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HomeMy WebLinkAboutSUB202200172 Other 2022-12-02Page_ Of S ® Construction Repair Permit E Permit OSE/PE Report For: Voluntary Upgrade Permit Certification Letter Subdivision Approval Property Location: 911 Address: 5468 Via Lane City: Crozet Lot 1 Section Subdivision GPIN or Tax Map # 26-32D Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: Bernard & Patsy Wyant Street: 5331 Via Lane City: Crozet State VA Zip Code 22932 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 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) tcmF 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. ❑tThe work attached to this cover page has been conducted under an exemption to the practice of engineering, specifically he exemption in Code of Virginia Section 54.1-402.A.11 1 recommend that a (selectone): construction permit Ocertification letter ❑ subdivision approval []be (select one) Issued 0 .repair perTij ❑ voluntary upgrade © Denied Cl OSE/PE Signature _ 111�1� ?7 �TO'r�c.� Date _ _ 12 - 2 ZZ This form contains pcmonal information subjedfo disclosure under de Freedom of information Act. Revised 12/1/2014 Site and Soil Evaluation Report Page_ 2 of S VDH Use Only HDIN: General Information Date: I Z - 2 - ZTi Mbemalle County Health Department Owner: Bernard & Patsy Wyant Phone: Owner Address: Property Address: 5468 Via Lane, Crozet Tax Map/GPIN #: 26-32D Subdivision: Section: Block: Lot: Soil Information Summary 1. Position in landscape satisfactory: 9 Yes ❑ No Describe landscape position: Shoulder 2. Slope: 9 % 3. Depth to rocklimpervious strata: Max. 50+ in. Min. 45+ in. N Not observed 4. Free Water Present: ❑ Yes ■ No Range in inches: 5. Depth to seasonal water table (gay mottling or gray color): 42 inches ❑ Not observed 6. Soil percolation rate estimated: ® Yes ❑ No Estimated rate: 90 min/in at 24 inches depth Texture Group: ❑ I ❑ lI i III 9 IV 7. Percolation test performed: © Yes ID No If yes, provide additional data on percolation test results. Name and title of eval r: mas Graham Hogge, OSE Signature: El Site approved: Ab—phon bench•• (describe dispersal area, e.g. absorption trenches) dispersing Septic tank effluent (proposed level of treatment at time of evaluation) to be placed at 24 (inches) depth at site designated on permit. Site provides a total of 5,250+ square feet of absorption area for primary and reserve (if applicable). ❑ Site disapproved: Reasons for rejection (check all that apply) I. ❑ 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/I2014 Page 3 of S Date of Evaluation: 1147-M Profile Description SOIL EVALUATION REPORT Property 1D: Portion of TM 2632D 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. BACKHOE PITS ❑ See a iplication sketch ❑ See Construction Permit 9 See sketch on reverse side or page attached to this form. Hole # Horizon Depth Inches Description of color, texture, etc. Texture Group t Ap 0-9 7.5 YR 4/6 strong brown sandy day loam 2 Bt 9-34 10 R 4/8 red, heavy day loam to light day; many subround cobbles 3/4 Ct 34,48 2.5 YR 4/8 red, very stony clay loam alluvium; subround to round cobbles 3 2 A 0.10 7.5 YR 4/6 strong brown sandy day loam 2 Bt 10-30 10 R 4/8 red, heavy clay loam to light day; many subround cobbles 314 BtC 30-48 2.5 YR 4/8 red, stony day loam alluvium; subround to round cobbles 3 3 A 0.8 7.5 YR 4/6 strong brown sandy day loam 2 Bt 8-24 10 R 4/8 red, heavy day loam to light day; many subround cobbles 3-4 Bic 1 24 42 2.5 YR 418 red, stony clay loam alluvium; subround to round cobbles 3 BtC2 42-50 10 R 418 red, stony day loam; dense, tight, with many depletions of 10 YR 6/4 light yellowish brown 3 4 A 0-6 7.5 YR 416 sandy day loam 2 Btc 6-45 2.5 YR 418 red, very stony day loam alluvium 3 REMARKS: This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 `�/s n $igb *A $ tn y9mgc`=' CPb<4,o of £ oc�v za�,� �- m br Eli 8 gg�g 0 N �s Z p I mz o 1� \ 1!<I65Y33IAIdrtA'K'Ftl.a' � 3M1N� \ ]193llptl3LY16 j o� F NOW a� f x Q $ O�o'wn� bM� �jYp T Page Sof S Design Calculations Tax Map 26-32D "Lot 1" Albemarle County, VA Reserve Septic for 5468 Via Lane Design Basis A. Estimated Percolation Rate 90 @ 24" (Minutes per inch) 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 0 Area Calculations: D. Length of Trench (ft.) 85 E. Length of Available Area (ft.) r-1-757-1 Butterfly design F. Width of Trench (ft.) 0 G. Number of Trenches H. Center -to -center spacing (ft.) 0 I. Width required (ft.) 30 J. Width of available area (ft.) 3 + K. Total square footage required 1 770 L. Square footage in design 2D457 % Is a reserve area required? /A