HomeMy WebLinkAboutSUB201900128 Assessment - Environmental 2019-07-26COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road, Room 227
Charlottesville, Virginia 22902-4596
Phone (434) 296-5832
September 26, 2019
Teresa Batten
Virginia Department of Health
1138 Rose Hill Drive
Charlottesville, VA 22906
RE: SUB201900128 Kirk Brittain
Dear Ms. Batten:
The County of Albemarle has received application to develop/subdivide [Tax Map 47, Parcel 76A]. This project
requires Health Department approval before receiving final County approval. The applicant has provided soils
information, which is attached. Please review the proposal for suitable subsurface drainfields which comply with the
provisions of Chapter 18, Sections 4.2.2, 4.2.3, 4.2.4, and Chapter 14, Sections 14-309 and 14-310 of the Albemarle
County Code. Should you have any comments please feel free to contact me.
Note: This transmittal includes soils work for the second proposed lot, Lot B-1C.
Sincerely,
M/1
Senior Planner
Department of Community Development
Phone: (434) 296-5832 ext. 3097
Page / of /!
OSETE Report for:
Construction Perrnit,F� Certification Letter Subdivision Approval Q'
Property Location:
911 Address:
Lot 9 - IC Section
GPIN or Tax Map # I % tier _ 1 70
Latitude
Subdivision bri��A.in Fxw:,lr
Health Dept ID #
Longitude
Applicant or Client Mailing Address:
Name: �� �nnS nt
Street: 6 ��,i4,i /.brsr%
City:_ State State_.Zip Code Z29d/
Prepared by: //
OSEName RVArnnn �'� n u�ha 111 y3y-Zy9 079? License# �97400413s%
,Address X ZSF J
City_ 62;„r;)k State Oil ZipCode.�Z"�
PE Name:
License #
Address
City State _ Zip Code
Date of Report
OSE/PE Job #
Contents/Index of this report (e.g., Site
16.
Date of Revision #1
Date of Revision #2
Sail Profile Descrip ions. Site Sketch, .Abbreviated Design, etc.)
it l iP�k�-/a,�s
Certification Statement
I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling and
Disposal Regulations (12 VACS-6I O)Ahe Private Well Regulations (12 VAC5-630) and all other applicable laays. 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 auons of the Commonwealth that have been duly issued by the applicable agency charged with licensure to
perform the rk contained herein.
The work attached to this cover paae has been conducted under an exeniotion to the practice of engineering. soecificaliv the
exemption in Code of Virgin' Section 54.1.402.A.11
T recommend that a (selec One): nstruction permit[] certification letter subdivision approvals
be (select one) issued denied.
OSE/PE Signature �r✓ /i�� ate 07 31,/ZO��
?76 2 a/ //
Commonweal t of Virg
Application for: age System ater Supply
Owner .S 1` -A AL R/-44-4-n �I /
Mailing Address 1 3170 IA/"J:J Wewss GAne
Cif Ar'n 1�c�//u'��c
Agent Reber �.✓. 41 t AStec ,45, Tnc.
Mailing Address
22-w
Site Address
Directions to Pyyroperty: -W cSls'ds L'L% 70 +_/_ % ' ''/'
Subdivision Section
VDH Use onty
Health Department 1D#
Due ➢ate
Phone
Phone
Fax
Phone KS-Z-.Z9 a i /?s-
Phone
Fax
Email
Block Lot I - /G
Tax Map 17 769 Other Property IdentificationDitnension/AcreageofProperty y'%S�,Qercy
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.
Mertification Letter-''®-£onstruction Permit 13-wuntary Upgrade =M-epair permit / !
Snrf%vis�,
Proposed Use:
Single Family Home (Number of Bedrooms �- )
Other (describ
men = o BaseWalk Basemen
Multi -Family Dwelling (Total Number of Bedrooms
Fixtures
Conditional permit desired?Mes o If yes, which conditions do you want?
]Reduced water flow C]Limited Occupancy []intermittent or seasonal e ❑ Temporary use not to exceed 1 year
Do you wish to apply for a betterment loan eligibility IetterMa-. o *There is a $50 fee for determination of eligibility.
Water Supply
Will the water supply h _,hli ? Is th-- water supplszF isti ?
If proposed, is this a replacement well?�JYes, o, If yes, will the old w/el� �e abandoned_?_- ----
Will ]i To
any buildings within 50' of the proposed well be termite treated? Q1es [3No
Is this a private sector OSE/PE If yes, is the OSE/PE age attached2{, (es,0_ 1slo .
Is this property indeed to serve as your (owners) principal place of residenc$?afz,
.., W . , � ,1.� v,.,..�» �.,,... �,.r,...a........... .. -%% 7,..-.,.. r,,,. ,,,.,,. ..uw arYw. v, Jnuperry wr, a sru sxercn. t•or water
supplies, a plat of the property is recommended and a site sketch is required The site sketch shouldshow 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 sites must -be clearly-marked.andthe property sut&eiendyvisibie to Seeethe-topog apby
I give permission to the Virginia Department of Health 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 a private sector Onsite Soil
Evaluator or Professional Engineer as necessary until the sewage disposal system and/or private water Supply has been constricted and
approved ,.+ i
Sigfiaturc of Owner/ Agent — f Date
This This form contains personal information subject to disclosure under the Freedom of information. Act. Revised 12/l/2014
LHeA
tDHGhhDq.ttmntIDK __e Da e
Site and Soil Evaluation Report
(For certification letters and subdivisions)
Health
Applicant:
i 7�
Telephone Number: Ml— 2i33 - 3175
Address :
Owner: 7riY R 11$nn Address: 3170
Locationf �� : 54,rrd e: �f t 70 ` t- %4S kA of
t
Subdivision ;fi<lrtn min; Block/Section _ Lot_ p—�L
Soil fi forma ' ummary
I. Position in landscape satisfactory Yes _ o _ Describe :
2. Slope I / % `5'151aft
3. Depth to rock/impervious strata Max. 7s Min. �% None
4. Free water present No _ Yes _ Range in inches , 7
5. Depth to seasonal water table (gray mottling9rgray color) &M inches
6. Soil percolation rate estimated Yes Texture group �1 011 Il 01V
No_ Estimated ratefominiin
7. Percolation test performed Yes /1Vumber of percolation test holes
No _ Depth of percolation test holes
Average percolation rate _ mpi
Name and title of evaluator: /� '� , _ y
Signaturz
De tment Ilse
_Site approved: Drainfie trench bottoms t e placed at�(inches) depth at site designated on permit.
_ Site disapproved:
Reasons for rejection: eck all that appl
I. _ Position in landscape subject o 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.
7. _ Other (Svecifv)
OSE Form G (pg.1) Revised 710212009
Fry, y 0/ //
VDH Use Onto
Health DepNtment IDc
Due Date
Site and Soil Evaluation Report
(For certification letters and suhdivisions)
General Information
Date: q/_ G�,xa,�c County Health Department
Applicant: 4U &, f ASSe1. T.,c
Telephone Number: yy/3y - Z73— h i.i
jJ Address: 1�L3 .AMA, l.p...r{ ZZM/ ,r
Owner: YTrk ,//JrtJ4,'vt Address: .?/i6 /A),iaJ J&.,,I L.a. awlALya+llC
Location : L�it�<r /-0 �y f� • % a* ks �{.�f% e% /, & 7% --
Subdivision I j,4,;, � / Block/Section Lot .9-/G
Soil Informs . ummary
I. Position in landscape satisfactory Yes _ No _ Describe
QLSerVC
,u
2. Slope A-a/a
3. Depth to rock impervious strata Max. _ o Min. S1 None _
4. Free water present No ✓ Yes _ Range in inches
5. Depth to seasonal water table (gray mottling gray color) AWA inches
6. Soil percolation rate estimated Yes _ Texture group ❑ 1 ❑11 [V
No_ Estimated rate _(Qmin/in
7. Percolation test performed Yes tuber of percolation test holes _
No _ Depth of percolation test holes
Average percolation rate _ mpi
Name and title of evaluator:
Si nature;
Denal Use
_ rte approved:.Drainfleld nch bottoms to placed at ZZA _(inches) depth at site designated on permit.
_ Site disapproved:
Reasons for rejection: (ch all that appl
I. _ Position in landscape subjec o 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.
Proposed system too close to well.
Other (Specify)
OSE Farm G (pg.I) Revised WOCL009
Page 5- of //
Date of Evaluation: Profile Description
SOIL EVALUATION REPORT
Property ID: 5'7 71,B - Loi 8- /C
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 soil scientist,
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 site (See section 4) and reserve site shall be shown on the reverse side of this page or prepared on a separate page
and atmchedto orm.
_ eeaoplicarion sketch _ See construction permit _, See sketch on reverse side or page attached to this form.
Hole #
Horizon
Depth
(inches)
Description of color. texture. etc.
I
'rextum
I Group
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REMARKS
OSE Form 0 (pg.2) Revised7102i2009
Page 6 of //
Design Calculations
Property 1D: LTFA ly an _ y7 ,ji - �C
j I ype Ot Use (residenual, oc) Nesa.f« j, Show Calculations Here' -------
No. of bedrooms. -
No. of employees: AlM
Square Footage of building space:.
Daily flow (peak design) in GPD: y.QlAAD�
No. of septic tanks: / Show
/dgy
Size of septic tank(s):
Pretreatment required'? ___yes
If yes, specify type of treatment device:
Soil Texture Group: S I If pump system, enhanced flow, or LPD show
Reserve area r� red? _ es _ no calculations here or on a separate sheet.
_ 50%_✓f00% _other (check one) (dosing volume, head, pump design, etc.)
Specify other
Class of well: -gFC Lde//
Distance between septic tank(s) and
well: So t
Distance between absorption area and
Information and calculations required for commercial andlor conditional use applications only
OSE Form 1 Revised 7/2/2009
Page 7 of
Abbreviated Design Form
This form is for use with gravity, pump to gravity, enhanced flow, and low pressure distribution (LPD) sewage
system designs and when applying for a certification letter or subdivisio7nlyvrthe
L
This abbreviated design covers the O primary and reserve area, primary area, 0 only the
reserve area (check one) for ts.,. / 7/-4 — 4} ,8 _ k (property ID).
Design Basis
Total length of available area: D' Total width of available area: V+
Estimated Perc. Rate: SO at _YA _ in. (depth) Number of bedrooms (or GPD): _ 3 B,Q of ` S-0 Op
Conveyance Method: Distribution methods (specify):
Dispersal system basis S_ y of S/%taP - /r/r%P /35/j' LGMI required? A/O (Ye9qjJo
Effluent quality required:. Qrima econdary. Advanced Secondary)
Square feet per bedroom: �/ Total trench bottom area required: Vi y,k
Gravity, pump. siphon
Enhanced flow. LPD, or Drip Dispersal
Table 5.4 of SHDR or identify the GMP used
Area Calculations
Number of trenches _ 5� (Note if a pad is used)
Width of pad or trenches: 3t
Reserve required?
Length of pad or trenches: 6e t
Center to center spacing: -/0
Percent reserve area required:_. DO
Total width of absorption area required y3 Total trench bottom area provided: .h.
The required width is calculated by multiplying the center -to -center spacing by one less than the number of
trenches and adding l trench width plus any required reserve area. If the topography is not uniform across the
length of the site the trenches will need to flare apart on one end to maintain contour. When this occurs it is
necessary to use a center -to -center spacing that accounts for the flair or the installer will not be able to fit the
system within the approved area. It is perfectly acceptable to have more area available, especially up and down
the slope, than is required.
OSE Form E Revised 7/2/09
Page O Of %f
Abbreviated Design Form
This form is for use with gravity, pump to gravity, enhanced flow, and low pressure distribution (LPD) sewage
system designs and when applying for a certification letter or subdivision approval.
This abbreviated design covers the 17 primary and reserve area, ❑ only the primary area, my the
reserve area (check one) for ��y�f„�YZ� L7��=iA 8 — k (property ID).
Design Basis
Total''length of available area: �J Total width of available area: S]
2 9sa 6�D
Estimated Perc. [fate: (,0 at , 7-y in. (depth) Number of bedrooms (or GPD): ..�
Conveyance Method :
Distribution methods (specify): eodyx %rcnah
Dispersal system basis T S y at SNDR LGMI required? Alp (Ye%M
Effluent quality required: L MAIrim Secondary, Advanced Secondary)
Square feet per bedroom: _ 7iZ ' Total trench bottom area required: 135-611
.
Gravity, pump. siphon
-Eghanced flow. LPD, or Drip Dispersal
Table 5.4 of SHDR or identify the GMP used
Area Calculations
Number of trenches _ 7 (Note if a pad is used)
Width of pad or trenches: 3r
R vere uired?—Vel
fig --
Length of pad or trenches: (c S
Center to center spacing:
_2-
Percent reserve area required: 100,70
eser q
Total width of absorption area required S"% Total trench bottom area provided: �� y. •
The required width is calculated by multiplying the center -to -center spacing by one less than the number of
trenches and adding I trench width plus any required reserve area. If the topography is not uniform across the
length of the site the trenches will need to flare apart on one end. to maintain contour. When this occurs it is
necessary to use a center -to -center spacing that accounts for the flair or the installer will not be able to fit the
system, within the approved area. It is perfectly acceptable to have more area available, especially up and down
the slope, than is required.
OSE Form E Revised 7/2/09
System Specifications
Property ID: a�-17ia - �oF 8-/c - �,07
��
Name
Tax Map No. _ �/ , �l 74A
GPIN No.
Directions Iw%rs+tr�<LY7O
f/- % W --s 71&
System Type
(e.g. septic tank, draienfield)
Type of property ik!""J
(e.g_ commercial, residential, etc.)
Phone
Property
Subdivision �,,•/{A;, X,,,./
Section
Lot R- /r.
Number of bedrooms 3&
Daily flow ft &aD (gpd)
Page > of
— aaun—iuMuvuue[ arrucrure
Schedule 40 PVC, 4" or equivalent Ca�Jacity: /off gallons
(add check or describe equivalent below) 2" septic tank A//gyp gallons
Per the 2000 Sewage Handling & Disposal
Regulations, Check which option choseju�
--ASeptic tank with inspection port _✓
Septic tank with effluent filter
Reduced maintenance septic tank
Method
main
No. of boxes _
(e.g. gravity, pumping,,dosing siphon) No, of outlets a
If pumping, attach Pump Spec Sheet Surge or splitter b required.
Material 540J.4 yO PW Yes _ No _
Pipe diameter q
Slope Of pipe&" -lop (in inches)
Header line Information I Percolation line Information/Absorption
1 1500 pound crush strength Yes ✓ / Center to center spacing & ft.
Minimum slope is 2"/100 ft. Yes ,/ Required spacing Lp ft.
Installation depth Y$ inches
Aggregate depth t3 inches
No. of Laterals _J' Lateral length &Q_ ft.
Lateral bottom slopeZ'*3 inches
s Lateral width .V inches
OSE Date b zap
OSE Forth J ReviSeo i220
Page /0 Of
System Specifications
Property ID: T A2 - YZ . l 7LA - `>I f8
A licant Information
Phone 113y-793- 3195-
Name AFf
Address u.3_Bs %t 6e+ k
Location Information
Tax Map No_ 9/7 erg f AA Property address
GPIN No. —
Directions c -6 _ Subdivision ; -
,,,tk aj J" 7% I Section Block
Lot -/G
General Information
Number of bedroomsQ
System Type �1=
(e.g. septic tank, drat field)
Daily flow yso 4rn (gpd)
Type of property • '
(e.g. commercial, residential, etc.)
Conditions
Sewer Line
Se tic Tank - Inlet/Outlet Structure
Schedule 30 PVC, 4" _ or equivalent
Capacity: fdb0 gallons
(add check or describe equivalent below)
2" septic tank !Y/A gallons
Per the 2000 Sewage Handling & Disposal
Regulations, Check which option chosen:
Septic tank with inspection port
Septic tank with effluent filter _
Reduced maintenance se tic tank
Conveyance line/force main Information
Distribution box Information
Method .:
No. of boxes
_
(e.g. gravity, pumping, osing siphon)
No. of outlets /Z
If pumping, attach Pu p Spec Sheet
Surge or splitter b required:
Material e L % 'fa PU6
Yes _ No
Pipe diameter
Slope of pipe (r"-14 d (in inches)
Header line Information
Percolation line Information/Absorption
Area
1500 pound crush strength Xes _ /
Center to center spacing I ft.
:Minimum slope is 2"/100 ft. Yes ✓
Required spacing i ft.
Installation depth Z inches
Aggregate depth 13 inches
No. of Laterals 1 Lateral length 1�*ft.
Lateral bottom slope ?;3 inches
Lateral width inches
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