HomeMy WebLinkAboutSUB202000148 Study 2020-08-26 (3)Page 1 of 6
OSETE ReDOrt For:
Property Identification:
911 Address: _ City:
Lot: 3 Section: Subdivision:
GPIN or Tax 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: 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:
ContentwIndea of this report e.., Site Lvalaation Summary, Soil Profile
Descriptions, Site Sketch, Abbreviated Dal
Cover e
_
Application
_
Soil Summary Report
_
Soil Profile & Desian Calculations
_
Plat with Sanitary Survey, Well Location, Topoinaphv, Bonne Locations
_
Plat
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.1I
I recommend that a (select one): ❑ Construction Permit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary
Upgrade
be (select one): ® Issued, D nied
PE/OSE Signature: ZY�. Date: 8/25/20
Page 2 of 6
Commonwealth of Virginia
Application for: ® Sewage System ® Water Supply
VDH Use Only
Health Department ID#
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. 636,03 mile east of RL 691
Subdivision: 1 Section: Block: Lot: 3
Tax Map:
85-1
Other Property
Identification:
Dimension/Acreage
of Property:
15.45
I
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)
Will the water supply be ❑ Public or ® Private
If proposed, is this a replacement well? ❑ Yes ® No
Water Supply
Is the Water supply ❑ Existing or ® Proposed
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 AOSEIPE application? ® Yes ❑ No If yes, is the AOSFJPE 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
aud/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 construmd and approved.
Signature
Page 3 of 6
Soil Summary Report
General Information
Date: 718/20 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: 15.45 ac. Lot: 3
Soil Information Summary
1. Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder & sideslope
2. Slope 24 (max) %
3. Depth to Rock or impervious strata: Max. in. Min. 60+ in.
4. Depth to seasonal water table (gay mottling or gray color): No ® Yes ❑ Inches
5. Free water present: No ® Yes ❑ range in inches
Yes ® Texture Group I ❑ II ❑ 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
® 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
Page 4 of 6
Batesville Road Tract 3
Tax Map 85-1, Albemarle County, Virginia
Sail Profile
Hole
Hrzn
Depth
in
Material Description
Tat
Grp
1
A
Absent
B
0-9
7.5 5/4 brown Clay Loam weak granular
3
BtC
9-29
2.5yr5/8 red Clay Loam, weak fine SB& with many fine mica flakes and few pockets of soft
7.5 5/8 strong brown Silt Loam saprolite
3
C
29-60
Soft 7.5yr5/8 strong brown Silt Loam saprolite with few very highly weathered schist
fragments
3
2
Ap
0-1
1 3/3 dark brown Loam
2
B
1-8
7.5 5/4 brown Clay Loam weak granular
3
BtC
8-26
2.5yr5/8 red Clay Loam, weak fine SB& with many fine mica flakes and few pockets of soft
7.5 /8 reddish yellow Silt Loam saprolite
3
C
26-60
Soft 7.5yr6/8 reddish yellow Silt Loam saprolite with few very highly weathered schist
fragnents
3
3
A
0-1
1 3/3 dark brown Loam
2
B
1-5
7.5 5/4 brown Clay Loam weak granular
3
Bt
5-27
2.5yr5/8 red Clay Loam weak fine SBY,with many fine mica flakes
3
BtC
27-60
2.5yr5/8 red Clay Loam, weak fine SBY, with many fine mica flakes and soft 10yr8/1 white
Sandy Loam saprolite, and few very highly weathered schist ents
3
4
Ap
0-2
1 3/3 dark brown Loam
2
B
2-6
7.5 5/4 brown Clay Loam, weak granular
3
BIC
6-35
2.5yr5/8 red Clay Loam, weak fine SBY, with many fine mica flakes
3
C
35-60
2.5yr5/8 red Clay Loam, weak fine SBY, with many fine mica flakes and soft 10yr8/1 white
Sandy Loam saprolite, and few very highly weathered schist fragnents
3
Design Basis for Primary Drainfield
A. Estimated Percolation Rate 65 @ 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 oftrench (ft.) 3
D. Number of trenches 5
E. Center -to -center spacing (ft.)
F. Width required (1)
G. Width of available area (ft.)
H. Total square footage required
I. Square footage in design
J. Is a reserve area required?
10
43
93
1984 - 25"/6 =1488 usine EZflow 1203H
1500
Yes, 100% Reserve Area Provided
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