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SUB202300051 Other 2023-03-28
P1of12 FIELD WORKS Project AL2206 Commonwealth of �Virgirda Application for Subdivision Review (page I of 2 to be filled out by the Owner or Agent) Owner Sarah Dan LLC Mailing Address 1005 Vineyard Path Road Barboursville, Virginia 22923 DevelopedAgent Daniel Michaelson Mailing Address 1005 Vineyard Path Road Barboursville, Virginia 22923 AOSE James Fulcher Mailing Address PO Box 1502 Amherst, VA 24521 VDI1 Use Only Healdr Department ID# Due Dale Fax Phone (703)296-6624 Phone Fax Phone (434)851-9620 Phone Fax Directions to Property: southeast of Allen Road (Stale Route 666), 0.4 miles southwest of Markwood Road (State Route 664) Name of Proposed Subdivision Tax Map 18-18C Number of lots proposed 3 General size of lots 2+ Acres Additional description Other Property Identification Dimension/Acreage of Property 6.786 Acres Proposed water source (note: new or existing, public or individual) new individual wells This Application for Subdivision Review addresses evaluation of a 6.786-Acre (give range if appropriate) Overview of soils and geology (optional but encouraged) USDA Soil Map: Chester and Elioak Map Units; Parent Material: formed in Residuum of weathered micaceous crystalline rocks. In order for VDH to process a subdivision application you must attach a plat of the property showing the location of the proposed onsite sewage disposal systems and the reserve absorption areas (if required) and the location of the water supply system on each lot, if applicable. Each plat or subsection of a subdivision plat shall be accompanied by specific soil information for each lot (absorption area and reserve area). If not provided by the local subdivision ordinance, the district or local health department may require the plat to show streets,. utilities, storm drainage, water supplies, casements, lot lines and original topographic contour lines by detail survey or other information as required, When the OSE site evaluations are reviewed, the property lines, building location and the proposed well and sewage system sites mustbe clearly marked and the property sufficiently visible to seethe topography, otherwise this application will be. denied. I give permission to the Virginia Department of Health (VDH) 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 an Onsite Soil Evaluator (OSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. Signature of Owner/Agent This Conn contains personal information subject to disclosure under the Freedom of Information Act Revised 9/25/2014 FIELD WORKS Project AL2206 Commonwealth of" Virgima Application for Subdivision Review (page 2 of 2 to be filled out by the county official requesting a VDH review) County Office initiating request Contact Individual VDH Use Only Health Department ID# Due Date Phone 434-296-5832 Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and regulations governing sewage treatment and dispersal and private water supplies, compliance with local ordinance governing sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please indicate the nature of review you are asking the health department to conduct. 1. Review for conformance with the Sewage Handling and Disposal Regulations 2. Review for conformance with local onsite wastewater ordinances 3. Other (describe below) Nance and This form contains personal information subject to disclosure under the Frecdom of Information Act Revised 9/25/2014 Form 2 FIELD WORKS Project AL2206 OSE/PE Report For: Page 3 of 12 Construction ® Repair ® Voluntary Upgrade Certification Subdivision Permit Permit Permit F Letter Approval Property Location: 911Address: 591 Allen Road City: Earlysville Lot 1, 2, 3 Section Subdivision GPIN or Tax Map # 18-18C Health Dept ID # Latitude 38.1823256N Longitude 78.520111 W Applicant or Client Mailing Address: Name: Sarah Dan LLC Street: 1005 Vineyard Path Road City: Barboursville State VA Zip code 22923 Prepared by: OSE Name James Fulcher License # 194000137 Address PO Box 1502 City Amherst State VA Zip Code24521 PE Name License # Address City State Zip Code Date of Report 1-10-2023 Date of Revision #1 OSE/PE Job # AL2206 Date of Revision #2 Contents/Index of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc.) 1,2. Application for Suixivision Realm 3. OSE/PE Report 4. Soil Summary/Abbreviated Design Form LOT 1 5. Soil Profile Descriptions LOT 1; 6. Site Sketch LOT 1 7. Soil Summary/Abbreviated Design Form LOT 2 8. Soil Profile Descriptions LOT 2; 9. Site Sketch LOT 2 10. Soil Summary/Abbreviated Design Form LOT 3 11. Soil Profile Descriptions LOT 3; 12. Site Sketch LOT 3 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 potential for both conventional and alternative onsite sewage systems has been discussed with the owner/applicant. 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 Q certification letter 0 subdivision approval Elbe (select one) Issued Il " -repair permmii�t�I71 voluntary upgrade © Denied ❑ OSE/PE j Signature a-tcw; 'M— Date 1-10-2023 This form contains personalWfformation subject to disclosure under the Freedom of Information Act. Revised 9/1/2017 Project AL2206 P 4 of 12 SOIL SUMMARY REPORT/ABBREVIATED DESIGN FORM Date: 12-7, 12-12-22 Submitted to Albemarle County Health Department Applicant: Sarah Dan LLC Address: 1005 Vineyard Path Road Barboursville, Virginia 22923 Location: southeast of Allen Road (State Route 666), 0.4 miles southwest of Markwood Road (State Route 664) Map Reference: 18-18C LOT 1 Position in landscape: sideslope Slope: 16-17%, 16-18%reserve Depth to rock or impervious strata: none encountered to 72"+ Depth to seasonal water table: none encountered Estimated Soil Percolation rate: 45 minutes per inch Installation Depth: 52" DESIGN BASIS A. Estimated Percolation Rate: 45 minutes per inch B. square feet required per bedroom: 258 (gravelless) C. Number ofbedrooms: 4 AREA CALCULATIONS Primary Reserve D. Length of trenches: 70' 86', 43' E. Width of trenches: 3' 3' F. Number of trenches: 5 2,4 G. Center -to -center spacing: 10, 10, H. Width required: 43' 53' 1. Total square footage required: 1032 1032 J. Square footage in design: 1050 1032 K. Is reserve area required? Yes; 100% 18"+ provided from trench bottom to rock and/or water table Texture Group: II P5of12 SOIL EVALUATION Proposed Subdivision, 591 Allen Rd., Tax Map 18-18C "F'D"r project AL2206 LOT 1 SOIL PROFILE DESCRIPTIONS Depth texture # Horizon finj Description group comment I AB 0-5 Reddish Brown (2.5YR 4/4) Clay Loam III Exclude Btl 5-40 Red (2.5YR 4/6) Clay, slightly sticky, slightly plastic IV Bt2 40-72+ Red (2.5YR 4/6) heavy Clay Loam, firm to friable, few coarse III Seasonally High Grav (IOYR 5/1) Water Table 2 AB 0-8 Reddish Brown (2.5YR 4/4) Clay Loam III Exclude Bt 8-44 Red (2.5YR 4/6) Clay, slightly sticky, slightly plastic IV Bt2 44-60 Red (2.5YR 4/6) heavy Clay Loam, firm, few fine to medium III Seasonally high Brown (7.5YR 5/2) Water Table BCt 60-65+ Red (2.5YR 4/6) heavy Clay Loam, finn, common Light Brown III (7 5YR 6/4), increasingly dense in place 3 BA 0-5 Reddish Brown (2.5YR 4/4) Clay IV Bt 5-28 Red (2.5YR 4/6) Clay, firm IV CBt 28-40 Yellowish Red (5YR 5/6) heavy Loam, friable, decreasing Clay Loam II w/ III C 40-72+ Yellowish Red (5YR 4/6) Loam, very friable II 4 BA 0-8 Reddish Brown (2.5YR 4/4) Clay Loam III Btl 8-20 Red (2.5YR 4/6) heavy Clay Loam, firm to friable III Bt2 24-38 Red (2.5YR 4/6) Clay Loam, friable III C 38-72+ Red (2.5YR 4/6) Loam, friable II 5 BA 0-4 Reddish Brown (2.5YR 4/4) Clay IV Btl 4-24 Red (2.5YR 4/6) Clay Loam, firm III B&C 24-36 Red (2.5YR 4/6) Clay Loam and Yellowish Red (5YR 5/6) Loam, friable III&II C 36-72+ Yellowish Red (5YR 5/6) Loam, very friable II 6 BA 0-4 Reddish Brown (2.5YR 4/4) Clay IV Bt 4-28 Red (2.5YR 4/6) Clay, slightly sticky, slightly plastic IV Ct 28-38 Yellowish Red (5YR 5/6) heavy Loam, friable, few angular quartz II C 38-72+ Yellowish Red (5YR 5/6) Loam, friable II BA 0-5 Reddish Brown (2.5YR 4/4) Clay IV Bt 5-25 Red (2.5YR 4/6) Clay, firm IV Ct 25-35 Red (2.5YR 4/6) heavy Loam, friable II C 35-72+ Yellowish Red (5YR 5/6) Loam, friable II le33Jr M'AT 18' EXISTING WELL +/- 0 LLL IALL AT � . AT AS C EXISTING POTENTjAL4 WELL +/- P 6 2 WELL SITE - ' - v� I®I � I J L { Pott H44 �/T/ P6 _—`,a costs TF SP7 NEW LOT I SP2U IS I01 25' SP1 " bf sib DEVELOPED SPRING 5 I I a Proposed Sewage Disposal System I M Tax Map 18-18C V. SITE SKETCH LOT 1 cc i �° MELD project AL2206 N scale: 1"= 50' i O 0 60 ioo ? IF 'w ,: ,7 _ Feet GRAPHICAL SCALE+ r l - 276,055, HnD"ro Project AL2206 P 7 of 12 SOIL SUMMARY REPORTIABBREVIATED DESIGN FORM Date: 12-8, 12-12-22 Submitted to Albemarle County Health Department Applicant: Sarah Dan LLC Address: 1005 Vineyard Path Road Barboursville, Virginia 22923 Location: southeast of Allen Road (State Route 666), 0.4 miles southwest of Markwood Road (State Route 664) Map Reference: 18-18C LOT 2 Position in landscape: sideslope Slope: 16% Depth to rock or impervious strata: none encountered to 72"+ Depth to seasonal water table: none encountered Estimated Soil Percolation rate: 50 minutes per inch Installation Depth: 52" DESIGN BASIS A. Estimated Percolation Rate: 50 minutes per inch B. square feet required per bedroom: 282 (gravelless) C. Number of bedrooms: 4 AREA CALCULATIONS Primary Reserve D. Length of trenches: 63' 63' E. Width of trenches: 3 3" F. Number of trenches: 6 6 G. Center -to -center spacing: 10, 10, H. Width required: 23' 33' I. Total square footage required: 1128 1128 J. Square footage in design: 1134 1134 K. Is reserve area required? Yes; 100% 18"+provided from trench bottom to rock and/or water table Texture Group: III P8of12 SOIL EVALUATION Proposed Subdivision, 591 Allen Rd.,, Tax Map 18-18C i01D 3projeet AL2206 LOT 2 SOIL PROFILE DESCRIPTIONS Depth texture # Horizon in. Description group comment 1 AB 0-8 Reddish Brown (2.5YR 4/4) Silty Clay Loam III Exclude Btl 8-45 Red (2.5YR 4/6) heavy Silty Clay Loam, firm to friable III Bt2 45-55 Red (2.5YR 4/6) Silty Clay Loam, friable, few medium to III Seasonally High coarse Reddish Yellow (7.5YR 616) Water Table BCt 55-60+ Red (2.5YR 4/6) and Reddish Yellow (7.5YR 6/6) Silty Clay III Loam/heavy Silt Loam, few fine to medium White (I OYR 8/1) 2 A 0-6 Strong Brown (7.5YR 4/6) Loam II Not Used Bt 6-30 Red (2.5YR 4/6) Silty Clay Loam, friable III C 1 30-40 Yellowish Red (5YR 4/6) Loam, very friable II C2 40-50 Yellowish Red (5YR 5/8) Loam, very friable II C3 50-72+ Reddish Brown (7.5YR 4/6) Loam/Very Fine Sandy Loam loose 11 3 A 0-5 Reddish Brown (2.5YR 4/4) heavy Loam 11 Bt 1 5-20 Red (2.5YR 4/6) heavy Silty Clay Loam, firm to friable III Bt2 20-32 Red (2.5YR 4/6) Silty Clay Loam, friable III CI 32-60 Yellowish Red (5YR 516) Silt Loam, friable III C2 60-72+ Strong Brown (7.5YR 5/6) Silt Loam, very friable, few fine III Gray (5YR 7/2) feldspars parent material -derived color 4 AB 0-5 Reddish Brown (2.5YR 4/4) light Clay Loam III Bt 5-26 Red (2.5YR 4/6) heavy Silty Clay Loam, firm to friable III BCt 26-40 Red (2.5YR 4/6) Silty Clay Loam and Yellowish Red (5YR 5/6) III Silt Loam, friable C 40-72 Yellowish Red (5YR 5/6) Silt Loam, very friable 5 AB 0-4 Reddish Brown (2.5YR 4/4) light Clay Loam III Bt 4-20 Red (2.5YR 4/6) Clay, firm IV BCt 20-34 Red (2.5YR 4/6) Silty Clay Loam, friable, increasing Silt Loam III Ct 34-54 Red (2.5YR 4/6) heavy Silt Loam, friable III C 54-72+ Yellowish Red (5YR 5/6) Silt Loam, friable to very friable Ill 6 AB 0-4 Reddish Brown (2.5YR 4/4) light Clay Loam III Bt 4-I8 Red (2.5YR 416) Silty Clay Loam, friable III B&C 18-32 Red (2.5YR 4/6) Silty Clay Loam and Yellowish Red (5YR 5/6) I11 Silt Loam, friable C 32-72+ Yellowish Red (5YR 5/6) Silt Loam, very friable III 7 AB 0-5 Reddish Brown (2.5YR 4/4) light Clay Loam III Bt 5-24 Red (2.5YR 4/6) Silty Clay, firm IV B&C 24-30 Red (2.5YR 4/6) Silty Clay Loam Silt Loam, friable III C 30-72+ Yellowish Red (5YR 5/6) Silt Loam, very friable III .z C0 7 I a. 0 w r� 4 1 zo al 72 N Ln N v�U�— W p QW � 0 J Ln I Qu Q bncp W U 32N'N �n X "' 0 Ln N N 0 0 0- 0 a u' A MrFCIF 1G w LL o CV a w U �y N J O U Q o L CD ^�I L 5� 12 ft F l ��� rluDr'>,j@IrtiS Project AL2206 P 10 of 12 SOIL SUMMARY REPORT/ABBREVIATED DESIGN FORM Date: 12-14-22 Submitted to Albemarle County Health Department Applicant: Sarah Dan LLC Address: 1005 Vineyard Path Road Barboursville, Virginia 22923 Location: southeast of Allen Road (State Route 666), 0.4 miles southwest of Markwood Road (State Route 664) Map Reference: 18-18C LOT 3 Reserve for Existing Residence Position in landscape: sideslope Slope: 10-13% reserve Depth to rock or impervious strata: none encountered to 72"+ Depth to seasonal water table: none encountered Estimated Soil Percolation rate: 60 minutes per inch Installation Depth: 50" DESIGN BASIS A. Estimated Percolation Rate: 60 minutes per inch B. square feet required per bedroom: 452 C. Number of bedrooms: 4 AREA CALCULATIONS Reserve D. Length of trenches: 87' E. Width of trenches: 3' F. Number of trenches: 7 G. Center -to -center spacing: 10' H. Width required: 63' 1. Total square footage required: 1808 J. Square footage in design: 1827 K. Is reservearea required? Yes;. 100% 18"+ provided from trench bottom to rock and/or water table Texture Group: III P 11 of 12 SOIL EVALUATION Proposed Subdivision, 591 Allen Rd., Tax Map 18-18C 19i1' project AL2206 LOT 3 SOIL PROFILE DESCRIPTIONS Depth texture # Horizon (in.) Description group comment 1 A 0-3 Dark Reddish Brown (2.5YR 3/3) Loam II Bt 3-28 Red (2.5YR 4/6) Silty Clay, firm IV BCt 28-58 Red (2.5YR 4/6) Silty Clay Loam, friable III C 58-72+ Red (2.5YR 4/6) heavy Silt Loam friable III 2 A 0-4 Reddish Brown (5YR 5/3) Loam II Bt 4-20 Red (2.5YR 4/6) heavy Silty Clay Loam, firm to friable III BCt 20-72+ Red (2.5YR 4/6) Silty Clay Loam friable III 3 A 0-5 Reddish Brown (5YR 5/3) Loam II Bt 5-24 Red (2.5YR 4/6) heavy Silty Clay Loam, firm to friable III B&C 24-38 Red (2.5YR 4/6) Silty Clay Loam and heavy Silt Loam, friable III C 38-72+ Yellowish Red (5YR 5/6) Silt Loam very friable III A 0-5 Reddish Brown (5YR 5/3) Loam 11 Btl 5-24 Red (2.5YR 4/6) heavy Silty Clay Loam, firm to friable III Bt2 24-72+ Red (2.5YR 4/6) Silty Clay Loam, friable III M� LL m c.� Q ' O 0 O I.�i r J N N II pob 2 J c I u Q c-A N qo 3�Y N a,— r N cnMF Q n IVI vQ O i i �I I� (u TTw 1 i N K tto ai ai � w A `, O w CL 9 O 4J a dT^ �r