Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> wg'; 600 East Main Street, Stockton • CA 95202-3029 <br /> c (209)468-3420 •Fax: (209)464-0138 • Web:www.co.san-joaquin.ca.us/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> PA#: (I - 0D40g <br /> $ITE LOCATION: 38 > I ��C)! I-�,,. Ed�(`„� I s" REPORT DATE: <br /> S = suaid.„ <br /> Insulticirm San Joaquin County Development Title Chapter 9-1105, Section 9-1105.2 / <br /> t = <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> El ❑ 1.1 Description of site, including zoning information. <br /> I <br /> ❑ 1.2 Description of proposed development. <br /> ' <br /> ❑ 1.3 Parcel vicinity looatiA maep. � <br /> ® ❑ 1.4 Site map showing location of all items on parcels(i.e., structures, drives, wells, septic systems, large trees, <br /> pastures, pools, natural draina a courses, ponds, waterways, etc.) <br /> P/ ?A< z e -5 <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 /> z <br /> 3.0 EXISTINb AND PROPOSED SEPTIC TANK USAGE SECTION <br /> 1.0 ❑ 3.1 Description of exiting on-site septic tank usage(system types, age, functioning/repair rates). <br /> �M ❑ z 3.2 Site septic permit history(number/types/dates of permits,age of system, permit numbers, copies in report). <br /> Z <br /> ❑ 3.3 Discussion of on-site septic tank repair history. l.t <br /> ❑ 3.4 Description of existing septic tank usage in the general area (system types, ages, functioning/repair rates, <br /> proximity to parcel). <br /> ❑ 3.5 General area septic permit(s)history(number/types/dates of permits, age of system, permit numbers, copies in <br /> report). <br /> ❑ 3.6 Discussion of general area septic tank repair history. <br /> ® ❑ 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 /> ® ❑ 4.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location <br /> of the site. 5 <br /> Q ❑ 4.3 Description of location(address/APN),type and construction of well and location(well headikitchen tap)where <br /> water sample(s)were obtained. <br /> (,Z ❑ 4.4 Description of constituents being tested for in the water sample. <br /> ® ❑ 4.5 Description of how sample was obtained, handled, stored, and transported to the lab. <br /> r <br /> �i] ❑ 4.6 Complete Chain of Cbstody 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. For Laboratory samplers, complete laboratory <br /> report to include the above noted information. is q2.o- <br /> 5.0 SOIL PROFILE INFORMATION SECTION <br /> [ ❑ 5.1 Site map showing the location, with dimensions, of the soil profile pit on the parcel. <br /> ® ❑ 5.2 De4cripti6nlof soil profile pit including depth and dimensions. <br /> 5 <br /> ® ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. <br /> r <br /> ❑ ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. <br /> EHD 26-02-003 Pagel of 3 Soil Suitability Checklist <br />