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o?`' `"••c SAN JOAQUIN COUNTY <br /> W ,. ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3`d Floor Stockton - CA 95202-2708 <br /> (209)468-3420 - Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATION: v r dti PA#: <br /> REPORT DATE: <br /> S = Sufficient <br /> 1 = Insufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> [V� ❑ 1.1 Description of the chemical and physical prop�p�leof the soils underlying the site. <br /> ❑ 1.2 Description of the mass transport pro erties of the soils underlying the site with respect to nitrate and/or any other <br /> constituent of concern identified for the project site. ,¢' r <br /> 2.0 GROUNDWATER ANALYSIS <br /> [� ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of depth, directional flow and gradient. <br /> ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br /> site. <br /> ❑ ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related <br /> to the proposed development project. t�&- s- "au wf s• Sic <br /> 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> Q' ❑ 3.1 Description of all current off-site sources of Ctjtrate to soil and groundwater in the_general up gradient area and the <br /> contribution of nitrate load from these sources to the project site. �p�',j' sysl— <br /> V /¢�' Line/✓3L/ h4fr�al/°�'�Crt. <br /> 1'gJec'"S; 1 <br /> .6t" A'"v 14C• <br /> [� ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br /> Q' ❑ 3.3 Description of all cur on-site sources of nitrate to soil and groun water and the contribution of nitrate load from <br /> these sources to the project site. ,7 L vo"'jA6' '4J 4s/kq.�-4 *t A? a/j'no«54- <br /> [✓] ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil 9nd groundwater and the contribution of nitrate <br /> load from these sources to the project site. /::,e6 5'11�eJjt S yS t'C-^,1 nY,0�11-1 e Paver_ues. <br /> []' ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> Hanztch/Finnemore, or other appropriate formula/model, if applicable. d9p- 7� 49 <br /> ' ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. <br /> 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> Rr ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> [r ❑ 4.2 Description of the methods proposed to((mitigate any known or future impact to soil and groundwater from nitrate, <br /> and/or anv other constituent of concern, at and/or around the project site. <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> Y ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br /> []� ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br /> Reviewed By: /b'Aiwv— Reviewed Date: <br /> EHD 26-02-002 Page I of 2 Nitrate Loading Study Checklist <br /> 7114/2003 <br />