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r SOIL SUITABILITY STUDY
<br /> REQUIREMENTS CHECKLIST
<br /> San Joaquin county Development Title
<br /> Chapter 9-1105,Section 9-1105.2
<br /> S=Sufficient PAM IJP-01-08
<br /> 1=Insufficient SITE LOCATION: 16750 E State Route 88, Lockeford REPORT DATE: March 28,2003
<br /> INTRODUCTION S PROPOSED DEVELOPMENT SECTION
<br /> Description of site, including zoning information.
<br /> ❑ Description of proposed development.
<br /> ❑ E 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 /> ❑ Discussion of past and present uses at the site to assess potential problems.
<br /> EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION
<br /> 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 /> f ❑ 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 /> parcel).
<br /> ❑ General area septic permit history(numberltypes/dates of permits,age of system, permit numbers, copies in
<br /> ❑ ■ report).
<br /> Discussion of general area septic tank repair history.
<br /> ❑ 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 location (address/APN),type and construction of well, and location (well head/kitchen tap)where
<br /> water samples were obtained.
<br /> N ❑ Description of constituents being tested for in the water sample.
<br /> ❑ 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,of the soil profile pit on the parcel.
<br /> ❑ Description of soil profile pit including depth and dimensions.
<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 /> PERCOLATION TEST INFORMATION SECTION
<br /> ❑ Site map showinq 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 /> ■ ❑ 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 RENS 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.
<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: Lisa Medina,Senior REHS
<br /> REVIEWED DATE: July 1,2003
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