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o?g��"'••o SAN JOAQUIN COUNTY z 2 ENVIRONMENTAL HEALTH DEPARTMENT y: { 1868 East Hazelton Avenue, Stockton, CA 95205-6232 Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sjgov.org/ehd NITRATE LOADING STUDY REQUIREMENT CHECKLIST PA#: SITE LOCATION: ^ n t a g �KJ�f y�y , V M / VB X, EPORT DATE: S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 l c)o I = Insufficient S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. ID ❑ 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other constituent of concern identified for the project site. n N/.1- •1 ]Y 1 11C� 2.0 GROUNDWATER ANALYSIS 50 — (ad16s F12.1 Description of: depth to groundwater, seasonal fluctuations of groundw�er depth, directional flow and gradient. [� ❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the ` site. ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related to the proposed development project. A)o vi Q It �� e�. -E?��m �- Of rK,4,4 i 5Y6 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the contribution of nitrate load from these sources to the project site. ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site. ❑ 3.3 Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. ❑ 3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from these sources to the project site. nC f ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of1-�- L Hanztch/Finnemore, or other appropriate formula/model, if applicable. ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD OF WASTEWATER DISPOSAL ❑ 4.1 Discussion of total nitrate impact from proposed project. > mu ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, and/or anv other constituent of concern, at and/or around the project site. 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. ❑ 5.2 The attachments/appendices contain sufficient documentation to support claims made in the report. Reviewed By: 4G\1 Reviewed Date: b EHD 26-02-002 Page I of 2 Nitrate Loading Study Checklist annnnnz