysicalAddress: ---------------------------------------r-------------------------------------------
_..G"""--t'_z-1_-...Y_. __,/lt....;..&;..;l .. f6"""'/J'I'r.~=------Title: _frL...!;;.r....:-c::.....j_ __ ~.-:~.....:-e-::.....;;;c.J-, __ Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
l. Is any discharge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field
a . Was the conveyance man-made?
0 Other:
b . Did the di scharge reach waters of the State? (If yes, notify DWQ)
c . What is the estimated vo lume that reached waters of the State (gallons)?
Phone:
Integrator: t?r+i,-~~ ,
Certification Number: ~9-9020
Certification Number:
Longitude:
DYes ~No DNA ONE
0 Yes DNo DNA ONE
0 Ye s DNo DNA ONE
d . Does the di sc harge bypass the waste management system ? (lfyes, notify DWQ) 0 Yes DNo DNA ONE
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 di scharge?
Page 1 of3
0 Yes
0 Yes
~No DNA ONE
~No DNA ONE
21411011 Continued
-I Facility Number: S2=:--14-t !Date of Inspection: !f-:~/:F I
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in): I?
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?
0 Yes flJ No 0 NA 0 NE
DYes 0No DNA ONE
StructureS Structure 6
0 Yes ~ No 0 NA 0 NE
0 Yes g) No D NA 0 NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8 . Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Doe s any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
0 Yes !g) No 0 NA 0 NE
0 Yes ~No 0 NA 0 NE
DYes [gl_No 0 NA 0 NE
DYes gj_No DNA ONE
11. Is th ere evidence of incorrect land application? If yes, check the appropriate box below. D Yes ~o 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN D PAN> 10% or 10 lbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evi dence of Wind Drift 0 Application Outside of Approved Area
12 . Crop Type(s): Gl>rrt I wAJh~.e:"--j ~/Jtq_k !~v~.r _i'~
13. Soil Type(s): G-z::>A-/ LA
14 . Do the receiving crops differ from those designated in theCA WMP?
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 detemUnation?
17. Does the facility lack adequate acreage for land application?
18 . Is there a lac k of properly operating waste application eq uipment?
Required Records & Documents
19. Did the facility fai l to have the Certificate of Coverage & Permit readily available?
20. Does the facility fail to h ave all components of theCA WMP readil y avai lable? If yes, check
the appropriate box.
D WUP Ochecklists D Design 0 Maps D Lease Agreements
21. Does record keeping need improvement? If yes, check the appropriate box below.
DYes ~No DNA ONE
!29--Yes DNo DNA ONE
DYes ~No DNA ONE
D Yes (2g No DNA ONE
DYes (gNQ DNA ONE
0 Yes ~No DNA ONE
DYes ~No DNA ONE
00ther:
DYes ~No DNA ONE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Anal ysis 0 Waste Transfers 0 Weather Code
0 Rainfall 0Stocking 0 Crop Yield D 120 Minute In spections 0 Monthly and 1" Rainfall Inspections 0 Sludge Survey
22 . Did the facility fail to install and maintain a rain gau ge? 0 Yes [g] No 0 NA 0 NE
23. If se le cted, did the facility fai l to in sta ll and maintain rain breakers o n irrigation equipment?
Pagel o/3
0 Yes jgNo 0 NA ONE
214/201/ Continued
.·IFacilityNumber: 82: -?.::z-1 loateoflnspectioo: //.Z"?---72........
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No D NA 0 NE
25. Is the facility out of compliance with permit conditions related to sludge? Ifyes, check 0 Yes f)Zl No DNA 0 NE
the appropriate box(es) below.
0 Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail to provide documentation of an actively certified operator in charge?
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification?
Other Issues
28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document
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? lfyes, check the appropriate box below.
DYes !3-No 0 NA 0 NE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
0 Yes [8l..No DNA 0 NE
DYes ~No DNA ONE
0 Application Field D Lagoon/Storage Pond 0 Other: ------------------------
32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
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?
DYes ~No
DYes g) No
DYes ~o
DNA ONE
DNA ONE
DNA ONE
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).
16· :}ri'~JM)tt-/.:> u; r>~l. 1 n Th-e-c.-"'+nr D F Fl~lcf / P~L" 61"~~ rJ-w-~)_s
).)"r'r') Ia br-rrn?cv-..J•
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3of3
)JouJ J't!'c~.>y#)' r.:x~Yn ·, ~ cf.-(-r .. 4 J,.,...';:J--
/rr.-orl_j Aov~ t..-...-rL. r~c.v~;reJ.
Phone: '7lo-tj5J-3300
Date: /1---;fl?-azf)/;L-
214/2011
I
Type of Visit mpliance Inspection 0 Operation Review 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency ~her 0 Denied Access
Date of Visit: I f!;j~ / 0 I Arriv al Time: I 6f 0 0 I Departure Time: I c,! oD I County :~,.__ Region : FJ'O
Farm Name: "([iii:lu 4 ~DO ttl b-s r--l.p:::._ r-t~ r m _ Owner Email: --------------
Owner Nam e: _ _,(J}"'""--"o'-J._,.'l' ___ --...:w...:;;...._ ....Jo.C...:::C>:::..JCot;;K-~f!,ti~-----
7
Phone:
M ailing Address: ------------------------------------____ _
Physical Address:-----------------------------------------
Facility Contact: _....;7:......::.o_7+--....;C....l02~ns.~JufL-____ Title: ~(lfi~""'-"J:~..nL..e~,r______ Phone No: ---------
Integrator: .....c..Af~.:.."';;5~~::;;~;.z~-----------Onsite Representath·e: __ ___,lb--5~~;;:;;;:,::=;.......-----------
Certified Operator: -------=.f.=ea___;;·;....._ -----------Operator Certifi cation Num b er: ~I 7 4' 2lJ
Back-up Ope rator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD 'D " Longitude:
Discharges & Stream Impacts
I . r s any discharge observed from any part of the operation '! D Yes ~o DNA ONE
Di scharge originated at: D Structure 0 Application Field D Other
a. Was the conveyance man-made?
b. Di d the discharge reac h waters of the State? (If yes, notify DWQ)
c. What is the estimated volum e th at reached waters of the State (gallons)?
d. Docs discharge bypass the waste management system? (If yes, notify DWQ)
2. Is there evi dence of a past discharge from any part of the operation?
3. Were the re any adverse impacts or potential adverse impacts to the Waters o f the State
other than from a discharge?
D Yes D No DNA O NE
D Yes D No D NA ONE
D Yes DNo DNA ONE
DYes f3.N o DNA ONE
D Yes l2J..N o DNA ONE
Pu!:e I of 3 ]]118104 Continued
-I Facility Number: ~-W/1 Date of Inspection I z:--t?-/0 I
.. Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
DYes ~No D NA ONE
DYes 0 No 0 NA ONE
StructureS Structure 6
Identifier:-----------------------------------------
Spillway?:
Designed Freeboard (in): __ ...,/,_=]_,_ ____________________ ------------
Observed Freeboard (in): _ ___:3::::::..~ood:-::;....._;.....___ -------------------------------
5. Are there any immediate threats to the intq,rrity of any of the structures observed? DYes
(ic/large trees , severe erosion, seepage , etc .)
,SNo DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed DYes ~No DNA ONE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmenta;gt, notify DWQ
7. Do any ofthe structures need maintenance or improvement? ~Yes o DNA D NE
8. Do any of the stuctures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers , setbacks, or compliance alternatives that need
maintenance/improvement?
DYes j)qNo DNA ONE
DYes ~No DNA ONE
0 Yes !8-.No 0 NA D NE
11. Is there evidence of incorrect application? Ifyes, check the appropriate box below. DYes 0-No DNA 0 NE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to In corpo rat e Manure/Slud ge in to Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
12. Crop type(s) t:'iY'l /tvJ,.fi~k~ /Sa~ c..
13. Soil typc(s) Go A: / L ra.
14 . Do the receiving crops differ from those designated in theCA WMP? DYes ~N o DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes R:!No DNA ONE
16. Did the facility fail to sec ure and/or operate per the irrigat ion desi!,>n or wettable acre determination ? DYes JBl No D NA D NE
17 . Does the facility la ck adequate acreage for land app lication ? DYes 129-..No
18 . Is there a lack of properl y operating waste application equipm ent? DYes ,llWo
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use draWings offacility to better explain situations.{use additional pages as necessary):
DNA ONE
DNA ONE
I ~ 9/CJ--/.(JI-7300
Reviewer/Inspector Sig nature: Da te: f.?:.-. 41: -£0 I D
Page 2 of 3 12128104 Continued
I Facility Number: frJ-"{?.) I
1 Required Records & Documents
Date of Inspection lg:-p1:-(t:i I
19. Did the facility fail to have 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. 0 WUP D Checklists D Design D Maps D Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
DYes 3-No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
D Waste Application D Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers ~Annual Certification
D Rainfall D Stocking D Crop Yield D 120 Minute Inspections D Monthly and 1" Rain Inspections D Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes [)(No DNA ONE
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? DYes 8.,No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes 3.No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes ~0 DNA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA ONE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CA WMP? DYes ~o DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~No DNA ONE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes I&No DNA ONE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notifY the regional office of emergency situations as required by DYes -ba.No DNA ONE
General Permit? (ie/ discharge , freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE
33. Does facility require a follow-up visit by same agency? DYes IZJ-No DNA ONE
Additional Comments and/or Drawhigs: 0 0 ... -
-T
Page] of3 12128104
ompliance Inspection
Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: lt;!Jl-[Q I Arrh·al Time: I 0/'0 i) I Departure Time: I
1-'arm Name: fJiVJua. C:vo«J.s fiu,.,.,_ /~
Owner Name: a~ w Coo14tl$
(.. ~ 0 i) I County: .J~s~ Region: fl.. U
Owner Email: --------------
Phone:
Mailing Address: ------------------------------------------
Physical Address:-----------------------------------------
Facility Contact: -""'L""~~r...__....:;lU.;:___,U....:::~..ou.Oc....!h~...,J'-.>.____Title: --&&~w""""n'-'~"-'r;,__ ____ _ PhoneNo: ________ _
Onsite Representative: __ _...$~,...,_.__..;;...::;..=='-------------Integrator: 111«?7
Certified Operator: $~;....___________ Operator Certification Number:
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D oo·o·· Longitude:
Discharges & Stream Impacts
l . Is any discharge observed from any part of the operation? DYes IA"No 0 NA 0 NE
Discharge originated at: 0 Structure D Application Field 0 Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c . What is the est imated vo lum e that reached waters of the State (gallons)?
d. Does di sch arge bypass the waste management syste m? (If yes, noti fy DWQ)
2. Is there evidence of a pas t discharge from any part of the operation?
3. Were there any adverse im pacts or potential adverse impacts to the Waters of the State
other than trom a disc harge?
Pag e I of 3
DYes DNo DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes ~No DNA ONE
DYes IX No DNA ONE
11128/04 Continued
I Facility Number: t;l-&;{ 1 I Date of Inspection I r-,?-~ I ~
Waste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
DYes 13No DNA ONE
DYes 0No DNA ONE
Structure 5 Structure 6
Identifier:-----------------------------------------
Spillway?:
Designed Freeboard (in): ---+/---~.'7 __ -----------------------------------
Observed Freeboard (in): __ _,0=-h;.,__ __
5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~No DNA ONE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed DYes 13No DNA ONE
through a waste management or closure plan?
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental th.fjl!' notify DWQ
7. Do any of the structures need maintenance or improvement? ~Yes fi!No 0 NA D NE
8. Do any of the stuctures lack adequate markers as required by the pennit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part ofthe waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~o DNA ONE
0 Yes OiN"o DNA 0 NE
DYes ~No DNA ONE
II. Is there evidence ofincorrect application? If yes, check the appropriate box below. 0 Yes ISlNo 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu. Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
12. Croptype(s) Cet"'-fwLAk/~ hr;-~K..
13. Soil type(s) {!rnA: /L ,J
14. Do the receiving crops differ from those designated in theCA WMP? DYes ~No DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes ~No DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? DYes ~ No 0 NA D NE
17. Docs the facility lack adequate acreage for land application? DYes ~No DNA ONE
18. Is there a lack of properly operating waste application equipment? DYes ~No DNA ONE
Comments (refer to question#): Explain any YES answers and/or any reco~mendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
73~~~ • vuv,-~ r,..._ k:u--~ arc~. -
-...
Reviewer/Inspector Name I ;{Ti:v-c_ b-~7:--r-J Phone: 't-1 o-433-D ~
Reviewer/Inspector Signature: ~·~ .d-"/-#-Date: &--.,2. -pl<) I 0
, 12128104 Contmued Puge 2 of 3
I Facility Numb er: i?2--L..;/1 Date of Inspection I Tif-1\$1
Reguire d R ecord s & Documents
19. Did the facil ity fai l to have Certificate of Coverage & Perm it readily available?
20 . Does the faci lit y fail to have all compon ents of theCA WMP re adily avai lable? If yes, check
the appropriate box. D WUP D Check lists D De si1,'11 0 Maps D Other
2 1. Doe s record keeping need improvement? If yes, check the appropriate box below.
D Yes 13No D NA O NE
DYes C&N o D NA O NE
DYes jgNo D NA D NE
0 Waste App li cation 0 Weekly Freeboard D Waste Analys is D Soil Analysis 0 Waste Trans fer s 0 Annual Certification
0 Rainfall D Stocking 0 Crop Yield 0 120 Minute In spections 0 Mont hly and I" Rain In spections 0 Weather Code
22. Did th e facility fai l to install and maintain a rain gauge? D Yes ~0 D NA ONE
23. If se lected , did the fac il ity fa il to install and mai ntain rainbreak ers on irrigation equipm ent? D Yes S,No DNA ONE
24. Did the facility fail to calibrate waste app lication equipment as required by the permit? D Yes !KNo D NA ONE
25. Did the faci li ty fail to conduct a sludge survey as requi red by the permit? D Yes ~No D NA O NE ·
26. Did the faci li ty fai l to hav e an ac ti ve ly certified operato r in charge? DYes {SNo D NA ONE
27. Did the faci lity fai l to secure a phosphorus loss assessme nt (PLAT) certi fication? DYes S.No D NA O NE
Othe r I ss u es
28. Were any addit ional problems note d which ca use non-complianc e of th e permit or CA WMP? D Yes ~No DNA ONE
29. Did the facility fai l t o properly dispose of dead animals within 24 hours and/or document D Yes ~No DNA ONE
and report the mortality rates that were higher than normal?
30. At th e time of the inspection did the facility pose an odor or air quality concern? DYes ~No DNA ONE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fa il to notify the regional office of emergency situations as required by D Yes ~No D NA O NE
General Pe rmit? (ie/ discharge, freeboard problems, over application)
32 . Did Reviewer/Inspector fail to discuss review/i nspect io n with an on-site representative? DYes ~N o D NA O NE
33. Does faci lity require a follow-up visit by same agency? D Yes fRNo D NA O NE
Additional Comments and/or Drawings: · -..
r-
f-...
Page 3 of 3 11128/04
Type of Visi t e-Co~liance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit eJRoutine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Region: fiD Date of Vis it : I 9?-/tf0'1"J Arrival Time : I / ,' 3 0 I Departure Time: I): 31> I County:¥c;?'"'==
FarmName: 1(ubua Coom/,i p~,,..._ OwnerEmail: _____________ _
Owner Name: -~rb--'-"..::4~------~C'"" .. "'"o~o~m~h..::.S:...__ ____ _ Phone:
Mailing Address: ------------------------------------------
Physica l Address:-----------------------------------------
Facili ty Contact: ~O~oJ~r~~C~o.AO;,..La:tUit-l:b::..:;t~ __ Titte: --------PhoncNo: _________ _
onsite R e presentative: ___ ...,lS::::::;.;;~~-------------Integrator:----------------
Certifi ed Operator: .5~~---------Operator Certification Number: --------
Back-up Operator: --------------------Back-up Certification N umber:
Location of Farm: Latitude: D OD'D" Longitude:
Discharges & Str eam Impacts
I . Is any disc harge observed from any part of the operation? DYes ~o DNA ONE
Di sc harge originated at: D Structure 0 Applicat ion Field 0 Other
a. Was the conveyance man-mad e?
b. Did the discharge reach wate rs of the State? (If yes , notifY DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does di scharge bypass the waste management system? (If yes, notify DWQ)
2 . Is there evidence of a past discharge from any part ofthe operation?
3. Were th ere any adverse impacts or potentia l adv erse impacts to the Waters of the State
other th an from a discharge?
D Yes 0 No DNA O NE
D Yes 0 No DNA O NE
DYes 0 No DNA ONE
D Yes j8No DNA ONE
DYes ~No DNA ONE
12/28104 Continued
,,
I Facility Number: 82:-l.q;2,1 I Dltte of Inspection l !•-PI-v)-
Wnste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure l Stn1cture 2 Stwcturc 3 Structure 4
DYes E.No DNA ONE
DYes 0No DNA ONE
Structur\! 5 Structure 6
ldcntifi<!r: ------------------------------------
Spillway?: ------------------------------_____ _
Designed Freeboard (in): J ~
Observed Freeboard tin): ~ >
I
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/ 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?
DYes ~No DNA ONE
DYes ~No DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the penn it?
(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
maintenance or improvement?
Waste Application
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenancefunprovement?
!B-Yes 0No DNA ONE
DYes ~No DNA ONE
DYes i}}No DNA ONE
0 Yes &J..No 0 NA 0 NE
11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~ No 0 NA D NE
D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs D Total Phosphol11S 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area
12. Croptype(s) co,.~/wUI.z?&~ IJ3rr~ !&=~--eJ
13. Soil type(s)
14. Do the receiving crops differ from those designated in theCA WMP? DYes jEl..No DNA
15. Does the receiving crop and/or land application site need improvement? DYes ~0 DNA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detennination!O Yes &l.No DNA
17. Does the facility lack adequate acreage for land application? DYes !&No DNA
18 . Is there a lack of properly operating waste application equipment? DYes ~0 DNA
:comments (mer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
?tc~u~ LJ)prjq'}' rt 1-;m~ 75~
ONE
ONE
ONE
ONE
ONE
...
f.-
1-
~
Reviewer/Inspector Name ~t/C -(5..,_ ~ ;7;.-Phone: ~(2 -~3~J]OD
~
Reviewer/Inspector Signature: /~ ~~ Date: Y-l~~o'r
/ 12128104 Continued
I Facility Number: 82'"" -~~ Date of luspct"tion I 9' :f Ff3fJ
f{equired Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. 0 WUP 0 Checklists 0 Design 0 Maps 0 Other
DYes JS-No DNA ONE
DYes ~o DNA ONE
21. Does record keeping need improvement? lfyes, check the appropriate box below. 0 Yes ~o 0 NA D NE
D Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers 0 Annual Certification
D Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes ~No DNA ONE
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment? DYes r».No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes 3No DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes J&l No DNA ONE
Othrr Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~0 DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes lll..No DNA ONE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~No DNA ONE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by DYes ~No DNA ONE
General Permit? (iel discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE
33. Does facility require a follow-up yisit by same agency? DYes ~0 DNA ONE
Additional Commeots and/or Drawings:
• 1--
-....
12128/fU
Type of Visit ~pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ~tine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Ot her 0 Denied Access
ArrivaiTime:l/.'3() I Departure Time: L;:?! 3() I County:,..~~ Region:..f=::R.-0
Farm Name: C!Dof?tb.$ FiuJ'Y'-Owner Email: -------------
Owner Name: --.L-=:;~'--------'W~--t..'Drun6J Phone :
Mailing Address: -------------------------------------------
Physical Address:------------------------------------____ _
Facility Contac t: atJr I.V Conmlu Title: ------------Phone No:----~-:-----
Integrator:_ ,.ff?::=A"' ;~~ Onsite Representative: _ ___,~:;._-. __ ~_0 _____________ _
Certified Operator: ___ _,_1;,=~~----------------Operator Certification N umbe r : / ,r;z.Lf
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude : D OD 'D " Longitude:
Discharges & Str eam Impacts
I . Is any discharge observed from any part of the operation ? 0 Ye s 18:J ·No 0 NA 0 NE
Discharge originate d at : D Structure 0 App lication Field D Other
a . Was the conveyan ce man-mad e?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of th e Sta te (gallons)?
d. Does d ischarge bypass th e waste management system'? (If yes, not ify DWQ)
2. Is there evidence of a past discharge from any part of the operation?
3 . Were there any adve rs e impac ts or potential adverse impacts to the Wate rs of the State
other than from a di sc harge?
Page I of 3
D Yes D No D NA O NE
D Yes D No D NA O NE
DYes 0 No D NA O NE
DYes ~No D NA O NE
DYes ~0 DNA ONE
1212 8104 Continued
I Facilit~-Number: a-Wtl Date of Inspection l Z:,. ./7-0if""
Waste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
DYes jlg No D NA ONE
DYes 0 No D NA ONE
Stru ct ure 5 Structure 6
Identifier:------------------------------------------
Spillway?:
Designed Freeboard (in): 11
Observed Freeboard (in): j.;?
5. Are there any immediate threats to the integrity of any of the structures observed? DYes tiJ'No D NA O N E
(ie/largc trees, severe erosion, seepage. etc.)
6. Are there structures on-site which are not properly addressed and/or managed D Yes ~N o DNA ONE
through a 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 D\VQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
lO. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
i8Yes 0 No DNA ONE
DYes ~No DNA ONE
DYes RJ.N o D NA ONE
0 Ye s l8J No 0 NA 0 NE
II. Is there evidence of incorrect application? If yes, check the appropriate box bel ow . DYes J&tNo 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Me tals (Cu. Zn, etc .)
0 PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorp orate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Appli cation Outside of Area
12. Croptype(s) Corn. /tu~~~~~kr~ /av..er-1-&
13. Soiltype(s} (bazt(Ln
14. Do the receiving crops differ from those designated in theCA WMP'! D Yes t8l_ No D N A
15. Does the receiving crop and/or land application site need improvement? !&.Yes 0 No D NA
O N E
O NE
16. Did the facility tl.til to secure and/or operate per the irrigation design or wettable acre determ ination ? DYes (g__No 0 NA 0 NE
17. Docs the facility lack adequate acreage for land application? D Yes !XNo DNA O N E
18. Is there a lack of properly operating waste application equipment? D Yes ~0 DNA O N E
Comments (refer to question #): Explain any YES answers and/or any recommendations or any otber comments.
Use drawings of faCility to better explain situations. (use additional pages as necessary):
r:t!J rc~-n-~~~~rVL~) .....
1-
@ C~l b~F=ryre-1'"'~ (1-We"f').J . lk-r~ IV\..
~
T
r -~~ (; .. -;j~ -·---·----~ ·-~ -. l
Reviewer/Inspector Name I .I / 1 Phone: CVb-L/~:J-33oo
Reviewer II nspector Signature: I~ /./ L Da te: 1-{."j_ -c?aoy
Page 2 of3 , 12128104 Contmued
·,
I Facility Number: ~2-: -/a/1
Required Records & Documents
Date of Inspection It; -/?-or'
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box . 0 WUP 0 Checklists D Design 0 Maps D Other
0 Yes 13No D NA ONE
0 Yes ~No DNA O NE
21. Does record keeping need improvement? If yes, check the appropriate box below. !RYes D No D NA D NE
3-Waste Application 0 Weekly Freeboard D Waste Analysis ..Pssoil Analysis 0 Waste Transfers 0 Annual Certification
D Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and 1" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes WNo DNA ONE
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipme nt? DYes j8No DNA O NE
24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes l2tNo DNA ONE
25 . Did the facility fail to conduct a sludge survey as required by the permit? DYes (&No DNA O NE
26. Did the facility fail to have an actively certified operator in charge? D Yes E._ No DNA ONE
27. Did the facility fail to secure a phosphorus los s assessment (PLAT) certification? DYes jgNo DNA ONE
Otber Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes j23J No DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes
and report the monality rates that were higher than normal?
~No DNA O NE
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes {)if No DNA O NE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by DYes g]No DNA O NE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with a n on-site representative? D Yes i3No DNA O NE
33. Does facility require a follow-up visit by same agency? DYes 18J No D NA O NE
Additional Comments and/or Drawings:
(@ (3.~1'~~ /nfi-rp;~~~;L N~_s. • ~
~
~
Page 3 of 3 11128/04
IFacility Number [ 1)
~sion of Water Quality S/fGr ,__/' d? H &,~L 0 Division of Soil and Water Conservation r--?~o?
0 Other Agency
Type of Visit e--C"ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ~ine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Region: Dale of Visit: I g-t-oz I Arrival Time: Icy-{ P"D Departure Time: I//.'()'() I County:~~
Farm Name: ~ h {Ia {! Dom b 'S £i? r"I'V'--Owner Email: --------------
Owner Name: dfi?d-y U) {!_t?QW! & s P~e: 9-Jtc pltf'7-d{3 01)
Mailing Address: --------------------__ ....:1Jit;:,..::c_}J __ e_u.J __ /J_D_' ________ _
Ph)'Sical Address:-----------------------------------------
Facility Contact: cl.i>lt C O!JmJt Title: ------------Phone No: _________ _
Onsite Representath•e: _?..._·~:::;;::;.:;.="""'"--------------Integrator: ~-~ -~~
Certified Operator: __ _. .... .f.~,...,___.=-==:;;_---------------Operator Certification Number: --------
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude: D OD'D"
De sign Curren t Design Current Design Current
Swine Capacity Population Wet Poultry C apacity Population C attle Capacity Population
I I 110 Layer I I ~D Non-L aye1 _ _
ID Wean to Fi nish D Dairy Cow
D Da iry Ca lf
D Dairy Hei fc 1
D Wean to Feeder
I~ Fe eder to Finish Ji?'r# 0 -o-
Dry Poultry DDryCow I D N on-D airy
0 Beef Stockel I
I
0 Beef F eedcr ' I
0 Beef Brood Cow I
If] Fa rr ow to Wea n '
0 Farrow to F ceder
0 Farrow to Fi n ish
0 G ilts
0 Boars
0 Lavers
D No n-L aye rs
0 P ullets
0 T urke vs
Other 0 Turkey Po ult s
Oother Number of Structures: ITJ ' IO Oth er
Discharges & Stream Impacts
I . Is any di sc harge obse rved fr om any part of the operation ? D Yes ®_No DNA ONE
Di scharge o rig in ated a t: D S tructure D Appli ca ti on Fie ld 0 Othe r
a. Was the conveyance man-made? D Ye s DNo DNA ONE
b. D id the di sc harge re ach waters of th e Stat e? (Jf yes, notify DWQ) DYe s DNo DNA ONE
c. What is th e e stim ated vo lu me th at re ac hed wate rs of th e Sta t e (gallons)?
d. Does d isc ha rge bypass th e waste man agem en t sys tem? (If yes. notify DWQ)
2 . Is th ere ev ide nc e of a past di sc harge fro m any pa rt of the op eration?
3. Were the re any adverse impac ts or polcnti al adverse impacts to th e Wat ers of th e State
ot her than from a di sc harge?
DYe s 0No
D Yes ~N o
D Yes I;R.N o
1212 8104
DNA ONE
DNA O NE
D N A ONE
Co ntinued
·•
I Facility Number:~-ta;z./ Date of Inspection I )l-I-p ;Y
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure4
DYes .~No DNA ONE
DYes DNo DNA ONE
Structure 5 Structure 6
Identifier:-----------------------------------------
Spillway?: ~
Designed Freeboard (in): /9
Observed Freeboard (in): {:J
5. Are there any immediate threats to the integrity of any of the structures observed?
(ie/largc 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?
DYes ~No DNA ONE
DYes [ijNo DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any ofthc structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the permit?
(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
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
g]Yes DNo DNA ONE
DYes {&,No DNA D NE
DYes ~No DNA ONE
DYes j&lNo 0 NA D NE
II. Is there evidence of incorrect application? If yes, check the app ropri ate box below. DYes ~o DNA D NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
0 PAN D PAN> 10% or 10 lbs 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence ofWind Drift 0 Application Outside of Area
12. Crop type(s) hmr.vJ,./&Itt:";...;r/'J / .tVJJ,-,-Annuef
13. Soil type(s) Gozf/ Ln
14. Do the receiving crops differ from those dcsibrnatcd in theCA WMP? ~Yes D No
15. Does the receiving crop and/or land appli cat ion site need improvement? ~Yes D No
16. Did the facility fail to secure and/or operate per th e irrigation de sign or wettable acre determination?D Yes ~No
17 . Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
DYes ~No
DYes _jQNo
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other comments.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Re\'iewer/lnspector Signature: Da te:
11118104
DNA
DNA
DNA
DNA
DNA
ONE
ONE
ONE
ONE
ONE
j Facility Number: t!:7 --i.ll'£{1
Required Records & Documents
Date of Inspection I r-1-0 :;t
19. Did the facility fail to have Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
DYes [i:J:No DNA 0 NE
DYes ~No DNA ONE
the appropirate box. D WUP D Check lists 0 Design D Maps 0 Other
21 . Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes )ZI No 0 NA 0 NE
0 Waste Application D Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Tran sfer s D Annual Certification
D Rainfall 0 Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and I" Rain Inspection s 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes ~No DNA
23. If selected, did the faci lity fail to install and maintain rainbreakers on irrigation equipment? DYes ~N o DNA
24 . Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA
25 . Did the facility fail to conduct a sludge survey as required by the pennit? DYes l)a No DNA
26. Did the facility fail to have an actively certified operator in charge? DYes lZJ No DNA
27. Did the facility fail to secure a phosphorus lo ss assessment (PLAT) certification? DYes ~No DNA
Other Issues
28. Were any additional problems noted which cause non-compliance of the pennit or CAWMP? DYes ~No DNA
29. Did the facility fail to properly dispose of dead animals within 24 ho urs and/or document DYes ~No DNA
and report the mortality rates that were highe r than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes tgJ No DNA
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as req uired by DYes [;g_No DNA
General Permit? (ie/ discharge, freeboard problems, over application)
32 . Did Reviewer/Inspector fail to discuss re view/inspection with an on-site representative ? DYes ~No DNA
33. Does facility require a follow-up visit by same agency? DYes liJ...No DNA
Additional Comme~ts and/or Drawings:
(!§) $-,~)"'-/"L Pi.,...L) c h~!f tY!"'r'"-.j,t¥7 .1 ror /V.Pc:-Jsd-~FFTYfrj'~«_j3
tf~ t}ft't'rl5r/'11!W~ nr-U ~w ;J( h~ cJ-y..-) 7P 'KovJ Cr;J'.3,. r/7
);~{/~ ~ bl'~f"\--n1t?illl -{;;:VI I') tA)t!'/1 r!-/57""t?J'1W "';#( /_s ~ct 6K.f;p-on ~ ·
ff~ A".5 ~vmj1-'/tM n~Lh · f-1/.tw.-Wo..-f;:.;",f ~-<I.f~ 'fi"'-HJJ
~ Fu:·tJ ( , P.e..St:!?&/ I~ ;J/., w~.lcal""4~ e-r-Zrrtn~t:"
t-rd/.
12/28104
O NE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
ONE
...
t--
-...
·' '!
\
' Type of Visit 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit e-r(outine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I ~ "3 fO(p I Arrival Time: I/; 0 0 I Departure Time : (:;? :00 I County:,..~~ Region: ,F;R D
Farm Name: \Jt;sA ~J.Q {!_ D&m 6 ~ f?:t.r l'k-Owner Email: ------------
Owner Name: ~ L Qt9J?-t;6_s Phone:
Mailing Address: ? D I ko2'-(,I 2= c L I n -r-o ~ IJ (_ _.a::;,P___.~o<...._3,;,oi7-.~..._ ______ ----
Physical Address:-----------------------------------------
Title: -----------PhoneNo: __________ __ Facility Contact: 'iJiaf CoanzJ r
Onsite Representative: ----':::::2!:~~==--------------Integrator: ~fB~~""...~I::.;;;~~~.....-~----------
Certified Operator: S:,... ' Operator Certification Number: ---------
Back-up Operator: ---------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude:
Discharges & Stream Impacts
I . Is any di sch a rge observed from any part of th e operation? DYes il[No DNA ONE
Discharge ori ginated at: 0 Stru cture 0 Appli cation Fi e ld 0 Othe r
a. Was the conveyance man-ma de?
b . Did th e di scharge reach w aters o f the State? (If yes, noti fy DW Q)
c. What is th e es timat ed volum e th at reac he d wat ers o f th e State (g allons)?
d . Does disc harge bypas s the waste ma nagement system? (If ye s, not ify DWQ )
2. Is there evidence of a past discharge from an y p art of the o pe ration?
3. We re the re a ny adve rse impac ts or pot enti a l adverse imp ac ts to the Wa ters of the State
other t h an from a discharge?
Page I of 3
DYes ~No D NA ONE
DYes B.No DNA ONE
D Yes IN. No D NA ONE
DYes ~N o DNA ONE
D Yes IX] No D NA ONE
Jl/28104 Continued
I Facility Number:~-Q /I Date oflnspection L,5"'-3/:0 b
Waste Collection & Treatment
~ 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
<:structure 1 Structure 2 Structure 3 Structure 4
DYes j2gNo DNA ONE
0 Ye s Ui!No 0 NA D NE
Structure 5 Structure 6
Identifier:----------------------------------------
Spillway?:
Designed Freeboard (in): _-_-:=__.~1_1:"" . ...._ __
Observed Freeboard (in): __ ._-::.:3~r'!;........· __ ----------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~No DNA ONE
(ie /large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed DYes 12Sl.No DNA ONE
through a 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 DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
DYes ~No DNA ONE
DYes ~No DNA ONE
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
DYes ~No DNA ONE
Waste Application
l 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
I L Is there evidence of incorrect application? Ifyes, check the appropriate box below . 0 Yes ~No 0 NA D NE
D Excessive Ponding D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu, Zn, etc.)
D PAN D PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure /S ludge into Bare Soil
0 Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Applicati on Outside of Area
12. Crop type(s) Br::crnu/.tt O'T h/21,1'/G¢42..,_,_
13. Soil type(s) Crorl-/ L ,v
14. Do the receiving crops differ from those designated in the CA WMP? DYes ~No DNA
15. Does the receiving crop and/or land application site need improvement? DYes liQ No DNA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination 'i O Yes ~No DNA
17. Does the facility lack adequate acreage for land application? DYes ~No DNA
18. Is there a lack of properly operating waste application equipment? DYes 9J_No DNA
; • : ...... ,... .,; -• ',J ,. .--
.Comments (refer to· question#): ,Explain any YES a~ers,andlor any·f~mmendatio~,or any other oomments.
u:se dniWings offacillty.~ ,l)~ttet exiJtaiD sitnations. (use,acJditionalpage5~a5.necessa~V · ~-._. . · , ··. · .. , . ,~ , -~
' • ~ . . . ,, --~-.; • • . .... i • --.. • . -.·
Reviewer/Inspector Name 5'7e:n--. &uu/ii---I Phone: f:/f'b-!S1/
Reviewer/lnspector Signature: ~ ~ Date:
ONE
ONE
ONE
ONE
ONE
· .. ·.
; ~ .'; .
·'······-
12128104 Continued
. l Facility Number: tT,?--011 Date of Inspection I 6:"-3f:D~
Required Records & Documents ..
1 19. Did the facility fail to have Certificate of Coverage & Permit readily available? D Yes g}No D NA O NE
DYes ~No DNA ONE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check
the appropirate box. 0 WUP 0 Checklists D Design 0 Maps D Other
21. Does record keeping need improvement'! If yes, check the appropriate box below. 161.. Yes 0 No 0 NA D NE
0 Waste Application l3-weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification
0 Rainfall D Stocking D Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections 0 Weather Code
22 . Did the facility fail to install and maintain a rain gauge? DYes ~No DNA O NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes ~No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA O NE
26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA O NE
27. Did the facility fail to secure a phosphorus lo ss assessment (PLAT) certification? DYes ~0 DNA ONE
Other Issues
28. Were any additional problems noted which cause non-compli ance of the permit orCA WMP? D Yes ~No DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document D Yes QS.lNo DNA ONE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~No DNA ONE
If yes , contact a regional Air Quality representative immediat ely
31. Did the facility fail to notify the regional office of emergency situations as required by DYes ~No DNA ONE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes 16(No DNA ONE
33. Does facility require a follow-up visit by same agency? DYes ~No DNA O NE
Additiooai Comm"erits an'dlor Drawiogs: . . , -. . -, ·-. . ·. ~-" .. ' . .• .. . ' . . .;; ..
ll~c-)To CJI-L r/'e*r:::tewd rlJ-J ~ r(,{, Iii ;t ft>4. ~~ ~~Dil-l'/. n/ ~
G i> f)). --f=Cf~ t'Y'-
~
11118104
• Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit e Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access
L..,_ __ F_a_c_m_ty_N_u_m_be_r_I_E'_~ __ H_.S#/4 ____ 1 ~-;L-'~1 Date of Visit: L?-.:2c. -glf I Tune: I e: 3 0 /lr>J I -. IO Not Operational 0 Below Threshold
ePermitted m-Ce'rtified C Conditionally Certified C Registered Date Last Operated or Above Threshold: ·····-·--··-·--··
Farm Name: ........ :.-!P...s.h~.v... ............ t;. .. !?..'?...!?:l.b.J. ........ E..qr..tn ............................... County: ... ~<a~~------.. ··---·-·-·-.Ctl..Q .... .
Owner Name: ........... I.ca:f'············?..\?.Qt;~/l.s.................................................................. Phone No: ...... 'l./.,2 .:;; ... S:::.'1.:i..:2..s:.a.:i ................................ .
Mailing Address: ........... /: .... QI .... iJ..Q)t ........ ~J2. ...................... (;.J,~.~J.ft:!J.'J .. j--··· .#_( __________ .;2 .b'..12. .. f. ........................ -..... -···-·-----···
Facility Contact: ........ 'E:,-7 __ ...... !:..~"-fflb.i... ...................... Title: ................................................................ Phone No: tl11:: ... 2.!.=L::.~.:;. ...... ..
~ite Representative: ....... -Lrfr ......... '-.i?.u.l:'l.ks...................................................... Integrator: ... fc.~J~ .. ---·······-·-.. ----------
Certified Operator: ................ d.9.£lr ............. (;..<P"~-L.............................................. Operator Certification Number: ... L'7. .. rf..2.':/-.......... ..
Location of Farm:
~e 0 Poultry 0 Cattle D Horse Latitude .______.I• ._I _ _.I• L..l _ __.I•• Longitude ._____.1• ..... 1 _ ....... !· ._I _ _.I"
Farrow to Finish
·50:=-:::G_ilts ____ +----+----i .. _ .. ) · ~ .
:0 Boars !· '':''" ·
:;p-.-~-••
Discbages & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge origi nated aL: D Lagoon D Spray Field 0 Other
a . If discharge is observed, was the conveyance man-made'?
b. If discharge is observed, did it reach Water of the State? {If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gal/min?
d. Does discharge bypass a lagoon system? (If yes, noLify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3 . Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste CoUection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? 0 Spillway
¥r"C> Structure 1 Structure 2 Structure 3 Structure 4
ldenLifie r: ......... · .. J ... ~./...... .. ................................. ·---.............................................................. ..
Freeboard (inches ): _......._3....:.1-(_1_"/ __
12112/03
Structure 5
DYes g.N"o
DYes Q-No
DYes ~ -
DYes Q-No
DYes E}No
DYes Q--No
DYes G[No
Structure 6
Continued
I Facility Number: s? ;:z -&? / I Date of Inspection I?-:;J lr o l:/1
Required Records & DocumenL'>
21 . Fail to have Certific ate of Coverage & General Permit or other Permit readily available?
22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(iel WUP , checkli sts , design , maps, etc.)
23. Does record keeping need improvement? If yes, check the appropriate box below.
D Waste Application D Freeboard D Waste Analysis D Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25 . Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Permit?
(ieJ discharge, freeboard problems, over application)
27 . Did Reviewer/Inspector fail to discuss review/inspection with on-site representative?
28. Does facility require a follow-up visit by same agency?
29. Were any additional problems noted which cause noncompliance of the Certified A WMP?
NPDES Permitted Facilities
30. Is the facility covered under a NPDES Permit? (If no , skip questions 31-35)
31 . If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
32. Did the facility fail to install and maintain a rain gauge?
33. Did the facility fail to conduct an annual sludge survey?
34. Did the facility fail to calibrate waste application equipment?
35. Doe s record keeping for NPDES required forms need improvement? If yes, check the appropriate box below.
D Stocking Form D Crop Yield Form D Rainfall D Inspection After 1" Rain
D 120 Minute Inspections D Annual Certification Form
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
UYYes
DYes
DYes
DYes
DYes
DYes
I ~o violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit.
33, 1'>11 . C.oo,.,b._ .s f~I~J , · Presfu!}e_ hu!o. c..o,..,;o f~/.-J -t4e ~"''"' vc./ s luc.l;e
.S urvi'7 Clnl-/ ' U/[i,/,~lj I > f'or f r l'si'CA~~ f-o "'?c.; I f a C( Cdj)/
h .~
ff ;?J 11('. {_ C'c,Yi b S tll./5. $/(f i ,J fJ.,d-fAt> s. (1 , / ;Joo] ~~m/'J~ ' cJ· lj. ~,·.{
~ 11VSc' CfnJ l-t_,: I I 6r,','J or ((, C cof2/ ,'f fa fJ,e f:'a" ;n. l-Ie
f/(411,.. 'f'l" 'S /..(l -1-o.kt t( so; I 5-Cin-.fl le bl fi~ {'),/ o f-A-'/c.rt~ .Jt/0 1(
12112/03
g..NO
{g.No-
13-No
[3-No
g-No
fffNo
19-No
(3-Nl(
gNo
DNo
[31'fo
eNo
gNo
rg-N'o
[3-NO
...
1-
!Facility Number:g;;s -v21 Date of Inspection 13' _ 7J{.. ·0'-( I
5. Are there any immediate threats to the integrity of any of the structures observed? (iel 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?
(If any of questions 4-6 was answered yes, and the situation poses an
immediate public health or environmental threat, notify DWQ)
7. Do any of the structures need maintenance/improvement?
8. Does any part of the waste management system other than waste structures require maintenance/improvement?
9. Do any stuctures lack adequate, gauged markers with required maximum and minimum liquid level
elevation markings?
Waste Application
10. Are there any buffers that need maintenance/improvement?
II. Is there evidence of over application? If yes, check the appropriate box below.
D Excessive Ponding 0 PAN D Hydraulic Overload 0 Frozen Ground D Copper and/or Zinc
12. Croptype B~razvc4; <mol/ .'Jcq."Q
13. Do the receiving crops differ with those designated in the Certified Animal Waste Management Plan (CA WMP)?
14. a) Does the facility lack adequate acreage for land application?
b) Does the facility need a wettable acre determination?
c) This facility is pended for a wettable acre determination?
15. Does the receiving crop need improvement?
16. Is there a lack of adequate waste application equipment?
Odor Issues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. 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.
l~ok s
!{, e ( Of"cA Jtt oi
1 s p/c,.,rl·"nc.; ..).., h e:-ve h : s
f~:J S f r.',')
9ooJ.
Reviewer/Inspector Name
Reviewerlluspector Signature:
12112103
.. . . . . .~
DYes B'No
DYes (9-No
DYes IQ.No
DYes {3-No
DYes @No
DYes [f)-NO
DYes GI-No
DYes [9-No
DYes II}NO
DYes [}No
DYes [Y.No
@-Yes ONo
DYes 0-No
DYes ONo
DYes [3-NO
DYes IIJ.N6
DYes 13-Ntr
Continued
Site Requires Immediate Attention: /(/ o
Facility No. ____ _
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: '"'Vtd • 1995
Time: lt2 :.sp ANI
Farm Name/Owner: T4Sv4.. C:X..a1b5 -Mailing Address: 6:2;= Sz'-E out,. \b > ,,v(
County: ____ ~~~~----------~------------------------------------------Integrator: ?"ac k m~~oCvJiow Pr-.-;~0 ,fi......, Phone: ______________ _
On Site Representative: ZAcK hk.C..,Jio""' ,:_171 Phone: _____________ __
Physical Address/Location: __ ...,>M..,._-J,'/1ec;.u1e-/?=-=-------~---------------------
Type of Operation: Swine~ Poultry __ Cattle -------------..,-.,.----
Design Capacity: 2 ,!f~ Number of Animals on Site: '/6 .... ,,. ..... ~ 735' ~ /~
DEM Certification Number: ACE DEM Certification Numbef: ACNEW __________ _
Latitude: __ o _ _. Longitude:_ o _._.
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately 1 Foot+ 7 inches) @or No ~ual Freeboard : ,10 Ft. _h_lnches
Was any seepage observed from the Ia n(s)? Yes or(Ns;r)Was any erosion observed? Yes or No
Is adequate land available for spray? Yes r No Is the cover crop ad~uate? Yes or No
Crop(s) being utilized :' ___ L..t:Z:~~-J~~~-------------------,t:.~.--------------
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwelli~ or No
100 Feet from Wells? "YY or~
Is the animal waste stockpiled within 100 Feet of USGS Blue . Line Stream? Yes or~
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes or~
Is animal waste discharged into water o~ state by man-made ditch, flushing system, or other
similar man-made devices? Yes or~ If Yes, Please Explain.
Does the facility maintain adequate waste management reco_A (volumes of manure, land applied,
spray irrigated on specific acreage with cover crop)? Q91or No
Additional Comments: Ahzur= -~ ~ ::z )/.) ~
eLLA-~~~ ~9~
Inspector Name 1 Signature
cc: Facility Assessment Unit Use Attachments if Needed .
Site Requires Immediate Attention: A)o
Facility No. 4 4rP
DMSION OF ENVIRONMENTAL MANAGEMENT
ANIMAL FEEDLOT OPERATIONS SITE VISITATION RECORD
DATE: 7/11" , 1995
Time: .t!t .' So
Farm Name/Owner:_~f-=-r~;:;...-l::..:f...:;;:;~~e~_.:_p._._r·_"""'_.c_,}~J~oJ=-h-=-~...::.-'<~___;(_~o=6-l"'l...;..-=...b~~ ------------
Mailing Address : _____________________________ _
County: _________________________________________ __
Integrator: ________________ Phone: ______________ _
On Site Representative: "]..1 , !.:. r'1 &. ( .. 1/r w ;a± Phone: _____________ _
Physical Address/Location: _______________ ~----------------..
Type of Operation: Swine J Poultry __ Cattle-----,--------------
Design Capacity: '2 .s-(l c "'l!~ Number of Animals on Site: ---'4"""@.....___7o...-.ocl=.J ________ '---
DEM Certification Number: ACE DEM Certification Number: ACNEW ______ _
Latitude: __ o _ _.. Longitude:_ o _._.
Circle Yes or No
Does the Animal Waste Lagoon have sufficient freeboard of 1 Foot + 25 year 24 hour storm event
(approximately I Foot+ 7 inches) ~or No Actual Freeboard :J6+ Ft. __ Inches
Was any seepage observed from the lagoon(s)? Yes or@ Was any erosion observed? Yes or No
Is adequate land available for spray? @ or No Is the cover crop adequate? ~r No
Crop(s) being utilized: _ _,b"'-'-t ~;;_,....;""'--' .. ""'-J-'~------------------=~------
Does the facility meet SCS minimum setback criteria? 200 Feet from Dwellin~ ~r No
100 Feet from WelJs? ~or No
Is the animal waste stockpiled within 100 Feet of USGS Blue -Line Stream? Yes or®
Is animal waste land applied or spray irrigated within 25 Feet of a USGS Map Blue Line: Yes o@
Is animal waste discharged into water ofJ he state by man -made ditch , flushing system , or other
similar man-made devices? Yes o~ If Yes, Please Explain.
Does the facility maintain adequate waste management records (volumes of manure , land applied,
~~ray irrigated on specific acreage w~th _cover crop)? (\'2)or No
AddJtJonal Comments: rJ ~ w ' '-' I I fy {} f (•--;;;g uJ 2 ! D f !-.
Inspector Name Signature
cc : Facility Assessment Unit Use Attachments if Needed .
..
RORTB CAROLil'IA DEPAR'%'XCn' OP ENVIRONN!:RT, DALTB & NATURAL lmSOmlCl!:S
DIVISION OP' ENVIRONMENTAL MANAGEMENT
Fayetteville Regional Office
Animal Operation Compliance Inspection Perm
Josh UC\ Coombs 'Farms/ Jed~ Cccrnb
All questions a..'lswered neg-atively will be discussed in sufficient detail i.n
the-Comments Seetion to enable the deemed Permittee to perform the appropriate
corrections:
SEC'l'ION I
Anima.l Operation Type: Feeder 1o Ftnist.
Horses, cattle('3 poultry, or sheep
1 . Does the number and type of animal meet or exceed
the (.0217) criteria? [Cattle (100 heaa},
horses ( 75), swine (250), sheep ( 1, 000), .and
poultry (30,000 birds with liquid waste
sys;tem) l ·
2. Does this facility meet criteria for
Animal Operation REGISTRATION?
3. Are animals confined fed or maintained
~ this facility for a 12-month period?
4. Does this facility have a CERTIYIED ANnmL
WASTE MANAGEMENT PLAN?
5. Does this tacility maintain waste ~anagement
records (Volumes of manure, land applied,
spray irrigated on specific acreage ~ith
specific cover crop)?
6. Does this facility ~eet the SCS ~inimum
s~tback c=iteria for neighboring houses,
wells, etc?
y N COMMEN'l"S
SBC'l'];ON III
Field Sita Manag~ent
1 • Is a:Umal vaste stockpiled or lagoon
construction within 100 ft. of a USGS
Map Blue Line Stream?
2. Is animal waste land applied or spray
irrigated within 25 lt. of a USGS Map
Blue ~e Stream?
3. 1)oes this facility have adequate acraaqe
on which to apply the waste?
4. Does the land application· site have a
cover erop in accoraance'with the
CERTIFICATIQM ~
5. Is animal waste discharged into waters of
the state by man-maoe ditch, flushing system,
or other similar man-made devices?
6. Does the animal waste management at this
farm adhe:e to Best Management Practices
(BMP) of the approved CERTIFICATION?
7. Does animal waste lagoon have sufficient
freeboard? How much? (Approximately
8. Is the general condition of this CAFO facility,
includinq management and operation,
satisfactory?
SECTlON rv
comments
Y M COMMP.NTS
bear, is found only in Norm J.\lllt111~d. " •.•
quite common. Th~ mr.coon is noted for tim
black mask across the fac!! nnd the black
rings around the tail. The rest of the fur Is
a gray-brown.
The raccoon usually nests In a hollow tree ,
preferably near water. Raccoons eat a wide
variety of foods, both plant and animal. They
feed on grain, fruits, insects, crayfish, frogs
and birds. The raccoon does not actually
wash its foods,· as many people believe.
However, they often play with their food in
water if there is water nearby. , 0 U P L
I
N
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