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SOIL SUITABILITY STUDY
<br /> REQUIREMENTS CHECKLIST �~-
<br /> San Joaquin County Development Title
<br /> Chapter 9-1105,Section 9-1105.2
<br /> PA#:
<br /> S=Sufficient a s/ 7 t~J c! REPORT DATE: 2/1-P 1. 3
<br /> 1=Insufficient SITE LOCATION: S
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<br /> (S I INTRODUCTION & PROPOSED DEVELOPMENT SECTION
<br /> �"—",/❑ Description of site, including zoning information.
<br /> L14 ❑ Description of proposed development-
<br /> VE] Parcel location map.
<br /> bQ ❑ 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 /> V❑ 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)._714F414'
<br /> Q'❑ Site septic permit history (number/types/dates of permits,age of system, permit numbers, copies in report).
<br /> �T❑ Discussion of on-site septic tank repair history.,,,;, nvnn.o, ,e,1?1y.— --x.
<br /> Description of existing septic tank usage in the general area(system types,ages,functioning/repair rates,proximity to
<br /> parcel). L-� _
<br /> ❑ General area septic permit history(number/types/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 /> E' ❑ Description of location (address/APN), type and construction of well, and location (well head/kitchen tap)where
<br /> �y water samples were obtained.
<br /> LYJ ❑ Description of constituents being tested for in the water sample.
<br /> E] [� Description of how sample was obtained, handled,stud, and transported to the lab.. r�ttd a
<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 /> V❑ 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 `(�ala�
<br /> [Z❑ Site mag showing the location,with concise and accurate dimensions, of the percolation test holes on the parcel.
<br /> V❑ The minimum number of shallow and deep percolation tests were performed for each parcel.
<br /> ❑ 2/ Description of the date, time and protocol used to prepare the test hole, including depth an dimensio s of hole,
<br /> preparation of hole, and depth of neater used to presoak minjrr�um 12 inchesL yts�"
<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.).Qa rr7v 'ad r�
<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 REHS 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 altemative 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 sig ed and stamped by the appropriately registered individual.
<br /> REVIEWED BY: _i
<br /> REVIEWED DATE:
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