SU0007646 SSNL - Laserfiche WebLink

Home Browse Search

';.'a; SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT _ 600 East Main Street, Stockton• CA 95202-3029 (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST SITE LOCATION' A/-Vo"�A4 PA#: 9,<". ZQ J REPORT DATE: �+/v S = sufficient 1 = Insufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION ❑ 1.1 Description of site, including zoning information. ® ❑ 1.2 Description of proposed development. ® E] 1.3 Parcel Vicinity locatin map Ej E] 1.4 Site map showing ftian of all items on parcels(i.e., structures,drives, wells,septic systems, large trees, pastures,pools, natural drai age courses,ponds,waterways,etc.) f� 2.0 PRESENT A PAST USES OF THE SITE SECTION ❑ 2.1 Discussion ofresent ast and uses at the site to p p assess potential problems. ,orl-7 2- 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION ❑ 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). E] L:13.2 Site seppermit history(number/types/dates of permits,age of system, permit numbers,copies in report). ® ❑ 3.3 Discuss�on-site septic tank repair history. ❑ 3.4 Descript�of existing septic tank usage in the general area(system types,ages,functioning/repair rates, proximity to parcel). ® F13.5 General ail septic permit(s)history(number/types/dates of permits, age of system,permit numbers,copies in report). ^a-:? ® ❑ 3.6 Discussion of general area septic tank repair history. ❑ 3.7 Descriptipropo or expected maximum(including second unit dwellings)septic tank usage on site. 4.0 GROUNDWATER INFORMATION SECTION B ❑ 4.1 Description of the depth and gradient of groundwater in the general area. El E] 4.2 Descrip&& iscussion of any existing and/or potential groundwater contamination issues in the general location of the site. �2� G ® ❑ 4.3 Description of location(address/APN),type and construction of well and location(well head/kitchen tap)where water sample(s)were obtained. i ® ❑ 4.4 Description of co 1 itituents being tested for in the water sample. ❑ 4.5 Description of hA sa' pple was obtained, handled, stored,and transported to the lab. ® ❑ 4.6 Complete Chainfdf ustody document, including printed and signed name of third party sampler,condition of sample and date and time the sample was submitted to the lab. For Laboratory samplers,complete laboratory report to include the above noted information. 5.0 SOIL PROFILE INFORMATION SECTION ❑ 5.1 Site map showing the location,with dimensions,of the soil profile pit on the parcel. �� 3 ❑ 5.2 Descriptidli of soil profile pit including depth and dimensions. ❑ 5.3 Descriptiok-of fsoil lithology as noted from test pit by appropriate professional using industry standard protocol. ® E] 5.4 Discussio6f§oil lithology as related to future onsite septic uses. EHD 26-02-003 I 1 i1 Pagel of 3 Soil Suitability Checklist