George Washington Regional Commission

REQUEST FOR QUOTES

2025-319h-005

Program Project/Bid #

George Washington Regional Commission 406 Princess Anne Street Fredericksburg, VA 22401

Phone: (540) 642-1540 Email: septicrelief@gwregion.org www.gwregion.org

Project Title: Install Alternative Onsite Septic System - 29124 Richmond Turnpike, Ruther Glen, VA 22546

Issue Date: May 11, 2026

Due Date: June 1, 2026 no later than 2PM at 406 Princess Anne Street, Fredericksburg, VA 22401 email: septicrelief@gwregion.org

RFQ Package: 1) Request For Quotes

2) Attachment A – Quote Form

3) Attachment B – Safety Certification Form

4) Attachment C – Scope of Work

5) Attachment D – Permit Documentation

6) Attachment E – GWRC General Conditions

7) Attachment F – Additional Documentation

Submit: 1) Quote Form-All pages (Attachment A)

2) Safety Certification Form (Attachment B)

3) Proof of DPOR Licensure (Class A or B contractor’s license with ADS/CDS/WW specialty attached to the license). See “Attachment F”

Submit 1 through 3 to septicrelief@gwregion.org or 406 Princess Anne Street, Fredericksburg, VA 22401

EMAILED RESPONSES ARE ACCEPTABLE at septicrelief@gwregion.org

Inquiries: septicrelief@gwregion.org

I. Instructions to Vendors & Scope of Work

Instructions to Vendors: This Request for Quotes is issued by George Washington Regional Commission (“Owner”) to obtain quotes from qualified and experienced contractors to install a new septic system located at 29124 Richmond Turnpike, Ruther Glen, Virginia, 22546 as described in the Scope of Work outlined below. The successful vendor shall perform the required work at the time and place designated by Brianna Heath, email brianna.heath@gwregion.org, phone 540-642- 1575, the Owner’s designated representative. Once the work starts, it shall be worked continuously until satisfactory completion.

Vendors shall submit a lump sum price for a complete turnkey job as described in the Scope of Work.

All vendors shall be properly licensed by the Commonwealth of VA. All vendor site supervisors assigned to this project shall have a minimum of 3 years’ experience in similar work. A qualified site supervisor shall be on site at all times during the Work.

All quotes must be received by June 1, 2026 no later than 2 pm local time at the GWRC Offices at 406 Princess Anne Street, Fredericksburg, VA 22401 or by email at septicrelief@gwregion.org. Award will be given to the lowest responsive and responsible bidder on the basis of Total Base Quote.

Scope of Work:

Onsite Sewage System Installation Project number: 2025-319h-005 Address: 29124 Richmond Turnpike, Ruther Glen, VA 22546

Installation of an Alternative Onsite Sewage System (AOSS). The system shall carry a minimum one

(1) year labor warranty in addition to the manufacturer’s warranties.

Contractor to provide all necessary permits/approvals, materials, labor, tools, equipment, supervision, supplies, and other items needed or required to safely execute and perform all work in accordance with the Attachment D, Alternative Onsite Sewage System Installation Project (033-26-0090-SR) Address: 29124 Richmond Turnpike, Ruther Glen, Virginia 22546, code requirements and any addenda contained in the scope of this request.

Compliance with Regulations:

The specifications herein are not intended to be all inclusive of the safety, codes, and regulatory requirements mandated by Federal, OSHA, State and local governments and regulatory organizations. All contractors shall conform to all applicable regulations.

Permits:

All permits necessary to perform the required work shall be acquired by the Contractor.

General Terms & Conditions: Subject to GWRC General Terms & Conditions, provided here as Attachment E.

Special Terms & Conditions

PRECEDENCE IN TERMS

In the event of a conflict, the Special Terms & Conditions shall take precedence.

CONTRACTORS TITLE TO MATERIALS

No materials or supplies for the work shall be purchased by the contractor or by any subcontractor subject to any security interest, installment or sales contract or any other agreement or lien by which an interest is retained by the seller or is given to a secured party. The contractor warrants that he has clear title to all materials and supplies which he uses in the work or for which he accepts payment in whole or in part.

EXTRA CHARGES NOT ALLOWED

The bidder’s offered price for the work shall include furnishing, delivering and installing the required equipment; no extra charges shall be allowed without prior written approval by GWRC.

DELIVERY AND STORAGE

It shall be the responsibility of the contractor to make all arrangements for delivery, unloading, receiving and storing materials. The owner will not assume any responsibility for receiving these shipments. Contractor shall check with the owner and make necessary arrangements for security and storage space if required.

FINAL INSPECTION

At the conclusion of the work, the contractor shall demonstrate to the authorized owner’s representative that the work is fully operational and in compliance with contract specifications and codes. Any deficiencies shall be promptly and permanently corrected by the contractor at the contractor’s sole expense prior to final acceptance of the work.

WARRANTY

The contractor agrees that the goods or services furnished under any award resulting from this solicitation shall be covered by the most favorable commercial warranties the contractor gives any customer for such goods or services and that the rights and remedies provided therein are in addition to and do not limit those available to the Owner by any other clause of this solicitation. A copy of this warranty should be furnished with the bid. At a minimum, all materials, equipment and labor shall be fully guaranteed by the contractor against defects resulting from the use of inferior materials, equipment, or workmanship for one (1) year from the date of final acceptance of the entire project by the owner in writing.

The contractor warrants that, unless otherwise specified, all materials and equipment incorporated in the work under the contract shall be new, in first-class condition, and in accordance with the contract documents. The contractor further warrants that all workmanship shall be of the highest quality and in accordance with contract documents and shall be performed by persons qualified at their respective trades. Defects discovered during the warranty period shall be corrected by the contractor to the Owner’s satisfaction, at no cost to the Owner and shall be subject to the provisions of this clause to the same extent as materials initially delivered.

WORK SITE DAMAGES

Any damage to existing utilities, equipment or finished surfaces resulting from the performance of this contract shall be repaired to the Owner’s satisfaction at the contractor’s expense.

SUPERINTENDENCE BY CONTRACTOR

The contractor shall have a competent foreman or superintendent, satisfactory to the Owner, on the job site at all times during the progress of the work. The contractor shall be responsible for all construction means, methods, techniques, sequences, and procedures, for coordinating all portions of the work under the contract except where otherwise specified in the contract documents, and for all safety and worker health programs and practices. The contractor shall notify the owner, in writing, of any proposed change in superintendent including the reason therefore prior to making such change.

USE OF PREMISES AND REMOVAL OF DEBRIS:

The contractor shall:

Perform his contract in such a manner as not to interrupt or interfere with the operation of any existing activity on the premises or with the work of any contractor;

Store his apparatus, materials, supplies, and equipment in such orderly fashion at the site of the work as will not unduly interfere with the progress of his work or the work of any other contractor; and

Place upon the work or any part thereof only such loads as are consistent with the safety of that portion of the work.

The contractor expressly undertakes, either directly or through his subcontractor(s), to effect all cutting, filling, or patching of his work required to make the same conform to the drawings and specifications, and, except with the consent of the owner, not to cut or otherwise alter the work of any other contractor. The contractor shall not damage or endanger any portion of the work or premises, including existing improvements, unless called for by the contract.

The contractor expressly undertakes, either directly or through his subcontractor(s), to clean up frequently all refuse, rubbish, scrap materials, and debris caused by his operations, to the end that at all times the site of the work shall present a neat, orderly, and workmanlike appearance. No such refuse, rubbish, scrap material, and debris shall be left within the completed work nor buried on the building site, but shall be removed from the site and properly disposed of in a licensed landfill or otherwise as required by law.

The contractor expressly undertakes, either directly or through his subcontractor(s), before final payment, to remove all surplus material, false work, temporary structures, including foundations thereof, plants of any description and debris of every nature resulting from his operations and to put the site in a neat, orderly condition; to thoroughly clean and leave reasonably dust free all finished surfaces including all equipment, piping, etc., on the interior of all buildings included in the contract;

and to thoroughly clean all glass installed under the contract including the removal of all paint and mortar splatters and other defacements. If a contractor fails to clean up at the completion of the work, the owner may do so and charge for costs thereof to the contractor.

SAFETY

The Contractor shall be responsible for initiating, maintaining and supervising all safety precautions and programs in connection with the work.

The Contractor shall submit a Safety Certification Form that includes the following information: 4

A. The name and phone number of the individual who will be responsible to ensuring all applicable safety procedures are followed and personal protective equipment is used on the project site.

B. The name and phone number of the individual who should be contacted in the event of an emergency.

C. A copy of the Safety Certification Form is included as Attachment B.

WORK PERFORMANCE

The Contractor shall perform the work in accordance with manufacture’s recommendations and specifications.

CONTRACTOR RESPONSIBILITIES

Employees of the contractor must be able to work within a public setting without creating a disruption and conform to all policies, rules and regulations. Contractor shall require that their employees to be courteous at all times and not to use loud or profane language. Contractor shall require that its employees shall not trespass, loiter, cross property to adjoining premises, or tamper with property not covered by the contract resulting from this solicitation.

The Contractor shall be solely responsible for job site conditions and completely supervising and directing the work under this contract and all subcontractors that he may utilize. Subcontractors who perform work under this contract shall be responsible to the Contractor. The Contractor agrees that he is fully responsible for the acts and omissions of his subcontractors and of persons employed by them as he is for the acts and omissions of his own employees. These requirements will apply continuously and not be limited to working hours.

It is the contractor’s responsibility to have equipment of suitable type, and in proper condition to operate and maintain uninterrupted schedules.

It is the contractor’s responsibility to follow schedules and instructions provided by designated Owner contacts.

PROTECTION OF PERSONS AND PROPERTY

The Contractor expressly undertakes, both directly and through its subcontractors, to take every precaution at all times for the protection of persons and property, including George Washington Regional Commission employees and property.

EMERGENCY

In an emergency affecting the safety of life, the Work, or of the adjoining property, the Contractor, without special instruction or authorization from the Owner, shall act to prevent threatened loss or injury.

Any compensation, claimed by the Contractor on account of emergency work, shall be determined by agreement between the Owner and the Contractor.

DAMAGES

The Contractor shall be responsible for damage or injury to property during the prosecution of the Work resulting from any act, omission, neglect, or misconduct in the method of executing the Work or attributable to defective Work or materials. This responsibility shall not be released until final acceptance of the Project by the George Washington Regional Commission.

When direct or indirect damage is done to property by or on account of any act, omission, neglect or misconduct in the method of executing the Work or in consequence of the non-execution thereof on the part of the Contractor, the Contractor shall restore such property to a condition similar or equal to that existing before such damage was done by repairing, rebuilding or restoring, as may be directed by the Owner, or making settlement with the property owner. The Contractor shall secure from the property owner a release from any claim against the Owner without additional compensation therefore. A copy of this release shall be furnished to the Owner.

RESTORATION

All private and public property disturbed in the process of construction shall be restored to the condition existing prior to construction. Proper notice shall be given to the owner of any expected inconvenience or hazardous condition. Special care must be taken to prevent damage to trees and shrubs. Road 5 surfaces adjacent to the work site that have soiled by the Contractor shall be cleaned of soil with mechanical brooms at the end of the working day.

All surplus materials shall be disposed of in a manner acceptable to the Owner, and the construction area shall be left in a neat condition. No machinery or equipment shall be left or stored on the job site after the project is completed.

LABELING OF HAZARDOUS SUBSTANCES

If the items or products requested by this solicitation are “Hazardous Substances” as defined by Section 1261 of Title 15 of the United States Code (U.S.C.) or “Pesticides” as defined in Section 136 of Title 7 of the United States Code, then the bidder/offeror, by submitting his bid/proposal, certifies and warrants that the items or products to be delivered under this contract shall be properly labeled as required by the foregoing sections and that by delivering the items or products the bidder/offeror does not violate any of the prohibitions of Title 15 U.S.C. Section 1263 or Title 7 U.S.C. Section 136.

MATERIAL SAFETY DATA SHEETS

Material Safety Data Sheets and descriptive literature shall be provided for each chemical and/or compound offered.

DATE OF COMMENCEMENT AND COMPLETION

The date of commencement shall be established in a written Notice to Proceed issued by the Owner.

Work under the Contract shall be completed within time frame established in the Notice to Proceed.

MATERIALS AND WORKMANSHIP

The Contract Documents describe the character and features of the materials and workmanship required to perform the Work. The Contract Documents require first class work and materials in all particulars. It is understood that the contract includes any and all work that may be necessary to connect the work done with the adjoining work in a proper and workmanlike manner.

The Owner reserves the right to employ an independent testing laboratory to conduct tests of materials, etc. as the Owner may deem necessary to assure complete compliance with the requirements of the specifications. The Contractor shall offer full cooperation with personnel in the employ of the Owner in making these tests.

NO DEVIATION FROM CONTRACT DOCUMENTS BY THE CONTRACTOR

In performing the Work, the Contractor shall not deviate from the Contract Documents without the written consent of the Owner. If the Contractor does deviate from the Contract, he shall correct the error at his expense in a manner satisfactory to the Owner.

INTERPRETATION OF CONTRACT DOCUMENTS

In case of discrepancy between or among Contract Documents, the Owner shall make such interpretations as may be deemed necessary for the fulfillment of the intent of the Contract Documents as construed by him and his decision shall be final.

The Contractor shall verify all figures and will be responsible for the proper coordination of all dimensions as well as the different parts of the Work.

DISCREPANCIES

The Contractor shall immediately report to the Owner, in writing, any discrepancies found between the Contract Documents and site conditions or any inconsistencies or ambiguities in the Contract Documents. The Owner shall promptly correct such inconsistencies or ambiguities in writing. Work done by the Contractor after his discovery of such discrepancies, inconsistencies or ambiguities shall be done at the Contractor's risk.

CONTRACTOR’S INSURANCE

1. The Contractor shall purchase and maintain during the life of this contract such

Comprehensive General Liability Insurance including product and completed operations liability insurance as will provide protection from Contractor’s performance of the Work and Contractor’s other obligations under the contract documents, whether such performance is by Contractor, or by subcontractor, by anyone directly or indirectly employed by any of them, or 6 by anyone for whose acts any of them may be liable and shall otherwise bear responsibility, therefore. The Contractor further agrees that all limits will be made available which are equal to or excess of the amounts below:

A. Workers Compensation and Employers Liability

Coverage A - Statutory Coverage B - $100,000/$100,000/$500,000

B. Commercial General Liability Including Contractual and Completed Operations.

Limit of Liability $1,000,000 Per Occurrence

C. Commercial Auto Liability Including Hired and Non-Owned Car Liability Coverage

Limit of Liability $1,000,000 Per Occurrence

The Contractor shall purchase and maintain during the life of this Contract such commercial automobile liability insurance including employer’s non-ownership liability and hired car liability insurance to protect him and any subcontractors performing work covered by this Contract from claims for damages, whether such operations be by him or any subcontractor, or by anyone directly or indirectly employed by either of them.

D. Excess Liability Contractors have the option of meeting the insurance requirements of B and C above with a single primary policy or by providing evidence of an excess policy that, in addition to the primary policy, provides the coverage and meets the limit requirements of the coverage as specified in B and C.

2. The Contractor shall file with the Owner, as herein before required, satisfactory proof of acceptable insurance coverage. Such proof shall, unless otherwise required by the Owner, consist of the following:

A. Certificates of insurance on the insurance carrier’s standard form indicating all policies required by law and the Contract documents. Certificates of insurance shall be furnished in a number of copies equal to the number of counterparts of the Contract documents executed. Contractor shall notify Owner immediately if Contractor receives notification of non-renewal or cancellation.

3. George Washington Regional Commission shall be Named as an Additional Insured on the

Commercial General Liability on a primary basis. GWRC’s Commercial General Liability shall not contribute in any loss payment insured under the Contractor’s Commercial General Liability policy.

GWRC – ATTACHMENT A

QUOTE FORM - Request for Quotes

Project Name: Install Alternative Onsite Septic System Address: 29124 Richmond Turnpike, Ruther Glen, VA 22546

FOR: RFQ 2025-319h-005: The undersigned, having reviewed the above-referenced project and the requirements of the Request for Quotes, hereby proposes to furnish labor, materials, delivery and warranty to provide services as described in the Scope of Work that is necessary to perform and complete the project in accordance with the Request for Quote documents.

Item Description Quantity / Unit

Total Price

Construct Alternative Onsite Sewage System (AOSS) per Caroline County Permit 033-26- 0090-SR to include: TL-2 Norweco TNT500 ATU to and GeoMat drainfield; drainfield protection; compliance with VDH licensing requirements;

final installation inspection, inspection fees and as- built design; obtaining Operation Permit to include Notice of Recordation;

Administration; Invoicing, General Conditions.

LS

2 Initial septic pump-out LS

3 Tree Removal and/or site clearing (as required)

LS

4 Abandonment of existing septic system (as required)

LS

TOTAL BASE QUOTE

Additional pump outs if needed each

Total Base Quote $ 8

Start Date: Completion Date:

Total Base Quote In Words:

The Undersigned Agrees:

A. To uphold the Bid for 90 business days after submitting their Bid.

B. To execute the work, if awarded a Contract on the basis of this Bid.

The undersigned certifies that he (they) are the only person(s) interested in this Bid and that it is made without connection with other persons submitting a Bid on the same scope of services; that the Bid is fair and made without collusion, fraud, or reservation; that no official or employee of the George Washington Regional Commission is directly or indirectly interested in said bid or any portion thereof.

My signature on this solicitation constitutes certification that I or my designated representative are aware of the conditions under which the work must be accomplished. Claims resulting from failure to ascertain the conditions under which the work must be accomplished will not be considered by the Owner. By my signature on this solicitation, I certify that this firm/individual is authorized to contract on behalf of the firm named below and is properly licensed for providing the goods/services specified.

Company Name:

License# Type:

Address:

City/State/Zip:

Telephone: FAX:

Email Address:

Federal Tax ID:

Print Name: Title:

Signature: Date

Acknowledgement of Addendums: #1 #2

*State Corporation Commission Requirement per the Virginia Public Procurement Act, VPPA:

*SCC Requirement per the Virginia Public Procurement Act, VPPA:

§ 2.2-4311.2. Compliance with state law; foreign and domestic businesses are authorized to transact business in the Commonwealth.

A. All public bodies shall include in every written contract a provision that a Contractor organized as a stock or nonstock corporation, limited liability company, business trust, or limited partnership or registered as a registered limited liability partnership shall be authorized to transact business in the Commonwealth as a domestic or foreign business entity if so required by Title 13.1 or Title 50 or as otherwise required by law.

B. Pursuant to competitive sealed bidding or competitive negotiation, all public bodies shall include in the solicitation a provision that requires a bidder or offeror organized or authorized to transact business in the Commonwealth pursuant to Title 13.1 or Title 50 to include in its bid or proposal the identification number issued to it by the State Corporation Commission. Any bidder or offeror that is not required to be authorized to transact business in the Commonwealth as a foreign business entity under Title 13.1 or Title 50 or as otherwise required by law shall include in its bid or proposal a statement describing why the bidder or offeror is not required to be so authorized.

C. Any bidder or offeror described in subsection B that fails to provide the required information shall not receive an award unless a waiver of this requirement and the administrative policies and procedures established to implement this section is granted by the Director of the Department of General Services or his designee or by the chief executive of a local governing body.

D. Any business entity described in subsection A that enters into a contract with a public body pursuant to this chapter shall not allow its existence to lapse or its certificate of authority or registration to transact business in the Commonwealth, if so required under Title 13.1 or Title 50, to be revoked or cancelled at any time during the term of the contract.

E. A public body may void any contract with a business entity if the business entity fails to remain in compliance with the provisions of this section.

State Corporation Commission Form This form must be returned with response to solicitation

Virginia State Corporation Commission (“SCC”) registration information:

The before signed Offeror:

is a corporation or other business entity with the following SCC identification number: _________________________

-OR-

is not a corporation, limited liability company, limited partnership, registered limited liability partnership, or business trust

-OR-

is an out-of-state business entity that does not regularly and continuously maintain as part of its ordinary and customary business any employees, agents, offices, facilities, or inventories in Virginia (not counting any employees or agents in Virginia who merely solicit orders that require acceptance outside Virginia before they become contracts, and not counting any incidental presence of the offeror in Virginia that is needed in order to assemble, maintain, and repair goods in accordance with the contracts by which such goods were sold and shipped into Virginia from offeror’s out-of-state location)

-OR-

is an out-of-state business entity that is including with this bid an opinion of legal counsel which accurately and completely discloses the undersigned offeror’s current contacts with Virginia and describes why those contacts do not constitute the transaction of business in Virginia within the meaning of §13.1-757 or other similar provisions in Titles 13.1 or 50 of the Code of Virginia.

**NOTE** Check the following box if you have not completed any of the foregoing options but currently have pending before the SCC an application for authority to transact business in the Commonwealth of Virginia and wish to be considered for a waiver to allow you to submit the SCC identification number after the due date for bids (the Commonwealth reserves the right to determine in its sole discretion whether to allow such waiver):

ALL PAGES OF QUOTE FORM SHALL BE SUBMITTED.

Attachment B Safety Certification Form

RETURN WITH QUOTE FORM

To: George Washington Regional Commission

Project Title _______________________________________________________________________

Contract No. _______________________________________________________________________

Project Safety Responsibility (Name) _____________________________________________________

Telephone Number: ___________________________________________________________________

Cell Number: _________________________________________________________________________

Email: _______________________________________________________________________________

Emergency Contact (Name) _____________________________________________________________

Telephone Number: ___________________________________________________________________

Cell Number: _________________________________________________________________________

Email: _______________________________________________________________________________

The undersigned hereby attests that the project has been carefully evaluated for the safety risks it presents and all safety procedures required based on these risks by Virginia Occupational Safety Health, referenced in the bid document, will be implemented. Virginia Occupational Safety & Health and all other applicable Federal, State and local laws referenced in the bid document, will be implemented. All workers on this project will be properly trained on the use of safety equipment and safe work practices.

By:

(Type Name and Title)

(Signature) (Date)

Attachment C – Project Title: Alternative Onsite Sewage System Installation Project (033-26-0090- SR) Address: 29124 Richmond Turnpike, Ruther Glen, Virginia 22546

Scope of Work:

The contractor shall furnish all labor, supervision, equipment, tools, parts, supplies and materials, as necessary, to perform the services as described herein:

Cost for Line Item #1-5. These are known factors. Vendors must invoice for actual cost incurred as described herein:

A) Construct an Alternative onsite sewage system that meets the location and construction specifications of the Virginia Sewage Handling and Disposal Regulations (12VAC5-610-10 et seq., the Regulations).

B) Construct the above Alternative onsite sewage disposal system in compliance with the Caroline County Health Department Construction Permit 033-26-0090-SR at 29124 Richmond Turnpike, Ruther Glen, Virginia, 22546 in the location shown on the permit. The permit may contain additional conditions, notes, and information needed to construct the onsite sewage system as shown by “Attachment D”.

C) Septic Pump-out Requirements: All bids shall include the cost to pump out the contents of the existing septic tank by a properly licensed sewage hauler. To prevent sewage from backing into the home or erupting on property surface prior to the completion of the septic work, additional pumpouts of the contents of the existing septic tank by a properly licensed sewage hauler may be required on an as-needed basis. Bids should provide a cost-breakdown per additional pumpout. If multiple pumpouts are needed preauthorization will need to occur to allow for a change order for additional, justifiable pumpouts. If the permit requires work within or under the existing drainfield (as indicated in the Permit) additional monitoring and pumping of the existing septic tank may be required in order to allow for the drying out of the drainfield. In these cases, for one week prior to the installation or repair of the onsite sewage system the effluent level of the septic tank must be monitored so that it does not discharge into the pump chamber or dispersal field. The contents of the existing septic tank shall be pumped by a properly licensed sewage hauler to prevent sewage from entering the drainfield for one week prior to installation.

D) Tree Removal and Site Clearing: A pre-bid site visit is recommended to determine what if any tree removal or site clearing that may need to occur. Per the above referenced Permit, remove any trees and wood debris as described in the permit and haul away wood and debris unless notified otherwise. Costs of tree removal and site clearing should be included in initial lump sum bids. Any additional site clearing, or tree removal required during installation must be submitted in writing to and approved by GWRC and VDH in writing including an additional cost estimate. Any personal property items that will prohibit the contractor from accessing the site or installation of the new system is the responsibility of the homeowner to remove and should not be included in the bid.

E) Provide, or subcontract with a licensed plumber and electrician to provide plumbing and electrical required to convey the wastewater from the house to the onsite sewage system as required by the Regulations and the Virginia Uniform Statewide Building Code. This includes obtaining or assuring that the owner obtains all permits and inspections necessary by the local building authority in compliance with the Virginia Uniform Statewide Building Code.

F) Abandon any unused component of the former onsite sewage system as specified by the Caroline County Health Department Construction Permit 033-26-0090-SR. Upon completion of the onsite sewage system repair, the existing septic tank shall be pumped by a properly licensed sewage hauler, the tank crushed in place, lime placed over the crushed tank, and the tank hole filled with clean backfill material and restoring the area to its original condition. Abandonment may also include removing unused sewer line and conveyance lines and crushing and filling the distribution box.

G) Follow all regulations and permitting pertaining to erosion and sediment control including stabilizing, seeding and grading the site after construction to return to the original state. Control construction runoff with proper practices so as not to become a nuisance to the owner or to neighboring properties or cause sediment to be discharged into state waters and drainage ditches. Any construction debris generated by this project must be removed from the site and disposed of properly.

H) Bidders shall comply with all requirements of the Department of Professional and Occupational Regulations (DPOR) for contracting and executing the contract with the George Washington Regional Commission; Must provide a copy of Class A or B contractor’s licenses from DPOR, with an Alternative Sewage Disposal System Contracting (ADS) specialty from DPOR, a Master Alternative Onsite Sewage System Installer license from DPOR, and proof of insurance. Bidders contacted by GWRC to provide any missing required documents, must provide the document within 24 business hours or their bid will be considered non-responsive.

I) Obtain a final installation inspection from a third party OSE and assure that the onsite sewage system complies with the Regulations. Receive a completion/inspection report, as-built design from private OSE.

J) Provide all required documentation to the Caroline County Health Department following completion of construction and obtain an Operation Permit for the onsite sewage system.

K) Provide to GWRC at speticrelief@gwregion.org the following information by the listed deadline:

• Project Start and End Dates: Estimated project start and completion dates to be provided two (2) weeks prior to the start of the installation/work or within four (4) weeks after issuance of PO or issuance of Notice to Proceed; whichever is earlier.

• Name and licensure of subcontractor(s): The contractor shall within four (4) weeks after the signing of the contract (or within two weeks of the work starting or within 1 week after changing subcontractor;

whichever is earlier), notify GWRC in writing of the names of subcontractors proposed for the principal parts of the work.

• Request for Change Orders: All requests for changes must be provide in writing per the contract terms and conditions and are not authorized until a response in writing is sent by GWRC.

• Request for Extensions: If it is determined that the work will not be able to be completed by the contract expiration date listed in the Notice to Proceed, a request for an extension must be provided, in writing, a minimum of two weeks prior to contract expiration date. Justification for why work could not be performed within the original contract term must be provided. Extensions requested on or after the expiration date will not be able to be accommodated.

L) Submit invoice to septicrelief@gwregion.org once Local Health Department has issued the Operations Permit.

Include a copy of the completion statement, Onsite Soil Evaluator (OSE) or Professional Engineer (PE) inspection report, notice of recordation for O&M and/or conditional permit (if applicable), operations permit, and documentation of septic tank pump outs (receipts, septic pump out log).

OSE Alternative Construction Permit - Septic Repair Allow 5 business days after the last piece of documentation is received for the Operation

Permit to be issued.

Sewage Contractors: Notify the Health Department and OSE or PE 48 hours prior to installation to arrange for inspection. This is REQUIRED.

April 16, 2026

29124 Richmond Turnpike Ruther Glen, VA 22546

RE: 29124 Richmond Turnpike, Ruther Glen, VA 22546 Tax Map: 102-A-22 (Caroline County) Subdivision: N/A HDID: 033-26-0090-SR Reserve: 0% reserve area provided System Capacity: Existing Residential, 3 Bedrooms, 450 gpd (peak) Expiration Date: October 16, 2027 Notes:

1. For this septic repair, an entirely new alternative (TL2 – Norweco TNT 500 ATU to GeoMat) drainfield shall be installed per the OSE’s specifications.

2. The drainfield area shall be protected from vehicle encroachment (per GeoMat manual).

Dear :

This letter and the attached drawings, specifications, and calculations (21 pages) dated March 16, 2026 constitute your permit to install sewage disposal system repairs (and/or upgrades) 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 has not been conducted for the issuance of this permit.

The sewage disposal system repair permit was certified by Rodney Whittaker, 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 onsite sewage system repairs. The attached plat shows the approved area for the sewage disposal system repair. This construction permit is null and void if any substantial physical change in the soil or site conditions occurs where the sewage disposal system repair is to be located.

If modifications or revisions are necessary between now and when you install your sewage disposal system repairs, please contact the OSE/PE who performed the evaluation and design on which this permit is based. Should revisions be necessary during construction, your septic contractor should

Caroline County Health Department

PO BOX 6

Bowling Green, VA 22427

(804) 633-6237 Voice

(804) 633-6349 Fax

Attachment D consult with the OSE/PE that reported and 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 septic repair at the time of construction provided adequate documentation is provided to the Caroline County Health Department.

The OSE/PE that submitted the certified design for this permit is required to conduct a final inspection of the sewage system repairs when they are installed and to submit an inspection report and completion statement. As the owner, you are responsible for giving reasonable notice to the OSE/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 completion statement executed by another OSE/PE. The Caroline 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.

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.

This construction permit is transferable until expired or deemed null and void. A permit transfer form may be found on the VDH website at http://www.vdh.virginia.gov/environmental-health/gmp-2015-01-forms/. If you have any questions, please contact me at 540-507-7395 (direct) or megan.webb@vdh.virgnia.gov.

This permit expires: October 16, 2027.

Sincerely, Megan A. Webb Environmental Health Supervisor Caroline County Health Department

CC: Rodney Whittaker, Private OSE

WHAT YOU WILL NEED TO GET YOUR

SEPTIC SYSTEM OPERATION PERMIT

• Your system must have a satisfactory inspection at the time of installation. This will be done by a representative of the local Health Department and 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 and completion statement to the local Health Department.

• Please ensure that your contractor turns in a Completion Statement to the local Health Department after installation.

• The “Notice for Recordation” page must be signed, notarized and recorded in the county deeds. A copy of the recorded document must be provided to the Health Department.

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 your water sample test result being negative/satisfactory for coliform 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 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 Caroline County Health Department at (804) 633-6237.

Subject: Alternative Onsite Sewage Disposal System, Owner Responsibilities Health Department ID Number: 033-26-0090-SR Tax Map Number: 102-A-22 Physical Address: 29124 Richmond Turnpike, Ruther Glen, VA 22546

Dear :

Records on file at the Caroline County Health Department indicate that you are the owner of an Alternative Onsite Sewage System (AOSS) located at 29124 Richmond Turnpike, Ruther Glen, VA. This letter is to provide you with important information regarding owner responsibilities for the operation and maintenance of your AOSS. The Regulations for Alternative Onsite Sewage Systems (the “AOSS Regulations,” 12 VAC 5-613) became effective on December 7, 2011. These regulations can be found online at http://www.vdh.virginia.gov/EnvironmentalHealth/Onsite/regulations/index.htm.

The Commonwealth of Virginia State Board of Health Alternative Onsite Sewage Regulation outline the owner's responsibilities for alternative onsite sewage systems.

Owners are now required to:

1. Have the AOSS operated and maintained yearly by a licensed operator. A list of licensed operators can be obtained by visiting the Department of Professional and Occupational Regulation at www.dpor.virginia.gov. Select "License Lookup" from the menu, type an asterisk (*) in the name field, check the "Operators" box under "Onsite Sewage Systems Professionals" and click "search."

2. Have a licensed operator visit the AOSS at the frequency required by the regulations.

3. Have a licensed operator collect any samples required by the regulations (specific laboratory sampling requirements depend on the date your application was filed, the size of the treatment system, the approval status of the treatment unit, whether or not disinfection was required, and whether or not there is direct dispersal to groundwater. Laboratory sampling is not required for any small AOSS with an installed soil treatment area that is sized for septic tank effluent and complies with the requirements of 12VAC5-610 for septic tank effluent. Please consult your Operation and Maintenance Manual, the system designer, an Operator, or the Health Department if you have questions.).

Caroline County Health Department

PO BOX 6

Bowling Green, VA 22427

(804) 633-6237 Voice

(804) 633-6349 Fax

4. Keep a copy of the maintenance log provided by the operator on the property where the AOSS is located, make the log available to the health department upon request, and transfer the log to any future owner of the property.

5. Keep a copy of the Operation and Maintenance (O&M) Manual for the AOSS on the property where the system is located, make the manual available to the health department upon request, and transfer the O&M Manual to any future owner.

6. Comply with the onsite sewage disposal requirements contained in any local ordinance adopted pursuant to the Chesapeake Bay Preservation Act (§10.1-2100 of the Code of Virginia) and the Chesapeake Bay Preservation Area Designation and Management Regulations (9 VAC 10-20) if the AOSS is located within a designated Chesapeake Bay preservation area.

Proper operation and maintenance of an AOSS is required by law and is necessary to ensure continued functioning of the system and may prevent premature failure of the system. Operation and maintenance information for your system may be found by contacting the system designer, the local health department, or by visiting the VDH website at http://www.vdh.virginia.gov/EnvironmentalHealth/Onsite/newsofinterest/index.htm If you have any questions regarding this letter or believe that you received this letter in error, please contact me at (804) 633-6237. Your cooperation and timely response will be appreciated.

Sincerely, Virginia Department of Health

Subject: Recordation of Future Operation Permit

Health Department ID: 033-26-0090-SR Tax Map: 102-A-22

Location: 29124 Richmond Turnpike, Ruther Glen, VA 22546

Dear :

Your application to construct an alternative sewage disposal system to serve a residence at the above location, filed with the Caroline County Health Department, has been evaluated in accordance with the requirements contained in Section 32.1-164.1 of the Code of Virginia, 12 VAC 5-610-80 of the Sewage Handling and Disposal Regulations, and current agency policies and procedures.

Your application is approved and your construction permit is attached to this letter. After your alternative sewage disposal system is constructed and approved for use, the local health department will issue an Operation Permit. The Operation Permit will be valid as long the sewage disposal system is properly operated and maintained. In accordance with Section 15.2-2157 of the Code of Virginia, operation permits for alternative systems serving residential facilities must be conditioned. Before you receive an operation permit for your alternative onsite sewage disposal system, you must record a notice in the land records of the Clerk of the Circuit Court in the locality where the system is located.

You must furnish to the local health department a certification from the Clerk of the Circuit showing the deed book number and page number (or instrument number) upon which the notice was recorded. The notice must be indexed in the grantor index under your name.

The notice will state the following:

This permit is issued in accordance with the provisions of Title 32.1, Chapter 6 of the Code of Virginia as Amended, and § 12VAC5-610-340 of the Sewage Handling and Disposal Regulations of the Virginia Department of Health. The continued validity of this permit is contingent upon compliance with the operation and maintenance requirements contained in the Owner's Operation and Maintenance Manual and Regulations for Alternative Onsite Sewage Systems of the Virginia Department of Health (12VAC5-613-100 et seq.). Owners are advised to be aware of the operation and maintenance instructions for their alternative onsite sewage system and to follow them. Copies of the operation and maintenance instructions can be found by contacting the local health department for the locality where the onsite sewage disposal system is located.

If you have any questions or if this office can be of further service to you, please call us at (804) 633-6237.

Sincerely, Megan A. Webb Environmental Health Supervisor

Caroline County Health Department

PO BOX 6

Bowling Green, VA 22427

(804) 633-6237 Voice

Notice for Recordation: AOSS Operation and Maintenance Required

TO:

FROM: Megan A. Webb, Environmental Health Supervisor

RE: Tax Map :

HDID #:

Address:

033-26-0090-SR

102-A-22 29124 Richmond Turnpike Ruther Glen, VA 22546

TO WHOM IT MAY CONCERN:

The Caroline County Health Department has approved an alternative onsite sewage system (AOSS) for use for the property identified above as long as the system is properly operated and maintained and performs in accordance with the Sewage Handling and Disposal Regulations(12 VAC 5-610-10 et seq.) and the Regulations for Alternative On-Site Sewage Systems (12 VAC 5-613-10 et seq.)

This permit is issued in accordance with the provisions of Title 32.1, Chapter 6 of the Code of Virginia as Amended, and §12VAC5-610-340 of the Sewage Handling and Disposal Regulations of the Virginia Department of Health. The continued validity of this permit is contingent upon compliance with the operation and maintenance requirements contained in the Owner's Operation and Maintenance Manual and the Regulations for Alternative Onsite Sewage Systems of the Virginia Department of Health (12VAC5- 613-100 et seq.).