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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 Jody CurflhS t1~o 11 U1 tit-1?. y -fctl\f St2.. lg 01 ((ob i n , . .tvsewrt f.'d 40 S ./ ~A) 1·~':·. · form i.s "'a ,1 tr~'. r '"3 h-t . C 0 U N T Y r • .. • ~ 7-'J-q5 ~~ CD.'!':.?::.4:":::~ ?Ca rr'A oa. z:JAm:C ~::.W':"S ?:•••• =•e-.:-~ ~-cczzz;,latecl !~~ '!o '!.::.• ~!."T"_.aion o! ~7""-=:::::.az:.~l ~-~~:; •t ':.!:.a &c:!:!=••• ~ ~-=•v-=•• e!.d.a o! ~· !o:::::. ~lace of !a..-::. <?lease ~=:~:::: J"oby CcoMoS db A ::rosu VA Coo,., OS f="A~M. Ac:i=~ss: '¢.0$ S""'jEW"4"'T AilS:,· _____ ..,~c""'" J_l"l rc '!._____1] c. _ ~ 19 ~ :2.. 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