Loading...
HomeMy WebLinkAboutSUB201700201 Approval - Agencies 2017-12-20In Cooperation with the Thomas Jefferson Health District State Department of Health 113$ Rose Hill Drive Phone (434) 972-6219 P. O. Box 7546 Fax (434)972-431Q Charlottesville, Virginia 22906 December 20, 2017 Will Cockrell Department of Community Development Division of Zoning and Current Development 401 McIntire Road Charlottesville, Virginia 22902-4596 WOW:, ALBEMARLE - CHARLOTTESVILLE FLUIVANNA COUNTY (PALMYRA) GREENE COUNTY (STANARDSVILLE) LOUISA COUNTY (LOUISA) NELSON COUNTY (LOVINGTON) RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual Onsite Sewage Systems as part of a subdivision of Tax Map 65 Parcel 55 located in Albemarle County, Virginia. Dear Mr. Cockrell: On December 1, 2017, 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; Onsite Soil Evaluator Number 1940001284. 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 al] 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, Josh Kirtley Environmental Health Technical Consultant RECEIVED Thomas Jefferson health District DEC Z 7 amr COMMUNITY DEVELOPMENT DEIVED FnVirommntal Health Sei DEC 12 2011 COUNTY OF ALBEMARLE, Department of Community Development 401 McIntire Road, Room 227 Charlottesville, Virginia 229024596 Phone (434) 296-5832 Fax (434) 972-4126 12/1/2017 Josh Kirtley Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 RE: SLJB201700201 Lot B-2 & Residue Dear Mr. Kirtley: The County of Albemarle has received an application for a two -lot division, involving Tax Map Parcels (TMP) #65- 55. This project requires Health Department approval before receiving final County approval. The applicant has provided copies of the soils work associated with these parcels, dated November 24, 2017. Two copies of those reports are attached, as is the proposed plat dated October 12, 2017, and an application for subdivision review dated November 27, 2017. Please review the proposals for suitable subsurface drainfields which comply with the provisions of Chapter 18, Sections 4.2.2, 4.2.3, 4.2.4, and Chapter 14, Sections 14-309 and 14-310 of the Albemarle County Code. Should you have any questions or comments, please feel free to contact me. Review comments are due on Friday, December 15. Please call or email me if you have any questions or requests for assistance. Thank you very much for your assistance. Sincerely, Will Cockrell, AICP On -Call Planner J Department of Community Development Email: wcockrell(a7,albemarle.org, Voice: (434) 296-5832 ext. 3088 Fax: (434) 972-4035 Encl. Commonwealth of Virginia Application for Subdivision Review (Page 1 of 2 to be filled out by the Owner or Agent) r-nr)'n Owner Thelma Terrell and Jewell Mayse Vi Lu - U' U Mailing Address 2060 Mayflower Drive Woodbridge, VA 22192 Developer/Agent Steve Gooch, Consulting Geologist Mailing Address 703 Oliver Creek Road Troy, VA 22974 AOSE Steve Gooch Mailing Address 703 Oliver Creek Road Troy, VA 22974 VDH Use Only Health Department ID# Due Date Phone (571)533-3086 Phone Fax Phone (434)531-0487 Phone Fax Phone (434)531-0487 Phone Fax Directions to Property: From Charlottesville take 250 East to Shadwell, left on Rt. 231, right on Rt. 22 at Cismont, right on Maxfield Rd. to 650 Maxfield Rd. on right Name of Proposed Subdivision Tax Map 65-55 Other Property Identification Dimension/Acreage of Property 4.92 Ac. Number of lots proposed 2 Proposed water source (note: new or existing, public or individual) new, existing, individual General size of lots 2.09 Ac. and 2.83 Ac. (give range if appropriate) Additional description of subdivision Overview of soils and geology (optional but encouraged) In order for VDH to process a subdivision application you must attach a plat of the property showing the location of the proposed onsite sewage disposal systems and the reserve absorption areas (if required) and the location of the water supply system on each lot, if applicable. Each plat or subsection of a subdivision shall be accompanied by specific soil information for each lot (absorption area and reserve area). If not provided by the local subdivision ordinance, the district or local health department may require the plat to show streets, utilities, storm drainage, water supplies, easements, lot lines, and original topographic contour lines by detail survey or other information as required. When the AOSE site evaluations are reviewed, 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 be 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 (AOSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. Owner/ «/ r Date Albemarle Cain n9 PP Planni Application A/ Community DevelopmentDepartm�l 484 (� tireRo.ad Charlottesville, VA22902-4596 ,. ,. ere : (434) 296-5832 Fax : (434) 972-4126 TIV!R f165@@-@lfl~I - 155flllli C ner(s); TERRELL, THELMA & JEWELL 14AYSE Application # . ` 0201"02 Legal Description I ADAGE Magisterial Dist. JorvannaLand Use Primary Residential -- Single-family (Ind. mo=dular 1 Current RFD Not In AJF Qestrict Current Zoning Primary I3tural Areas 'LICATION :INFORMATION Street Address 65CIMAXFIELD RD KESWICK, .2.2947 r Entered By 1]enoifer5mi; .r Application Type iSubditriswn Plat ; fi i3�2,2iQ37 Project ILet 13-2 I!4. Residue Received Date 1112 17 Received Date Final Submittal Date I1J27/17 Total Fetes 93G Closing Fite Date Submittal Date Final B Total Paid 986 Revision Number Comments r Legal Ad SUB APPLICATION(s) Type Sub Axilicatio Cid Final Plat —...__._ ....... ! 11 27117 APPLICANT /CONTACT INFORMATION Cantaffm I Name Address Ci State zip ftm Pl»eQdl 0■ mfAMFr" +TE MLL.THELMA &JEWELL MAVSE . .._ .. - ?l;mary CmAcd - 'ANDY GRAFF - OLD ALBEMARLE _... _.. .2060 MAYFLOWER OR ' WGODBiUDGE VA ' 22192 ...... YCHARLDTTESXaLL 22902. ' 4342937530 -._. .._ .-. . ... _ 700 E. HIGH ST. Signature of Contractoror Authorized Agent Date Steve Gooch STEVE GOOCH spgooch.geologist@gmail.com C.P.G./O.S.E CONSULTING GEOLOGIST, INC. Phone: 434-531-0487 703 Oliver Creek Rd. Troy, Virginia 22974 F%71 ORAD November 24, 2017 Mr. Bill Fritz County Of Albemarle Dept. Of Planning and Community Development 401 McIntire Rd Room 227 Charlottesville, VA 229024579 Re: Proposed Drain Field Sites Parcel B-2 and Residue A Division of Tax Map 65-55 Albemarle County Dear Mr. Fritz: Enclosed are three (3) copies of the soils work associated with the proposed drain field sites for the above -referenced property. We request that you forward two (2) copies to the Charlottesville -Albemarle Health Department for their review. Also enclosed is the application for subdivision review form. If you have any questions, please do not hesitate to call. Sincerely, Steve Gooch Consulting Geologist, Inc. Steve Gooch Encl. RECEhW NOV 1 0 1017 COMMUNITY DEVELOPMENT Commonwealth Kr'- 60 99 o irginia Application for Subdivision Review (page 2 of 2 to be filled out by the county official reques#ing a VDH review) County Office initiating request C tact Individual VDH use Only Haft Depailm at IN Due Date Local offices ofthe Virginia Department of Health may review subdivision applications for compliance with star rules and regulations governing sewage treatment and dispersal and private water supplies, compliance with local ordinance governing sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please indicate the nature of review you are asking the health department to conduct. 1. Review for conformance with the Sewage Handling and Disposal Regulations 2. Review for conformance with local onsite wastewater ordinances 3. Other (describe below) Name and title ofrequestor OSE Fmm F Revised 7/02104 Date D Soils Study for Drain Field Sites Parcel B-2 and Residue A Division of Tax Map 65-55 Albemarle County Prepared for: Thehna Terrell and Jewell Mayse 2060 Mayflower Drive Woodbridge, VA 221.92 Prepared by: Steve Gooch Consulting Geologist, Inc. 703 Oliver Creek Road Troy, Virginia 22974 November 24, 2017 RECEIVED' NOY R 8 1011 COMMUNITY DEVELOPMENT OSE/PE Report for: Construction Permit 0 Certification. Letter LI Subdivision Approval Property Location: 911 Address: City: Lot B-2 Section Subdivision GP1N or Tax Map # 65-55 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name: Thelma Terrell_ and. Jewell Mayse Street: 2060 Mayflower Drive City: Woodbridge State VA Zip Code Page 1 of 5 22192 Prepared by: OSE Name Steve Gooch Lim # 1940001284 Address 703. Oliver Creek Road City Troy State IIA Zip Code 22974 PE Nance: License # Address City State Zip Code Date of Report 11/24/17 Date of Revision # l 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 Soil Profile Sheet Soil Information Summary Sheet Abbreviated Design Form Plat Certification Statement I herby 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 VACS' -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. The work attached to this cover Daae has been conducted under an exemption to the practice of engineering, specifically the exemption in Code of Virqinia Section 54.1-402.11 I recommend that a (select one): &Dnstruction permit certification letter subdivision approval be (select one) issued fZ denied OSE/PE Signature Date 1112 y117 Soil Profile Parcel B-2 A Division of Tax Map 65-55 Wakefield Road Albemarle County Hole Depth Horizon Material Description (in.) 1 0-4 A Light gray (1 OYR 6/ 1) loam, friable 4-18 Bt Light reddish brown (5YR 6/4) clay loam, friable 18-35 BC Strong brown (7.SYR 5/8) channery clay loam, friable, w/schist fragments 2 3 4 5 0 7 8 35- Cr 1aQ9t- 2 aF-� Soil Texture Group 2 3 3 0-5 A Light gray (I OYR 6/1) loam, friable 2 5-20 Bt Light reddish brown (5YR 6/4) channery clay loam, friable 3 w/schist fragments 20- Cr 0-4 A Light gray (I OYR 6/1) loam, friable 2 4-22 Bw Light yellowish brown (I OYR 6/4) channery silt loam, 3 friable, w/schist fragments 22- Cr 0-3 A Light gray (10YR 611) loam, friable 2 3-13 Bw Light yellowish brown (1 OYR 6/4) channery silt loam, 3 friable, w/schist fragments 13- Cr 0-5 A Light gray (I OYR 6/1) loam, friable 2 5-17 Bt Light reddish brown (5YR 614) channery clay loam, friable 3 w/schist fragments 17- Cr 0-5 A Light gray (IOYR 611) Ioam, friable 2 543 Bt Light reddish brown (5YR 614) channery clay loam, friable 3 w/schist fragments 13- Cr 0-5 A Light gray (1 OYR 6/1) loam, friable 2 5-13 Bt Light reddish brown (5YR 6/4) channery clay loam, friable 3 w/schist fragments 13- Cr 0-4 A Light gray (I OYR 611) loam, friable 2 4-22 Bt Light reddish brown (SYR 6/4) channery clay loam, friable 3 w/schist fragments 22- Cr Page _3 of Appendix 2 - Soil Summary Report GENERAL INFORMATION Date 10/13/17 Submitted to Albemarle County Health Department Applicant Thelma Terrell and .Jewell Mayse Telephone Number (671) 533-3086 Address 2060 Mayflower Drive Woodbridge, VA 22182 Owner same Address same Location 660 Maxfield Road Tax Map 65-55 Subdivision _ BlocklSectfon Lot B-2 SOIL INFORMATION SUMMARY 1. Position in landscape satisfactory? R Yes Imo' No Describe shoulder 2. Slope 5 % 3. Depth to rock or impervious strata: Max. W" Min. 13° None 4. Depth to seasonal water table (gray mottling or gray color) IX No r Yes inches Free water present ESC No it Yes range in inches vi. Soil percolation rate estimated lrc Yes Texture group I II 11 IV f No Estimated rate 90 min/inch 7. Permeability test performed Yes No ff yes, note type of test performed and attach 19 Site Approved: Drainfield to be placed at $" depth at site designated on permit. I— Site Disapproved: Reasons for rejection: 1. Position in landscape subject to flooding or periodic saturation. 2• Insufficient depth of suitable soil over hand 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. 8. Proposed system too close to well. Other Specify (attach additional pages if necessary) J�6 �C_ ' ap 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 �imary and reserve area, © only the primary area, © only the reserve area (check one) for Parcel B-2 —A Division of Tax Map 65-55 Design Basis Total length of available area: 100' Total width of available area.: 135'_ Estimated Pere. Rate: 90 at61 in. (depth) Number of bedrooms (or GPD): 5 12 Conveyance Method : Pump _ Distribution method (specify,): Pump 3, Dispersal system basis Table 5.4 (LPD) LGMI required? No (Yes/No) Effluent quality required: Advanced Secondary CTL 3 (Primary, Secondary, Advanced Secondary) Square feet per bedroom: _ 424 Area Calculations Number of trenches 64 Width of trenches: 1' Reserve required? Yes — Total width of absorption area required 126' Total trench bottom area required: 12720 Length of trenches: I GO' Center to center spacing: 2 Percent reserve area required: 100 _ Total trench bottom area provided: 12800 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 I8, 2007 TM. 65-P BSA J01"" PH SATiRAr ETAL, LA. ML .a8go P, 5015 Ma 300* R 63 PLAT �1 14 Scale 1"- 60' - - Sail Prof le Hole House, Well and Drain Field Sites IORoel B_2 --,;Division of Tax Neap 65-55 Albemarle County, Virginia Steve Gooch Consulting.CeWogist 703 Oliver Creek Road Troy, Virg= 22974 0 N .) ThL65—R550 NAME AL MORRIS MIL 4713! 34 Q.R 433.1v 3'Ct PLAT TR 65/- R 55 Ii [RE9I11 2.09 P 1 DI Page 1 of 5 OSE/PE Report for: Construction Permit 7 Certification Letter 7 Subdivision Approval 17 Property Location: 911 Address: 650 Maxfield Road Lot Residue Section GP]N or Tax Map # 65-55 Latitude Applicant or Client Mailing Address: Name: Thelma. Terrell. and Jewell Mayne Street: 2060 Mayflower Drive Subdivision Health Dept ID # Longitude City: City. Woodbridge - State VA Zip Code 22192 Prepared by: OSE Name Steve Gooch Address 703 OlivBr Creek Road. City Tray PE Name: Address city License # 1940001284 State VA Zip Code 22974 License # State I Zip Code Date of Report 11/24117 Date of Revision #1 OSE/PE Job # Date of Revision 92 Contentslindex 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 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 VACS -610), the Private Well Regulations (12 VACS -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. The work attached to this cover pane 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): traction permit certification IetterU subdivision approvalu dbe (select one) issuedenied OSE/PE Signature Date Pae' -L z 'PIF4- Soil Profile Reserve Drain Field Residue A Division of Tax Map 65-55 Wakefield Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 9 0-4 A Light brownish gray (I OYR 612) loam, friable 2 4-17 Bw Yellowish brown (1 OYR 518) channnery silt loam, friable 3 w/schist fragments 17- Cr 10 0-3 Al Light gray (I OYR 611) loam, friable 2 3-12 A2 Light yellowish Brown (1'OYR 6/4) loam, friable 2 12-18 Bw Brownish yellow (1 OYR 618) channery silt loam, friable 3 w/schis fragments 18- Cr 11 0-3 Al Light gray (1 OYR 611) loam, friable 2 3-10 A2 Light yellowish brown (1 OYR 614) loam, friable 2 10-21 Bw Brownish yellow (1 OYR 618) channery silt loam, friable 3 w/schis fragments 21- Cr 12 0-3 Al Light gray (I OYR 6/1) loam, friable 2 3-12 A2 Light yellowish brown (I OYR 6/4) loam, friable 2 12-25 Bw Yellow (I OYR 7/8) channery silty clay loam, firm, 3 w/schist fragments 25- Cr 13 0-3 Al Light gray (1 OYR 6/1) loam, friable 2 3.10 A2 Light yellowish brown (1 OYR 6/4) loam, friable 2 10-32 Bt Red (2.5YR 5/8) clay loam, friable w/quartz below 24" 3 32- - Quartz 14 0-3 Al Light gray (I OYR 6/1) loam, friable 2 3-12 A2 Light yellowish brown (I OYR 6/4) loam, friable 2 12-29 Bt Strong brown (7.5YR 518) clay loam, friable w/schist 3 fragments below 24" 29- Cr 15 0-3 Al Light gray (I OYR 6/ 1) loam, friable 2 3-12 A2 Light yellowish brown (1 OYR 6/4) loam, friable 2 12-28 Bt Strong brown (7.5YR 518) clay loam, friable w/schist 3 fragments below 24" 28- Cr Page 3 of 4 - Appendix 2 Soil Summary Report GENERAL INFORMATION Date 10/13/17 Submitted to Albemarle County Health Department Applicant Thelma Terrell and Jewell Mayse Telephone Number (871) 533-3086 Address 2060 Mayflower Drive Woodbridge, VA 22192 fawner same Address same Location 650 Maxfield Road Tax Map 65-55 Subdivision BlocktSectlon Lot Residue f SOIL INFORMATION SUMMARY , & 6eA ,e 1D,2�rK �P, 1. Position in landscape satisfactory? R Yes r No Describe shoulder 2. Slope 8 % 3. Depth to rock or impervious strata: Max. 32'r Min. 17" None 4. Depth to seasonal water table (gray mottling or gray color) 15z No I- Yes inches F Free water present I)C No 1- Yes range in inches Soil percolation rate estimated LV Yes Texture group 1 II 11 IV f No Estimated rate 90 min/inch 7. Permeability test performed IW Yes No If yes, note type of test performed and attach IR Site Approved: Drainfield to be placed at f- Site Disapproved: 11" depth at site designated on permit. Reasons far rejection: 1 • Position in landscape subject to flooding or periodic saturation. 2. Insufficient depth of suitable soil over hard rock. 3- F- Insuffclent depth of suitable soil to seansonal water table. 4. I- Rates of absorption too slow. 5. i- Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. r Proposed system too close to well. 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, Ely the reserve area (check one) for Residue — A Division of Tax Map 65-55 Design Basics Total length of available area: 80' Total width of available area: 160' Estimated Pere. Rate: 94 at 11" in. (depth) Number of bedrooms (or GPD): 3 1 2 Conveyance Method : Pum Distribution method (specify 3c Dispersal system basis Table 5.4 (LPD) LGMI required? No (Yes/No) Effluent quality required: Advanced Secondary T( L 31 (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 424 Area Calculations Number of trenches 24 Width of trenches:121 Reserve required? This is reserv_e__ Total width of absorption area required 46' Total trench bottom area required:33816 Length of trenches:OJ$ '__ Center to center spacing: _ 2' Percent reserve area required: _1_�_QQ_, Total trench bottom area provided: 3840 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 S TU 55 7 F � • Y r PC 1Vn&%g Well rl. of. I MXG1F. K MORRIS MIL Wntw p. to OL.OL 433, R Wi PLAT 41, TAU. PIPFE 000,01, � P. 55 if tv M f f 22 0. , `N • PRIV&PTIV -Am VAW9Q %jr 0/m Um. LANES i } )LIE rj 1� 1 � 1 f� 1' ` WELL o ~ "- 4ODd ERST IAI. BITE Mt EI 1"s R "12 MR 2241, R ES CLS. 172, P. 5 P �s 1814 . Cea$LW, W 3ET r EdsVn Wen. offivy-) g1V1&gr 1,0.64 Scale 1"= 60' - - sou P tat Hobe House, Well and Drain. Field Sites ReAdue A Division -of Tax Map 65-55 amlogist s►►m TWO of TWO Steve Gooch STEVE GOOCH spgooch.geoiogist@gmail.com C.P.G.IO.S.E CONSULTING GEOLOGIST INC. Phone: 434-531-0487 703 Oliver Creek Rd. Troy, Virginia 22974 November 24, 2017 Mr. Bill Fritz County Of Albemarle Dept. Of Planning and Community Development 401 McIntire Rd Room 227 Charlottesville, VA 22902-4579 Re: Proposed Drain Field Sites Parcel B-2 and Residue A Division of Tax Map 65-55 Albermarle County Dear Mr. Fritz: Enclosed are three (3) copies of the soils work associated with the proposed drain field sites for the above -referenced property. We request that you forward two (2) copies to the Charlottesville -Albemarle Health Department for their review. Also enclosed is the application for subdivision review form. If you have any questions, please do not hesitate to call. Sincerely, Steve Gooch Consulting Geologist, Inc. Steve Gooch Encl. RECEM�` NOV 2 8 2017 COMMUNITY DEVELOPMENT Commonwealth of Virginia Application for Subdivision Review (Page 1 of 2 to be filled out by the Owner or Agent) Owner Thelma Terrell and Jewell Mayse Mailing Address 2060 Mayflower Drive Woodbridge, VA 22192 Developer/Agent Steve Gooch, Consulting Geologist Mailing Address 703 Oliver Creels Road Troy, VA 22974 AOSE Steve Gooch Mailing Address 703 Oliver Creek Road Troy, VA 22974 Directions to Property; From Charlottesville take 250 East to Shadwell, left on Rt. 231, to 650 Maxfield Rd, on right Name of Proposed Subdivision Tax Map 65-55 Number of lots proposed Other Property Identification VDH Use Only Health Department ID# Due Date Phone (571)533-3086 Phone Fax Phone (434) 531-0487 Phone Fax Phone (434)531-0487 Phone Fax on Rt. 22 at Cismont, right on Maxfield Rd. Dimension/Acreage of Property 4.92 Ac. Proposed water source (note: new or existing, public or individual) new, existing, individual General size of lots 2.09 Ac. and 2.83 Ac. (give range if appropriate) Additional description of subdivision Overview of soils and geology (optional but encouraged) In order for VDH to process a subdivision application you must attach a plat of the property showing the location of the proposed onsite sewage disposal systems and the reserve absorption areas (if required) and the location of the water supply system on each lot, if applicable. Each plat or subsection of a subdivision shall be accompanied by specific soil information for each lot (absorption area and reserve area). If not provided by the local subdivision ordinance, the district or local health department may require the plat to show streets, utilities, storm drainage, water supplies, easements, lot lines, and original topographic contour lines by detail survey or other information as required. When the AOSE site evaluations are reviewed, 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 be 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 (AOSE) or a Professional Engineer (PE) as necessary until the sewage disposal system has been constructed and approved. d:??1t7 Date Commonwealth of Virginia Application for Subdivision Review (page 2 of 2 to be filled out by the county official requesting a VDH review) County Office initiating request Contact Individual VDH Use Only Hcaldi Department IN Die Date Phone Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and regulations governing sewage treatment and dispersal and private water supplies, compliance with local ordinance governing sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please indicate the nature of review you are aslang the health deparhnent to conduct. 1. Review for conformance with the Sewage Handling and Disposal Regulations 2. Review for conformance with local onsite wastewater ordinances 3. Other (describe below) Name and title of requestor OSE Form F Revised 7/02/09 Date COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road, Room 227 Charlottesville, Virginia 22902-4596 Phone (434) 296-5832 Fax (434) 972-4126 12/1/2017 Josh Kirtley Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 RE: SUB201700201 Lot B-2 & Residue Dear Mr. Kirtley: The County of Albemarle has received an application for a two -lot division, involving Tax Map Parcels (TMP) #65- 55. This project requires Health Department approval before receiving final County approval. The applicant has provided copies of the soils work associated with these parcels, dated November 24, 2017. Two copies of those reports are attached, as is the proposed plat dated October 12, 2017, and an application for subdivision review dated November 27, 2017. Please review the proposals for suitable subsurface drain -fields which comply with the provisions of Chapter 18, Sections 4.2.2, 4.2.3, 4.2.4, and Chapter 14, Sections 14-309 and 14-310 of the Albemarle County Code. Should you have any questions or comments, please feel free to contact me. Review comments are due on Friday, December 15. Please call or email me if you have any questions or requests for assistance. Thank you very much for your assistance. Sincerely, Will Cockrell, AlCP On -Call Planner I Department of Community Development Email: wcockrell(d)albemarle.org Voice: (434) 296-5832 ext. 3088 Fax: (434) 972-4035 Encl.