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SUB201300110 Approval - Agencies 2013-08-08
Norge Niue + r �4 �G9EVi COMMONWEALTH[ of VIRGINIA In Cooperation with the Thomas Jefferson Health District ALBEMARLE-CHARLOTTESVILLE State Department of Health FLUVANNA COUNTY(PALMYRA) 1138 Rose Hill Drive GREENE COUNTY(STANARDSVILLE) LOUISA COUNTY(LOUISA) Phone(434)972-6219 P. O. Box 7546 NELSON COUNTY(LOVINGSTON) Fax (434)972-4310 Charlottesville, Virginia 22906 September 25,2013 Megan Yaniglos Department of Community Development Division of Zoning and Current Development 401 McIntire Road Charlottesville,Virginia 22902-4596 RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual Onsite Sewage Systems as part of a division of Tax Map 21 Parcel 35 located in Albemarle County,Virginia. Dear Ms.Yaniglos: On August 19,2013,the County of Albemarle requested the Virginia Department of Health(via the Albemarle County Health Department)review the proposed subdivision plat identified above.This letter is to inform you that the above referenced subdivision plat is approved for individual Onsite Sewage Systems in accordance with the provisions of the Code of Virginia,the Sewage Handling and Disposal Regulations, and local ordinances. This request for subdivision review was submitted pursuant to the provisions of§ 32.1-163.5 of the Code of Virginia which requires the Health Department to accept private soil evaluations and designs from an Authorized Onsite Soil Evaluator(AOSE)or a Professional Engineer working in consultation with an AOSE for residential development. This subdivision was certified as being in compliance with the Board of Health's Regulations by: Stephen P. Gooch; Onsite Soil Evaluator Number 1940001284. This subdivision approval is issued in reliance upon that certification. Pursuant to §360 of the Regulations this approval is not an assurance that Sewage Disposal System Construction Permits will be issued for any lot in the subdivision identified above unless that lot is specifically identified on the above referenced plat as having an approved site for an onsite sewage disposal system,and unless all conditions and circumstances are present at the time of application for a permit as are present at the time of this approval. This subdivision may contain lots that to do not have approved sites for onsite sewage systems. This subdivision approval does pertain to the requirements of local ordinances. Sincerely, 2,� RECEIVED Josh Kirtley Environmental Health Technical Consultant SEP 3 0 2013 Onsite Sewage and Water Programs COMMUNITY DEVELOPMENT �oFAL� S®4! fosb k ( -" COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road,Room 227 Charlottesville,Virginia 22902-4596 Phone(434)296-5832 Fax(434)972-4126 August 19, 2013 Teresa Batten Virginia Department of Health 1138 Rose Hill Drive i Charlottesville,VA 22906 RE: SUB 2013-110 Nyberg-Final Dear Ms. Batten: The County of Albemarle has received application to develop/subdivide [Tax Map 21, Parcel 35]. 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. Sin ely, Megan Yanigl. Senior Planner Department of Community Development Voice: (434)296-5832 ext. 3004 Fax: (434) 972-4035 RECEIVED SEP 3 0 2013 COMMUNITY DEVELOPMENT Soils Study for Drain Field Sites Lots A (Residue) and B A Division of Tax Map 21 Parcel 35 Albemarle County VOW Prepared for: Dr. Elias Nyberg P.O. Box 641 Center Conway,N.H. 03813 Prepared by: Gooch Engineering& Testing, Inc. 1821 Broadway Street Charlottesville, VA 22902 July 5, 2013 Page 1 of 8 OSE/PE Report for: Construction Permit n Certification Letter Subdivision Approval Property Location: 911 Address: 4998 Watts Passage City: Charlottesville Lot A Section Subdivision GPIN or Tax Map# 21-35 Health Dept ID# Latitude Longitude Applicant or Client Mailing Address: Name: Dr. Elias Nyberg Street: P.O. Box 641 City:Center Conway State N.H. Zip Code 03813 Prepared by: OSE Name Steve Gooch License# 1940001284 Address 1821 Broadway Street City Charlottesville State Virginia Zip Code 22902 PE Name: License# 4000- Address City State Zip Code Date of Report 7/5/13 Date of Revision#1 OSE/PE Job# Date of Revision#2 Contents/Index of this report(e.g.,Site Evaluation Summary,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.) OSE Cover Page At -vi. ,• D-si•n Forms Soil Profile Sheets `. :1 LI 14111 DIY Soil Information Summary Sheets r fl 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 VAC5-610),the Private Well Regulations(12 VAC5-630)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. F;(1 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 54.1-402.11 I recommend that a(select one): construction permits certification letter❑ subdivision approval IN be(select one)issued 12 denied❑. OSE/PE Signature `i/ELL, Date 7/ Soil Profile ?a>L Z u�F Lot A (Residue) A Division of Tax Map 21 Parcel 35 Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group Primary Drain Field 3 0-4 A Brown(7.5YR 5/4) clay loam 3 4-48 Bt Red(2.5YR 4/6) clay loam 3 48-66 Bt2 Light red (2.5YR 6/6) clay loam 3 66-84 C Reddish brown(2.5YR 5/4) sandy loam 2 4 0-3 A Gray(10YR 5/1) loam 2 3-40 Bt Red (10R 5/8) silty clay loam 3 40-60 Bt2 Red (2.5YR 5/8) clay loam 3 60-84 C Reddish brown (2.5YR 5/4) sandy loam 2 5 0-4 A Gray(10YR 5/1) loam 2 4-45 Bt Red(10R 5/8) silty clay loam 3 45-60 BC Red(2.5YR 5/8) clay loam and brown (7.5YR 5/4) sandy 3 loam 60-84 C Reddish brown(5YR 5/4) sandy loam 2 Reserve Drain Field 1 0-4 A Brown(7.5YR 5/4) clay loam 3 4-23 Bt Red(2.5YR 4/6) clay loam 3 23-37 BC Yellowish red (5YR 5/80 clay loam 3 37-72 C Strong brown (7.5YR 5/8) sandy loam 2 2 0-3 A Gray(10YR 5/1) loam 2 3-12 BE Yellowish red(5YR 5/8) clay loam 3 12-40 Bt Red (2.5YR 4/6) clay loam,yellow(10YR 7/8) mottles 3 below 32" 40-60 BC Red (2.5YR 5/6) clay loam, strong brown(7.5YR 5/8) 2 sandy loam, gray redox features below 42" 5 0-4 A Gray(10YR 5/1) loam 2 4-45 Bt Red (1OR 5/8) silty clay loam 3 45-60 BC Red (2.5YR 5/8) clay loam and brown(7.5YR 5/4) sandy 3 loam 60-84 C Reddish brown(5YR 5/4) sandy loam 2 f C'c7 3 OF- r Soil Profile Lot A (Residue) A Division of Tax Map 21 Parcel 35 Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group Reserve Drain Field 6 0-4 A Gray(10YR 5/1) loam 2 4-40 Bt Red (10R 5/8) silty clay loam 3 40-57 BC Red (2.5YR 5/8) clay loam and brown(7.5YR 5/4) sandy 3 loam 57-84 C Reddish brown (5YR 5/4) sandy loam 2 7 0-7 A Brown (7.5YR 4/2) clay loam 3 7-43 Bt Red (2.5YR 5/8) clay loam 3 43-84 CB Brown (7.5YR 5/4) sandy loam, red(2.5YR 5/8) clay loam 3 Page 4 of I Appendix 2 Soil Summary Report GENERAL INFORMATION Date 7/5/13 Submitted to Albemarle County Health Department Applicant Dr. Elias Nyberg Telephone Number (978)793-2174 Address P.O. Box 641 Center Conway, N.H. 03813 Owner same Address same Location 4998 Watts Passage Tax Map 21-35 Subdivision Block/Section Lot A(Residue) SOIL INFORMATION SUMMARY- Prlk1(tav? Orzitvl toat,e 1. Position in landscape satisfactory? rg Yes r No Describe gentle side slope 2. Slope 7 % 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table (gray mottling or gray color) Ix No I— Yes inches Free water present ix No r Yes range in inches New 6. Soil percolation rate estimated Ix Yes Texture group I II II IV No Estimated rate 65 min/inch 7. Permeability test performed E Yes Ix No If yes, note type of test performed and attach r Site Approved: Drainfield to be placed at 60" depth at site designated on permit. Site Disapproved: Reasons for rejection: 1. r Position in landscape subject to flooding or periodic saturation. 2. I" Insufficient depth of suitable soil over hard rock. 3. I— Insufficient depth of suitable soil to seansonal water table. 4. E Rates of absorption too slow. 5. r Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. !� Proposed system too close to well. r Other Specify (attach additional pages if necessary) 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 ❑ primary and reserve area, E 'only the primary area, ❑ only the reserve area(check one)for Lot A(Residue)—A Division of TM 21-35 (Property ID). Design Basis Total length of available area: 100' Total width of available area: 60' Estimated Perc. Rate: 65 at 60" in. (depth) Number of bedrooms (or GPD): 4 1 2 Conveyance Method :_Pump Distribution method (specify): Pump 3c Dispersal system basis Table 5.4 LGMI required? No (Yes/No) Effluent quality required: Primary (Primary, Secondary,Advanced Secondary) Square feet per bedroom: _496 Total trench bottom area required: _1984 Area Calculations Number of trenches 7 Length of trenches:_100' Width of trenches: 3' Center to center spacing: 9' Reserve required? Yes Percent reserve area required: 100 Total width of absorption area required 57' Total trench bottom area provided:_ 2100 The required width is calculated by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 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. Page of AOSE Form E Revised July 18,2007 Page Co of 7 Appendix 2 Soil Summary Report GENERAL INFORMATION Date 7/5/13 Submitted to Albemarle County Health Department Applicant Dr. Elias Nyberg Telephone Number (978) 793-2174 Address P.O. Box 641 Center Conway, N.H. 03813 Owner same Address same Location 4998 Watts Passage Tax Map 21-35 Subdivision Block/Section Lot A(Residue) SOIL INFORMATION SUMMARY - �� Dart FlJJ 1. Position in landscape satisfactory? IX Yes �` No Describe gentle side slope 2. Slope 11 % 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table (gray mottling or gray color) E No I-X Yes inches 42" Free water present !-x No E Yes range in inches 6. Soil percolation rate estimated IX Yes Texture group I II 113 IV E No Estimated rate 75 min/inch 7. Permeability test performed E Yes IX No If yes, note type of test performed and attach Site Approved: Drainfield to be placed at 24" depth at site designated on permit. 1— Site Disapproved: Reasons for rejection: 1. E Position in landscape subject to flooding or periodic saturation. 2. I— Insufficient depth of suitable soil over hard rock. 3. E Insufficient depth of suitable soil to seansonal water table. 4. r Rates of absorption too slow. 5. C� Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. I� Proposed system too close to well. f Other Specify (attach additional pages if necessary) 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 ❑ primary and reserve area, ❑ only the primary area, �nly the reserve area(check one)for_Lot A (Residue)—A Division of TM 21-35 (Property ID). Design Basis Total length of available area: 50' Total width of available area: 75' Estimated Perc. Rate: 75 at 24" in. (depth) Number of bedrooms(or GPD): 4 i 2 Conveyance Method : _Pump Distribution method (specify): Pump 3c Dispersal system basis GMP 118A LGMI required? No (Yes/No) Effluent quality required: Seconda (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 255 Total trench bottom area required: 1020 Area Calculations Number of trenches 7 Length of trenches:_50' Width of trenches: 3' Center to center spacing: 10' Reserve required? this is reserve_ Percent reserve area required:_100 Total width of absorption area required 63' Total trench bottom area provided: 1050 The required width is calculated by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 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. Page of AOSE Form E Revised July 18,2007 PG-)C- loo Y 75 8=3790• / I 2'49'03 i 0.9+/ Q.i71 A'nA" A=186.44. 1 Stc a 9'44 94' dotal) mi5'26 31 E 1 p=29- ,A8"E Lc=186.38 -- 1d4g 294,69' _- Lc, E.pole -..-- Leanir IF. V 5 e ,. N14•02'0 ,.E S. � a . ; ,IS. 103.99 N 70.10 4489 4 - .`J1,'`:), !- 01 Nvi3O'1 r( 14f; : , E -910.18 goy S��'=��� ,�, ` R/w Reserved _ RESIDUE cvnav 10 i IS. Along Road 2 OT ; cv �� ``"i Is. 2 124 ' ' t- S. 8' Dirt 1 3 . ,14'59"E Road s' t._ 'g ,P. --- ;r 1.78` _ t _tt c7 co F I '� lil f E y DEVELOPED SPRING I I'`"'` (APPROX.LOCATION) ' '_ _ �I�F 1-35 bent ,; �� 6 - ; — z,G, pipe S31 '39'34"W 323 i3 ILIAS or MARGAREI'A o DB.4177 p.490 '� „E.pole f F i' ?I' ,.. A u� 08.707 p.604 f` , s ,..,.;.. IF. w DB.296 p.495 • '!,,` R/p; des--ved o, D6:296 p.497(plat} Frame •' a LOT ® in 8.946 Ac.(Surve ) House '' ':808 Ac. En f, 8 fY' r Pr. 49r ` tv , can t ) s '`',, , 0 t ,'; Barwick tii1.t, o, , TMP.21-34 co,'; DB.261 Pg.231 Frame WB. 135 Pg.517 Barn ,i,'s E.pole 08.4179 P.205 (Alai) r i , , Shed Q N -532.63 1 B5 i E -518.02 ' ;_, g1' eff. ;6', base 7 238 of Scale 1"=100' - Soil Profile Hole bent pipe : , pw tB E.pole House, Well and Drain Field Sites S11.4i 3e s Lot A (Residue) ,,,.„-„,„ A Division of Tax Map 21-35- /5-t- Albemarle County, Virginia too' NOTE:200 FT.SEPARATION cior Gooch Engineering & Testing, Inc. DISTANCE REQUIRED 100 la's 9 . 1821 Broadway Street BETWEEN DEVELOPED P SPRING AND PROPOSED �A 105 Charlottesville, Virginia 22902 Page 1 of 8 OSE/PE Report for: �... Construction Permit Certification Letter Subdivision Approval f Property Location: 911 Address: 4998 Watts Passage City: Charlottesville Lot B Section Subdivision GPIN or Tax Map# 21-35 Health Dept ID# Latitude Longitude Applicant or Client Mailing Address: Name: Dr. Elias Nyberg Street: P.O. Box 641 City:Center Conway State N.H. Zip Code 03813 Prepared by: OSE Name Steve Gooch License# 1940001284 Address 1821 Broadway Street City Charlottesville State Virginia Zip Code 22902 PE Name: License# Address City State Zip Code Date of Report 7/5113 Date of Revision#1 OSE/PE Job# Date of Revision#2 Contents/Index of this report(e.g.,Site Evaluation Summary,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.) OSE Cover Page Abbreviated Design Forms Soil Profile Sheets Survey Plat Soil Information Summary Sheets Certification Statement I hereby certify that the evaluations and/or designs contained herein were cot'aucted . a an " Se an g Disposal Regulations(12 VAC5-610),the Private Well Regulations(12 VAC5-630)an all oth4 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 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 54.1-402.11 I recommend that a(select one): construction permits certification letter❑ subdivision approval Q be(select one)issued Q denied❑. OSE/PE Signature Date 7 j"j 3 �a z Soil Profile Primary Drain Field Lot B A Division of Tax Map 21 Parcel 35 Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group B1 0-3 A Dark gray(10YR 4/1) sandy loam 2 3-15 BE Light brown(7.5YR 6/4) sandy loam 2 15-56 Bt Red (2.5YR 5/6) clay loam 3 56-64 Cl Yellowish brown(10YR 5/8) sandy loam 2 64-84 C2 Gray(10YR 5/1) sandy loam 2 Note: Chroma 2 due to parent material B2 0-3 A Dark gray(10YR 4/1) sandy loam 2 3-14 BE Light brown(7.5YR 6/4) sandy loam 2 14-54 Bt Yellowish red (5YR 5/8) clay loam 3 54-84 C Brown(7.5YR 5/6)to yellowish brown(10YR 5/8) sandy 2 loam B8 0-4 A Light brown(7.5YR 6/4) sandy loam 2 4-37 Bt Red (10R 4/6) silty clay loam 3 37-84 C Brown(7.5YR 5/4) sandy loam 2 B9 0-3 A Light brown(7.5YR 6/4) sandy loam 2 3-10 BE Light brown(7.5YR 6/4) sandy loam 2 10-40 Bt Red(10R 4/6) silty clay loam 3 40-84 C Brown(7.5YR 5/4) sandy loam 2 B10 0-3 A Dark gray(10YR 4/1) sandy loam 2 3-9 BE Light brown (7.5YR 6/4) sandy loam 2 9-36 Bt Red(10R 4/6) silty clay loam 3 36-60 Cl Reddish yellow(5YR 6/8) sandy loam 2 60-84 C2 Strong brown(7.5YR 5/8) sandy loam 2 B11 0-3 A Dark gray(10YR 4/1) sandy loam 2 3-8 BE Light brown(7.5YR 6/4) sandy loam 2 8-30 Bt Red (10R 4/6) silty clay loam 3 30-43 Bt2 Yellowish red(5YR 5/8) clay loam 3 43-72 Cl Dark yellowish brown (10YR 4/6) loam with weathered 2 schist fragments 72-84 C2 Brown(10YR 5/3) sandy loam 2 Page J of 7 Appendix 2 Soil Summary Report GENERAL INFORMATION New Date 7/5/13 Submitted to Albemarle County Health Department Applicant Dr. Elias Nyberg Telephone Number (978) 793-2174 Address P.O. Box 641 Center Conway, N.H. 03813 Owner same Address same Location 4998 Watts Passage Tax Map 21-35 Subdivision Block/Section Lot B SOIL INFORMATION SUMMARY._ primati prima Dyzi,yt Fteh e 1. Position in landscape satisfactory? f Yes ('" No " Describe gentle side slope 2. Slope 18 % 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table (gray mottling or gray color) IX No E Yes inches Free water present ►g No r Yes range in inches 6. Soil percolation rate estimated Ix Yes Texture group I II III IV I— No Estimated rate 55 min/inch 7. Permeability test performed I— Yes Ix No If yes, note type of test performed and attach Ix Site Approved: Drainfield to be placed at 48" depth at site designated on permit. f Site Disapproved: Reasons for rejection: 1. E Position in landscape subject to flooding or periodic saturation. 2. I— Insufficient depth of suitable soil over hard rock. 3. r Insufficient depth of suitable soil to seansonal water table. 4. f Rates of absorption too slow. 5. I— Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. r Proposed system too close to well. r Other Specify (attach additional pages if necessary) ?Q u -g' 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. New This abbreviated design covers the ❑ primary and reserve area, only the primary area, ❑ only the reserve area(check one)for_Lot B—A Division of TM 21-35 (Property ID). Design Basis Total length of available area: 70' Total width of available area: 50' Estimated Perc. Rate: 55 at 48" in. (depth) Number of bedrooms(or GPD): 4 1 2 Conveyance Method : _Gravity Distribution method (specify): Gravity 3c Dispersal system basis GMP 135 LGMI required? No (Yes/No) Effluent quality required: Primary (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 412 Total trench bottom area required: 1236 Area Calculations Number of trenches 6 Length of trenches: 70' Width of trenches: 3' Center to center spacing: 9' Reserve required? Yes Percent reserve area required: 100 Total width of absorption area required 48' Total trench bottom area provided:_ 1260 The required width is calculated by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 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. Page of AOSE Form E Revised July 18,2007 Soil Profile J9�� Reserve Drain Field Lot B A Division of Tax Map 21 Parcel 35 Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group B3 0-2 A Dark gray(10YR 4/1) sandy loam 2 2-6 BE Light brown(7.5YR 6/4) sandy loam 2 6-14 Bt Light red (2.5YR 6/6) clay loam 3 14-40 C Yellowish red(5YR 5/8) sandy loam, some sandstone 2 fragments 40- Cr 50%+ sandstone fragments B4 0-4 BE Light brown(7.5YR 6/4) sandy loam 2 4-39 Bt Red (10R 4/6) silty clay loam 3 39-84 C Brown(7.5YR 5/4) sandy loam 2 B5 0-3 A Brown(7.5YR 4/2) sandy loam 2 3-36 Bt Red(10R 5/8) silty clay loam 3 36-60 C Yellowish red (5YR 5/8) sandy loam 2 B6 0-3 A Brown(7.5YR 4/2) sandy loam 2 3-22 Bt Red (10R 5/8) silty clay loam 3 22-31 C Brownish yellow(10YR 6/8) sandy loam, some sandstone 2 fragments 31- Cr 50%+sandstone fragments B7 0-3 A Light brown (7.5YR 6/4) loam 2 3-11 BE Light yellowish brown(10YR 6/4) sandy loam 2 11-38 Bt Red (10R 5/6) silty clay loam 3 38-60 Bt2 Red (2.5YR 5/8) clay loam 3 Page of I Appendix 2 Soil Summary Report GENERAL INFORMATION Date 7/5/13 Submitted to Albemarle County Health Department Applicant Dr. Elias Nyberg Telephone Number (978)793-2174 Address P.O. Box 641 Center Conway, N.H. 03813 Owner same Address same Location 4998 Watts Passage Tax Map 21-35 Subdivision Block/Section Lot B SOIL INFORMATION SUMMARY - (21e„ e 0>Zmt`.lea 1. Position in landscape satisfactory? (X Yes f No Describe gentle side slope 2. Slope 12 % 3. Depth to rock or impervious strata: Max. 60"+ Min. 31" None x 4. Depth to seasonal water table (gray mottling or gray color) iX No r Yes inches Free water present fX No I- Yes range in inches 6. Soil percolation rate estimated IX Yes Texture group I II (E) IV E No Estimated rate 80 min/inch 7. Permeability test performed I Yes IX No If yes, note type of test performed and attach Ix Site Approved: Drainfield to be placed at 18,E depth at site designated on permit. E Site Disapproved: Reasons for rejection: 1. E Position in landscape subject to flooding or periodic saturation. 2. 1- Insufficient depth of suitable soil over hard rock. 3. r Insufficient depth of suitable soil to seansonal water table. 4. f Rates of absorption too slow. 5. I Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. E Proposed system too close to well. I� Other Specify (attach additional pages if necessary) ree, 7 S- 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 ❑ primary and reserve area, ❑ only the primary area, B<nly the reserve area(check one)for_Lot B—A Division of TM 21-35 (Property ID). Design Basis Total length of available area: 50' Total width of available area: 90' Estimated Perc. Rate: 80 at 18" in. (depth) Number of bedrooms(or GPD): 4 I 2 Conveyance Method : Pump Distribution method (specify): Pump 3c Dispersal system basis GMP 118A LGMI required? No_(Yes/No) Effluent quality required:_Secondary (Primary, Secondary,Advanced Secondary) Square feet per bedroom: 268 Total trench bottom area required: _1072 Area Calculations Number of trenches 8 Length of trenches:_50' Width of trenches: 3' Center to center spacing: 10' Reserve required? this is reserve_ Percent reserve area required: 100 Total width of absorption area required 73' Total trench bottom area provided: _1200 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. Page of AOSE Form E Revised July 18,2007 N ., 1 9.13":610/ W 7-7 F'ciy, r of 7 Is. w29;47'08 1 ..----- %to 41. 54. L.C.:4 • _____--- 0,01;'‘.7 IS. ‘,,, E -1058.72 - Now, 8' thrt S. ' __--- Road .--, _,----- S. N05 59"E ----- 96.76' fr- 4.25 .E T. ,. If• ,00er i -- .4 from - cr, DEVELOPED SPRING t92[F. : gOB 2 ill-le)4' _ --4 cn (APPROX.LOCATION) c Lo i tie rii to ti Tmp21-35 I. bent :fi , L „_,,, NYBERG, Pipe tilAS or MARGARETA I r.rt Ad ° DB.4177 p.490 ,c tr9 08.707 p.604 (;) IS-, , . ‘ Lu 08.296 p.495 ni ,E),-' , Tmp 21-358:' • ' in DB.296 p.497(plat) Frame 10T, it-b 1 DB.860 .400 LOT E3 , 8.946 Ac.(Survey) House rti , I DB. 707 pp.602(plat) r'14‘ 2 808 Ac . ir9 ---- -,-.4- ri / ' , . ilA / :: / 1 , L,',' •tr o.„ cc; . , Frame Barn , ,,s E.pole i ' ■ , r , L____i ;-3 ro k Shed 0 51 ir 1 „ B5 E -518.02 i -.-• l'oftisr, -Z alit ffi 7 i base of . ._ _ 136/ I bent pipe I - .,. ; Ar . 51.0.27' E.pole B1., ,z.. ,i". . sii•4013 1 i 96' I . N -1040.15 A., , ,, , .. ' , ; , J r 1 c SCALE 1" = 100' NOTE:200 :T.SE,ARATION TES, INC. 100 50 0 100 DISTANCE REQUIRED 1 '\ ?9• ANNERS BETWEEN DEVELOPED 9 rION A RINPS6111111111111111119......111.1. 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