HomeMy WebLinkAboutSUB202200213 Other 2022-12-15Page of S
ElConstruction
Permit
OSE/PE Report For:
®Repair ® Voluntary Upgrade
Permit Permit
® Certification
Letter
Subdivision
Approval
Property Location:
911 Address:
City:
Lot 5B 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 /Z — /S— Z 2; Date of Revision #1
OSE/PE Job # Date of Revision #2
Contents/Index of this report (e.g., Site Evaluation Summary, Soll 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 I]be (select one) Issued In
repair per'nW voluntary upgrade ® Denied I]
OSE/PE Signature /7t __. _ Date 12- - 15- Z-Z
This form contains personal information subject hfdisclosure under the Freedom of Information Act. Revised 12/1/2014
Site and Soil Evaluation Report
Page Z of 5
VDH Use Only
HDIN:
General Information
Date: / 2 - /Sr- Z. Z AWffaie County Health Department
Owner: Israel's Gap Community Fund, LLC Phone: (434) 284-0808
Owner Address:
Property Address:
Tax Map/GP1N #: 86-1 7C4
Subdivision: Section: Block: Lot:5B
Soil Information Summary
1. Position in landscape satisfactory: O Yes ❑ No Describe landscape position: Sideslope
2. Slope: 14-17 %
3. Depth to rock/impervious strata: Max. 76+ 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 0 Not observed
6. Soil percolation rate estimated: B Yes ❑ No Estimated rate: 55 min/in at 48 inches depth
Texture Group: 9 I N 11 B III ❑ IV
7. Percolation test performed: ❑ Yes El No If yes, provide additional data on percolation test results.
Name and title of ev ator. omas Graham HOgge, OSE
Signature:
El Site approved: AbsorphrvftMfts (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 1 0,000+ square feet of absorption area for primary and
reserve (if applicable).
0 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. ❑ Others i
This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12IW014
Page 3 of 5
Date of Evaluation: 8-24-22 Profile Description
SOIL EVALUATION REPORT
Property ID: Propesed dlvislon of 86-17c4, -tot 511"
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 B See Construction Permit ❑ See sketch on reverse side or page attached to this form.
Hole ft
Horizon
Depth
aches
Description of color, texture, etc.
Texture
Group
1
A
0-6
10 YR 413 brown loam
2
PIT
Bt
6-36
2.5 YR 5/8 red, very light, friable clay loam with subround, coarse grains
3
2Ct
36-72
5 YR 518 yellowish red, friable loam saprolite; variegated with 5 YR 7/8 reddish yellow
2
and 10 YR 813 very pale brown; texture lightens with depth
2
A
05
10 YR 4/3 brown loam
2
PIT
Bt
5-24
2.5 YR 4/8 red, light, friable Gay loam; subangular blocky
3
Ct
24-38
5 YR 618 yellowish red, little dense but friable, light clay loam to sandy clay loam
3/2
with 5 YR 7/8 reddish yellow
C
38-72
2.5 Y 4/4 olive brown, friable loam saprolite (schist); var. with 5 YR 5/8 yeliovAsh red and
2
10 YR 813 very pale brown
3
A
04
7.5 YR 4/6 strong brown sandy clay loam
2
BORING
Bt
442
2.5 YR 5/8 yellowish red, friable clay loam; several subround, large pebbles
3
2Ct
42-72
1 5 YR 518 yellowish red, friable, micaceous loam saprolite with 2.5 Y 614 light yellowish brown;
2
texture lightens with depth
4
A
0.5
10 YR 4/3 brown loam
3
PIT
Bt
5-18
7.5 YR 4/6 strong brown, very light, friable silty clay loam
3
Ct
18-28
5 YR 5/8 yellowish red, little dense but friable, light day loam to sandy Gay loam
312
With 5 YR 7/8 reddish yellow
C
28-77
2.5 Y 4/4 olive brown, liable loam saprolite (schist); var. with 5 YR 5/8 yellowish red and
2
10 YR 8/3 very pale brown
5
A
0.5
10 YR 413 brown loam
2
BORING
Bt
5-20
2.5 YR 418 red, light. friable, micaceous clay loam
3
Ct
20-34
5 YR 5/6 yellowish red, friable, micaceous sandy loam; saprofdic
2
C
34-72
2.5 Y 414 olive brown, friable loamy sand saprolite (granitic)); var. with 5 YR 5/8 yellowish red and
1
10 YR 8/3 very pale brown
REMARKS:
This form conhiins personal information subject to disclosure under the Freedom of Information AcL Revised 12/1/2014
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ISRAEL'S GAP COMI
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IS (A ❑.8.5
D.8.50-
North 3884383 D.B.48
East 11426527
SITE SKETCH
III = 2001
qa.W 60
LEGEND
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Q BACKHOE PIT
SC PROPOSED WELL
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North 3883095
East 11426897
Design Basis
A. Estimated Percolation Rate
(Minutes per inch)
Design Calculations
Proposed Division of
Tax Map 86-17C4
"Lot 56"
Albemarle County, VA
55 @ as
B. Trench bottom square feet
Required per Bedroom
(from Table 5.4) based on
E Gravity ❑ LPD ❑ other: EZ FLOW, PER GMP 135.A
C. Number of Bedrooms q�
Area Calculations:
D. Length of Trench (ft.) 100
E. Length of Available Area (ft.) 100
F. Width of Trench (ft.)
l� J
G. Number of Trenches
H. Center -to -center spacing (ft.)
0
I. Width required (ft.)
102
J. Width of available area (ft.)
102+
K. Total square footage required
1648
L. Square footage in design
1800
M. Is a reserve area required?
yes
Pages of 5
100% reserve is provided in the staked footprint.