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otpL,y "':•.c SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> N. 6 1868 East Hazelton Ave Stockton, CA 95205 <br /> (209)468-3420 •Fax:(209)464-0138 • Web:www.sjQov.org/ehd <br /> Soil Suitability study Requirements Checklist 1/` <br /> I S RECORD ID: s A oo 8 51 `7 Z <br /> SITE LOCATION:— -" ZAp(-� A F L a <br /> REPORT DATE: <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> [!S ❑ 1.1 Description of site, including zoning information. <br /> [IJ ❑ 1.2 Description of eroposed development. <br /> / 1111 <br /> ❑ 1.3 Parcel vicinity loca i n <br /> Elf ❑ 1.4 Site map showing location of all items on parcels(i.e., structures, drives,wells, septic systems, large trees, <br /> 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 /> [� ❑ 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). <br /> [f ❑ 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). <br /> ❑ [�] 3.3 Discussion of on-site septic tank repair history. <br /> ❑ [�J 3.4 Description of existing septic tank usage in the general area(system types, ages,functioning/repair rates, <br /> proximity to parcel). <br /> ❑ [/f 3.5 General area septic permit history(number/types/dates of permits, age of system, permit numbers, copies in <br /> report). <br /> ❑ H 3.6 Discussion of general area septic tank repair history. <br /> [1f ❑ 3.7 Description of proposed or expected maximum (including second unit dwellings) septic tank usage on site. <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> [� ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> EHD 26-02-003 Pagel of 3 Soil Suitability Checklist <br /> 7/14/2003 <br />