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HomeMy WebLinkAboutSUB201800041 Assessment - Environmental Rural Division Plat 2019-02-22�L of AL� �'JRGIt�I�` COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road, Room 227 Charlottesville, Virginia 22902-4596 Phone (434) 296-5832 Fax (434) 972-4126 Date: 02/22/ 19 Teresa Batten Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 Regarding: Project Name: SUB201800041 Damon Road Lots — Rural Subdivision Plat Date Submitted: 02/21/19 Dear Ms. Batten: The County of Albemarle has received application to develop/subdivide Tax Map 126 Parcels 21D6, 21D3, 21D7, and 21D8. The plat proposes to create three (3) new parcels that will be occupied by single-family detached residential structures. This project requires Health Department approval prior to receiving final County approval. The applicant has provided a soils report, which is attached. Please review the proposal for suitable subsurface drainfields that comply with the provisions of Chapter 18, Sections 4.2.2, 4.2.3, 4.2.4, and Chapter 14 Section 309, Chapter 14 Section 310, and Chapter 14 Section 416 of the Albemarle County Code. Should you have any questions or comments please feel free to contact me. Sincerely, Cameron Langille, Senior Planner County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 blan ig lle(aalbemarle.org (434)296-5832, ext. 3432 Page 1 of 6 OSE/PE Report For: ❑ Construction ❑ Repair ElVoluntary Upgrade ❑ Certification ® Subdivision Permit Permit Permit T Pttpr An.,-1 Property Identification: 911 Address: City: Lot: 1 Section: Subdivision: Damon Road GPIN or Tax Map #: 126-21 D6 Health Department ID #: Latitude: Longitude: Applicant or Client Mailing Address: Name: Greg Baldwin, Core Real Estate Street: 600 E. Water St., Ste. H City: Charlottesville State: VA Zip Code: 22902 Prepared by: OSE Name: William J. "Jeff' Loth, IV License Number: 1940001316 Address: 222 Sycamore Lane City: Afton State: Virginia Zip Code: 22920 PE Name: License Number: Address City: State: Zip Code: Date of Report: 2/18/19 Date of Revision 1: OSE/PE Job Number: Date of Revision 2: Contents/Index of this report e.. Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc. Cover Page Application Soil Summary Report Soil Profile & Design Calculations 1" = 100' Drainfield detail Subdivision Plat with Sanitary Survey (to 200' radius) Certification Statement I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the applicable provisions of the Sewage Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630), the Regulations for Alternative Onsite Sewage Systems (12VAC5-613) and all other applicable laws, regulations and policies implemented by the Virginia Department of Health. I further certify that I currently possess any professional license required by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency charged with licensure to perform the work contained herein. ❑ The work attached to this cover page has been conducted under an exemption to the practice of engineering, specifically the exemption in Code of Virginia Section 54.1-402.A.I I I recommend that a (select one): ❑ Construction P it ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade be (select one): ® Issued, ❑ De 'ed PE/OSE Signature: Date: 2/18/19 Pau 2 of 6 Commonwealth of Virginia Application for: ® Sewage System ® Water Supply VDH Use Only Health Department ID# Due Date: Owner: Iris Realty Holdings LLC Phone: - Mailing Address: 502 Willoughby Ln. Staunton, VA 24401 Phone: Fax: Agent: Greg Baldwin Core Real Estate Phone: 434 422-5050 Mailing Address: 600 E. Water St., Ste. H Charlottesville, VA 22902 Phone: - Fax: Site Address: Email: Directions to Property: east of Rt. 670, 0.4 mile north of Rt. 717 Subdivision: I Damon Road Section: Block: Lot: 1 Tax Map: 126-21 D6 Other Property Identification: Dimension/Acreage of Property: 7.569 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. For New Construction: ❑ Certification Letter 1 ❑ Construction Permit 1 ® Subdivision Review For Existing Construction: ❑ Repair ❑ Modification I ❑ Expansion ❑ Replacement Pro osed Use: ® Single Family Home (Number of Bedrooms ❑ Multi -Family Dwelling (Total Number of Bedrooms Other describe Will there be a basement: ® Yes ❑ No I If yes, will there be fixtures in the Basement? ® Yes ❑ No Are any conditions pLoposed on this constructionpermit? ❑ Yes ® No If yes, please check or describe all proposed Conditions that apply: ❑ Reduced Water Flow I ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary use not to exceed 1 year 1 ❑ Other (describe) Water Supply Will the water supply be Public or Z Private Is the Water supply Existing or 0 Proposed If proposed, is this a replacement well? Yes Z No Will the old well be abandoned ❑ Yes No Will any proposed or existing buildings within 50' of the proposed or existing water supply have termite treatment? D Yes Z No Borate termiticide required __..._-------- - -- All Applicants Is this an AOSE/PE application? ® Yes ❑ No If yes, is the AOSE/PE package attached? ® Yes ❑ No In order for VDH to process your application you must attach a site sketch and plat of the property. The site sketch should show your property lines, actual and/or proposed buildings and the desired location of your well and/or sewage system. When the site evaluation is conducted the property lines, building location and the proposed well and sewage system sites must be clearly marked and the property sufficiently visible to see the topography, otherwise this application will be denied. I give permission to the Virginia Department of Health (VDH) to enter onto the property described during normal business hours for the purpose of processing this application and to perform quality assurance checks of evaluations and designs certified by an Authorized Onsite Soil Evaluator (AOSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. Signature of Owner/Agent Date Page 3 of 6 Soil Summary Report General Information Date: 1/9/18 & 9/5/18 Submitted to Albemarle Countv Health Department Applicant: Greg Baldwin, Core Real Estate Telephone: (434) 422-5050 Address: 600 E. Water St., Ste. H, Charlottesville, VA 22902 Owner: Iris Realty Holdings LLC Address: 502 Willoughby Ln., Staunton, VA 24401 Location: east of Rt. 670, 0.4 mile north of Rt. 717 Tax Map: 126-21D6 Subdivision: Damon Road Property Size: 7.569 ac. Section: Lot: 1 Soil Information Summary 1. Position in landscape satisfactory? Yes ® No ❑ Describe: shoulder 2. Slope 7% 3. Depth to Rock or impervious strata: Max. 60+ Min. 29 4. Depth to seasonal water table (gray mottling or gray color): No ® Yes ❑ Inches 5. Free water present: No ® Yes ❑ range in inches - 6. Soil percolation rate estimated? Yes ® Texture Group I ❑ II ❑ III ® IV ❑ No ❑ Estimated rate 65 min/inch 7. Permeability test performed Yes ❑ No If yes, note type of test performed and attach ® Site Approved Drainfield to be placed at 17" depth at site designated on site sketch utilizing a pretreatment unit capable of providing TL-3 to the drainfield. ❑ Site Disapproved Reason for Rejection 1. Position in landscape subject to flooding or periodic saturation 2. Insufficient depth of suitable soil over hard rock 3. Insufficient de th of suitable soil to seasonal water table 4. El Rates of absorption too slow. 5. Insufficient area of acceptable soil for required drainfield, and or reserve area 6. E3 Proposed system too close to well 7. ❑ I Other S eci Page 4of6 TM 126-21 D6 Damon Road Subdivision, Lot 1 Nelson County, Virginia Soil Profiles Hole Hrzn Depth in Material Description Txt Grp 1 Ap 0-20 10 3/3 dark brown & 7.5 4/4 brown Loam old stump hole 2 BtC 20-44 2.5 5/8 red Clay Loam, weak fine SBK, and very highly weathered schist fragments 3 R 44 Auger refusal on schist 2 Ap 0-1 10 3/3 dark brown Loam 2 B 1-7 7.5 r4/4 brown Clay Loam 3 Bt 7-45 2.5 5/8 red Clay Loam, weak fine SBK, and very few weathered schist fragments 3 BtC 45-60 2.5yr5/8 red Clay Loam, weak fine SBK, with soft 10yr5/8 yellowish brown Silt Loam sa rolite and very highly weathered schist fragments 3 3 A 0-2 10 3/3 dark brown Loam 2 BtC 2-29 2.5 5/8 red Clay Loam, weak fine SBK, and very highly weathered schist fragments 3 R 29 Auger refusal on schist 3 Design Calculations Design Basis A. Estimated Percolation Rate 65 @ 25 in. B. Effluent loading rate from Table 1 of 12 VAC 5-613 0.57 gpd/sf C. Number of bedrooms 4 D. Gallons per day (Number of bedrooms X 150 gpd/bedroom) 600 E. Total trench square footage required for TL-3 effluent (600gpd / 0.57gpd/ft2), as per 12 VAC 5-613) 1053 Area Calculations A. Length of trench (ft.) B Length of available area (ft.) C. Width of trench (ft.) D. Number of trenches E. Center -to -center spacing (ft.) F. Width required (ft.) G. Width of available area (ft.) H. Total square footage required 1. Square footage provided J. is a reserve area required? 100 100 3 4 9 30 80 1053 1200 Yes, 100% Reserve Area provided riMAir rl-vuv «errs A d' X. 54A4W water Prole -/. R. M.. COMMON/TY PANEL NO. 51003C05000 s�� Ordinance ,5 `F£C kF DATE OF F£BRUARY 4, 2005 Page 5 of 6 w \ /\ o• U UN a+„ w 25 3P. N 54FO45'1.3 J92. s�),,on U / V proposed jo, 000 sq. ft. Q,��`' �� �0• building site ser�iron / Q �� \ \ proposed /• I droinfie/d D4 l dYoter F'iotection � i / Ominonce Stream Buffer C 06 / Pate 6 of 6 DRAINFIELD WORKING PLAT DICIMSON SURVEYING LLC FOR HEALTH DEPT. USE ONLY 500 Court SLr"t P.O. Box 112 NOT TO BE RECORDED ApWmn°x. Vw4nic 24522 434-352-8560 AVX 1 ELEW&WS .AYO!!Ot' ARE A55U.1/ED /W 7M7 0R4/N7E20 Mich"I Roy G— Lar1d Surveyor ONLYAAV A477 FROA7 ae4AFVZ0 70 L4e4149%L0 1. SEE PUT FOR LO7 mawmaws J. 7.AI. AV 126-2107 i 5W7 OF T.N. AM 426?l03 @' 2106 I. APFSOXAW7E ROW ZONES A @ X .SC41M F6t7,V F./.R.N. COA/6WIY PANEL AV S1Q2iLYJ5tm -b, �� Polection Ordur°°ce B°Nx IMN E774i'71DF L741F OF FEPRtNRY 4, 26M .SYiaom N 54"45'U£ J9201' / •HK �CVi U / N2f792bF 151.LY)' U F(p O v1 �' tiro 1 I �' t�• �6 euad�9 � d,,' I �\ U � N i set iro, 260.66' C4 \\l'i-'r N 12'4/?I ?Y /! \ U O ` 1 O / 7.S69Ac. '7- �� g � � 7.0 AV.. 126-1107 Mbts/ f3°1xt/°n _ _ O.Li lJ9 P.99 099Ac. - o -9. 7Awr 1161706 92. PROPOSFOPRAff09ELDS Lbcvse R°°i7ng Asm° O1 N 275PER E 267.17- O? N 6I51:W' W 9.9.46, OJ N J2W'16' E 79.91, 0! N M1521E 89.28' 05 S 2072 412 W 119.87' 06 N 7J'5915' E 208.8I' 07 N 1907'16'W 9101' 06 N 4977J6' E 1Q5.75' 09 S 19 40I7' E 8075' 010 s ,4rwv6'W 11065' O71 S )w76J7' E 262.S6' 012 S 25tFlW' E 1" 12' 01J 5 77'2755' W 141RJ7' Ol! N 1J•18:78'E /MRS' 015 N 7J'S654' E 76. 13' buAb(w9 =''Ye Ij11 `.'.IF � 01J I 55 droinAeAd ! \m i Oro6rrox° SMwm BuNar \ j! DRAINAMDPLAT \ v° S(X7RCE OF 7771E /RV REAL7Y NOLLYA4 7 LLCI4- 121e~.9 P7414 \ \ elpr p SC:4[E.• ! /IV. - 1Lt7 FT. \ �/ f{via /'/ IJA�lONROAD / !lCEDCD S!!BDlt/ISlON ..'` o.JJllti !° MICHAEL RAY GGIN \ \ 00..1717 Lic. No. 3143 OMWER/OELfLCJ ER. /R/S REAL7Y AA7L0/Nt.,fv LLC aw S-01 Rd 5C077SWLE OLS7/PX &7 WLE R7ON7Y SURN kwwAw fEBWl4RY $ ?O7B REWSEO Away 12 2018 G SEPS&WR 24, 2019 LCM&-R F4 2018 d OECEAMW 141, ?O78 100 0 100 200 3W fB L766X21N GRAPHIC SCALE -FEET Page 1 of 6 OSE/PE Report For: ❑ Construction ❑ Repair ❑ Voluntary Upgrade ❑ Certification ® Subdivision Permit Permit Permit Letter Annroval Property Identification: 911 Address: City: Lot: 2 Section: Subdivision: Damon Road GPIN or Tax Map #: 126-21 D6 Health Department ID #: Latitude: Longitude: Applicant or Client Mailing Address: Name: Greg Baldwin, Core Real Estate Street: 600 E. Water St., Ste. H City: Charlottesville State: VA Zip Code: 22902 Prepared by: OSE Name: William J. "Jeff' Loth, IV License Number: 1940001316 Address: 222 Sycamore Lane City: Afton State: Virginia Zip Code: 22920 PE Name: License Number: Address: City: State: Zip Code: Date of Report: 2/18/19 Date of Revision 1: OSE/PE Job Number: Date of Revision 2: Contents/Index of this report e.., Site Evaluation Summary, oil Profile Descriptions, Site Sketch, Abbreviated Design, etc. Cover Page Application Soil Summary Report Soil Profile & Design Calculations 1" = 100' Drainfield detail Subdivision Plat with Sanitary Survey (to 200' radius) Certification Statement I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the applicable provisions of the Sewage Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630), the Regulations for Alternative Onsite Sewage Systems (12VAC5-613) and all other applicable laws, regulations and policies implemented by the Virginia Department of Health. I further certify that I currently possess any professional license required by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency charged with licensure to perform the work contained herein. ❑ The work attached to this cover page has been conducted under an exemption to the practice of engineering, specifically the exemption in Code of Virginia Section 54.1-402.A.1 I I recommend that a (select one): ❑ Construction P it, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade be (select one): ® Issued, ied PE/OSE Signature: Date: 2/18/19 Pa e2of6 Commonwealth of Virginia Application for: ® Sewage System ® Water Supply VDH Use Only Health Department ID# Due Date: Owner: Iris Realty Holdings LLC Phone: - Mailing Address: 502 Willoughby Ln. Staunton, VA 24401 Phone: - Fax: Agent: Greg Baldwin Core Real Estate Phone: 434 422-5050 Mailing Address: 600 E. Water St., Ste. H Charlottesville, VA 22902 Phone: - Fax: Site Address: Email: Directions to Property: east of Rt. 670, 0.4 mile north of Rt. 717 Subdivision: I Damon Road Section: Block: Lot: 2 Tax Map: 126-21136 Other Property Identification: Dimension/Acreage of Property: 5.000 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. For New Construction: ❑ Certification Letter ❑ Construction Permit ® Subdivision Review For Existing Construction: ❑ Repair ❑ Modification ❑ Expansion ❑ Replacement Proposed Use: ® Single Family Home (Number of Bedrooms ❑ Multi -Family Dwelling (Total Number of Bedrooms _) ❑ Other (describe) Will there be a basement: ® Yes ❑ No If yes, will there be fixtures in the Basement? ® Yes ❑ No Are any conditions proposed on this construction permit? ❑ Yes ® No If yes, please check or describe all proposed Conditions that apply: ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary use not to exceed 1 year ❑ Other (describe) Water Supply Will the water supply be ❑ Public or ® Private Is the Water supply ❑ Existing or ® Proposed If proposed, is this a replacement well? ❑ Yes ® No Will the old well be abandoned ❑ Yes ❑ No Will any proposed or existing buildings within 50' of the proposed or existing water supply have termite treatment? ❑ Yes ® No Borate termiticide required All Applicants Is this an AOSE/PE application? ® Yes ❑ No If yes, is the AOSE/PE package attached? ® Yes ❑ No In order for VDH to process your application you must attach a site sketch and plat of the property. The site sketch should show your property lines, actual and/or proposed buildings and the desired location of your well and/or sewage system. When the site evaluation is conducted the property lines, building location and the proposed well and sewage system sites must be clearly marked and the property sufficiently visible to see the topography, otherwise this application will be denied. I give permission to the Virginia Department of Health (VDH) to enter onto the property described during normal business hours for the purpose of processing this application and to perform quality assurance checks of evaluations and designs certified by an Authorized Onsite Soil Evaluator (AOSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. Signature of Owner/Agent Date Page 3 of 6 Soil Summary Report General Information Date: 1/10/18 Submitted to Albemarle County Health Department Applicant: Greg Baldwin, Core Real Estate Telephone: (434) 422-5050 Address: 600 E. Water St., Ste. H, Charlottesville, VA 22902 Owner: Iris Realty Holdings LLC Address: 502 Willoughby Ln., Staunton, VA 24401 Location: east of Rt. 670, 0.4 mile north of Rt. 717 Tax Map: 126-21 D6 Subdivision: Damon Road Property Size: 5.000 ac. Section: Lot: 2 Soil Information Summary 1. Position in landscape satisfactory? Yes ® No ❑ Describe: sideslope 2. Slope 22% 3. Depth to Rock or impervious strata: Max. 40 Min. 30 4. Depth to seasonal water table (gray mottling or gray color): No ® Yes ❑ Inches 5. Free water present: No ® Yes ❑ range in inches Yes ® Texture Group I ❑ II El ® IV ❑ 6. Soil percolation rate estimated? No ❑ Estimated rate 75 min/inch 7. Permeability test performed Yes ❑ No If yes, note type of test performed and attach Drainfield to be placed at 0-12" depth at site designated on site sketch ® Site Approved utilizing a pretreatment unit capable of providing TL-3 effluent, and drip dispersal. ❑ Site Disapproved Reason for Rejection 1. ❑ Position in landscape subject to flooding or periodic saturation 2. ❑ Insufficient depth of suitable soil over hard rock 3. ❑ Insufficient depth of suitable soil to seasonal water table 4. ❑ Rates of absorption too slow. 5. ❑ Insufficient area of acceptable soil for required drainfield, and or reserve area 6. ❑ Proposed system too close to well 7. ❑ Other Specify Page 4 of 6 TM 126-21 D6 Damon Road Subdivision, Lot 2 Nelson County, Virginia Rnil Prnfilvc Hole Hrzn Depth in Material Description Txt Gr 1 Ap 0-3 10 r3/3 dark brown Loam 2 B 3-8 7.5 r4/4 brown Clay Loam 3 BtC 8-40 2.5 5/8 red Clay Loam, weak fine SBK, and very highly weathered schist fragments 3 R 40 Auger refusal on schist 2 Ap 0-2 10 3/3 dark brown Loam 2 B 1 2-4 7.5 4/4 brown Clay Loam 3 132 4-9 7.5 r5/4 brown Clay Loam 3 BtC 9-30 2.5 4/8 red Clay Loam, SBK, with common very highly weathered schist fragments 3 R 30 Auger refusal on schist 3 Ap 0-12 10 3/3 dark brown & 7.5 r4/4 brown Loam old stump hole 2 BtC 12-30 2.5 5/8 red Clay Loam, weak fine SBK, and very highly weathered schist fragments 3 R 30 Auger refusal on schist 3 Design Calculations Design Basis A. Estimated Percolation Rate B. Effluent loading rate from Table I of 12 VAC 5-613 C. Gallons per day (Number of bedrooms X 150 gpd/bedroom) Area Calculations for Drip Dispersal A. Length of run (ft.) B Length of available area (ft.) C. Width of available area (ft.) D. Total footprint required for drip dispersal (600gpd / .25gpd/sf), as per 12 VAC 5-613) E. Square footage provided F. Is a Reserve Area required? 75 @ 0-12 in. .25 gpd/sf 600 100 100+ 80 2400 8000 Yes, 100% Reserve Area provided 2jcli jp-_ © �� u \ �� 0 \Ch SN U�s� fd. pipe TtCQ 1 1 � O proposed JO 000 sq. It � site bui/ding i ,fl N proposed �� N dminfie/a' — h 04 proposed ,j00 s , Oo 4 building site \� 4� proposed w set dminFe/d / o / � 6 r9, o98AC. Page 5 of 6 Pale 6 of 6 DRAINFIELD WORKING PLAT- DICURSON SURVEYING LLC FOR HEALTH DEPT. USE ONLY 500 Court Street P.O. Box 112 NOT TO BE RECORDED Appwmttox, Virginia 24522 434-352-8550 NOTE: 1. 12iW70" SNOWN ARE A53Y/MEO FOR PWr AS&A /EZC MichoM flay Goln ONLY ANC AVr M W ORNN54W IO aeOWla a Land Surveyor ?..&'E PUT FOR LOT O/MENSms 3. 1:AL NO. I?E-1707 B HWr OE T.M. NOs. IM-?IW & 2108 4 APPROX/. QTE ,-Z" ZONES A B X.• SiXrV Kb1el Prolxlron FROM f:/.R.N. 6VA9 Wrl PMEL AV 510aZW6DO ny, O�haxa SYnam Buller #MV EiFEL'l1Y£ 417E OF i2W%WY 4, 1005 a u U / tc 1 % n '4[55j v N 5!'1J2' i / M lzi et /! $/ qrp U N ro Pdx, \�i vili / fir-�dd11 \M1p u Jomv $04 1, � i I i•/ .Slt C"ovad/n9 S�Ys � , \ A sef iron _ pr400 "d Solt dru/n AN � T.M. NV IM-?1,07 yyyr qy�,y,� O.B.7.J9 P.98 OrrA'hon¢" S?r Buller ~r T.M NO. !26 1108 PRO"EDDRABUFi1s7DS Gburse A-17V DisNSnce OI ;N: 11:522B 2 Q7 ".,:_ W 99.4s OJ N J2�t915 E 79.91' O4 N BB752/ E 89.1B' QS S 2022 f2 M 119.87' 08 N 7.r59 iI5' E 20884f' 07 N 1907'18'!Y QB N 49O,J8' E IQS.75, 09 S 19 t047' E B0.75 Of0 S I0!7918 w Ila65' 1011 S 1!'18J1 E "..58' 012 S 25:5100 E IN 12' 0.0 S 77'2755 N /48.i7' 19/4 N lX)'. 78 E IMPS' 015 N 7JW8 54' E 74 /J' I / 1O00 Q PIS I 7 o Sn � D1J droh�fed I T Ati'S1e.' Pr"tmcl/on \ c Ora'nanro Slrearn Llu/Hr o ` \ DRAINFIBLDPLAT \ ° � ) 09, SOURCE OF ATLE.• hW RFAL7Y NOLO/AC.S; UC 1284l09 A..744 Axe, I NK - My TT. DlJCIsDCO D" ROAD MICNAEL RAY COIN Lic. No. 3143 QNYNER/OE72 a-10 ..• IRIS REAL7Y /10L0/N05; UC SGi7T75NLLE OLf1Rt: ASf4l E COUNIY SU4'1 phwhm ,'ZF WY B, 20Ar `( REW/SEO Aikt N I7, 1018 ? SEPMMWR 24, 1018 t OVMW,R 2.g 2018 3 AFMAMR 1A 2018 l 10D 0 100 200 300 F8 /Js8X27N ORAMC SCALE -= Page 1 of 6 OSE/PE Report For: ❑ Construction ❑ Repair ❑ Voluntary Upgrade ❑ Certification ® Subdivision Permit Permit Permit Letter Annrnval Property Identification: 911 Address: City: Lot: 3 Section: Subdivision: Damon Road GPIN or Tax Map #: 126-21D6 Health Department ID #: Latitude: Longitude: Applicant or Client Mailing Address: Name: Grea Baldwin, Core Real Estate Street: 600 E. Water St., Ste. H City: Charlottesville State: VA Zip Code: 22902 Prepared by: OSE Name: William J. "Jeff' Loth, IV License Number: 1940001316 Address: 222 Sycamore Lane City: Afton State: Virginia Zip Code: 22920 PE Name: License Number: Address: City: State: Zip Code: Date of Report: 2/18/19 Date of Revision 1: OSE/PE Job Number: Date of Revision 2: Contents/Index of this report (e.., Site Evaluation Summary, oil Profile Descriptions, Site Sketch, Abbreviated Design, etc. Cover Pate Application Soil Summary Report Soil Profile & Design Calculations 1" = 100' Drainfield detail Subdivision Plat with Sanitary Survey (to 200' radius) Certification Statement I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the applicable provisions of the Sewage Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630), the Regulations for Alternative Onsite Sewage Systems (12VAC5-613) and all other applicable laws, regulations and policies implemented by the Virginia Department of Health. I further certify that I currently possess any professional license required by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency charged with licensure to perform the work contained herein. ❑ The work attached to this cover page has been conducted under an exemption to the practice of engineering, specifically the exemption in Code of Virginia Section 54.1-402.A.I I I recommend that a (select one): ❑ Constructio Permit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade be (select one): E Issued, nied PE/OSE Signature: Date: 2/18/19 Paize2of6 Commonwealth of Virginia Application for: ® Sewage System ® Water Supply VDH Use Only Health Department ID# Due Date: Owner: Iris Realty Holdings LLC Phone: - Mailing Address: 502 Willoughby Ln. Staunton, VA 24401 Phone: - Fax: Agent: Greg Baldwin Core Real Estate Phone: 434 422-5050 Mailing Address: 600 E. Water St., Ste. H Charlottesville, VA 22902 Phone: - Fax: Site Address: Email: Directions to Property: east of Rt. 670, 0.4 mile north of Rt. 717 Subdivision: I Damon Road Section: Block: Lot: 3 Tax Map: 126-21D6 Other Property Identification: Dimension/Acreage of Property: 9.098 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. For New Construction: ❑ Certification Letter ❑ Construction Permit ® Subdivision Review For Existing Construction: ❑ Repair ❑ Modification ❑ Expansion ❑ Replacement Proposed Use: ® Single Family Home (Number of Bedrooms 4) ❑ Multi -Family Dwelling (Total Number of Bedrooms ❑ Other (describe) Will there be a basement: ® Yes ❑ No If yes, will there be fixtures in the Basement? ® Yes ❑ No Are any conditions proposed on this construction permit? ❑ Yes ® No If yes, please check or describe all proposed Conditions that apply: ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary use not to exceed 1 year ❑ Other (describe) Water Supply Will the water supply be ❑ Public or ® Private Is the Water supply ❑ Existing or ® Proposed If proposed, is this a replacement well? ❑ Yes ® No Will the old well be abandoned ❑ Yes ❑ No Will any proposed or existing buildings within 50' of the proposed or existing water supply have termite treatment? ❑ Yes ® No Borate termiticide required All Applicants Is this an AOSE/PE application? ® Yes ❑ No If yes, is the AOSE/PE package attached? ® Yes ❑ No In order for VDH to process your application you must attach a site sketch and plat of the property. The site sketch should show your property lines, actual and/or proposed buildings and the desired location of your well and/or sewage system. When the site evaluation is conducted the property lines, building location and the proposed well and sewage system sites must be clearly marked and the property sufficiently visible to see the topography, otherwise this application will be denied. I give permission to the Virginia Department of Health (VDH) to enter onto the property described during normal business hours for the purpose of processing this application and to perform quality assurance checks of evaluations and designs certified by an Authorized Onsite Soil Evaluator (AOSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. Signature of Owner/Agent Page 3 of 6 Soil Summary Report General Information Date: 1/10/18 Submitted to Albemarle County Health Department Applicant: Greg Baldwin, Core Real Estate Telephone: (434) 422-5050 Address: 600 E. Water St., Ste. H, Charlottesville, VA 22902 Owner: Iris Realty Holdings LLC Address: 502 Willoughby Ln., Staunton, VA 24401 Location: east of Rt. 670, 0.4 mile north of Rt. 717 Tax Map: 126-21136 Subdivision: Damon Road Property Size: 9.098 ac. Section: Lot: 3 Soil Information Summary 1. Position in landscape satisfactory? Yes ® No ❑ Describe: sideslope 2. Slope 24 (max)% 3. Depth to Rock or impervious strata: Max. 60+ Min. 42 4. Depth to seasonal water table (gray mottling or gray color): No ® Yes ❑ Inches 5. Free water present: No ® Yes ❑ range in inches - Yes ® Texture Group I El ❑ III ® IV ❑ 6. Soil percolation rate estimated? No ❑ Estimated rate 65 min/inch 7. Permeability test performed Yes ❑ No If yes, note type of test performed and attach Drainfield to be placed at 30" depth at site designated on site sketch utilizing ® Site Approved a pretreatment unit capable of providing TL-3 to the drainfield. ❑ Site Disapproved Reason for Rejection 1. ❑ Position in landscape subject to flooding or periodic saturation 2. ❑ Insufficient depth of suitable soil over hard rock 3. ❑ Insufficient depth of suitable soil to seasonal water table 4. ❑ Rates of absorption too slow. 5. ❑ Insufficient area of acceptable soil for required drainfield, and or reserve area 6. ❑ Proposed system too close to well 7. ❑ Other Specify Page 4 of 6 TM 126-21 D6 Damon Road Subdivision, Lot 3 Nelson County, Virginia Soil Profiles Hole Hrzn Depth in Material Description TO Grp 1 Ap 0-5 10 3/3 dark brown Loam 2 BtC 5-20 7.5yr5/6 strong brown Clay Loam, weak fine SBK, and soft 10yr5/8 yellowish brown Silt Loam sa rolite 3 CB 20-48 Soft 10 5/8 yellowish brown Silt Loam sa rolite and 7.5 5/6 strong brown Clay Loam 3 R 48 Firm 2 Ap 0-2 10 3/3 dark brown Loam 2 B 2-7 5 4/4 reddish brown Clay Loan4 weak fine SBK 3 Bt 7-26 2.5 4/8 red Clay Loam, weak SBK 3 BtC 26-34 2.5yr4/8 red Clay Loam, weak fine SBK, and soft 10yr5/8 yellowish brown Silt Loam sa rolite 3 CB 34-60 Soft 10 5/8 yellowish brown Silt Loam sa rolite and 2.5yr4/8 red Clay Loam 3 3 Ap 0-3 10 3/3 dark brown Loam 2 B 3-6 5 4/4 reddish brown Clay Loam weak fine SBK 3 BtC 642 2.5yr4/8 red Clay Loam, weak fine SBK, and soft 10yr5/8 yellowish brown Silt Loam sa rolite 3 R 42 Auger refusal on schist 4 Ap 0-1 10 3/3 dark brown Loam 2 B 1-7 5 4/4 reddish brown Clay Loam, weak fine SBK 3 BtC 1 7-34 2.5yr4/6 red Clay Loam, weak SBK, with common soft 7.5yr6/8 reddish yellow Silt Loam sa rolite 3 BtC2 34-60 2.5yr5/8 red Clay Loam, weak SBK, with common soft 7.5yr6/8 reddish yellow Silt Loam sa rolite 3 5 A 0-2 10 3/3 dark brown Loam 2 B 2-10 5 4/4 reddish brown Clay Loam weak fine SBK 3 Bt 10-21 2.5 5/8 red Clay Loam, weak SBK 3 BtC 21-60 2.5yr4/8 red Clay Loam, weak fine SBK, and soft 10yr5/8 yellowish brown Silt Loam sa rolite 3 Design Calculations Design Basis A. Estimated Percolation Rate 65 @ 30 in. B. Effluent loading rate from Table 1 of 12 VAC 5-613 0.57 gpd/sf C. Number of bedrooms 4 D. Gallons per day (Number of bedrooms X 150 gpd/bedroom) 600 E. Total trench square footage required for TL-3 effluent (600gpd / 0.57gpd/ft2), as per 12 VAC 5-613) 1053 Area Calculations A. Length of trench (ft.) B Length of available area (ft.) C. Width of trench (ft.) D. Number of trenches E. Center -to -center spacing (ft.) F. Width required (ft.) G. Width of available area (ft.) H. Total square footage required I. Square footage provided J. Is a reserve area required? 100 100 3 4 10 33 75 1053 1200 Yes, 100% Reserve Area provided T.M.. NO. 126 21,07 0.8.1.39 A98 00 � •0 '� '�.� o 0 ,o, 9.098Ac. set iron / ® 392 O4 proposed 3o, 000 sq. ft. building site \ `{f {I. o ' RMI&Ction \ 717ce SIM0177 Buffer ems- \ DINGS, LL C PART OF T. 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