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Home My WebLink About820651_INSPECTIONS_20171231NORTH CAROLINA Qepartment of Environmental Quality Reason for Visit: DateofVisit: I 5 ..T!.l"-C.....« Arrival Time: I /'1 06/) I Departure Time:!/~ '!5'~1 County:$1tlJR;4 rV Region: 52..0 Farm Name: fVlDLV'Cl15 olt..V\; -t-V Ect.(VI.A Owner Email: Owner Name: Sc;uj{\ .e"""rt 1/o_.~-v~~t LLC Pbone: Mailing Address: Physical Address: Facility Contact: Cv(\fts ~t(c:..K Title: ---=~~~~~~~~-----------------------------Pbone: Onsite Representative: l { Integrator: f1{ 8 -:-S Certification Number: ....;J~'f_D_7_V,;__ ___ _ ' Back~up Operator: Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Imoacts l . Is any discharge observed from any part of the operation? DYes ~DNA ONE Di scharge originated at: 0 Structure D Application Field 0 Other: a. Was the conveyance man-made? 0 Yes DNo (]j"NA O NE b. Did the discharge reach waters ofthe State? (If yes , notifY DWR) DYes 0No ~ ONE c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes , notifY DWR ) DYes 0No ~ ·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 discharge? Page 1 of3 0 Yes 0 Yes ~0 DNA ONE ~0NA ONE 214/2 015 Continued !Facility N~mber: [Date of Inspection: . .f5 .""fi,. ~ I f1 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): 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 ~NA ONE DYes 0No ~ONE Structure 5 Structure 6 DYes~ DNA ONE DYes ~o DNA ONE 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 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 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 (g"'No 0 NA 0 NE DYes~ DNA ONE 0 Yes ~DNA ONE II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~ 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 D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): IA2ht:kf 13. SoH Type(s)o if:t 4>c fr- 14. Do the receiving crops differ;m those designated m the CAWMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land applic ation? 18. Is there a Jack of properly operating waste application equipment? Required Records & Documents 19 . Did the facility n~il to have the Certificate of Coverage & Permit readily available? 20. Does the facility tail to have all components of theCA WMP readily available? If yes, check the appropriate box. OwuP Ochecklists 0 Design D Maps D Lease Ahrreements 0 Yes ~ DNA 0 Yes ~ DNA DYes Grf'/o DNA DYes ~0 DNA DYes @No DNA DYes ~0 DNA 0 Yes [&'No DNA Oother: ONE ONE ONE ONE ONE ONE ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes ~ DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections 0 Monthl y and I" Rainfall Ins pections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes [2t'No DNA 0 NE 23. If selected, did th e facility tail to in stall and maintain rainbreakers on irri gation equipment? 0 Yes [d"No DNA 0 NE Page2of3 2/4/2015 Continued !Facility Njlmber: !Date of Inspection: .S .:TUNt;:;r7tO rV 24. 9id the facility fail to calibrate waste application equipment as required by the permit? 0 Yes 25 . Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes 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 Li st 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 th e 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 fai l 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? D Yes D Yes DYes DYes 0 Yes DYes D Yes 0 Ye s 0 Ye s ~DNA ONE ~DNA ONE ~0NA ONE ~DNA ONE ~ DNA ONE ~ DNA ONE ~ DNA ONE 01fo" DNA ONE ~0 DNA ONE ~ DNA ONE 0No DNA ONE ~~~en .. ~~-(~~f~r to.~uestion #):···!E. x~~. a.}?_' .. a~ .. ~-~~. ·.· .. S ariswers ·a.ri~or 8.nyad~~~.~?;.31 !'~f. oniJDend. ations or any otber c~m ?L .. £.,_-~~t.·i ·~ ~-~,~~~f~1 ·: IJ~e:d~~mgs .'9ffa~ll•tyto better,,expl~m·s•filation~ (use additional pages ,as.nec~sary); '· '-.. ·.· ,_.-. ,~,;·<~,;:;~~'01:P~· · C ()\ ( (L rAo. f, o _, ----~ -2.J -I{, ss /1 ~8~ 1/ 1/: I 0-S-7 Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3of3 p~ Phon~ I o-Y31-33 3l{ Da te : ~SSv~ / r- 2/411015 Departure Time: IP~IP Farm Name: Owner Email: Owner Na me : Mailing Address: Physical Address: Facility Contact: ~eft{ ~~ Title: Onsite Representative: if Certified Operator: l{ 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 Struct ure 0 Application Field a. Was the conveyance man-made? Phone: D Other: b. Did the discharge reach waters ofthe State? (If yes, notify DWR ) c. What is the es timated volume that reached waters of the State (ga llons }? Phone: Integrator: c.,,;n,.u •• N •ln~-~"errf {fl../- certification Number: crec 5 ifj( Longitude: DY es ~ DNA O NE 0 Yes 0 No EiNA O NE 0 Yes 0No [3NA ONE d. Does the discharge bypass the waste management sys tem? (I f yes , notifY DWR) 0 Yes 0No IZ(NA 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 disc harge? Page 1 o/3 0 Yes D Yes ~0 DNA ONE ~0 DNA O NE 2/412015 Con tinued !Facility Number: N'"k-{9 f1 I Date of Inspection: f z aft 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): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any ofthe 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 DYes Structure 5 ~Dy- D No Ej"NA Structure 6 ONE ONE 0 Yes [:a'No DNA 0 NE DYes ~o DNA ONE If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmen~ threat, notify DWR 7. Do any ofthe structures need maintenance or improvement? DYes c:fJ':Io DNA 0 NE 8. Do any of the structures lack adequate markers as required by the permit? D Yes ~o D NA D NE (not applicable to roofed pits, dry stacks, and/or wet stacks) 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? Waste Application 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? D Yes [Z(No D NA 0 NE DYes L6No DNA ONE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~0 DNA ONE 0 Excessive Pending D Hydraulic Overload D Frozen Ground D Heavy Metals (Cu , Zn, etc.) D PAN D 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): Glt.Zt3 C-6 It, G hl "P<-· s r; 0 13. Soil Type(s): 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certiticate of Coverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. Owup 0Checklists D Design 0 Maps 0 Lease Agreements DYes [2J'No DYes ~o DYes G::(No DYes~ DYes ~o DYes ~o DYes [31fo DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE Oother: _________ _ 21. Does record keeping need improvement? Ifyes, check ~appropriate box below. [B"Yes D No D ~A 0 NE 0 Waste Application 0 Weekly Freeboard []t\vaste Analysis D Soil Analysis 0 Waste Transfers D Weather Code D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and I" Rainfall Inspections 0 Sludge Survey DYes~ 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation eqUipment ? Page 2 of3 0 Yes []"No DNA ONE DNA ONE 21412015 Continued IFacijity Number: I Date oflnspection: 11 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? lfyes, check the appropriate box(es) below. DYes DYes [?No ~0 DNA ONE DNA ONE D Failure to complete annual sludge survey D Failure 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? 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? If yes, check the appropriate box below. D Application Field D Lagoon/Storage Pond D 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 ~o DNA ONE DYes ~o DNA ONE DYes 1:2(No DNA 0 NE D Yes (211'Jo 0 NA D NE DYes ~o DNA ONE D Yes ~No D NA D NE DYes ~o DYes ~o DYes ~o DNA ONE DNA ONE DNA ONE L{ ft-(j ~(4&~~(. t-r -rr--17 :£!: Ll ~e~ -\.> I'U~t;"- (J-~, b -f'· l{, t( ()<if.tec:f t.J,tr/r:.-a o\"" fy q1<f. Reviewer/Inspector Name: Reviewer/Inspector Signature: Page 3 of3 %S{ Phone: ~lf 315f Date: lJ ~' l1 21412015 Operation Review 0 Structure Evaluation Reason for Visit: @1(outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency Date of Visit: I qnc, (11 Arrival Time:l/l}bO A l Departure Time :I [!1{5 A I County: &4 K[ Farm Name: ~ {)I!'LJA..rJs 'JC.J Owner Email: Owner Name: ftc~ J'')p_.~A§-~S Phone: Mailing Address: Physical Address: Facility Contact: ~41;. ~('Title: Phone: Onsite Representative: I{ Integrator: lU.f5-5 Region :f'=: tlo Certified Operator: --~-· _ __;;;.._ __ -~:~i)_:...:~:..:·:....;_~i:....:.J:::....:: _________ _ Certification Number: "{ 10 7f Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I. Is any discharg(; 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 DWR) c. What is the estimated volume that reached waters of the State (gallons)? Certification Number: Longitude: DYes 0'1'Jo DYes DNo 0 Yes DNo d. Does the discharge bypass the waste management system? (If yes, notify DWR) 0 Yes DNo 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 I of3 0 Yes G:rNo DYes E]'No DNA ONE L]"'NA ONE ~A ONE (Lf'NA ONE DNA ONE DNA D NE 21412015 Continued I Date of Inspection: .tf~t.ij /1 lhcility Number: 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?: Desi6>ned Freeboard (in): Observed Freeboard (in): 27 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~ DYes !]}NO DNA ONE DNA ONE Structure 5 Structure 6 DYes ~o DNA ONE 0 Yes 0"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 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 or improvement? DYes ~0 DYes [2f'No DYes ~ 0 Yes ~ I DNA ONE DNA ONE DNA Q-N""E ,.--- _. ./ DNA ONE II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~o 0 NA 0 NE D Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) 0 PAN 0 PAN> 10% or 10 Jbs. 0 Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): 13. Soil Type(s): I 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? I 7. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate ofCoverage & Permit readily available? 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check the appropriate box. Owup Ochccklists 0Design 0 Maps 0 Lease Agreements 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes [H"'N o DNA ONE 0 Yes ~0 DNA ONE DYes ~0 DNA ONE DYes ~0 DNA ONE DYes ~0 DNA ONE DYes ~0 DNA ONE DYes ~ DNA ONE Oother: DYes ~o DNA ONE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste T ransfers 0 Weather Code 0 Rainfall 0Stocking 0 Crop Yield 0120 Minute Inspections 0 Monthly and l" Rainfall Ins pections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes ~o 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes 6No 0 NA 0 NE Pagelof3 l/4!2015 Continued l~acility Number: a"~':-t#s ( I loate oflnspection: lj~ !1 24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes ~ 0 NA 0 NE 25.1sthefacilityoutofcompliancewithpermitconditionsrelatedtosludge? lfyes,check DYes ~ 0 NA 0 NE 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 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? 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 ofthe 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? ~Ctb ~-~ ,_ r-~--1 b f14t-5~r"/'-lk 7--c ,(, l {7-S"' s . -p r ({, f -l(1~ Reviewer/Inspector Name: Reviewer/Inspector Signature: Page3 of3 DYes ~ DNA ONE 0 Yes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes [31fo DNA ONE DYes ~ DNA ONE DYes @No DNA ONE DYes [3'No DNA ONE Phone~{ Do 'f33 .. 333l{ D"'t~r7 214. 015 Reason for Visit: ifaoutine 0 Complaint 0 FoUow-u 0 Referral 0 Emergenc 0 Other 0 Denied Access Date of Vis;,, lg ~ Arrival Timeo (j l o•_!!l Depa?C Timeolzf: l!I'P I County' ~ Region ' f92.;> Farm Name: ~"'$ · D~~$ C."'~ J Owner Email: OwnerName: b~ P~\-.JI_5 Pbone: ----------------- Mailing Address: Physical Address: Facility Contact: Uctrwlur Title: t{ Onsite Representative: Certified Operator: -~L.....;:_,._c/'{..-=....;1(.;.;:'5'-_T)_ .. __ t:l_cA_,_HJ _______ _ Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts I . Is any dischilrge 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 the discharge reach waters of the State? (If yes, notify DWR) c . What is the estimated volume that reached waters of the State (gallons)? Pbone: Integrator: t1, f5 --S Certification Number: J , 6 7<{ Certification Number: Longitude: DYes ~DNA ·~ONE DYes 0No 0 Yes 0 No @'NA D NE ~ONE d . Does the discharge bypass the waste management system? (If yes, noti fY DWR) 0 Yes 0 Yes DYes 0No Ci'A ~DNA ~DNA ONE ONE ONE 2. Is there evidence of a past discharge from any part ofthe o peration? 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State other than from a di sc harge? Page 1 of3 21411015 Continued I 8 L-ts1 loate of Inspection: 2';01 tr;;;;{4 I Facility Number: ,. 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 Structure4 Identifier: Spillway?: Designed Freeboard (in): Observed Freeboard (in): sz, 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 s tructures on-site which are not properly addressed and/or managed through a waste management or closure plan? D Yes ~NA ONE D Yes 0 No ~ O NE StructureS Structure 6 DYes ~o DNA ONE DYes ~o DNA ONE If any of questions~ 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 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? 12. Crop Type(s): 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18 . Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CA WMP readily available? If yes, check the appropriate box. OWUP 0 Checklists D Design 0 Maps 0 Lease Agreements 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~o 0 Yes Q1Jo DNA O NE DNA O NE DYes ~o DNA ONE DYes ~o D Yes ~o D Yes DYes DYes DYes DYes DYes D Yes 0 0ther: DYes ~0 {5No ~0 [3'No [d-'No [Z('No ~0 ~0 DNA ONE DNA ONE" DNA ONE DNA O NE DNA ONE DNA ONE DNA ONE DNA ONE DNA O NE D NA ONE 0 W aste Application D Weekly Freeboard D Waste Analysis D Soil Anal ysis D Waste Transfers 0 Weather Code 0 Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections D Monthly and I" Rainfall Inspections D Sludge Survey DYes ~ DNA ONE 0 Yes (]:f"'No 0 NA D NE 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? Page 2 of3 21412014 Continued !Facility NJmber: • ,,..._ 6SI 1 I nate or Inspection: J. 7 ~h 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. DYes ~o DYes (91io D 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 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? If yes, check the appropriate box below. DYes DYes DYes DYes DYes DYes 0 Application Field D Lagoon/Storage Pond D Other: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes 34 . Does the facility require a follow-up visit by the same agency? DYes ~0 ~0 ~ ~0 ~0 ~ []]'No ~ ~0 DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA D~ DNA ONE DNA ONE Commen~ (refer to;~u~~!~il,#): · Expl~n a~y ~S answers ~n.dlor any additional recommendations or any ~t~~-~~~~~~~;~~:;;~.:~~~ Use drawmgs offacdtty.to;better explam situations (use additional pages as necessary). -=' • ·.·,'\: ... ::. · : \-'~·.::·. -·--·~-·"'"'": .. c.v~, cb ~~ e\ ~ 5-f3-IY S(4e &,r-Uf - P• SS s 1--tM (3 1-?----;A((., ., s ~ ~1_-o(s N~~fy ~ e.JI (M-(..JI'"J Goo£ ~b, Reviewerflnspector Name: Reviewer/Inspector Signature: Page3of3 Phone: lit~~~:) L{ Date: ·;t_l:r uA1 b 114/1011 Operation Review 0 Structure Evaluation Reason for Visit: e Routine 0 Complaint 0 FoUow-up 0 Referral 0 Emergency 0 Other DateofVisit: I '?~ ArrivaiTime:l O/!Jq'MI Farm Name: M(l.ycs&S ~~~ fs ~ M Departure Time: I Q2 !~I County: ~~ Region: ~ Owner Email: OwnerName: ~S ~'t{S Phone: Mailing Address: PhysicaiAddr~s: ----------------~----------------------------------------------------------------- Facility Contact: Ge.wo K~ Title: Phone: --------------------- Onsite Representative: ____ L-i ________ ~ri--------------------- Certified Operator: ~S ~{5 Integrator: ~l ~t.J'-7 I /90 7'1 Certification Number: 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? DYes !Xj No DNA ONE Discharge originate d at: D Structure 0 Application Field 0 Other: a . Was the conveyance man-made? DYes 0No [2Sj NA ONE b . Did the discharge reach waters of the State? (If yes, notify DWR) DYes 0No ~NA ONE c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes , notify DWR) DYes 0No rrJ NA ONE 2. Is there evidence of a past d ischarge 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? Pagel of3 DYes DYes l?No DNA ONE ISJNo DNA ONE 2/4/1014 Continued IFacili~ Number: I nate of Inspection: 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 Structure2 Structure 3 Structure 4 Identifier: _ __.l __ _ 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? DYes ~No DYes 0No DNA ONE ~NA ONE Structure 5 Structure6 DYes fZ:J No 0 NA D NE 0 Yes QfNo 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 pennit? (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 or improvement? DYes (])No DNA ONE DYes ~No DNA ONE DYes 1B No DNA ONE DYes ~No DNA ONE ll.Is there evidence ofincorrect land application? lfyes, check the appropriate box below. DYes ~No DNA 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. D 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. Crop Type(s): 5~b,ll.h I vJU 13. Soil Type(s): ......!....AryL.f-_..{j~-------------------------------- 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? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CAWMP readily available? Ifyes, check the appropriate box. owuP Dchecklists D Design D Maps D Lease Agreements DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes Q9No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE Oother: 21. Does record keeping need improvement? If yes, check the appropriate box below. D Yes ~No 0 NA 0 NE 0 Waste Application 0 Weekly Freeboard D Waste Analysis D Soil Analysis D Waste Transfers 0 Weather Code 0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and 1" Rainfalllnspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? D Ye s ~No 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? D Yes [l3 No 0 NA 0 NE Page2of3 214/2014 Continued -I Facili!l: Number: ~t'Z-31/£ fr1-"b71 j!>ate oflns(!ection: 24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes [fl No DNA ONE 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check DYes l29 No DNA ONE the appropriate box( es) below. 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 ~No DNA ONE 27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? DYes ~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 ~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 DYes lftQNo DNA ONE permit? (i.e., discharge, freeboard problems, over-application) 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? ~No 34. Does the facility require a follow-up visit by the same agency? Reviewer/Inspector Name: Phone: Reviewer/Inspector Signature: Date: __:l,:....&...6_zsjl,...;..;..l.? __ Page3 of3 214/2014 e Compliance Inspection Operation Review 0 Structure Evaluation Reason for Visit: • Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency Date of Visit: Departure Time:lto:'{S""'Q1, I County:~PSD~ Region: F::fZiJ Owner Email: Owner Name: Phone: Mailing Address: Physical Address: ------------------------------------------- Facility Contact: ----lG""=~~=:;.:...;::~....&~~-___;,_~------,I---Title: ________ Phone: '' Integrato., ~ ~h Jok h M • ]Ay,~.>J) Certification Number:/ ________ _ Onsite Representative: Certified Operator: Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts 1. 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 DWQ) c. What is the estima ted volume that reached waters of the State (gallons)? Certification Number: Longitude: DYes ~No DYes DNo DYes DNo d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes DNo 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 of3 DYes ~No DYes ~No DNA ONE QSJ NA ONE lpNA ONE ~NA ONE DNA ONE ' DNA ONE 214/1011 Continued I F~cility Number: !Date of Inspection: =z,/7... ~Ji 't r z 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? Strucnrrel Structure2 Structure3 Strucnrre 4 Identifier: I -f{zo,.rr-Z-t .4dL- Spillway?: Designed Freeboard (in): Observed Freeboard (in): 5. Are there any immediate threats to the integrity of any ofthe 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 (E No 0 NA 0 NE DYes 0No ~NA ONE Structure 5 Structure 6 DYes ,[0No DNA ONE DYes l_2rNo 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 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? DYes ~.o DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes pNo· DNA ONE II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~ No D NA 0 NE 0 Excessive Ponding D 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 IncorporateManure/Siudge into Bare Soil 0 Outside of Acceptable Crop Windo~/ 0 Evidence of Wind Drift D Application Outside of Approved Area 12. Crop Type(s): 5_0~ ( tJI~ Gv--'1 13. Soil Type(s): A uA -'-L~~~~---------------------------------------------------------------------------- 14 . Do the receiving crops differ from those designated in the CAWMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irri gation 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? 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? Ifyes, check the appropriate box. 0WUP 0 Checkli sts 0 Design 0 Maps D Lease Agreements DYes .f§ No DNA ONE DYes I!J No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE Oother: 21. Does record keeping need improvement? Ifyes, check the appropriate box below. DYes ~No 0 NA 0 NE 0 Waste Application 0 Weekly F reeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall 0Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and 1" Rainfall Inspections 0 Sludge Survey 22 . Did the facility fail to in stall and maintain a rain gauge? 0 Yes ~ No 0 NA D NE 23. If selected, did the facility fai l to install and maintain rainbreakers on irrigation equipment? 0 Yes r:fl No 0 NA 0 NE Page2of3 214/2 011 Continued I Fll'cility NUmber: ~2-b$1 I nate of Inspection: 7 *1 It r r, 24. Did the facility fail to calibrate waste application equipment as required by the permit? D Yes 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check D Yes 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) certifi cation? Other Issues 28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document and report mortality rates th at 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. DYes DYes DYes DYes DYes DYes 0 Application Field D Lagoon/Storage Pond 0 Other: ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes 33 . Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes 34. Does the facility require a follow-up visit by the same agency? DYes ~N o ~No ~N o ~No ~No Q§No l¥)No ~No q,No ~No No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE C.omments (refer to:question #): Explain any YES. answers and/or any additional recommendations or aoy~otb~r. c.or~un.~nts: ·-·· ·.;~,,;~#~ i fse drawings ·~f;.fac.lli tY'to better explain situation's (use additiot1al pages as necessary). · · · · --':t -····.·. · \•_?~.~f.:i·:·-:t~~ :•·_:,~~!'-'~~ --:''-'f~~i\~ Reviewer/Inspector Name: Phone: If f0--«{3_3: ~ '3 D1> R evie wer/Ins pector Signature: Date: 7 /Y} 11 Page 3 of3 2/4/ZOII • Compliance Inspection · Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit: • Routine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I ?/<It 3 I Arrival Time: I /1 ;,o~ Departure Time: I l'lJoo p...._l County: <;;Jtv..,/~~ Region: f?.llo Farm Name:;___N1___._o-r=-- 1 _C._4....;;...~~..wlk=...:Jef;,.._ __ 4 __ ~________ Owner E:ail: Owner Name: Ma..rcw ~e/ Phone: Mailing Address: PbysicalAddr~s: --------------------------------------------- Facility Contact: -~.;;;._~::.._-~--~--+------Title:-----------------Phone: l( Integrator: ~ :JoLlA.. ~· r:a..r~ e l..s Certification Number: Onsite Representative: Certified Operator: Back-up Operator: Certification Number: Location of Farm: Latitude: Longitude: Discharges and Stream Impacts l_ Is any discharge observed from any part of the operation? Discharge originated at: 0 Structure 0 Application Field DYes ~No 0 Other: a. Was the conveyance man-made? DYes 0No b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes 0No c. What is the estimated volume that reached waters of the State (gallons)? d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No 2. ls there evidence of a past discharge from any part of the operation? 3. Were there any observable adverse impacts or po.tential adverse impac ts to the waters of the State other than from a discharge? Pagel of3 DYes ~No DYes No DNA ONE ~NA ONE ~NA ONE hNA ONE DNA ONE DNA ONE 21412011 Continued lFacilitY Number: <Z2-I nate oflnspection: 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 2 Structure 3 Structure4 Identifier: ?-,-f{{d~ __ Spillway?: Designed Freeboard (in): Observed Freeboard (in): 1'1 'f 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 DYes Structure 5 ~No DNA ONE 0 No 'fJ'NA 0 NE Structure 6 0 Yes q!No 0 NA D NE 0 Yes ~ 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. 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 or improvement? DYes DYes 0 Yes 0 Yes ~No DNA ONE ~No DNA ONE ~No DNA ONE ~No DNA ONE ll. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes f{J 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 Ac ceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12Cmp Type(•) _Jq$ J.,,J ( "-~ 13 . Soil Type(s): __ _ 14. Do the receiving crops differ from those designated in the CAWMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? 1 7. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components of the CA WMP readily available? If yes, check the appropriate box. OwuP Dchecklists D Design 0 Maps 0 Lease Agreements DYes DYes DYes DYes DYes DYes DYes DOther: q:fNo ~No lfNo r:j9 No ¥J No ~No ~No DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE 21. Does record keeping need improvement? Ifyes, check the appropriate box below. DYes q3 No DNA 0 NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code 0 Rainfall 0Stocking 0 Crop Yield 0120 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 Qj No 0 NA 0 NE 23 . If selec ted, did the facility fai l to install and maintain rainbreakers on irri gation equipment? 0 Yes ~No 0 NA 0 NE Page 2 of 3 2/4/201 I Continued lFacilitY Number: 24. Did the facility fail to calibrate waste application equipment as required by the pe 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check the appropriate box(es) below. DYes ~No 0 Yes J'J No DNA ONE DNA ONE 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 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 ofthe 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? Ifyes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: DYes [ll No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE 0 Yes l1l No DNA ONE DYes ~No DNA ONE 0Yes r:pNo DNA ONE ------------------------ 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 0 Yes ~0 DNA ONE 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE 34. Does the facility require a follow-up visit by the same agency? R evi e wer/Inspector Name: Reviewer/Inspector Signature: Phone:1 Ul -y ~~~ 1.?~ D ate: 9/(/P ' . Pagel ofl 21412 011 i , Compliance Inspection Reason for Visit: GtRoutine 0 Complaint 0 Denied Access Date of Visit: llOiac\ 1'J.I Arrival Time:l c;l;~f!'!) Farm Name: 1!\efl...~:;, O~roe l Eee-)t'J OwnerName: (!\f~!p.c_us. OAC\.3£.\ Mailing Address: Departure Time:l3!3t:Jp I County: $!1mpm Region: F fllJ Owner Email: Phone: Physical Address: ----------------------------------------- Facility Contact: {.;~a \i,£,N\ t_O...._, Title: ~~~-5\'fc . Phone: Onsite Representative: ___.:S.K.I,;e,;L.!..VO" __ cc... ______________ _ Certified Operator: ~,.., (!), \)4\!G.i:\S Back-up Operator: Location of Farm: Latitude: Discharges and Stream Impacts 1. Is any discharge observed !Tom any part of the operation? Discharge originated at: D 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 reached waters of the State (gallons)? Integrator: fnuA. \)~Rt>w (I) Certification Number: ....jJL.'W~....::7....;~~----- Certification Number: Longitude: DYes [E No DNA ONE DYes 0No (!NA ONE DYes 0No (11 NA ONE d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No [!) NA 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 1 of3 DYes DYes [XI No DNA ONE rn.No DNA ONE 21412011 Continued I ... I Facility Number: I nate of Inspection: 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: IBo~I \l,~s: 1<... Spillway?: Designed Freeboard (in): ,q 1-S Observed Freeboard (in): :)~ ~~ 5. Are there any immediate threats to the integrity of any ofthc 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 t[) No 0 NA 0 NE DYes 0No ~NA ONE StructureS Structure 6 DYes WNo 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 structures lack adequate markers as required by the permit? (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 or improvement? 0 Yes Etl No 0 Yes GlJ No DNA ONE DNA ONE 0 Yes IKJ No 0 NA 0 NE 0 Yes IXJ No 0 NA 0 NE 11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes liJ No 0 NA 0 NE 0 Excessive Pending 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 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. Crop Type(s): 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 inigation design or wettable acres determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Required Records & Documents 19. Did the facility fail to have the Certificate of Coverage & Permit readily available? 20. Does the facility fail to have all components ofthe CAWMP readily available? If yes, check the appropriate box. 0WUP Ochecklists 0 Design 0 Maps 0 Lease Agreements DYes 00, No DNA ONE DYes [iJ No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes llJ No DNA ONE 0 Yes ~ No 0 NA 0 NE 0 Yes l5lJ No 0 NA 0 NE Oother: ________ _ 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes 00 No 0 NA D NE D 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 1" Rainfall Inspections 0 Sludge Survey 22. Did the facility fail to install and maintain a rain gauge? 0 Yes [!{No 0 NA 0 NE 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes 0 No IX} NA 0 NE Page 2 of3 214/1011 Continued , , . !Date of Inspection: C,}ao} 12 IFaciUty Number: '?>'a I I 24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes 00 No 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check 0 Yes ~No th e 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 indi c ating non-complian ce: 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-application) DYes ·DYes DYes DYes DYes DYes 31. Do subsurface tile drains exist at the facility ? Ifyes, check the appropriate box below. 0 Application Field 0 Lagoon/Storage Pond 0 Other: ----------------------- 32. Were any additionaJ problems noted which cause non -compliance of th e permit orCA WMP? DYes 33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-si te representative? DYes 34. Does the facility require a follow-up visit by the same agency? DYes * ~£.E..D.-\-o Cof\~~\ll:. ~~~Of' 'o~CU.. ~~~ A~"<'t:> ~ ~Lvt:>" E.. ~~\,.)~'\ 'N ~~\:>:> +o ~e.. 0 OS' C l:C'> d-o\~ (jNo IXJ No IXJ No IRJ No ~No ~No [XI No OCJ No (X] No D NA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE Reviewer/Inspector Nam e: Phone : q JO· 39h ~ "S f Reviewe r/Inspector Signature: Date : I,., { fk> J I ~ r ' Page 3 of3 214/1011 Date of Visit: Owner Name: Phone: Mailing Address: PbysicaiAddress: --~~------~--------~-------------------------------------------------------------____;~--~---+--Title: -----L.Tn.£=:L..L.;.1 ·____;;~~-~-. Facility Contact: Phone: Onsite Representative: ~ Integrator: M-S 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 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 reac hed waters of the State (gallons)? Certification Number: Certification Number: Longitude: 0 Yes [B'1( D Yes 0No DYes 0No d. Does the discharge bypass the waste manage ment system? (If yes, notifY DWQ) DYes 0No 2. Is there evidence of a past discharge from any part of the operation? DYes [U>it( DNA ~ ~A ~ DNA 3. Were there any observable adverse impacts or potential adverse impacts to the waters of the State oth er than from a di sc har ge? DYes ~DNA ONE ONE ONE ONE ONE ONE Page I of3 V4/10J I Continued I Facility r't!umber: I nate of Inspection: ~111 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 Identifier: ~ ~L Spillway?: Designed Freeboard (in): L'? li Observed Freeboard (in): 33 7~0 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 ~o DYes 0No DNA ONE ~A ONE Structure 5 Structure 6 DYes ~ DNA ONE DYes ~ DNA ONE If any of questions 4-6 wer~ 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 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance or improvement? DYes DYes DYes DYes ~0 DNA ONE ~0 DNA ONE ~ DNA ONE ~DNA ONE II. Is there evidence of incorrect land application? lfyes, check the appropriate box below. 0 Yes ~ 0 NA 0 NE D Excessive Ponding D Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN D PAN> 10% or 10 lbs. D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area 12. crop Type(,) 6.~ b-u , LLJ~ (1...J . 13. Soil Type(s)o ~ T ) 14. Do the receiving croPS<li:from those designated in the CAWMP? 15. Does the receiving crop and/or land application site need improvement? 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acres determination? Page2of3 DYes DYes DYes DYes DYes DYes DYes Oother: DYes ~0 DNA ONE ~ DNA ONE ~0 DNA ONE ~0 DNA ONE ffNo DNA ONE [9'1fo DNA ONE ~0 DNA ONE ~ 2/4/2011 Continued !Facility Number: ~ -((25 11 !Date oflnspection: flljZLJ h/ I • I Ej11o DNA D NE DYes ~DNA ONE 24. Did the facility fail to calibrate waste application equipment as required by the permit? 0 Yes 25. Is the facility out of compliance with pennit conditions related to sludge? If yes, check the appropriate box( es) below. D 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 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 DYes E1'" DNA ~N~ DYes QNo DNA ~ 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 nonnal? DYes ~DNA ONE 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 pennit? (i.e., discharge, freeboard problems, over-application) 31. Do subsurface tile drains exist at the facility? If yes, check the appropriate box below. D Application Field 0 Lagoon/Storage Pond 0 Other: DYes DYes DYes -------------------- 32. Were any additional problems noted which cause non-compliance of the pennit 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? Reviewer/Inspector Name: DYes DYes DYes Revi ewer/Inspector ~·.-. .. ~·,:.:.......~::=::oo-11f""~~=:i::::::l:!:::!k~~8C::1----------- Page 3 of3 ~ ~- ~ ~ ~0 ~ DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE DNA ONE Type of Visit ~mpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access DateofVisit: fS-25"-IOf Arrival Timed 1:30Atf1 f Departure Time: f::L: ISS},., f County: y I Region: Farm Name: .tYI()..rCc.t~ ];u:;Ni C<{ hv-"'-Owner Email:-------------- Owner Name: tJ1a.,cwS L>atv•'~ I Phone: Mailing Address: ----------------------------------------- Physical Address:----------------------------------------- Facility Contact: PhoneNo: ________ ___ Onsite Representative: ------------------Integrator: __ M_k._...,+-f-4,-r-.....;;.B....;vuv..J~~N....;_---:--- Certified Operator:--------------------Operator Certification Number: -------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? Discharge originated at: D Structure 0 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 reached waters of the State (gallons)? Longitude: DYes ~o DNA ONE DYes DNo ~ ONE DYes DNo []1<.( ONE I d. Does discharge bypass the waste management system? (If yes, notify DWQ) DYes DYes DYes 0No ~DNA ~DNA ONE ONE 2. Is there evidence of a 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? 12128104 ONE Continued I Facility Number: 82: (, 5/ I Date of Inspection I S-25"-1?1 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 ~ DNA ONE DYes ~DNA ONE StructureS Structure 6 Identifier: Spillway?: t3etcJ£:-Loe--Fv-+-~~------------------ ; I'F ~CotJ,.I«-YJ- Designed Freeboard (in):------------------------------------ Observed Freeboard (in): ___ 'f._""'2 ____ &,......,.n"' ___ ---------------------------- 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 IB"N"o DNA ONE DYes ~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 ofthe structures n~ed maintenance or improvement? 0 Yes ~ DNA D NE 8. Do any of the stuctures lack adequate markers as required by the permit? DYes ~ DNA D NE (Nat applicable to roo fe d 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? DYes ~DNA ONE Waste Apolication 10. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes II. Is there evidence of incorrect app lication? If yes, check the appropriate box below. 0 Yes D Excessive Ponding D Hydraulic Overload D Frozen Gro und 0 Heavy Metals (Cu, Zn, etc .) DNA ONE DNA ONE D PAN 0 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 of Wind Drift 0 Application Outside of Area 12. Crop type(s) _ .... ~=T&.'*-~~,v::....,.., ...Jw~LIO.&o,.f4.c.~f'--7J~<e::::z:v.....!:l\/~--------------------- 13. Soil type(s) ¥ 14. Do the receiving c rops differ from those designated in theCA WMP'! 15. Does the receiving crop and/or land application site need improvement? D Yes DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination ? 0 Yes ~DNA O NE ~DNA ON E ~0 DNA D NE ~DNA ONE ~DNA O NE I 7. Does the facility lack adequate acreage for land application? I 8. Is there a lack of properl y operating waste application equipment? .. -.,.,. ...... #)i Expl~in ·-~·-·;n •:wo better explain Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes 12128104 Continued ~· . I Facility Number: £32-bS7I Date of Inspection lf-Z£:1() I Required 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 appropriate box. D WUP 0 Checklists 0 Design D Maps D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes ~DNA ONE DYes ~DNA ONE DYes ~DNA ONE D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis D Waste Transfers D 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? . 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? 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 General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? DYes ~DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~DNA ONE DYes ~ 0NA ONE DYes ~ DNA ONE DYes rn(o DNA ONE DYes ~NA ONE DYes 0 DNA ONE 12118/04 11-/.]'-UJtJ 9 ompliance Inspection 0 Operation Review Reason for Visit ~tine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Date of Visit: lh-12 -0 9 l Arrival Time:l/.2 :2 0 ..,,....l Departure Time: II,' 5Zl~....., l County: Region: . r , FarmName: 41aYCitS ~lf'\J;tf!_./.s ror-/VI Owner Email:-------------- OwnerName: /f/ttt-C:q.s· bJNids Phone: Mailing Address: -----------------------------------____ _ Physical Address:---------------------------------------- Facility Contact: G ~N 0 /4/1/I'Vuf J /-. _/ y ... L. ' Title: ~1 • ::;t:-..............--PhoneNo: _______________ _ Onsite Representative: 6 '-ND ;C.e,,.JAJi'-d !J A~llv-Cit ~ .PaNIJJ Integrator: ----'-'~--'--Wvp-F-=t J-=r---c-8c:;__rr!M::___W ____ _ Operator Certification Number: _....:...1'...;1_0_7__,_L/ __ Certified Operator: '"' --' ----------- Back-up Operator: --------------------------Back-up Certification Number: Location of Farm: .-,oD'D" Latitude:~ Longitude: Discharges & Stream Impacts 1. 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 the discharge reach waters o f the State? (If yes, notifY DWQ) c. What is the estimated volume that reached waters of the State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impacts or potential adverse impac ts to the Waters of the State other than from a di sc harg e? DYes ~o DNA ONE DYes Wo DNA ONE DYes ~ DNA ONE I DYes ~DNA ON E DYes ~DNA ONE DYes ~DNA ONE 12128104 Continued \' I Facility Number: 82 -~SI I Date of Inspection Itt-/ Z -tJ91 Waste Collection & Treatment 4. Is storage capacity (structural plus stonn storage plus heavy rainfall) Jess than adequate? a. If yes, is waste level into the structural freeboard? Structure 2 Structure 3 Structure 4 DYes ~o DNA ONE DYes ~ DNA ONE Structure 5 Structure 6 Structure I Identifier: L4J (r?e) Spillway?: No L«!..J -z (~~·-"~j=-----------___________ _ Designed Freeboard (in): I '7 Observed Freeboard (in): 27 til/ kD 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 ~DNA ONE DYes ~ 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 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? II. Is there evidence of incorrect application? If yes, check the appropriate box bel o w. DYes ~DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~o DNA ONE DYes ~ DNA ONE 0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN D PAN> 10% or 10 lbs 0 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 Area 12. Croptype(s) So 1bc:c.:A/5 . vJ/, '"""/ 13. Soillype(s) A~ B > 14. Do the receiving crops differ from those designated in the CA WMP? DYes [3'1'lo" D NA ONE 15. Does the receiving crop and/or land application site need improvement? D Yes ~DNA ONE 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? DYes ~D NAD NE 17. Does the facility lack adequate acreage for land application? 18. Is there a Jack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: DYes ~DNA ONE DYes ~DNA ONE Phone: tfiO. 't-33. 33tJO Date: I/-/Z -2LJO 11128104 Continued ~ . . ~ I Facility Number: fJ2 -615/ I Date of Inspection I //-/Z -~ &J I Required 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 theCA WMP readily available? If yes , check the appropriate box. 0 WUP D Checklists D Design 0 Maps 0 Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes DYes ~DNA ~DNA ONE ONE DYes ~DNA ONE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis D Waste Transfers 0 Annual Certification D Rainfall D Stocking D 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 ~ 0 NA 0 NE . 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Otber Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 29 . Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? 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 General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? d, ...... <-Z-cl 0 S1~d~ .s· ~ t"i/~ J.: ,-.I c... 3 ·-3i-{) 7 DYes ~DNA ONE DYes ~DNA ONE DYes ~o DNA ONE DYes ~-DNA ONE DYes ~ DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes GH(o' DNA ONE DYes ~0NA ONE ltJt<.~ k_. kl{,l~ d • ._kd_ ? -1<6 -09 ~£ .. '}../~ ~.1--.r-J ~J._ (),/Cf ~. ~c<'~ S ·~ . .::...P ..U..,';s ~ I -2 ·0 IV/JZ--/i.!D,O _~ L'-Jcc,J Z.. ~L)o"N ( -~&~;I -k.sf-'1· Z'l-69 s-t~-~td-o,J<. ~ 12118/04 I BIItt.S 9-o~-oB R~ Type of Visit 0 Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Region: F/Z.O DateofVisit: la-o(p~oBJ Arriva1Time:l2:aap ........ I DepartureTime: 13!/0o-.l County: s~~SCI'J FannName: /J40..'CC.U..5 hC\..NieJ.S F~Y~ ~wnerEmail: ____________ _ Owner Name: Ma.lrCuS "f:>4,..,ie/s Pbone: Mailing Address: ------------------------------------------- Physical Address:------------------------------------------ Facility Contact: 6&-Jo KeNJJe..d.J Title: ____;{:.....:;.d...:__....,..•....,..S;;..<~~---.. --PhoneNo: _____________ _ Onsite Representative: G e..!Vo K~NNul::J Integrator: t1lu!f4y /?l'()wN Certified Operator: ~~~ 'ba.;..JJ'd..S__________ Operator Certification Number: ICJ'O 7tj Back-up Operator: --------------------Back-up Certification Number: Location of Farm: .---,oD'D" Latitude: L__j Longitude: Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? DYes Sifo Discharge originated at: 0 Stru ctu re D Application Field D Other a . Was the conveyance man-made? DYes GNo b. Did the discharge reach waters ofthe State? (If yes , notify DWQ) DYes DNo c. What is the estimated volume that rea ched waters of the State (gallons)? d. Does discharge bypass the waste manag ement system? (If yes , notify DWQ) DYes 0No 2. Is there evidence of a past discharge from any part of the operation? 3. Were th ere any adverse impacts or potential adv erse impacts to th e Waters of the State other than from a di scharge? Page 1 of 3 DYes IH'T'fo DYes ~ 12118/04 DNA ONE B"NA ON E []1\fA. ONE I ~ ONE DNA ONE DNA ONE Continued ....... I Facility Number: ~2-,P 51 I Date of Inspection lA -()b-0 liJ 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 DYes ~o DNA ONE DYes ~ DNA ONE Structure 5 Structure 6 Identifier: -----=-'---___ 2. ___________ --------------------- Spillway?: ------------------------------------------ Designed Freeboard (in): ------------------------------------------ Observed Freeboard (in): __ if ..... · ....:0:;.,_ __ ---~.:.........::0;__ ______________ ------------ 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 DYes ~DNA ONE ~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? 0 Yes ~ 0 NA 0 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) DYes ~DNA ONE 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? DYes ~DNA ONE Waste Application I 0. Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes II. ls there evidence of incorrect application? Ifyes, check the appropriate box below. DYes D Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.) ~DNA ~-DNA D PAN D PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area ONE ONE 12. Crop type(s) --~+-!~~~+-...JW.6.1...!hru.J(u<£..-..!./-_____________________ _ 13 . Soil type(s} 14. Do the receiving crops differ from those designated in the CAWMP? DYes 15 . Does the receiving crop and/or land application site need im provemen t? DYes 16 . Did the facility fail to secure and/or operate per the irrigation des ign or wettable acre deterrnination?D Yes 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: Pagel of 3 DYes DYes 12128104 No DNA ONE ~ DNA ONE ~ DNA ONE DNA ONE ~ DNA ONE Continued .. -~ I Facility Number: 1fZ-651] Required Records & Documents Date of Inspection 11-{)6-CJ Bl 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 , chec k the appropirate box . 0 WUP 0 Checklists 0 Design 0 Maps 0 Other DYes ~ DNA ONE DYes (3"f(o 0 NA 0 NE 21 . Does record keeping need improvement? If yes , check the appropriate box below. D Yes ~ 0 NA D NE 0 Waste Application D Weekly Freeboard 0 W aste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification 0 Rainfall D Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rain In spections D Weather Code 22 . Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24 . Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did th e facility fail to conduct a sludge survey as required by the permit? 26 . Did the fa c ility fail to have an acti vel y certified op e rato r in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non -compliance of the permit orCA WMP? 29 . Did the facility fail to properly dispose of dead animals within 24 hours and/or do cum ent 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 ? If yes, contact a regional Air Quality representative immediately 31. Did the facility fail to notify the regional office of emergency s ituations as required by General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33 . Does facility require a follow-up visit by same agen cy? Page3 of 3 DYes ~ DNA ONE DYes ~DNA ONE DYes IB'No DNA ONE DYes ~0 DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~0 DNA ONE DYes ~ DNA ONE DYes ~ DNA ONE DYes ~DNA ONE DYes ~DNA ONE DYes DNA ONE ~ L .. • • ---· .. _.. .. •.• • • .. • .. • ... -.=,.) ... , • • -.. • .1.-:;· 12/18104 e Division of Water Quality 0 Division of Soil and Water Conservation 0 Other Agency Type of Visit W Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit "' Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Departure Time: 13 0~ Region: F/20 · FarmName: ~~~~==~L-~~~~UL--~~~~~~~~-------Owner Email: --------------------------- Owner Name: --~!..-l....::::ll;;.;.....;;:::..;:;=;..._------=CJG_=-=n:.....L.:....ie..::::..../...;:,s=---------Phone: Mailing Address: --------------------------------------------------------------------- Back-up Operator: ----------------------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Design Current Design Current Des ign Current Swine Capacity Popula'tion Wet Poultry Capacity Population Cattle Capacity Population ID Wean to Finish I I I 10 Layer I I I 0 DairvCow 0 Wean to Feede r , .I.. :0 Non-Layer D DairvCalf -~ceder to Finis h foYt:O 0 Dairv Heife1 ' 0 Fa rrow to Wean ;;goo Dry Poultry 0 DrvCow I 0 Farrow to Fe eder 0 Non-Da irv 0 Lavers . 0 Farrow to Fin ish 0 Beef Stocker ' 0 Non-Lavers i 0 Gilts D Beef feeder 0 Pu llets I 0 Boars 0 Beef Brood Co"W 0 Turkeys I --.. ----· ·-·-·-· ---- Other 0 Turkey Poults IDother I I I 0 Other Number of Structures: ~· . --- Discharges & Stream Impacts I. Is any di scharge observed from any part of th e operation? D Yes p{)No DNA O NE Discharge originated at: 0 Structure D Appli cati o n Field 0 Other a. Was the conveyance man -made? DYes 0No /QNA ONE b. Did the disc harge re ac h waters of the State? (If yes, notify DWQ) DYes 0 No aNA ONE c. What is the e stimated volume that reached waters of the State (gall ons)? ----I d . Does discharge bypass the waste management system? (If yes, noti fy DWQ) 2. Is there evidence of a past discharge from any part of the operation? 3. Were there any adverse impact s or pote nti a l adverse impacts to th e Wate rs of the State other than fr om a discharge? D Yes 0 No ~NA O NE DYes ~No DNA ONE D Yes D .No ~NA ONE 12!28104 Continued .!Facility Number¥;J: -G'5\ I Waste Collection & Treatment Date of Inspection 1\'Z, 11/o-:p- 1 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 Structure4 DYes ~No DNA ONE 0 Yes l)l.No DNA 0 NE Structure 5 Structure 6 Identifier:----'---____ -z_ __ ___.. ____________ ------------ Spillway?: Designed Freeboard (in): --..a.,1:..,...0~.--_ I Cf ~ 0\lrttU I Hj Observed Freeboard (in): -----'~L.......::=---___ 7.!...-':>.-... ______________ ------------ 5. Are there any immediate threats to the integrity of any of the s tructure s observed? DYes (ie/ large trees, severe ero sion, seepage, etc.) ~No 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 questi ons 4-6 were answe red yes, and the situation poses an immediate public health or environmental threat, notify DWQ 7. Do any of the structures need maintenance or improvement? DYes li{No DNA ONE 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) D Yes ~No DNA ONE 9. Does any part of the waste management system other than the waste structures require maintenance or improvement? DYes 9aNo DNA ONE Waste Application 10 . Are there any required buffers, setbacks, or compliance alternatives that need maintenance/improvement? DYes~o DNA ONE II. Is there evid ence of incorrect application? If yes , check the appropriate box below. 0 Yes ~o DNA 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 D Failure to Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area WNd 12 . Crop type(s) ~~Sl(\':\ 13. Soil type(s) £\f 14 . Do the receiving crops differ m those des•gnated m theCA WMP? 15. Does the receiving crop and/or land application site n eed improvement? D Yes DYes 16 . Did the facility fail to secure and/or operate per the irrigation design or wettable acre dete rmination ?O Yes I 7. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? DYes DYes $No ~No ~No ~No ijehNo Comments (refer to question#): Explain any YES answers and/or any recommendations or any other comments. Use drawings of facility to better explain situations. (use additional pages as necessary): DNA DNA DNA DNA DNA ONE ONE ONE ONE ONE A 1- 1-..... Reviewer/Inspector Name C.. +-t KJS-rl N t H!ON Phone: g 10\433 ~ Date: L'X:J-( • lq 2J::$) 7 Reviewer/Inspector Signature: C~L:uA> -L-~ ' 12128/04 Continued • • ., Facility Number:~ d-~S fl Date of Inspection • Required 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 theCA WMP readily available? If yes, check the appropirate box. 0 WUP D Checklists 0 Design 0 Maps D Other 21. Does record keeping need improvement? If yes, check the appropriate box below. DYes l)~No DNA D NE DYes lSifNo DNA D NE DYes ~o DNA ONE 0 Waste Application 0 Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification 0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rain Inspections D Weather Code 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the penn it? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? If yes, contact a regional Air Quality representative inunediately 31. Did the facility fail to notify the regional office of emergency situations as required by General Permit? (ie/ discharge, freeboard problems , over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? Additional Comments and/or Drawings: DYes FJ'No DNA ONE DYes 0No 'Jl.NA ONE DYes J9-No DNA ONE DYes l3No DNA ONE DYes ~No DNA ONE DYes 0No (XNA ONE 0 Yes 1)Zl No DNA 0 NE DYes Qi.No DNA ONE DYes KJNo DNA ONE DYes lfJ No DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE .A - -... 12128/04 • I ,.·Facility No. ~d.-loS \ Farm Name (Y\p.f c.M.~ Time In cl, /,) Time Out ___ _ ~\~(s F-Q~ VV'-Integrator _L....-:"-loL.It.....f.:-__;,__;;--*-,----~- Owner N\o.( CM ~ ~ \ S Site Rep -~"..fo:::::II'---Y-.----"-..-....~"-"ooJ'....,.,_-'Y Operator-----------------No . __ _,_/-f-l~oo<-~'---- Back-up No.--------- COC Circle: ~) or NPDES Desi n Current Desi n Current Farrow-Feed Farrow-Finish Gilts I Boars Others Sludge Survey --------'~ os I L&'C Crop Yield ___ _ Rain Gauge _,.-- Soil Test ~ ~ Wettable Ac res ___ _ Weekly Freeboard c....--: Daily Ra i nfall ~ Rain Breake,..---- PLAT ~ 1-in lnspectionV'_· ___ _ Spray/F reeboard Drop __._.f&' ___ ~--F{---""(\""')JJ..='l-/-W~------------ Weather Codes___ 120 min lnspectio~s __ _ Waste Analysis: Date N itrogen (N) Date Nitrogen (N) Pull/Field Soil Crop Pan Window t. n J . r"\ ' , I{J u u I d .,.4-I iltf 7 I 0 \.) \ ' Type of Visit • Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit e Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access Date ofV.isit: 18-t>~-()6:, I Arrival Time: 1'2.:4011., I Departure Time: 1-z; zs:;"41 County: Sa4tn SAy Region: C~ ~ r ' Farm Name: /)1/artJJ$ Da1uit / krvn Owner Email: ------------ Owner Name: /Jday~ kS l:ucN/< / Phone: Mailing Address: ----------------------------------------- Physical Address:----------------------------------------- Facility Contact: G (;#0 ~ Title: ~cL.. ¥e-C..• Phone No:--------- :U.: ..... A~... ~~~,./ Onsite Representative: -------------------Integrator: -~/!!._~_.~.,~-.-~-'PJ ·-~7~-__;.c>:=;;._,_.....;,... ____ _ , Certified Operator:--------------------Operator Certification Number: ------- Back-up Operator: --------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: Discharges & Stream Impacts I. Is any discharge observed from any part of the operation? DYes l2fNo DNA ONE Discharge originated at: D Structure D Application Field D 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 reached waters ofthe State (gallons)? d. Does discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a 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? Page I of3 DYes ~No DNA ONE DYes ~No DNA ONE DYes liNo DNA ONE DYes (ijNo DNA ONE DYes i)rNo DNA ONE 11/28104 Continued . I. I Facility Number: tj2-loSt I Date of Inspection I sr-~9'-~~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 DNA ONE DYes ""No DNA 0 NE Structure 5 Structure 6 Identifier:---------------------------------------- Spillway?: Designed Freeboard (in): --------:------------------------------------ !: , Observed Freeboard (in): _ ___,;·...Jr£.~0"'--------------------------------------- 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 [J No DNA 0 NE If any of questions 4-6 were answered yes, and the situation poses an immediate public bealth 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) 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 OfNo DNA ONE DYes ~No DNA ONE DYes ~No DNA ONE DYes DNA ONE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes ~No ~No DNA ONE D Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.) D PAN 0 PAN> 10% or 10 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Area 12. Crop type(s) __ 5;o!.!s~yf..l61:i!..C:~~!:::rs:OL.,,.,_ • ....~.w~'L""'':..e4b....o/-'------------------------- 13. Soil type(s) d,Ji' 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 acre determination? 17. Does the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: Page 2 of3 .. "', ......... any YES ~~swers and/or any eiJIJJam situations. (use additional DYes [}!No DNA ONE DYes ~No DNA ONE DYes l;i No 0 NA 0 NE DYes lLfNo DNA ONE DYes pit No DNA ONE 0 12/28104 Continued ·~ I Facility Number: 12 -I!Sj I Required Records & Documents Date of Inspection I f-zir-P?J 19. Did the facility fail to have Certificate of Coverage & Permit readily available? 20. Does the facility fai I to have all components of the CA WMP readily available? If yes, check the appropriate box . 0 WLW 0 Checklists 0 Design 0 Maps 0 Other DYes ~No DNA ONE DYes l)iNo DNA ONE 21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes Q! No 0 NA 0 NE 0 Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification 0 Rainfall D Stocking D Crop Yield D 120 Minute Inspections D Monthly and I" Rain Inspections D Weather Code 22 . Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application equipment as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26 . Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28 . Were any additional problems noted which cause non~compliance of the permit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? 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 General Permit? (iel discharge, freeboard problems, over application) 32. Did Reviewerllnspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? Additionai·'Comments aiullor Drawings: PageJofJ DYes [iNo DNA ONE DYes ~No DNA ONE DYes ~No DNA ON E DYes l}t)No DNA ONE DYes I;JNo DNA ONE DYes [BNo DNA ONE DYes lj)No DNA ONE DYes ~0 DNA ONE DYes ~0 DNA ONE D Yes t;iJ No DNA ONE DYes !LfNo DNA ONE DYes ~No DNA ONE .. ·!· ·· -~· .. : ... ;:·:r;\:·'~-t~~~~·f. ... - -.., 12118/04 , Type of Visit • Compliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance Reason for Visit • Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access Date of Visit: I s-~ -os-1 Arrival Time: Itt;: It;" Departure Time: 1._ ___ ___.1 County: ~¥S"n Region: P/r'o FarmName: --~11.1.~=~~r.~c~v~~~L2~qua~,~e~/.~s~--L~~r~~~----------------Owner Email: -------------------------- Owner N arne: ________ __,_IY1...:.do:u..rl"-Y-~<'-'~<.__ _____ _,.O::...P .... a"-'-'' • e ..... t'--5..._ ____________ _ Phone: 9/tJ-,£.3/-o/030 Mailing Address: __,3~<-'t..r..;O"'-O::;...___,/J=.!<v.~n7J.n:a_____:_R.u.'ri~----------.<...:/(.._..ao<,;se~k,..r-~o..__,.;-_,./V'---"(."-------- Physical Address: ---------------------------------------------------------------------- Facility Contact: ---"'~'-'e'""a"-"'o'--_,.jj..L""....ca~n~e~.,""~YI..,..o:;,_-------Title: ----------------------PhoneNo: _______________ ___ Onsite Representatil'c: ---------------------------- Certified Operator: --=J:__,CJ"--'--'-h.Lin.._ __ ~Mu..-__ ..c./)"'-"q._.,"",'-'.~'-£L~s.__ _______ _ Integrator: /l/'17um.l cr 4roka4 L~"'9'} -4/'qu.,) Operator Certification Number: /90'7 ¥ Back-up Operator: ----------------------------------Back-up Certification Number: Location of Farm: Latitude: D OD'D" Longitude: D OD'D" Design Current Design Current Design Current Swine Capacity Population Wet Poultry Capacity Population Cattle Capacity Population ID Wean to Finish 10 Layer I I I I I 0 Wean to Feeder IQ-reeder to Finish G '-loo ~too : 0 Farrow to Wean i I 0 Farrow to F ceder 0 Farrow to Finish 0Gilts D Boars --· ---·· 0 Dairy Cow ' D Dairy Calf ' D Dairy Heite1 ' I 0 Dry Cow ! 0Non-Dairy D Beef Stockel D BeefFeeder D Beef Brood Cov. I ... ·-· . -----' .D Non-Lave1 Dry Poultry D Lavers 0 Non-Layers D Pullets D Turkeys Other 0 Turkey Poults ! OOther ' --~ -=--~ID==o~th~er~=---~-----~~----~11 Number of Structures: L_( __ l Discharges & Stream Impacts 1. Is any discharge observed from any part of the operation? DYes ~ DNA ONE Discharge originated at: 0 Structure 0 Application Field 0 Other a. Was the conveyance man-made? DYes 0No DNA ONE b. Did the discharge reach waters of the State? (If yes, notify DWQ) DYes 0No DNA ONE c. What is the estimated volume that reached waters of the State (gallons)? d. Docs discharge bypass the waste management system? (If yes, notify DWQ) 2. Is there evidence of a 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? DYes 0No DYes grro DYes ~ 11128104 DNA ONE DNA ONE DNA ONE Continued • • • I Facility Number:$;;?. -r,~l Date of Inspection I s:-t·o~ 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 DYes l:?No DNA ONE DYes CJNo DNA ONE Structure 5 Structure 6 " Identifier: _...;.;;...::;'mf::,;/.r=-~··,....------------------------------------- Spillway?: --t=~nL..I.oL-~----------------------------------- Designed Freeboard (in): -,::_/q 1 ' Observed Freeboard (in): .,,..,z.o;'/ -. .;._·.·r -. 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ large trees , severe erosion, seepage, etc.) DYes ~o DNA ONE 6. Are there structures on-site which are not properly addressed and/or managed DYes Q-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) 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 C?No DNA ONE DYes I:d-No DNA ONE DYes la"No DNA D NE DYes ld"No DNA D NE 11. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes [J.No 0 NA D NE 0 Excessive Ponding D 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 Incorporate Manure/Sludge into Bare Soil 0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area I 90 14'1 12. Crop type(s) .Sny6ea., /.,16,..6 f.: I 13. Soil type(s) 14. Do the receiving 'crops differ from those designated in theCA WMP? DYes 15. Does the receiving crop and/or land application site need improvement? DYes 16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination! D Yes 17. Docs the facility lack adequate acreage for land application? 18. Is there a lack of properly operating waste application equipment? Reviewer/Inspector Name Reviewer/Inspector Signature: DYes DYes Date: CJ.No DNA ~0 DNA 0No DNA 0No DNA ~ DNA ONE ONE CJ.b1E @ME ONE 12/18104 Continued I I Facility Number: 9.;1 -{,~( Date of Inspection I 5-'--0.L I Required Records & Documents 19. Did the facility fail to have Certificate of Coverage & Permit readily available? DYes ~ DNA ONE 20. Does the facility fail to have all components of the CAWMP readily available? If yes, check DYes 81ifo 0 NA 0 NE theappropiratebox. 0~0~ O~O¥a¢' D~ 21. Does record keeping need improvement? If yes, check the appropriate box.bel!lw. 3 ~s 0 No 0 NA 0 NE _yg-~o. ~;1. r;;-'1!-1.7 ({·lf5-73. 0 ~ Applieati~ [].weekly FICcboard [JJ'\Vaste Analysis 0 Seil Attel:ysis' 0 Waste Tr~~ 0-:~trmual CertificatiOtt" 0-R.aiRfuH--D~ski~g ~FQ~ Yietd 0 t 26 MinUte IH:tf'eetions OM'oildily mid I" Rain Inspections 0 WeatAer Sette 22. Did the facility fail to install and maintain a rain gauge? 23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 24. Did the facility fail to calibrate waste application et&;,bent as required by the permit? 25. Did the facility fail to conduct a sludge survey as required by the permit? 26. Did the facility fail to have an actively certified operator in charge? 27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? Other Issues 28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? 29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document 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? 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 General Permit? (ie/ discharge, freeboard problems, over application) 32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? 33. Does facility require a follow-up visit by same agency? ;;J.. I, fJ!ea_s~ Keef' a. II w~-k aruxfy s /.> wJ-t, .,eo.r,.,., -FQ('If'l. (l'o Jv~ er 4 fJ.S j.(;l!t~ ... 'v~~ 1~. J 4/01~/"5 ~ DYes ~DNA ONE DYes ~0 DNA ONE DYes liJ-N'o DNA ONE DYes ~0 DNA ONE DYes G}Tq"o DNA ONE DYes 0No DNA ~ DYes ~DNA ONE DYes Gf1'io DNA ONE DYes G"No DNA ONE DYes ~0 DNA ONE DYes GfNo DNA ONE DYes [Z(' No DNA ONE f'ect!Jrr/; CUI s,i-~.al- re'" 1ar7 ~vf- t'tjv{ "h a~"e 'lo /- , f:'c-r, 11'1 /1tJ f.e t.,o/c', 0-en" kenn~cl7 1 In recc,-.d k Ji!.t!!",r't~, Q 9~..f-, had (J-1 f ~11 c c!Jf''"J Jvt'l.)~e CMtz.ly$-S, 12128104 Type of Visit e Compliance Inspection 0 Operation Review 0 Lagoon Evaluation Reason for Visit • Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other 0 Denied Access Facili~-!'umber I g:z. H 41 S"{ I Date of \"isit: I 7 'fl/·O't I Time: L---~~~~~~~_:~::::~~::~~~----__J! ~~C>~-~~o•t~O~p~e-ra~t~io~n~a~I--~()~B~e~lo~~~·~T~h~r~K~h•o•ld~ ~~itted 1:9--Ce'rtified Farm !\arne: [J Conditionally Certified [J Regi~tered l2ea•~/s h:,;m Date Last Operated or Abo,·e Threshold: Coun~·: .5a.rqa<an Owner !liame: ___ :...M--=a:..:;;--L..c.~o:v:...Sit..-_ _:/J::::....:t::t:::..n~,..~.('"'/...::s._________ Pbone No: --------------- Mailing Address: ----'S'::...L-1 L/-'-'-1-.L..A.:..~vo:::...!..:.fr~vuvo:::.:'~"l.:..~.le_.!..ll?~c-';:;&.-----'A~v fr / v)/e.,, A/ ( r , .,;)83/ g FaciJi~· Contact: k~'aal!'4 Title: -----------Phone"o: ---------- Integrator: 1'1 v.;ttl')' &a<Mt );'I' .mu,J., Onsite Representati\'e: J Certified Operator: ---'I~e:.::l.~n:.r.___tn~"---/JotJ ,', /s Location of Farm: Operator Certification !'umber: 19C7 -?Lf ~ IIL-sVi"ine 0 Poultry D Cattle 0 Horse Latitude L--~1· L-1 _ __,I' Ll _ ___,.JI" Longitude I• I I· I , .. Design Current Design Current Design Current Swine Capacitv PCM»ulation Poultry Cal!acitv Pol!ulation Cattle Cal!acin· Pol!ulation 0 Wean to Feeder sLaver I I I IODaiN I I I ~eder to Finish u 1tou o..t&o Non-Laver : :o Non-Dairv : lFarrow to Wean !Dother 0 Farrow to Feeder I I I 0 Farrow to Finish Total Design Capacity I I D Gilts I I 0 Bean; Total SSLW Number of Lagoons I 2_ I ID Subsurface Drains Present liD Lagoon Area ID SJ!nl'" Field Ar~· I ~olding Ponds I Solid Tnps I I ID !'o Liguid Waste Management S\·stem Discharges & Stream lmoacts 1. Is any discharge observed from any pan of the operation? Discharge originated at: 0 La2oon 0 Sora v Field 0 Other a . If discharge is observed, was the conv eyance man-made? b. lf discharge is observed. did it reach Water of the State? (If yes. no tify DWQ) c. If discharge is observed. what is the estimated flow in gaVmin? d . Does discharge bypass a lagoon system? (If yes, notify DWQ) 2 . Is there evidence of past discharge from any pan of the operation? I 3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge? Wane Collection & Treatment 4 . Is storage capacity (freeboard plus storm storage) less than adequate? 0 Spillway Identifier: Freeboard (inches): 05/03101 '· Strucrure I Srrucrure2 Strucrure3 Strucrure4 .).. Srrucrw-e 5 .. . -. ~ .. :. --'· ... - DYes ~ DYes [3-No DYes ~ ---DYes I31fo DYes GNo DYes GtNo DYes Biio Structure 6 Contilfued , !Facility Number: 8:1. -~ ~ 1 Date of Inspection 17 -;Lt -elf 5. Are there any immediate threats to the integrity of any of the structures observed? (ie/ 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? 11. Is there evidence of over application? If yes, check the appropriate box below. 0 Excessive Ponding D PAN D Hydraulic Overload D Frozen Ground D Copper and/or Zinc 12. Crop type ~·Q)' beru. . 1-vAec;f: I 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 ]ssues 17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge atlor 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. Reviewer/Inspector Name Reviewer/Inspector Signature: 12/12103 DYes~ DYes~ DYes g.NO DYes g.-NO DYes I:J.Nt) DYes GNb DYes ~ DYes 9-NO DYes ~ DYes [Y.N6 DYes [J-No DYes Q.Nb DYes !3-KO DYes DNo DYes [J.No DYes @*"o DYes (3-NO Continued Date of Inspeetion I '7ft -oL( Required Records & Document.o; 21. Fail to have Certificate of Coverage & General Pennit or other Permit readily available? 22. Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available? (iel~sts,.desigil,~) 23. Does record keeping need improvement? If yes, check the appropriate box below. D~ Opeebemd 0 Waite Aaalyiii 0 Seil Sampling 5"-JI-7 ;J.~ OJJ I-1/-)_ :2 3 70-;J j 11!_ J.() 24. Is facility not in compliance with any applica~le setback critena'M 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? (ie/ 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 aNPDES 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. Does record keeping for NPDES required forms need improvement? If yes, check the appropriate box below. 0 Stocking Form l91:foP Yield Form [)-Rajllfall-0 ~ 0 i2e Minttte :lftspestioDi D Annual CeRifieatian reRB DYes DYes DYes DYes DYes DYes DYes DYes DYes B-Yes DYes DYes DYes DYes DYes D No violations or deficiencies were noted during this visit. You will receive no further correspondence about this visit. 3s-. t1 ev.'cwtJ {I'Of' V,·t! !J F"rJf'l.s, Has {Jit:015 fc W]c)f.v / "s:Je /c;<;jC<J i 1 bc-~ kJ, 12112103 (g1l(o' [9-Nt5 [9-Nt:l [9-NO @-NO [3-NO fi].NO [3-N'o ~ DNo [3-No' [9-NO [1J.Ko @-NO' ONo ...... ....._