HomeMy WebLinkAboutSUB201900171 Study 2020-03-02Page 1 of 5
OSE/PE Report For:
❑ Construction ❑ Repair ❑ Voluntary Upgrade ❑ Certification ® Subdivision
Permit _ Permit Permit Letter Anoroval
Property Identification:
911 Address: City:
Lot: A Section: Subdivision:
GPIN or Tax Map #: 50-19 Health Department ID #:
Latitude: Longitude:
Applicant or Client Mailing Address:
Name: Steve Canterbury
Street: P.O. Box 1772
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: Vir ig_nia Zip Code: 22920
PE Name: License Number:
Address:
City: State: Zip Code:
Date of Report: 3/2f20 Date of Revision 1: _
OSE/PE Job Number: Date of Revision 2:
Contents4ndex of this report e.. Site Evaluation Summary,Soil Profile Descriptions, Site Sketch Abbreviated Design, etc,)
Cover Page
Annlicatio_n
Soil Summay Report
Soil Profile & Desi Calculations
Plat with Drainfields and Sanitga Surve
Certification Statement
I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the applicable provisions ofthe Sewage
Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630), the Regulations for Alternative Onsite Sewage
Systems (I 2VAC5-613) 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, N Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade
be (select one): N Issued, ❑ D nied
PE/OSE Signature: Date: 3/2/20
Page 2 of 5
Commonwealth of Virginia
Application for: ® Sewage System ® Water Supply
VDH Use Only
Health Department ID#
Due Date:
Owner:
PMC Distribution Inc.
Phone:
-
Mailing Address:
P.O. Box 684
Keswick, VA 22947
Phone:
-
Fax:
Agent:
Steve Canterbury
Phone:
434 960-5008
Mailing Address:
P.O. Box 1772
Charlottesville, VA 22902
Phone:
-
Fax:
-
Site Address:
Email:
Directions to Property:
east of Rt. 231, 700' south of Rt. 640
Subdivision: I I Section: Block: Lot: A
Tax Map:
50-19 Other Property Dimension/Acreage of Property:
Identification:
2.58
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
WiII 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 5
Soil Summary Report
General Information
Date: 4/23/19 Submitted to Albemarle County Health Department
Applicant: Steve Canterbury Telephone: (434) 960-5008
Address: P.O. Box 1772, Charlottesville, VA 22902
Owner: PMC Distribution Inc. Address: P.O. Box 684, Keswick, VA 22947
Location: east of Rt. 231, 700' south of Rt. 640
Tax Map: 50-19 Subdivision:
IL Property Size: 2.58 ac. I Section_ -- — -- Lot: A
I
i Soil Information Summary
I 1. Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder
2. Slope 7%
3. Depth to Rock or impervious strata: Max. 48+ Min. 24
4. Depth to seasonal water table (gray mottling or gray color): N o ® Yes ❑ Inches
5. Free water present: No ® Yes ❑ range in inches -
Yes ® Texture Group I El II El ® 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 18" depth at site designated on plat utilizing TL-3
® Site Approved and disinfection. Reserve drainfield is to be placed at 12" depth at site
designated on plat and utilizing TL-3 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 drainfeld, and or reserve area
6. ❑ Proposed system too close to well
7. 0 Other Specify
Page 4 of 5
TM 50-19 Parcel A
Albemarle County, Virginia
Soil Profiles
Hole
Hrzn
Depth
Material Description
Txt
i4
Grp
1
A
0-2
1 3/3 dark brown Loam
2
B
2-8
10 /4 light brown Clay Loam weak fine SBK
3
BtC
8-30
2.5 5/8 red Clay Loam, weak SBK, with common very highly weathered schist fragments
3
R
30
Auaer refusal
2
AP
0-4
10 3/3 dark brown Loam
2
B
4-9
10 ight brown Clay Loam weak fine SBK
3
BtC
9-48
2.5 5/8 red Clay Loam weak SBK with common yEy highly weathered schist fragments
3
3
A
0-2
1 3/3 dark brown Loam
2
B
2-7
1 r6/4 light brown Clay Loam, weak fine SBK
3
BtC
7-48
2.5 r5/8 red Clay Loam, weak SBK, with common very highly weathered schist fragments
3
4 Ap 0-2 10 3/3 dark brown Loam 2
B 2-10 1 r6/4 light brown Clay Loam weak fine SBK 3
BtC 10-24 2.5 5/8 red Clay Lorin weak SBK with common very highly weathered schist fragments 3
I R 24 Aueer refusal
Design Basis for Primary Drainfield
A. Estimated Percolation Rate
B. Effluent loading rate from Table 1 of 12 VAC 5-613
C. Number of bedrooms
D. Gallons per day (Number of bedrooms X 150 gpd/bedroom)
E. Total trench square footage required for drip dispersal (600gpd / 0,57gpd/ft), as per 12 VAC 5-613)
Area Calculations for Primary Drainfield
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 in design
J. Is a reserve area required?
Design Basis for Reserve Drainfield
65 @ 18 in.
0.57 gpd/sf
_l
600
1053
65
65
3
6
9
48
48
1053
1170
Yes, 100% Reserve Area provided
A. Estimated Percolation Rate 65 @ 12 in.
B. Effluent loading rate from Table 1 of 12 VAC 5-613 .27 gpd/sf
C. Gallons per day (Number of bedrooms X 150 gpd/bedroom) 600
Area Calculations for Drip Dispersal Reserve Drainfield
A. Length of run (ft.)
60
B Length of available area (ft.)
60
C. Width of available area (1)
38
D. Total footprint required for drip dispersal (600gpd / .27gpd/sf), as per 12 VAC 5-613)
2223
E. Square footage provided
2280
F. is a Reserve Area required?
Yes, this is a 100% Reserve Area
4t�p��Ci •,o
00
IRON Q�
FOUND /
� 2
00
os�
�49
10.
C�A
Quo
ip
PROPERTY LINE 25' \
FROM C OF ROAD \A f
N 5 6°I #3' 45" E IRON SET , 0
•O i
,PIPE FOUND-..
. `r. c'.
.off F��.� .
0�q,
NEW TM.�5j0- P 18
o
`�� • LET
cS•,
I C.
O
NEW T. M. 50 - P. 15BLOT C
`. '•, C
• r
2.57
t�
poS
��
C
U, � � � g�3 • a *Z1
va
SET
PIPE
FOUND
IRON FOUND
NEW T M. 50- P IB
LOT A
2.58 C.
RRt,ORaSFx
hfvc]S�
\
SET
T, M. 50 - P. 20A
MARY K. E. HOGG
D. S. 4541, P. 229
D. B, 3301, P. 143 PLAT
IRON FOUND
BY PIPE
TM. 50 - P. 20 F
LINDA C. DICKERSON
D. B. I685, P. 79
D. B. 413, P. 131 PLAT
1. x_ fjj-e W�
ids T73
STONE PILE SET
AROUND IRON FOUND
T M. 50 P 19 A
CHARLES A. 13 PHYLLIS M. HOPKINS
D.B. 930, P. 293, 295 PLAT
PIPE
FOUND
SCALE : I" = 80'
SHEET TWO OF TWO
3268
Page I of 5
OSE/PE Report For:
Construction Repair ❑I Voluntary Upgrade I ❑ I Certification 101 Subdivision
Property Identification:
911 Address: City:
Lot: C Section: Subdivision:
GPIN or Tax Map #: 50-15B Health Department ID 4:
Latitude: Longitude:
Applicant or Client Mailing Address:
Name: Steve Canterbury
Street: P.O. Box 1772
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: 3/2/20 Date of Revision 1:
OSE/PE Job Number: Date of Revision 2:
ContentsAndex of this report (eg., Site Evaluation Summary,Soil
Profile Descriptions, Site Sketch, Abbreviated Design, etc.
Cover Page
Application
Soil Summary Report
Soil Profile & Design Calculations
Plat with Drainfields and Sanitary Survex
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. 1 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 54.1402.A.11
I recommend that a (select one): ❑ Construction Permit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade
be (select one): ® Issued, ❑ e ied
PE/OSE Signature: Date: 3/2/20
Pate 2 of 5
Commonwealth of Virginia
Application for: ® Sewage System ® Water Supply
VDH use Only
Health Department ID#
Due Date:
Owner:
PMC Distribution Inc.
Phone:
-
Mailing Address:
P.O. Box 684
Keswick, VA 22947
Phone:
-
Fax:
-
A ent:
Steve Canterbury
Phone:
434 960-5008
Mailing Address:
P.O. Box 1772
Charlottesville, VA 22902
Phone:
-
Fax:
-
Site Address:
Email:
Directions to Property:
east of Rt. 231, 700' south of Rt. 640
Subdivision: Section: Block: Lot: C
Tax Map: 50-15B
Other Property
Identification:
Dimension/Acreage of Property: 2.57
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 conduction 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 I 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 5
Soil Summary Report
General Information
Date: 4/23/19 Submitted to Albemarle County Health Department
Applicant: Steve Canterbury Telephone: (434) 960-5008
Address: P.O. Box 1772, Charlottesville, VA 22902
Owner: PMC Distribution Inc. Address: P.O. Box 684, Keswick, VA 22947
Location: east of Rt. 231, 700' south of Rt. 640
Tax Map: 50-15B Subdivision:
Property Size: 2.57 ac. I Section: Lot: C
Soil Information Summary
Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder
2. Slope 61/o
3. Depth to Rock or impervious strata: Max. 36} Min. 20
4. Depth to seasonal water table (gray mottling or gray color): No ❑ Yes ® Inches 22
5. Free water present: No ® Yes ❑ range in inches -
Yes ® Texture Group I ❑ II ❑ III ® IV ❑
6. Soil percolation rate estimated?
No ❑ Estimated rate 90 min/inch '
7. Permeability test performed Yes ❑ No
If yes, note type of test performed and attach
® Site Approved Drainfield is to be placed at 8" depth at site designated on plat and utilizing
TL-3 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. n Other Snecifv
Page 4 of 5
TM 50-15B Parcel C
Albemarle County, Virginia
Soil Profiles
Hole
Hrzn
Depth
in
Material Description
Tit
Grp
1
A
0-3
1 3/3 dark brown Loam
2
B
3-10
10 /4 light brown Clay Loam weak fine SBK
3
BtC
10-20
5 r4/6 yellowish red Clay Loam wea SBK, with common very highly weathered schist fragments
3
R
20
Auger refusal
2
A
0-2
1 3/3 dark brown Loam
2
E
2-6
10 /2 light gray Silt Loam not redoximo hic
3
BtC
6-36
7.5yr6/8 reddish yellow Clay Loam, weak fine SBK, with very highly weathered schist fragments,
2.5 6/2 light brownish gray redox mottling 25"
3
3
Ap
0-2
1 3/3 dark brown Loam
2
E
2-5
10 /2 light gray Silt Loam not redoximo hic
3
BtC
5-36
7.5yr6/8 reddish yellow Clay Loam, weak fine SBK, with very highly weathered schist fragments,
2.5 6/2 light brownish gray redox mottling 28"
3
4
A
0-3
l 3/3 dark brown Loam
2
E
3-9
l 0 7/2 light gray Silt Loam not redoximo hic
3
BtC
9-36
7.5yr6/8 reddish yellow Clay Loam, weals fine SBK, with very highly weathered schist fragments,
2.5 6/2 light brownish gray redox mottling 22"
Design Basis
A. Estimated Percolation Rate
B. Effluent loading rate from Table 1 of 12 VAC 5-613
C. Gallons per day (Number of bedrooms X 150 gpd/bedroom)
Area Calculations
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 / .22gpd/sf), as per 12 VAC 5-613)
E. Square footage provided
F. Is a Reserve Area required?
90 @ 8 in.
.22 gpd/sf
600
10to80
0 to 80
192
2728
7680
100% Reserve Area provided
4:
(0
cd
0
H
Ir
4
J
IRON'
FOUND
IRON
SET
r,►lr�- g4
ate°
PROPERTY LINE 25' �S
FROM t OF ROAD
J,a�_ €W .9
1 "' ,�� Q.
N 5 ? 134C�5 E IRON SET- w�' Q •
00
�k
- :0C
PIPE FOUND-..
'.
WaL
NEW T.M.50-P IS
LOT�3►•,
�• . 16 C.
NEW T. M. 50- P. 158 t�` •. '•, C
LOT C i�
f�4r
tzovosrz
PIPE
,4/� FOUND
9j
cJ 5
100 2 � bc)
5�
SET
IRON FOUND
T.M. 50 - P 20A
ss+ MARY K. E. NOGG
D. B. 4541, P 229
° D. B. 3301, R 143 PLAT
IRON FOUND
BY PIPE
NEW T. M. 50- P 19
LOT A
2.58 V.
rRzaftsED i
V-
T M. 50 - P. 2O F
LINDA C. DICKERSON
D_ B. 1685, R 79
D. B. 413, P. 131 PLAT
STONE PILE SET
AROUND IRON FOUND
T. M. 50 - P. 19 A
CHARLES A. a PHYLLIS M. HOPKINS
D.B. 930, R 293, 295 PLAT
PIPE
FOUND
SCALE . I" = 80'
SHEET TWO OF TWO
3268
Page 1 of 5
OSE/PE Report For:
❑ Construction ❑ Repair ❑ 1 Voluntary Upgrade ❑ Certification
Permit Permit Pertnit Letter ® Subdivision
Property Identification:
911 Address: City:
Lot: B Section: Subdivision:
GPIN or Tax Map #: 50-18 Health Department ID #:
Latitude: Longitude:
Applicant or Client Mailing Address:
Name: Steve Canterbury
Street: P.O. Box 1772
City: Charlottesville State: VA Zip Code: 22902
Prepared by:
OSE Name: William J, "Jeff'Loth, 1V License Number: 1940001316
Address: 222 bcamore Lane
City: Afton State: Virginia Zip Code: 22920
PE Name: License Number:
Address:
City: State: Zip Code:
Date of Report: NM0 Date of Revision 1:
OSE/PE Job Number: Date of Revision 2:
Contents/Index of this report e.., Site Evaluation Summary, il Profile Desert tions Site Sketch, Abbreviated Des' ete.
Cover Pase
A_unlication
Soil Summary Report
Soil Profile & Design Calculations
Plat with Drainfields and Sanitary Survey
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 VACS-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.11
I recommend that a (select one): ❑ Construction P it, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, [] Voluntary Upgrade
be (select one); ® Issued, ❑ Den'
PE/OSE Signature: Date: 3/2/20
Pa e2of5
Commonwealth of Virginia
Application for: ® Sewage System ® Water Supply
VDH Use Only
Health Department ID#
Due Date:
Owner:
PMC Distribution Inc.
Phone:
-
Mailing Address:
P.O. Box 684
Keswick, VA 22947
Phone:
-
Fax:
Agent:
Steve Canterbury
Phone:
434 960-5008
Mailing Address:
P.O. Box 1772
CharlottesvilIe, VA 22902
Phone:
-
Fax:
Site Address:
Email:
Directions to Property:
east of Rt. 231, 700' south of Rt. 640
Subdivision: Section: Block: Lot: B
Tax Map:
50-I8
Other Property
Identification:
Dimension/Acreage of Property:
2.16
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 ofyour 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 wiII be denied.
I give permission to the Virginia Department of Health (VDH) to cuter 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 5
Soil Summary Report
i General Information
Date: 4/23/19 Submitted to Albemarle County Health Department
Applicant: Steve Canterbury Telephone: (434) 960-5008
Address: P.O. Box 1772, Charlottesville, VA 22902
Owner: PMC Distribution Inc. Address: P.O. Box 684, Keswick, VA 22947
Location: east of Rt. 231, 700' south of Rt. 640
Tax Map: 50-18 Subdivision:
Property Size: 2.16 ac. I Section: Lot: B
Soil Information Summary
1. Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder
2. Slope 7%
3. Depth to Rock or impervious strata: Max. 48+ Min. 38
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. Soli 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 20" depth at site designated on plat. Reserve
® Site Approved drainfield is to be placed at 12" depth at site designated on plat and utilizing
TL-3 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 5
TM 50-18 Parcel B
Albemarle County, Virginia
Soil Profiles
Hole
Hrzn
Depth
in
Material Description
Tit
Grp
1
A
0-2
10 3/3 dark brown Loam
2
B
2-5
10 r6/4 light brown Clay Loam, weak fine SBK
3
BtC
5-38
2.5 /8 red Clay Loam, weak SBK, with common vEg hig!y weathered schist fragments
3
R--T
38
Auger refusal
2
A
0-1
1 3/3 dark brown Loam
2
B
1-6
10 /4 light brown Clay Loam weak fine SBK
3
BtC1
6-36
7.5 5/6 strong brown Clay Loam weak SBK, with common very high!high!y weathered schist fr ents
3
BtC2
36-48
2.5yr5/8 red Clay Loam, weak SBK, with common very highly weathered schist fragments and soft
10 5/8 yellowish brown Silt Loam sa rolite
3
3
04
10 /3 dark brown Loam
2
—Ap
B
4-10
10 r6/4 light brown Cla Loam weak fine SBK
3
BtC.
10-48
5yr4/6 yellowish red Clay Loam, weak SBK, with common very highly weathered schist fragments
and soft 7.5 /8 reddish yeHow Silt Loam sa rolite
3
4
Ap
0-3
1 3/3 dark brown Loam
2
B
3-8
1 /4 light brown Clay Loam, weak fine SBK
3
BtC
8-42
5 4/6 yellowish red Clay Loam, weak SBK with common very highly weathered schist ents
3
R
42
Firm
Design Basis for Primary Drainfield
A. Estimated Percolation Rate 65 @ 20 in.
B. Effluent loading rate from Table I 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 drip dispersal (600gpd / 0.57gpd/W), as per 12 VAC 5-613) 1053
Area Calculations for Primary Drainfield
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 in design
J. Is a reserve area required?
Design Basis for Reserve Drainfield
A. Estimated Percolation Rate
B. Effluent loading rate from Table 1 of 12 VAC 5-613
C. Gallons per day (Number of bedrooms X 150 gpd/bedroom)
Area Calculations for Drip Dispersal Reserve Drainfield
A. Length of run (ft.)
B Length of available area (A)
C. Width of available area (ft.)
D. Total footprint required for drip dispersal (600gpd / .27gpd/sf), as per 12 VAC 5-613)
E. Square footage provided
F. Is a Reserve Area required?
90
90
3
4
9
39
39
1053
1080
Yes, 100% Reserve Area provided
65 @ 12 in.
.27 gpd/sf
600
90
90
25
2223
22250
Yes, this is a 100% Reserve Area
cv
a
as
G�
H
0
J
a
PROPERTY LINE 25'
FROM C OF ROAD
N 56013'45" E
711.40'
Ilep `.
* .0
•.PIPE' FOUND _- -..�0
SET
ck��Qti
wl0
ow
FRON
OUND l °�
NEW T. M. 50- P. 158
LOT C
2.57RL
C. f
GO,
,
Q� ,c'p �O
IRON SET- �O.
0
all
or
IRON FOUND
NEW T.M.50-P,19
LOT A
2.58 AC.
Y }
NEW T.M.`! O— P IS J
< z
LOT eta
• �vt
•�'•C • c4p SET
• ' �01
�a IRON
Qv 4 SET
0,
.p
PIPE
FOUND
TM. 50 - P 20A
MARY K. E. HOGG
D. B. 4541, P 229
D. B. 3301, P. 143 PLAT
IRON FOUND
BY PIPE
T. M. 50 - P. 20 F
LINDA C. DICKERS�7IV
D.B. 1685, P. 79
D.B.413, P. 131 PLAT
AOAc
1001,
--b STONE PILE SET
AROUND ]RON FOUND
T M. 50 - P. 19A
CHARLES A. a PHYLLIS M. HOPKINS
D.B. 930, P. 293, 295 PLAT
PIPE
FOUND
SCA LE : 1 " = $O'
SHEET TWO OF TWO
3268