Laserfiche WebLink
SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 East Hazelton Avenue, Stockton, CA 95205 <br /> `9�;FORa�P Telephone: (209) 468-3420 Fax: (209) 468-3877 Web:www.sjgov.org/ehd <br /> SOIL SUITABILITY STUDY REQUIREMENTS CHECKLIST <br /> 11 <br /> SITE LOCATION: 24Z • N�W10 P4164 L`661 PA#: Pa-21ACULV <br /> r�PN.. su- u 12 <br /> S = Sufficient San Joaquin County Development Title Chapter 9-1105,Section 9-1105.2 POWr <br /> I = Insufficient p� �i1 p_ <br /> S 1 1.0 INTRODUCTION & PROPOSED DEVELOPMENT SECTION w lJA <br /> ❑ 1.1 Description of site, including zoning information. :: (Uyl? eI1Z nau OIlives. <br /> ❑ 1.2 Description of proposed development. yeee 4 paaQil•J Z.O o ac Z.o(Q Glc <br /> 2.�56Lr✓ 4'�Qa6 <br /> ❑ 1.3 Parcel vicinity location map. <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 drainage courses, ponds, waterwa s, etc.) <br /> I �I�((/�'1(1►'1 �f I(rinl� I()eQ( }r0Y1'��itf I� rCG�IV�✓ <br /> 2.0 PRESENT ND PAST USES OF THE SITE SECTION �f��}, ������ <br /> [� ❑ 2.1 Discussion of past and present uses at the site to assess potential problems. Vzol 1 10j "�I` c """^^� <br /> 3.0 EXISTING AND PROPOSED SEPTIC TANK USAGE SECTION <br /> 2 _(#Pc SW''AKIrJ Gur(6*1f 10 <br /> ❑ 3.1 Description of existing on-sl septic tank usage (system types, age,functioning/repair rates). <br /> Nh ❑ 3.2 Site septic permit history (number/types/dates of permits, age of system, permit numbers, copies in report). <br /> dROV)Mollb _1g1_11 <br /> ❑ 3.3 Discussion of on-site septic tank repair history. No Vu0V A <br /> ❑ 3.4 Description of existing septic tank usage in the general area(system types, ages, functioning/repair rates, <br /> proximity to parcel). I lath `�1�J � 1QC�a�a pJfT <br /> ❑ 3.5 General area septic permit history(number/types/dates of permits, age of system, permit numbers, copies in <br /> report). M V 2 n 2A_ /2 <br /> ❑ 3.6 Discussion of general area septic tank repair history. <br /> of ❑ 3.7 Description of proposed or expected maximum (including second unit dwellings) septic tank usage on site. <br /> C YWIJ ho 0oYU N►' cohimu,ciW "q Nft 411-Crt-Y it lot twd(tr a Nf-ml <br /> 4.0 GROUNDWATER INFORMATION SECTION <br /> rl�I <br /> ❑ 4.1 Description of the depth and gradient of groundwater in the general area. rt J�( n Al 01�r)Glfl G <br /> tion✓ <br /> ❑ 4.2 Description/discussion of any existing and/or potential groundwater contamination issues in the general location <br /> of the site. Vft"Ct( 1jKY (41-r1N aI CV11M( (I(S dt4f T' fa1:erhin.1 <br /> ❑ 4.3 Description of location (address/APN), type and construction of well and location (well ead/kitchen tap)where <br /> T" water sample(s)were obtained. (W j q w <br /> ❑ 4.4 Description of constituents being tested for in the water sample. <br /> 77T�� ❑ 4.5 Description of how sample was obtained, handled, stored, and transported to the lab. <br /> ❑ 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 /> V-0 ve In - %op Oswt�j fog M gWv wwk s oo &"m b F <br /> cwl-� <br /> EHD 26-03 Page 1 of 3 SOIL SUITABILITY STUDY CKLST <br /> 4/24/12 <br />