HomeMy WebLinkAboutSUB201500130 Approval - Agencies 2015-10-06 (2) � r{d Li 1r1�n. ^„r1
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COMMONWEALTH of VIRGINIA
In Cooperation with the Thomas Jefferson Health District ALBEMARLE-CHARLOTTESVILLE
State Department of Health FLE CO NA COUNTY RDSVI LE)
1138 Rose Hill Drive GREENE COUNTY(STANARDSVILLE)
LOUISA COUNTY(LOUISA)
Phone(434)972-6219 P. O. Box 7546 NELSON COUNTY(LOVINGSTON)
Fax (434)972-4310
Charlottesville, Virginia 22906
October 6,2015
Rachel Falkenstein
County of Albemarle
Department of Community Development
401 McIntire Road
Charlottesville,Virginia 22902-4596
RE: Review of Proposed Boundary Line Adjustment and attached Soils Information for
Individual Onsite Sewage Systems for Tax Map 27 Parcel 5 and Tax Map 27 Parcel 5-A
located in Albemarle County,Virginia.
Dear Ms. Falkenstein:
On August 25,2015,the County of Albemarle requested the Virginia Department of Health(via the Albemarle
County Health Department)review the proposed subdivision plat identified above.This letter is to inform you
that the above referenced subdivision plat is approved for individual Onsite Sewage Systems in
accordance with the provisions of the Code of Virginia,the Sewage Handling and Disposal Regulations,
and local ordinances.
This request for subdivision review was submitted pursuant to the provisions of§ 32.1-163.5 of the Code of
Virginia which requires the Health Department to accept private soil evaluations and designs from an
Authorized Onsite Soil Evaluator(AOSE)or a Professional Engineer working in consultation with an AOSE for
residential development. This subdivision was certified as being in compliance with the Board of Health's
Regulations by: Steve Gooch OSE#1940001418. This subdivision approval is issued in reliance upon
that certification.
Pursuant to § 360 of the Regulations this approval is not an assurance that Sewage Disposal System
Construction Permits will be issued for any lot in the subdivision identified above unless that lot is specifically
identified on the above referenced plat as having an approved site for an onsite sewage disposal system, and
unless all conditions and circumstances are present at the time of application for a permit as are present at the
time of this approval. This subdivision may contain lots that to do not have approved sites for onsite sewage
systems.
This subdivision approval does pertain to the requirements of local ordinances.
Sincerely,
„s,„
Travis T. Davis,OSE
Environmental Health Specialist, Sr.
Soils Study for Reserve Drain Field Site
Tax Map 27-5
Albemarle County
SUB 2015-130
Prepared for:
Jeff Walton
4579 Doylesville Road
Crozet, VA 22932
Prepared by:
Steve Gooch Consulting Geologist, Inc.
703 Oliver Creek Road
Troy, Virginia 22974
August 24, 2015
Page 1 of 5
OSE/PE Report for:
Construction Permit 1 1 Certification Letter 11 Subdivision Approval
Property Location:
911 Address: 4565 Doylesville Road City: Crozet
Lot Section Subdivision
GPIN or Tax Map# 27'5 Health Dept ID#
Latitude Longitude
Applicant or Client Mailing Address:
Name: Jeff Walton
Street: 4579 Doylesville Road
City:Crozet State VA Zip Code 22932
Prepared by:
OSE Name Steve Gooch License# 1940001284
Address 703 Oliver Creek Road
City Troy State VA Zip Code 22974
PE Name: License#
Nom, Address
City State Zip Code
Date of Report 8/24/15 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.)
OSE Cover Page Abbreviated Design Form
Soil Profile Sheet Survey Plat
Soil Information Summary Sheet
Certification Statement
I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling and
Disposal Regulations(12 VAC5-610),the Private Well Regulations(12 VAC5-630)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.
I• 1 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 54.1-402.11
I recommend that a(select one): construction pennit❑ certification letter subdivision approval Is
be(select one)issued Q denied❑.
OSE/PE Signature �& ����� Date 71 2`//(�(
Pubicr-5
Soil Profile
Reserve Drain Field
Tax Map 27-5
Albemarle County
Hole Depth Horizon Material Description Soil Texture
(in.)
Group
1 0-8 EB Brown(7.5YR 5/3) sandy clay loam, friable 2
8-33 Bt Red(2.5YR 5/8) silty clay loam, firm 3
33-54 CB Yellowish red(5YR 5/8) sandy clay loam, friable,red 3
(2.5YR 5/8) silty clay loam, firm
54-120 C Yellowish brown(10YR 5/8) sandy clay loam, friable 2
2 0-3 A Grayish brown(10YR 5/2) sandy loam, friable 2
3-10 EB Brown(7.5YR 5/3) sandy clay loam, friable 2
10-40 Bt Red(2.5YR 5/8) silty clay loam, firm 3
40-64 CB Yellowish red(5YR 5/8) sandy clay loam, friable,red 3
(2.5YR 5/8) silty clay loam, firm
64-120 C Strong brown(7.5YR 5/8) sandy clay loam, friable 2
3 0-3 A Grayish brown(10YR 5/2) sandy loam, friable 2
3-8 EB Brown(7.5YR 5/3) sandy clay loam, friable 2
8-38 Bt Red(2.5YR 5/8) silty clay loam, firm 3
38-56 BC Red (2.5YR 5/8) silty clay loam, yellowish red (5YR 5/8) 3
sandy clay loam, firm
56-70 CB Reddish yellow(7.SYR 6/8) silty clay loam,red 3
(2.5YR 5/8)clay loam,white (10YR 8/1)feldspar, firm
70-120 C Yellowish brown(10YR 5/8) sandy clay loam, friable 2
4 0-3 A Grayish brown(10YR 5/2) sandy loam, friable 2
3-9 EB Brown(7.5YR 5/3) sandy clay loam, friable 2
9-40 Bt Red (2.5YR 5/8) silty clay loam, firm 3
40-120 BC Red(2.5YR 5/8) silty clay loam, yellowish red (5YR 5/8) 3
sandy clay loam, firm
5 0-4 A Grayish brown (10YR 5/2) sandy loam, friable 2
4-14 EB Brown(7.5YR 5/3) sandy clay loam, friable 2
14-38 Bt Red(2.5YR 5/8)silty clay loam, firm 3
38-57 B2 Light red(2.SYR 6/8) clay loam, friable 3
57-120 C Yellowish brown (10YR 5/8) sandy clay loam, friable 2
Page 3 of
Appendix 2
Soil Summary Report
GENERAL INFORMATION
Date 8/24/15 Submitted to Albemarle County Health Department
Applicant Jeff Walton Telephone Number (434) 960-6303
Address 4579 Doylesville Road Craozet, VA 22932
Owner Charlotte and Cecil Gibson Address 4565 Doylesville Road Crozet, VA 22932
Location 4565 Doylesville Road
Tax Map 27-5 Subdivision
Block/Section Lot
SOIL INFORMATION SUMMARY
1. Position in landscape satisfactory? X Yes No
Describe shoulder
2. Slope 16
3. Depth to rock or impervious strata: Max. Min. None x
4. Depth to seasonal water table(gray mottling or gray color) X No Yes inches
5. Free water present X No Yes range in inches
N,.-6. Soil percolation rate estimated X Yes Texture group I II ® IV
No Estimated rate ,85'/75'. min/inch
7. Permeability test performed Yes lb
X No til
If yes, note type of test performed and attach
X Site Approved: Drainfield to be placed at 72" depth at site designated on permit.
Site Disapproved:
Reasons for rejection:
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 seansonal water table.
4. Rates of absorption too slow.
5. Insufficient area of acceptable soil for required drainfield, and/or Reverse Area.
6. Proposed system too close to well.
7. Other Specify
(attach additional pages if necessary)
Abbreviated Design Form
This form is for use with gravity,pump to gravity,enhanced flow,and low pressure distribution(LPD)sewage system
designs and when applying for a certification letter or subdivision approval.
This abbreviated design covers the ❑ primary and reserve area, ❑ only the primary area, 041y the reserve
area(check one)for TM 27-5 .
Design Basis
Total length of available area: 80' Total width of available area: 40'
Estimated Perc.Rate: 75 at 72" in. (depth) Number of bedrooms(or GPD): 2
1 2
Conveyance Method : Gravity Distribution method (specify): Gravity
3c
Dispersal system basis GMP 118A LGMI required? No (Yes/No)
Effluent quality required: _Secondary (Primary, Secondary,Advanced Secondary)
Square feet per bedroom: 255 Total trench bottom area required: 1020
Area Calculations
Number of trenches 5 Length of trenches: 80'
Width of trenches: 3' Center to center spacing: 9'
Reserve required?_This is reserve_ Percent reserve area required: 200
Total width of absorption area required 39' Total trench bottom area provided: 1200
The required width is calculated by multiplying the center-to-center spacing by one less than the number
of trenches and adding 1 trench width plus any required reserve area. If the topography is not uniform
across the length of the site the trenches will need to flare apart on one end to maintain contour. When
this occurs it is necessary to use a center-to-center spacing that accounts for the flair or the installer will
not be able to fit the system within the approved area. It is perfectly acceptable to have more area
available,especially up and down the slope,than is required.
Page of
AOSE Form E Revised July 18,2007
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Existing Septic System
Tax Map 27-5A
There is an existing septic system w/100% reserve area currently on TM 27-5A (see Health
Department Permit ID# 101-01-0340). The boundary line adjustment with TM 27-5 does not
impact the drain field or reserve area on TM 27-5A.
•
Water Supply and/or Sewage Disposal System Construction Permit Page 1 of.3
Commonwealth of Virginia ' Health Department
Department of Health Identification Number:. 101-01-0340
ALBEMARLE CO.HEALTH DEPARTMENT �- Tax Map Number: 27.544_..
General Information BP#:2001444 SF
Water Supply System: NEW Sewage Disposal System: NEW
Based on the application for a sewage disposal system construction permit filed in accordance with Section 2.13 E.of the Sewage Handling and
Disposal Regulations and/or Section 2.13 of the Private Well Regulations a construction permit is hereby issued to:
Owner: JEFF&ROBIN WALTON Telephone: 804-823-1679
Agent: HANOVER QUALITY HOMES Address:4950 SUGAR HOLLOW ROAD,CROZET,VA 22932
For a Type I Sewage Disposal System or Well to be constructed on/at DOYLESVILLE ROAD
Sec/Bk Lot Actual or estimated water use 450 gpd- 3 bedrooms
• DESIGN NOTES: SEWAGE DISPOSAL SYSTEM INSPECTION RESULTS
Water supply,TO BE INSTALLED I Water supply location:Satisfactory yes no
I GROUT '3o CAP C t''t- —
To be installed: CLASS:IIIC I
CASED:20 feet GROUTED:20 feet I EHS DATE t-28--0/
Building Sewcr. I.D.PVC Schedule 40, I Building Sewer. Satisfactory yes_no_
or equivalent.Slope 1.25"per 1011(min.)
Other I'EHS 1 !f DATE 1/ii l f
Septic Tank:Capacity:900 Gals.(min.) I Pretreatment unit: Satisfactory ye ,1no__
Other I EHS DATE 7(1!/D
Inlet-outlet structure:PVC Schedule 40, I Inlet-outlet structure:Satisfactory ye -no_
4"tees or equivalent.
Other I EHS �/ DATE kr/JI
'Pump and pump station: I Pump&pump station: Satisfactory yes no
NO I EHS DATE
Gravity mains: 3"or larger l.D..min.6" I Conveyance method: Satisfactory yessno_
fall per 100 ft..1500 lb.crush strength
or equivalent. Other I EHS r 1 t DATE . •
Distribution Box: Precast concrete I Distribution box: Satisfactory yesno_
with 5 ports.
Other - • I EHS /Iii DATE
7/4/
Header lines: Material:4"I.D. 1500 lb. I Header lines: Satisfactory ye ,no_
crush strength plastic or equivalent from
distribution box to 2 ft into absorption
trench.Slope 2"min. Other I EHS f r/G DATE
7///k
•
Percolation lines: Gravity 4"plastic I Percolation lines: Satisfactory yes no
1000 lb.per foot bearing load or equiv.
slope 2"-4"(min.max.)per 100ft
Other I EHS Lk DATE //`
ai
Absorption trenches:
I Absorption trenches: Satisfactory y no
Sq R.required: 1200 depth from I —`
ground surface to bottom of trench 48": q
aggregate size .5-.5-I.5": I EHS DATE Fizz-
Trench u '
bottom slope 2-4"/I00 ft � ."� i
center to center spacing 09 FT; 1 Date $-21-Q/ Approved by:
Trench width 36"Depth of aggregate 13": / /
Trench length 100 ft: I �yv,
Number of trenches 4: • I Environmental Health Specialists •
`.•
CHS202A
Page Number of 3 Health Department 101.01-0340
Identification Number
Schematic drawing of sewage disposal arid/or water supply system and topographic features.
,�,.• Show the lot Ones of the bulking site.sastcti of property showing any topographic features when may mad on the design of the Wee or sewage disposal system.including
existing and/or proposed situates and sewage disposal systems and well wtpdn 200 feet The schematic drawing of the wet vie or area aridlor sewage disposal system
shill straw sewer fines.pretreatment unit.pump station,conveyance system,and subsurface son absorption system,reserve area,etc.vlhen a nonpublic drinking woo
supply Is to be perntited,show al sources of Ppllution within 20D feet•
0 The information required abate has been drawn on the attached copy of the sketch submitted with the application. •
\ - -
. 1
„
�'�_ 100'stream boundary i
t
/ • 100° reserve area
`•, --r+J
* 4 /e 28-1 � ` `
• . 9% ope ,, •
. Stiei minimum
Class Ill C Well 1( �/
•
20'casing j1
\ ,
-,4".... 20'grout / House Site �\
NOTE:Locate u dergound \
utilities prior to frilling. /
.
180' 122'
1000 gal.septic r nk
• 4 drainlines:100 long, (: - \ 160'
A
3'wide,4'deep, an trG»s t
centers,install •n Contour.. R
•
62'
:,,
`� 35'
• `' 121
iS welt area
/
-- —
___�^ existing road
This sewage disposal system and/or water supply is to be constructed as specified by this permit.
This sewage disposal system and/or well construction permit is null and void if(a)conditions are changed from those shown on the
application(b)conditions are changed from those shown on the construction permit.
No part of any Installation shall be covered or used until inspected,corrections made if necessary,and approved,by the local health
department or unless expressly authorized by the local health dept. Any part of any installation which has been covered prior to
approval shall be uncovered,if necessary,upon the direction of the Department.
Date: c" 3/- / Issued by: "'''("9 This Construction
y Permit Valid until
Environmental Health pecialist
'1' Date: Reviewed by: • II —5/-02- ,
Environmental Health Supervisor. ,
•