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SUB202100170 Assessment - Groundwater 2021-11-02
Commonwealth of Virginia Application for Subdivision Review (page 1 of 2 to be filled out by the Owner or Agent) Owner Robert Shifflett Mailing Address 7550 Plank Road Afton, VA 22920 DevelopedAgent Mailing Address AOSE James Fulcher Mailing Address PO Box 1502 Amherst, VA 24521 P1of9 VDH Use Only Health Department ID# Due Date Phone (540)241-3735 Phone Fax Phone Phone Fax Phone (434)851-9620 Phone Fax Directions to Property: North of Plank Road (State Route 692); 2.2 mikes Southeast of Rockfish Gap Turnpike (Route 250) Name of Proposed Subdivision Robert Shifflett Tax Map 70-26C Other Property Identification Number of lots proposed 2 General size of lots 2+ Acres Dimension/Acreage of Property 5.8 Acres Proposed water source (note: new or existing, public or individual) new individual well Additional description of subdivision This Application for Subdivision Review addresses evaluation of a 5.8-Acre parcel. Overview of soils and geology (optional but encouraged) (give range if appropriate) USDA Soil Map: Hayesville Loam; Parent Material: formed in Residuum weathered from granite and gneiss of the Piedmont uplands In order for VDH to process a subdivision application you must attach a plat of the property showing the location of the proposed onsite sewage disposal systems and the reserve absorption areas (if required) and the location of the water supply system on each lot, if applicable. Each plat or subsection of a subdivision plat shall be accompanied by specific soil information for each lot (absorption area and reserve area). If not provided by the local subdivision ordinance, the district or local health department may require the plat to show streets, utilities, storm drainage, water supplies, easements, lot lines and original topographic contour lines by detail survey or other information as required. When the OSE site evaluations are reviewed, 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 Onsite Soil Evaluator (OSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. Signature of Owner/Agent Date This form contains personal information subject to disclosure under the Freedom of Information Act Revised 9/25/2014 FIELD WORKS Project AL2101 FT —of 9 VDH Commonwealth of Virginia Health Department IN Only — Application for Subdivision Review Due Date (page 2 of 2 to be filled out by the county official requesting a VDH review) County Office initiating request Community Development Contact Individual Ben Holt Phone 434-296-5832 ext. 3443 Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and regulations governing sewage treatment and dispersal and private water supplies, compliance with local ordinance governing sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please indicate the nature of review you are asking the health department to conduct. 1. Review for conformance with the Sewage Handling and Disposal Regulations 2. Review for conformance with local onsite wastewater ordinances 3. Other (describe below) Name Date This form contains personal information subject to disclosure under the Freedom of Information Act Revised 9/252014 Page 3 of 9 Form 2 FIELD WORKS Project AL2101 Construction Repair Permit Permit OSE/PE Report For: E Voluntary Upgrade Permit 0 Certification Letter Subdivision Approval Property Location: 911 Address: Plank Road City: Afton Lot 1 & 2 Section Subdivision Robert Shlfflett GPIN or Tax Map # 70-26C Health Dept ID # Latitude 38.017331 N Longitude 78.758382W Applicant or Client Mailing Address: Name: Robert Shifflett Street: 7550 Plank Road City: Afton State VA Zip Code 22920 Prepared by: OSE Name James Fulcher License # 194000137 Address PO Box 1502 City Amherst State VA Zip code 24521 PE Name License # Address City State Zip Code Date of Report 10-29-2021 Date of Revision #1 OSE/PE Job # AL2101 Date of Revision #2 Contents/Index of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc.) Application for Subdivision Review 6. Site Sketch LOT 1 3. OSE/PE Report 4. Soil Summary/Abbreviated Design Form LOT 1 5. Soil Profile Descriptions LOT 1 7. Soil Summary/Abbreviated Design Form LOT 2 8. Soil Profile Descriptions LOT 2 9. Site Sketch LOT 2 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 potential for both conventional and alternative onsite sewage systems has been discussed with the owner/applicant. he work attached to this cover page has been conducted under an exemption to the practice of engineering, specifically he exemption in Code of Virginia Section 54.1-402.A.11 I recommend that a (select one): construction permit ❑certification letter ❑ subdivision approval Elbe (select one) Issued repair permit © voluntary upgrade ® Denied ❑ Signature Aa"tN 10-29-2021 Date This form contains persdt61 information subject to disclosure under the Freedom of Information Act. Revised 9/1l2017 :Ir.y Project AL2101 P 4 of 9 SOIL SUMMARY REPORT/ABBREVIATED DESIGN FORM Date: 9/29/2021 Submitted to Albemarle County Health Department Applicant: Robert Shifflett Address: 7550 Plank Road Afton, VA 22920 Location: North of Plank Road (State Route 692); 2.2 miles Southeast of Rockfish Gap Turnpike (Route 250) Map Reference: 70-26C LOT 1 Position in landscape: sideslope Slope: 8-11%, 4-8% reserve Depth to rock or impervious strata: none encountered to 72"+ Depth to seasonal water table: none encountered Estimated Soil Percolation rate: 55 minutes per inch Installation Depth: 54" DESIGN BASIS A. Estimated Percolation Rate: 55 minutes per inch B. square feet required per bedroom: 412 C. Number of bedrooms: 4 AREA CALCULATIONS Primary Reserve D. Length of trenches: 70' 70' E. Width of trenches: 3 3' F. Number of trenches: 8 8 G. Center -to -center spacing: 10' 9' H. Width required: 73' 66' I. Total square footage required: 1648 1648 J. Square footage in design: 1680 1680 K. Is reserve area required? Yes; 100% 18"+ provided from trench bottom to rock and/or water table Texture Group: III P5of9 SOIL EVALUATION Robert Shifilett Subdivision, Plank Rd, Tax Map 70-26C "oproject AL2101 LOT 1 SOIL PROFILE DESCRIPTIONS back -hoe test pits Depth # Horizon (in.) Description texture textexgroun 1 AB 0-7 Reddish Brown (SYR 4/4) light Clay Loam comment III Bt 7-20 Yellowish Red (SYR 4/6) Clay Loam, firm to friable, III moderate to strong, medium, subangular blocky C 20-72+ Strong Brown (7.5YR 5/6) Loam/Silt Loam, very friable 2 Ap 0-6 Brown (7.5YR 4/4) Loam II Bt 6-34 Yellowish Red (SYR 4/6) Clay Loam, firm to friable, III strong, medium, subangular blocky B&C 34-44 Yellowish Red (SYR 4/6) Clay Loam and Strong Brown III (7.5YR 5/6) heavy Silt Loam, friable Ct 44-52 Strong Brown (7.5YR 4/6) heavy Silt Loam, friable to very III friable, few angular quartz at 47" C 52-72+ Strong Brown (7.5YR 5/6) Silt Loam, very friable III 3 4 5 Ap 0-8 Reddish Brown (SYR 4/3) Loam/Silt Loam II/III Bt 8-24 Yellowish Red (SYR 4/6) Clay Loam, friable, moderate to III strong, medium, subangular blocky Ct 24-34 Yellowish Red (SYR 4/6) heavy Silt Loam, friable III C 34-72+ Strong Brown (7.5YR 4i6) Silt Loam, very friable III Ap 0-6 Reddish Brown (SYR 4/4) Loam II Bt 6-28 Red (2.5YR 4/6) Clay Loam, friable, strong, medium, III subangularblocky B&C 28-38 Red (2.5YR 4/6) light Clay Loam and Silt Loam, friable to III very friable Cl 38-52 Yellowish Red (SYR 5/6) Silt Loam, very friable III C2 52-76+ Brown (7.5YR 5/4) Loamy Very Fine Sand/Silt Loam, very I/III friable to loose, few fine White (IOYR 8/1) feldspar from highly weathered residuum Ap 0-6 Reddish Brown (SYR 4/3) Loam II Bt 6-25 Red (2.5YR 4/6) Clay Loam, friable, moderate to strong, III medium, subangular blocky Ct 25-34 Yellowish Red (SYR 4/6) Silt Loam, very friable, decreasing III Clay Loam with depth C 34-74+ Strong Brown (7.5YR 5/6) Silt Loam, very friable, few fine III to medium White (10YR 8/1) feldspar from highly weathered residuum from 59" 742.25 dfc-r2 Ica IF. A9 19� 742.16 E '1408507.8 P 6 of 9 i �p- 741.2L dcc % Proposed Sewage Disposal System���, Robert Shiff tt Subdivision LOT 1; Tax Map 70-26C S SITE SKETCH MCIA project AL2101 ' �-0 0 50 100 Peet GRAPHIC SCALE Scale: 1"= 50' LOT 1 AREA 'A' ;� gym•. / ' t'i 0 is / l Po.ential House Si a Potential Well Site C , 138 142 756.t5 7=n,92 12 dc1 d 1 / 'F7. 137 d 4 8= 'IEb dr4 755.03 136 4 - j —--sFa—~-- - 754. 4!-: 64f 89 — _ 47 100% Reserve / . ',Q 5�1 04 752.i"- 44d�c ! +sue ` 92 1 IF. 147 f ------- + ---1 1 7(i 1. )4 ___ 756 2'>r ------ ^ --dr•� _ � tail. - ---- l� -- - 0.h, U$'ty Une — '— Pole r r f R=460.74 ''� _ ,% hS5 '48 ' 25' N [��Scj A=225.16 9.26 d 28'00'00"��Bent I'll _r,n�nNAM I Ac-Ili �. Project AL2101 P 7 of 9 SOIL SUMMARY REPORT/ABBREVIATED DESIGN FORM Date: 9/29/2021 Submitted to Albemarle County Health Department Applicant: Robert Shifftett Address: 7550 Plank Road Afton, VA 22920 Location: North of Plank Road (State Route 692); 2.2 miles Southeast of Rockfish Gap Turnpike (Route 250) Map Reference: 70-26C LOT 2 Position in landscape: sideslope Slope: 12%, 11-12% reserve Depth to rock or impervious strata: maximum: 76"+ : minimum: 68" Depth to seasonal water table: none encountered Estimated Soil Percolation rate: 55 minutes per inch Texture Group: III Installation Depth: 50" DESIGN BASIS A. Estimated Percolation Rate: 55 minutes per inch B. square feet required per bedroom: 309 (gravelless) C. Number of bedrooms: 4 AREA CALCULATIONS Primary Reserve D. Length of trenches: 84' 84' E. Width of trenches: 3' 3' F. Number of trenches: 5 5 G. Center -to -center spacing: 10, 10, H. Width required: 43' 43' I. Total square footage required: 1236 1236 J. Square footage in design: 1260 1260 K. Is reserve area required? Yes; 100% 18" provided from trench bottom to rock and/or water table � SOIL EVALUATION Robert Shifflett Subdivision, Plank Rd, Tax Map 70-26C '*Oproject AL2101 LOT 2 SOIL. PROFILE DESCRIPTIONS back -hoe test pits Depth texture Horizon (in.) Description rQ oup comment A 0-6 Reddish Brown (5YR 4/4) heavy Loam II Bt 6-24 Red (2.5YR 4/6) Clay Loam, friable, strong, medium, III subangular blocky Ct 24-34 Red (2.5YR 4/6) heavy Silt Loam, friable III C 34-76+ Strong Brown (7.5YR 5/6) Silt Loam, very friable, few fine III White (10YR 8/1) feldspar from highly weathered residuum, becoming loose below 63" A 0-6 Reddish Brown (5YR 4/4) heavy Loam II Bt 6-24 Red (2.5YR 4/6) Clay Loam, friable, moderate, medium, III subangular blocky Ct 24-68 Brown (7.5YR 5/4) Loamy Very Fine Sand/Silt Loam, loose, I/III few highly and partially weathered residuum fragments from 48" Cr/R 68 increasingly dense residuum A 0-5 Reddish Brown (5YR 4/3) Loam/Silt Loam IIIIII Bt 5-17 Red (2.5YR 4/6) Clay Loam, friable, moderate, medium, III subangular blocky Ct 17-45 Red (2.5YR 4/6) heavy Silt Loam, friable, decreasing Clay III Loam with depth C 45-72+ Yellowish Red (7.5YR 5/6) Silt Loam, friable III Ap 0-4 Reddish Brown (5YR 4/4) Loam II Bt 4-18 Yellowish Red (5YR 5/6) Clay Loam, friable, strong, medium, III subangular blocky Cl 18-54 Yellowish Red (5YR 4/6) Silt Loam, very friable III C2 54-75+ Brown (7.5YR 514) Silt Loam, very friable to loose, common III very fine White (IOYR 8/1) feldspar from highly weathered residuum A 0-4 Reddish Brown (5YR 4/4) heavy Loam II auger Bt 4-26 Red (2.5YR 4/6) Clay Loam, friable III boring B&C 26-38 Red (2.5YR 4/6) Clay Loam and Strong Brown (7.5YR 5/6) III Silt Loam, friable Ct 38-52 Yellowish Red (5YR 4/6) heavy Silt Loam, friable III C 52-72+ Yellowish Red (5YR 4/6) Silt Loam, very friable III 4 S. 4b r P9of9 �• 1 70-26C SHM ETT, ROBE1RT G Is. LIB.53S.5 P.532 UB.734 P.514(plat) 5.79 Ac.(Smey) efl 135 74-.®e dr-i 7.N, 42 i---r__ _ 174 dc3 +747, ,7 65 , S.S- I Ord g 1 9'o Reerve � 1'f LOT 2 743 13 5Ttl72 AREA ' B' 1 74~' c1 c Potentia House Site 2A8 Ac. 77.59 r ,421 5 __ Proposed Sewage Disposal System d`c—r2 1? 1 IF. 1=. Robert Shifflett Subdivision LOT 2; Tax Map 70-26C 92 SITE SKETCH 74211E � Project AL2301 B_'. s5 F7 iTel 5. A2 o so too 1�. ,. -- "'Ar dot NE:JPoet 741 . "\ aewa¢ uxe deg 140 Scale: V= 60' �1 a1,, O Potential Wel ite �l LOT 1 AREA W . ;� • 2.25 AC. f 4 .,