HomeMy WebLinkAboutSUB202100103 Assessment - Environmental Family Division Plat 2021-07-13Page_____ of _____
OSE/PE Report For:
Construction
Permit
Certification
Letter
Subdivision
Approval
Property Location:
911 Address: _______________________________________________________ City: _________________
Lot _________ Section ________________________ Subdivision ___________________________________
GPIN or Tax Map # _______________________________ Health Dept ID # ___________________________
Latitude ________________________________________ Longitude _________________________________
Applicant or Client Mailing Address:
Name: ___________________________________________________________________________________
Street: ___________________________________________________________________________________
City: _________________________________________ State _______________Zip Code ________________
Prepared by:
OSE Name ______________________________________________ License # ______________________
Address _________________________________________________________________________________
City _________________________________________ State ______________ Zip Code
PE Name _______________________________________________License # __________________________
Address __________________________________________________________________________________
City _________________________________________ State ______________ Zip Code _________________
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-ϰ02.A.11
I recommend that a (select one): construction permit certification letter subdivision approval be (select one) Issued
Denied
OSE/PE Signature ________________________________________________ Date ______________________________
Contents/Index of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc.)
________________________________________________ _____________________________________________________
________________________________________________ _____________________________________________________
________________________________________________ _____________________________________________________
________________________________________________ _____________________________________________________
Date of Report _________________________ Date of Revision #1 ____________________
OSE/PE Job # __________________________ Date of Revision #2 ____________________
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15
Michael L. Stroble 1940001477
P.O. Box 192
Wolftown VA 22748
Mark & Christine King
5505 Hope Lane
North Garden VA 22959
5505 Hope Lane North Garden
Lot 1
98-1A1 Lot 1
✔
7/13/2021
Page 1: OSE Certification Page 4: Survey Plat of Drainfield & Reserve
Page 2: Site & Soil Evaluation Summary Page 5: Abbreviated Design
Page 3: Soil Evaluation Notes
7/13/2021
210020
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■■
Page ___ of ___
Site and Soil Evaluation Report
General Information
Date: _____________________________________ ______________________ County Health Department
&OLHQW: ___________________________________ Phone: _______________________________________
Owner Address: _____________________________________________________________________________
Property Address: ____________________________________________________________________________
Tax Map/GPIN #: ___________________________________________________________________________
Subdivision: ________________________________ Section: __________________ Block: _____ Lot: _____
Soil Information Summary
1. Position in landscape satisfactory: Yes No Describe landscape position: ______________________
2. Slope: _____ %
3. Depth to rock/impervious strata: Max. _____ in. Min. _____ in. Not observed
4. Free Water Present: Yes No Range in inches: _______________________________
5. Depth to seasonal water table (gray mottling or gray color): _____ inches Not observed
6. Soil percolation rate estimated: Yes No Estimated rate: _____ min/in at _____ inches depth
Texture Group: I II III IV
7. Percolation test performed: Yes No If yes, provide additional data on percolation test results.
Name and title of evaluator: ____________________________________________________________________
Signature: __________________________________________________________________________________
VDH Use Only
HDIN: ________________________
This form contains personal information subject to disclosure under the Freedom of Information Act.Revised 12/1/2014
Site approved: _______________________ (describe dispersal area, e.g. absorption trenches) dispersing
__________________ (proposed level of treatment at time of evaluation) to be placed at _____ (inches) depth at
site designated on permit. Site provides a total of _____________ square feet of absorption area for SURSRVHG
GUDLQILHOGDQGreserveDUHDFRPELQHG.
Site disapproved: Reasons for rejection (check all that apply)
Position in landscape subject to flooding or periodic saturation.
Insufficient depth of suitable soil over hard rock.
Insufficient depth of suitable soil to seasonal water table.
Rates of absorption too slow.
Insufficient area of acceptable soil for required absorption area, and/or reserve area.
Proposed system too close to well.
Other (specify) ___________________________________________________________________
25
7/13/2021 Albemarle
Mark & Christine King (434) 987-1177
5505 Hope Lane, North Garden
5505 Hope Lane, North Garden
98-1A1 Lot 1
1
Sideslope
14
78+ 61
■
60 42
Michael L. Stroble, AOSE
Absorption Trenches
Septic Tank Effluent 42
4,620
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Page ___ of ___
Date of Evaluation: ______________ Profile Description
SOIL EVALUATION REPORT
Property ID: ____________________
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 are 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, etc.) within 100 feet of the 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 application sketch See Construction Permit See sketch on reverse side or page attached to this form.
Hole # Horizon Depth
(Inches)
Description of color, texture, etc. Texture
Group
REMARKS: _________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
This form contains personal information subject to disclosure under the Freedom of Information Act.Revised 12/1/2014
35
3/3/2021
98-1A1 Lot 1
HA-1 Ap 0-8 10R 3/4 dusky red Clay Loam friable, roots common, some fine mica, s/w sticky, slightly plastic III
Primary Bt 8-37
10R 3/6 dark red Silty Clay Loam to Clay Loam friable, some roots, some fine mica, s/w sticky, slightly plastic III
CB 37-49 10R 3/6 dark red Heavy Sandy Clay Loam very friable, few roots, abundant fine mica II
C 49-73 5YR 3/4 dark reddish brown Loam very friable, few roots, abundant fine mica, possible Cr @ 73"II
HA-2 Ap 0-9 10R 3/4 dusky red Clay Loam friable, roots common, some fine mica, s/w sticky, slightly plastic III
Primary Bt 9-36
10R 3/6 dark red Silty Clay Loam to Clay Loam friable, some roots, some fine mica, s/w sticky, slightly plastic III
CB 36-55 10R 3/6 dark red Heavy Sandy Clay Loam very friable, few roots, abundant fine mica II
C 55-78
5YR 3/4 dark reddish brown Loam to Sandy Loam very friable, few roots, abundant fine mica, some yel/blk litho II
HA-3 Ap 0-8 10R 3/4 dusky red Clay Loam friable, roots common, some fine mica, s/w sticky, slightly plastic III
Reserve Bt 8-39
10R 3/6 dark red Silty Clay Loam to Clay Loam friable, some roots, some fine mica, s/w sticky, slightly plastic III
CB 39-51 10R 3/6 dark red Heavy Sandy Clay Loam very friable, few roots, abundant fine mica, Cr @ 51"II
HA-4 Ap 0-6 10R 3/4 dusky red Clay Loam friable, roots common, some fine mica, s/w sticky, slightly plastic III
Primary Bt 6-37
10R 3/6 dark red Silty Clay Loam to Clay Loam friable, some roots, some fine mica, s/w sticky, slightly plastic III
CB 37-61 10R 3/6 dark red Heavy Sandy Clay Loam very friable, few roots, abundant fine mica, Cr @ 61"II
Overall, soils evaluated across the site were observed to be similar, and likely derived from metagranitic PM.
2
N
O
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T
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DRAWN BY:
MLS
DATE:
7/13/2021
SUBDIVISION DRAINFIELD SURVEY
with SANITARY SURVEY
Client: Mark & Christine King
Address: 5505 Hope Lane
North Garden, VA 22959
Tax Map: 98-1A1 Lot 1
Page 4 of 5
Project No.
210020
0'
GRAPHIC SCALE:
1" = 60'
30'60'
No other potential pollution
sources or receptacles were
identified within 200' of the
proposed well and septic
systems, respectively.
3
1
Potential
4BR SFD
LEGEND
Potential IIIB Well
Soil Profile Hole1Approximate Location
4
100'+ to
Lake
Page 5 of 5
Design Calculations
PRIMARY Drainfield, Lot 1
Design Basis
A. Estimated Percolation Rate 60 @ 42”
(minutes per inch)
B. Trench bottom square feet 452
Required per bedroom
(from Table 5.4) based on
Gravity LPD other:
C. Number of bedrooms 4
Area Calculations
D. Length of trench (ft.) 70
E. Length of available area (ft.) 71 - 72
F. Width of trench (ft.) 3
G. Number of trenches 10
H. Center-to-center spacing (ft.) 10
I. Width required (ft.) 93
J. Width of available area (ft.) 93+ (minor contour flare)
K. Total square footage required 1,808
L. Square Footage in design 2,100
M. Abbreviated reserve area design TL-3 Drip Dispersal
75mpi @ 2” (600 GPD / 0.25)
2,400 sqft required, 2,520 sqft provided