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SOiL SUITABILITY STUDY
<br /> REQUIREMENTS CHECKLIST
<br /> San Joaquin County Development Title
<br /> Chapter 9-11 o5,Section 9-1105.2
<br /> S=Sufficient PA#:
<br /> 1=lnsuffici®nt SITE LOCATION: DEPORT DATE:
<br /> INTRODUCTION S PROPOSED DEVELOPMENT SECT[/
<br /> Description of site, including zoning information. ION
<br /> �❑ Description of proposed development.
<br /> ❑ Parcel location map.
<br /> ❑ d Site map showing location of all items on parcel(structures, drives, wells, se tics systems,Pools, natural drainage courses, ponds,waterways, etc.) p Y ms, large trees, pastures,
<br /> �❑ PRESENT AND PAST USES OF THE SITE SECTION
<br /> Discussion of past and present uses at the site to assess potential problems.
<br /> EXISTING AND PROPOSED SEPTIC TANK
<br /> ❑ � Description of existing septic tank usage on site(system
<br /> SECTION
<br /> ( Y types, age, functioning/repair rates).
<br /> ❑ Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report).
<br /> ❑ Discussion of on-site septic tank repair history.
<br /> ❑ Description of existing septic tank usage in the general area (system types, ages, functioning/repair rates, proximity to
<br /> parcel).
<br /> ❑ General area septic permit history(number/types/dates of permits, age of system, permit numbers, copies in
<br /> ❑ report).
<br /> iscussion of general area septic tank repair history.
<br /> ❑ tj Description of proposed or expected maximum (including second unit dwellings)septic tank usage on site.
<br /> GROUNDWATER INFORMATION SECTION
<br /> �❑ Description of the depth and gradient of groundwater in the ener
<br /> g al area.
<br /> E] Description/discussion of any existing or potential groundwater contamination issues in the general location of the site.
<br /> ❑ Description of location (address/APN), type and construction of well, and location (well head/kitchen tap)where
<br /> water samples were obtained.
<br /> escription of constituents being tested for in the water sample.
<br /> ❑ escription of how sample was obtained, handled, stored,and transported to the lab..X�_,t'
<br /> ❑ Complete Chain of Custody document, includingdd " i epezt_
<br /> sample,and date and time the sample was submitted t othelabgned name of third party sampler, condition of
<br /> SOIL PROFILE INFORMATION SECTION
<br /> ❑ Site map showing theI do ,with dimensions,of the soil profile pit on thp parcel.
<br /> ❑ Description of soil profile pit including depth and dimensions.
<br /> escription of soil lithology as noted from test pit by appropriate professional using industry standard protocol.
<br /> ❑ Discussion of soil lithology as related to future onsite septic uses.
<br /> PERCOLATION TEST INFORMATION SECTION '
<br /> ❑ Site map showing the location, with concise and accurate dimensi ns,of the percolation test holes on the parcel.
<br /> The minimum number of shallow and deep percolation tests were performed for each parcel.
<br /> Description of the date,time and protocol used to prepare the test hole, including depth and dimensions of hole,
<br /> reparation of hole, and depth of water used to presoak(minimm 12 inches).
<br /> Description of the date,time and condition of the test hole after the 24 hour soak period(hole still intact, hole dry,
<br /> depth to water remaining in hole, etc.).
<br /> ❑ The test conformed to SJC Policy EHD 02-02(correct depth
<br /> recorded). ,diameter,2 gravel, 6"water refill, correct readings
<br /> ❑ Complete (including readings)Percolation Test Form was provided with REHS verification signature. The rate was
<br /> correctly calculated using the last reading.
<br /> iscussion of any potential problems predicted and/or the need for an engineered or alternative septic system.
<br /> ❑ Discussion of percolation rates in relation to the type and size of future leach fields needed at the site.
<br /> CONCLUSION SECTION
<br /> ❑ The report was signed and stamped by the appropriately registered individual.
<br /> REVIEWED BY:
<br /> REVIEWED DATE: '
<br /> M
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