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SUB201800024 Approval - Agencies 2018-03-12
In Cooperation with the Thomas Jefferson Health District State Department of Health 1138 Rose Hill Drive Phone (434) 972-6219 P. O. Box 7546 Fax (434) 972-4310 Charlottesville, Virginia 22906 March 12, 2018 Will Cockrell Department of Community Development Division of Zoning and Current Development 401 McIntire Road Charlottesville, Virginia 22902-4596 ALBEMARLE - CHARLOTTESVILLE FLUVANNA 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 26 Parcel 39 located in Albemarle County, Virginia. Dear Mr. Cockrell: On February 8, 2018, 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 (ROSE) 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 all conditions and circumstances are present at the time of application for a permit as are present at the time of this approval. This subdivision may contain lots that to do not have approved sites for onsite sewage systems. This subdivision approval does pertain to the requirements of local ordinances. Sincerely, Josh Kirtley Environmental Health Technical Consultant Thomas Jefferson Health District Steve Gooch STEVE GOOCH spgooch.geologist@gmaiI.com C.P.G.IO.S.E CONSULTING GEOLOGIST INC. Phone: 434-531-0487 703 Oliver Creek Rd. Troy, Virginia 22974 February 7, 2018 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 Tract F and Residue A Division of Tax Map 26-39 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. �f-,O� ?27Cd� Steve Gooch Encl. t VIRGINIA� DEPARTMENT ow Protecting You and Your Environment Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-4310 Fax Sewage Disposal System Operation Permit ProperPropqM Owner Jan and Jessica Malasek 5863 Free Union Road Free Union, VA 22940 Phone: (571) 214-0525 Health Dept. ID: 101-17-0038 Tax Map/GPIN: 60C-E-10 Locality: Albemarle County Property Location Property Address: 5863 Free Union Road D D Free Union, VA 22940 iL Subdivision: Colthurst Farm Section: E Lot: 10 Jan and Jessica Malasek is hereby granted permission to operate a Residential Conventional Onsite Sewage System at the above referenced location, under the following parameters: Daily Flow: 750 gallons Number of Bedrooms: 5 This permit is issued in accordance with the provisions of Title 32.1, Chapter 6 of the Code of Virginia as Amended, and Section 12VAC 5-610-340 of the Sewage Handling and Disposal Regulations of the Virginia Department of Health. The issuance of an operation permit does not denote or imply any guarantee by the department that the sewage disposal system will function for any specified period of time. It shall be the responsibility of the owner or any subsequent owner to maintain, repair, or replace any sewage disposal system that ceases to operate in accordance with the regulations. February 23, 2018 Josh Kirtl� ,' Effective Date Environmental Health Technical Signature Specialist Commonwealth of Virginia Application for Subdivision Review (Page 1 of 2 to be filled out by the Owner or Agent) Owner John C. Jones, Jr. and Cecila Jones Kimata Mailing Address 4875 Mechums River Road Charlottesville, Virginia 22901 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 (434)989-0164 Phone Fax Phone (434)531-0487 Phone Fax Phone (434)531-0487 Phone Fax Directions to Property: From Charlottesville take Garth Road to White Hall, right on Rt. 810, left on Rt. 672 (Via Lane) to 5003 Via Lane on left Name of Proposed Subdivision Tax Map 26-39 Other Property Identification Dimension/Acreage of Property 86.16 Ac. Number of lots proposed 2 Proposed water source (note: new or existing, public or individual) new,, existing, individual General size of lots 2.76 Ac. and 82.4 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. of Owner/Agent Z1711 j, 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 ottly Health Dgmrftn=t m# Due Date Phone Local officcs 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 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 of requestor Date OSE Farm F Revised 7/02/09 COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road, Room 227 Charlottesville, Virginia 229024596 RECEIVED Environmental Health Ser FEB 15 2018 ccr� K Phone (434) 296-5832 Fax (434) 972-4126 Josh Kirtley Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 RE: SLJB201800024 Jones Dear Mr. Kirtley: The County of Albemarle has received an application for a two -lot division, involving Tax Map Parcels (TMP) #26- 39. 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 February 7, 2018. Two copies of those reports are attached, as is the proposed plat dated January 16, 2018, and an application for subdivision review dated February 5, 2018. 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, January 19. 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 I Department of Community Development Email: wcockrell@albemarle.org Voice: (434) 296-5832 ext. 3088 Fax: (434) 972-4035 Encl. Albemarle Cou Planning Applicators mmunity DevelopmentDepartment lad Charlottesville, VA22902-45% 4) 298-&M Fait : (43+4) 972-4126 own ar(s): • 1. -4 • 2 Aµpli+caition# , 5 PR WERTY INFORMATION Legal Description w idagistsrial Dist, 11 "� Land Use Primary K*A;WrdW^ SJingle-610MV (kwll. wiodular iroiiii m Current AFD IMA lfri Ai/IF Wtstrkk Current Zoning Primary Rural Areas- APPUCATION INFORMATION ,street Address 003 VtA LN CROZET, 22932 Entered By Application Type �Rin6dEv►esewm tts<ith 6radsha ZM, Pict � 201 Project 13Mhn C. tUdk) 3Pnes, ;fit _ Received Date 6V62--IIik Reaeivad Date Final Submittal Date 0210511 Total Fees Closing File Date Submittal Date Final Total Paid Revision Number Comments Legal Ad A V. SUB APPLICATION(s) - I APPLICANT / CONTACT INFORMATION z . PnmsrrCaeiad I Owen Lary at Roger W. Ray&Assoc.. Inc. 663 Berkmar Court Charlottesville VA :22902 i 4342933145 Signature of Contractor or Authorized Agent Date Soils Study for Drain Field Sites Tract F and Residue A Division of Tax Map 26-39 Albemarle County Prepared for: John C. Jones, Jr. 4875 Mechums River Road Charlottesville, VA 22901 Cecila Jones Kimata 4999 Via Lane Crozet, VA 22932 Prepared by: Steve Gooch Consulting Geologist, Inc. 703 Oliver Creek Road Troy, Virginia 22974 February 7, 2018 Page 1 of fi OSE/PE Report for: Construction Permit 0 Certification Letter E] Subdivision Approval 7 r Property Location: 911 Address: 5003 Via Lane City; Lot Tract F Section Subdivision GPIN or Tax Map # 26-39 Health Dept ID # Latitude Longitude Applicant or Client Mailing Address: Name, John C. Jones, Jr, and Cecila Jones Kimata Street: 4875 Mechums River Road City: Charlottesville State VA Prepared by: OSE Name Steve GooCh Address 703 Oliver Creek Road City Troy State VA Zip Code 22901 License # 1940001284 Zip Code 22974 PE Name: License # Address City State Zip Code Date of Report 2/711 S Date of Revision #1 OSE/PE Job # Date of Revision #2 Contents/Index of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc.) OSE Cover Page Soil Profile Sheets Soil Information Summary Sheet Abbreviated Design Form Survey Plat Certification Statement I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630) and all other applicable laws, regulations and policies implemented by the Virginia Depniment 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 page has been conducted under an exemption to the practice of enttineerina, specifically the exemption in Code of Virginia Section 54.1402.11 1 recommend that a (select one): nstruction permit certification letter ❑ subdivision approval be (select one) issued denied Lj . OSE/PE Signature 6fiaDate 6' 126'r— Z OF Soil Profile Reserve Drain Field Site Tract F A Division of Tax Map 26-39 Via Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 7 0-7 Ap Dark gray (I OYR 4/1) sandy loam, friable 2 7-34 Bt Red (l OR 4/8) silty clay loam, firm 3 34-84 C Strong brown (7.5YR 5/8), yellowish brown (1 OYR 5/8) 2 sandy clay loam, friable 8 0-12 Ap Dark gray (I OYR 4/1) sandy loam, friable 2 12-32 Bt Red (1 OR 4/8) silty clay loam, firm 3 32-84 C Strong brown (7.5YR 5/8), light yellowish brown 2 (2.5Y 6/4) sandy loam, massive, friable 9 0-6 Ap Dark gray (IOYR 4/1) sandy loam, friable 2 6-13 E Light yellowish brown (2.5y 6/4) sandy loam, friable 2 13-45 Bt Red (I OR 4/8) silty clay loam, firm 3 45-78 Bt2 Light red (2.5YR 6/8) clay loam, friable 3 78-84 C Light yellowish brown (2.5Y 6/4) sandy loam, massive, 2 friable 10 0-12 Ap Dark grayish brown (I OYR 4/2) sandy loam, friable 2 12-42 Bt Red (1 OR 4/8) silty clay loam, firm 3 42-60 BC Reddish brown (2.5YR 5/4) clay loam, friable 3 60-84 C Brownish yellow (1 OYR 6/8) sandy loam, friable w/gneiss 2 fragments 11 0-11 Ap Dark gray (I OYR 4/1) sandy loam, friable 2 11-40 Bt Red (I OR 4/8) silty clay loam, firm 3 40-62 Bt2 Light red (2.5YR 6/8) clay loam, white (I OYR 8/1) feldspar 3 (lithochromic), friable 62-84 C Strong brown (7.5YR 5/8) sandy clay loam, friable 2 12 0-10 Ap Darr gray (1 OYR 4/1) sandy loam, friable 2 10-48 Bt Red (I OR 4/8) silty clay loam, firm 3 48-84 Bt2 Light red (2.5YR 6/8) clay loam, white (1 OYR 8/1) 3 feldspar (lithochromic), friable 13 0-13 Ap Dark gray (1 OYR 4/ 1) sandy loam, friable 2 13-46 Bt Red (i OR 4/8) silty clay loam, firm 3 46-84 C Yellowish red (5YR 5/8) silty clay loam, white (10YR 8/1) 3 feldspar (lithochronuc), firm Hole 14 Soil Profile Reserve Drain Field Site Tract F A Division of Tax Map 26-39 Via Road Albemarle County Depth Horizon Material Description Soil Texture (in.) Group 0-10 Ap Dark gray (IOYR 4/1) sandy loam, friable 2 10-43 Bt Red (l OR 4/8) silty clay loam, firm 3 43-64 Bt2 Light red (2.5YR 6/8) clay loam, friable 3 64-84 C Brownish yellow (I OYR 6/8) sandy clay loam, white 2 (1OYR 8/1) feldspar (lithochromic), friable Page t• of Appendix 2 Soil Summary Report GENERAL INFORMATION Date 11/25/17 Submitted to Albemarle County Health Department Applicant John C. Jones Jr. Telephone Number (434) 989-0164 Address 4865 Mechums River Road Charlottesville, VA 22901 Owner same Address same Location 5003 Via Lane Tax Map 26-39 Subdivision Block/Section Lot Tract F SOIL INFORMATION SUMMARY, hG 1. Position in landscape satisfactory? V Yes r- No Describe Shoulder 2. Slope 5 °% 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table (gray mottling or gray color) 17 No r Yes inches Free water present 5Z No r Yes range in inches 6. Soil percolation rate estimated IV Yes Texture group 1 II III IV F No Estimated rate 55 minfinch 7. Permeability test performed F Yes IX No If yes, note type of test performed and attach IR Site Approved: Drainfieid to be placed at 66" depth at site designated on .permit. I Site Disapproved: Reasons for rejection: 1 • F- Position in landscape subject to flooding or periodic saturation. 2. I— Insufficient depth of suitable soli over hard rock. 3. r- Insufficient depth of suitable soil to seansonal water table. 4. Rates of absorption too slow. 5. r Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6• Proposed system too close to well. r 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, [dnly the reserve area (check one) for Tract F- A Division of TM 26-39 Design Basis Total length of available area: 50' + 75' Total width of available area: 85, Estimated Pere. Rate: 55 at 661 -_' in. (depth) Number of bedrooms (or GPD): 4 1 2 Conveyance Method Qav& Distribution method (specify): Gravity U Dispersal system basis Table 5.4 LGMI required? No (Yes/No) Effluent quality required: ,_ Primary _ (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 412 _ Area Calculations Number of trenches 10 Width of trenches: 3' Reserve required? This is reserve Total width of absorption area required 84' Total trench bottom area required: 1648 Length of trenches: 50' 6 trenches + 75' 4 trenches Center to center spacing: _ 9P Percent reserve area required: l 00 Total trench bottom area provided: 1800 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 4 E' COPY V A TION T. N. 26-39F TRACT E D.S.3925 7 . 719I 722 PLAT PIPME . p i i 1 s34.13 - 22'E B9• 22' j Ili Fi UN h 3943� Nor North 3943963 IRON Ft ` " ` — -� _ _ East S f 4m East li432607 AT 23.00` � .PED. $ EXISTING 30' ACCESS ESNT. OW p(0 524 B.4 PLAAh S 2377�2' ATA rth 3943754 at 11432274 100, 11i, 20113 JR. iOC.. INC. .& EGINIA 2=1 29.3•-3195 I.Cm .A$ / ijr TRACT F 2.76 ACCES now /OW,6 wsv C, a FPJW �F 10.0 )j T. RACT STEPHEN A.KrNATA s CECIL.IA J. KINATA 0.B.1747--517 523 s 524 UT -- IFS North 3943517 x SET East 11432408 FaffUNIT 1�] Im 1FRAW ROAD F"D SLOG. r Scale 1"=100' •- Soil Profile Hole Proposed Rosaft Drain Field Tract F A Division of Tax Map 26-39 703 Oliver Creek Road Troy, Virginia 22974 SWT2OF2 1MM Page 1 of 7 OSE/PE Report for: Construction Permit Certif cation Letter El Subdivision Approval 17 Property Location: 911 Address: Lot Residue Section Subdivision GPIN or Tax Map # 26-39 Health Dept ID # Latitude Longitude City.. Applicant or Client Mailing Address: Name: John C. Jones, Jr. and Cecila Jones Kimata Street: 4875 Mechums River Road City: Charlottesville __-,...,......,., _ ,. .,.,_. State VA Zip Code 22901 Prepared by: OSE Name Steve Gooch Address 703 Oliver Creek Road City Troy PE Name: Address License # 1940001284 State VA Zip Code 22974 License # City State Zip Code Date of Report 21711 S Date of Revision # 1 OSE/PE Job # Date of Revision #2 Contents/Index of this report (e.g., Site Evaluation Summary, Soil Profile Descriptions, Site Sketch, Abbreviated Design, etc.) OSE Cover Page Abbreviated Design Forms Soil Profile Sheet T Survey Plat Soil Information Summary Sheets Certification Statement I hereby testify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling and Disposal Regulations (12 VAC5-610), the Private Well Regulations (12 VAC5-630) and all other applicable laws, regulations and policies implemented by the Virginia Department of Health. I further certify that I currently possess any professional license required by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency charged with licensure to perform the work contained herein. The work attached to this cover page has been conducted under an exemption to the practice of engineering, svecifically the exemption in Code of Virginia Section 54.1-402.11 I recommend that a (select one) nstruction permitU certification letter U subdivision approval U be (select one) issuednf denied U . OSE/PE Signature �� Date 2.1 P Hole 3 n 5 2 r-I pc(ic Z 41 Soil Profile Residue A Division of Tax Map 26-39 Via Road Albemarle County Depth Horizon Material Description Soil Texture {in) Group Primary Drain Field 0-8 Ap Dark grayish brown (1 OYR 4/2) sandy clay loam, friable 2 8-55 Bt Red (I OR 5/8) silty clay loam, firm 3 55-84 C Reddish brown (2.5YR 5/4) sandy clay loam, friable, gneiss 2 fragments below 78" 84- R 0-11 Ap Dark grayish brown (I OYR 4/2) sandy clay loam, friable 2 11-37 Bt Red (I OR 5/8) silty clay loam, firm 3 37-64 C1 Reddish brown (2.5YR 5/4) clay loam, friable 3 64-84 C2 Strong brown (7.5YR 5/8) sandy clay loam, friable, white 2 (I OYR 8/1) feldspar (lithochromic) 0-12 Ap Dark grayish brown (I OYR 4/2) sandy clay loam, friable 2 12-54 Bt Red (1 OR 5/8) silty clay loam, firm 3 54-70 W Red (2.5YR 5/8) clay loam, friable 3 70-120 C Light yellowish brown (2.5Y 6/4) sandy loam, massive, 2 friable Reserve Drain Field 0-12 Ap Brown (7.5YR 4/4) clay loam, friable 3 12-34 Bt Yellowish red (5YR 5/8) silty clay, firm 4 34-78 2Bt Red (2.5YR 4/8) silty clay loam, firm, white (IOYR 8/1) 3 feldspar (lithochromic) 78-120 C Brownish yellow (I OYR 6/8) sand clay loam, massive, 2 friable, white (I OYR 8/1) feldspar (lithochromic) 0-10 Ap Dark grayish brown (1 OYR 4/2) sandy clay loam, friable 2 10-24 E Yellowish brown (1 OYR 5/8) sandy clay loam, friable 2 24-40 Bt Red (I OR 4/8) silty clay, firm, yellow (1 OYR 7/8) mottles, 4 few sub rounded gravel 40-70 2Bt Red (1 OR 5/8) silty clay loam, firm 3 70-120 C Light red (2.5YR 6/8) sandy clay loam, friable, white 2 (I OYR 8/1) feldspar (lithochromic) 0-12 Ap Dark grayish brown (1 OYR 4/2) sandy clay loam, friable 2 12-38 Bt Red (I OR 4/8) silty clay, firm, few sub angular gravel 4 38-49 2Bt Red (1 OR 5/8) silty clay loam, firm 3 49-70 2Bt2 Reddish brown (2.5YR 5/4) clay loam, friable 3 70-120 C Strong brown (7.5YR 5/8) sandy clay loam, friable 2 page 3 of --I - Appendix 2 Soil Summary Report GENERAL INFORMATI Date 11/25/17 Submitted to Albemarle County Health Department Applicant John C. Jones Jr. Telephone Number (434) 98M164 Address 4865 Mechums River Road Charlottesville, VA 22901 Owner same Address same Location 5003 Via Lane Tax Map 26-39 Subdivision BlocklSection Lot Residue I SOIL INFORMATION SUMMARY - r- I k 1 1. Position in landscape satisfactory? 5Z Yes r No Describe shoulder 2. Slope 7 % 3. Depth to rock or impervious strata: Max. Min. None X 4. Depth to seasonal water table (gray mottling or gray color) 19 No r Yes inches Free water present 5 No r Yes range in inches 6. Soil percolation rate estimated fX yes Texture group 1 11 IIE IV f No Estimated rate ---- .. _ 65 . min/inch 7. Permeability test performed !— Yes 5Z No If yes, note type of test performed and attach I3' Site Approved: Drainfield to be placed at r Site Disapproved: 60" depth at site designated on permit. Reasons for rejection. - I. r Position in landscape subject to flooding or periodic saturation. 2. 1 Insufficient depth of suitable soil over hard rock. 3. r Insufficient depth of suitable soil to seansonal water table. 4• r Rates of absorption too slow. 5. r Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 8. r Proposed system too close to well. Other Specify (attach additional pages if necessary) Puy qOF? 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,17only the primary area, ❑ only the reserve area (check one) for . Residue - A Division of TM .26-39 Design Basis Total length of available area: 1ff Total width of available area: 60' Estimated Pere. Rate: 65 at 60" in. (depth) Number of bedrooms (or GPD): 4 Conveyance Method: Gravi Distribution method (specify): Gravity_ 3e Dispersal system basis Table 5.4 LGMI required? No (Yes/No) Effluent quality required: Pri (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 496 Area Calculations Number of trenches 7 Width of trenches: 3' Reserve required? Yes Total trench bottom area required: 1984 Length of trenches: 100' Center to center spacing: 9� Percent reserve area required: 100 Total width of absorption area required 57' Total trench bottom area provided: 2100 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, th m is required. Page _ of AOSE Form E Reviser! July ! S, 2007 Page h of-2 Appendix 2 Soil Summary Report GENERAL INFORMATI Date 11/25/17 Submitted to Albemarle County Health Department Applicant John C. Jones Jr. Telephone Number (434) 989-0164 Address 4865 Mechums River Road Charlottesville, VA 22901 Owner same Address same Location $003 Via Lane Tax Map 26-39 BlocWSection Subdivision Lot Residue SOIL INFORMATION SUMMARY- fps. 1. Position in landscape satisfactory? 19 Yes T" No Describe shoulder 2. Slope 7 3. Depth to rock or impervious strata: Max. 120"+ Min. f9n None 4. Depth to seasonal water table (gray mottling or gray color) No I Yes inches Free water present Ox No I--- Yes range in inches 6. Soil percolation rate estimated I Yes Texture group I II III IV I' No Estimated rate 75 min/inch 7. Permeability test performed Yes No If yes, note type of test performed and attach rX Site Approved: Drainfreld to be placed at 66" depth at site designated on permit. 1— Site Disapproved: Reasons for rejection: 1 • r Position in landscape subject to flooding or periodic saturation. 2• Ir Insufficient depth of suitable soil over hard rock. 3. 1� Insufficient depth of suitable soil to seansonal water table. 4• i Rates of absorption too slow. 5. f Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. �• I Proposed system too close to well. i Other Specify (attach additional pages if necessary) Pam 6 6�7 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 0 primary and reserve area, 0 only the primary area, [Konly the reserve area (check one) for Residue - A Division of TM 26-39 Design 1WIs Total length of available area: 100' Total width of available area: 70' Estimated Perc. Rate: 75 at 66" in. (depth) Number of bedrooms (or GPD): 4 Conveyance Methodl: Gruvfty Distribution method (specify Gravity _ 3c Dispersal system basis Table 5.4_ LGMI required? No (Yes/No) Effluent quality required: Pri (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 596,� Area Calculations Number of trenches 8 Width of trenches: 3' Reserve required? Yes Total trench bottom area required: 2384 Length of trenches: 100' Center to center spacing: 9� Percent reserve area required: 100 Total width of absorption area required 66' Total trench bottom area provided: _2400� 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 Juty 19, 2UG7 pa4a- 7 d-7 TA HAi?iAFIC I TANNNT CHM CHOFIB BEARING ' WMTH WPART)W COF NOT FOR RECMUTroN 05' 020 2700.23 3.951 1.90 3.95 847.25' 34"E 5i'40R S" 1222.94 103.76 51.91 103.73 WOMAN 15"E 43.22 73.07 .74 64.17 NW MW' 17"E LESEM _.r... ..r. OVERHEAD UTILITY LINES X— FENCE THIS PLAT MDT FOR ED FWA11CM -- _ STA rE arm i STAIM 4 ! 1 r � r R 1TAOM $ STAW �. � i• Z APPROWA x,W�-oft ra" rf f f � e � � f 1/ f l Scale 1 "=100' . - Soil Profile House, Well and Drain Field Site, Residue A Division of Tax Map 26-39 Steve Gooch Consulf4 703 Oliver Cry Road Troy, Virginia 22974 39 C. JONES. JR. T. CECILLIA JCS Ml' MTA W . B .155--433 0.8.3925•-715.719 THRU 722 PLAT Q. 8.1749-523 &' 524 PLAT B.S.987-443 PLAT North 39437 D. B . 847-5 i8 PLAT East 114322 D.B.750-608 D.B.597-487 PLAT D. B.1S5-474 PLAT MIME- BR.40+/- ACRES (BY DEDUCTION FROM TAXATION FECOROS) GRAPHIC SCALE 1"-100' fWALEs low R)O r DATE: JANUARY M. 241 FOR i6m C. (JAW JCS. A. ' y� •' ', ' • km W. RAY B ASSOC. INC. 663 A� r�O CHARLOTTES 34) 293-3 226 95 ' AYSUR VE i .LNG. CGN Steve Gooch STEVE GOOCH spgooch.geologist@gmaii.com C.P.G.IO.S.E CONSULTING GEOLOGIST INC. Phone: 434-531-0487 703 Oliver Creek Rd. Troy, Virginia 22974 February 7, 2018 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 Tract F and Residue A Division of Tax Map 26-39 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. Commonwealth of Virginia Application for Subdivision Review (Page 1 of 2 to be filled out by the Owner or Agent) Owner John C. Jones, Jr. and Cecila. Jones Kimata Mailing Address 4875 Mechums River Road Charlottesville, Virginia 22901 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 (434)989-0164 Phone Fax Phone (434)531-0487 Phone Fax Phone (434)531-0487 Phone Fax Directions to Property: From Charlottesville take Garth Road to White Hall, right on Rt. 810, left on Rt. 672 (Via Lane) to 5003 Via. Lane on left Name of Proposed Subdivision Tax Map 26-39 Other Property Identification Dimension/Acreage of Property 86.16 Ac. Number of lots proposed 2 Proposed water source (note: new or existing, public or individual) new„ existing, individual General size of lots 2.76 Ac. and 82.4 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 Iot, 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 duality 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. of Owner/Agent 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 Health Dqwtznw ll# Due Dale Phone Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and regulations governing sewage tteatment 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 asldng the health department to conduct. 1. Review for conformance with the Sewage Handling and Disposal Regulations 2. Review for confarmance with local onsite wastewater ordinances 3. Other (describe below) Name and title ofrequestor Date OSE Form F Revised 7ro2/09