820654_INSPECTIONS_20171231

NORTH CAROLINA
Department of Environmental Quality
Date of Visit: I q::..Jf:/ f1 Arrival Time: I J C).' :So Departure Time: I /i2: 3v I County: _5~ p-t.-Region: ~
Farm Name: ;z;;;£ Coani.z .;::fz,r/1'1---Ac. S-J?"' Owner Email:
Owner Name: Oi?h'ua CbPd1 Phone:
Mailing Address:
Physical Address:
Facility Contact: G t'r-<" r l2;h e; /' c:: Title: -,/d._ ~c .. Phone:
Onsite Representative: Integrator: , Z?'r-2~
Certified Operator: .. £~ Certification Number: ~ ?-U
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~ DNA ONE
Discharge originated at: 0 Structure D Application Field D Other:
a. Was the conveyance man-made?
b. Did the discharge reach waters ofthe State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (ga ll ons)?
d . Does the discharge bypass the waste management system? (If yes, notify DWR)
2. Is there evidence of a past di sc harge 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 of3
0 Yes 0No DNA ONE
0 Yes 0No DNA ONE
DYes 0No DNA ONE
0 Yes ~ DNA ONE
DYes E:rN'o DNA ONE
21412015 Continued
!Facility Number: t!;2 -(p.z.t-f
Waste CoUection & Treatment
I Date of Inspection: 7-tf--X?/if
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): (t
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~ DNA ONE
D Yes 0 No D NA 0 NE
Structure 5 Structure 6
DYes [31iio DNA D NE
DYes @'No 0NA 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?
DYes ErN'o 0 NA 0 NE
D Yes [3"N'o 0 NA 0 NE
DYes ~o DNA ONE
0 Yes c:rN'o 0 NA D NE
11. 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 D PAN> 10% or lO 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): J>-c-')11~ /oe4'csr-r) / CO/Y\.... /w£-_1-£~~£-~
13 .Soi1Type(s): /1a;,..,$ ,/f.iZJMbv/'D~ /,Jbi/'-h/lc /
14 . Do the receiving crops differ from those designated in theCA WMP?
15. Does the receiving crop and/or land application site need improvement?
16 . Did the facility fail to secure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
Required Records & Documents
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? lfyes, check
the appropriate box.
0WUP 0Checklists 0 Design 0 Maps 0 Lease Agreements
DYes
DYes
0 Yes
0 Yes
0 Yes
0 Yes
0 Yes
Oother:
EfNo DNA
EJNo DNA
ffNo DNA
c:TNo DNA
~0 DNA
c:fNo DNA
(a-No DNA
ONE
ONE
ONE
ONE
ONE
ONE
ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes LfNo DNA ONE
0 Waste Application 0 Weekl y Freeboard D Waste Analysis 0 Soil Analysis 0 Was te Transfers 0 Weather Code
0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections 0 Monthly and 1" Rainfalllnspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes crNo 0 NA 0 NE
23 . If selected, did the facility fai l to insta ll and maintain rainbreakers on irrigation equipment?
Page 2 of3
0 Yes [31'[o D NA 0 NE
214/2015 Continued
" !Facility Number: ?ji. -.[., rd !Date of Inspection :
24. Did the facility fail to calibrate waste application equipment as required by the pennit?
25. Is the facility out of compliance with pennit conditions related to s ludge? If yes, check
the appropriate box(es) below.
DYes~ DNA ONE
DYes G}-N'o DNA D NE
0 Failure to complete annual sludge survey 0 Failure to develop a POA for sludge le vels
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 nonnal?
29 . At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
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 Appl ication Field 0 Lagoon/Storage Pond 0 Other:
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
Rev iewer/Inspector Nam e:
Reviewer/Inspector Signature :
Page3 of3
D Yes E:r'No DNA D N E
DYes ~o DNA ONE
DYes ~ DNA ONE
DYes~ DNA ONE
DYes ~ DNA ONE
DYes~ DNA ONE
DYes Q--No DNA D NE
D Yes [JN'o 0 NA D NE
DYes~ DNA ONE
Phone: /zv -:_?o 3-P f.) I
Date: g-9-Lj-~/~
114/1015
DateofVisit:l ~ti-l y ArrivalTime:l//,'/2: Departure Time:! lct3 OjCouoty: 5~ Region: FlfD
Farm Name: JQ7j_ (Jf)e;n/,J, f?:?.//'Y\...-Tnc .. s--Y Owner Email:
Owner Name: Phone:
Mailing Address:
Physical Address:
Facility Contact: _6:;...· .z..(..:.T....Jr~C __ .L/11~0:....:()::...;rc_:.......:::::;;.... __ Title: Phone:
Onsite Representative: Integrator:
Certified Operator: Certification Number:
Back-up Operator: Certification Number:
Location of Farm: Latitude: Longitude:
Discharges and Stream Impacts
I . rs any di scharge observed from an):' part of the operation? 0 Yes ~N o
Dis charge originated at: D Structure 0 Application Field D Other:
a. Was the conveyance man-made? 0 Yes 0No
b. Did the discharge reach waters of the State? (If yes , notify DWR) DYes 0No
c. What is the estimated volume that reached waters of the State (gallons)?
d. Does the disc harge bypass the waste management system? (If yes, notify DWR) DYes 0No
2. Is there evidenc e of a past discharge from any part of the operation?
3 . Were there any observable adverse impacts or potenti a l adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
DYes [®No
0 Yes ~0
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
1 1412015 Continued
.!Facility Number: g;J'-U.-?-/( I I nate of Inspection: Cj-Jl/-I 7
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): /9-
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?
0 Yes 59-No 0 NA D NE
0 Yes 0 No 0 NA 0 NE
Structure 5 Structure 6
D Yes [E}No 0 NA D NE
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 DWR
7. Do any of the structures need maintenance or improvement?
8 . Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits , dry stacks, and/or wet stacks)
9 . Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improveme nt?
0 Yes l&l_No
DYes ~o
DYes ~o
DNA ONE
DNA ONE
DNA ONE
0 Yes (Xt No 0 NA 0 NE
II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~o 0 NA 0 NE
0 Excessive Ponding 0 H ydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN > I 0% or I 0 lbs. 0 Total Phosphorus 0 Fa ilure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable C rop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12 . CropType(s): hrnuJet ,f&v~cx:zrJ V!AHtrL /wfcJ /.!5qy4-4JI-..5
13 . Soil Type(s): Ba "ln.-s /64 f/Jbl2c!) / rJ/) ffi/k
14 . Do the receiving crops diffe r from those designated in theCA WMP ?
15 . Does the receiving c rop and/or land application site need improvement?
16 . Did the facility fail to sec ure and/or operate per the irrigation design or wettable
acres determination?
17. Does the facility Jack adequate acreage for land application?
18. Is there a lack of properl y operating waste application equipment?
Required Records & Documents
19 . Did the facility fail to have t he Certificate of Coverage & Permit readily available?
20. Does the facility fail to have all components ofthe CA WMP readily available? If yes, check
the appropriate box .
Ow up Ochecklists 0 Design 0 Maps 0 Lease Agreements
DYes
DYes
DYes
DYes
DYes
5No DNA ONE
~No DNA ONE
~No DNA ONE
[)SNo DNA ONE
QgNo DNA ONE
DNA ONE
DNA ONE
21 . Does record keeping need improvement? If yes, check the appropriate box below. 0 NA 0 NE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Weather Code
D Rainfall Ostocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rainfall inspections 0 Sludge Survey
22 . Did the facility fail to install and maintain a rain gauge? 0 Yes {2q No 0 NA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? 0 Yes ~No 0 NA 0 NE
Page 1of3 1/411015 Continued
..
jFacility Number: ~-(,~~ !Date of lns~ection: 9--Lii-l~
24 . Did the facility fail to calibrate waste application equipment as required by the pennit? DYes ~0 DNA ONE
25 . Is the facility out of compliance with permit conditions related to sludge? If yes, check DYes
the appropriate box(es) below.
I2J No DNA ONE
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 D Lagoon/Storage Pond 0 Other:
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:
Reviewer/Inspector Signature:
Page 3 of3
DYes [Z}No DNA ONE
0 Yes ~No DNA ONE
DYes ~No DNA ONE
0 Yes ~0 DNA ONE
DYes ~No DNA ONE
0 Yes I)?J.__No DNA ONE
DYes ag_No DNA ONE
DYes ~No DNA ONE
DYes [3-No DNA ONE
Phone: 9zo -;:.)o~ t.s-1
Date: cr-;q-/(Ji 7
214/Z0/5
ompliance Inspection Operation Review Structure Evaluation
Reason for Visit: <d-1Coutine 0 Complaint 0 Follow-up 0 Referral 0 Emergency 0 Other
Date of Visit: 19":71-a?P/4 Arrival Time: I//)! oo l Departure Time:ld!.J'1) I County:¥;-Region: ~0
FarmName: ~ Cco,.~i.t 6;-m-.:::t::n~. r-r OwnerEmail:
Owner Name: (/Rsiu4 C Qrltz!t Phone:
Mailing Address:
Physical Address:
Facility Contact:
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
l. Is any di sc harge observed from any part of the operation?
Discharge originated at: 0 Structure 0 Application Field
a. Was th e 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)?
Phone: -----------
Integrator: /-'l ~~~
Certification Number: /:ri9;?-tJ
Certification Number:
Longitude:
~s g},No DNA ONE
DYes 0No DNA ONE
0 Yes 0 No DNA ONE
d . Does the di scharge bypass the wa ste management sys tem? (If yes, notify DWR) 0 Yes 0No DNA ONE
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adve rse impa cts or potenti a l adverse impacts to the waters
of the State other th an from a discharge?
Page I ofJ
0 Yes ~No
0 Yes ~No
DNA O NE
DNA O NE
114/1015 Continued
~Facility Number: i[;,P-t,e;-q
Waste Collection & Treatment
!Date of Inspection: ~ib/ t. I
' • 4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate? DYes ~No DNA ONE
DYes 0No DNA ONE a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure3 Structure 4 Structure 5 Structure 6
Identifier:
Spillway?:
Designed Freeboard (in): !?
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed? 0 Yes .ZJ. No 0 NA 0 NE
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a 0 Yes JK] No 0 NA 0 NE
waste management or closure plan?
If any of questions 4.(; 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?
0 Yes j2i.No
0 Yes ~No
DYes QlNo
0 Yes 0,_No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
I I. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes ~o 0 NA 0 NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12.CropType(s): &y.muk /ov~-.5~J /c.JJ..-'11. /;v/.,...//5~~
13. Soil Type(s): JiL?-;"'-i /Gntl~)oro M/h/fr;.
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?
Pagel of3
DYes
DYes
DYes
DYes
DYes
0 Yes
DYes
00ther:
. DYes
j&No
~No
3No
8.-.No
~No
~No a No
~No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
2/4/2015 Continued
.{facility Number: V:·-~Stf !Date oflnspection: ~/-.;;b/4
24. Did the facility fail to calibrate waste application equipment as required by the permit?
I
• 25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
DYes ~No DNA ONE
DYes ~No DNA ONE
the appropriate box(es) below.
D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail provide documentation of an actively certified operator in charge?
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?
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes OJ No DNA ONE
DYes 54_ No DNA ONE
DYes OO,No DNA ONE
DYes !)iNo DNA ONE
DYes DNA ONE
Phone: /! t?-.?/1'3-35"CCJ
Date: g--.3)-~/k
214/2015
•.
&. ....
·~~~~~~~~~~~~~ ompliance Inspection Operation Review 0 Structure Evaluation
Reason for Visit: .erR.outine 0 Complaint 0 Follow-up 0 Referral 0 Emergency
DateofVisit: I 2'"/o-/Jf Arriva1Time:l7t.3lJ I DepartureTime:I/D.~D
FarmName: 7/iduQ. c~ FP9!t lie .r-B-'
Owner Name: r!iJ,,Aua-eotH?/j.!
Mailing Address:
Physical Address:
Owner Email:
Phone:
I County: 2;;e;trrc..-Region:
Facility Contact: =c?==C=~=~=~~~~~:~~~~~~~~~----~--T-itl-e:~-~~-=-~~-~=--~~~~~-~~-~---_-_-_---P-h_o_oe_: ______________ __
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: 0 Structure D Application Field
a. Was the conveyance man-made?
D Other:
b. Did the discharge reach waters of the State? (If yes, notify DWR)
c. What is the estimated volume that reached waters of the State (gallons)?
Integrator: 8"-z::--¥--
Certification Number: '98''JY .e:?-o
Certification Number:
Longitude:
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
d. Does the discharge bypass the waste management system? (If yes, notify DWR) DYes 0No DNA ONE
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge ?
Page I of3
DYes
DYes
0No DNA ONE
0No DNA ONE
l/4/2014 Continued
•, !Facility Number: I nate of Inspection: 9"'ip -7_5-
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): II"
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?
0 Yes 12}-No 0 NA 0 NE
0 Yes 0 No 0 NA 0 NE
Structure 5 Structure 6
DYes ~No DNA ONE
DYes ~No DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWR
7. Do any of the structures need maintenance or improvement?
8. Do any of the structures lack adequate markers as required by the permit?
(not applicable to roofed pits, dry stacks, and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
11. Is there evidence of incorrect land application? Ifyes, check the appropriate box below. 0 Yes ~No 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): :&nng)a-/ &41~; ~~ W"-/ tvk;/:/ fHy,/_,.,., 1
13. Soil Type(s): Pa7~ /6-u/Adaro /,J~/G/~
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?
Page 2 o/3
DYes
DYes
DYes
DYes
DYes
DYes
DYes
Oother:
DYes
!29 No DNA ONE
~No DNA ONE
~No DNA ONE
!23-No DNA ONE
~No DNA ONE
~No DNA ONE
~No DNA ONE
~No
2/412014 Continued
~. !Facility Number: U-Wfl !nate oflnspection: cr=;p-Altf: 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 0No DNA ONE
0 Yes D No D NA 0 NE
0 Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
0 Non-compliant sludge levels in any lagoon
List structure(s) and date 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 0No DNA 0 NE
DYes 0No DNA ONE
DYes DNo DNA ONE
DYes 0No DNA ONE
D Yes D No D NA D NE
DYes 0No 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?
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:
Reviewer/Inspector Signature:
Page3of3
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
Phone: ?/e-t/..53-.33 DO
Date: f-~ t_s-
2/4/2014
Denied Access
Date of Visit: I ff'l-Ffli I Arrival Time:! L·'3 0
'W-sb~A
I Departure Time: I (Ill ! }Z> I County:
I ~~ 9&-" C w~ .s /=bon.4. ,...i=L~ Owner Email:
Region: FJ:O
Farm Name:
Owner Name: rrd,u.e: ~ A3 Fcv!?%$ L/ c Phone:
Mailing Address:
Physical Address: ------------------~-.....,....------tL----------------­__.6~T".~&::::...cn;_:_-r----=..;/J?.~DD~Y'?:--=----Title: ...... Tl~=~=L~$9~==-=~::....:.:...-· ' __ Facility Contact:
Onsite Representative: --~"~"'"· --=:..-='----------------
Certified Operator: rJP~huca CnomL3
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: 0 Structure 0 Application Field
a. Was the conveyance man-made?
0 Other:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Phone:
Integrator: ,frz;+=
Certification Number: cy-~
Certification Number:
Longitude:
D Yes f:Zl_ No DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No DNA ONE
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
0 Yes
DYes
~No DNA ONE
Eij No DNA ONE
214/101I Continued
••
• !Facility Number: loate of Inspection: 8"-r;?J-@rlj,
Waste CoUection & 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 l Structure 2 Structure 3 Structure4
Identifier:
Spillway?:
Designed Freeboard (in): 19
Observed Freeboard (in):
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
0 Yes ~No 0 NA ONE
DYes DNo DNA ONE
Structure 5 Structure 6
DYes ~No DNA ONE
0 Yes ~ No 0 NA 0 NE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify 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?
D Yes ~No D NA 0 NE
DYes 5No DNA ONE
D Yes ~No D NA 0 NE
0 Yes fiZJ No 0 NA 0 NE
I I . Is there evidence of incorrect land application? If yes, check the appropriate box below. D Yes ~No D NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn, etc.)
0 PAN D PAN> 10% or 10 lbs. D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): Col"n-&£..£'5 ')" £.~
13 . Soil Type(s): {?r., U6 Jnco ·
14. Do the receiving crops differ from those designated in theCA WMP?
15 . Does the receiving crop and/or land application s ite 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 theCA WMP readily available? If yes, check
the appropriate box.
Dwup Ocheck.lists 0 Design 0 Maps 0 Lease Agreements
DYes {g. No DNA ONE
DYes ~No DNA ONE
DYes [glNo DNA ONE
DYes f2J No DNA ONE
0 Yes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
00ther:
21. Does record keeping need improvement? If ye s, check the appropriate box below. D NA D NE ~Yes DNo
0 Waste Application j2g. Weekly Freeboard 0 Waste Analysis D Soil Analysis 0 Waste Transfers 0 Weather Code
0 Rainfall 0 Stocking 0 Crop Yield 0 120 Minute Inspections D Monthly and I" Rainfall Inspections 0 Sludge Survey
22. Did the facility fail to install and maintain a rain gauge? 0 Yes !29--No DNA 0 NE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment?
Page2of3
DYes jgl.No DNA ONE
214/2011 Continued
v
I
· jFacility Number: ~~ ~ I nate of lns}!ection: tr-0'-1-ll.f
24 . Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE
25. Is the facility out of compliance with pennit conditions related to sludge? If yes, check DYes QgNo DNA ONE
the appropriate box(es) below.
D 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? DYes IZJ No DNA ONE
27. Did the facility fail to secure a phosphorus loss assessments (PLAT) certification? 0 Yes ~No DNA ONE
Other Issues -28. Did the facility fail to properly dispose of dead animals with 24 hours and/or document DYes fig 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 _g, 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 b'iNo 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 pennit orCA WMP? 0 Ye s 1)1No DNA ONE
33 . Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA O NE
34. Does the facility require a follow-up visit by the same agency? D Yes ~No DNA ONE
;7 I. Ff"crk,..f r~eoJ_.. t>Pr no5~'7 Fr:>ra/'-t"J {)F77~~ y/,.1-.,_~c /iLJc~
hr rrru~()<'-.:, ~ ,.,.. ;JcuJ """'""" owh.-.r-Jl.._, k,.-p IV" --4 'Ao«p-d5 1--
wrf/ e~,~~ '70 /..pok roY" rJ'I~,_;=,~k . .,/ rrcod .
...~---) A A , J. A rr ft~ T7.m z: b~-r-J ~ ::C:ac-r...-_,Alb'l C~t--'11~ A.~ ~t:vr'.!S t:!J.L '"? '
r,'l:(),\ "!/ t:JwJ?.,.,,_j /175/;?7 .
Reviewer/Inspector Name : Phone :
Reviewer/Inspector Signature: Date: -------------------
Page 3 of3 1/412011
Date of Visit: Arrival Time:lfl ! /0 Region:W-
Farm Name: __ ---r_~......;-';;....~-=---=----~.....:....\~n~!\...L..I..rrb.~~-----Owner Email: ---------------------------------
Owner Name: 1 ( Phone:
Mailing Address:
Physical Address: --------:--------::----------------------------------------------------------------------
;:j" CJ\t'-1 t{"""t""-L"-j,.. Title: -~ bGJ< Facility Contact: ---=~----~-----~~~~------
Onsite Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I. Is any discharge observed from any part of the operation?
Discharge originated at: D Structure 0 Application Field
a. Was the conveyance man-made?
0 Other:
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Phone:
Integrator: -------------------------
Certification Number:
Certification Number:
Longitude:
DYes~ DNA ONE
DYes DNo (B1'1A ONE
DYes DNo ~ ONE
d. Does the discharge bypass the waste management system? (If yes, notify DWQ) DYes 0No [!j"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
~ DNA ONE
~ DNA ONE
214!2011 Continued
I Facility N ~mber: ' 'tl: ?liSt{: I I Date of Inspection:~ 11i qqj
Waste Collection & Treatment
4. Is storage capac ity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Identifier:
Spillway?;
Designed Freeboard (in):
Observed Freeboard (in):
Structure I Structure 2 Structure 3
1'1
Structure4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees , severe erosion, seepage, etc .)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes ~ DNA ONE
DYes ~ DNA ONE
Structure 5 Structure 6
0 Yes [)'?No 0 NA 0 NE
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 structures lack adequate markers as required by the permit?
(not applicabl e 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 n eed
maintenance or improvement?
DYes
DYes
O Yes
DYes
11. Is there evidence of incorrect land a pplication? If yes, c heck the appropriate box below. 0 Yes
~DNA ~DNA
~DNA
DNA ONE
DNA ONE
0 Excessive Ponding 0 Hydraulic Overload 0 Froz en Ground D Heavy Metals (Cu, Zn, etc.)
0 PAN 0 PAN > 10% or 10 lb s. 0 Total Phosphorus 0 Failure to Incorporate M~nure/S ludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Approved Area
12. Crop Type(s): G~.r~ Whu/-B e--v {'
13 . Soil Type(s):
14. Do the receiving crops differ from those designated in theCA WMP?
15 . Does the receiving c rop 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
D Yes
DYes
DYes
0 Yes
DYes
DYes
00ther :
DYes
!Ja"'No
rn-N"o
~0
~ ~
~
orNo
rn%>
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
21411011 Continued
!Facility Number: QA -a;sq I IDateoflnspection: BS"if/3 I
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 permit conditions related to sludge? If yes, check
the appropriate box(es) below.
DYes
0 Failure to complete annual sludge survey D 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 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 nonn.al ?
29 . At the time of the inspection did the facility pose an odor or a ir quality concern?
If yes, contact a regional Air Quality representati ve 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 0 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 revi ew/inspection with an on-site representative? DYes
34. Does the facility require a follow-up visit by the same agency? DYes
~
0No
lk(No
~
~
~
[l(No
~0
~
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
Reviewer/Inspector Name:
Rev iewer/Inspector Signature:
Phonl{O:tJ 3-36l,q
Date : /S .~~ol6
Page3 of3 114/1011
0 Denied Access
Date of Visit: I g l1lt~ I Arrival Time: 1\\ ~3o ~~I Departure :nme:l a ~CXl pf' I County: ~AI'\P.SOtJ Region: F to ,, .
Farm Name: t<\::t f'\ (\""t.e""' ~ 1-\-R..C'f\ Owner Email:
Owner Name: ~'\. ,..s.. ~ • \'f\:,._0 sgc:,.\--.. Phone:
Mailing Address :
Physical Address: -----------------------------------------
Facility Contact: ~N ~~~~~"' Title: 0w~t.R.
Onsi_te Representative:
Certified Operator:
Back-up Operator:
Location of Farm: Latitude:
Discharges and Stream Impacts
I . Is any di scharge observed from any part of the operation?
Discharge originated at: D Structure 0 Application Field D Other:
a. Was the conveyance man-made?
b. Did the di sc harge reach waters of the State? (lfyes, noti fy DWQ)
c. What is the estimated volume that reached waters of the State (gallons)?
Phone: ~1,-3'3~~ 8'CiSLf
Integrator: \)R~~t
Certification Number:
Certification Number:
Longitude:
DYes d:o DNA ONE
DYes DNo cijNA ONE
DYes 0No QfNA ONE
d. Does the di scha rge by pass the waste management sys tem ? (If yes , notify DWQ) DYes 0No ci1'NA ONE
2. Is there evidence of a past discharge from any part of the operation?
3. Were th ere any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a disc harge?
Page I o/3
DYes
DYes
~No DNA ONE
~No DNA ONE
2/4110 II Continued
I Facility Number: C(IJ~ -G5q I I I
!Date oflnspection: 9/"lf/:J.
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
Identifier: j; ':J.__
Spillway?:
Designed Freeboard (in): '-, .. -'~'-S .......... __
Observed Freeboard (in): d 5
Structure2 Structure 3 Structure 4
5. Are there any immediate threats to the integrity of any of the structures observed?
(i.e., large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed through a
waste management or closure plan?
DYes ~No DNA ONE
D Yes 0 No DNA D NE
StructureS Structure 6
DYes ~No DNA ONE
DYes ~No DNA ONE
If any of questions 4-6 were answered yes, and the situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement?
8. Do any of the 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 Aoptication
10. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance or improvement?
DYes S'No
0 Yes S'No
DYes [9'No
DYes !St'No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
II. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes B No D NA D NE
D Excessive Ponding D Hydraulic Overload D Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs. D Total Phosphorus 0 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(s): eo~~, \..J "'-t-~ ,~be.~
13. Soil Type(s): G C Aq C.,-o A /Ro
14. Do the receiving crops differ from those designated in the C A WM P?
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?
Pagelof3
DYes
DYes
DYes
DYes
DYes
DYes
DYes
00ther:
0 Yes
~No
Q'No
gNo
0No
~No
gNo
~No
~No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
' ......
I Facility Number: joate of Inspection: qf,Jj d. .. :.
24. Did the facility fail to calibrate waste application equipment as required by the pennit?
25. Is the facility out of compliance with permit conditions related to sludge? If yes, check
the appropriate box(es) below.
DYes ~o DNA ONE
DYes~~~ 'DNA ONE
D Failure to complete annual sludge survey 0Failure to develop a POA for sludge levels
D Non-compliant sludge levels in any lagoon
List structure(s) and date of first survey indicating non-compliance:
26. Did the facility fail 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 nonnal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
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 ~No DNA ONE
DYes 0No ~NA ONE
DYes ~No DNA ONE
DYes 5rNo DNA ONE
DYes [3'No DNA ONE
DYes ~No DNA ONE
D Application Field 0 Lagoon/Storage Pond 0 Other:
---~~-------------------
&No 32. Were any additional problems noted which cause non-compliance of the permit orCA WMP?
33. Did the Reviewer/Jnspector 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:
Reviewer/Inspector Signature:
Page 3 of3
DYes DNA ONE
DYes ~No DNA ONE
DYes 0No DNA ONE
'..., "'~'-" "
_-41'-. ··~~~ ... '
..... --r• ·~:.-=--"'" ~-
Phone: Cj'IO·Jdlj-~J
' Date: 0.\ '"\-\ '?.
214/2011
0 Technical Assistance
Reason for Visit: 0 Routine 0 Complaint 0 Other 0 Denied Access
Date of Visit: I\ ~\m\" I Arrival Time: I jJ::x> e~ I Departure Time: I B'.a.JP'"' I County:S~ () Region: rRO
Farm Name: fT\:r nn J<Lh. FA~"' Owner Email:
Owner Name: --Job"' R. ~(\ f\I' c h. Phone:
Mailing Ad~ress: Lcl\!iS P:rnt R.:r C?tp~-f?c.A p F'u:sof\, }VC.
Physical Address: -----------------------------------------
Facility Contact: ·~b\:l ~ nn1(1 h Title: Owf\nR Phone:
Onsite Representative: Integrator: Pllc$1/tjt filllrnS
Certified Operator: Certification Number: ....;.l_].....__,g.....__,1'--l -----
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? DYes fl] No DNA ONE
Discharge originated at: D Structure 0 Application Field
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (If yes, notify DWQ)
D Other:
DYes :~ DNA ONE
DYes DNA 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 DWQ) DYes 111~ DNA ONE
2. Is there evidence of a past discharge from any part of the operation?
3. Were there any observable adverse impacts or potential adverse impacts to the waters
of the State other than from a discharge?
Page 1 of3
DYes
DYes
~No DNA ONE
No DNA ONE
114/2011 Continued
' ' I Facility Number: ~ d: I nate of Inspection: \ ~\OCJ \ \
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure 1 Structure 2 Structure 3 Structure 4
Identifier:
Spillway?:
Designed Freeboard (in):
Observed Freeboard (in): 4.3
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?
0 Yes IR:J No
0 Yes IKJ No
DNA ONE
DNA ONE
Structure 5 Structure 6
0 Yes IX] No D NA D NE
DYes 11;] No DNA D 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? 0 Yes ttJ No DNA D NE
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 ~No DNA ONE
DYes ~No DNA ONE
0 Yes I4J No DNA D NE
11. Is there evidence of incorrect land application? If yes, check the appropriate box below. 0 Yes []No DNA D NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
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 0 Evidence of Wind Drift D 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 irrigation design or wettable
acres determination?
22. Did the facility fail to install and maintain a rain gauge?
23. If selected, did the facility fail to install and maintain rain breakers on irrigation equipment?
Page2of3
DYes
DYes
DYes
DYes
DYes
DYes
DYes
00thcr:
DYes
DYes
DYes
I[] No
00 No
KJ No
[XI No
IXJNo
~No
KJNo
fl]No
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
DNA ONE
lt1 NA D NE
214/2011 Continued
" .... I Facility Number: -Lt54 I nate of Inspection: I )..Joq / (-\
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.
0 Yes [XI No 0 NA 0 NE
DYes ~No DNA ONE
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 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 nonnal?
29. At the time of the inspection did the facility pose an odor or air quality concern?
If yes, contact a regional Air Quality representative immediately.
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:
DYes IXJNo DNA ONE
0 Yes (XI No 0 NA 0 NE
0 Yes I2J No D NA 0 NE
DYes ~No DNA ONE
0 Yes fl] No DNA 0 NE
0 Yes 00 No 0 NA 0 NE
------------------------
32. Were any additional problems noted which cause non-compliance of the permit or CAWMP?
33. Did the Reviewer/Inspector fail to discuss review/inspection with an on-site representative?
34. Does the facility require a follow-up visit by the same agency?
GcOo ~tto.~o \',t.~~:x. (\\ .
t ~(\.fr\ ri ~' -o S \00 I<~ ~ ooP
Reviewer/Inspector Name:
Reviewer/Inspector Signature:
Page3 of3 \
0 Yes IX] No
0 Yes IXJ No
0 Yes ~No
DNA ONE
DNA ONE
DNA ONE
Phone: C(JO ·qJJ -3330?
Date: ___./(.c;.JI5..,
1
f-J/aL-9.L,/,._:I'-t __ _
214/2011
0 Compliance Inspection 0 Operation Review tructure Evaluation 0 Technical Assistance
Reason for Visit 0 Routine 0 Complaint 0 Follow up 0 Referral 0 Emergency ~ 0 Denied Access
Region: Date of Visit: (;?---30/ ol Arrival Time: I lit r Dv I Departure Time: 1.3! 3 0 I County; ¥rr:=:
Farm Name: m ;p(l; 'L ~-..---Owne< Ema;l: --------------
Owner Name: ~t"\.._ /Z... 1?11 1"1 n.i CJ;, Phone:
Mailing Address: ......,d~· J"---'-l...:.::~=.s.· J~_-=n=----.'----=ll.~'e=---....:....'R~tA~t ___ .~o...oo:c)~~~N'b5~tJ~/ ___ .......::;2;....._7SJ h
Physical Address:---------------,-----------------------------
_y;J-V-.1"'-·.:...:..""--=-...J.· fn:..L...L..._~....:• t'\.~n..L..JJ; co....L.h.L......_ Title: f)& ncr Facility Contact: PbooeNo: _________ ~-----
Onsite Representative: ----.,S_,L.a::-<:::..::.........:::~====-----------Integrator: .ffr~
Certified Operator: ----'-----------"5=--~....::.. -------------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 S.No DNA ONE
Discharge originated at: 0 Structure 0 Application Field D Other
a. Was the conveyance man-made?
b. Did the discharge reach waters ofthe 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 y es , notify DWQ)
2. Is there evidence of a past discharge from any part ofthe operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of 3
DYes DNo DNA ONE
DYes 0No DNA ONE
DYes 0No D NA O N E
DYes S.No D NA ONE
DYes jZl No D NA ONE
12128104 Continued
' •
I Facility Number: fi:-/zr':(l Date of Inspection 1?-;-SD=-/b
Waste Collection & Treatment
4. Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If ye s, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
DYes ~o DNA ONE
DYes 0No DNA ONE
Structure 5 Structure 6
Identifier:-----------------------------------------
Spillway?:
Designed Freeboard (in): --~/._J..._ __ ------------------------------
Observed Freeboard (in): ---'1~£""'--------------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~No DNA ONE
(ie/ large trees , severe erosion , seepage, etc.)
6 . Are there structures on-site which are not properly addressed and/or managed DYes BNo 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 th e waste structures re quire
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
DYes ~No DNA O NE
DYes ~No DNA ONE
DYes !Sa No 0 NA 0 NE
II . Is there evidence of in co rrect application? If yes, check the appropriate box below. 0 Yes ~No 0 NA 0 NE
0 Excessive Ponding D Hydraulic Overload 0 Frozen Ground D Heavy Metals (C u , Zn, etc.)
0 PAN 0 PAN > 10% or 10 lbs D Total Phosphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acceptable Crop Window 0 Evidence of Wind Drift 0 Application Outside of Area
12. Crop type(s) ~·:::......---------------------------------
13 . Soil type(s) ~ft J Ra_
14. Do the receiving crop s differ from those de signated in the CA WMP? DYes
15. Docs 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 ? DYes
17. Does the facility lack adequate acreage for land application?
18 . Is there a lack of properly ope rati ng was te app lic ation equipment?
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Pag e 2 of 3
DYes
DYes
Phone:
Date:
0No DNA ONE
0No DNA ONE
D NoD NA 0 NE
DNo DNA ONE
0No DNA ONE
Continued
'•
I Facility Number: 8'/l:-?S"M Date of Inspection I# 7-::3' v '1-tD
Required Records & Documents
19. Did the facility fail to have Certificate of Coverage & Permit readily available? DYes ~o DNA ONE
DYes ~No DNA ONE 20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropriate box. 0 WUP 0 Checklists D Design 0 Maps D Other
&Yes ~-DNA ONE
D Waste Transfers ~ti'al Certification
21. Does record keeping need improvement? lfyes, check the appropriate box below.
0 Waste Application gweekly Freeboard D Waste Analysis 0 Soil Analysis
D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections D 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 or CAWMP?
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
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
DYes
ria No DNA ONE
UlNo DNA ONE
!»No DNA ONE
&;1No DNA ONE
fi?tNo DNA ONE
filNo DNA ONE
~No DNA ONE
~No DNA ONE
~No DNA ONE
~No DNA ONE
12!No DNA ONE
~No DNA ONE
-. -~
~-. ·-"" '
Page 3 of3 12128104
Revels, Ricky
From:
Sent:
To:
Subject:
Ricky,
John Minnich [e-mail]]
Tuesday, March 09, 2010 9:58AM
Revels,Ri~
POAforF ~
Today is the end of the 30-day POA for my farm. I sent you an email about a week ago, telling you that I had managed to
get my lagoon level down to 19 inches but there was rain coming in a day or two after that. Well it rained 1 3/4. I am
pumping some today and hope to have it close to the 19 inch level by the end of the day. Again, we are expecting rain
this week.
What is the next step regarding the POA? Can I extend it another 30 days?
John Minnich
919 332 8954
1
Revels, Ricky
From:
Sent:
To:
John Minnich [[e-mail]]
Tuesday, March 09, 2010 10:43 AM
Revels, Ricky
Cc: [e-mail]
Subject: staus of farm ID 82-654
Ricky,
I just realized the email I thought I sent to you last week, was sitting in my outbox ... never sent.
This is what I was trying to send:
Ricky,
On March 1 I had the lagoon pumped down to 19 inches then it rained about 1 3/4 inches over the next
two days.
If someone plans to visit the farm, I want to make sure you know how to get on the property. Over the past two years I
have changed the entrance.
From Clinton, take 403 (Faison Highway) towards Faison.
Turn right on Pine Ridge Rd a couple miles out of Clinton.
About 4 miles on Pine Ridge is a crossroad where Dave Bright is the road on the left and Cabin Museum is the road on
the right.
Go through that intersection and travel about 2 miles.
On the left is my farm, Prestage Sign says " J&J " farm.
I have a key to the gated hidden on a nail. The nail is behind the yellow 'Wildlife" sign.
Let me know you got this so I know I have your email address correct.
If you need to get in touch with me call me on 919 332 8954.
John Minnich
This is a PRIVATE message. If you are not the intended recipient, please delete without copying and kindly advise us by e·mail of the mistake
in delivery.
NOTE: Regardless of content, this e-mail shall not operate to bind esc to any order or other contract unless pursuant to explicit written
agreement or government initiative expressly permitting the use of e-mail for such purpose.
1
·' i
Type of Visit ~pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access
Date of Visit: I "7-ro...-f\t Arrival Time: Q?\oo
Farm Name: /h. i n.n_ rC-h Fat ,.,....._..
DepartureTime: j31,30 I County:..;)~ Region: ,Ef<O
OwnerEmail: ----------------------------
Owner Name: ---~TD~·;..:h..:..""-:...=---__.;.TlJ......:....:....• _ ..... m~...~./ ..... n;..:...:...n.:;;.....:.;.L.c_,hr:.....~... ____ _ Phone:
Mailing Address: --------------__,.--------------------------------------------------------------
Physical Address: -------------------------:------------------------------------------------------
Facility Contact: ___.rJ/;.'""'o.""~"""':..:;Vl'-"----0/ ........ ......,_,i'n'-'-'-'n._~ .... J=..o.....:.·--Title: Own r-,C PhoneNo: ________________ _
Onsite Representative: -----;:J~&t""""""A'-------------_...;.------Integrator: ?r~
Certified Operator: _____ __._, ..,.5.::.J!..a-...r~-.. .... -==---------------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 KINo DNA ONE
Discharge originated at: 0 Structure D Application Field D Other
a. Was the conveyance man-made?
b. Did the discharge reach waters of the State? (lfyes, 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?
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes ~No DNA ONE
DYes 1:3-No DNA ONE
Page 1 oj3 11/18104 Continued
' 4
l Facility Number: ~ -Jpz! I Date of Inspection 12--)D -10 I
Waste Collection & Treatment
4 . Is storage capacity (structural plus storm storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
DYes ~o DNA ONE
DYes 0No DNA ONE
StructureS Structure 6
Identifier:---------------------------------------
Spillway?:
Designed Freeboard (in): __ .._;_1....:.9-___ ------------------------------
ObservedFreeboard(in): __ tj...L.to..£''----------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed? O Yes ~0 0 NA 0 NE
(ie/Iarge trees, severe erosion, seepage, etc.)
6. Arc there structures on-site which are not properly addre ssed and/or managed 0 Yes ~o 0 NA 0 NE
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 improveme nt ?
8. Do any of the stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9 . Does any part of the waste management system other than the waste structures require
maintenance or improvement? ·
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement? '
0 Yes ,S.No 0 NA 0 NE
0 Yes .lia_No 0 NA D NE
DYes 00-No 0 NA 0 NE
DYes ~No DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes 0-No 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
0 PAN D PAN > 10% or lO lbs 0 Total Pho sphorus 0 Failure to Incorporate Manure/Sludge into Bare Soil
0 Outside of Acce ptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area
12 . Croptype(s) ~n./eJr.h~
13 . Soil type(s ) ffo ft / At<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 irriga tion 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?
.t6'q~es~on#>: .. £ .~ .. , .... 11,..11
arlll.w•nm;ror facility ~o :~etter ex,>laiiil sJifui!tici•ns:~(us
DYes
DYes
DYes
Oves
DYes
Gl,No DNA ONE
~No DNA ONE
~NoD NA 0 NE
DNA ONE
DNA ONE
Reviewer/Inspector Name
Reviewer/Inspector Signature:
Phone: ~~~~~~~---­
Date: 17:>
Page 2 of 3 12128104 Continued
I Facility Number:$2--b5l/l Date of Inspection l 2::5'oi0
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? Ifyes, check
the appropriate box. D WUP 0 Checklists 0 Design 0 Maps D Other
21. Does record keeping need improvement? If yes, check the appropriate box below.
DYes ~o DNA ONE
DYes lKNo DNA ONE
DYes ~o DNA ONE
\,
0 Waste Application D Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification
0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections D Monthly and I" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes J0-No DNA ONE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes [&No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes 'SNo DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes ~0 DNA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes IM:No DNA ONE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CAWMP? DYes jZlNo DNA ONE
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or document DYes ~No DNA ONE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~No DNA ONE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by DYes jQ_No DNA ONE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes ~No DNA ONE
33. Does facility require a follow-up visit by same agency? DYes ~No DNA ONE
Page 3 of 3 12128/04
' ...
Type of Visit G-cc)mpliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ~ne 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Region: J=i?D Date ofVisit: 19-4-lib?fl Arrival Time: It ! In? I Departure Time: L;;;? ~ t/ .. ~1 County~~
Farm Name: fl1; on iC.h ea~f'V\..-; Owner Email:-------------
T:L~ ~k VIA '~ OwoerName:~~~~n~~~--~--~---~UJ~~i~a~h .. i~~~~~~------Phone:
Mailing Address: -----------------------------------------
Physical Address:-----------------------------------------
Facility Contact: PboneNo: ________________ __
Onsite Representative: --------'-' 1.L.:.~:....::....:::iioo-=:;____________ Integrator: f/' ~:2rz;;:;
Certified Operator: <~------------Operator Certification Number: -------
Back-up Operator: ---"--------------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude:
Discharges & Stream Impacts
l. Is any discharge observed from any part of the operation? DYes J»..No 0 NA D NE
Discharge originated at: 0 Structure 0 Application Field 0 Other
a. Was the conveyance man-made?
b. Did the discharge reach waters ofthe 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? (J f 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 DNA ONE
DYes 0No DNA ONE
DYes 0No DNA ONE
DYes 13.No DNA ONE
DYes ~0 DNA ONE
12128104 Continued
. '
I Facility Number: 1J-. -{a5l.f1 D»te oflnspection I 9' -U-lfll
~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?
DYes SNo DNA ONE
DYes DNo DNA ONE
Stmcturc I Stntcture 2 Structure 3 Structurl.! 4 Structure 5 S tructure 6
Identifier:------------------------------------
Spillway?:
Desi gned Freehoard (in): __ ....,1,_/_Cf:,__ __ -----------------------------------
Observed Freeboard linJ: -~-347'---------------------------------------
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?
0 Yes ti(JNo DNA 0 NE
DYes ~No DNA ONE
If any of questions 4-6 were answered yes, and tbe situation poses an immediate public health or environmental threat, notify DWQ
7. Do any of the structures need maintenance or improvement? ~Yes 0 No 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)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
DYes ~No DNA ONE
DYes }g.No DNA ONE
10. Are there any required buffers, setbacks, or compliance alternatives that need O Yes DJ.No DNA 0 NE
maintenance/improvement?
11 . Is there evidence of incorrect application? If yes, check the appropriate box below. 0 Yes 00-No D NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D 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 Area
12 . Crop type(s) Cavr. /vJ.,of=J¥~
13 . Soil type(s) CZ:IJ.A-//? .:L
14. Do the receiving crops differ from those designated in theCA WMP? 0 Yes ~No 0 NA 0 NE
15. Does the receiving crop and/or land application site need improvement? 0 Yes jgNo DNA D NE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination!O Yes ~No DNA 0 NE
17 . Does the facility lack adequate acreage for land application? 0 Yes S No 0 NA 0 NE
18 . Is there a lack of properly operating waste application equipment? 0 Yes ~No DNA 0 NE
Comments (refer to question#): E1plain any YES answen and/or any reeommendations or any other comments.
Use drawings of facility to better e1plain situations. (use additional paees as necessary):
~Q:»z-t;;;;~ ())o,.F-~tr "~ ~"~<>5-• -
f-•
Reviewer/Inspector Name ~~..~.,..A-. 71::::-Phone: 9.f.o-lj J3 -33CO
Reviewer/Inspector Signature: ..->.£/ LDL Date: 9 -··~~ ~--,. 11128/04 Continued
I Facility Number:82:: -k@l Date of Inspection I cr-4 -o=tl
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 0 Checklists 0 Design 0 Maps 0 Other
DYes l&l..No DNA 0 NE
DYes (gNo DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below. 0 Yes l2J.No 0 NA 0 NE
D Waste Application 0 Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification
D Rainfall D Stocking 0 Crop Yield 0 120 Minute Inspections 0 Monthly and I" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes ~0 DNA ONE
-23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes IR.No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes (giNo DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes QlNo DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes [SNo DNA ONE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~No DNA ONE
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?
DYes jE-No DNA ONE
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes [BNo DNA ONE
If yes , contact a regional Air Quality representati ve immediately
31. Did the facility fail to notify the re g ional office of emergency situations as required by DYes ~No DNA ONE
General Permit? (ie/ di scharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes .f2a No DNA ONE
33. Does facility require a follow-up visit by same agency? DYes jlWo DNA ONE
12118/04
.l .,
ompliance Inspection 0 Operation Review 0 Structure Evaluation 0 Techni cal Assistance
Reason for Visit ~ne 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: I ~,...Arrival Time: I / !l/D I Departure Time: 12.' 1.5"7 I coun ty :~ Region : ;:=lf;D
Farm Name: ifJ. 7 ~~ a/J ich l7:zr-17'---Owner Email :--------------
0wner Name: _ _,[ii......=...o...;..h::...nu..... __ ___,_R~----=ld~~:....~ n~tl"-r:..::-ch::E:...J~...__ __ Phone:
Mailing Address: ______________ ____., ______ --------------------
Physical Address :-----------------------------------------
Facility C ontac t : ~ ;;;( /J1r nn .-J,.. Title: -----------Phone No : ________ _
Onsite Representativ e: __ ..5_~---------------­
Certified Op e ra tor:---'~;;;;..._~----------------
lntegrator :7~~
Operator Certification N umber: 1 7 ?CZI
1 Back-up Ope rator: --------------------Back-up Certific ation Number:
Location of F a r m : L atitude: D OD 'D " Long itude: D OD'D"
Di sc h a rges & Stream Impa cts
I . Is a ny d ischarge observ ed from any part of th e operatio n ? 0 Yes 3-No DNA O NE
Di sch arge ori ginated at: 0 Struc tu re 0 Applicatio n Field 0 O ther
a. Was the conveya nce man-made ? D Yes 0 No D NA O NE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) D Yes 0 No D NA O NE
c. What is the estimated volume that reached wate rs of the State (gallons)?
d . Does disc harge bypass the waste man age ment system? (If yes , notify DWQ) D Yes 0 No D NA O NE
2. Is there evidence of a past di scharge from any part of the operatio n?
3 . Were there any adverse impacts or potential adverse im pacts to the Waters of th e State
other than from a disc harge?
Pa ge I of 3
D Yes 18:No
D Yes ~No
12128104
DNA O NE
D NA ONE
Co ntinued
[Facility Number; 1":}--fo6'( I Date of Inspection I Gr ?io Y
Waste Collection & Treatment
4. Is storage capacity (structural plus stonn storage plus heavy rainfall) less than adequate?
a. If yes, is waste level into the structural freeboard?
Structure I Structure 2 Structure 3 Structure 4
DYes ~No DNA ONE
DYes 0No DNA ONE
Structure 5 Structure 6
Identifier:-----------------------------------------
Spillway?:
Designed Freeboard (in): --+1_'7..:.... __ --------------------------------
Observed Freeboard (in): --'1+, _.,...,.·£;.,._ __ -------------------------------
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?
0 Yes 12f.No 0 NA D NE
DYes [Sa.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 ofthe structures need maintenance or improvement? ~Yes 0 No DNA D NE
8. Do any of the stuctures lack adequate markers as required by the pennit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
DYes 6l.No DNA ONE
DYes E!No DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. S.Yes 0 No DNA D NE
D Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground D Heavy Metals (Cu, Zn , etc.)
0 PAN D PAN> I 0% or I 0 lbs 0 Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
~Outside of Acceptable Crop Window 0 Evidence of Wind Drift D Application Outside of Area
12 . Croptype(s) Cvcn1 Wk~z'7~i
13. Soil type(s) (}so /I: /Ka
14. Do the receiving crops differ from those designated in theCA WMP?
15. Does the receiving crop and/or land application site need improvement?
DYes
DYes
16 . Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination?O Yes
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
r''~-~~a.~ ~6~~~
DYes
DYes
hcJ r~~J~6~ /#Vrc-rl---3o 7JJ.-,q,,.... ~/-4·
~.exce~~i~
[X No DNA
~No DNA
0No DNA
jgLNo DNA
JKI..No DNA
ONE
ONE
ONE
ONE
ONE
Reviewer/Inspector Name
Reviewer/Inspector Signature: Date: t:, ~¢. 7-C!EJor"
Pagel of 3 12128104 Continued
-i I Facility Number:$.2-:-65§1
Reguired Records & Documents
Date of Inspection I ~ PY
19. Did the facility fail to have Certificate ofCoverage & Pennit readily available?
20. Does the facility fail to have all components of theCA WMP readily available? If yes, check
the appropirate box. D WUP 0 Checklists D Design 0 Maps D Other
DYes 18No DNA ONE
DYes l3.No DNA ONE
21. Does record keeping need improvement? Ifyes, check the appropriate box below. 0 Yes j8No 0 NA 0 NE
0 Waste Application D Weekly Freeboard D Waste Analysis 0 Soil Analysis 0 Waste Transfers 0 Annual Certification
D Rainfall D Stocking 0 Crop Yield D 120 Minute Inspections 0 Monthly and I" Rain Inspections 0 Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes 18-No DNA ONE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes 12f.No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes ~No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes i8No DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? DYes ~No DNA ONE
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit orCA WMP? DYes ~&No DNA ONE
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?
DYes jSNo DNA ONE
30. At the time of the inspection did th e facility pose an odor or air quality concern? DYes !:&No DNA ONE
lfyes, contact a regional Air Quality rep resentative immediately
31. Did the facility fail to notify the regional office of emergency situations as required by DYes ~No DNA ONE
General Permit? (ie/ discharge, freeboard problems, over application)
32. Did Reviewer/Inspector fail to discuss review/inspection with an on-site representative? DYes 1:5.No DNA ONE
33. Does facility require a foll ow-up visit by same agency? DYes ~No DNA ONE
Pagel of 3 11118/04
I Facility Number I ltt_~tj II
G-1:r.'Vi sion of Water Quality ?-7-0 7 uH 0 D ivisi on of Soil and Water Conservation sttt' . ..--
0 Other Agency ..
•.
···'
Type of Visit ~pliance Inspection 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit 0«'0Utine Ocomplaint 0 Follow up 0 Referral 0 Emergency 0 Other D Denied Access
Date or Vis it: I &:-J,ac/1 A rrival Time : I
Farm Name: fl!; an ,• c.h
I ~DO Departure Time: bj.'.JO I C ounty $~ Region: ~
G-r,__.. Owner Email : --------------
Owner Name: _...,;G.~.co/J...,.n....,._ __ .;...l(.,.__ ___ M~.L..; ..:..~l'l.."""t'\.-....:=.~.i_..c.. .... b.=------Phone:
Mailing Address: -----------------------------------------
Physical Address:-----------------------------------------
Facility C ontact: .._Jr;A~"'"..L.L.n_ __ ..~,m..;..!.~/'""n""n~ir..:c.=-"--=---T itle : -----------Phone No:---------
Integrator: Prz-~ Onsite Representative: ..,;,5.:;:ue:2!::::""!::::::::::::A:=:=--------------I ~
Certified Operator: __ ... ~::::~:....__ _____ -----------Operator Certification Number: -------
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 P.opulation Cattle Capacity Population
D Wean to Feeder
ODairyCow ' I
0 Dairy Calf
ID Wean to Finish I I 10 Layer I I D Non -L ayer
S.feeder to Fini s h ra..croq It/ ()'f) D Dairy Hc ifc1
0 Farrow to W can
D Fa rrow to Feeder
D Farrow to Fini s h
D Gilts
D Boars ... -·
0 Dry Cow '
D Non-D airy '
D Beef Stocker i
0 Bee fFeeder
.
I
D Be e f Brood Cow I
I
-· . -.. -· . -
Dry Poultry
D Layers
0 Non-Layers
D Pull ets
0 T urkeys
Other 0 T urkey Pou lt s
D Other ID Other Number of Structures:
Discharges & Str eam Impacts
l. Is any di scharge observed from any part of th e operation? 0 Yes [2!No 0 NA D NE
Discharge originated at: D Structure 0 App lication Field D Other
a . Was the conveyance man -made? D Yes 0No DNA ONE
b. Did the discharge reach waters of the State? (If yes, notify DWQ) D Yes 0 No DNA O NE
c . What is the estimated volume that reached waters of the Stat e (ga ll ons)?
d . Doe s discharge bypass th e waste management system? (If ye s, notify DWQ)
2 _ Is there evidence of a past discharge from any part of the operation?
3. Were there any ad verse imp ac ts or poten ti al adverse impacts to the Waters of the State
other than from a discharge ?
D Yes 0No
D Yes pgNo
DYes 13No
12128104
DNA O NE
D NA ONE
D NA ONE
Continued
r . I Facility Number: &;?--1?511 Date 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 1 Structure 2 Structure 3 Structure 4
DYes l:aNo DNA D NE
DYes jii.No DNA D NE
Structure 5 Structure 6
Identifier:-----------------------------------------
Spillway?:
Designed Freeboard (in): ---'{_q__,_ __ ------------------------------
Observed Freeboard (in): _......:..3~JY'----------------------------------
5. Arc there any immediate threats to the integrity of any of the structures observed?
(ie/ large trees, severe erosion, seepage, etc.)
DYes f,&1No DNA ONE
6. Are there structures on-site which are not properly addressed and/or managed
through a waste management or closure plan?
DYes jglNo DNA D 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 stuctures lack adequate markers as required by the permit?
(Not applicable to roofed pits, dry stacks and/or wet stacks)
9. Does any part of the waste management system other than the waste structures require
maintenance or improvement?
Waste Application
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes ~o 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
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
12. Cmptype(s) Coa> j().}j..,..-.t_~
13. Soil type(s) G-oz4 / h<
I
14. Do the receiving crops differ from those designated in the CA WMP? D Yes [2lNo D NA D NE
15. Does the receiving crop and/or land application site need improvement? DYes lFJ.No DNA
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre detcrmination?D Yes 5iNo DNA
ONE
ONE
ONE
ONE
17. Does the facility lack adequate acreage for land application?
18. Is there a lack of properly operating waste application equipment?
DYes
DYes
~0 DNA
IS-No DNA
Comments (refer to question #): Explain any YES answers and/or any recommendations or any other commen~s.
Use drawings of facility to better explain situations. (use additional pages as necessary):
Reviewer/Inspector Name ~(/yo A ~ Phone: 9-JD -i~ •.33DO '/~
Reviewer/Inspector Signature: .A/7 .// ./ Date: K-~ ~:z ~>
12128/04 Continued
.... -
-...
... I Facility Number: U'"t5Lj1 Date of Inspection lg---3-0 21
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 CA WMP readily available? If yes, check
the appropirate box. 0 WUP 0 Checklists 0 Design D Maps 0 Other
DYes r:gNo DNA ONE
DYes raNo DNA ONE
21. Does record keeping need improvement? If yes, check die appropriate box below. 0 Yes 3.No 0 NA D NE
0 Waste Application D Weekly Freeboard 0 Waste Analysis 0 Soil Analysis 0 Waste Transfers D Annual Certification
0 Rainfall 0 Stocking D Crop Yield D 120 Minute Inspections 0 Monthly and I" Rain Inspections D Weather Code
22. Did the facility fail to install and maintain a rain gauge? DYes 3No DNA ONE
23. If selected, did the facility fail to install and maintain rainbreakers on irrigation equipment? DYes ~No DNA ONE
24. Did the facility fail to calibrate waste application equipment as required by the permit? DYes 18'1 No DNA ONE
25. Did the facility fail to conduct a sludge survey as required by the permit? DYes ~No DNA ONE
26. Did the facility fail to have an actively certified operator in charge? DYes ~No DNA ONE
27. Did the facility fail to secure a phosphorus loss assessment (PLAT) certification? D Yes 12lNo DNA O NE
Other Issues
28. Were any additional problem s noted which cause non-compliance of the permit orCA WMP? DYes ~No DNA ONE
29. Did the facili ty fai l to properl y dispose of dead animals within 24 hours and/or document DYes ~No D NA O NE
and report the mortality rates that were higher than normal?
30. At the time of the inspection did the facility pose an odor or air quality concern? DYes ~No D NA ONE
If yes, contact a regional Air Quality representative immediately
31. Did the facility fail to noti fy the regi onal office of emergency situations as required by D Yes
General Permit? (ie/ disc ha rge, freeboard problems, over application)
~No D NA O NE
32. Did Reviewer/Inspector fai l to discuss re v iew/inspection with an on-s it e representative? DYes IR!No D NA ONE
33. Does facility require a foll o w-up visit by same agency? DYes ~0 D NA O NE
Additional Comments and/or Drawings: ..
1-
1-...
12128/04
Type of Visit 0 Operation Review 0 Structure Evaluation 0 Technical Assistance
Reason for Visit ~utine 0 Complaint 0 Follow up 0 Referral 0 Emergency 0 Other 0 Denied Access
Date of Visit: 17-z"'t?l Arrival Time: I/! DO I Departure Time: ld : oo I County: ~ Region: EF D
Farm Name: ~A UQ C'!t>C)mh ~rl"'l. ~ Owner Email:--...,-.----------
Owner Name: ~ n /?1,' nl'\.) c."-Phone:
Mailing Address: Pl I 'R r:::J "Pi,., -s= fie/' d oy:r::: t! lzL,-/J ,A/ L ~ 7 SJ b
Phys ical Address:-----------------------------------____ _
Facility Contact: df?/, n. m ; "" (\. I ~ ~ Title: -----------
PhoneNo: ________ __
Onsite Representative: ___ J..::.....e~=~=-------------Integrator: ,?~1 z;;?.:c"
Certified Operator: ___ 5.~~=:::s._. __ -----------Operator Certification Number: -------
Back-up Operator: --------------------Back-up Certification Number:
Location of Farm: Latitude: D OD'D" Longitude:
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation? 0 Yes I!JNo DNA ONE
Discharge originated at: 0 Structure 0 Application Field D Other
a . Was the conveyance man-made?
b. Did the di sc harge reach waters of 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 p ast discharge from any part of the operation?
3. Were there a ny adverse impacts or potential adverse impacts to the Waters of the State
other than from a discharge?
Page I of3
DYes ~0 DNA ONE
DYes ~No DNA ONE
I
DYes IE. No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
12128/04 Continued
I Facility Number: a--/eljt{ I Date oflnspection lz-z-gG
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
0 Yes i}lNo 0 NA 0 NE
DYes ~No DNA ONE
StructureS Structure 6
Identifier:-----------------------------------------
Spillway?:
Designed Freeboard (in): __ /,__C):L.,_ __ -----------------------------------
Observed Freeboard (in): ___ 'i""'~z; __ -------------------------------
5. Are there any immediate threats to the integrity of any of the structures observed? DYes ~No DNA ONE
(ie/ large trees, severe erosion, seepage, etc.)
6. Are there structures on-site which are not properly addressed and/or managed DYes ~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 AppUcation
I 0. Are there any required buffers, setbacks, or compliance alternatives that need
maintenance/improvement?
13-.Yes 0No DNA ONE
DYes ij{No DNA ONE
DYes [mNo DNA ONE
DYes _tiQNo DNA ONE
II. Is there evidence of incorrect application? If yes, check the appropriate box below. DYes ~o 0 NA 0 NE
0 Excessive Ponding 0 Hydraulic Overload 0 Frozen Ground 0 Heavy Metals (Cu, Zn, etc.)
D PAN 0 PAN> 10% or 10 lbs D Total Phosphorus D Failure to Incorporate Manure/Sludge into Bare Soil
D Outside of Acceptable Crop Window D Evidence of Wind Drift D Application Outside of Area
12. Croptype(s) Ct>t?l /w/J ~~k~
13. Soil type(s) {1r0 A: / K01..
14. Do the receiving crops differ from those designated in theCA WMP? DYes lk:J No DNA ONE
15. Does the receiving crop and/or land application site need improvement? DYes ~No DNA ONE
16. Did the facility fail to secure and/or operate per the irrigation design or wettable acre determination? DYes ~NoD N~ D NE
17. Does the facility lack adequate acreage for land application? DYes ~No DNA ONE
18. Is there a lack of properly operating waste application equipment? DYes l)l,No DNA ONE
#): Explain any YES
dr;~\Vill~~s(c)f.Jraclili~y'ti[)'bett,er explain situations. (use addi,~ilrJatipi~:i!!~-~ neces.sa•~
Page 2 of3 12128104 Continued
j Facility Number: g?Z-bjJ(} Date of Inspection I 2-z:q b
--~ 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 0 Checklists 0 Design D Maps 0 Other
DYes ~No DNA ONE
DYes 18(No DNA ONE
21. Does record keeping need improvement? If yes, check the appropriate box below . 0 Yes (g_No DNA D NE
0 Waste Application 0 Weekly Freeboard 0 Waste Analysi s 0 Soil Analysis 0 Waste Transfers D Annual Certification
0 Rainfall 0 Stocking D Crop Yield 0 120 Minute Inspections 0 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 rainbreak.ers 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 perm 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) ce rtification?
Other Issues
28. Were any additional problems noted which cause non-compliance of the permit or CA WM P?
29. Did the facility fail to properly dispose of dead animals within 24 hours and/or docum en t
and report the mortality rates that were higher than normal?
30 . At the time of the inspection did the facility pose an odor or ai r quality concern?
If yes, contact a regional Air Quality representative immediately
3 1. 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 fa ci lity require a follow-up visit by same agency?
Additionai'C_ommeii.t$.:andlor Drawi~gs:
Page 3of3
DYes i2{No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes 181No DNA ONE
DYes ~No DNA ONE
DYes ~No )
DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
DYes (ilN~ DNA ONE
DYes 13No DNA ONE
DYes ~No DNA ONE
DYes ~No DNA ONE
. ;;.:" · .. ::::: .. ·r~.~· (~~.:·::~· ~t.f.~~~~~tf#;·.!f~~~~tr~~ .. : .. t~ ;~:
12128104
..... -
1--....
\
e Compliance Inspection 0 Operation Review 0 Lagoon Evaluation
Reason for Visit e Routine 0 Complaint 0 Follow up 0 Emergency Notification 0 Other D Denied Access
...
------~-------------~DateofVisit: IJ'·c?t ·o't lruue: 11rtt> 1111 Facility Number I 6¢ H ~ £lj lo Not Operational 0 Below Threshold
E:J-Pennitted ~rtified D Conditionally Certified D Registered Date Last Operated or Above Threshold: ··---·-·-·
Fann Name: ___ Tok.&..-~f?.I!:J.Ill_.f(Lt:tr.J._1f:.;6 ______ ·-·-·-----County: --~ll"/.....S.f'..t::l.. ____ . ____ .. ££(2_.
Owner Name: ..... ___ ;IP.!:Ln_. ___ .f:1.~Cil1. .. !.~.b.--·-··········--··-············-·····--····-·· Phone No: ... _tJJ.'l..:: .... <J.H.d-..:. .. e.?:.{[.2._. __ . ________ ,
Mailing Address: _.2J. __ .IJ..<..d..._./3. ·n ~ .. -.i!P.v..L... _____ (_~j __ f:l,' I 1_;-../t..! ( __ ·---··--i?....7.5:.!.. iP __ _
Tcdy Ctt If f+:.
Facility Contact: _.!.~a_ . .l!J:.:'.liJ.::c.hJ'..b.~fr. .. -C.tzlr.Lft.L_ Title: ··--··-·--··--·--·---·-···-··-····--·· Phone No: __ <JJ.!2.._:.?..t::L.fl.2.~:1-..
Onsite Representative: ___ .2ed.y--{.~..J._-----·-·-·-····-·------·· Integrator: ECdr:ifj-~-·------------
Certified Operator: ._-2 .. 9./J.IJ __ /!J./~~{./:J.._.. ··-····-··········-····-············--·-·---·-Operator Certification Number: ._.!..28..':1.f. ... -·---·-·
Location of Farm:
~ne D Poultry D CatUe D Horse Latitude ......__ ..... 1• ..... 1 _ _.I· ._I _ ___.I" Longitude .___ ..... I· ... 1 _ ___.I· .... 1 _ __.I"
Discharges & Stream Impacts
1. Is any discharge observed from any part of the operation?
Discharge originated at: D Lagoon D Spray Field D Other
a. H discharge is observed, was the conveyance man-made?
b. If discharge is observed, did it reach Water of the State? (If yes, notify DWQ)
c. If discharge is observed, what is the estimated flow in gaVmin?
d. Does discharge bypass a lagoon system? (If yes, notify DWQ)
2. Is there evidence of past discharge from any part of the operation?
3. Were there any adverse impacts or potential adverse impacts to the Waters of the State other than from a discharge?
Waste Collection & Treatment
4. Is storage capacity (freeboard plus storm storage) less than adequate? 0 Spillway
Structure 1
Identifier: -·-·-·-·-.J.-·--·········
Freeboard (inches): _....:.3:;..' _.._/_1_/ __
12112103
Structure 2 Structure 3 Structure 4 Struct ure 5
DYes (3'No
DYes []'No
DYes 8-No
DYes ~0
DYes
/
(g'No
DYes UJ'No
DYes ~
Structure 6
Continued
jFaclllty Number: ?J. -(, >:'/ Date of Inspection l 3 -~ ·t"(l
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 structmes 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.
D Excessive Ponding D PAN D Hydraulic Overload D Frozen Ground D Copper and/or Zinc
12. Croptype tarn , Wl,eaf. 5a}'6eaa?
) ;
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?
Odorl'iSues
17. Does the discharge pipe from the confinement building to the storage pond or lagoon fail to discharge at/or below
liquid level of lagoon or storage pond with no agitation?
18. Are there any dead animals not disposed of properly within 24 hours?
19. Is there any evidence of wind drift during land application? (i.e. residue on neighboring vegetation, asphalt,
roads, building structure, and/or public property)
20. At the time of the inspection did the facility pose an odor or air quality concern? If yes, contact a regional
Air Quality representative immediately.
9 ooc{.
Reviewer/Inspector Name
Reviewer/Inspector Signature:
12112/03
Date:
DYes B"ffo
DYes UJ-No
DYes ~
DYes @-N()
DYes m-NO
DYes GI-No
DYes g.NO
DYes 9-f'to
DYes 8-No
DYes 8-No
DYes fD.No
DYes [3-No'
DYes ~
DYes DNo
DYes [].No
DYes rg£
DYes [Y.Ni(
Continued
I Facility Number: B;;.. -?t;"Lf Date of Inspection ll 3 ·.Jv<dl
Required Records & Documento;
21. Fail to have Certificate of Coverage & General Permit or other Permit readily available?
22 . Does the facility fail to have all components of the Certified Animal Waste Management Plan readily available?
(ie/ WUP, checklists, design, maps, etc.)
23 . Does record keeping need improvement? If yes, check the appropriate box below.
Q-Waste Application 0 ~d 0 Waste ~sis G-Soil Sampling
24. Is facility not in compliance with any applicable setback criteria in effect at the time of design?
25 . Did the facility fail to have a actively certified operator in charge?
26. Fail to notify regional DWQ of emergency situations as required by General Pennit?
(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 Pennitted Facilities
30. Is the facility covered under a NPDES Permit? (If no, skip questions 31-35)
31. H selected, did the facility fail to install and maintain rain breakers 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? H yes, check the appropriate box below.
0 Stocking F~ 0 Crop Yiel~orm 0 Rain~l D Inspection Afte ... !)" Rain
0 120 Minute In~tions D Annual Certification F~
DYes s-No
DYes L}No
[;}Yes ONo
DYes b}No
DYes E}No
DYes g.No
DYes g.N'o
DYes 19-Nc>
DYes g.-No
9-Yes 0No
DYes 19-No
DYes IL}No
DYes eNo
DYes 13-No
DYes [3-No
li:!t'"No violations or defidendes were noted during this visit. You will receive no further correspondence· about this visit.
.....
# ::<3 Ne~~ -/-., ~ "·'( /" .:J. DO J 5 o./ ~-~~~-r-
4 (Cf'_/ or o , s.-1"(_,
Ww./e ~ Clr¥)jllt 5 ""e 9"•'J -Fo." to clu7 ; be !;,,.<. und a;:lt'r
5cmf'lc dcJ(_ , { w~~:,/~ A nc.ly J ,·.s 0'1 7 -/U·-oJ Pvm~rJ c, 1-.Jt;-o 3.
0 ._,f.f,·Je h,e C-o dc.7 ~. .. ,.,',Jqw}
# JC Nee/ f-cJ ;,1/:u / lv :~'~ /;;.11 r~c ordS
12112103
.....
~·~~fll¥~"'-n·-=,..-~~~-!.~~~~-:'!'lli-:~~:-~:~~ .. "":L..
[J Division of Soil and Water Conservation [J Other Agency
Division of Water Quality
(.'Ction 0 Follow-u of nswc review 0 Other
Vtz-21-971
. facility Number If'£ ) Date of Inspection
Time of Inspection I J/,' tf1J 124 hr. (hh:mm)
I
C Registe~ed )(Certified D Applied for Permit D Permitted lD Not Operational I Date Last Operated: ......................... .
Fam1 Name: .... ~S.h~Q,., .... Ca.o.M.bs. ...... &.r::t.Y.:\ .... ~~--.................. County: . .,S;..~ ................................................. .
Owner Name: ...... J.a.b.~ ..... : ....................... r.J.1.i.l!1 .r.\.;.~.~.................................. Phone No: ...... $.z.:~::.2S.O.""::J ......................................... .
Facility Contact: .... ~b ........ M .. ,~ .. ~-~.1.~ .......... Title: ... a.~.!\.~.C. ................................ Phone No: .... ~~~ ..................... .
l\·lailing Address: ........ b.L ... fS~--.P..~~(\~-.. ~.:................................................. ..C.~ ..... Hi .OT ... ~k........................ ..1:JD.../.e .. ..
Oosite Representative: ..... ~.(,\..1 .... ~P.~~.~................................................. lntegrator: ... .P~.~ ........................... : .................. ..
Certified Operator~.:S.P.kb .... &.:~ ....................... M.~~-~.\.~......................... Operator Certification Number~ . .J.18...7./ ................... .
General
I . Me there any buffers that need mainte nance/improvement?
2. Is any discharge ob served from any part of the operation?
Discharge originated at : 0 Lagoon 0 Spray Field 0 Other
a . rf disc harge is observed , wa<: the conveyance man-made?
b . If di sc harge is o bserved, did it re ach Surfacl.! Water? {If yes , notify DW Q )
c . If di scharge is observt!d , what is the estimated flow in gaVmin ?
·d . D o~s di scharge bypas s a lagoon system? (If ye s . noti fy DWQ )
3. Is there evidence of p ast discharge from any part of the operation?
4. Were there an y adv erse impacts to the waters of the State othe r than fro m a di scharge ?
5. Does any part o f the wa ste management system (oth er than lagoon s/h olding ponds ) require
maintenan ce/improvement ?
6. Is fac ility not in co mpliance with any applicable setback crite ria in effect at the time of des ign ?
7. Did the facilit y fa il to have a certified operator in responsible charge '?
7/25/97
b /' . ,
OYes)ifNo
DYes' .9t§~
DYes 0No
DYes ONo
DYes 0No
0Yes (-~o
DYes ~No
DYes U{No
DYes
DYes
~No
.BJ No
\. · .
Continued 01t" back
!Facility Number:$'2.. -{,s-g I
8. Are there lagoons or storage ponds on site which need to be properly closed?
Structures (La2oons.Holdin~: Ponds, Flush Pits, etc.)
9. Is storage capacity (freeboard plus storm storage) less than adequate?
Identifier:
Freeboard (ft):
Structur7l
2.Co ................................ u.
Structure 2
10. Is seepage observed from any of the structures?
Structure 3 Structure 4
11. Is erosion, or any other threats to the integrity of any of the structures observed?
12. Do any of the structures need maintenance/improvement?
(If any of questions 9·12 was answered yes, and the situation poses
an immediate public health or environmental threat, notify DWQ)
Structure 5
DYes p{No
OYes~o
Structure 6
DYes p('No
DYes o(No
DYes Ci{No
13. Do any of the structures lack adequate minimum or maxi~um liquid level markers? DYes · _p(No
Waste Applkation
14. Is there physical evidence of over application? DYes J2( No
Of in excess of WMP, or runoff entering waters of the State, notify DWQ)
15. Crop type .... 5.e.r:::_Y.Y.\,~/IL.'-t.~----········-··································· -----················---········································-·····························-············---------
16. Do the receiving crops differ ~ith those designated in the Animal Waste Management Plan (A WMP)? DYes ~o
17. Does the facility have a lack of adequate acreage for land application? 0 Yes ~ No
18: Does the receiving crop need improvement?
19. Is there a lack of available waste application equipment?
20. Does facility require a follow-up visit by same agency?
21. Did Reviewer/Inspecto r fail to discuss review/inspection with on-site re presentative?
22. Does record keeping need improvement?
For Certified or Permitted Facilities Only
23. Does the facility fail to have a copy of the Animal Waste Management Plan readily available?
24. Were any additional problems noted which cause noncompliance of the Certified A WMP?
25. Were any additional problems noted which cause noncompliance of the Permit?
. : ~~:~i~l_a~io'r~s 0~ _defiCienCies. ~~~e: ~o~e_d :du~~ng _this: visit.~ y~~ :w~ll: ~e_i~e ~ iu)·ftirt~~r_: ~
~·.-correspondence· ab:out this ~visit~~ > ~ · ~ ~ · ~ · ~ ·
··~tols tJt. C.CI\Cer-r... --1-o 5 +-W
£' ros:o.._ o...A-~ cC ~D~e.s h.~ bee~ culd ..... esseol + r~el.
th~ ~ wo,.,ki""S 811._ -t4e\J #3 ~' ;)o~l <i-~o...~ f\.0-kJ..
f{).rtto.. looks~~~ well ~k~~-
Re\·iewer/Inspector Name
R evie we r/Ins pector S ig nature:
DYes IRNo
DYes ~No
DYes ~No
DYes ~No
DYes ~No
DYes J8No
DYes ~0
DYes 0No
7/25/97