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S = Sufficient I=Insufficient S 1 5.0 SOIL PROFILE INFORMATION SECTION �] ❑ 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcel. ►1 ❑ 5.2 Description of soil profile pit including depth and dimensions. ❑ 5.3 Description of soil lithology as noted fromtest pit by appropriate professional using industry standard protocol. 03— P �l ❑ 5.4 Discussion of soil lithology as related to aure onsite septic uses. ro /;2 6.0 PERCOLATION TEST INFORMATION SECTION ❑ 6.1 Site map showing the location,with conci e and accurate dimensions of the percolation test holes on the parcel. A PP�r x 'F ❑ 6.2 The minimum number of shallow and deep percolation tests was performed for each parcel. XL ❑ 6.3 Description of the date,time and protocol used to prepare the test hole, including depth and dimensions of hole, preparation of hole, and depth of water used to presoak(minimum 12 inches). ❑ 6.4 Description of the date, time and condition of the test hole after the 24-hour soak period (hole still intact, hole dry, depth to water remaining in hole, etc.) ❑ 6.5 The test conformed to SJC Policy EHD 02-02(correct depth, diameter, 2"gravel, 6"water refill, correct readings recorded). 54 ❑ 6.6 Complete Percolation Test Form (including readings)was provided with REHS verification signature. The rate was correctly calculated using the last reading. V ❑ 6.7 Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. ❑ 6.8 Discussion of percolation rates in relation to the type, size and location of future leach fields needed at the site. 7.0 CONCLUSION SECTION ❑ 7.1 The report was signed and stamped by the appropriately registered individual Reviewed By: �fh� tvt,- AW�lj Reviewed Date: EHD 26-03 Page 2 of 3 SOIL SUITABILITY STUDY CKLST 4/24/12