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HomeMy WebLinkAboutVA197800011 Application 1978-02-24 $20. Permit Fee 1 , — Application 72-I/ Sign. Erected By: Staff: APPLICATION FOR VARIANCE Zoning Department 414 E. Market Street Charlottesville, VA 22901 County of Albemarle 296-5832 Date of Application _ $ , 19 78 . OWNER OFQ PROPERTY \ OCCUPANT (If other than owner) Name: invrw , Name: Address: '� , (, , Bch (RQ4. Address: c,19.90, Telephone: a 9 3- 7 Q 3 3 Telephone: Location of Property: c pfi' II i.t t �jVWM �; _ !' - q'S1 c* . ° .9.—a4;= Tax Map l q -6 Parcel 6 1- / Acreage Existing Zoning 4 - a District R lirvyuft_i)W Existing Use: Jam° ,r�t Variance sought (describe briefly relief sought) : 3 j.Q trAN-Nk..- - ( ,A..JVd.3 mac: , &A 4 t.r.e3 L-) .)--u..3 , ,_t:AA.rd2-(D Dloyyy4n / thiAt,-vvcIL, L 3 , 9341)± 1 CLAy, I hereby certify that the foregoing information is true and correct to the best of my knowledge and belief and that I am the owner named abov , � � s Applicant Pate FOR OFFICE USE ONLY Zoning Administrator has/has not rendered a decision. If so, state substance of decision: Date of Hearing: /1-/ Final Decision Made: The variance sought was ed/fired with the following conditions: aeLirtig4A- eta ice. ., / . ti. UsePermit# BOARD OF ZONE G APPEALS Special e �� Sign Permit# BY: Date Building Permit# INSPECTOR'S SITE PLAN OR SOIL EROSION INSPECTION REPORT 3-/5-7S' TO: SITE: j', 7C. PLAN NAME OR NO. : /it9. -7'9-'a ',Al• 7 e-/ OBSERVATIONS: (note anyone you spoke with) ScT C?nC.C.3 on /1ii/7'o,• .Cj/�"e C /Q .6"/oC - < T 7e L o r / 0 87 O T 7 t 90 ' L a T T :7 S 5 ,e 7 7 _ ¢J i /S- 7ff Date and Time ?,'sa ACTION REQUESTED OF OWNER OR CONTRACTOR /,, A: S Teo`re' e_ s"`.i•� " z c..: ._ f ._ �` 02 .4 .> e 6iC ;:yr e a,r -'eT c.crg, /3'.0c..,e, f-r aor n � V k A - Date and Time FOLLOW-UP BY INSPECTOR: COMMENTS Date and Time cc: Soil Erosion File Site Plan File 1 - ..•%•• � r e ; a1,• •✓ 7- 1:� v I T. % prw ••• t /' 1• 0 pIt.►rr'�'� .•t • •41... • +•• Vile f r Z.... .c • • ,`•..o p X 41,4n • t�►'•t•• • Gil" 30 \' ,, o�°�r' 4RCF� s or 6 • ; • . • r . . •' j 0,9 .; 4 • •"•� ' .2' 0• .••• ... -10" Geige r V ••.••. 4 • ;, /•, i5TJOhfl ' GfcG o Gl{ 0 1 ?•1 , J.JQ r •P • I.OG:5r' •• • \.; . • • /• • • • • "•� .I r ,:-.7. •• • y 2.19 A •cres 8L0 N .:: .: y ••` • Veil \` • •�`J"`':��' ~ -It:. 2.09 Acres - 2.8• cres - !!, •• / • '' S •n• 1210-tom L o'. to�� Zd •. 3 i1• al. t i ' .•,••44 • Ql f �lt•-•!<.1S' •O •�,Z, •i•t •• 'F `\''oil N- • VI. V [ ••11-' / • t I I •J • W •• •♦ 5 1.66 Acres p' ram' . z :2 # `= ��`4 , - o N :,66 Acres 3(09.1I• ` J 1.6 • res • .�'` .v : ; T' •t '' ram' N.1.......... Si • i ti Z 5.51° ri5'F• t •.•1• - .: oO:7o' . C A 7 - • ; S'3�° h e 5 • tI t•°. n p .y 2/Q� Gil .r% o GK c 1.55 Acres c' 3 - 39• y -• • S. /i, • !!,__� •i��i,, O• Y'i • •e •• .::.. M�ft .. / V ••r• 4�a - � •t:• 't:C•'• wi.4 *p "::.'•e .Aa••l•'. i. . l..t 02r.fjr•• •••i-. '�• ••l�. i M .:r••„t• ra”:��.a.... t,� J -i; i::•p p. .t. ►• :`1.,.:..:. l�t: � 1.93 Acres ; N • $ ct �' !. Ac s -,� - , • � •f • 1.52 Acr 's •- --'� «"//Y� -/ ••• , .yv ts%'•s. e ,:t • o3 �6. • ((\\ •:.:••I. ••l,s; •8•;.,.•.),. • - .• co • . ..., .09....,....\ • • . IU; `P J. eLA�i) awl '��r Cie�'�/ 1 CURVE 9 • 3a'�`s ' CU V DAIn 14: L� o v ; 1.87 Acs• i . 1.29 Acs, P /42� ° z f 11 n• M 4 ° /(` A•A••e.A• e• :s-,v A. 1.1•11• • A. !f/•7••• 1 • �a t' Q 1.5 z_ .I' r. '" N �4Ir..)Q•-ri ♦ /" t•• zip.••• ,t•3.40.1.1• •.. t•,.OA• v• 2A!•a.• r• 21••• T• 7t• 4♦•• 'I• 1•• ••n• r. 1,;4,• i • 14` `1 J Vr. • i.� 1 ' 2.73 Acres .VS £a s Is 40. Alice I39:O. A•i•At V.I. that•'•1..••."• t I vv. O •••,�J v •A•JA' A. 41•te• A• •• • A: • • \ .u, A• 411•)••• •t• it., t••• ,• 1 %e•t 1••• �,• ••••rw• f . O• .. �,o •••1 • O 1 •• •.♦ •.,• Y • ••v..•1• I . 7•.•• •• • •••• . 1 • • J /� •'' �. i�• 0% / Att•10t1•,U. L.W••♦ )i• diet.•1!•2.11• Ar<•11•t.: • 1r.nI IIL..... 31 1.24Acs.Y1 • t O • ' •. • s`Q�"/7 •.. ( .6. 712 - 6 �- .--!pro • • •,, • � ' 4 r•eo 4/Q I G � Q 1...1.. • ,... ,;.,„..• ,r,....:-......,.. . . ..............<7. .0. u T . . -..J.....,1,--.:.•...--", ,.....• ••.....•,• p e . .,. t; ,;;,6.i..:.,.:.,,:,.....: ., ... ..,.. ,....,,,.....,...:..... ..... '.4 i..%.1 • ;IN 1 . • w'x 0 G 9 l 1`-'' ' vt��E c �,. �� . hn ' �• cues `'o. ` / YtEs o'' 4 A• • . • ( • ? S fir.\ 'E ' / • • 50 ,53•oZ.g I s. ''et. • • • •• •� •.• r • ZO' ti j:/' . p = 2.19 Acres 8 3 . �'::r JY'•j •f ' .,., 2 09 Acres �0 2.80 Acres N e• N !._ ,r i„ ;; N N 1.66 Acres `m�,�iz �``' "• -r,.� �� 1 ',��,• — ; Co � ; : 1.6E Acres s 3�9•%1. : (4. . 3 VAcres � AA j\ i • T ;03 ••i•�•'• -!n •' ' \„' r o., -e lowt_. . i II': a` `:*• o �•'' ' nn �GK ^ 1.55 Acres ci a 3 /a.3y N ilvho • re I'•'f ,•'' •T'••4'. co { ..:- .t•••• y) Y .r, s •1,Jj,;j.• ci• 1 ^•. •a: \'r •!• J.'_. In 0 1.93 Acres ,YN 8 `%so� 1.4 Acres -.1.' ,'/ :::•„,,„. .. - . . ... . P.40. a •;y o.3y� .F*0 :,,,,Z,-,:e- \ • ' at' i /- - • - . 1 ::» ; N oP• I. 59. Acre ti'`lr -.jG� • -4I 1.87Acs. z . 1.29ACs-9 a ' ?60f• 4' • CURVE DATA 111.-.• - -lg . -,, . 1., ..., trIv-y r- - �-,, . \ Z j.. Q.N y ©ato ci et /(� A. n On: A' :O)Y A H.•1i' A. h7.7•+• • Via• '••'� 11; ur'••c• In N �4:4T..3�1'i� 4 ' A. 2. oo• K+3.A.p1• I•• !•).on• V. 2Af./.• II . + IQ ..�2iSJ...J.-/. ft /j Y. 214o' T• •7U4.4• T. V, PA'. T. 3•41• 1 �•. * tt��7 =:� 2.7 Acres �,i;' ..�.,,•o• A AG*l„:o• A. . .,, ..G.,1,.!.:• s I z • �, o o 0 _• o U q A. g4•7A• A. 45'Zo• A• 4\•lu• n• •.1„-••r 1 I �/ �h ! 1 Q ff u ..n (/) d• 4?19i• iC• 1�1 20' f t !••1 tom' V' •••'�e• y •• Q to •+. w. •s1 . T- r.4 •.7• T• t...n.-T• T • T••.1A' ' • •.•• .•. • ' ` lir)1.24 •'• .<I•' OG�` ,� Aft•lop IA.' Aew I.4.'!S• A•t..1!.7.11• nut..14y.: , ... Acs.g1 'r , r nV t •. imosi .r/ OF ALBS GOBN . _(o} RFC 4' f,' t4ttL`/ Inspections Department Zoning Division 414 EAST MARKET STREET J. BENJAMIN DICK CHARLOTTESVILLE, VIRGINIA 22901 ANDREW'EVANS ZONING ADMINISTRATOR (804) 296-5832 SENIOR INSPECTOR MEMORANDUM TO: BOARD OF ZONING APPEALS \ FROM: J. BENJAMIN DICK, ZONING ADMINISTRATOR ¢--'-7�" `-`�' RE: CERTIFICATION OF AVERAGE SETBACK OF LOTS SIMILAR IN TOPOGRAPHIC CONDITIONS AND IN THE SAME AREA DATE: MARCH 15, 1978 Zoning Inspector Robert Shaw met with the contractor, Mr. Goolsby, and measured lots similar to his as to topographic conditions and in the same area. : (Lets 4 and 7 were measured from the edge of the right of way.) The previous A-1 zone setback requirement which applied to these lots was 30 feet. ,, The average setback is as follows (plat attached) as determined from lots of similar conditions. Lot 4, Block B, 2.80 acres - 55 feet Lot 7, Block B, 2.73 acres - 43 feet 98 feet Average setback 49 feet The inspection and certification were made March 15, 1978. j' - ;I:• • • • • • • f`�f" A4k 4/Qn • . / 0'�?r 4RCE�• 2 ` ►' T © a M • 4N ' '•'"='7 .�EI • ��o E• �• Ger•4 r V ,� ��• Lorrrss(.� , c 0. John • , peres �. t0 G14,r : 0 ,�•Y• 7• rid•r!• `C.r.;. ^r••_ ��, s� S'$3 Oz u I J • '..4 . • ,1' .• • _ __-,-(5'. 44'-1--- .4// 71. : . . . 0,,--r- t- . - • Pi s.5`, . . ../.,..) a • •'.'-: -; , © • 2.19 Acres 6 • N . ``°� • • ;.r JY'.:: • • r. . ...f' 2.09 Acres Z • 2.8 Gres �? G'. c3 .1 e .-53 • ! • t; . /off f. c •.' �' - `• ,29- • h .� 5 f.66 ACrCS 11 • `V �;,r. Q 1.66 Acres 3�9.tiz• \ 737 .zres • •�.1. • 7 aO � 5.a • w t` • R. , • • Fir .. OGK ' 1.55 Acres• •39 N o� ll Mti • 'rin I 3/ti •� �• ^ ! •N ' ... .rr :..„.:•. ., • 19 �• �...•tt;,• O,li!,ii!re.�'R' ', . ,•�.• 1•�� M .•• i :•Z1 :-�`` •Nf y .•.c .. ,lr t.7'U•rn .1:,'.„" . .'ir..•`,.'..� • ._,-•: --i•- »y ..�� k: max. .• iF�-.'�� �'� p 'r. .. • �,. 0 1.93 Acres ��so 1. Ac s `' • . •• j ,. ' N.J(•✓:•i V/.iLL C��. .- i r----- t3•�V./7 b•3. W. /ei— • ..f Z47.38• 2c,•4,.. . &6i • _ y `•• :� �: moo'' ....if `' • I� •' • '0b� 6 f(� • 0,.O.4'� 1 59. A e s 'i ,•c-a•74' a;' 3a\. c I.") 7a r �•� O�r�t S 9 a' , --II? 1.87 Acs. 9 `° •h CU V Al T. i i ' '9 Acs l .• •' ' Z 1' i - C • (4A. Ai•►,A• d. :Y)1• Ar [n•'ll A. !t7.7•t•• ► •:�! 4 h, R. 2. 00• it.J+0.p1• It• Z•).oA• •r.. ?Ai.c.•jJJoT / T• 2.40• T• ?ucn• T• j•, en' r• 3.4,'u' 2.73 Acres .1 Aoc,• 3S4o• A*C..ty91O' A•c• 4% )•!• AeG•4t•.'..• ` • }, » sir W. O . r I tl , f"^Ip :• 61 Its! hh4 VO �) w / A• .n•JA• A• 4$•Z0• A- 4%•l0• A . •1.1..• •t "I \ .'" (4 a• 1 et) ' .)' • )t. IJ !r I to* r % •. Jo' Y,• •t•• ,`,*• O �O a. v. ..t • F T• ►.•1 •.1• T• ..f• r.I• T • 7•,•, .... •. :• i R.I • 2 IRl ••' � !•• (J I/� Arc•/OA!A.' 4 C-•e 4 � Asc..I!.t.t!' "u4.j1y.: t 9 4441.r4A.T1 OF ALr3 . • .4.1 CP ,>. (5'it:4) (*..k• ( s' (lk( ��� - 1 ) • -Inspections Department �© • : Zoning Division 414 EAST MARKET STREET 1 J. BENJAMIN DICK CHARLOTTESVILLE. VIRGINIA 22901 A REW EVANS ZONING ADMINISTRATOR (804) 296-5e32 SENIOR INSPECTOR j i MEMORANDUM t _ t TO: BOARD OF ZONING APPEALS \ • FROM: J. BENJAMIN DICK, ZONING ADMINISTRATOR/-- ^^-"-' !`�--'..--t- I , RE: CERTIFICATION OF AVERAGE SETBACK OF LOTS SIMILAR 1 IN TOPOGRAPHIC CONDITIONS AND IN THE SAME AREA i DATE: MARCH 15, 1978 I I Zoning Inspector Robert Shaw met with the contractor, Mr. Goolsby, and measured lots similar to his as to topographic conditions and in the same area. : .(Lots 4' and 7 were measured from the edge of the right of way.) 61 The previous A-1 zone setback requirement which applied to these t lots was 30 feet. The average setback is as follows (plat attached) as determined from lots of similar conditions. • Lot 4, Block B, 1.65 acres - 55 feet ' I Lot 7, Block B, 2.73 acres - 43 feet 98 feet Average setback 49 feet The inspection and certification were made March 15, 1978. 5r -_..._.f.s4)___,_ --7 ,,,,,,,0-4 ' _ L.-- : L: , (,, f r / yi.,-- A, .„,..././...„.,./.7,3. ,,,,:70„.. , ...,_, I.1.3 4-4_ - 44 . "i': / 4 ` (43) ' � a :�g; e. w/�"► f C / , / /:✓�.. G L i-/ . er C / g7 it !b /Gp if ei - 1 ) 7 ,,At .. A.-cit..(7 _ vase Bonn1E cRod9EZ1 —S/adwELL tatE5,, cRt. 2, Lox 11-9 NEswtck, g/a. 22947 1t j, ,y, /912 .3a�In w�s;tr,,, Co E, . ,C e-#; ft46 /973 7p// "i s-yv 'y Co/x/hLtt. C yo o/ an e 7 '�'9/0, T 4, P&4ctS o1 -!'8 so CUhorr /f Y .c . f 'iyyt„ 'k-g-t& c /A2-4.47. (2- ate,111414-41",jut( 'UeLikel -z-- e7 w Q c ft.d .die-rx.u,. Nor STAFF REPORT VA-78-11. Emmett M. Goolsby Tax Map: 79B Parcel: 6-B1 Acreage: Zoned: A-1 Existing Activity Vacant Lot (Subdivision existing prior to Zoning) Proposed Variance Applicant seeks relief from section 2-3 of the County Zoning Ordinance to allow a single family residence to be positioned 25 feet from the road right-of-way. Zoning Ordinance Requirement Article 2, Section 2-3 states all structures shall be located a minimum of seventy-five (75) feet from any street, road, or access easement. Staff Comment Applicant claims the hardship of topographic conditions and the lay of the land with a stream flowing into the parcel dictating a variance to achieve the best house location. (The right-of-way is reserved for 50' but does not exist totally in a paved area.) Some houses in the area are as close as those proposed by the applicant. Since these are lots of record prior to zoning, and do not meet the 2-acre requirement, they may nonetheless be built on so long as all setbacks are met. The applicant feels the topographic conditions merit a variance. If the Board chooses to grant the variance, the staff recommends voluntary landscaping of the front area by the applicant. 7 INSPECTOR'S SITE PLAN OR SOIL EROSION INSPECTION REPORT TO: SITE: ose% S„iad4.ci, S>'are..5 P AN--NAME-- 3R-33ek. : SAe Crr n n M G e o 7 9 Cl ,Oc+i e e,cA s O•/ ram-e_c, OBSERVATIONS: (note anyone you spoke with) Tlc..+a d -4 a..c AO sCT.r 9,aa/s®� o{{ n�i..., 90 - //S T'� ,P�''w� j-�'� - - q S S'"-a..r 400 r o - Tom. „f'.-.., .-r r, /�4, cc G d-/ s STY4 /pw. virie on 0" 5.oi Cf{.T. 3 - ?. y1I /o/oo idrrr Date and Time A_. ACTION REQUESTED OF OWNER OR CONTRACTOR Date and Time FOLLOW-UP BY INSPECTOR: COMMENTS Date and Time cc: Soil Erosion File Site Plan File a .v.f OF ALBEM Nouse "OIL)N ,1,4 < C.), IMPAWliv `ittlOrgit RGIN%P Inspections Department Zoning Division 414 EAST MARKET STREET J. BENJAMIN DICK CHARLOTTESVILLE, VIRGINIA 22901 ANDREW EVANS ZONING ADMINISTRATOR (804) 296-5632 SENIOR INSPECTOR I /6 r C Q-/ Aer 50"/ ST'dire,o c • se: 1 1 1 L f�; BC el I T"4i.5 A/�''o ei; S 6 d .Q 9eOaeo' Q 1 A 1 L____ ... .. -- — - - - - ---,)22-/-7.—,,..a,,,,.....—_. = _ ... ._,..... ........ _ _ .40.:,- ...... A.-o„,QB/# 77 O sr .0 i.,,sTT //!. Foos/Ip 7-4.,- m9/47 >9-43 /w."c•/ 5 dr-/..."6"0-/ Lis." eos ere fie. API"._//oo'/a/sc� • 1,' � s`Q�� ✓ 73 ^ 6 ! No ' 4y: 1 `� R�GN .i . TO ,/ w t • S!' Tqk �6c o P ^l,Q 1p ,....„...„,..-.''''-'...'-.... ...''.i.'5...0______ to..--- ---.-.'-- --- C, 0 .\4-1. '9 , gyp' 1,. ',, t,'`. C• l :r�\ , • " ..51. . Geiger V j-TTr 5 J �4 ( , 4 x• :/�!p(ILO. 5. Sao 7 4� .ss' TOO 0 17 ;,.5©°r1• E • 5 _---- w� rel •E 50 j 6'S• °. L-5. 4'29'vd• &to,.9M Nl • far 1t;.;•'''' 0` •r t 0-�"'' • \i ,f1 ,i•a, CI3 0 --• c go1.9 COi S .51 ▪ �'/ ,' Acres �7��OG (r !0. `i,- p 2.193 N tr I• ,� �'r t � ' i� 2.09 2.60 Acres •t: . Acres �o° o • so. 0 r , t 123�.. 6.y 1q, o���, ' ah `�_. 'I•' ' 0 s'30'p-,�114.3 • ,oe. L56O 1 ''�� 1�r° T���-�1l� o •�' • toJ E r. °21' .> . W �9 'u �� 1 "is, 0 y,7� 0 d•tr 5) to x • ' • ° • '1�' 3ir 6 L �, 2.3- ' a.4- 0. iv In 1.66 Acres N n� �. ,r: 5 3_ N 4 0 ` /+ '04-.w ' vi Sir •` • 0 0. r .�`s CoN 1.6E Acres o 309.11• 'Y a 1.63 Ac s A\ i' `t: • ,'1 .i. 2 5.51° 55'E 7 1 4 .- ` 1'i• S1 .. O5o. !� 1 //,L.i/'II 0 O . e 07.a` • y ax r.: �;r o. CK M (° 1.5 5 Acres a 3 ° sue. eso� ,( 5 r �` ::,. \t- •1' Q1d 1 01V� S Z Q m/0 r • �� • f r. ' r .. u, YP^w L1 Ptt.. .. •frt� ' ,. . . rc. �. d f j•� �11r l.}cl til yrA r.`�'�. +�i^;n•;r:;•1f.3'M ,,;r'4�.pl�t. ^ r h7tliti:.a;��. V O . .. 0 1.93 Acres /�N 8 GI' �k 1.43 Acres - • u. itA-. 1.52 Acrpp`s _ ^�; • • « N ,lor,`i W• r 4 . \ c rr .c 3y'Y�, 32'w. 247.88' `�3'W. Ir �'C , . ' pro' J 20 1 .3u bo \ ' . 's ..; o) d: J 00 ;s a J1r �. , i� 3N ;� • _ 6 • It1 v w • h 1 4F i ,'_' v a m¢ 1 59. Acres tiro 1 ` "{ '. •I '• • IL 3 .i 9 • -..✓f!�P_!rIhh, ,.3� (u�\c^? v ACs. 0e6° '^ • CURVE DATA 1.87 1.29 Acs 9 0 a.' `- Sr+ s1pe s: • No u I7 ,r 0 O O U -ti: w Z Q• `. © � • 7' /,, n. 0t•oP' t.• .'.S'33' n: III"S1' A. �f7.7•1. r.''!,▪ •i,) r� •1I u r Jl • 1"t 4 r �jt R• 25 oco It•Sifi.(11 H• Z7.oi' r . ?AA,,t,.' eT I ,at Q 5.5i_.5, ..E• K.s4 Q-. /1r T. ZI 40' T' 7o (..4, T. V. 011' T• 3.4 I' ,, ' 1 1`»0T r) 2.73 Acres "Y APt.•35.40• Att.C.I39.to' A . 41 S'). A1te.4(t.S.' ° u• O I ICI 4' + 1 -. O /� n, In•Jn' A. 45•20' n- 4S"z�• A. •)n•r,r ' ' ' i .� a ° {V v Hi /Vj P. 41t7S r W.. n ,I• ISI 10• k.: 7r,I.2o• i?: '.'0'.or,, .tl srl I ) l' r,4 .7• T- two. 7. T ' 7.; .1. 'II, t.•. 'I ,� ' ' •\I•1 '' / Alm. 10t0 5l.' .Itb.114.35' A[c..1!.1.1I' AWL-,I4').; • re 1 (r 1.24 ACs.,1 Ev ,U PERMIT TO INSTALL E' REPAIR, 0 REASONS FOR REJEC�1061111 WATER SUPPI ❑ SEWAGE DISPOSAL 'YSTEM '�''ff (1) Void after (12) twelve months. (2) At7r,matically cancelled when site conditions are Noted from those shown on permit. (3) Automatically cancelled shoul facts later become known that a poten • I hazard would}3e created.by�r, 1uing installation. FHA/VA D Yes No Dat J -� ``Case No. Owner \ t G # (\l'i o 11 . '\,q Address. 1 1 - - , 71 0,- hone 2 k? ' E (Mailing Ad ress) / / Occupant 1 dress Phone !v,' u, P° .e t T DT. t 't ,, 'ttt . -•�r� of premises ti ( ubdlvision,Street or Road Name,Section or Lot No.)- FOR: D e11ing ❑Other Automatic Washing Machine s ❑ No Consumption ,�' [l gal.per day rroo Actual Potential ['Bedrooms --,,,,3 Garbage Disposal Unit [ Yes ❑ No ( ❑ Actual [estimated Water Additional wastes Yes No (1 WATER SUPPLY(Existing) Class Approved ❑ ❑ Other I ) (To be installed) Class Cased ft.to be grouted ft. (Unless supported by positive vidence Class III is to be considered as to be installed.) SOIL STUDY Naturally drained,suitable by sight Yes ❑ No Technical Classification 21 (if Known) ( )Estimated Percolation Rate 1-10 El11-25 0 26-50 [1] > 51 Percolation Test Required ❑ Yes No lir Rate (Minutes per inch) (Minutes per inch to nearest 10 minutes) Depth to Grey Mottles es (estimate over 4 ft.) OTHER / Surface drainage required❑Y s No OTHER DRAINAGE — 13)HOUSE SEWER LINE Size � inches. Type of material required . Distance f om Water Supply'-0 feet. ` \0; aterial Liquid Capacity 0��al'ons. 4 DETAILS OF CONSTRUCTI � tefyght Septic Twkiof , . -. t� ( 11 t, ) Inside Dimensions Length feet. Wldt t1_feet. Liquid Depth feet. Depth of Air Space feet ..- SUBSURFACE ABSORPTION FIELD Number of square feet,�equired Type aggregate required 11141W� - " ( Depth of aggregate from base of tile)tpottom of ditches (,f'y°' inches. Ailo a fall to C inches. ""I Total aggregate minimum depth 1...5, I hes or more. Depth of drainfield to be ' inches from surface of original ground. Distance from well to septic tank '') feet;distance from well to drainfield 1 00feet. Rough Sketch of Premises (including adjacent properties if pertinent, Showing Location of Lot Line, Buildings, Water Supplies, Sewage Disposal Systems, Trees,and Other Possible Sources of Contamination of Water Supplies,by Indicating Distances and Slope with regard to one another. RI T■'ir ' ill Si iJ 1 INS:Alin . 1 II CH SHAit. ri Ir /,A ,y,� r' .0r \;��'+\ SP CT �� iS i A++�2 t1 .. ... I �T . • l . c . (......4 24 'Lir,: ..,.1 1-i,.., d 1 ,c I 1 El c 0 TT+ 1..1 ..;% et 'A W C 11 ------------- feet h when In- 2agentmustnotifyr ' ..��' p Health Department, Phone �`� ~ • � — Note: Owner or his ili� c stallation is ready for inspection. If any Sewage 1 isposal stem,or part hereof, is covered before being inspected by the Health Department, I shall be un- covered at the direction of the Health Director or his agent. CONDITIONS DISCOVERED DURING INSTALLATION MAY REQUIRE ADJWSTMENTS OF to SYSTEM DESIGN. Changes from above specifications require Health Department approval before being made. Based on the above Information,the undersigned recommends that this permit be Issued/ I ✓ / A itFA,� Date Approved Date '1._4_4iined - Al -•�=- (Reviewing Authority) (SanrtarlanIr Health Di( ~ector) LHS-121 RC V. 12/71 Virginia State Department of Health Oi iG ,3AL