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HomeMy WebLinkAboutSUB202200179 Assessment - Environmental Final Plat 2023-11-15Page / of / 0 ❑ Construction ❑ Repair Permit Permit OSE/PE Report For: ElVoluntary Upgrade Permit ❑ Certification Letter Subdivision Approval Property Location: 911 Address: City: Lot I Section Subdivision GPIN or Tax Map # 48-21 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: John & Whitney Athayde Street: 3775 Stony Point Road City: Charlottesville State VA Zip Code 22911 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 In -off 3 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 6-10:Encroachment Agreement for OH Lines 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. 7The 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 Elbe (select one) Issued ❑' n repair permyt �O voluntary upgrade ❑ Denied ❑ OSE/PE Signature /S7 2 `�Date /7 r This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 Site and Soil Evaluation Report Page j2Z of —/6 VDH Use Only HDIN: General Information Date: / — — ,vseresne County Health Department Owner: John & Whitney Athayde Phone: Owner Address: Property Address: Tax Map/GPIN k: 48-21 Subdivision: Section: Block: Lot: Soil Information Summary I. Position in landscape satisfactory: O Yes ❑ No Describe landscape position: SideSlope �. Slope: 18 3. Depth to rock/impervious strata: Max. 72+ in. Min. 60+ in. N Not observed 4. Free Water Present: ❑ Yes ■ No Range in inches: 5. Depth to seasonal water table (gray mottling or gray color): inches a Not observed 6. Soil percolation rate estimated: H Yes ❑ No Estimated rate: 25 min/in at 36 inches depth Texture Group: P I oil ❑ 111 ❑ IV 35 mpi @ 48" in reserve 7. Percolation test performed: ❑ Yes E] No If yes, provide additional data on percolation test results. Name and title of evaluator: Th mas Graham Hogge, OSE Signature: 0 Site appro ed: 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 36-48 (inches) depth at site designated on permit. Site provides a total of 6,000 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 12/1/2014 Page 3 of /O Date of Evaluation: 11-2-23 Profile Description SOIL EVALUATION REPORT Property ID: Division of Tax Map 4E-21 (tot 1) 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. AUGER BORINGS ❑ See a 3plication 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 i A 0-5 10 YR 5/4 yellowish brown loam 2 PRIMARY Bt 5-15 7.5 YR 4/6 strong brown, micaceous clay loam 3 C 15-60 2.5 Y 7/2 light gray, friable, fine loamy sand saprolite with 2.5 Y 7/6 yellow 1 2 A 0-5 7.5 YR 416 strong brown loam 2 PRIMARY Bt 5-18 7.5 YR 5/8 strong brown, micaceous, light clay loam with 5 YR 5/8 yellowish red 3 C 18-60 2.5 Y 712 light gray, friable, fine loamy sand saprolite with 2.5 Y 7/6 yellow 1 3 A 0-4 7.5 YR 4/6 strong brown loam 2 PRIMARY/ Bt 4-18 5 YR 5/8 yellowish red, micaceous, light day loam; mottles of 7.5 YR 7/6 reddish yellow 3 RESERVE C 18-72 2.5 Y 5/3 light olive brown, friable loamy sand saprolite with 2.5 Y 813 pate yellow and some 1 7.5 YR 5/8 strong brown 4 A 0-4 10 YR 4/3 brown loam 2 RESERVE at 4-32 7.5 YR 5/6 strong brown, light, friable, micaceous clay loam 3 Ct 32-72 2.5 Y 6/3 light yellowish brown, friable, micaceous loam saprolite; becomes lighter and 2 more friable with depth 5 A 0-5 10 YR 5/4 yellowish brown loam 2 RESERVE Bt 5.24 7.5 YR 5/6 strong brown, light, friable, micaceous clay loam 3 Bic 24-40 7.5 YR 5/6 strong brown, friable, micaceous sandy day loam saprolite with 5 Y 4/2 olive gray 2 C 40-72 2.5 Y 7/2 light gray, friable, fine loamy sand saprolite with 2.5 Y 7/6 yellow 1 REMARKS: Soil profiles are consistent with mapped Glenelg. All low chrome colors were athic in nature. This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/I/2014 TE SA2WiA/G- OSiC23 Fb1 V1-✓0A1 OG r3F1Yr1Y Alnrwndwlr loll wrnlFomwwl rTaoaswclwaoRiFrun Yoaw lcattw wA! OONEROIM4A,IE SRFCl i110 RFYg169i bWtg GFaNPo]s aMwlfFF1IW F101A,,.C11W d(#OIFDORJIYgIr tlT }o MR!k!L1�lpr i1r1RYYtlFY6RYY TNT IIE Y,FFA\' �.. Npp1 pW WYMTA WASORA,fp01fKi1lrl l.. P!} YORa.Faa n na sro TNT nafur. rw, aR pGIIK OEWIIINLMTAfiSIpM3Y!}IMIAIE[I! YFYNY � W- AIf �Icu l aim lF�l1l1L YfC..i n 1a: L.Rr. E111 tc_a ' AML is ► QO QOMTIFE F FiblPmiGM r rn,Rmzl !Y eF,Fsalua' l,iN If 0 \ ! f F:'T.in 9 P9oMvl}efxYnererr WIwlDIsle 1p]A asle.m CO.N 110 \ 0'P ALTH L Am) /) ATHAYDE TWOJ.OT Su ION PLAT PID 048004*4*4 100 ins STONY POINT ROAD / / C%R4"E)71YC,, I.L(' W lMY Cf MY'.YNiE. V Fi,M Ir,E: sEf,EsllFw la }�aE\mnaEnEAaw, na Iy1NEFIrI,FRi�KF YlET ]llF] {OYrOOM}O 6lWY1Y YrEnFwwor� lnr• \ fr1M}GLq�F1 \ asrw FeaF (a11wsFFir dIA}FxA/1Fn .f F,NAif a},araratn f10M'MFFI}OIO ifFl}wusnreFAalelr ls}l IMYFF'F iillfQO! M Ni 29L1F ra / Yanlo YI}rl r a / KSLItC "}a 1 OOpMmOgOIOO 1 LFIWMY.W9rIIlIFPY �_ uvs isworY— wdrtlrs R/I acm H)IaE ti�, VA i. 4 REVIEW LLRHF \ rT,D snVE B ci�rC��nf 91�Amheo/, \ saarnmmaw \ ulaswa csnloF \ LB IInIMI M �r•%led wells, , 3 JO �- `� "/ / —NOTE E 1161m1y Iossamoer� nlolan wlsrwnrcarun laio Y}rrils.l] vim✓ olives /)pf *1 �rl'nf�ekisi�/` a /0d" fiofj by T 5 rrofrll]YlatlurtFERnr nenl¢�} Page Sof /cr Design Calculations Division of Tax Map 48-21 "Lot V Albemarle County, VA Design Basis A. Estimated Percolation Rate 25 @ r-3-6--1 35 MPI @ 48" in reserve (Minutes per inch) B. Trench bottom square feet © 286 in reserve 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.) 80 E. Length of Available Area (ft.) 80 F. Width of Trench (ft.) G. Number of Trenches H. Center4o-center spacing (ft.) 0 I. Width required (ft.) 75 Including reserve J. Width of available area (ft.) K. Total square footage required 948 L. Square footage in design 7-1 960 M. Is a reserve area required? yes 100% reserve is provided in the bottom of the staked footprint, via five 80-foot trenches (three feet wide), 48 inches deep, on nine -foot centers. 6/,.0 Dominion Energy Drainfield/Residential Sewer Facilities Agreement THIS LICENSE AGREEMENT, dated I7- day of AM-iL" 2023. by and between John M. ATHAYDE and Whitney G. ATHAYDE ("GRANTOR") and VIRGINIA ELECTRIC AND POWER COMPANY, a Virginia public service corporation, doing business in Virginia as Dominion Energy Virginia ("GRANTEE"), to which this Exhibit "A" is attached, is hereby amended as follows: 1. GRANTOR has requested that GRANTEE permit GRANTOR to install and maintain one (1) sewage disposal system (the "Sewage Facilities') under or near the above referenced overhead utility line of GRANTEE within GRANTEE's right-of-way as shown on the attached Exhibit "A". 2. GRANTEE, insofar as its rights and interests are concemed, hereby permits GRANTOR to install and maintain the above mentioned Sewage Facilities, subject to the following conditions contained herein. 3. Septic tanks will not be permitted on GRANTEE's right of way. GRANTEE's permission is for drain fields, gravity mains, and force mains only, subject to the restrictions herein. 4. Drain fields, gravity mains, and force mains will be permitted on GRANTEE's right-of-way subject to the following restrictions: (a) No grading or excavation shall be done within fifteen (15) feet of any of GRANTEE's poles, towers, structures, guys, anchors or other facilities. (b) A minimum distance of fifteen (15) feet must be maintained between all of GRANTEE's electrical conductors and all of GRANTOR's construction equipment. (c) None of GRANTOR's construction equipment may have wire cables which, if broken, could whiplash and come within ten (10) feet of any of GRANTEE's conductors. (d) GRANTOR is to avoid blasting on GRANTEE's right-of-way. If blasting is unavoidable, GRANTOR shall use the smallest explosive charge possible and matting or other suitable buffering to prevent damage to GRANTEE's lines and facilities. (e) GRANTOR must give GRANTEE five (5) days nofice before starting construction on GRANTEE's right-of-way. Initials: Page I of o VAROW No(s). 80-23-0037 V/o (f) GRANTOR must pay the costs of GRANTEE's maintaining an inspector on the job site should such appear to be necessary in GRANTEE's reasonable discretion. (g) GRANTEE reserves the rights to construct, operate, maintain, and rebuild any or all of GRANTEE's lines and facilities and to have access thereto without incurring any liability for damage to GRANTOR's Sewage Facilities; however, GRANTEE will exercise reasonable care in the performance of its work. (h) Should all or any part of GRANTOR's Sewage Facilities be determined to be unsafe at any future date, the unsafe condition shall be corrected or removed by GRANTOR at GRANTOR's expense within thirty (30) days after receiving written notification of the same by the GRANTEE. (i) GRANTOR, its successors, and assigns hereby agree to indemnify, save, and hold harmless GRANTEE, its officers and agents, and employees from and against any and all claims, demands, and damages, including death, and liability of every kind and nature whatsoever for, on account of, or growing out of the permission hereby provided to GRANTOR by GRANTEE, except when such claims and demands are caused solely by the gross negligence of GRANTEE, its agents, employees, successors, or assigns. (j) In the event of any damage to GRANTEE's facilities by GRANTOR or any agent or contractor of GRANTOR, including but not limited to damage to poles, structures, guys, anchors, counterpoise, or landscaping, GRANTOR shall be responsible for all associated costs for the repairs of GRANTEE's facilities. (k) GRANTOR's Sewage Facilities shall be designated and constructed to support occasional traffic crossings by heavy construction and/or maintenance equipment. 5. The permission provided by this Exhibit "A" to the Right -of -Way Agreement for GRANTOR's Sewage Facilities on GRANTEE's right-of-way shall in no way be construed as the granting of a perpetual easement by GRANTEE to GRANTOR. If it later becomes necessary for GRANTEE to exercise its rights under this Right -of -Way Agreement in a manner inconsistent with the concurrent uses of GRANTOR permitted herein, all costs and responsibility for GRANTOR's abandoning or relocating GRANTOR's Sewage Facilities within GRANTEE's right-of-way shall be borne by GRANTOR, its heirs, successors, and/or assigns, as applicable. Initials: -144 �- Page 2 of 5 VAROW No(s).80-23-0037 g/ o Witness the following signatures and seals: GRANTOR: John Mltha�yde Commonwealth of Virginia, CltV6—_nty flj� to wit: The foregoing was executed and acknowledged before me this 1.)- day of44, /� 20,'LY, by John M. Athayde LeXf Notary Public (Print Name) 46,1/nG Virginia Notary Registration Number Page 3 of 5 VAROW No(s).80-23-0037 Whitney G. Athayde Notary Pubik signature) My commission expires: ?d .- tiNOTARy'. PUSUC MY COMMISSION ; Q EXPIRES ; ?` b3(1 rQC�: (Notary Seal Here) Y/V GRANTEE: Virginia Electric and Power Company, a Virginia public service corporation doing business in Virginia as Dominion Energy Virginia By: Shaun Reilly Its: Authorized Representative Commonwealth of Virginia, City/County of , to wit: The foregoing was executed and acknowledged before me this _ day of _ 20, by Shaun Reilly the Authorized Representative of Virginia Electric and Power Company, a Virginia public service corporation doing business in Virginia as Dominion Energy Virginia, for and on behalf of such public service corporation. Notary Public (Print Name) Notary Public (Signature) Virginia Notary Registration Number My commission expires: Page 4 of 5 VAROW No(s).80-23-0037 (Notary Seal Here) Fa W22W2(Mly 2019) 02 3norNNon E.fVy Ya Pag SURVEY OF DRAINFIELD SITES FOR ENCROACHMENT AGREEMENT Client: John & Whitney Athayde Address: 3775 Stony Point Road ^•� Charlottesville, VA 22911 lAEI Gi Tax Map: 48-21 4•L $ °° Ertl S7QjQ� a »rt7a A 41 r Ot4 �5 O1�♦ ^i PROPOSE ♦ � 5 DRAINFIELD OVERHEAD' UTILITY LINES ? y� $ n N' y � 3 w ♦ � J 4�i• �O rye ob N 0 PF R T H y Y o♦0 PROPOSED ♦ DRAINFIELD • ,,y,95h A Q GRAPHIC SCALE: Project No. 22ot36 I" - 80, - DRAWN BY: /• 1 1 , MIS ypIL CpNSVLPNti' DATE: ® 1/10/202$ 0. 40 80'