HomeMy WebLinkAboutSUB202000148 Study 2020-08-26 (2)Page 1 of 6
OSE/PE Report For:
Repair I ❑ I Voluntary Upgrade 1 ❑ 1 Certification 1 ® 1 Subdivision
Property
911 Address: _ City:
Lot: 2 Section: _ Subdivision:
GPIN or Tax Map #: 85-1 Health Department ID #:
Latitude: Longitude:
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: Virizinia 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:
I Contenta/Indea or this report (e g., Site Evaluation Summary, Son Profile Descriptions. Site Sketch. Abbreviated nesion_ etv 1
Annlication _
Soil Summary Report _
Soil Profile & Desien Calculations _
Plat with Sanitary Survey Well Location T000ermhv, Bonne Locations
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 othcr applicablc laws, rcgulations 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 licei sure 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 Permit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary
Upgrade
be (select one): ® Issued, ❑ D i xi
PE/OSE Signature: Date: 8/25/20
Page 2 of 6
Commonwealth of Virginia
Application for., ® Sewage System ® Water Supply
HealthVDHUse DepOnlyartmentID#
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: 2
Tax Map: 85-1
Other Property
Identification:
Dimension/Acreage
of Pro
40.00
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
❑ 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
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 VDH to process you application you must attach a site sketch and plat of the properly. The site sketch should show your property lines, actual
and/or proposed buildings and the desired location of you well and/or sewage system. When the site evaluation is conducted the property lines, building
location and the proposed well and sewage system sites most 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 (VDM 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
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, 0.7 mile east of Rt. 691
Tax Map: 85-1 Subdivision:
Property Size: 40.00 ac. Lot: 2
Soil Information Summary
1. Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder
2. Slope 8 %
3. Depth to Rock or impervious strata: Max. in. Min. 60+ in.
4. Depth to seasonal water table (gray mottling or gray color): No ® Yes ❑ Inches
5. Free water present: No ® Yes ❑ range in inches
Yes El Texture Group I El II ElIII ® W 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 36" depth at site designated on plat.
❑
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
Batesville Road Tract 1
Tax Map 85-1, Albemarle County, Virginia
Page 4 of 6
Hole
Hrzn
Depth
in
Material Description
Tat
Grp
1
Ap
04
1
3/3 dark brown Loam
2
Bt
4-28
2.5
5/8 red Clay Loam, weak fine SBK
3
BtC
28-60
2.5
5/8 red Clay Loam, weak fine SBK, and soft 1
8/1 white Sandy
Loam saprolite
3
2
Ap
0-5
1
3/3 dark brown Loam
2
Bt
5-36
2.5
5/8 red Clay Loam weak fine SBK
3
BtC
36-60
2.5
5/8 red Clay Loam, weak fine SBY, and soft 1
8/1 white Sand
Loam sa life
3
3Tgji.,
3/3 dark brown Loam
5/8redCIsLam, weakfineSBK3
.5
5/8 red Cla Loam weak fine SBK and soft 1
8/1 white Sandy
Loam saprolite
3
4
Ap
0-6
1
3/3 dark brown Loam
2
Bt 1
6-29
2.5
5/8 red Clay Loam, weak fine SBK
3
BtC 1
29-60
2.5
5/8 red Clay Loam, weak fine SBY, and soft 1
8/1 white Sandy
Loam sa rolite
3
Design Basis for Primary Drainfield
A. Estimated Percolation Rate 65 Q 36 in.
B. Trench bottom square feet required per bedroom 496 - 25% = 372 using EZflow 1203H
C. Number of bedrooms 4
Area Calculations for Primary Drainfield
A. Length of trench (ft.)
100
B Length of available area (ft.)
100
C. Width of trench (ft.)
3
D. Number of trenches
5
E. Center -to -center spacing (ft.)
9
F. Width required (ft.)
39
G. Width of available area (ft.)
84
H. Total square footage required 1984 - 25%=1488 using EZflow 1203H
I. Square footage in design 1500
J. Is a reserve area required? Yes, 100% Reserve Area Provided
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