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S = Sufficient I = Insufficient S 1 5.0 SOIL PROFILE INFORMATION SECTION ❑ ❑ 5.1 Site map showing the location, with dimensions, of the soil profile pit on the parcel. ❑ 5.2 Description of soil profile pit including depth and dimensions. 2- ❑ 5.3 Description of soil lithology as noted from test pit by appropriate professional using industry standard protocol. ❑ 5.4 Discussion of soil lithology as related to future onsite septic uses. 6.0 PERCOLATION TEST INFORMATION SECTION [� ❑ 6.1 Site map showing the location, with concise and accurate dimensions of the percolation test holes on the parcel. ❑ 6.2 The minimum number of shallow and deep percolation tests was performed for each parcel. ❑ 6.3 Description of the date, time and protocol used to prepare the test hole, including depth and dimensions of hole, ❑ 6.4 preparation of hole, and depth of water used to presoak (minimum 12 inches). Description of the date, time and condition of the test hole after the 24-hour soak period (hole still intact, hole dry, depth to water remaining in hole, etc.) ❑ 6.5 The test conformed to SJC Policy EHD 02-02 (correct depth, diameter, 2" gravel, 6" water refill, correct readings recorded). P— ❑ 6.6 Complete Percolation Test Form (including readings) was provided with REHS verification signature. The rate was correctly calculated using the last reading. ❑r` ❑ 6.7 Discussion of any potential problems predicted and/or the need for an engineered or alternative septic system. [ ❑ 6.8 Discussion of percolation rates in relation to the type, size and location of future leach fields needed at the site. 7.0 CONCLUSION SECTION ❑ 7.1 The report was signed and stamped by the appropriately registered individual Reviewed By'. A& -Z-" - A Reviewed Date'. a 7 C Z EHD 26-03 Page 2 of 3 SOIL SUITABILITY STUDY CKLST 4/24/12