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SOIL SUITABILITY STUDY
<br /> REQUIREMENTS CHECKLIST ^�
<br /> San Joaquin County Development Title
<br /> Chapter 9-1105,Section 9-1105.2
<br /> PA#:
<br /> S=Sufficient
<br /> 1=Insufficient SITE LOCATION: &REPORT DATE:
<br /> S 1
<br /> I INTRODUCTION & PR IIP S EL MENT SECTION
<br /> ❑ Description of site, including oning information.
<br /> ®' El Description of proposed develo risen
<br /> '; �^❑ Parcel location map.
<br /> ❑ Site map showing location of all items on parcel (structures,drives,wells, septic systems, large trees, pastures,
<br /> pools, natural drainage courses, ponds,waterways,etc.)
<br /> . PRESENT AND PAST USES OF THE SITE SECTION
<br /> ;�lLT❑ Discussion of past and present uses at the site to assess potential problems.
<br /> EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION
<br /> 4 ❑ Description of existing septic tank usage on site (system types, age,functioning/repair rates).
<br /> Site septic permit history(number/types/dates of permits, age of system, permit numbers,copies in report).
<br /> I❑ Discussion of on-site septic tank repair history.
<br /> ❑ Description of existing septic tank usage in the general area (system types, ages,functioning/repair rates, proximity to
<br /> 4 parcel),
<br /> ❑ General area septic permit history(number/types/datesof permits,age of system, ermit numbers, copies in
<br /> report).
<br /> ❑ Discussion of general area septic tank repair history. r r
<br /> ❑ ['Qf Description of proposed or expected maximum(including second unit dwellings)septic tank usage on site.
<br /> GROUNDWATER INFORMATION SECTION
<br /> ❑ Description of the depth and gradient of groundwater in the general area.
<br /> [ ❑ Description/discussion of any existing or potential groundwater contamination issues in the general location of the site.
<br /> ❑ �^ Description of IocaFC k6h-(address1APN),type and construction of well, and location (well head/kitchen tap)where
<br /> water samples were obtained.
<br /> I
<br /> L ❑ Description of constituents being tested for in the water sample. 1
<br /> I ❑ [ezw Description of how sample was obtained, handled, stored, and transported to the lab..
<br /> [ ❑ Complete Chain of Custody document , including printed and signed name of third party sampler, condition of
<br /> sample, and date and time the sample was submitted to the lab.
<br /> SOIL PROFILE INFORMATION SECTION _- — --
<br /> ❑ Site map showing the location,with dimensions,othe soil profile pit or�te arcel
<br /> ❑ Description of soll profile pit including depth and dimens an-_ �T � - ✓
<br /> [�C❑ 11
<br /> Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol.
<br /> Discussion of soil lithology as related to future onsite septic uses.
<br /> C� 1 PERCOLATION TEST INFORMATION SECTION
<br /> 1 ❑
<br /> Site mao showing the location,with concise and accurate dimensions,of the percolation test holes on the parcel.
<br /> ❑ The minimum number of shallow and deep percolation tests were performed for each parcel.
<br /> ri
<br /> ❑ Description of the date,time and protocol used to prepare the test hole, including depth and dimensions of hole, }
<br /> preparation of hole,and depth of water used to presoak(minimum 12 inches),
<br /> ❑ Description of the date,time and condition of the test hole after the 24 hour soak period (hole still intact, hole dry,
<br /> depth to water remaining in hole, etc.).
<br /> ❑ The test conformed to SJC Policy EHD 02-02 (correct depth, diameter, 2"gravel, 6"water refill, correct readings
<br /> recorded).
<br /> ❑ Complete(including readings)Percolation Test Form was provided with REHS verification signature. The rate was
<br /> correctly calculated using the last reading.
<br /> ❑ Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. I
<br /> P
<br /> (�❑ Discussion of percolation rates in relation to the type and size of future leach fields needed at the site.
<br /> CONCLUSION SECTION
<br /> The report was signed and stamped by the appropriately registered individual.
<br /> REVIEWED BY:
<br /> REVIEWED DATE:
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