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SUB202000219 Study 2020-05-06
Page / of 5 Construction Permit USE/PE Report For: Repair Voluntary Upgrade Permit R Permit Certification Letter Subdivision Approval Property Location: 911 Address: City; Lot Section Subdivision GPIN or Tax Map # 21-30 Health Dept ID If Latitude Longitude Applicant or Client Mailing Address: Name: Wendell McDaniel Street: 3073 Burnley Station Road City. Barboursville state VA zip Code 22923 Prepared by: OSE Name Thomas G. Hogge License # 1940-001091 Address PO Box 418 city Ruckersville State VA Zip code22968 PE Name License # Address City State Zip Code Date of Report $ f0 o Date of Revision #1 OSE/PE Job # Date of Revision #2 Contents/Index of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc) i-co-rer 2,3-Site and Soil Evaluation Report 4-Site Sketch 5-Design Calculations 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 ComZthe at have been duly issued by the applicable agency charged with licensure to perform the work contained herein. k attached to this cover page has been conducted under an exemption to the practice of engineering, specifically ption in Code of Virginia Section S4.1-402.A.11 1 recommend that a (select one): construction permit []certification letter © subdivision approval Elbe (select one) Issued El epairper t J3 voluntary upgrade Q Denied© CSE/PE Signature -i Date 15 _ This form contains personal information subject lsclosure under the Freedom of information Act Revised 12/1/2014 Site and Soil Evaluation Report Page -.,? of S VDH Use Only HDIN: General Information Date: S Ar m le County Health Department Owner: Wendel McDaniel Phone: (434) 987-0110 Owner Address: 3073 Burnley Station Road, Barboursville, VA 22923 Property Address: Tax Map/GPIN #: 21-30 Subdivision: Section: Block: Lot: Soil Information Summary I . Position in landscape satisfactory: B Yes ❑ No Describe landscape position: Sideslope 2. Slope: 7 3. Depth to rock/impervious strata: Max. 75+ in. Min. 72+ in. 19 Not observed 4. Free Water Present: ❑ Yes ■ No Range in inches: 5. Depth to seasonal water table (gray mottling or gray color): inches N Not observed 6. Soil percolation rate estimated: 9 Yes ❑ No Estimated rate: 45 min/in at 54 inches depth Texture Group: ❑ 1 oil ❑ I11 ❑ IV 7. Percolation test performed: © Yes El No If yes, provide additional data on percolation test results. Name and title of eva or: Thomas Graham Hogge, OSE Signature: 0 Site approved: Abmpti°° �.he. (describe dispersal area, e.g. absorption trenches) dispersing Septic tank effluent (proposed level of treatment at time of evaluation) to be placed at 54 (inches) depth at site designated on permit. Site provides a total of —6,660 square feet of absorption area for primary and reserve (if applicable). ❑ Site disapproved: Reasons for rejection (check all that apply) 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. S. ❑ Insufficient area of acceptable soil for required absorption area, and/or reserve area. 6. ❑ Proposed system too close to well. 7. ❑ Other (specify) This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 1211/2014 Page 3 of 5 Date of Evaluation: 4-3-20 Profile Description SOIL EVALUATION REPORT Property ID: Proposed Division of Tax Map 21-30 Where the local health department conducts the soil evaluation the location of profile holes may be shown on the schematic drawing on the construction permit or the sketch submitted with the application. If soil evaluations arc conducted by a private Onsite Soil Evaluator or Professional Engineer, location of profile holes and sketch of the area investigated including all structural features (i.e. sewage disposal systems, wells, eta) within 100 feet ofthe site and reserve site shall be shown on the reverse side of this page or prepared on a separate page and attached to this form. ❑ See a riplication sketch M See Construction Permit El See sketch on reverse side or page attached to this form. Hole # Horizon Depth (Inches) Description of color, texture, etc. Texture Group 1 A 0-6 10 YR 4/3 brown loam 2 PIT at 6-40 10 YR 618 brownish yellow day loam; common fine mica; fair subangular blocky structure (SBK) 3 Ct 40-72 2.5 Y 6/8 dive yellow, somewhat dense but liable, micaceous sandy day loam to 2 loam saprolite with 10 B 7/1 light bluish gray (lithic) 2 A 04 10 YR 4/3 brown loam 2 PIT E 4-12 10 YR 6/4 light yellowish brown sandy day loam 2 at 12-28 7.5 YR 518 strong brown, micaceous clay loam, SBK 3 BtC 28-38 10 YR 5/8 yellowish brown, fine, friable, highly micaceoys sandy clay loam sapmlae, variegated 2 with 5 Y 6/2 light olive gray and 10 R 416 red Ct 38-75 2.5 YR 4/8 red, friable, highly micaceous loam schist saprotite, subverfically bedded, 2 var. with 10 YR 5/8 yellowish brown and 5 B 711 light bluish gray (Ihhic) 3 A M 10 YR 413 brown loam 3 PIT Bt 5-18 10 YR 518 yellowish brown, micaceous clay loam, SBK 3 Bic 18-30 10 YR 518 yellowish brown, somewhat dense but liable sandy day loam saprolte 2 with 10 YR 5/3 brown Ct 30-72 10 YR 5/8 yellowish brown, dense but friable loam 2 4 A 0-5 10 YR 514 yellowish brown loam 2 BORING at 5-28 5 YR 5/8 yellowish red, micaceous day loam with mottles of 10 YR 514 yellowish brown 3 BIG 2848 10 YR 518 yellowish brown, somewhat dense but friable sandy day loam saprolite 2 with 10 YR 5/3 brown C 48-72 10 YR 518 yellowish brown, friable, highly micaceous sandy loam saprolite with 5 Y 7/2 light gray 2 REMA P,KS: All colors are lithic in nature. This form contains personal information subject to disclosure under the Freedom of information Act. Revised 12/l/2014 —" G 1-424 Page -Yof S Existing Brick Dwelling #3073 Approximate Existing Dra nfield Concrete. Brick D Outbuddmg . .p so a ame sings �N d� told 0 S 7g 0747-,C @6' \ Iron Set J Iron Set Pedestal PROPB3C WELL SPOT Pipe Found / PROPOSED SEPTI r_ _Ci Iron Set >� j / DF CORNER 98 STAKE BACKHOE PIT AUGER SEPTIC & WELL 3W�E �ORING ON THIS ARE IN REAR =� OF HOUSE• BOTH Parcel "X" A portion of TMP 21-30 3.00 Acres OVER 100' AWAY v NO OTHER SEPTICS OR WELLS, EXISTING OR PROPOSED, WERE IDENTIFIED WITHIN 200 FEET. 'SM N RECORD NORTE DEED BOOK 1042-390 BLUE RIDGE 11 SOIL CONSULTING, INC. I AUTHORIZED ONSITE SOIL EVALUATORS (AOSEs) P.0.6ox418 VA22968 l'r5 93527u6 Page 5of 5 Design Calculations Proposed Division of Tax Map 21-30 Albemarle County, VA Design Basis A. Estimated Percolation Rate ae 5a•• (Minutes per inch) B. Trench bottom square feet 344 Required per Bedroom (from Table 5.4) based on gGravity ❑ LPD ❑ other: C. Number of Bedrooms=J Area Calculations: D. Length of Trench (ft.) sa E. Length of Available Area (ft.) so F. Width of Trench (ft.) 0 G. Number of Trenches 0 H. Center -to -center spacing (ft.) 0 I. Width required (ft.) 66 (including reserve) J. Width of available area (ft.) �s K. Total square footage required oaz L. Square footage in design o60 M. Is a reserve area required? yes 100% reserve is provided within the staked Eoulprint