HomeMy WebLinkAboutSUB202200139 Correspondence 2022-08-25 (2)Page 1 of 6
OSE/PE Report For:
Property Identification:
911 Address: tbd Boonesvifie Rd. City: Dyke
Lot. E2 Section: _ Subdivision: Tabletop Mountain
GPIN or Tax Map M 7-59E Health Department ID #:
Latitude: _ Longitude:
Applicant or Client Mailing Address:
Name: Mark Lyons, Tabletop Mountain, LLC
Street: P.O. Box 331
City: Free Union State: VA Zip Code: 22940
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: 8/24/22 Date of Revision 1: _
OSE/PE Job Number: Date of Revision 2:
Contentsandez of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc.
1. Cover Page _
2. Application _
3. Soil Summary Report _
4. Soil Profile & Design Calculations _
5. Plat with Sanitary Survey, Well Location, Topggraphy, Boring _
ocations _
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 VACS-630), the Regulations for
Alternative Ousite Sewage Systems (12VAC5-613) and a0 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 ofthe
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 54.1402.A.1 I
I recommend that a (select one): ❑ Construction Permit, ❑ Certification Letter, E Subdivision Approval, ❑ Repair Permit, ❑
Voluntary Upgrade
be (select one): E Issued, ❑ Denied
PE/OSE Signature: Pz" Date: 8/24/22
Page 2 of 6
Commonwealth of Virginia
Application for: ® Sewage System ® Water Supply
VDH Use Only
Health DepartmentM#
Due Date:
Owner:
Mark Lyons, Tabletop 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: mlyonsivy@,gmaff.com
Directions to Property:
north of Rt. 810, 0.3 mile north of Rt. 601
Subdivision: I Tabletop Mountain Section: Block: Lot: E2
Tax Map:
7-59E
Other Property
Identification:
Dimension/Acreage
of Pro
23.27
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 4) ❑ 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
Will the water supply be ❑ Public or ® Private
If proposed, is this a replacement well? ❑ Yes ® No
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 must be used.
All Applicants
Is this an AOSETE application? ® Yes ❑ No If yes, is the AOSE/PE package attached? ® 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 of Owner/Agent 7eaa 4JLAg� Date 8/24/22
Page 3 of 6
Soil Summary Report
General Information
Date: 7/15/21 Submitted to Albemarle County Health Department
Applicant: Mark Lyons, Tabletop Mountain, LLC Telephone: (434) 249-0565
Address: P.O. Box 331, Free Union, VA 22940
Owner: same Address: same
Location: north of Rt. 810, 0.3 mile north of Rt. 601
Tax Map: 7-59E Subdivision: Tabletop Mountain
Block/Section: Lot: E2
Soil Information Summary
1. Position in landscape satisfactory? Yes ® No ❑
Describe: sideslope
2. Slope 24 (max) %
3. Depth to Rock or impervious strata: Max. in. Min. 60 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
® Site Approved
Texture Group I ❑ II ® III ❑ IV ❑
Estimated rate 40 mintinch
Drainfield to be placed at 36" 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
Tabletop Mountain Lot E2
Tax Map 7-59E, Albemarle County, Virginia
Soil ProSle
Hole
Horiz
on
Depth
in
Material Description
►fit
Grp
1
Ap
0-1
1 3/3 dark brown Loam
2
B
1-6
7.5 5/4 brown Sandy Clay Loam weak granular
2
CB
6-60
Very soft 10yr8/1 white Sandy Loam saprolite and 2.5yr5/8 red Sandy Clay Loam (weak
fine SBK
2
2
A
0-2
1 3/3 dark brown Loam
2
B
2-6
7.5 /4 brown Sandy Clay Loam weak granular
2
CB
6-60
Very soft 10yr8/1 white Sandy Loam saprolite and 2.5yr5/8 red Sandy Clay Loam (weak
fine SBK
2
3
0-2
1 3/3 dark brown Loam
2
B
2-10
7.5 5/4 brown Sandy Clay Loam weak gratudar
2
CB
10-60
Very soft I Oyr8/1 white Sandy Loam saprolite and 2.5yr5/8 red Sandy Clay Loam (weak
fine SBK
2
Design Basis
A. Estimated Percolation Rate
B. Trench bottom square footage required per bedroom
C. Number of bedrooms
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.)
H.
Total square footage required
I.
Square footage in design
J.
Is a Reserve Area required?
40 @ 36 in.
314
4
100
100
3
5
10
43
125
1256
1500
Yes, a 100% Reserve Area is provided
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