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Home My WebLink AboutSUB202000224 Approval - Agencies 2021-03-01RGINIA VIDHOFIHEALTHNT Protecting You and Your Environment March 1, 2021 Christopher Perez Department of Community Development Division of Zoning and Current Development 401 McIntire Road Charlottesville, Virginia 22902-4596 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-4310 Fax �4)0)%0 RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual Onsite Sewage Systems as part of a BLA of Tax Map 130-35A located in Albemarle County, Virginia (SUB202000224) Dear Mr. Perez: On February 3, 2021 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 Donald Hackler; Onsite Soil Evaluator Number 1940001231. 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 Blue Ridge Health District Commonwealth of Virgil VDH Use Only Health Department ID# Application for: []Sewage System El Water Supply Due Date Owner Hilton Patterson Phone 434-547-5837 Mailing Address 22 Quite Meadow Dr Phone Stuarts Draft VA 24477 Fax Agent Old Dominion Onsite Inc. Phone 804-378-5211 Mailing Address 116 Sylvia Rd Suite A Phone Ashland VA 23005 Fax (888)501-7518 Site Address 165 Mountain Vista Rd Email donaid.hackieru oiddominiononsite.com Directions to Property: 165 Mountain Vista Rd Subdivision Section Block Lot Tax Map 130-35A Other Property Identification Dimension/Acreage of Property 2.9 Sewage System Types of Approval:Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to apply for a construction permit(valid for 18 months)only when ready to build. 0 Certification Letter Ei Construction Permit Voluntary Upgrade Repair Permit Proposed Use: 0 Single Family Home(Number of Bedrooms 3 ) Multi-Family Dwellings(Total Number of Bedroom: ) Other(describe) Basement? ElYes 0No Walkout Basement? Yes EINo Fixtures in Basement? I:IYes❑X No Conditional permit desired`lYes ONo If yes,which condition do you want? Reduced water flow Limited occupancy El Intermittent of seasonal use Temporary use not to exceed 1 year Do you wish to apply for a betterment loan eligibility letter?❑Yes ❑X No *There is a$50 fee for determination of eligibility. Water Supply Will the water supply be ❑ Public or ❑X Private? Is the water supply ❑ Existing or ❑X Proposed? If proposed,is this a replacement well? Yes No. Will the old well be abandoned? Yes No. Will any buildings within 50'of the proposed well be termite treated? 1:1Yes ❑X No. All Applicants Is this a private sector OSE/PE application? ❑X Yes ONO If yes,is the OSE/PE package attached? 1:Yes ❑No Is this property indeed to serve as your(owners)principle place of residence? ❑X Yes IDNo In order for VDH to process your application for a sewage system you must attach a plat of the property and a site sketch.For water supplies,a plat of the property is recommended and a site sketch is required.The site sketch should show your property lines,atual and/or proposed buildings and the desired location of you well and/or sewage system.When the site evaluation is conducted the property lines, building location and the proposed well and sewage sites must be clearly marked and the property sufficiently visible to see the topography. I give permission to the Virginia Department of Health to enter onto the property described during normal business hours for the purpose of processing this application and.to;perform quality assurance check of evaluations and designs certified by a private sector Onsite Soil Evaluator or Professional Engineer as necessary until the sewage disposal system and/or private water supply has been constructed and approved. Signature of Owner/Agent Date This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014