Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E Weber Avenue 3`"Floor Stockton• CA 95202-2708 <br /> (209)468-3420•Fax:(209)464-0138• Web:www.co.san-joaqum.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> SITE LOCATION: Sp ( � JG 11 /ery /�yy J`,4 !t'.-r! PA#: •l% � 7 <br /> 1 <br /> REPORT DATE: <br /> S = Insu Insufficicnt <br /> ic <br /> I = San Joaquin County Development Title Chapter 9.1105,Section 9-1105.2 <br /> e <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> ❑ 1.1 Description of site, including zoning information. <br /> ❑ 1.2 Description of proposed development. <br /> ❑ 1.3 Parcel vicinity location map. <br /> -ro ❑ ❑ 1.4 Site map showing location of all items on parcels(Le.,structures,drives,wells,septic systems, large trees, <br /> G,a�C pastures, pools,natural drainage courses, ponds,waterways,etc.) <br /> 2.0 PRESENT AND PAST USES OF THE SITE SECTION <br /> ❑ 2.1 Discussion of past and present uses at the site to assess potential problems. <br /> 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION <br /> �����jj( ❑ 3.1 Description of existing on-site septic tank usage(system types,age,functioning/repair rates). <br /> ❑ 3.2 Site septic permit history(number/types/dales of permits,age of system, permit numbers,copies in report). <br /> ❑ 3.3 Discussion of on-site septic tank repair history. <br /> ❑ 3.4 Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates, <br /> proximity to parcel). <br /> ❑ 3.5 General area septic permit history(number/types/dales of permits,age of system,permit numbers, copies in <br /> report). <br /> ❑ 3.6 Discussion of general area septic tank repair history. <br /> 3.7 Description of proposed or expected maximum(including second unit dwellings)septic tank usage on site <br /> 4.0 GROUNDWATER INFORMATION SECTION 53, tj0g pbLP/N'� n� <br /> ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> ❑ 4.2 Description/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> f the site. <br /> D <br /> ❑ 4.3 Description of location (address/APN),type and construction of well and location(well head/kitchen tap)where <br /> water sample(s)were obtained. <br /> ❑ /J�. 4 Description of constituents being tested for in the water sample. <br /> ❑ V 4.5 Description of how sample was obtained,handled,stored,and transported to the lab. <br /> ❑ 4.6 Complete Chain of Custody document,including printed and signed name of third party sampler,condition of <br /> sample and dale and time the sample was submitted to the lab. For Laboratory samplers,complete laboratory <br /> report to include the above noted information. <br /> 5.0 SOIL PROFILE INFORMATION SECTION <br /> ❑ 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. <br /> ❑ 5.2 Description of soil profile pit including depth and dimensions. <br /> ❑ ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> E11D2602.003 Page 1 of 3 <br /> 7/142003 <br />