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Home My WebLink AboutSDP201500051 Assessment - Groundwater 2015-11-20 Tier I Ground Water Report November 20, 2015 All Saints Chapel Addition TM 48 Parcel 16 SP 201500007 Special Use Permit SDP 2015 -51 Final Site Plan Tier I Requirements 1) Uniform Water Well Completion Report(attached) 2) Longitude 38° 06' 42" Latitude 78°22' 1" __ _ animal talminus ApJauwiatfipanw_. . ---44---rtg*---ums vsiarata —Th—turatiapicurin--usatd mrsiidasx)1 loaratonsakascosos --------V-PE-93113ErViangft qzanaalammeaskanyvjaalizedga mierAlataBssastema ---- F.N.D3.0seaumweD sfiampanlemanswiligaslam -- sleatina-atPlaue --- - .tionegusacPRIPaccuswasqv.= • . -- . zemesmerma—=4103exeKt3 *Pgara auffletwen----sssaingm imaixaw,...?"qamenvon 4199avanava _ -=AM iszsfx= ----inEKi- 31sEll ----133011—t431faa --tuEZ—IBEB*Eti ■Nonwwwwon.3....■__ =az ''"— .—. .."-- -tll. 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' r---- 1 7 ..- - , =writers Lng' dcrm Imo _� asprn G P;r - Mud, S r6k • 75% Gray raCg- 5c) 9 io tuseatormagismftri.......y) icesd'illistiftvesassersisonadosalmlinniamelThatelitweihmswirmallademeivenstiudatispraseimraedresrl mom t x _ Lai IP'1 lk Vi eila Z- Frusta Dam WaPszatalo Ncomur er7282- 9 2.701`01X023 151 L U Eft rs-71 Page 1 of3 ti/ VIRGINIA Albemarle County Health Department DEPARTMENT PO BOX 7546 OF HEALTH Charlottesville,VA 22906 (434)972-6219 Voice Protecting You and Your Environment 972-4310 Fax OSE Construction Permit Well and Sewage Contractors: Please notify Health Department and OSE or PE 48 hours prior to installation to arrange for inspection November 10,2015 All Saints Episcopal Chapel 3929 Stony Point Road Keswick,VA 22947 Tax Map: 48-16 HDID: 101-15-0490 Reserve: 100%reserve area provided System Capacity:Non-Residential,250 gallons per day Well Class:Class 1IIB(Cased and Grouted 50'minimum) Usage Description: SDS for kitchen and bathroon for 50 person chapel Dear All Saints Episcopal Chapel: This letter and the attached drawings,specifications,and calculations(9 pages)dated October 05,2015, constitute your permit to install a sewage disposal system andClass I11B Well on the property referenced above. Your application for a permit was submitted pursuant to §32.1-163.5 of the Code of Virginia,which requires the Health Department to accept private soil evaluations and designs from an Onsite Soil Evaluator(OSE)or a Professional Engineer working in consultation with an OSE for residential development VDH is not required to perform a field check to verify the private evaluations of OSEs or PEs and such a field check may not have been conducted for the issuance of this permit The soil absorption area("site"),sewage system design,and the well location and construction were certified by William Jefferson Loth,IV Private OSE as substantially complying with the Board of Health's regulations(and local ordinances if the locality has authorized the local health department to accept private evaluations for compliance with local ordinances).This permit is issued in reliance upon that certification. VDH hereby recognizes that the soil and site conditions acknowledged by this permit are suitable for the installation of an onsite sewage system.The attached plat shows the approved area for the sewage disposal system there are additional records on file with the Albemarle County Health Department pertaining to this permit including the Site and Soil Evaluation Report.This construction permit is null and void if any substantial physical change in the soil or site conditions occurs where a sewage disposal system is to be located If modifications or revisions are necessary between now and when you construct your dwelling please contact the OSE/PE who performed the evaluation and design on which this permit is based Should revisions be necessary during construction,your contractor should consult with the OSF/PE that submitted the site evaluation or site evaluation and design.The OSE/PE is authorized to make minor adjustments in the location or design of the system at the time of construction provided adequate documentation is provided to the Albemarle County Health Department. The OSE/PE that submitted the certified design for this permit is required to conduct a final inspection of this sewage system when it is installed and to submit an inspection report and completion statement As the owner, you are responsible for giving reasonable notice to the OSF/PE of the need for a final inspection. If the designer is unable to perform the required inspection,you may provide an inspection report and Tax Map/GPIN: 48-16 Page 2 of 3 HDID: 101-15-0490 completion statement executed by another OSE/PE.The Albemarle County Health Department is not required to inspect the installation but may perform an inspection at its sole discretion No part of this installation shall be covered until it has been inspected by the OSE/PE as noted herein.The sewage system may not be placed into operation until you have obtained an Operation Permit from the Albemarle County Health Department This Construction Permit is null and void if conditions are changed from those shown on your application or if conditions are changed from those shown on the Site and Soil Evaluation Report and the attached construction drawings,specifications,and calculations.VDH may revoke or modify any permit if at a later date,it finds that the site and soil conditions and/or design do not substantially comply with the Sewage Handling and Disposal Regulations, 12 VAC 5-610-20 et seq.,or if the system would threaten public health or the environment This permit approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local,state,or federal laws or regulations that apply to the proposed construction of this onsite sewage system The owner is responsible at all times for complying with all applicable local,state,and federal laws and regulations If you have any questions,please contact me. This permit expires: May 11,2017.This permit is not transferable to another owner or location. Sincerely, Josh Kirtley Environmental Health Technical Specialist Albemarle County Health Department Cc: Loth,William Jefferson,IV Private OSE Tax Map/GPIN#: 48-16 Page 3 of 3 H DID#: 101-15-0490 WHAT YOU WILL NEED TO GET YOUR SEPTIC SYSTEM OPERATION PERMIT • Your system must have asatisfactory inspection at the time of installation.This will be done by either a representative of the local Health Department,a private OSE,or a PE,depending on the designer of your permitted system. If your system is designed'inspected by an OSE or PE,they must submit a copy of the inspection results complete with an as-built diagram,to the Health Department. • Please ensure that your contractor turns in a Completion Statement to the local Health Department after installation. IF YOUR PERMIT IS FOR BOTH A SEPTIC SYSTEM AND WELL YOU WILL ALSO NEED • Your well must have satisfactory inspection results after installation.Please give the Health Department several days notice to schedule this inspection before your Operation Permit will be requested • The Health Department must receive a copy of yourwater sample test result being negative/satisfactory for colifortn bacteria.You are responsible for performing this test and ensuring the results are received at the Health Department • Please ensure that your Well Driller submits a Uniform Water Well Completion Statement or GW-2 to the Health Department, including documentation of a proper well abandonment if required by permit Allow 5 business days after the last piece of documentation is received for the Operation Permit to be issued To avoid delays,clearly label each piece of documentation with the property Tax Map`GPIN number and HDID number shown above and on your construction permit Please note that due to the individual circumstances of your permit there may be additional required items not covered by this checklist. If you have any questions about any of the items on this list please do not hesitate to contact the Albemarle County Health Department at(434)972-6219. Acton soil consulting William J. Loth, IV, AOSE#1940001316 222 Sycamore Lane Afton, Virginia 22920-2425 (540)471-6589 AOSE/PE Report for Combination Permit Location of Property: Lot Section ,Subdivision ,Albemarle County GPIN or Tax Map#48-16 Latitude/Longitude Applicant or Client and address: Prepared by: Ralph Damman, Damman Construction William J. Loth, IV, AOSE #1940001316 2958 Barrsden Rd. Afton Soil Consulting Charlottesville, VA 22911 222 Sycamore Lane Afton, Virginia 22920-2425 (434)981 - 8448 (540)471-6589 Date of Report: October 5.2015 Health Department ID. No.: Revision Date: Contents/Index of this Report Cover Page Sewage Disposal System Construction Permit Specifications Application Sewage Disposal System Installation Requirements Soil Summary Report Sanitary Survey/Permit Drawing Soil Profiles Plat Design Calculations I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling ,`� ,t 1 ;1- and Disposal Regulations (12 VACS-610), the Private Well , o < Regulations (12 VACS-615), and other applicable policies of the • Virginia Department of Health. Furthermore, I certify that m} �°• • evaluation and/or design contained herein complies with all - o'• !1.►:,,�,, applicable laws, regulations, and policies implemented by the = ° WW1 '� Virginia Department of Health. These plans are submitted under the engineering exemption provided by 54-1-410B and 32.1- 16411 of the Code of Virginia. �; <° �� ,Q ' //, ®S E 41 I recommend a Combination Permit be approved. ��'' s�' "�R, 1 VDH Use Only Commonwealth of Virginia Health Department IDa Application for: ® Sewage System ® Water Supply ' Due Date: — ' Owner: All Saints Episcopal Chapel Phone: ( ) - Mailing Address: 3929 Stony Point Rd. Phone: ( ) - Keswick VA 22947 ' Fax: Agent: Ralph Damman. Damman Construction ' Phone: . (434)981-8448 Mailing Address: - 2958 Barrsden Rd. Phone: ( ) - Charlottesville, VA 22911 Fax: ( ) Site Address: 3929 Stony Point Rd. ' Email: , ' Directions to Property: East side of Rt. 20,0.2 mile north of Rt. 600 ' ' Subdivision: Section: Block: Lot: Tax Map: 48-16 Other Property Identification: Diniensioui'Acreage of Property: 2 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine it'land is suitable for a sewage system and to apply for a construction permit(valid for 18 months)only when ready to build. ' For New Construction: ❑ Certification Letter ® Construction Permit ❑ Subdivision Review lot Existing Construction: ❑ Repair ❑ Modification ❑ Expansion ❑ Replacement Proposed Use: ❑ Single Family Home(Number of Bedrooms ) ❑ Multi-Family Dwelling(Total Number of Bedrooms ) ® Other(describe) Kitchen and bathroom for existing chapel Will there he a basement: 0 Yes 0 N If yes. will there he fixtures in the Basement? 0 Yes ❑ No Are any conditions proposed on this construction permit? ❑ Yes ® No If yes.please check or describe all proposed Conditions that apply- ❑ Reduced Water Flow ❑ I incited Occupancy ❑ intermittent or seasonal use ❑ Temporary use not to exceed I year ❑ Other(describe) Water Supply Will the water supply he❑ Public or® Private Is the Water supply❑ Existing or® Proposed If proposed. is this a replacement well? ❑ Yes ® No Will the old well he abandoned❑ Yes ❑ No ' Have/will any buildings within 50' of the proposed well been/be termite treated?❑ Yes ® No - - -- -------- - - All Applicants Is this an AOSE!PE application?® Yes ❑ No !ryes, is the AOSEPPE package attached? ® Yes ❑ No In order tier VDl1 to process your application you must attach a site sketch and plat of the property.The site sketch should show your property lines,actual and/or proposed buildings and the desired location of your well andior sewage system. When the site esaluation is conducted the property lines.building location and the proposed well and sewage system sites must be clearly marked and the property sufficiently visible to see the topography.otherwise this application will he 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 Authorized Onsite Soil Evaluator(ROSE)or a Professional Engineer(Pt-:) as necessary until the sewage disposal system has been constructed and approved. Signature ofOwne Agent I 0 f — --Date ' `"'�'t Soil Summary Report General Information Date:9/17/14, 11118-14& 8/3/15 Submitted to Albemarle County Health Department Applicant: Ralph Damman, Damman Construction Telephone: (434)981-8448 Address: 2958 Barrsden Rd..Charlottesville, VA 22911 Owner: All Saints Episcopal Chapel Address: 3929 Stony Point Rd., Keswick, VA 22947 Location: East side of Rt. 20. 0.2 mile north of Rt. 600 Tax Map: 48-16 Subdivision: Block/Section: Lot: Soil Information Summary I. Position in landscape satisfactory? Yes No ❑ Describe: shoulder 2. Slope 8°fo 3. Depth to Rock or impervious strata: Max. 48+ in. Min.45 (quartz) in. 4. Depth to seasonal water table(gray mottling or gray color): No ® Yes ❑ Inches 5. Free water present: No ® Yes Li range in inches - Yes® Texture Group I ❑ II ❑ III ® IV ❑ 6. Soil percolation rate estimated? No ❑ Estimated rate 65 min/inch 7. Permeability test performed Yes ❑ No If yes, note type of test performed and attach ® Site Approved Drainfield to be placed at 27" depth at site designated on plat ❑ Site Disapproved Reason for Rejection 1. ❑ Position in landscape subject to flooding or periodic saturation 3 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 drainfield_ and or reserve area 6. ❑ Proposed system too close to well 7. ❑ Other Specify I ax !my'to-I 0 Albemarle County --_---------__.-.. - Soil Profiles Hole Hzn Depth Material Description Txt Grp 1 Ap 0-1 10yr3/2 very dark grayish brown Loam 2 F 1-6 10yr5`4 yellowish brown Silt Loam 3 BE 6-10 7.5yr6/6 reddish yellow Silt Loam 3 BtC 10-=18 2.5yr-1/8 red Clay Loam, coarse SBK. many fine mica flakes, with increasingg(few to common)pockets of soft 10yr6/8 brownish yellow. 10vr8!1 white Silt Loam saprolite 2 Ap _ 0-1 lOyr3/2 very dark grayish brown Loam 2 E 1-5 10yr5_-1 yellowish brown Silt Loam BE 5-9 7.5yr6/6 reddish yellow Silt Loam 3 BtC 9-48 2.5yr4t8 red Clay Loam,coarse SBK, many tine mica flakes. with increasing(common to 3 many)-pockets of soft IOyr6/8 brownish yellow, 10vr8/1 white Silt Loam saprolite 3 Ap 0-2 10yr3/2 very dark grayish brown Loam 2 BE 2-8 7.5yr616 reddish yellow Silt Loam 3 Bt 8-20 2.5yr4/8 red Clay Loam,coarse SBK. with many fine mica flakes 3 BtC 20-32 2.5yr4/8 red Clay Loam, coarse SBK, many fine mica tlakes, with common soft 10yr6/8 3 brownish yellow Silt Loam saprolite C 32-48 Soft i0vr6/8 brownish yellow Silt Loam saprolite 3 AT 0-1 10yr3/2 very dark grayish brown Loam 2 F 1-8 10yr5'4 yellowish brown Silt Loam ; BE 8-13 7.5yr6/6 reddish yellow Silt Loam 3 BtC 13-29 2.5yr4`8 red Clay Loam.coarse SBK, many fine mica flakes, with increasing(few to 3 common)pockets of soft 10yr6/8 brownish yellow, 10yr8/1 white Silt Loam saprolite - C 29-48 Soft 10yr6/8 brownish yellow, 10)r8 1 white Silt Loam saprolite 3 5 Ap 0-I IOyr3/2 very Mark grayish brown Loam 2 E 1-5 10yr5/4 yellowish brown Silt Loam 3 r BE 5 9 7.5vr6 6 reddish yellow Silt Loam 3 MC 9-45 2.5yr4/8 red Clay Loam, coarse SBK, many tine mica flakes, with increasing(common to 3 many)pockets of soft 10yr6/8 brownish yellow, 1Oyr8/I white Silt Loam saprolite . r 45 Auger refusal on quartz 6 Ap 0-1 10yr3/2 very dark grayish brown Loam 3 E 1-5 10yr5/4 yellowish brown Silt Loam 3 Rt 5-27 2.5vr5/8 red Clay Loam. SBK. with common fine mica flakes and increasing(few to common) 3 Tpockets of soft 10yr6/8 brownish yellow_, 10yyr8/1 white Silt Loam saprolite , CB 27-60 Soft lOvr6/8 brownish yellow. IOvrB 1 white Silt Loam saprolite and 2.5vr5/8 red Clay Loam 3 Notes: 1. Low chroma colors noted above are mineral in nature and not indicative of redoximorphic conditions. 2. Borings 1 & 2 were located in what is now the proposed parking area tux wrap L+o-i n Albemarle County Design Calculations The drainfield size has been based on an estimated maximum number of worshippers who might visit the chapel, including the clergy,on a giken day. Each person has been assigned a daily usage of 5 gallons for bathroom usage,hand-washing,and any dishwashing that may be needed after a service. Historically, no more than 25 people have attended a service, and 50 people would fill the chapel to capacity. Therefore the design calculations will be based upon 50 people. 50 persons X 5 UPD — 250 GPD. Design Basis for Primary Drainfield A. Estimated Percolation Rate 65 it 2' in R. Trench hottom square feet required per 100 GPl) 331 C. Estimated GEM 25(1 Area Calculations A. Length of trench(ft.) 56 B Length of available area(ft.) 56+ C. Width of trench(ft.) 3 D. Number of trenches 5 E. Center-to-center spacing(ft.) 9 F. Width required(It.) 39 G. Width olio ailable area(ft.) 200(includes 100"o Reaerte area) 11. Total square footage required x?S 1. Square ftotage in design R:l() J. is a reserve area required? Yes. 100%Reserve Area Prom ided Sewage Disposal System Construction_Specifications General Information New ►1 Repair ❑ Expanded ❑ Owner All Saints Episcopal Chapel l elephone l ) Address 3929 Stour Point Rd.. Keswick. VA 22947 For a Type I sewage disposal system which is to be constructed at 3929 Stony Point Rd. lax Map 48-16 Subdivision Section Block Lot Actual or estimated water use 250 pd DESIGN NOTES Water supply,existing:(describe) For potential future - - conversion to public well. To be installed: Class 11113 Cased 50 ft. Grouted 50 tt, steel casing should be used. Building sewer: 4" (.D. PVC 40.or equivalent. Slope 1.25-per 10' (minimum) ❑ Other Septic tank: Capacity: IOOU gals.(minimum) ❑ Other Inlet-outlet structure: PVC 40,4-tees or equivalent. ❑ Other ' Pump and pump station: No ® Yes ❑ Describe and show design. If ties Gravity mains: 3"or larger ID.minimum 6-fall per 100'.1500 lb crush strength or equivalent ❑ Other Distribution box: Precast concrete v ith 8 ports ------------ -------- --------------0 Other ' Header lines: Material 1"plastic 1500 lb.Per loot bearing to al or cuui‘alent from distribution box to 2 into absorption ti elicit. Slope 2-per 100'minimum. ❑ Other Percolation lines: Gravity 4"plastic 1000 lb per tbot bearing load or equivalent.slope 2--4"(min-max)per 100' ❑ Other Absorption trenches: Square ft. required h lU Depth from ground surthce to bottom of trench 27": Trench width 36" Center-to-Center Spacing 9' Depth of aggregate: 13" ' Trench leneth: 56' Number of trenches: 5 SEWAGE DISPOSAL SYSTEM CONSTRUCTION AND INSTALLATION REQUIREMENTS 1. Afton Soil Consulting is required to inspect the installation of this drainfield. 2. Inspection fees are $200.00 per inspection. All inspection fees will he billed to the owner/applicant. 3. Afton Soil Consulting needs at least 48 hours advance notice to schedule an inspection. 4. Call (540)471-6589 to request inspections, or if you have any questions prior to installing the system. 5. The drainfield trenches must be installed with a sight transit or a laser level. 6. Do not clear the site or install the drainfield trenches in wet weather. 7. The distribution box must not have more than 24" of cover. 8. Gravel-less trench systems must be installed exactly according to the manufacturer's instructions. 9. The drainfield installer must completely follow the construction criteria contained in the Virginia Department of Health Sewage Handling & Disposal Regulations when installing the sewage disposal system. 10. No part of this installation can be covered before the inspection. This includes trenches! \ FOR TAX MAP 48-16 \ NALBEMARLE COUNTY.VA \ . \ \ .-------4--- \ \ \,...._ - ---- - 7/ I 1 I r 6 iII N O INSTALL: - TRENCHES 1000/0 -56'LONG EACH I - WIDE EACH RESERVE -27" DEEP EACH AREA -9'CENTER TO CENTER SPACING (MINIMUM) 1 -INSTALL ON CONTOUR! I I 5 r----- I 1 l ° il 1 °. I A DO!NON- °° .. — IIIB WELL AREA: DUSTING '0. dPSW CHAPEL- I / - 10' x 50' BOX ALONG 84' op-' PROPERTY LINE IN • ■ I LOCATION SHOWN. f \ —J1 LA - 1 \ 30' FROM THE EDGE I OF THE HIGHWAY 4i � l ' ' EASEMENT O: •Aa. .Aa•r3:. 1 _ _ _ - — �- "" — _____- ADJACENT LAND IS MATURE HARDWOOD FOREST,NOT AGRICULTURAL LAND. N - S .0,1 c*T CJyJ Xt u° t4, , �r '. � h 9 h r 8 77° Cr, LY.p,/G 4 Oar droa.r n w.111[_ gH f , F , S � ' ° g Plat of survey of 2 acres of land deeded by the heirs of W.C. 4j Shackelford or. to the Trustees of St. dohn's Bpiscopel Mission Church. Being part of Doveddle rem near stony Point, Albemarle Co. Va. Beginning in the center of the rublic load running from stony Point to i,serboarsville, at the southeast Corner of the grounds of the Stony Point tiigh school and running thence s 64° ii along said road, 213 feet, to an angle therein, thence S 77°45' B along said road 65 ft. to a point opposite a White oak 10 in. thence S 18° Yi 253 ft. to a point, thence x' 68° w 475 ft. to the line between said Shackelford and the school, thence N 66° B 265 ft. along said line to en angle therein, thence along the same line s 18° A 65 ft. to the place of beginning. Containing 2 Acres of land, but subject tonight of way of the B.T. & T. Co's Pole line. surveyed by R.R.Meenard, soy. 1921 In the Clerk's Uffioe of Albemarle Circuit Court Feby 17th 1923. This deed was presented to nn in said office and with certificate annexed and plat attached admitted to record. Taste: 6k) QYlAa14 Clerk. ************.*******