HomeMy WebLinkAboutSUB202100208 Assessment - Groundwater 2022-02-07Page 1 of 6
OSE/PE Report For:
Construction
Letter
Property Identification:
911 Address: Boonesville Road City: Dvke
Lot: A Section: _ Subdivision: Table Top Mountain
GPIN or Taal Map #: 7-60 Health Department ID #:
Latitude: _ Longitude:
Applicant or Client Mailing Address:
Name: Mark Lyons, Lick Mountain. LLC
Street: P.O. Box 331
City: Free Union State: VA Zip Code: 22940
OSE Name: William J. "Jeff' Loth. IV License Number: 1940001316
Address: 222 Sycamore Lane
City: Afton State: Virginia Zip Code: 22920
PE Name: License Ntmlber:
Address:
City: _ State: _ Zip Code:
Date of Report: 217/22 Date of Revision 1:
OSE/PE Job Number: Date of Revision 2:
ContentsAndex of this mport e.., Site Evaluation Summary, Soil 1'roale Descriptions, Site Sketchy Abbreviated Design, etc.)
1. Cover Page
2. Application
_
3. Soil Summary Report
4. Soil Profile & Design Calculations
_
5. Plat with Sanitary Survey, Well Location, To»o2nmhv, Boring Locations
_
6. 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 duty 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.A11
I recommend that a (select one): ❑ Construction Permit, ❑ Certification Letter, ® Subdivision Approval, ❑ Repair Permit, ❑ Voluntary
Upgrade
be (select one): ® Issued, ❑ D ied
PE/OSE Signature: Date: 2/7/22
Page 2 of 6
Commonwealth of Virginia
Application for: ® Sewage System ® Water Supply
VDH Use Only
Health DepartmentlD#
Due Date:
Owner:
Mark Lyn Lick Mountain,LLC
Phone:
434 249-0565
Mailing Address:
P.O. Box 331
Free Union, VA 22940
Phone:
Fax:
Agent:
Phone:
Mailing Address:
Phone:
Fax:
Site Address:
Email: m1 onsi ail.com
Directions to Property:
north of Rt. 810, 0.25 mile north of Rt. 601
Subdivision: I Table Top Mountain I Section: Block: Lot: A
Tax Map:
7-60
Other Property
Identification:
Dimension/Acreage
of Pro
8.00
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 ® Subdivision Review
For Existing Construction: ❑ Repair ❑ Modification ❑ Expansion ❑ Replacement
Proposed Use:
® Single Family Home (Number of Bedrooms �D ❑ Multi -Family Dwelling (Total Number of Bedrooms
❑ Other (describe)
Will there be a basement: ® Yes ❑ No If yes, will there be fixtures in the Basement? ® Yes ❑ No
Are any conditions proposed on this construction permit? ❑ Yes ® 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)
Will the water supply be ❑ Public or ® Private
If proposed, is this a replacement well? ❑ Yes ❑ No
ater Supply
Is the Water supply ❑ Existing or ® Proposed
Will the old well be abandoned ❑ Yes ❑ No
Will any buildings within 50' of the well be termite treated? ® No ❑ Yes, then borate -based termitieide most be used.
All Applicants
Is this an AOSEIPE application? ® Yes ❑ No If yes, is the AOSE/PE 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 most 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.
2�9�2022
Signature of Owner/Agen/llw-z . nA t Date
Page 3 of 6
Soli Summary Report
General Information
Date: 8/11/21 Submitted to Albemarle Countv Health Department
Applicant: Mark Lyons, Lick Mountain, LLC Telephone: (434) 249-0565
Address: P.O. Box 331, Free Union, VA 22940
Owner: same Address: same
Location: north of Rt. 810, 0.25 mile north of Rt. 601
Tax Map: 7-60 Subdivision: Table Top Mountain
Block/Section: Lot: A
Soil Information Summary
1. Position in landscape satisfactory? Yes ® No ❑
Describe: shoulder
2. Slope 11 %
3. Depth to Rock or impervious strata: Max. 48 in. Min. 36 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
6. Soil percolation rate estimated?
No ❑
7. Permeability test performed Yes ❑ No
If yes, note type of test performed and attach
Texture Group I ❑ if ❑ 111 ® IV ❑
Estimated rate 60 min/inch
Drainfield to be placed at 36' depth at site designated on plat using TL-2
® Site Approved effluent. Reserve drainfield would require TL-2 effluent and pressurized
distribution.
❑
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.
❑
hisufficient area of acceptable soil for required dminfield, and or reserve area
6.
❑
Proposed system too close to well
7.
❑
Other Specify
Page 4 of 6
Table Top Mountain Lot A
Tax Map 7-60, Albemarle County, Virginia
Soil Profile
Pit
Horizon
Depth
in
Material Description
Tat
Grp
1
Ap
0-4
1 3/3 dark brown Loam
2
B
4-8
7.5 5/4 brown Clay Loam weak fine granular
3
BtC
8-22
2.5yr5/8 red Clay Loam, weak fine SBK, with common soft 10yr8/1 white, 10yr5/8
yellowish brown Silt Loam sa rolite and weathered granitic fragments
3
C
22-40
Soft I0yrgll white, 10yr5/8 yellowish brown Silt Loam saprolite and weathered granitic
fragments
3
R
40
hard
Z
Ap
0-3
1 3/3 dark brown Loam
2
B
3-10
7.5 5/4 brown Clay Loam, weak fine granular
3
BIC
10-40
2.5yr5/8 red Clay Loam, weak fine SBK, with common soft 10yr8/1 white, 10yr5/8
yellowish brown Silt Loam saprolite and weathered granitic fragments
3
R
40
Hard
3
Ap
0-4
1 3/3 dark brown Loam
2
B
4-14
7.5 /4 brown Clay Loam weak fine granular
3
BtC
14-36
2.5yr5/8 red Clay Loam, weak fine SBK, with common soft 10yr8/1 white, 10yr5/8
yellowish brown Silt Loam sa rolite and weathered granitic fragments
3
R
36
Hard
4
Ap
0-4
1 3/3 dark brown Loam
2
B
4-11
7.5 5/4 brown Clay Loam, weak fine granular
3
BtC
1148
2.5yr5/8 red Clay Loam, weak fine SBK, with common soft 10yr8/1 white, 10yr5/8
yellowish brown Silt Loam sa rolite and weathered granitic fragments
3
Design Basis (using TL-2)
A. Estimated Percolation Rate
B. Effluent loading rate from Table 1 of 12 VAC 5-613
C. Number of bedrooms
D. Gallons per day (Number of bedrooms X 150 gpd/bedtnom)
E. Total trench square footage required for drip dispersal (600gpd / 0.51gpd/ft)
Area Calculations
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.)
R Total square footage required
I. Square footage in design
J. Is a reserve area required?
Design Basis for Reserve Area
A. Estimated Percolation Rate
B. Effluent loading rate from Table 1 of 12 VAC 5-613
C. Gallons per day (Number of bedrooms X 150 gpd/bedroom)
Area Calculations for Drip Dispersal Reserve Area
A. Length ofrun (ft.)
B Length of available area (ft.)
C. Width of available area (ft.)
D. Total footprint required for drip dispersal (600gpd / 0.24gpd/si)
E. Square footage provided
60 @ 24 in.
0.51 gpd/sf
4
600
1177
100
100
3
4
10
33
660
1177
1200
Yes, 1000/oReserve Area provided
60 @ 12-24 in.
0.24 gpd/sf
600
100
100
27
2500
2700
s^r M>siore HOUSEv
(100' x 100')
7
Page\� of 6
PROPOSED
WELL •
N81. 054 271?W
TAX MAP 7-60
LOT A
8.00 ACRES
PROPOSED
WL;LL •
�O4 �A S>
t
QPROPOSEDSEPTIC800
DRAINFIELD
AREA6
h7o,
try
8 00, w
TAX MAP 7-60
LOT B
9.11 ACRES
m
i
$BSc
S64°47'26'
102.39'
S63013'39"W
86.31'
ELECTRIC
DELTA
RADIUS
TANGENT
CHORD
CHORDBEARING
19°3177"
552.88
188.40
187.49
S63045'50"W
3°50'55"
552.88
S52004'39"W
803334"
971.10
145.07
144.94
S5400949"W
6M'50"
971.10
107.58
107M
S61037'01"W
16009,23"
668.15
188.40
197.78
S55008'57"W
PROPOSED
WELL
�$ PROPOSED
SEPTIC
s DRAI14FIELD
AREA
\ 4 /
\ \ 1 ! /t PROPOSED
s HOUSE
PROPOSED
WELL
TAX MAP 7-60
LOT B
9.11 ACRES
TAX MAP 7-60
LOT A
8.00 ACRES
PROPOSED
WELL • p
9
p4ps�
—i•+stws��nea Y4�y0 R�C{�l
PROPOSED
SEPTIC \ E 800 i
DRAINFIELD
AREA 796 i
i
S64°4
/ 10:
i 117�°._ / / / S6386 31'
�A6 ° 00•
6of6
PROPOSID
HOUSE
(100' x 100')
$V6
— —
l06
PROPOSED
SEPTIC
DRAINFIELD
TAX MAP 7-60
AREA
LOT C
8.10 ACRES
EXISTING
VERHHAD eLecrwc