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SUB201800010 Approval - Agencies 2018-02-01
GL GRAPHIC SCALE 1"=100' STATE ROUTE 664 (30'PRESCRIPTIVE EASEMENT) BUCK MOUNTAIN ROAD N51 '52' 23"E--\\ 15.00' �1 HEALTH DEPARTMENT COPY r"ni NOT FOR RECORDATION QI m Is ml o O) T.M.19-16B ze HEATHER ANN BAILEY a D B 4535-512 522 & 523 PLAT .000 D.B.826-595 PLAT '� OVERHEAD ► :',''� �.� UTILITY li tib / LINE THIS PLAT NOT FOR RECORDATION COPY 5HOWING CONTROL POINTS TO SUBMETER ACCURACY ' TIED TO NORTH AMERICAN •'/ NEW 30' VARIABLE 1 DATUM ) �,/ WIDTH PRIVATE VIRGINIA SOUTH SPC SPC � E IRON FOUND North 3951373 East 11483801 �OFLAG STREET EASEMENT 1 4 1• •3 � , , N6Q dp /lLAG\ ®i \ FLAG`�� FLAG. @. � \�� °FLAG J B®� 1 r" F2AG ® 664_ 1 �, F 2 G GRAVEL �+ ® (' PROPOSED FLAG A SEPTIC 6 LOT 1 QRAAIN�FAIELQ 5.16 ACRES [1.8.4929-255 D.B.4535-522 & 523 PLAT D.B.846-101 PLAT D.B.826-595 PLAT N77.23 , 180.88. $8 88 co FENCE y� 0 FOUND N7g •57, IRON 23 20'1 FE (7,5 �, , O r s w NCE s°1` 36,9• a0 , %, W 2 z W �O, T. M. 19-16 HARRY J.G.VAN BEEK DECLARATION OF TRUST D.B.4143-679 D.B.1451-388 PLAT D.B.977-298 PLAT FOR REVIEW LOT 2 2.84 ACRES D.B.4929-255 D.B.4535-522 & 523 PLAT 'rte % D. B.846-101 PLAT D.8.826-595 PLAT SCALE: 1" = 100' DATE: JANUARY 5, 2018 ROGER W.RAY & ASSOC.,INC. 663 BERKMAR COURT CHARLOTTESVILLE,VIRGINIA 22901 TELEPHONE: (434) 293-3195 RAYSURVEYING.COM DRIVEWAY ' n? a Ln 0 IRON FOUND UND T.M. 19-17 TRUSTEES OF THE CHESTNUT GROVE BAPTIST CHURCH D. 8.219-100, 101 PLAT 30. S33.41 ' 24"E 48.6B' S29039'29"E 64.4B' T.M.19-17 S21'28'35"E 71.67' S15'02' 12"E 65.87' CATTLE GUARD `�� S75 '30 ' 45"W AXLE 1 \ 60.63' FOUND North 3951770 A East 11484420 T.M.19-16A PAUL J.DURRETTE ESTATE W.B.41-562 D.B.285-514,515 PLAT North 3951263 East 41484339 T.M.19-16A = PAUL J.OURRETTE ESTATE W.B.41-562 D.B.285-514,515 PLAT c rn 0 cn K IRON O North 3950996 sem• FOUND C East 11484296 6 �`T. 1 /•O JAMES C.KOVACHI& ASHLEY K DVACH D.B.4803-306 / D.B.412-406 PLAT SHEET 2 OF 2 14154A to on o ' ' o / 1 crq Lli U 0 IRON FOUND UND T.M. 19-17 TRUSTEES OF THE CHESTNUT GROVE BAPTIST CHURCH D. 8.219-100, 101 PLAT 30. S33.41 ' 24"E 48.6B' S29039'29"E 64.4B' T.M.19-17 S21'28'35"E 71.67' S15'02' 12"E 65.87' CATTLE GUARD `�� S75 '30 ' 45"W AXLE 1 \ 60.63' FOUND North 3951770 A East 11484420 T.M.19-16A PAUL J.DURRETTE ESTATE W.B.41-562 D.B.285-514,515 PLAT North 3951263 East 41484339 T.M.19-16A = PAUL J.OURRETTE ESTATE W.B.41-562 D.B.285-514,515 PLAT c rn 0 cn K IRON O North 3950996 sem• FOUND C East 11484296 6 �`T. 1 /•O JAMES C.KOVACHI& ASHLEY K DVACH D.B.4803-306 / D.B.412-406 PLAT SHEET 2 OF 2 14154A COMMONWEALTH ®f VIRGINIA In Cooperation with the Thomas Jefferson Health District State Department of Health 1138 Rase Hill Drive Phone (434) 972-6219 R O. Box 7546 Fax (434) 972-4310 Charlottesville, Virginia 22906 February 1, 2018 Will Cockrell County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, Virginia 22902-4596 ALBEMARLE-CHARLOTTESVILLE FLUVANNA COUNTY (PALMYRA) GREENE COUNTY (STANARDSVILLE) LOUISA COUNTY(LOUISA) NELSON COUNTY (LOVINGSTON) RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual Onsite Sewage Systems as part of a division of Tax Map 19 Parcel 16B1 located in Albemarle County, Virginia. Dear Mr. Cockrell: On January 19, 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 (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 OSE #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, it--: j 04'. Travis T. Davis, OSE Environmental Health Specialist, Sr. RECER. -M-0 FSR 01 2018 COMMUNITY DEVELOPMENT �2Q u iS l%1 S RECEIVED (ell ecjqt�-- � Environmental Health Services . JAN 29 2018 COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road, Room 227 Charlottesville, Virginia 2290245% Phone 434 296-5832 Fax 434 972-4126 1/19/2018 Josh Kirtley Q Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 RE: SU13201800010 Edward Scott & Debra L. Philkill Dear Mr. Kirtley: The County of Albemarle has received an application for a two -lot division, involving Tax Map Parcels (TMP) #19- 16B1. 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 January 13, 2018. Two copies of those reports are attached, as is the proposed plat dated January 5, 2018, and an application for subdivision review dated January 11, 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: wcockrellAalbemarle.org Voice: (434) 296-5832 ext. 3088 Fax: (434) 972-4035 Encl. Steve Gooch STEVE GOOCH spgooch.geologist@gmail.com C.P.G.IO.S.E CONSULTING GEOLOGIST INC. Phone: 434-531-0487 703 Oliver Creek Rd. Troy, Virginia 22974 January 13, 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 Lot 1 A Division of Tax Map 19-16B 1 Buck Mountain Road 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. �N� hzn�k Steve Gooch Encl. Commonwealth of Virginia Application for Subdivision Review f (Page I of 2 to be filled out by the Owner or Agent) FV rMi. Owner Edward Scott and Debra L. Philkill Mailing Address 563 Buck Mountain Road Earlsyville, VA 22936 Developer/Agent Steve Gooch 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) 978-7722 Phone Fax Phone (434)531-0487 Phone Fax Phone (434)531-0487 Phone Fax Directions to Property: From Earlysville take Buck Mountain Road, left on gravel driveway at 563 Buck Mountain Road Name of Proposed Subdivision Tax Map 19-16B1 Other Property Identification Dimension/Acreage of Property 8.0 Ac. Number of lots proposed 2 Proposed water source (note: new or existing, public or individual) new, existing, individual General size of lots 2.84 Ac. + 5.16 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. Signature 1/131IP Date J 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 UIMMU VDH use OWy Heap Department M# Due Date Phone Local offices of the Virginia Department of Health may review subdivision applications for complianoe 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 Form Revised 7102/09 Albemarle Co-- Commun'ityDevelopmentDepartmerd i kire Road Charlottesville, VA229ip2-+9M Planning ApplicationApplicationuce ::(434) 296 -SM Fax: (434) 972-4126 'uA- 14 2bf 3L I Owner(s):�PHI[LIM-L, EDWARD SCOTT & DEBRA L PHILIQLL AppiicaUen #I SUB201,900010 Legal Description�� WE A = Magisterial Dial. �� Land Use Primary ResWential -- Single-famity (incl. modular hdrnm Currant AFD INat in A%F Distrk w Current Zoning Primary ;ural Areas i 4PP'LICAT14ON Ii+iFOW4ATI N Street Address 563 BUCK MOUNTAIN RD EARLY'SVILLE, 22936 Applitation7ype pmt -- Project EDWARD SWTT PH.ILiCILL IL DEBRA L. PHILIIQLL - FINAL - Received Date 01111,/18 Received Date Final Submittal Date Closing File Date Submittal Date Final Revision Number Comments Entered By Total Fees 540 Total Paid 1540 R � Legal Ad D tri ISUB FiiNA Flak 101/22/18 EDWARDLw i SCOTT & DEBRA L 563 BUCK MOUNTAIN ROAD EARLYSViLLE VA 22936 - Primary Cvnted GWEN LACY - ROGER W. RAY & A5SQC ,...�.. " - . ""...... 3145: Signature of Contractor or Authorized Agent "ate Soils Study for Drain Field Sites Lot 1 A Division of Tax Map 19-101 Albemarle County Prepared for: Edward Scott and Debra L. Philkill 563 Suck Mountain Road Earlysville, VA 22936 Prepared by-- Steve y:Steve Gooch Consulting Geologist, Inc. 703 Oliver Creek Road Troy, Virginia 22974 January 13, 2018 Page 1 of 6 OSE/PE Report for: Construction Permit F� Certification Letter L� Subdivision Approval 17 Property Location: 911 Address: City: Lot 1 Section Subdivision GPIN of Tax Map # 19-1681 Health Dept ID # Latitude I Longitude Appheaut or Client Mailing Address: Name: Edward Scott and Debra t_. Philkill Street: 563 Buck Mountain Road n City: £arlsyville State VA Zip Code 22936 Prepared by: OSE Name Steve Gooch License # 1940001284 Address 1821 Broadway Street City Charlottesville State Virginia Zip Code 22902 Pl? Name: License # Address City State Zip Code Date of Report 1/13/18 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 Sheet Soil Information Summary Sheet Abbreviated Design Forms Survey Plat Certifi'ication 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 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. W1The work attached to this cover page 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 ane):struction, parmitu certification letterU subdivision approval U be (select one) issued denied OSE/PE Signature %.Q�� Date Pam Z or- 6 Soil Profile Lot I A Division of Tax Map 19-16B1 Buck Mountain Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) yup 1 0-5 A Brown (7.5YR 412) clay loam, friable 3 540 Bt Red (1 OR 5/8) silty clay loam, firm 3 40-84 C Light red (2.5YR 6/8) sandy loam, massive, friable 2 2 0-7 A Brown (7.5YR 4/2) clay loam, friable 3 7-39 Bt Rel (1 OR 5/8) silty clay loam, firm 3 39-84 C Dark yellowish brown (IOYR 416) sandy loam, massive, 2 friable 3 0-7 A Brown (7.5YR 412) clay loam, friable 3 7-39 Bt Red (IOR 518) silty clay loam, firm 3 39-84 C Dark yellowish brown (I OYR 416) sandy loam, massive, 2 friable 4 0-8 A Brown (7.5YR 4/2) clay loam, friable 3 8-45 Bt Red (1 OR 518) silty clay loam, firm 3 45-84 C Reddish brown (2.5YR 514) sandy loam, massive, friable 2 5 0-10 A Brown (7.5YR 412) clay loam, friable 3 10-48 Bt Red (I OR 518) silty clay loam, firm 3 48-66 C Light red (2.5YR 6/8) sandy loam, massive, friable 2 66-84 C2 Light olive brown (2.5Y 5/4) sandy loam, massive, friable 2 6 04 A Brown (7.5YR 4/2) clay loam, friable 3 4-31 Bt Red. (1 OR 5/8) silty clay loam, firm 3 31-47 Bt2 Light red (2.5YR 618) clay loam, friable 3 47-84 C Brownish yellow (OlYR 6/8) sandy loam, massive, friable 2 7 0-5 Al Brown (7.5YR 4/2) clay loam, friable 3 5-12 A2 Yellowish red (5YR 518) clay loam, friable 3 12-35 Bt Red (1 OR 5/8) silty clay loam, firm 3 35-65 Bt2 Red (2.5YR 5/8) sandy clay loam, friable 2 65-84 C Light reddish brown (2.5YR 6/4) sandy loam, massive, 2 friable 8 O-8 A Brown (7.5YR 4/2) clay loam, friable 3 8-40 Bt Red (1 OR 518) silty clay loam, firm 3 40-60 Bt2 Red (2.5YR 5/8) sandy clay loam, friable 2 60.84 C Yellowish red (5YR 518) sandy loam, massive, friable 2 Page —.. of ..fie_ Appendix 2 Soil Summary Report GENERAL INFORMAnON Date 1217117 Submitted to Albemarle County Health Department Applicant Scott Philkill Telephone Number (434) 978-7722 Address 563 Buck Mountain Road Earlysville, VA 22936 Owner same Address same Location 663 Buck Mountain Road Taut Map 19-16B1 Subdivision Block/Section Lot 1 1. Position in landscape satisfactory? Describe shoulder SOIL INFORMATION SUMMARY I IJ9 Yes r' No 2. Slope 9 % 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table (gray mottling or gray color) IV No Yes inches Free water present iZ No I— Yes range in inches 5. Soil percolation rate estimated?IWC Yes Texture group 1 0 ill IV i No Estimated rate 45 minAnch 7. Permeability test performed I— Yes IZ No If yes, note type of test performed and attach 5X Site Approved: Drainfield to be placed at r Site Disapproved: 60" depth at site designated on permit. Reasons for rejection: 1. [— Position in landscape subject to flooding or periodic saturation. 2. r Insufficient depth of suitable soil over hard rock. 3. I— Insufficient depth of suitable soil to seansonal water table. 4. IRates of absorption too slow. 5. r Insufficlent area of acceptable soil for required drainfield, and/or Reverse Area. 6. Proposed system too close to well. Other Specify (attach additional pages if necessary) -1u5'. yCF b Abbreviated Design Form This forth 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, Vnly the primary area, 0 only the reserve area (check one) for Lot 1 - A Division of TM 19-16B1 Design Basis Total length of available area: 95' Total width of available area: , LO'. Estimated Pere. Rate: 45 at60_ "� in. (depth) Number of bedrooms (or GPD): 4 12 Conveyance Method Chlvi Distribution. method (specify)L Gravity 30 Dispersal system basis Table 5.4 LGMI required? No (Yes/No) Effluent quality required: Prima (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 344 Area Calculations Number of trenches 5 Width of trenches: 3' Reserve required? Yes Total trench bottom area required: 1376 Length of trenches: 95'r___r__ Center to center spacing'.- Percent reserve area required: 100 Total width of absorption area required 9'_ Total trench bottom area provided: 1425 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 My iia, 2007 1117e- 4X- G 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, El only the primary area, M,,6nly the reserve area (check one) for Lot I - A Division of TM 19-16B1 Design Basis Total length of available area: 60' Total width of available area: 70' Estimated Pert. Rate: 45 at60�' in. (depth) Number of bedrooms (or GPD): 4 1 2 Conveyance Method : —Gravity Distribution method (specify)LGravity 3" Dispersal system basis Table 5.4 LG1VII required? No (Yes/No) Effluent quality required: Prim (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 344 Area Calculations Number of trenches 8 Width of trenches: 3' Reserve required? this is reserve Total trench bottom area required: 1376 Length of trenches: 60_^ '_- Center to center spacing: 91 Percent reserve area required:100 Total width of absorption area required 66' Total trench bottom area provided: 1440 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 F Revised July 18, 2007 T.W.19-00 4 W PLAY!? 8!" PLAY 001, .:;o . is. Do - ♦1 Y M 4 �; ■ #.t '' t }} dWwo i LT � bWRy`P.1 .9.• 19 Lir9' �R-�iVFLA-�`Tw�/i D-G� PLAT . I 01 Fam oil EXWnM 9RAiAf FULn AM aFZ=v$ Ate► PiRMFY' � DBpA� r Scale 1"= 100, • - Soil Profile Hole House, Well :and Drain Field Sites Lot 1 �b ', Division of Tax Map 19-1681 cluck Mountain Road Steve 1� Consulting Gmlagist 703 Oliver Creek Road Troy, Virginia 22974 C2r AVFES T 4 E01 J* I NorthCATTLE wm ti A Bt 114049 PAcu. ,��. 0.0. �� �� 0 inr#fi4604 Ret . ♦'� ae TIM, #�i74 g, r PAS. T. f. 39-1AT�ti" ,4i t). $. X14. SIB PLAT c ZXMMGWEU � � asst ii!�BB COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road, Room 227 Charlottesville, Virginia 229024596 Phone (434) 296-5832 Fax (434) 9724126 IFINhN1 Josh Kirtley Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 RE: SUB201800010 Edward Scott & Debra L. Philkill Dear Mr. Kirtley: The County of Albemarle has received an application for a two -lot division, involving Tax Map Parcels (TMP) #19- 16B1. 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 January 13, 2018. Two copies of those reports are attached, as is the proposed plat dated January 5, 2018, and an application for subdivision review dated January 11, 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 Enc1 Steve Gooch STEVE GOOCH spgooch.geologist@gmail.com C.P.G.IO.S.E CONSULTING GEOLOGIST INC. Phone: 434-532-0487 703 Oliver Creek Rd. Troy, Virginia 22974 January 13, 2018 Mr. Bili Fritz County Of Albemarle Dept. Of Planning and Community Development 401 McIntire Rd Room 227 Charlottesville, VA 22902-4579 Re: Proposed Drain Field Sites Lot 1 A Division of Tax Map 19-16B1 Buck Mountain Road 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. �'Q'QJ-� hzrrk Steve Gooch Encl. Commonwealth of Virginia Application for Subdivision Review (Page 1 oft to be filled out by the Owner or Agent) Owner Edward Scott and Debra L. Philkill Mailing Address 563 Buck Mountain Road VDH Use Only Health Department IN Due Date Phone (434)978-7722 Phone Earlsyville, VA 22936 Fax Developer/Agent Steve Gooch Mailing Address 703 Oliver Creek Road Troy, VA 22974 AOSE Steve Gooch Mailing Address 703 Oliver Creek Road Phone (434)531-0487 Phone Fax Phone (434)531-0487 Phone Troy, VA 22974 Fax Directions to Property: From Earlysville take Buck Mountain Road, left on gravel driveway at 563 Buck Mountain Road Name of Proposed Subdivision Tax Map 19-16BI Other Property Identification Dimension/Acreage of Property 8A Ac - Number of lots proposed 2 Proposed water source (note: new or existing, public or individual) new, existing, individual General size of lots 2.84 Ac. + 5.16 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. -� AM?A- 1113117 Signature of Owner/Agent Date Commonwealth of Virginia Application for Subdivision Review (page 2 of 2 to be filled out by the county official requesting it VDH review) County office initiating recluest Contact lndivAW Heait Dopant # o Due 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 ofrcvww 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 FormF Revised 7102109 Health Department Identification Number - Scfti Ms* 9 of tmerilfa9e disposM system and WMrnoic teatimes. PADS 2- DI= Z Show iiia 10 tines of the building kat and building site sketch of property showing any topographic features which may impact an the design of tho sysism, as exieft andlor proposed structures including sewage disposal soterm and wells within 1100 feet of sawage disposal system and reaarve area. Us schematic drawing of the sewage disposal system .shall show sewer linea, pretreatment unit, primp station, conveyance sys- tem% and subsurface soil absorption system, reserve area, etc. when a nonpublic drinking water supply is to be located an the aama lot shorn all rQu Pae of pollution withllr 100 feet` -0 The Information `squired above has been drawn on the attached copy of the sketch submitted with the application. Attach additiottal,shoots as necossl3ry to illustrate the design. V�U T i68 m�s1, z� oil C)01 2z, The sewage disposal system is to be c nstrtfcteri as spet;if#� by the permit p or $ ed -ft ens and spticiflcaUOM p . This sewage disposal system construction permit nett and void if (a) conditions aSlwa Zd from those shown on the appttcatlen (b) condi- tions .are 4ohasqlrd from those shown on the construction Wmit. No part of any Installation shall be covered or used until inspected, ewnctiorts made if necessary, and approved, by the local health department or unless expressly authorized by the lacsi health dept. Any part of any installation which has been- covered prior to .approval shall be uroov- ared, H traoasasry, upon the tlirection of are Department. Oat®: i2 Issued by: This Construction ' • �."et' it a!%until Paw: - 2 - 8eviewed by: � /� Supervisoorysa nitarian .--_-__--------------------------.:.__�__--_ _ _ _ _ _---__--_----------------------_-- If FHA or VA financing ReAmtsfed by Date ,l o.K.s. n«�eteuaK Date supervisory Sanitarian riegional Sanitarian li-zw Soils Study for Drain Field Sites Lot 1 A Division of Tax Map 19-16B1 Albemarle County Prepared for: Edward Scott and Debra L. Philkill 563 Buck Mountain Road Earlysville, VA 22936 Prepared by.- Steve y.Steve Gooch Consulting Geologist, Inc. 703 Oliver Creek Road Troy, Virginia 22974 January 13, 2018 � 4f OSE/PE Report for: Construction Permit �J Certification Letter 1 � Subdivision Approval Property Location: 911 Address; City: Lot 1 Section Subdivision GPIN or Tax Map # 19-1681 Latitude Health Dept ID # Longitude Page 1 of 6 Applicant or Client Mailing Address: Name: Edward Scott and Debra L. Philkill Street: 563 Buck Mountain Road City: Earlsyville State VA Zip Code 22536 Prepared by: OSE Name Steve Gooch License # 1940001284 Address 1821 Broadway Street City Charlottesville State Virginia zip Code 22902 PE Name: License # Address City State Zip Code Date of Report 1113/18 Date of Revision #I OSE/PE Job # Date of Revision #2 Contentsllndex 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 Forms Survey Plat Certification Statement I hereby certify that the evaluations arWor designs contained herein were conducted in accordance with the Sewage Handling and Disposal Regulations (12 VACS -610), the Private Well Regulations (12 VAC5-634) 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. F7The work attached to this cover trace has been conducted under an exemption to the practice of enaineerina, specifically the exemption in Code of Virginla Section 54.1-402.11 i recommend that a (select one):struction pemikU certification letter U subdivision approval U be (select one) issued denied ff OSE/PE Signature Otei�e_� Date PQ V- z df - Soil Profile Lot 1 A Division of Tax Map 19-16B1 Buck Mountain Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 1 0-5 A Brown (7.5YR 4/2) clay loam, friable 3 5-40 Bt Red (I OR 5/8) silty clay loam, firm 3 40-84 C Light red (2.5YR 6/8) sandy loam, massive, friable 2 2 0-7 A Brown (7.5YR 4/2) clay loam, friable 3 7-39 Bt Red (14R 518) silty clay loam, firm 3 39-84 C Dark yellowish brown (1 OYR 416) sandy loam, massive, 2 friable 3 0-7 A Brown (7.5YR 412) clay loam, friable 3 7-39 Bt Red (I OR 5/8) silty clay loam, firm 3 39-84 C Dark yellowish brown (10YR 416) sandy loam, massive, 2 friable 4 0-8 A Brown (7.5YR 4/2) clay loam, friable 3 8-45 Bt Red (I OR 518) silty clay loam, firm 3 45-84 C Reddish brown (2.5YR 514) sandy loam, massive, friable 2 5 0-10 A Brown (7.5YR 4/2) clay loam, friable 3 10-48 Bt Red (1 OR 5/8) silty clay loam, firm 3 48-66 C Light red (2.5YR 618) sandy loam, massive, friable 2 66-84 C2 Light olive brown (2.5Y 5/4) sandy loam, massive, friable 2 6 0-4 A Brown (7.5YR 412) clay loam, friable 3 4-31 Bt Red (10R 5/8) silty clay loam, firm 3 31-47 Bt2 Light red (2.5YR 6/8) clay loam, friable 3 47-84 C Brownish yellow (01 YR 6/8) sandy loam, massive, friable 2 7 0-5 Al Brown (7.5YR 4/2) clay loam, friable 3 5-12 A2 Yellowish red (5YR 518) clay loam, friable 3 12-35 Bt Red (10R 518) silty clay loam, firm 3 35-65 Bt2 Red (2.5YR 518) sandy clay loam, friable 2 65-84 C Light reddish brown (2.5YR 614) sandy loam, massive, 2 friable 8 0-8 A Brown (7.5YR 4/2) clay loam, friable 3 8-40 Bt Red (I OR 518) silty clay loam, firm 3 40-60 Bt2 Red (2.5YR 5/8) sandy clay loam, friable 2 60-84 C Yellowish red (5YR 518) sandy loam, massive, friable 2 Page -_ of _-(o Appendix 2 Soil Summary Report GENERAL INFORMATION Date 12/7/17 Submitted to Albemarle County Health Department Applicant Scott Philkill Telephone Number (434) 978-7722 Address 563 Buck Mountain Road Earlysviile, VA 22936 Owner same Address same Location 563 Buck Mountain Road Tax Map 19-16131 Subdivision Block/Section Lot 1 SOIL INFORMATION SUMMARY 1. Position in landscape satisfactory? 7c Yes I— No Describe shoulder 2. Slope 9 % 3. Depth to rock or impervious strata: Max. 4. Depth to seasonal water table (gray mottling or gray color) Min. None x R No Yes inches Free water present P No Ir Yes range in inches, 6. Soil percolation rate estimated R Yes Texture group I F- No Estimated rate �. 7. Permeability test performed r Yes No If yes, note type of test performed and attach IZ Site Approved: Drainfield to be placed at r Site Disapproved: Q) III IV 45 minfinch 60" depth at site designated on permit. Reasons for rejection: 1 • r Position in landscape subject to flooding or periodic saturation. 2. r 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 drainfieid, and/or Reverse Area. 6. I- Proposed system too close to well. I— Other Specify (attach additional pages if necessary) )'76 9, YDS -6 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, Plonly the primary area, © only the reserve area (check one) for I of 1 - A Division of TM 19-1581 Design Basis Total length of available area: 95' Total width of available area: 40',� Estimated Pere. Rate: 45 at 60.� .'...— in. (depth) Number of bedrooms (or GPD): 4 12 Conveyance Method: gwty Distribution method (specify) Gravity 3c Dispersal system basis Table 5.4 LGMI required? No (Yes/No) Effluent quality required: Primary (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 344 Area Calculations Number of trenches 5 Width of trenches: 3' Reserve required?Yes Total trench bottom area required: 1376 Length of trenches: 95 Center to center spacing: 9 Percent reserve area required: 100 Total width of absorption area required 39' Total trench bottom area provided: 1425 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 wiIl need to flare apart on one enol 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 APSE Form E Revised July 18, 2007 ?Q,x 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, "nly the reserve area (check one) for Lot 1 - A Division of TM 19-16B1 Design Basis Total length of available area: 60' 1 Total width of available area: 70' Estimated Perc. Rate: 45 at 60" in. (depth) Number of bedrooms (or GPD): 4 12 Conveyance Method : 9039b Distribution method (specifyl.Gravity Dispersal system basis3c Table 5.4 LGMI required? No (Yes/No) Effluent quality required: Prim (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 344 _ Area Calculations Number of trenches S Width of trenches: 3' Reserve required? this is reserve Total trench bottom area required: 13 76 Length of trenches: 60 '_____ Center to center spacing: 99 Percent reserve area required: _ 100 Total width of absorption area required 66; Total trench bottom area provided: 1440 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 duly Z8, 2007 0. DO y T. W. i9 -too mpWA?LqWwmDi 404 �� � PLA' �..; . 4�;o L . 00, CATTLE I� ' 875 f0�th 3M7 flet !1449 4 t 16 P*wyAif :91Y � dA�Y4yv 0* PAUL J'E. �% w.® i om I'FWWMWVW5.16..� i Q.B.14, 51 R Dm rAwd0 S..We A 913 PLAT 0iPLAT Iii x'9401, =Avg Ve 48=1 8951m Fam 08,07,81.4 F� East .11484339 .� 101T A 9-17 0 OF TVI CHEM Offawl a r�cna�►nv ► ,�� ©..x.219 -IM L01 ff Ani arv$ AUA Scale I"- 140' •- Soil Prow Hole ACST. N.19�-A House, WellandDrain Field Sites �. � P'AE�. J.,6MwT ESTATE Lot 1 # Li. rAT ,w 0.949"14.915 PLAT' .PLAT I?IviEon ofTax Map 19-16A1 --luck Mountain Road ' . Aibeinarle CauYrt , V' 'a / Steve Gooch Consulting Geologist 703 Oliver Creek Road IFm �:J Nwt�h 325090 Tray, Virginia 22974 �G FOUND EaSt 114698 - - . (An .