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HomeMy WebLinkAboutSUB202200174 Other 2022-10-14Page__L_of -? ® Construction Per.... OSE/PE Report For: ®Repair Voluntary Upgrade Permit 0 Permit Certification Letter Subdivision Approval Property Location: 911 Address: City: Lot 3 Section Subdivision GPIN or Tax Map # 86-17C3 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: Israel's Gap Community Fund, LLC Street: 2100 Drovers Lane City: North Garden State VA Zip Code 22959 Prepared by: OSE Name Thomas G. Hogge License # 1940-001091 Address PO Box 418 City Ruckersville State VA Zip Code22968 PE Name License # Address City State Zip Code Date of Report OSE/PE Job # Date of Revision #1 Date of Revision #2 Contentslindex of this report (e.g., Site Evaluation Summary, Soit Profile Descriptions, Site Sketch, Abbreviated Design, etc.) 2,3-Site and Soil Evaluation Report 4-Site Sketch 5-Design Calculations 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 VACS-610), the Private Well Regulations (12 VAC5.630L 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 duly issued by the applicable agency charged with Iicensure to perform the work contained herein. The work attached to this cover page has been conducted under an exemption to the practice of engineering, specificallythe exemption in Code of Virginia Section 54.1.402.A.11 I recommendthat a (select one): construction permit ❑certification letter ❑ subdivision approval t@be (select one) Issued El pair permi ❑ voluntary upgrade ❑ Denied ❑ OSE/PE Signature Date This form contains personal information subject disclosure under the Freedom of information Act. Revised 12/l/2014 Site and Soil Evaluation Report Page oZ of .J VDH Use Only HDIN: General Information Date: _ /D -�� �— Amemane County Health Department Owner: Israel's Gap Community Fund, LLC phone: (434) 284-0808 Owner Address: Property Address: Tax Map/GPIN #: 86-17C3 Subdivision: Section: Block: Lot: 3 Soil Information Summary 1. Position in landscape satisfactory: ® Yes ❑ No Describe landscape position: Sideslope 2. Slope: 5 % 3. Depth to rock/impervious strata: Max. 76 in. Min. 72+ in. ❑ Not observed 4. Free Water Present: ❑ Yes ® No Range in inches: 5. Depth to seasonal water table (gray mottling or gray color): _ inches N Not observed 6. Soil percolation rate estimated: I3 Yes ❑ No Estimated rate: 65 min/in at 54 - inches depth Texture Group: ❑ 1 N II N III ❑ IV 7. Percolation test performed: [I Yes I] No if yes, provide additional data on percolation test results. Name and title of ev ator: Thomas Graham Hogge, OSE Signature: I] Site approved: Absamfioa trmrhes (describe dispersal area, e.g. absorption trenches) dispersing Septic tank effluent (proposed level of treatment at time of evaluation) to be placed at 54 (inches) depth at site designated on permit. Site provides a total of 12,000+ square feet of absorption area for primary and reserve (if applicable). ❑ Site disapproved: Reasons for rejection (check all that apply) 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. ❑ Insufcient area of acceptable soil for required absorption area, and/or reserve area. 6. ❑ Proposed system too close to well. 7. ❑ Other (specify) This form contains personal information subject to disctosurc undcr the Freedom of Information AC4 Revised 12/12014 Page 3of s Date of Evaluation: 6-23.22 Profile Description SOIL EVALUATION REPORT Property )p: Proposed division of 86-17C3, "Lot 3" 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 Onsite Soil Evaluator or Professional Engineer, 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 the site and reserve site shall be shown on the reverse side of this page or prepared on a separate page and attached to this form. ❑ See application sketch ® See Construction Permit ❑ See sketch on reverse side or page attached to this form. Hole # Horizon Depth Inches Description of color, texture, etc. Texture Group 0-510 YR 4/3 brown loam 2 gA 5-28 2.5 YR 4/8red clay loam; friable, fair subanguar blocky (SBK) 3 NPIT1 28-76 10 YR 5/8 yellowish brown schist saprolite; crushes easily to sandy loam, with many 2 2.5 YR 4/8 red clay flows; 10 YR 2/1 Mn oxides; pit terminated on Cr 2 A 0-6 10 YR 413 brown loam 2 PIT Btt 6-30 2.5 YR 4/8 red clay loam; friable; S8K 3 Bt2 30-54 10 R 4/8 red, micaceous clay loam with 2.5 YR 4/8 red 3 C 54-72 17.5 YR 5/6 strong brown, friable, micaceous sandy loam saprolite. variegated with 7.5 YR 8/4 pint 2 and 2.5 YR 4/8 red 3 A 05 10 YR 516 yellowish brown loam 2 BORING Bt1 6-30 10 R 5/8 red, friable, micaceous clay loam 3 Bt2 30-54 1 10 R 5l8 red. friable, micaceous clay loam; saprolitic, with 2.5 YR 4/8 red 3 Ct 54-72 2.5 YR 616light red, friable, micaceous loam saprolite 2 4 A 0.6 10 YR 5/4 yellowish brown loam 2 PIT 8t 6-38 2.5 YR 418 red, friable, micaceous clay loam 3 Bic 3852 5 YR 518 yellowish red, day loam to sandy day loam; saprolitic, with 2.5 YR 718light red 312 Ct 52-72 7.5 YR 814 pink, friable, granitic sandy loam saprolite, var. with 5 YR 6/6 reddish yellow 2 — — — and 10 YR 511 gray (lithic) — 5 A 0-6 10 YR 4/3 brown loam 2 PIT Btt 6-34 2.5 YR 418 red clay loam; friable; SBK 3 Bt2 34-50 10 R 4/8 red, micaceous clay loam with 2.5 YR 4/8 red 3 Ct 50-72 2.5 YR 6/6 light red, friable, micaceous loam saprolite 2 REMARKS: This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/I/2014 � a- POUNOING CREEK F 1301P . RIPTIVE EA F it r L3 is N21 AT 193,030 39 531*36' is C. r d ! LOT 3 Nis, 14. t9 ACRE IS AT 25, 23 IS AT `" CZ? 25.06'- (2020) E Is (2020) r !m LEGEND HOUSE SITE AUGER BORING 2� BACKHOE PIT S C PROPOSED WELL m SITE SKETCH III = zoo' LEGAL REFERENCE ITY FUND LLC ] TN GARDE i, VA 22359 1 C5 i w ! Iia i'• ,« k i i it i i i ■ e z,�.iie ✓. �t.f�!i i om 4A 4c:4c i'; t N " "* Lb: #�S r ! ! i ! ! i i ! A i ! r ! i i gulf �e ae� ♦ T Q e pep � i MAS G. If HOGGE t NSF#14�Qar',� i is W Design Basis A. Estimated Percolation Rate (Minutes per inch) B. Trench bottom square feet Required per Bedroom (from Table 5.4) based on Z Gravity ❑ LPD ❑ other: EZ FLOW, PER GMP 135.A C. Number of Bedrooms L� Area Calculations: D. Length of Trench (ft.) 100 E. Length of Available Area (ft.) 100 F. Width of Trench (ft.) 3 G. Number of Trenches H. Center -to -center spacing (ft.) u I. Width required (ft.) 120 J. Width of available area (ft.) 125 K. Total square footage required 1984 L. Square footage in design 2100 M. Is a reserve area required? yes Page 5 of S Design Calculations Proposed Division of Tax Map 86-17C3 "Lot 3" Albemarle County, VA 100% reserve is provided in the staked footprint. Page / of? ® Construction Permit OSE/PE Report For: ®Repair ® Voluntary Upgrade Permit Permit © Certification Letter Subdivision Approval Property Location: 911 Address: City: Lot 4 Section Subdivision GPIN or Tax Map # 86-17C3 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: Israel's Gap Community Fund, LLC Street: 2100 Drovers Lane City: North Garden State VA Zip Code 22959 Prepared by: OSE Name Thomas G. Hogge License # 1940-001091 Address PO Box 418 City Ruckersville State VA Zip Code22968 PE Name License # Address City State Zip Code Date of Report �D /�o��� 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.) i-Corer 2,3-Site and Soil Evaluation Report 4-Site Sketch 5-Design Calculations 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 duly issued by the applicable agency charged with licensure to perform the work contained herein. IThe 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.A.11 I recommend that a (select one): construction permit ❑ certification letter ❑ subdivision approval I]be (select one) Issued ❑' n repair pefmit ❑ voluntary upgrade ❑ Denied ❑ OSE/PE Signature .4 1151Y i Date This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 Site and Soil Evaluation Report Page Z of ✓c VDH use only HDIN: General Information Date: / O Albemade County Health Department Owner: Israel's Gap Community Fund, LLC Phone: (434) 284-0808 Owner Address: Property Address: Tax Map/GPIN #: 86-17C3 Subdivision: Section: Block: Lot:4 Soil Information Summary 1. Position in landscape satisfactory: B Yes ❑ No Describe landscape position: Sideslope 2. Slope: 14 ova 3. Depth to rock/impervious strata: Max. 78+ in. Min. 72+ in. B Not observed 4. Free Water Present: ❑ Yes ® No Range in inches: 5. Depth to seasonal water table (gray mottling or gray color): inches B Not observed 6. Soil percolation rate estimated: B Yes ❑ No Estimated rate: 55 min/in at 48 inches depth Texture Group: ❑ 1 E II E III ❑ IV 7. Percolation test performed: © Yes 0 No If yes, provide additional data on percolation test results. Name and title of eva tor: T omas Graham Hogge, OSE Signature: 0 Site approve : Absorption t e ches (describe dispersal area, e.g. absorption trenches) dispersing Septic tank effluent (proposed level of treatment at time of evaluation) to be placed at 48 (inches) depth at site designated on permit. Site provides a total of 12,000+ square feet of absorption area for primary and reserve (if applicable). © Site disapproved: Reasons for rejection (check all that apply) l . ❑ Position in landscape subject to flooding or periodic saturation. 2. ❑ Insufficient depth of suitable soil over hard rock. J. ❑ Insufficient depth of suitable soil to seasonal water table. 4. ❑ Rates of absorption too slow. 5. ❑ Insufficient area of acceptable soil for required absorption area, and/or reserve area. 6. ❑ Proposed system too close to well. 7. ❑ Other (specify) This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 Page 3of S Date of Evaluation: 8-23-22 Profile Description SOIL EVALUATION REPORT PIoperty ID: Proposed division of 86-17C3, "Lot 4" 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 Onsite Soil Evaluator or Professional Engineer, 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 the site and reserve site shall be shown on the reverse side of this page or prepared on a separate page and attached to this form. ❑ See application sketch E See Construction Permit ❑ See sketch on reverse side or page attached to this form. Hole # Horizon Depth Inches Description of color, texture, etc. Texture Group 1 Ap 0-8 10 YR 5/6 yellowish brown loam 2 PIT Bt 8.38 2.5 YR 4/8 red, friable, micaceous clay loam; subangular blocky (SBK) 3 Ct 38-78 7.5 YR 4/6 strong brown, friable, highly micaceous loam saprolite; variegated with 2 10 YR 618 brownish yellow and 2.5 Y 4/4 olive brown 2 A 0-6 10 YR 4/3 brown loam 2 PIT St 6-30 2.5 YR 4/8 red, friable, micaceous clay loam; SBK 3 Ct 30-80 7.5 YR 4/6 strong brown, friable, highly micaceous loam saprolite; variegated with 2 10 YR 6/8 brownish yellow and 2.5 Y 4/4 olive brown 3 A 0-5 7.5 YR 4/6 strong brown loam 2 BORING Bt 5-16 2.5 YR 4/8 red, friable, micaceous clay loam; SBK 3 Ct 16.72 5 YR 5/8 yellowish red, friable, micaceous loam saprolite 2 4 A 0-4 10 YR 4/3 brown loam 2 PIT Bt 4-32 2.5 YR 4/8 red, friable, micaceous clay loam; SBK 3 CBt 32-48 2.5 YR 5/8 red, light, friable clay loam to sandy clay loam with 5 YR 618 reddish yellow 3/2 Ct 48-76 5 YR 6/8 reddish yellow, friable, micaceous loam saprolite with many clay films of 2 2.5 YR 418 red 5 A 0-6 10 YR 4/3 brown loam 2 PIT Bt 6-22 2.5 YR 4/8 red, friable, micaceous clay loam; SBK 3 Ct 22-72 2.5 Y 4/2 dark grayish brown (lithic), very highly micaceous, friable sandy loam saprolite, 2 with 10 YR 5/6 yellowish brown and 5 YR 416 yellowish red REMARKS: This form contains personal information subject to disclosure under the Freedom of Information AcL Revised 12/1/2014 A i y-Tpflopic sm � '�'• BTr�itE � ala e e C cu 295 eC \1111-A Af+¢, �,,1$"� t'THE i �4&SISBASED R BOUNDARY DATA BY THIS F RM AS '"OT S YEAR Ull SET 6 M NTS KNOWN 15 PROPERTY IONS,UTILITIES. EXIST. F_ ON PLAT: LEGEND HOUSE SITE O AUGER BORING M BACKHOE PIT BC PROPOSED WELL PF r ` vA,KEE P � r €1r # 5T �// Sf ACE E a STAKE s `- SEPT lc ' itaMf E1.4 i APE t r y R " cp EXISTING INES HEREBY EXTINGUISHED .R rR '77 . 0 oc 4% 'LOT 4 71 ACRES SITE SKETCH 19 CI � = 200 I 0-0 1 T. N, 3D-5 JUVMA3 V. Z S v 11000E Design Basis A. Estimated Percolation Rate (Minutes per inch) Design Calculations Proposed Division of Tax Map 86-17C3 "Lot 4" Albemarle County, VA 55 @ 4s" B. Trench bottom square feet Required per Bedroom (from Table 5.4) based on ❑X Gravity ❑ LPD ❑ other: EZ FLOW, PER GMP 135.A C. Number of Bedrooms Area Calculations: D. Length of Trench (ft.) 100 E. Length of Available Area (ft.) 100 F. Width of Trench (ft.) 0 G. Number of Trenches H. Center -to -center spacing (ft.) 0 I. Width required (ft.) 102 J. Width of available area (ft.) �1 , K. Total square footage required 1648 L. Square footage in design 1800 M. Is a reserve area required? yes Page ✓ot! 100% reserve is provided in the staked footprint. Page / of S ® Construction Permit OSE/PE Report For: ® Repair Voluntary Upgrade Permit Permit 1:1 ElCertification Letter Subdivision Approval Property Location: 911 Address: City: Lot 4B Section Subdivision GPIN or Tax Map # 86-17C3 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: Israel's Gap Community Fund, LLC Street: 2100 Drovers Lane City: North Garden State VA Zip Code 22959 Prepared by: OSE Name Thomas G. Hogge License # 1940-001091 Address PO Box 418 City Ruckersville State VA Zip Code 22968 PE Name License # Address City State Zip Code Date of Report / oZa— 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.) 1-cover 2,3-Site and Soil Evaluation Report 4-Site Sketch 5-Design Calculations 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 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.A.11 I recommend that a (select one): construction permit ©certification letter ® subdivision approval Obe (select one) Issued repair per 't ❑ voluntary upgrade 13 Denied❑ OSE/PE Signature Date This form contains personal inforrtation subjecito disclosure under the Freedom of Information Act. Revised 12/1/2014 Site and Soil Evaluation Report Page pC of s VDH Use Only HDIN: General Information Date: /Q—/!/— oZ a- Albemade County Health Department Owner: Israel's Gap Community Fund, LLC Phone: (434) 284-0808 Owner Address: Property Address: Tax Map/GPIN #: 86-17C3 Subdivision: Section: Block: Lot:4B Soil Information Summary 1. Position in landscape satisfactory: ■ Yes ❑ No Describe landscape position: Sideslope 2. Slope: 12 3. Depth to rock/impervious strata: Max. 72+ in. Min. 72+ in. 9 Not observed 4. Free Water Present: ❑ Yes ■ No Range in inches: 5. Depth to seasonal water table (gray mottling or gray color):_ inches ■ Not observed 6. Soil percolation rate estimated: O Yes ❑ No Estimated rate: 55 min/in at 48 inches depth Texture Group: ❑ 1 M II ® III ❑ IV 7. Percolation test performed: [I Yes E] No If yes, provide additional data on percolation test results. Name and title of eva tor: Thomas Graham Hogge, OSE Signature: ❑ Site approved: Absorption trenches (describe dispersal area, e.g, absorption trenches) dispersing Septic tank effluent (proposed level of treatment at time of evaluation) to be placed at 48 (inches) depth at site designated on permit. Site provides a total of 12,000+ square feet of absorption area for primary and reserve (if applicable). ❑ Site disapproved: Reasons for rejection (check all that apply) l . ❑ 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 absorption area, and/or reserve area. 6. ❑ Proposed system too close to well. 7. ❑ Other (specify) This form contains personal information subject to disclosure under the Freedom of information Act. Revised 12/1/2014 Page 7of , S Date of Evaluation: 8-23-22 Profile Description SOIL EVALUATION REPORT Property ID• Proposed division of 8 17c3, %M 48- 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 Onsite Soil Evaluator or Professional Engineer, 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 the site and reserve site shall be shown on the reverse side of this page or prepared on a separate page and attached to this form. ❑ See application sketch N See Construction Permit ❑ See sketch on reverse side or page attached to this form. Hole # Horizon Depth aches Description of color, texture, etc. Texture Group 1 A 0.5 10 YR 413 brown loam 2 PIT Bw 5-22 5 YR 4/6 yellowish red, very light, friable, micaceous day loam to sandy day loam; very min in places 3/2 Ct 22-72 2.5 Y 3/3 dark olive brown, very light, dtannery but friable loam saprolite (schist); abundant 2 coarse mica concentrations; variegated with 7.5 YR 616 reddish yellow and 5 YR 4/6 yellowish red; machine stopped digging near Cr boundary 2 A 0-6 7.5 YR 4/4 brawn loam 2 PIT Bt 6-30 2.5 YR 5/8 red, very light, friable silty clay loam; subangular blocky (SBK) 3 Ct 30-72 2.5 YR 5/6 red, lisle finn but friable sandy day loam sapm[fte; micaceous, with 7.5 YR 516 along brown 2 3 A 0.2 10 YR 4/3 brown loam 2 BORING Bt 2-20 2.5 YR 4/8 red, Stable, micaceous day loam 3 Ct 20-36 5 YR 518 yellowish red, friable, micaceous sandy day loam 2 C 36-72 7.5 YR 7/6 reddish yellow, very light, friable loam saprolite, var. with 10 YR 8/3 2 very pale brown and 2.5 Y 6/3 light yellowish brown 4 A OS 10 YR 4/3 brown loam 2 PIT Bt 532 5 YR 5/8 yellowish red, light, friable clay loam; SBK 3 Cat 32- 8 5 YR 5/8 yellowish red, day loam to sandy day loam; micaceous, saprolltic, with M 7.5 YR 6/6 reddish yellow Ct 48-72 10 YR 8/3 very pale brain, friable sandy loam saprolite, var. with 5 YR 4/6 yellowish red 2 and 2.5 Y 6/3 light yellowish brown 5 A 0-6 7.5 YR 4/4 brown loam 2 PIT Btl 636 5 YR 5/6 yellowish red, friable day loam; good SBK, with 5 YR 618 reddish yellow 3 Bt2 36-72 2.5 YR 4/8 red day loam; fair SBK 3 REMARKS: This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 GERIZ9 I , 3MIa+F; t , XAC _.�_ ;sr2 Big \u"'p Sr5 H ,- North 3883665 East 11425964 wl' Al A. `ll; 36 `, vr COURSES ALONG ...BU Sa° yy I .INE, L1 S37' -' IS 1-2 S32- LJ IS�6 L3 925' "3r ' �T[s w Ld S19' FROM POINTS WAIWAeLa ud 1_5 S27' L6 S32' POINTS (C) TO (E) . TO (I), AND FOR j1..s • 'T,� 4 -4- �L7 S22' MATE STREET =a a m FIELD SURVEY. HEREON WAS PF :`- r" co RECOOED IN (2020) T RESURVEYED ST41�r _`--ft KE 1 cn MONUMENTATION THIS FIRM. EASEMENTS KNOWN 6 3G a�aeaaa�ea�ej0j pLT$O�°°°°, • • • THIS PROPERTY�� �• .. Lf"� ONDITIONS, UTILITIES. �, � % > T MAY EXIST, - SOIWISION PLAT: t' til ^: MAs 3y y HGGGE �y `•_•.`�194*, E WI D PAR LOT 48 i5t3A = GAP COFM U 24.89 ACRES INST.0 T.M_56-5 INST.0202200000 'SLUEGII.1. Ho.._DINGS, LLC D.8.5206- D.6 4427-518 0.8.5036- 8.1172-490 6 490A PLAT LEGErs&489 - D.9.697-695 P-AT 0,8.172-358 P-AT SITE SKETCH ® HOUSE SITE I T I W © AUGER BORING T COPY I — ZOO tc) ATION 2� BACKHOE PIT GC PROPOSED WELL " THE PROP NEW 30' LOCATED / North 3881997 ✓ East 1142586A PF- (2020) SCALE: 1 ` SITE N35'57`49"N 190.04'' _ IF AT 15`RED SGA*01'40' 375,05' IS 1 Drtn 3881882 pAK(2C20) 7 PNast 11426249 T.M.86-16G .1CSEPH R,ADLESIC D 82711-329 Design Calculations Proposed Division of Tax Map 86-17C3 "Lot 4B" Albemarle County, VA Design Basis A. Estimated Percolation Rate (Minutes per inch) B. Trench bottom square feet Required per Bedroom (from Table 5.4) based on 0 Gravity ❑ lPD ❑ other: EZ FLOW, PER GMP 135.A C. Number of Bedrooms a� Area Calculations: D. Length of Trench (ft.) 100 E. Length of Available Area (ft.) 100 Page S pf 5 F. Width of Trench (ft.) 0 G. Number of Trenches H. Center -to -center spacing (ft.) 1�J I. Width required (ft.) 102 J. Width of available area (ft.) 11 K. Total square footage required 1648 L. Square footage in design 1800 M. Is a reserve area required? yes 100% reserve is provided in the staked footprint. Page_ % _ of 5 ® Construction ® Repair Permit Permit OSE/PE Report For: Voluntary Upgrade Permit © Certification Letter Subdivision Approval Property Location: 911 Address: City: Lot 5 Section Subdivision GPIN or Tax Map # 86-17C4 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: Israel's Gap Community Fund, LLC Street: 2100 Drovers Lane City. North Garden State VA Zip Code 22959 Prepared by: OSE Name Thomas G. Hogge License # 1940-001091 Address PO Box 418 City Ruckersville state VA Zip Code22968 PE Name License # Address City State Zip Code Date of Report 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.) 1 C.' 2,3-Site and Soil Evaluation Report 4-Site Sketch 5-Design Calculations Certification Statement I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the applicable provisians of the Sewage Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630L 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 duly issued by the applicable agency charged with licensure to perform the work contained herein. tiThe 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.A.11 I recommend that a (select one): construction permit Ocertification letter O subdivision approval Elbe (select one) Issued ®' ,4epair per�rriR tJ voluntary upgrade © nenied O OSE/PE Date This fort contains pmsnoat the Freedom of Information Act. Revised 12/1/2014 Site and Soil Evaluation Report Page cZ of 5 VDH Use Only HDIN: General Information Date: /p-/Sf- of a-- Albemarle County Health Department Owner: Israel's Gap Community Fund, LLC Phone: (434) 284-0808 Owner Address: Property Address: Tax Map/GPIN #: 86-17C4 Subdivision: Section: Block: Lot:5 Soil Information Summary 1. Position in landscape satisfactory: B Yes ❑ No Describe landscape position: SideslOpe 2. Slope: 18 % 3. Depth to rock/impervious strata: Max. 80+ in. Min. 72+ in. O Not observed 4. Free Water Present: ❑ Yes ■ No Range in inches: S. Depth to seasonal water table (gray mottling or gray color): inches N Not observed 6. Soil percolation rate estimated: ■ Yes ❑ No Estimated rate: 55 min/in at 48 inches depth Texture Group: O I B It E IR ❑ IV 54" in reserve 7. Percolation test performed: ❑ Yes I' No If yes, provide additional data on percolation test results. Name and title of ev ator: Rhornas Graham Hogge, OSE Signature: M Site approved: nbsonAlm uenchas (dew ribe dispersal area, e.g. absorption trenches) dispersing Septic tank effluent (proposed level of treatment at time of evaluation) to be placed at 48 (inches) depth at site designated on permit. Site provides a total of 12,000+ square feet of absorption area for primary and reserve (if applicable). E3 Site disapproved: Reasons for rejection (check all that apply) 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 absorption area, and/or reserve area. 6. ❑ Proposed system too close to well. 7. ❑ Other(specify) This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 Page 3 of S Date of Evaluation: 8-24-22 Profile Description SOIL EVALUATION REPORT Properly ID: Proposed dlvlslon of 66-17C4, "Lot 5" 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 Onsite Soil Evaluator or Professional Engineer, 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 the site and reserve site shall be shown on the reverse side of this page or prepared on a separate page and attached to this form. ❑ See application sketch IN See Construction Permit ❑ See sketch on reverse side or page attached to this form. Hole # Horizon Depth Inches Description of color, texture, etc. Texture Group 1 A 04 10 YR 4/3 brown loam 2 BORING Bt 4-20 5 YR 5/8 yellowish red clay loam 3 Ct 20.36 5 YR 5/8 yellowish red, friable, micaceous loam saprolite 2 C 36-72 7.5 YR 7/4 pink, friable sandy loam saprolite, variegated with 2.5 Y 613 light yellowish brown 2 and 5 YR 4/6 yellowish red 2 Ap 0-12 10 YR 4/3 brown loam 2 PIT Bt 1236 2.5 YR 418 red clay loam with several subround, up to smalksize cobbles 3 2Ct 36-72 5 YR 516 yellowish red, friable loam saprolite, var. with 7.5 YR 714 pink and 2 10 YR 716 yellow 3 Bt 0-15 5 YR 416 yellowish red, micaceous clay loam 3 BORING C 15-72 10 YR 416 dark yellowish brown, friable, highly micaceous sandy loam schist saprolite 2 with 10 YR 6/6 brownish yellow 4 Ap 1 0.12 10 YR 5/4 yellowish brown sandy clay loam 2 PIT Bt 12-42 2.5 YR 418 red clay loam; subangular blocky 3 Ct 42-60 7.5 YR 5/8 strong brown, little dense but friable loam saprolite, var. with 2.5 Y 514 light olive brown 2 and 7.5 YR 714 pink; many clay films of 5 YR 5/8 yellowish red C 60-60 7.5 YR 7/4 pink, friable sandy loam saprolite, variegated with 2.5 Y 6/3 light yellowish brown 2 and 5 YR 4/6 yellowish red 5 Ap 0-8 7.5 YR 414 brown loam 2 PIT Bt B-20 2.5 YR 4/8 red clay loam; platy 3 C 20-72 5 YR 5/6 yellowish red, friable loam saprolite, var. with 7.5 YR 7/4 pink and 2 10 YR 7/6 yello; very soft and friable 6 Ap 0-10 1 10 YR 5/6 yellowish brown loam 2 PIT Bt 10-46 7.5 YR 5/8 strong brown day loam; fine; fair angular blocky 3 CBt 46-58 5 YR 5/8 yellowish red, firm, saprolific loam; friable in places; with 10 YR 8/3 very pale brown 2 C 58.76 10 YR 813 very pale brown, soft, friable sandy loam saprolite; var. with 2.5 Y 6/3 2 light yellowish brown and 7.5 YR 5/8 strong brown REMARKS: This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 Tq T `� 5 . ,IS AT 25,00' ` SITE SKETCHrc 9 „E dl I.. = zoo' �► ,A L LZ `' v i ° a m 1 �t �nj •CL °a fn „ • .-a t- Lo ®. #W RESERVE C> C3 CU •, �\ i STAKE PRIMARY M L w STAK 2 ,� r ' tly ; �_ �R�4 -t_•C�-1 r E rIC v, 3C ('1,1 R'I r hr+E a.cli is N peeocoeo In • JI{ r THI AS is i�7XTSTING : Lp �y�, SCi!ra RY ... LIMES HEREBY i s {� ST �3C z Gy • { I �, LEGEND `' Af�f t RAEL t .• .a 2 HOUSE SITE • r • r,yJ� AUGER BORING w ST �} •� ". " 20 BACKHOE PIT$ ,ys'. fl e_' •rP. BC PROPOSED WELL g •. fi r� ----------------------- Page 5 of S Design Calculations Proposed Division of Tax Map 86-17C4 "Lot 5" Albemarle County, VA Design Basis A. Estimated Percolation Rate 55 @ 48" 54" in reserve (Minutes per inch) B. Trench bottom square feet Required per Bedroom (from Table 5.4) based on M Gravity ❑ LPD ❑ other EZ FLOW, PER GMP 135.A C. Number of Bedrooms Area Calculations: D. Length of Trench (ft.) 100 E. Length of Available Area (ft.) 100 F. Width of Trench (ft.) 0 G. Number of Trenches H. Center -to -center spacing (ft.) 0 10 in reserve I. Width required (ft.) 107 J. Width of available area (ft.) 116 K. Total square footage required 1648 L. Square footage in design 1800 M. Is a reserve area required? yes 100% reserve is provided in the bottom of the staked footprint.