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SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 East Weber Avenue, 3`d Floor, Stockton, CA 95202-2708 <br /> P Telephone:(209)468-3420 Fax: (209)464-0138 Web:www.sjgov.org/ehd <br /> NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br /> SITE LOCATION: S �� 5C PA#: ea 5 - 7 7 6 C5A, <br /> �' ���`� REPORTDATE: I �o2Sl�006 <br /> S — Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> S I 1.0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br /> E�f ❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br /> (_j <br /> ^ y <br /> Lg/ ❑ 1.2 Description of the mass transport properties of the soils-un lying the site with respect to nitrate and/or any other <br /> constituent of concern identified for the project site(, <br /> 2.0 GROUNDWATER ANALYSIS <br /> ❑ 2.1 ' Description of: dep tog4o�ndwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br /> ❑ 2.2 Descripti /dis.a 1`o�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 —�� <br /> 3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br /> ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwate in the general up gradient area and the <br /> contribution of nitrate load from these sources to the project site. V� <br /> [� ❑ 3.2 Description of impact of rainfall contribution of nitrate load to the project site6:x �) <br /> ❑' ❑ 3.3 Description of all current on-site sources of nitrite to soil and groundwater and the contribution of nitrate load from <br /> (�these sources to the project site. 13) <br /> [� ❑ 3.4 Description of all proposed future on-site so rtes of nitrate to soil and groundwater and the contribution of nitrate <br /> load from these sources to the project site. �1,�(y <br /> [ ❑ 3.5 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br /> HanztchlFinnemore, or other appropriate formula/model, if applicable. (?� 1q} <br /> [� ❑ 3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc.{y g 1`4 <br /> 4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br /> OF WASTEWATER DISPOSAL <br /> ❑ 4.1 Discussion of total nitrate impact from proposed project. <br /> [�` ❑ 4.2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br /> and/or any other constituent of concern, at and/or around the project site�1 t Q <br /> 5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br /> ❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional G�r 1 <br /> [3/ ❑ 5.2 The attach mentslappendices contain sufficient documentation to support claims made in the repo . <br /> Reviewed By: a t Reviewed Date: a 1 5 0 <br /> EHD 26-02 Pagel of 2 Surface&Sub Checklist <br /> 7/14/2003 <br />