SU0006146_SSNL - Laserfiche WebLink

Home Browse Search

aLTI N_ SAN JOAQUIN COUNTY o........., � H` ENVIRONMENTAL HEALTH DEPARTMENT 304 E Weber Avenue 3rd Floor Stockton • CA 95202-2708 (209)468-3420 •Fax:(209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd "T, SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST 3SITE LOCATION: �/V /�# Ae_ PA#: � — 0007 J / REPORT DATE: 005 I = Insufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 I = Insufficient S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION rd / ❑ 1.1 Description of site, including zoning informatior}!G�, L� ❑ 1.2 Description of proposed developmR(it.0.,a z LTJ / ❑ 1.3 Parcel vicinity location maps)\\!,„�.e, y 1 ❑ 1.4 Site map showing location of all Mems on parcels (i.e., structures, drive ells, septic systems, large trees, pastures, pools, natural drainage courses, ponds, waterways, et. G 2.0 PRESENT AND PAST USES OF THE SITE SECTION L� ❑ 2.1 Discussion of past and present uses at the site to assess potential problems.( .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 ratesG [� ❑ 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). L'J ❑ 3.3 Discussion of on-site septic tank repair histoG� ❑ 3.4 Description of existing eptic tank usage in the general area (system types, ages,functioning/repair rates, proximity to Parcel) 6� ❑ 3.5 General area septic permit(s) history(number/types/dates of permits, age of system, permit numbers, copies in report). Lk ❑ 3.6 Discussion of general area septic tank repair histor Lt7 ❑ 3.7 Description of proposed or expected maximum(inclu ng sndlu�nit dwellings) septic tank usage on site. 4.0 GROUNDWATER INFORMATION SECTION d ❑ 4.1 Description of the depth and gradient of groundwater in the general area( t y ❑ 4.2 Description/dis ssion of any existing and/or potential groundwater contamination issues in the general location of the site. �( rd '-DEf F-14.3 Description of I ation ess/APN), type and construction of well and location (well head/kitchen tap)where water sample(s)were obtained. by -c� -) c ❑ 4.4 Description of constituents being Led for in the water sample ft [� ❑ 4.5 Description of how sample was obtained, handled, stored, and transported to the lab.(j"4�`. ❑ 4.6 Complete Chain of Custody document, including printed and signed name of third party sample, condition of sample and date and time the sample was submitted to thelab or�Laboratory samplers, complete laboratory report to include the above noted information. f}–I 5.0 SOIL PROFILE INFORMATION SECTION ❑ 5.1 Site map showing the location,with dimensions, of the soil profile pit on the parcj�� 6 � ❑ 5.2 Description of soil profile pit including depth and dimensipri '7, ® ❑ 5.3 Description of soil lithology as noted from test pit by appropriate prr"ionaluging industry standard protocol. E- F-15.4 Discussion of soil lithology as related to future onsite.septic uses.- U EHD 2,6-02-003 Page 1 of 3 (�� > soil Suitability Checklist