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Home My WebLink AboutSUB202000148 Study 2020-08-26Page 1 of 6 OSEME Reuort For: Repair I Ll I Voluntary Upgrade 10 1 Certification I® I Subdivision Property Identification: 911 Address: _ City: Lot: 1 Section: Subdivision: GPIN or Taal Map #: 85-1 Health Department ID #: Latitude: Longitude: Applicant or Client Mailing Address: Name: Ross Stevens. Stevens and Company Street: 5785 The Square City: Crozet State: VA Zip Code: 22932 Prepared by: OSE Name: William J. "Jeff' Loth. IV License Number: 1940001316 Address: 222 Sycamore Lane City: Afton State: V rginia Zip Code: 22920 PE Name: License Number: Address: City: State: _ Zip Code: Date of Report: 8/25/20 Date of Revision 1: OSE/PE Job Number: Date of Revision 2: Cover Pape Application Soil Summary Report _ Soil Profile & Desiar Calculations Plat with Sanitary Survey. Well Location, Tonoaranhy, Bodne Locations Plat 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 (12 VAC5-613) and an 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 54.1402.A.1 I I recommend that a (select one): ❑ Construction Permit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade be (select one): ® Issued, ❑ 'ed PE/OSE Signature: ZY/z '��4 Date: 8/25/20 Page 2 of 6 Commonwealth of Virginia Application for: ® Sewage System ® Water Supply VDH Use Only Health DepartmentM# Due Date: Owner: B.F. Conlon,Jr. Phone: Mailing Address: 473 Baynes Rd. Waynesboro, VA 22980 Phone: Fax: Agent: Jeff Loth Phone: Mailing Address: Phone: Fax: Site Address: Email: Directions to Property: north of Rt. 636, 0.7 mile east of Rt. 691 Subdivision: Section: Block: Lot: 1 Tax Map: 85-I Other Property Identification: Dimension/Acreage of Pro 30.00 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 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 Have or will any buildings within 50' of the proposed well been or be termite treated? ® No ❑ Yes All Applicants Is this an AOSE(PE application? ® Yes ❑ No If yes, is the AOSE)PE package attached? ® Yes ❑ No In order for VDI-I 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 properly Imes, 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 4/Z 4� Page 3 of 6 Soil Summary Report General Information Date: 7/8/20 Submitted to Albemarle County Health Department Applicant: Ross Stevens, Stevens and Company Telephone: (434) 825-6104 Address: 5785 The Square, Crozet, VA 22932 Owner: B.F. Conlon, Jr. Address: 473 Baynes Rd., Waynesboro, VA 22980 Location: north of Rt. 636,03 mile east of Rt. 691 Tax Map: 85-1 Subdivision: Property Size: 30.00 ac. Lot: 1 Soil Information Summary 1. Position in landscape satisfactory? Yes ® No ❑ Describe: shoulder & sideslope 2. Slope (max) 19 % 3. Depth to Rock or impervious strata: Max. in. Min. 48+ in. (37' in Reserve Area) 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 ElII ❑ III ® IV El6. 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 ® Site Approved Drainfield to be placed at 24" depth at site designated on plat. Reserve Drainfield would require TL-3 and pressurized 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 Batesville Road Tract 1 Tax Map 85-1, Albemarle County, Virginia Hole Hrzn Depth Material Description Tat in Grp 1 Ap 0-3 1 3/3 dark brown Loam 2 BtC 3-48 2.5yr5/8 red Clay Loam, weak fine SBF , with common soft 10yr8/1 white, 10yr2J1 black 3 R 1 48 BtC 1 0-37 1 2.5yr5/8 red Clay Loam, weak fine SBY, with common soft 10yr8/1 white, 10yt2/1 black R 3 1 A 0-1 1 3/3 dark brown Loam BtC 1-48 2.5yr5/8 red Clay Loam, weak fine SBY, A I Absent BtC 1 0-48 1 2.5yr5/8 red Clay Loam, weak fine SB& with common soft 10yr8/1 white, 10yr2/1 black Sandy Loam sa rolite 3 BtC 1 2-48 1 2.5yr5/8 red Clay Loam, weak fine SBK, with common soft 10yr8/1 white, 10yr2J1 black Design Basis for Primary Drainfield A. Estimated Percolation Rate B. Trench bottom square feet required per bedroom C. Number of bedrooms 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 @ 24 in. 496 4 100 100 3 7 9 57 93 1984 2100 Yes, 100% Reserve Area Provided A. Estimated Percolation Rate 65 @ 0-24 in. B. Effluent loading rate from Table 1 of 12 VAC 5-613 .027 gpd/sf C. Number of bedrooms 4 D. Gallons per day (Number of bedrooms X 150 gpd/bedroom) 600 Area Calculations for Drip Dispersal Reserve Drainfield A. Length of run (ft.) 100 B Length of available area (ft.) 100 C. Width of available area (ft.) 36 D. Total footprint required for drip dispersal (600gpd / 0.27gpd/sf), as per 12 VAC 5-613) 2222 E. Square footage provided 3600 z 0 v N 680.44' N00039'24"E 700.44' O O o Page 5 of 6 Page 6 of 6 3B SVA HIYWN FZ F � F mom a a �g � gb ,wma 3.cmlaas .hsysv.n.isal.�as aor it 3J N33 30 S3JYHL 1 dig 9\' a .W91Z .i7 l 0 0o N � I Tait has' �^ � rwz 04 �Scp�x y e \ o w ptw www€+°°sArow 'epe mamaaq#3#zz#� u ry_W eemeem n rPb.Pr ��ldm��¢� .�i �P 0.Si-E P� 86^€S^ FAHm B: z Wz£M ��wwwwwFroe�e�e+w '�aa°s� s's'^ scp'sga= etc Z r� MIN �YgO XXIMmc ° 3Pe Zp Lh' oil 0 H qq w 3amtlw p �ogNF me YB�gw� o � wm G° � 5N. 8� ZqZq F� 9IaN S a ��s=� �pppxga3 0d<ctl