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A° u �" SAN JOAQUIN COUNTY <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />N.4 wt.< <br />1868 East Hazelton Avenue, Stockton, CA 95202-3029 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/chd <br />NITRATE LOADING STUDY REQUIREMENT CHECKLIST <br />PA #: <br />SITE LOCATION: (� �a UJ5 ck;l REPORT DATE: 7 <br />N = 6umctent San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 <br />1 = Insufficient <br />S <br />I <br />1.0 <br />CHEMICAL AND PHYSICAL PROPERTIES OF SOIL <br />[P( <br />❑ <br />1.1 <br />Description of the chemical and physical properties of the soils underlying the site. <br />u <br />❑ <br />1.2 <br />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 <br />GROUNDWATER ANALYSIS <br />❑ <br />2.1 <br />Description of: depth to groundwater, seasonal fluctuations of groundwater depth, directional flow and gradient. <br />[vY <br />❑ <br />2.2 <br />Description/discussion of any existing or potential groundwater contamination issues in the general location of the <br />site. <br />Ltd <br />❑ <br />2.3 <br />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 <br />SOURCES AND CALCULATED IMPACT OF NITRATE TO GROUNDWATER <br />❑ <br />3.1 <br />Description of all current off-site sources of nitrate to soil and groundwater in the general up gradient area and the <br />contribution of nitrate load from these sources to the project site. <br />[� <br />❑ <br />3.2 <br />Description of impact of rainfall contribution of nitrate load to the project site. <br />[" <br />❑ <br />3.3 <br />Description of all current on-site sources of nitrate to soil and groundwater and the contribution of nitrate load from <br />/ <br />❑ <br />3.4 <br />these sources to the project site. <br />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 />[ <br />3.5 <br />Calculated mass balance of nitrogen loading considering all potential sources identified. Use of�-(� <br />(-1? � <br />Hanztch/Finnemore, or other appropriate formula/model, if applicable. p r /6 <br />❑ <br />[✓' <br />3.6 <br />Calculated impact of nitrogen loading from site project to down gradient wells, rivers, lakes etc. L)5e U D � 1-5, <br />4.0 <br />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 any other constituent of concern, at and/or around the project site. <br />5.0 CONCLUSIONS AND RECOMMENDATIONS SECTION <br />❑ .1 The report was signed, dated and stamped by a qualified environmental professional. <br />[� �2 The attachments/appendices contain sufficient documentation to support claims made in the report. <br />Reviewed By: �(I—I �LUI 1 Reviewed Date: _(0 zz <br />EIiD 26-02 Page 1 of 2 Surface & Sub Checklist <br />7/14/2003 <br />