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Page 1 of 2 <br />Site and Soil Evaluation Report <br />VDH Use Only <br />HDIN: PMTG-2025-0022 <br />General Information <br />Date: 02/10/2025 LouoouN County Health Department <br />Owner: Cleremont LLC Phone: (443) 743-3494 - Contact Jon Kraft <br />Owner Address: PO BOX 949 <br />Property Address: 20866 Trappe Road, Bluemont VA 20135 <br />Tax Map/GPIN 4: 667277463000 <br />Subdivision: N/A Section: N/A Block: N/A Lot: N/A <br />Soil Information Summary <br />1. Position in landscape satisfactory: N Yes ❑ No Describe landscape position: Backslope, variable topography onsite <br />o *Note OSE Rob Charnley <br />2. Slope: /o observed CR at 34" in <br />3. Depth to rock/impervious strata: Max. 44 in. Min. 34 in. ❑ Not observed "rest Pit 3 <br />4. Free Water Present: ❑ Yes N No Range in inches: <br />5. Depth to seasonal water table (gray mottling or gray color): inches N Not observed <br />6. Soil percolation rate estimated: 8 Yes ❑ No Estimated rate: 50-55 min/in at 'z_, ,,�.zz inches depth <br />Texture Group: ❑ I oil ❑ III ❑ IV <br />7. Percolation test performed: 8 Yes El No If yes, provide additional data on percolation test results. <br />Name and title of evaluator: Jason Purdy, MAOSE# 1940001483 <br />Signature: <br />El Site approved: Absorption, Trenches (describe dispersal area, e.g. absorption trenches) dispersing <br />conventional (proposed level of treatment at time of evaluation) to be placed at (inches) depth at <br />site designated on permit. Site provides a total of 3000/1800+ square feet of absorption area for primary and <br />reserve (if applicable). <br />E3 Site disapproved: Reasons for rejection (check all that apply) <br />1. ❑ Position in landscape subject to flooding or periodic saturation. <br />2. ❑ Insufficient depth of suitable soil over hard rock. <br />3. ❑ Insufficient depth of suitable soil to seasonal water table. <br />4. ❑ Rates of absorption too slow. <br />5. ❑ Insufficient area of acceptable soil for required absorption area, and/or reserve area. <br />6. ❑ Proposed system too close to well. <br />7. ❑ Other (specify) <br />This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 <br />