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Home My WebLink AboutSUB202000218 Study 2020-12-02Page 1 of 6 OSE/PE Report For: n Construction I ❑ I Repair I ❑ I Voluntary Upgrade 1 ❑ 1 Certification ® Subdivision ❑ I Inspection Property Identification: 911 Address: _ City: Lot: 1 Section: Subdivision: Clark Family Subdivision GPIN or Tax Map #: 27-46A Health Department ID #: Latitude: _ Longitude: Applicant or Client Mailing Address: Name: Hugh N. Clark, III & Charlotte B. Clark Street: P.O. Box 713 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: Virginia Zip Code: 22920 PE Name: License Number: Address: City: State: Zip Code: Date of Report: 12/2/20 Date of Revision 1: OSE/PE Job Number: Date of Revision 2: Contenistlndex orthis mport e.., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc. Cover Paee — Annlication Soil Summary Report Soil Profile & Design Calculations Plat with Sanitary Survey. Well Location, Topography Boring 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 (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 bas 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 Pettit, ❑ Voluntary Upgrade be (select one): ® Iss nied. PE/OSE Signature: x2i Date: 12/2/20 Page 2 of 6 Commonwealth of Virginia Application for: N Sewage System N Water Supply VDH Use Only Health DepartmentID9 Due Date: Owner: Hugh N. Clark, III & Charlotte B. Clark Phone: Mailing Address: P.O. Box 713 Crozet, VA 22932 Phone. Fax: Agent: Joe Clark Phone: 434 466-3389 Mailing Address: Phone: - Fax: Site Address: Email: ark@albemarle.org Directions to Property: north of Rt. 674, 1.5 mile east of Rt. 810 Subdivision: I I Section: Block: Lot: 1 Tax Map: 27-46A Other Property Identification: Dimension/Acreage of Pr 3.00 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 N Subdivision Review For Existing Construction: ❑ Repair ❑ Modification ❑ Expansion ❑ Replacement Proposed Use: N Single Family Home (Number of Bedrooms, ❑ Multi -Family Dwelling (Total Number of Bedrooms ❑ Other (describe) Will there be abasement: N Yes ❑ No If yes, will there be fixtures in the Basement? N Yes ❑ No Are any conditions proposed on this construction permit? ❑ Yes N 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 N Private Is the Water supply ❑ Existing or N Proposed If proposed, is this a replacement well? ❑ Yes N 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? N No ❑ Yes All Applicants Is this an AOSE/PE application? N Yes ❑ No If yes, is the AOSFIPE package attached? ® Yes ❑ No In order for VDH to process you 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 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 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 (VDI-I) 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 will the sewage disposal system has been constructed and approved. Signature of Owner/Agent Date Page 3 of 6 Soil Summary Report General Information Date: 9/22/20 Submitted to Albemarle County Health Department Applicant: Joe Clark Telephone: (434) 466-3389 Address: jclark@albemarle.org Owner: Hugh N. Clark, III & Charlotte B. Clark Location: north of Rt. 674, 1.5 mile east of Rt. 810 Tax Map: 27-46A Property Size: 3.00 ac. Address: P.O. Box 713, Crozet, VA 22932 Subdivision: Lot: 1 Soil Information Summary 1. Position in landscape satisfactory? Yes ® No ❑ Describe: shoulder & sideslope 2. Slope (max) 9 % 3. Depth to Rock or impervious strata: Max. in. Min. 72+ 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 ® 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 48" 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 Page 4 of 6 Tax Map 27-46A Lot 1 Albemarle County, Virginia Rnn P.M. Hole Hrzn Depth is Material Description Tat Grp 1 Ap 0-6 1 3/3 dark brown Loam 2 BUA 6-15 2.5yr4/6 red Clay Loam weak fine SB& with 1 3/3 dark brown tongues 3 BtC1 15-32 2.5yr4/6 red Clay Loam, weak fine SBY,, and soft 10yr5/8 yellowish brown Silt Loam saprolite 3 BtC2 32-72 2.5yr5/8 red Clay Loam, weak fine SBY, and soft 10yr5/8 yellowish brown, 10yr8/1 white Silt Loam saprolite 3 2 Ap 0-6 1 3/3 dark brown Loam 2 BUA 6-14 2.5yr4/6 red Clay Loam, weak fine SBY, with 1 3/3 dark brown tongues 3 BtCl 14-36 2.5yr4/6 red Clay Loam, weak fine SBY, and soft 10yr5/8 yellowish brown Silt Loam sa lite 3 BtC2 36-72 2.5yr5/8 red Clay Loam, weak fine SB& and soft 10yr5/8 yellowish brown, 10yr8/1 white Silt Loam sa rolite 3 3 Ap 0-6 1 3/3 dark brown Loam 2 BUA 6-12 2.53TO red Clay Loam weak fine SBY, with 1 3/3 dark brown tongues 3 BtCl 12-30 2.5yr4/6 red Clay Loam, weak fine SBY, and soft 10yr5/8 yellowish brown Silt Loam sa rolite 3 BtC2 30-60 2.5yr5/8 red Clay Loam, weak fine SB& and soft 10yr5/8 yellowish brown, 10yr8/1 white Silt Loam sa rolite 3 C 60-72 Soft 1 5/8 yellowish brown, 1 8/1 white Silt Loam sa rolite 3 4 Ap 0-8 1 3/3 dark brown Loam 2 BUA 8-13 2.5yr4/6 red Clay Loam, weak fine SB with 1 3/3 dark brown tomues 3 BtCl 13-29 2.5yr4/6 red Clay Loam, weak fine SBY, and soft 10yr5/8 yellowish brown Silt Loam saprolite 3 BtC2 29-72 2.5yr5/8 red Clay Loam, weak fine SBY, and soft 10yr5/8 yellowish brown, 10yr8/1 white Silt Loam saprolite 3 Design Basis for Primary Drainfield A. Estimated Percolation Rate 65 @ 48 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.) 200 C. Width of trench (ft.) 3 D. Number of trenches 5 E. Center -to -center spacing (ft.) 9 F. Width required (R) 39 G. Width of available area (ft.) 40+ H. Total square footage required I. Square footage in design J. Is a reserve area required? 1984 - 25%= 1488 using EZflow 1203H 1500 Yes, 100% Reserve Area Provided Page 5 of 6 IS D.B. P 3ti Z� �91XV04��4� Azoposr-L 1a Z � °L- North 3935782 IS r East 11441510 LOT 1 3.00 ACRES T . M . 27-46A FLAG HUGH N. CLARK, I I I c,� D s' 6 CHARLOTTE B.CLARK s o0 D.B.4O53-264 D.B.714-202 PLAT 0 0 D.B.366-305 PLAT ESIDUE= 31.66+/- ACRES (BY DEDUCTION FROM TAXED ACREAGE) North 3935467 IS East 11441589 9,y 13 12 N72 000 ' 00 " W 225.00' pnJSE 'LAG 71 �02 NEW 30 ' PRIVATE STREET EASEMENT PZ IS Nor Eac, a w NG RLI GRAPHIC SCALE 1'=200' NCOURS S ALOE STREET EASE ENTage u 0 200 400 500 a �T HEALTH DEPARTMENT COPY NOT FOR RECORDATION x o 0 PIPE FOUND IS DENOTES IRON SET i S OUNROVIN2FARM, LLC T.M.27-38 0.8.4874-436 ANDREW JACKSON CLARK. JR. / U.S. 4720-684 THOU 686 PLAT O.B.5293-132,136 & 137 PLAT / R. IS 0.8.453-181 PLAT P % .ate `La' r9i F `*60 Ta'• IS North 1441861 36 ?P 2 East 1144f836 LOT i North 3935782 IS 3.00 ACRES East 1144010 y I 66 �g � Y ,l T.M.27-46A "�°G; ` We qi, Iw HUGH N.CLAflK. III tu> `e�`'m mAEE'Wja_V CHARLOTTE B.CLARK `�o _MEA 0. B. 4053-264 .o ``;`o 0.8.714-202 PLAT o0 0 16 /\ 0.8. 366-305 PLAT II RESIDUE- 31.56r/- ACRES (BY DEDUCTION FROM aAe 21 m 1 / / / GRAVEL TAXED ACREAGE) 153 �• DRIVE North 3935467 IS •02• o y-y,� East 11441589 9 IS ,; pIPE A`\�of s'l, N72'00'00'W I+I I ( \��;'i FOUND A ;ry '}P 225.00' I:' L13 ( ( "'No rth 3935409 q 'u. II ;) East 11442382 <� \NEW 30'PRIVATE I •I 12 o: / STREET EASEMENT )I 11 I / HUGH N. CLARK.III & m ¢¢/ CHARLOTTE B264 rory•',¢UNIMPROVED < Y/ D.B. 4053-264 _ �,•i ROAD gl 0.B.403-73 PLAT AV \ \L7 '1 /?� '+� rP/EXISTING PRIVATE \,\ STREET EASEMENT \ FI Q/� (D.8.4635-373, D.B.4635-359-352 0• \ �: j'/ THRU 364 PLAT ;\AND EXISTING ENTRANCE ROAD ``� \•;\ 5 %% & 20'RIGHT-OF-WAY ,\ (O.B.279-574) DRAINAGE �\ , 2 ` 'P,/ �\ PIPE _ 2 I i/ 513'16'54'W T.M.27-41A � 19.57' CANDACE C.FARRAR \10"� S13'S6'54"W HUGH N.CLARK,III & t 0 53.45' CHARLOTTE B.CLARK 0.B.4916-45f 0.8.4053-264 OVERHEAD` ` =Fm /�/ 0.8.714-202 PLAT THIS PLAT NOT FOR RECORRDATION UTILITY _ _ LINE �i� �_ __ COPY SHOWING CONTROL POINTS ! — TO SUBMETER ACCURACY STATE ROUTE 674 \.\ TIED TO NORTH AMERICAN EXISTING CLARK ROAD \`\ DATUM OF 1983 (NA083) EASEMENT FOR (30'PRESCRIPTIVE EASEMENT) \\\ VIRGINIA SOUTH SPC 225'SIGHT DISTANCE (0.8.4636-373 & \� 0.0,4635-359.352-354 PLAT) \` SCALE: i" = 200' DATE: NOVEMBER 12. 2020 FOR JOSEPH H.CLARK FOR ROGER W.RAY & ASSOC..INC. REVIEW 563 BERKMAR COURT CHARLOTTESVILLE, VIRGINIA 22901 TELEPHONE: (434) 293-3195 GL RAYSURVEYING.COM SHEET 3 OF 3 14869 LINE BEARING DISTANCE 11 N67'30'43'W f79. 32 L2 N70'S9'51'X 38.90 L3 N59'S6'f8'W 32. 25 L4 N41 '03'16"W 42. 52 L5 N26'45'55'W 34.34 L6 N2f '55'2f'W 309.04 L7 N05'26'38'W 40.28 LB N1223'45'E 37.44 L9 N28'OB'03'E 155.21 L10 N17'11'12'E 39.76 111 Nf0'02'!2'E 42.03 Lf2 N06'04'4B'E 56.36 L13 NO3'3940'E 7/.37 of 6