Loading...
HomeMy WebLinkAboutSUB201800083 Assessment - Environmental 2018-08-22 • Virginia Soil & Septic, Inc. Page 1 of 7 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 AOSE/PE Report for SUBDIVISION APPROVAL' Location of Property: Lot: Tract 2 Section:N/A Subdivision:N/A 1671 Dudley Mt. Road County:Albermarle Tax Map#:122-61 Applicant/Client Name: Prepared by AOSE/PE Midkiff Timber LLC Name: Richard F. Smith Applicant/Client Address; AOSE Number: 1940001172 5935 Meadow Creek Road Company Name:Virginia Soil & Septic, Inc. P.O. Box/91 I Address—Street Address 6088 Chestnut Lane Wingina Va. 24599 P.O. Box/91 1 Address—Street Address City, State Zip Code Gordonsville VA 22942 Ci , State Zi Code Date of Report: 8/22/18 Health Department ID No. Revision Date(s): Contents/Index of this Report.2 I._Cover Page 5. Reserve Abbreviated Design Form 2.Application 6. Site Sketch 3. Reserve Area Soil Summary Report 7.Certification Statement 4. Reserve Soil Profile Evaluation Report Certification Statement(s)3 �•- I hereby certify that the evaluation and/or designs AOS:r• . .Z. :.'� 7 A contained herein were conducted in accordance with ;•'l 7il1 P. is, j� the Sewage Handling and Disposal Regulations(12 `�Gf� VACS-610),the Private Well Regulations(12 IffOriea VACS-615),and other applicable policies of the 5 Virginia Department of Health. Furthennore, I ,y certify that my evaluation and/or design contained herein complies with all applicable laws, regulations,and policies implemented by theer Virginia Department of Health. A,VQ I recommend a SUBDIVISION CERTIFICATION 4 n be APPROVED .5 AOSE #: 1940001172 8/22/18 I Insert appropriate title: "Construction Permit","Subdivision Approval","Certification Letter." 2Examples include:"Soil Information Summary"."Soil Profile Descriptions","Water Supply Design Specifications", "Primary/Reserve Design Specifications,"Construction Drawings","Site Sketch","Product Specification Sheet." 3PE work is regulated by the Department of Professional and Occupational Regulation This section is considered optional for PE's. 4FiII in this blank with the appropriate term:"Certification Letter","Construction Permit",or"Subdivision Approval." 5Fill in this blank with the appropriate term."Approved"or"Denied." VDH Use Only Health Dept.ID# Due Date Commonwealth of Virginia Page 2 of 7 Application for: [Xi Sewage System [X) Water Supply Approval Requested:[] Certification Letter II Sewage System Construction Permit IX!Subdivision []Other 1.Owner Name: Midkiff Timber LLC Phone#:434-969-4939 2.Mailing Address:5935 Meadow Creek Road,Wingina Va. 24599 3.AOSE Name: Virginia Soil& Septic, Inc. Phone#: 540-832-1875 Fax#: 540-832-1875 4.AOSE Address:6088 Chestnut Lane,Gordonsville,Virginia 22942 5. Site Address: 1671 Dudley Mt. Rd. 6. Directions to the property(be specific): From the Albermarle County Health Department take Rt. 20 S to Rt.64 W to exit 120 to Rt.20 S to Old Lynchburg Road to a right on Dudley Mt. Rd. 7.Tax Map#:122-61 Subdivision:N/A Section/Block: N/A Lot: Tract 2 8.Dimension/Acreage of property: See attached survey plat or site plan. Other Property Identification: Sewage System Type of approval: SUBDIVISION Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to then apply for a construction permit(valid for 18 months)only when ready to build. Directions: Check all that apply and note number of bedrooms. Existing Construction: [] Repair [] Modification [] Expansion []Replacement Proposed Use: [X] Single Family Home(#of Bdrms) 3 [] Multifamily Dwelling(Total#Bdrms ) [] Other Basement [X] Yes [] No Fixtures in Basement? [X] Yes [] No Are any conditions proposed on this construction permit? [] Yes [X] No If yes,check or describe all proposed conditions that apply: [] Reduced water flow. [] Limited capacity, [] Intermittent or seasonal use, [] Temporary use not to exceed one year, [] Other(describe) Proposed Sewage Disposal Method Primary Existing) [X]Septic Tank Drain field [] Pre-Treatment []Drip,Mound or Pad []Other Reserve [X]Septic Tank Drain field [] Pre-Treatment []Drip, Mound or Pad []Other Water Supply Well: [X] IIIB [] IIIC Water supply: []Public or [X]Private? Water supply: []Existing or [X] Proposed? If proposed, is this a replacement well? [] Yes [X] No Will the old well be abandoned? [] Yes [l No Have any buildings within 100"of the proposed well been termite treated? [] Yes [] No [X] N/A All Applicants Is this an AOSE/PE application? [X] Yes []No If yes, is the AOSE package attached? [X] Yes []No In order for VDH to process your application you must attach a site sketch and plat of the property. The site sketch must 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 evaluation 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. AOSE Form D Revised 9/2904 ignature of Owner/Agent Date Virginia Soil & Septic, Inc. Page 3 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Primary and Reserve Area Soil Summary Report The information presented in this submitted package represents the best available information as of the evaluation date. Due to the potential for subsequent events to negatively impact the recommendations made in this packet it is our firm's very strong recommendation to submit this documentation to the local VDH for approval as soon as it is received by the client. Failure to do so may render the information contained in this package void. Virginia Soil&Septic,Inc.,as well as certifying individuals,accepts no liability for subsequent events that occur after the date of this evaluation General Information Date:7/3l/18 Submitted to:Albermarle County Health Department Applicant Name: Midkiff Timber LLC Telephone#:434-969-4939 Applicant Address: 5935 Meadow Creek Road,Wingina Va.24599 Owner Name:Address: Same Directions to Property: From the Albemarle County Health Department take Rt.20 S to Rt. 64W to exit 120 to Rt.20S to Old Lynchburg Road to a right on Dudley Mt. Road. TM#:122-61 Subdivision: N/A Block/Section: N/A Lot: Tract 2 Soil Information Summary 1.Position in landscape satisfactory? [X] Yes; Open Side Slope, []No 2. Slope: 10 %. 3.Depth to rock or impervious strata: []Max. []Min. [X]None 4. Depth to seasonal water table(gray mottling or gray color)? [X]No [] Yes Number of Inches: 5. Free water present? [X]No [] Yes Range in Inches: 6.Soil percolation rate estimated Yes [X] No [] Texture Group [] I [] 11 [X] III [] IV Estimated rate: Min/inch:60 *All Applicable regulations as well as the specific soil and site conditions(including the trench sidewalls) were taken into account when the estimated percolation rate was assigned. 7. Permeability test performed? [] Yes [X]No If yes,note t rfo and attach. Name&title of evaluator: Richard F. Smith,AOSE Signature: Site Approval/Disapproval [XI Site Approved: PRIMARY DRAIN FIELD to be placed at( Existing)inch depth at site designated on Permit. RESERVE DRAIN FIELD to be placed at 45 inch depth at site designated on Permit. RESERVE DRAIN FIELD to be placed at N/A inch depth or less as per future PE design. []Site Disapproved for Conventional Drain Field System. Reasons 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 seasonable water table. 4. []Rates of absorption too slow. 5. []Insufficient area of acceptable soil for required drain field,and/or Reverse Area. 6. []Proposed system too close to well. 7. []Other Specify: (attach additional pages if necessary) Virginia Soil & Septic, Inc. Page 4 of 7 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Reserve Profile Description Soil Evaluation Report RE: TM # 122-61,Midkiff Timber Where the local VDH 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 soil scientist,location of profile holes and sketch of the area investigated including all structural features,ie.,sewage disposal systems,wells,etc.,within 100 feet of site(see section 4)and reserve site shall be shown on the reverse side of this page or prepared on a separate page and. attached to this packet. See application sketch page [] See construction permit [X] See sketch attached to this packet Date of Evaluation: Health Department Identification# 12/7/12,1/11/18 Backhoe Pits Hole Horizon Depth Description of color,texture,etc. Texture inches Group 1 Ap 0-10 Dark Brown,Loam,IOYR 3/3 2 Bt 10-20 Reddish Brown,Loam,5YR 4/4 2 BC 20-41 Reddish Yellow,Silt Clay Loam,SYR 6/6 3 C 41-60 Reddish Yellow.Silt Loam,5YR 6/6 3 2 Ap 0-11 Dark Brown,Loam,10YR 3/3 2 Bt 11-25 Reddish Brown,Silt Loam,5YR 4/4 3 BC 25-45 Red, Silt Loam,10R 5/6 3 C 45-60 Red,Dark Red,Sandy Loam,10R 5/6,2.5YR 4/6 2 3 Ap 0-12 Dark Brown,Loam,IOYR 3/3 2 Bt 12-21 Yellowish Red,Silt Loam,5YR 5/6 2 BC 21-37 Yellow,Red,Sandy Clay Loam,10YR 7/6,10R 5/6 2 C 37-60 Yellow,Yellowish Brown,Sandy Loam,10YR 7/6,5/6 2 Remarks:Existing Primary has conventional trenches,no records.New Reserve area installation will be conventional trenches .Existing Drainfield should be re-evaluated for a future Dwelling.No plans to build in the short term. Virginia Soil & Septic, Inc. Page 5 of 7 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Reserve Abbreviated Design Form TM#:122-61,Midkiff,Lot 2 This form is for use with gravity and pump drain fields, enhanced flow systems and low pressure distribution systems when applying for a certification letter or subdivision approval. To the best of our knowledge and belief, this site complies with all local and state ordinances such as the CBPA. Desi n Basis Data A. Estimated Percolation Rate(minutes per inch) 60 B.Recommended trench bottom sq. feet required per bedroom From Table 4.6 based on [X]Gravity [] LPD 452 [] Sq. Ft.required,Secondary Treatment loading rate='s gpd,/sq ft. C. Number of bedrooms 3 Area calculations Data D. Length of trench 80 Feet E. Length of available area 80 Feet F. Width of trench 3'G.Number of trenches 6 H.Center to center spacing 9' I. Width required 48 Feet J.Total width of available area(Includes area allocated for reserve.) 60 Feet K.Total sq. foot required 1356 Sq. Ft. L. Square footage in design 1440 Sq. Ft. M. Is a reserve area required? [X] Yes [] No N. Percent of reserve required 100%O. Percent of reserve available 100%+ Remarks:Conventional Reserve,21 acre lot. \ \ O \\ \ cn ` ' o \` \ o j �cs 1 1 0 �" \ TRACT I \ 1 1 I ' ron , . z 0 ` 14, 41 tt 24`09T 1, ` co ire' pX 7 5.0' -0 to N�06. 11' j0`� �'UFow• Foie / 53.4 \‘ 4A w RESERVE I 1001,• 94.9 , (0> DRAINFIELD ' .�i 5403 S.F. I ' ° if ,0, ril I Jilt \ I-k so‘ --*APP mate Loa on v to Exist ng'Droin Ielli ' 200 'Yr: • V r 0 t TRAe'r 1;\ ni Virginia Soil & Septic, Inc. Page 8 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 Phone & Fax 540-832-1875 Certification Statement County:ALBERMARLE COUNTY Property Identification: TM#:122-61,Midkiff Timber LLC,Lot 2 RESERVE Submitted by:Richard F. Smith, A.O.S.E. 1940001172 This is to certify according to subsection 32.1-163.5 of the Code of Virginia that work submitted for the referenced property is in accordance to and complied with the Sewage Handling and Disposal Regulation of the Virginia Department of Health. I recommend a [X] Subdivision [ ] Certification Letter [ ] Sewage System Construction Permit � , , EN Be [X]APPROVED P ' [ ] DENIED (CA ?, AOSE:Richard F. Smith, A.O.S.E. 1940001172 Signature- ` Date: 8/22/18 4.\ �16 NO nklA\o The information presented in this submitted package represents the best available information as of the evaluation date. Due to the potential for subsequent events to negatively impact the recommendations made in this packet it is our firm's very strong recommendation to submit this documentation to the local VDH for approval as soon as it is received by the client. Failure to do so may render the information contained in this package void. Virginia Soil & Septic, Inc., as well as certifying individuals, accepts no liability for subsequent events that occur after the date of this evaluation. Virginia Soil & Septic, Inc. Page 1 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 AOSE/PE Report for SUBDIVISION APPROVAL' Location of Property: Lot: Tract 3 Section:N/A Subdivision:N/A 1671 Dudley Mt.Road County:Albermarle Tax Map#:122-61 Applicant/Client Name: Prepared by AOSE/PE Midkiff Timber LLC Name: Richard F. Smith Applicant/Client Address; AOSE Number: 1940001172 5935 Meadow Creek Road Company Name:Virginia Soil &Septic, Inc. P.O. Box/91 1 Address—Street Address 6088 Chestnut Lane Winging Va. 24599 P.O. Box/911 Address— Street Address City, State Zip Code Gordonsville VA 22942 City, State Zip Code Date of Report: 8/22/18 Health Department ID No. Revision Date(s): Contents/Index of this Report.2 1,Cover Page 5. Primary Abbreviated Design Form 2.Application 6. Reserve Abbreviated Design Form 3. Primary& Reserve Area Soil Summary Report 7. Site Sketch 4. Primary& Reserve Soil Profile Evaluation Report 8. Certification Statement Certification Statement(s)3 L`-‘-1"111 O1p.\ I hereby certify that the evaluation and/or designs contained herein were conducted in accordance with O ¢� ign and Dat . C the Sewage Handling and Disposal Regulations(12 C.) VAC5-610),the Private Well Regulations(12 VAC5-615),and other applicable policies of the ! Virginia Department of Health. Furthermore, I certify that my evaluation and/or design contained herein complies with all applicable laws, ♦� regulations,and policies implemented by the ', , 220. Virginia Department of Health. '�� N-STTQ I recommend a SUBDIVISION CERTIFICATION_+ be APPROVED 5 AOSE #: 1940001172 8/22/18 !Insert appropriate title:"Construction Permit","Subdivision Approval","Certification Letter." 2Examples include:"Soil Information Summary","Soil Profile Descriptions","Water Supply Design Specifications", "Primary/Reserve Design Specifications,"Construction Drawings","Site Sketch","Product Specification Sheet." 3PE work is regulated by the Department of Professional and Occupational Regulation This section is considered optional for PE's. 4Fi11 in this blank with the appropriate term."Certification Letter","Construction Permit",or"Subdivision Approval" 5Fill in this blank with the appropriate term:"Approved"or"Denied • VDH Use Only Health Dept. ID# Due Date Commonwealth of Virginia Page 2 of 13 Application for: [X] Sewage System [XI Water Supply Approval Requested:]] Certification Letter []Sewage System Construction Permit [XI Subdivision 11 Other 1.Owner Name: Midkiff Timber LLC Phone#: 434-969-4939 2. Mailing Address:5935 Meadow Creek Road,Wingina Va.24599 3.AOSE Name: Virginia Soil&Septic, Inc. Phone#: 540-832-1875 Fax#: 540-832-1875 4. AOSE Address:6088 Chestnut Lane,Gordonsville, Virginia 22942 5. Site Address: 1671 Dudley Mt. Rd. 6. Directions to the property(be specific): From the A]bermarle County Health Department take Rt.20 S to Rt.64 W to exit 120 to Rt.20 S to Old Lynchburg Road to a right on Dudley Mt. Rd. 7.Tax Map#:122-61 Subdivision:N/A Section/Block. N/A Lot:Tract 3 8. Dimension/Acreage of property: See attached survey plat or site plan. Other Property Identification: Sewage System Type of approval: SUBDIVISION Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to then apply for a construction permit(valid for 18 months)only when ready to build. Directions: Check all that apply and note number of bedrooms. Existing Construction: [] Repair [] Modification [] Expansion [] Replacement Proposed Use: [X] Single Family Home(#of Bdrms) 3 [] Multifamily Dwelling(Total# Bdrms ) [] Other Basement [X] Yes [] No Fixtures in Basement? [X] Yes [] No Are any conditions proposed on this construction permit? [] Yes [X] No If yes,check or describe all proposed conditions that apply: [] Reduced water flow, I] Limited capacity. [] Intermittent or seasonal use, [] Temporary use not to exceed one year, El Other(describe) Proposed Sewage Disposal Method Primary [X]Septic Tank Drain field [] Pre-Treatment (] Drip,Mound or Pad []Other Reserve []Septic Tank Drain field [X] Pre-Treatment []Drip.Mound or Pad [X]Other,Trenches Water Supply Well: [X] IIIB [] IIIC Water supply: []Public or [X]Private? Water supply: []Existing or [X]Proposed? If proposed.is this a replacement well? [] Yes [X] No Will the old well be abandoned? [1 Yes El No Have any buildings within 100"of the proposed well been termite treated? [] Yes [] No [X] N/A All Applicants Is this an AOSE/PE application? [X] Yes I]No If yes, is the AOSE package attached? [X] Yes []No In order for VDH to process your application you must attach a site sketch and plat of the property. The site sketch must 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 evaluation 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. X AOSE Form D Revised 9/2904 Signature of Owner/Agent Date Virginia Soil & Septic, Inc. Page 3 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Primary and Reserve Area Soil Summary Report The information presented in this submitted package represents the best available information as of the evaluation date Due to the potential for subsequent events to negatively impact the recommendations made in this packet it is our firm's very strong recommendation to submit this documentation to the local VDH for approval as soon as it is received by the client. Failure to do so may render the information contained in this package void Virginia Soil&Septic.Inc.,as well as certifying individuals,accepts no liability for subsequent events that occur after the date of this evaluation. General Information Date:7/31/18 Submitted to:Albermarle County Health Department Applicant Name: Midkiff Timber LLC Telephone#:434-969-4939 Applicant Address: 5935 Meadow Creek Road,Wingina Va. 24599 Owner Name:Address: Same Directions to Property: From the Albermarle County Health Department take Rt. 20 S to Rt.64W to exit 120 to Rt.20S to Old Lynchburg Road to a right on Dudley Mt. Road. TM#:122-61 Subdivision:N/A Block/Section: N/A Lot:Tract 3 Soil Information Summary 1. Position in landscape satisfactory? [X]Yes;Open Side Slope, [] No 2. Slope:20-21 %. 3. Depth to rock or impervious strata: [] Max. [] Min. [X]None 4. Depth to seasonal water table(gray mottling or gray color)? [X]No [] Yes Number of Inches: 5. Free water present? [X]No [] Yes Range in Inches: 6. Soil percolation rate estimated Yes [X] No [] Texture Group [] I [] I1 [X] III [] IV Estimated rate: Min/inch:60 *All Applicable regulations as well as the specific soil and site conditions(including the trench sidewalls) were taken into account when the estimated percolation rate was assi: 7. Permeability test performed? [] Yes [X]No If yes,note r` ,- \ • ,nd attach. Name&title of evaluator: Richard F. Smith,AOSE Signature: 71r 46, _` Site Approval/Disapproval [X[Site Approved: PRIMARY DRAIN FIELD to be placed at 40 inch depth at site designated on Permit. RESERVE DRAIN FIELD to be placed at 40 inch depth at site designated on Permit. RESERVE DRAIN FIELD to be placed at N/A inch depth or less as per future PE design. [] Site Disapproved for Conventional Drain Field System. Reasons 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 seasonable water table. 4. []Rates of absorption too slow. 5. [] Insufficient area of acceptable soil for required drain field,and/or Reverse Area. 6. []Proposed system too close to well. 7. []Other Specify: ___ _ _(attach additional pages if necessary) Virginia Soil & Septic, Inc. Page 4 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Primary & Reserve Profile Description Soil Evaluation Report RE: TM # 122-61,Midkiff Where the local VDH 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 soil scientist,location of profile holes and sketch of the area investigated including all structural features,ie.,sewage disposal systems,wells,etc.,within 100 feet of site(see section 4)and reserve site shall be shown on the reverse side of this page or prepared on a separate page and attached to this packet [] See application sketch page [] See construction permit [X] See sketch attached to this packet Date of Evaluation: Health Department Identification# 12/7/12,1/11/18 Backhoe Pits Hole Horizon Depth Description of color,texture,etc. Texture # inches Group I Ap 0-10 Dark Brown,Loam,10YR 4/3 2 Bt 10-16 Yellowish Brown,Loam,10YR 5/6 2 B 1 16-29 Reddish Yellow,Silty Clay Loam,SYR 6/6 3 Bc 29-40 Reddish Yellow,Red,Silt Loam,5YR 6/6,10R 5/6 3 C 40-65 Red,Sandy Loam,IOR 5/6 2 2 Ap 0-11 Dark Brown,Loam,10YR 4/3 2 Bt 11-20 Reddish Brown,Heavy Loam,5YR 4/4 2 BC 20-38 Reddish Yellow,Silt Loam,SYR 6/6 3 C 38-65 Reddish Yellow,Red,Sandy Clay Loam,SYR 6/6,1 OR 5/6 2 3 Ap 0-10 Brown,Loam,10YR 5/3 2 Bt 10-18 Reddish Brown Heavy Loam,5YR 4/4 2 B 1 18-31 Red,Sandy Loam,1OR 5/6 2 Bc 31-46 Red,Silt Loam,IOR 5/6 3 C 46-65 Reddish Yellow,Sandy Loam,SYR 6/6 2 4 A 0-6 Dark Brown,Loam,10YR 4/3 2 Bt 6-14 Yellowish Brown,Sandy Loam,10YR 5/6 2 B 1 14-31 Red,Clay Loam,IOR 5/6 3 BC 31-44 Red,Yellowish Red,Silt Loam,IOR 5/6,SYR 5/6 3 C 44-65 Yellowish Red,Somewhat dense,Silt Loam,5YR 5/6 3 5 A 0-5 Dark Brown,Loam,10YR 4/3 2 Bt 5-11 Yellowish Red,Heavy Loam,SYR 5/6 2 B 1 11-28 Red,Sandy Clay Loam,10R 5/6 2 BC 28-45 Red,Silt Loam,I OR 5/6 3 C 45-65 Red,Yellow,Silt Loam,IOR 5/6,10YR 7/6 _ 3 Remarks: Primary area installation is conventional. Reserve area installation is pretreatment to trenches. Virginia Soil & Septic, Inc. Page 5 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Primary Abbreviated Design Form TM#:122-61,Midkiff,Lot 3 This form is for use with gravity and pump drain fields,enhanced flow systems and low pressure distribution systems when applying for a certification letter or subdivision approval. To the best of our knowledge and belief, this site complies with all local and state ordinances such as the CBPA. (Reserve area calculations are shown on a separate abbreviated design form later in this packet.) Design Basis Data A. Estimated Percolation Rate(minutes per inch) 60 B. Recommended trench bottom sq. feet required per bedroom From Table 4.6 based on [X]Gravity [] LPD []Sq. Ft.required,PuraFlo/Advantex loading rate='s gpd,/sq ft. 452 C.Number of bedrooms 3 Area calculations Data D. Length of trench 96 Feet E. Length of available area 96 Feet F. Width of trench 3 Feet G.Number of trenches 5 H.Center to center spacing 10 Feet 1. Width required 43 Feet J. Total width of available area 82 Feet K.Total sq.foot required 1356 Sq. Ft. L.Square footage in design 1440 Sq. Ft. M. Is a reserve area required? [X] Yes [] No N.Percent of reserve required 100% O. Percent of reserve available 100%+ Remarks: Conventional Primary. Virginia Soil & Septic, Inc. Page 6 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 540-832-1875 Reserve Abbreviated Design Form TM#:122-61,Midkiff.Lot 3 This form is for use with gravity and pump drain fields, enhanced flow systems and low pressure distribution systems when applying for a certification letter or subdivision approval. To the best of our knowledge and belief,this site complies with all local and state ordinances such as the CBPA. Design Basis Data A. Estimated Percolation Rate(minutes per inch) 60 B.Recommended trench bottom sq. feet required per bedroom 179 From Table 4.6 based on []Gravity []LPD [X] Sq. Ft.required,Secondary Treatment loading rate='s gpd,/sq ft. C. Number of bedrooms 3 Area calculations Data D. Length of trench 96 Feet E. Length of available area 96 Feet F. Width of trench 3' G.Number of trenches 4 H.Center to center spacing 10' 1. Width required 30 Feet J.Total width of available area(Includes area allocated for reserve.) 39 Feet K.Total sq.foot required 537 Sq. Ft. L. Square footage in design 1 152 Sq. Ft. M. Is a reserve area required? [X] Yes [] No N.Percent of reserve required 100% O. Percent of reserve available l00%+ Remarks: Reserve uses Secondary Treatment to trenches . Virginia Soil & Septic, Inc. Site Sketch Page 7 of 8 CLIENT:Midkiff Timber LLC SCALE: 1"= 100 ' Subdivision:N/A Lot:Tract 3 Profile borings=0 County:Albermarle House site=[H] Tax Map#: 122-61 Well site= [W] On&off site features noted within 200 feet of proposed drain field and well areas are shown. Iron \ • s tc0.c:- i 0 1 1,, ��� ASSUMED ELE' �\_• I As.`a * r 100.0 � \Q : cm ia! J �00 S 63�0 ` � 1N Is9, s-- 24.09.E 403,E�\-e f o 8 . lag. 75.A' go'/.d O T ' t'.• ' 144 - 4 Power Pole N/06• iv 9 1 53.4' I RESERVE ' loft• 94.9' I , ' DRAINFIELD ' ' . 5403 S.F. is / Approximate Location Existing Drainfleld / 200 ' .. i / TRACT 2 - 21.05 ACRI •n .� 56.1 - / t f , ' 's . is, q� RV'• ASSUMED - ',3 ,. ' . Jc IOD.0' A' -r,i f :Ns \ ron ' a ' — co 9 - 4 • ' Q ., SEPTIC G%' 0,N 5031 114.2o' ' j DRAINFtELD TER \ ,926 S. F. • •-Y— - ' • TRAACT V 2 CfZES 1 a _j Virginia Soil & Septic, Inc. Page 8 of 8 6088 Chestnut Lane Gordonsville, Virginia 22942 Phone& Fax 540-832-1875 Certification Statement County:ALBERMARLE COUNTY Property Identification: TM#:122-61,Midkiff Timber LLC,Lot 3 Submitted by:Richard F. Smith, A.O.S.E. 1940001172 This is to certify according to subsection 32.1-163.5 of the Code of Virginia that work submitted for the referenced property is in accordance to and complied with the Sewage Handling and Disposal Regulation of the Virginia Department of Health. I recommend a [X] Subdivision [ l Certification Letter [ ] Sewage System Construction Permit Be [X]APPROVED [ ] DENIED AOSE:Richard F. Smith, A.O.S.E. 1940001172 Signature: Date:8/22/18 The information presented in this submitted package represents the best available information as of the evaluation date. Due to the potential for subsequent events to negatively impact the recommendations made in this packet it is our firm's very strong recommendation to submit this documentation to the local VDH for approval as soon as it is received by the client. Failure to do so may render the information contained in this package void. Virginia Soil & Septic, Inc., as well as certifying individuals, accepts no liability for subsequent events that occur after the date of this evaluation.