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o°°`J.!"- <br /> SAN JOAQUIN COUNTY <br /> 2r ? ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Ave Stockton, CA 95205 <br /> (209)468-3420 • Fax:(209)464-0138 • Web:www.sj�gov.orJehd <br /> Soil Suitability study Requirements Checklist <br /> RECORD ID: SR0082189 <br /> SITE LOCATION: 12448 EAST HARNEY LANE, LODI <br /> REPORT DATE:JUNE 12,2020 <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 <br /> I = Insufficient <br /> S I 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION <br /> N ❑ 1.1 Description of site, including zoning information. <br /> • AL-5—Limited Agriculture <br /> 1.2 Description of proposed development. <br /> • Addition of three (3) new two-bedroom mobile homes <br /> • Proposes to install new septic systems for the new residences <br /> • Three dairies located in one/third mile of parcel <br /> N ❑ 0 CS-2000847—Drilling for septic and possibly moving three mobile homes onto the property <br /> • CS-2000877—Demo of Existing barn, paving a long driveway, some type of drilling, and moving dirt. <br /> • Proposed driveway is located over existing septic system, -Plate 2 by George Davis <br /> • Neighbor says existing septic system has surfacing sewage, and tank needs to be pumped once a month. <br /> • Complainant also states that mobile homes will be used for elderly care <br /> N ❑ 1.3 Parcel vicinity location map. <br /> vg ❑ 1.4 Site map showing location of all items on parcels (i.e., structures, drives,wells, septic systems, large trees, <br /> pastures, pools, natural drainage courses, ponds, waterways, etc.) <br /> 2.0 PRESENT AND PAST USES OF THE SITE SECTION <br /> ❑ N 2.1 Discussion of past and present uses at the site to assess potential problems. <br /> 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION <br /> ❑ 3.1 Description of exiting on-site septic tank usage(system types, age,functioning/repair rates). <br /> ® ❑ 3.2 Site septic permit history(number/types/dates of permits, age of system, permit numbers, copies in report). <br /> ® ❑ 3.3 Discussion of on-site septic tank repair history. <br /> N ❑ 3.4 Description of existing septic tank usage in the general area (system types, ages,functioning/repair rates, <br /> proximity to parcel). <br /> N ❑ 3.5 General area septic permit history(number/types/dates of permits, age of system, permit numbers, copies in <br /> report). <br /> N ❑ 3.6 Discussion of general area septic tank repair history. <br /> N ❑ 3.7 Description of proposed or expected maximum (including second unit dwellings)septic tank usage on site. <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> N ❑ 4.1 Description of the depth and gradient of groundwater in the general area. <br /> N ❑ 4.2 Description/discussion of any existing and/or potential groundwater contaimination issues in the general location <br /> of the site. <br /> N ❑ 4.3 Description of location (address/APN),type and construction of well and location (well head/kitchen tap)where <br /> water sample(s)were obtained. <br /> N ❑ 4.4 Description of constituents being tested for in the water sample. <br /> N ❑ 4.5 Description of how sample was obtained, handled, stored,and transported to the lab. <br /> N ❑ 4.6 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. For Laboratory samplers, complete laboratory <br /> report to include the above noted information. <br /> EHD 26-02-003 Pagel of 3 Soil Suitability Checklist <br />