HomeMy WebLinkAboutSUB202000134 Other 2020-11-09Page 1 of 6
OSEME Report For:
u I Construction I I I Repair I IJ Voluntary Upgrade I LI Certification I I Subdivision
Permit Permit Permit Letter Annmval
Property Identification:
911 Address: _ City:
Lot: B Section: Subdivision:
GPIN or Tax Map #: 39-17A Health Department lD #:
Latitude: _ Longitude:
or
Name: Greg Baldwin, Core Real Estate
Street: 600 E. Water St.- Ste. H
City: Charlottesville State: VA Zip Code: 22902
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: 9/18/20 Date of Revision 1:
OSE/PE Job Number: Date of Revision 2:
site
1. Cover Page _
2. Application
3. Soil Summary Report
4. Soil Profile & Design Calculations _
5. 1" = 100' Drainfield detail with Sanitary Sttryev _
6. Subdivision 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 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 P •mit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary Upgrade
be (select one): ® Issued, ❑ erred
PE/OSE Signature: �(7 Date: 9/18/20
Page 2 6
Commonwealth of Virginia
Application for: N Sewage System N Water Supply
VDH Use Only
Health Department ID#
Due Date:
Owner:
Bucks Elbow Mountain LLC
Phone:
434 422-5050
Mailing Address:
2112 Saddle Hollow Rd.
Crozet, VA 22932
Phone:
Fax:
Agent:
Greg Baldwin, Core Real Estate
Phone:
434 422-5050
Mailing Address:
600 E. Water St., Ste. H
Charlottesville, VA 22902
Phone:
Fax:
Site Address:
Email: a corecville.com
Directions to Property:
west of Rt. 684, 800' north of Sealville Rd.
Subdivision: I I Section: Block: Lot: B
Tax Map:
39-17A
Other Property
Identification:
Dimension/Acreage of Property:
4.33
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 44) ❑ Multi -Family Dwelling (Total Number of Bedrooms—)
❑ Other (describe)
Will there be a basement: N Yes ❑ No If yes, will there be fixtures in the Basement? ® 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
Will any proposed or existing buildings within 50' of the proposed or existing water supply have termite treatment? ❑ Yes N No
Borate termiticide required
All Applicants
Is this an AOSF/PE application? N Yes ❑ No If yes, is the AOSEIPE package attached? N 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 and/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 constructed and approved.
Signature
Page 3 of 6
Soil Summary Report
General Information
Date: 7/10/19 Submitted to Albemarle County Health Department
Applicant: Greg Baldwin, Core Real Estate Telephone: (434) 422-5050
Address: 600 E. Water St., Ste. H, Charlottesville, VA 22902
Owner: Bucks Elbow Mountain LLC Address: 2112 Saddle Hollow Rd., Crozet, VA 22932
Location: east of Rt. 684, 20' north of Sealville Rd.
Tax Map: 39-17A Subdivision:
Property Size: 4.33 ac. 1 Section: Lot: B
Soil Information Summary
1. Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder & sideslope
2. Slope 24%
3. Depth to Rock or impervious strata: Max. 48+ Min. 48
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 El II El III ® IV El6. Soil percolation rate estimated?
No ❑ Estimated rate 50 min/inch
7. Permeability test performed Yes ❑ No
If yes, note type of test performed and attach
Drainfield to be placed at 30" depth at site designated on plat.
® Site Approved Reserve Drainfield requires a pretreatment unit capable of providing 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
TM 39-17A
Saddle Hollow Road, Lot B
Albemarle Co un , Vir ima
Soil Profile
Pit
Horizon
Depth
in
Material Description
Tat
Grp
1
0-3
1 1 3/3 dark brown Sandy Loam
2
E
3-10
1 /4 light yellowish brown Sandy Loam
2
BtC
10-48
5yr5/6 yellowish red Clay Loam, weak fine SBK, and common soft 10yr8/1 white, 10yr2/1
black Sandy Loam sa rolite
3
R
48
Rock
2
A
0-3
1 3/3 dark brown Sanqy Loam
2
E
3-14
1 6/4 light yellowishbrown Sandy Loam
2
BtC
14-48
5yr5/6 yellowish red Clay Loam, weak fine SBK, and common soft 10yr8/1 white, 10yr2/1
black Sandy Loam sa rolite
3
3
Ap
0-3
1 3/3 dark brown San Loam
2
E
3-10
1 /4 lightyellowish brown Sand Loam
2
BtC
10-49
5yr5/6 yellowish red Clay Loam, weak fine SBK, and common soft 10yr8/1 white, 10yf2/1
black Sandy Loam sa rolite
3
4
A
0-4
1 3/3 dark brown San Loam
2
E
4-12
10 /4 light yellowish brown Sand Loam
2
BtC
12-48
2.5yr5/8 red Clay Loam, weak fine SBK, and common soft 10yr8/1 white, 10yr2/1 black
Sandy Loam sa rolite
3
5
A
0-2
10 3/3 dark brown Sandy Loam
2
E
2-7
1 /4 Ught yellowish brown Sandy Loam
2
BtC
7-48
2.5yr5/8 red Clay Loam, weak fine SBK, and common soft 10yr8/1 white, 10yr2/1 black
Sandy Loam saprolite
3
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
L Square footage in design
J. Is a reserve area required?
Design Basis for Reserve Area
50 @ 307
376 - 250% = 282 using EZflow 1203H
4
80
80 to 105
3
5
11
47
140+
1504 - 25%=1128 usim EZflow 1203H
1080
Yes, 100% Reserve Area provided, see below
A. Estimated Percolation Rate
50 @ 0-36 in.
B. Effluent loading rate from Table 1 of 12 VAC 5-613
.033 gpd/sf
C. Gallons per day (Number of bedrooms X 150 gpd/bedroom)
600
Area Calculations for Drip Dispersal Reserve Area
A. Length of nut (ft.)
55 to 80
B Length of available area (ft.)
55 to 80
C. Width of available area (ft)
93
D. Total footprint required for drip dispersal (600gpd / .033gpd/sf), as per 12 VAC 5-613)
1819
E. Square footage provided
6277
Page 5 of 6
3 3
a
/ o a
Cil
z ca4
N M.N.
\ it if
\ wxaHUv
w
0
x
7
N
O�H]OO1b��
11 III ICI II
-.maFUU
E
6of6
1.3+6 MILES TO
(RAILROAD9AVE.)
-------
\ @ONSET
.OPOSED
WELL
(BLB)
sa ROU80
�x
\`\
TO
BAA
\
woro
DMNFIW
5
LOT B
4.33 ACRES
N69°Wtl0"E /
120.00' /
IRON S22°2T33"E
/
106,64'
TOTAL /
541431'T
IRON -
q'r IRON SET i /
NEW -��
43.7T
I 22°061
T20.00' i
LINES\ 4$ -
R-317.48'
o
LOT A a ,,�.
L=122.46
T=62.00'
IRON
(0.33 ACREy .4 Rye O� QWvO
C-121.70'
CB^S52°44'41"W
8
26.419
II
NO3"40'59"E
��.
I
40.2T
`
NOS28.71' E '
78.71'
(\
N06°50'39'T I I'
POLE
15T76'
. POLE
2� ?Nod / Naoeosm
Js
9"50'02°
=723.93'
L=42.90'
T-21.6T
C=42.6V
CB=853°5P40"W
TIE LINE
NI I"41'28"E
21955
IRON SET
AT25A0'
LOT A
2.00 ACRES
TOTAL
EXISTING NOvsE
W�
lop PIPEFOOND
AT 25.OT
POLE
LE J
„pI333A?i
S3'31�,i IRON
FOUND
e�
VOL
S77°49'S4"W
40.54'