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SAN JOAQ UI N COUNTY <br />o c <br />'y ENVIRONMENTAL HEALTfi DEPARTMENT <br />1858 East Hazelton Avenue, Stockton, CA 95202-3029 <br />Telephone: (209) 458-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <br />�1FOFt� <br />.� NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br />SITE LOCATION: t `� �� S PA #: k))/t <br />REPORT DATE: Z <br />S = Sufficient <br />l = Insufficient San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br />S 1 1,0 CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br />❑ 1.1 Description of the chemical and physical properties of the soils underlying the site. <br />❑ 1.2 Description of the mass transport properties of the soils underlying the site with respect to nitrate and/or any other <br />constituent of concern identified for the project site. <br />2.0 GROUNDWATER ANALYSIS <br />'Fe,]` ❑ 2.1 Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br />Pr <br />❑ 2.2 Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br />site. <br />El' ❑ 2.3 Description of the current use of groundwater at the site and of the future expected use of groundwater as related <br />to the proposed development project. <br />3.0 SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br />[� ❑ 3.1 Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br />❑ 4.1 Discussion of total nitrate impact from proposed project. <br />❑ 4,2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br />and/or anv other constituent of concern, at and/or around the raroiect site. <br />5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br />❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br />❑ 5.2 The attachmentslappendices contain sufficient documentation to support claims made in the report. <br />Reviewed By: /—", Reviewed Date: 5-' � � l z Z- <br />EHD 26-02 Page] of 2 Surface & Sub Checklist <br />7/1412003 <br />contribution of nitrate load from these sources to the project site. <br />❑ <br />3.2 Description of impact of rainfall contribution of nitrate load to the project site. <br />❑ <br />3.3 Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from <br />these sources to the project site. <br />E3 <br />❑ <br />3.4 Description of all proposed future on-site sources of nitrate to soil and groundwater and the contribution of nitrate <br />load from these sources to the project site. <br />❑ <br />35 Calculated mass balance of nitrogen loading considering all potential sources identified. Use of <br />Hanztch/Finnemore, or other appropriate formulalmodel, if applicable. <br />❑ <br />3.6 Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. <br />4.0 DISCUSSION OF NITRATE LOADING RESULTS RELATIVE TO PROPOSED METHOD <br />OF WASTEWATER DISPOSAL <br />❑ 4.1 Discussion of total nitrate impact from proposed project. <br />❑ 4,2 Description of the methods proposed to mitigate any known or future impact to soil and groundwater from nitrate, <br />and/or anv other constituent of concern, at and/or around the raroiect site. <br />5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br />❑ 5.1 The report was signed, dated and stamped by a qualified environmental professional. <br />❑ 5.2 The attachmentslappendices contain sufficient documentation to support claims made in the report. <br />Reviewed By: /—", Reviewed Date: 5-' � � l z Z- <br />EHD 26-02 Page] of 2 Surface & Sub Checklist <br />7/1412003 <br />