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SUB202000143 Assessment - Groundwater 2008-04-10
• % f • j' _ COMMONWEALTH OF VIRGINIA 3 VIRGINIA DEPARTMENT OF HEALTH Albemarle County Health Department PO Box 7546 Charlottesville, VA 22906 (434)972-6259 • PRIVATE WELL SYSTEM OPERATION PERMIT • Tax Map No.: 31-38C-5W _ Health Dept. Id. 101-01-0124 Kessler, Glenn, 17 Buck Mountain Rd, Earlysville, 22936(804) 975-1860, is Hereby. Granted Permission to Operate a Class IIIC Wel?, located at 17 Buck Mountain Road , • . Earlysville, VA 22936 Subdivision ' . Section • • Lot • • • This.Permit is Issued in Accordance with the Provisions of Title 32.1, Chapter 6 of the Code of • ' Virginia.as Amended and Section(s) 12-VAC5-630-330 of Private Well Regulations of the Virginia Department of Health and permit dated March 15,2001 '. • • • - 1• • April 10, 2008 William A. Craun Effective Date • EHS Approv • • • • j • • w • / . r I • Water Supply and/or Sewage�isposal System Construction r`ermit Page 1 of .� t Commgtnwealth of Virginia • •• Health Department Department of Health Identification Number: 101-01-0124 ALBEMARLE CO.HEALTH DEPARTMENT • Tax Map Number: 31-38C-5W General Information BP#: Water Supply System: NEW Sewage Disposal System: EXISTING Based on the application for a sewage disposal system construction permit filed in accordance with Section 2.13 E,of the Sewage Handling and Disposal Regulations and/or Section 2.13 of the Private Well Regulations a construction permit is hereby issued to: Owner GLENN KESSLER Telephone: 804-975-1860 Address: 17 BUCK MOUNTAIN ROAD.EARLYSVILLE.VA 22936 For a Type Sewage Disposal System or Well to be constructed on/at SOUTH OF RT 663®INT.W/RT 743 Sec/Bk Lot Actual or estimated water use 450 t;pd- 3 bedrooms DESIGN NOTES: SEWAGE DISPOSAL SYSTEM INSPECTION RESULTS Water supply,TO BE INSTALLED I Water supply location:Satisfactory yes_no I GROUT CAP To be installed: CLASS:II1C I CASED:20 feet GROUTED:20 feet I EHS DATE WELL PERMIT ONLY ✓.L4700. 'A otpe(p lesv} ✓'Approved Cep VGro4 A-etft+ ✓ 4o . iPK Ton oa • • • • • . i i I • • 1 Page Number' 2 _of 3 •i r Health Department . Identification Number O -0 -0124 Schematic drawing of sewage disposal and/or water supply system and topographic features. - Show the tot tines of the building site.sketch of property showing any topographic features which may impact on the design of the well or sewage disposal system,Including esdsting and/or proposed structures and sewage disposal systems and wells within 200 feet The schematic drawing of the well ate or area and/or sewage disposal system shell show sewer lines.pretreatment unit,pump station,conveyance system,and subsurface soil absorption system,reserve area.etc. When a nonpublic drinking water supply is to be permitted,show all sources of pollution within 200 feet. ❑ The information required above has been drawn on the attached copy of the sketch submitted with the application. / IIIC WELL AREA: / /' 25'RADIUS AROUND to N. TRIANGULATED POINT / , VIP 4 l 1 o, ' 6% / • / SLOPE I` / , EXISTING • / /• DRAINFIELD cb /• ,' EXISTING / WELL ie., ,/ \, ft '/ • LEGEND ,/ It '� PROPERTY UNE/ / ORAINFIEO - - - / / IRON PIN FOUND / WELL AREA ~ _ _ -- - - - — __ � FENCE -I. r ROUTE 663 This sewage disposal system andlor water supply is to be constructed as specified by this permit. This sewage disposal system and/or well construction permit is null and void If(a)conditions are changed from those shown on the application(b)conditions are changed from those shown on the construction permit. . No part of any installation shall be covered or used until inspected,corrections made If necessary,and approved,by the local health department or unless expressly authorized by the local health dept. Any part of any installation which has ..: covered prior to approval shall be uncovered,if necessary,upon the direction of the Department ,/ This Construction Date: rs� - Issued b : �_ ,` y Enviro nta ealttt S ecialist Permit Valid until P Date: Reviewed by' _ SEPTEMBER 30,2005 - Environmental Health Supervisor +HEALTH DEPT P.�,. /-C),f-CJ%?q _ ' TAX MAP: rl Sr PAGE .? SEWAGE.DISPOSAL AND WATER SUFFIX CONSTRUCTION PERs\IITS . See Page 2 For Design Drawing. Dr1iwing is Not To Scale • Permit is void if the house location interferes with the proposed well or drain field/reserve locations. . . R • Follow all OSI-1A'requirements. • . • Minimum separation between drain field/reserve area(s)and well sites is 100 feet from Class IIIC wells and 50 feet'from Class IIIB wells. This distance increases by 25 feet for every 5,percent slope for wells down slope of any source of contamination(house site,drain field/reserve area,etc.) • It is the owner's responsibility to ensure that the well andseptic system is on the property,and does not interfere with utilities and easements. • health Department's Operation Permit and Well Inspection Report are required prior to occupancy. • • All septic and well contractors must have a current license with the Virginia Department of Commerce. • It is illegal to put either well or septic system into use without final health depaitment approval. - • Septic and Well Contractors should be provided with a copy of permit befure any construction begins. ' • • Well and all water lines shall be disinfected prior to water sampling. ' • Dry holes must be permanently abandoned in accordance with the Private Well Regulations by a certified well • ... • driller. • • , :asemcnt(floor is below surface of ground)? YES NO Walkout : ' . YES NO • Fix -s in Basement? YES NO Lift Pump Regitired? YES •0 ,• ls.septic •••location in a place of suspected high water table? YES NO If yes,pleas: -fer to tank manufacturer' • structions on placing tanks in saturated areas. ' . ' • Pump is required wh • the-ground surface over the drain field trenches is at a higher evation than-any plumbing fixture or.the sewer line aving the house. . • Do not disturb the drain field o erve area(s). ' ; ' . • No buried utility service shall be dos than 10 feet to any part • 's system. • • • • • Do not install drain field systems during pc'ods of wet Cher or wet soil. • • It is recommended that all trees be removed fro }- e drain field area and-all hydrophilic trees within 10 feet of the drain field area MUST be removed. .. • • ' Place untreated building paper or ap. • ed material over e trench gravel. • The maximum soil cover over -ptic and pump tanks and distn• lion boxes is 18 inches to 24 inches. • All tanks shall be wale ':-t t. • _ . • Final grade of dr ' field shall be crowned to divert surface water and prey •t ponding. • Roof dra'• , •asement sump discharges(non-sewage),floor drains,footing drain , •ischarge from water treatment system ,etc.,being connected to this system is PROIIIBITED! Divert these away ; • drain field. • • ep structures and driveways off drain field/reserve area(s). It shall be the responsibility of the owner or any subsequent owner to maintain,repair or replace(re. ires a • - permit)any sewage disposal system that ceases to operate in-a sanitary manner. . r `" mmonWealth of Virgin' - , . - • .Application for wage Disposal,and/or ater•Supp__ -'erinit • • - ' r _ Health Department ID ! !'+0 f "O/�'� .- • _ Z. 1�N'404 - . . . - To Be.Completed By The Applicant ,.. O� �g/61 ' . . arid. - Now.- _ _D'•pai* . P _ ('- -=&tepended"" . . ••�j . • •• -` •; •lJ�f�P • ' IFIll' Co. 3r . CRo .r.«Nn.� y1 oro �� ���{ Ss`e Address - PeQ� _ F�v� 4r�. . .. ..c Agent .av' )S J do • rear _ l�'lt.,S t l.It.' has • Pe 40 _ l.?� ,k }- n t� // - 5611-rr Cam; l - _ Directions ?St•-Property,'" ' L` ' • ' _ o` '` U'�` r f- . ,r y Subdivision. • Section •• • .Block Lot • - (D.-°`� /P yam' Other •Property Identification ( ( l' t� 1#~31 - Sec' . 3:,r. - , . . Dimension/size of. Lot/Property _ • `(1rU • • • • _ �� ^ - or - Other Application Information , :'. •. : . -. . • I. Building/facdity New Existing - • - . . - • . Intermittent Use • Yes •- •No If yes.describe • - • II. Residential Use • ttJ�es • • No • - ' Termite Treatment - / s No . -' TS- • , • ✓Single Famil Multi-family . .-. . . -:Ai .. (Number of Bedrooms (Number of Una: • Basement • fYes • . No - • • Fixtures in Basement Yes • /No III. .Commerical Use. - Yes _ . " • No: . Describer•. - -• - . ' •Commerical/Wastewatir 4 Yes •., . • ""No •• . Number.of•Patrons • • ' •• : - Number of Employees - . • • I f_yes., ,-,give .volumes and.describe ' • • IV. Water Supply: , • 'Public • - New ' Existing • - . • . , • . vale New Existing .. . Describe; � V.)e^-1 • . rain l - - LP, -—Msttad— -- . -PlWltr cew r g SVctAnl ' • - . . Attach a site plan (rough sketch) showing dimensions of property.proposed and/or existing structures and- • - : . - -driveways. underground utilities,adjacent soil absorption system„bodies-of water,•drainage ways:and wells and . , • . ••. •-springs'within.200 feet radius•of the center of the-proposed-well or drainfield--_•Distances may.be paced:or •:- estimated. The pro• 1' an• b ing locatio • e clearly marked and the property is sufficiently visible to see the'topography. •-• • I give I is- • ' • - 'don, •ens • - ter onto the property described for the purpose of process'ng this.application. -• ii An ti Y. '' . . alas [ • S'_na r-4*,^'r've•fig nt - . - - Date CHS 2t t f 7. I �fi ,. ••• d A _ o ntiionw,ealtti`of-Virgin' W • • • - = , Application for•'wage?Disjcosal•and/or(Water Sup ?ermit r - Health Department ID /6 l—l/( —O cf-R" , ' it. e i � Jo'-Q 7 c • • , • Tillie Completed By The Applicant ZI ' • Y • •--•�epaf- • W � - • ' . - / t t.)#•5-: - �/t """ S`e rAddress 11�t) -[( t L• phme �S1 � ° s 1„4 -N . . Oae . A8ent. IjS.t.lie R C Ks, 6Arlysidk � 4i gloi - - l) — 1 ti- 6,4- k,i15.-.11c •Ccv% i . • Directions aa-Property ': 1y•• �- i t"1" OA • . _ e trnr. • . . Subdivision Section -• • Block •, ' Lot • (t)-b4,,r 4;:. . Other Property Identification• 1 ?L ( 7al:I T C2�'• J i•~.•363 C • 3 } • Dimension/size of Lot/Property -- • _ _ .... • r_ Other Application•Information • . :?, _ • :... : . .I. Building/facility • •• •.• •• New •✓;Existing . - •• • :r Intermittent..Use '! _ _ Yes -. • - No •If•yes.tdescribe •• . A" . • �.- tii- • -. r— 7i • x ,. Y II. Residential Use Yes No .. _ e --•• �;_x Termite Treatment es e - • ' No - • ' - �{-'�. 15- ,►,�;y'fi- --,`"� � 'i:? -__ _ •• . • " Single Fam' Multi-family • 1k ►�;:�_. •-.� . X (Number of.Bedroom _) (Number or Units. ) - _ - ,. _. _ - • ; I Basement 'Yes No . . 4-.•�;•• • Fixtures in Basement Yes _ No.+ . , . • . .' III.. Commerical`Use. Y - �N -. t 5:- --- - - .1 - �, es. • o.. Describe: :� _.. - • -. -,', . _ :Conitnerical/Waslewater - - ' _Yes. • "No.:•. Number.of•Patrons _ • " , ' . • • • ' ' Rifeti Number of Employ •` ... . ' ' If es+ give volumes and describe • - - ' - • - .• . • �--»• • �'1-• - -IV.. Water.Supply: 'ublic • - •r . New • Existing . ,1 : , •- t't):1 'vale "� New Existing Describe: 5 �. - . . - - • . - Onsitc.-' n Ie 1 � Muunil— i .--Q*helr . • - _ Attach-a site plan (rough sketch) showing dimensions.of property.-proposed and/or existing structures and . - • driveways. underground utilities, adjacent soil absorption system,bodies•of water,'drainage.ways:and.wells•and . • .. spnngs,within 200•feet radius of the.center of he,,proposed well or;diainfietd:.-Distances may be paced or- . • - • estimated. �' �r _ . ;., - a The pi%•r s • d wing local'• are clearly marked and the property is sufficiently visible to see the topography. . •_ - 1 giv pe• i- i•� t+ fir- e to nter onto the property-described for-the purpose.of proces 'ng is application. . 0? Ir � ` L kiii_//• _ //� 'ign. ure �'ti wn• Agent • '-- Date • CHS 211 - . . •'•� - - I . • • , 5� • . . ___ VI • l y1_•r ' •w '. O., ' 4� ';: r. ''_•. '1f•• \ f• . .- t .►` ti% �.,e► —.ice•L. _ .. :-- - -'F'- -- ----- ----.-- - • _ :-.... . ' Ai_ '4 1p 4 zUi't{; C3 c(: C` i'' . '',�:[C`% 'O o. L•vM �'� - —'9 1 J1 .,,,_- r"."....`'....�` PLLC 411 -.3 j! v ; i1'i (c ; r S1 a r: i ,. iy . • 1 !V i�' J•l 1,t�t�(�+11eti��! `i?l\�—' 1�} ii.�e ;'�+�,*�1,�,�)S (''J e► ', _f MA � ,. .f_. ` 'c4�� _ 5., It ice, _,,• �.r ',, C`� +:1� .1^z 'rA- •,[a'3: I--G •••,T.IY, -_ .--_ —5—.--- -_-- - - -_ _-_ __ —• -+— ::--1a-- ^ ,•• , ..• .• .y` fe . f: .i1: , .. a `' r'� . I': '.tg'u 't i► .ii:-' • •lr 1at / d1 ` j • ...t. , IK. ,;4:_:fit: .- • ii :_ i � ' w ' .3,�'. ...f s r• - _ i t - 'ti.J li.': ...Vri- N • � ' �1VI... �._ G.. }__,„ , a.1.6'':~•-.1"r.i f t` , "� _i • i__ — Zi.m:r!" m r.•.VD 1 _•-+•.ar..;u.31". ....a4'j D%1 •{... _ _ TF►J1 . -.,:•.141,1!'�i _ • _— ai�� l6c s:. ._Lf.lii�rt !'Y•, 1v .'.c'!• S=s, t:•1 i v&nit.) . • ,i ,--1I•r) : ' �. '• I-1 �i:r' .',•---__- Lori -__w _~-•,1-'7 __ ter► i'T"4..r♦L i i":/-.t".: - -_7--'r ---. 1"7..+•..:% . .le i.0F:-.:` - - _-. r. . .I-.'j' ► f'r. •i. ..•Y. . • (.i •. . ,l: : . ! - •-r .. ; 71 _ . 7• .1. f`••.. ' • -' •.; % ll •, -•r 'r ..1' ; . f . , Ifs '']:.'. • r •• .. ,,. i,'•••,..F ..'i, ' ... • . '...i1.'.1 -...r-• -+,• • '• i ..i ' 1..... . •, I..-.. C: . ' I, .1J - _ . •' . _ L;'s 3r-i • • • .. ,•:i _ ..i. �•- i •.•• - , e.j.l - f • ti.. 1.. +.A4. • ' • .T-i '.' ••` ,10:t ` 1 • -. d' .• 1 _ '.' ' - •i I.,' • i ' 1 i' : . ..?. - -• . • i . I. .. , '11--`••_:$:14: • r )' i • • . .�' • Pagel of • DATE: ID#: 101-01-0124 ASSIGNED TO: Jeff Loth • ` OWNER'S NAME:GLENN KESSLER - SYSTEM TYPE: DIRECTIONS: <3,.-e.! �$ � ( WELL TYPE: iTC `CY' 7 7 TRENCH DEPTH: #OF TRENCHES: DEPTH TO ROCK: LENGTH: DEPTH TO WATER TABLE: CENTERS: DEPTH TO FREE WATER: SLOPE: V% /LANDSCAPE: TEXTURE GROUP: PERK RATE: MAIL TO: H# Hz DEPTH DESCRIPTION TEX.GRP SIGNATURE OF EVALUATOR: Jr 1\.1.D..I. gr. V ,...s.. .:N.///. ... 9-,„ ----..,, 14 ' ' 10 ( ' (.... ' . 2:.. 11 ,___...._*__s.,_-..-•'''-- ,a10 lb. 46) (/ . \ -%1 k - It . _ o ' L N xi I . V M , i . _ . . ALBEMI _--, o ti' 58/111111.111' . ifi L. • kj/ _ 1.. ...-... ....," ' '''------ ( / 7. 57> 56 - ?<' I / 0 . / 0 . r---------.-- / 2 ---•----44_,, / r s / r .ass•--- -:- -96s _ - 40+4. • ��_ / �i. / , 40: •IB IA 1�J 4R 0/ • /. 41 4C 66 59/ 39 x 4rl 4�i 3 • 59B 80 _ � 9 A • , 8A/ 4F 401s, . 38A , \ . Or' ` 49ti • ,............svp 3a • RL`'f 4 e 6 9C -: ;l�5p• -�.�. 36i 390 '. • 9D % / 713 '•5A� __ /� / :.. • 011, •IY 4(/' V ...1 • \''. / 3 - /,.." 1w7A T /R / ' • 1 12A ti 4 t 1,. 9 ta 12 • ( . 0N . . \ .- . ' 04 0 \‘' r � f \ 1402 1403 J,/' 14 DI �''+. ...\_ ' ~, , L40 A 10C ‘1 ei •14A 'Iu 14C /• �� � 4 E 1- • �i C 1 IA��, • f4 F •ti 1 tL. ._ ,• tOE �- r ��o`��G `. _ . ' ate',/ 6 /‘•.eOPGXTY'_ -Vo7411V TJYB".* U.O. L7EF/NC'O / T/YU/e /T EOic/y.eOs . , i / r►++4'T _ r ��' /-r , / ,• • e''.9Q, .. ZYni1Ili F EDWl DS • .ge• _ 1!120P ��' 1 8w. ei /p i L, it,1\k I orB vs Tel a/ It gPe..9. sec � ' i:boGAC. a X LQ Q�':� b<< o cI .‘1 0 �ti Lori is k6. / Q k i j / A.-reo.C/f r r eivew ew orr cJEPrrC v V • �ei 1 OR9/.14F/d2CO Ad tl yh..,/N ov e 1,7470IrA•ejuE Aibt •70,:eLE.'/&ACTH oEPARnereiVr ji I cite E�ilS'E/YE.1/!•'C•eerArzro /vo. /oo/-l1 I O mea In / °'a`"/ k • / do. 4k R. i - %s ye-rzt.eY h !`..., I • l . owCzti.�/G 2 �Y : /!•£JB/ 1/� ... P�T 43 • • • . . . • ' • "NYIS/cAG cc vEY ViVo%✓,w . • /:'AEcEG .9BC AtS tS/`/O`dN ON - t A/6-67 Y/ COU/V7> 179X/i ,4 s . (SCALE/=eea' /9t 71/9/e J7 - t//,'G/,t//,g iy,7• Z4, /990 B. AUBREY .HUFFMAN & ASSOCIATES, LTD. CIVIL ENGINEERING • LAND SURVEYING • LAND PLANNING CHARLOTTESVILLE. VIRGINIA ' w TAG'SHEET . . _ • Permit LD.#: /0/ 01 0/024k Owner: Agent: Tax Map #: . ~ SCE cci Subdivision: Lot: {} Combination Permit {} Repair Permit {} Septic Permit Well Permit {I Well Abandonment {} Certification Letter DATE INITIALS Application Received - 482i P Assigned To: Q• ' I_ ' L 41°28-/ol • Site Visit Scheduled *opt • Clog Time: /%330_0Q/e a Comments: Site Visit Rescheduled Time: Site Visit Made • S/ " ' Date Given to OSS Data Entry 3/SA Construction Permit 49Issued {} Denied Certification Letter } Issued {} Denied Survey Received {}Yes {} No • Construction Permit Mailed Construction Permit Picked-Up - Septic Maintenance • r� - mop. Apr 10 08 12: llp Igeshcom 434-971 p.2 vir . - • • OXIICI uizt—6:4• .Ft- • I IieligivaloAluiede .10'111041Pil : I Whet*pod egoiekt•fripalabilittitylina..Fiesuneassrisit:•-•• • L..Alan Ft ACT'C3 Ft I IES - I P.O Box HS, Charlottesville-, •va.-eanisti. I. • Rime.4434)09b4716 - • • KENNETH. REI MA • • : • • 03/25/20041 C/O GINGER ASHCOM 4869 CATTERTON RD. • FREE UNION,. •VA. 22940 BACTERIOLOGICAL-ANALYSIS REPORT,• TOTAL C.OL I FORM IN DRINKING :WATER ' JOB NUMBER r za3e2.5 sANPLE. NUMBER 21130.1 5.. . • ••DATE RECE I VED 03/24/200B • • • DATE REPORTED e• 03/25/2008.• - IDENTIFICATION: GLEP4..KESSELER--WELL,. 17 BUCK: MOUNTAIN,.RDy. 3/24/08• SAMPLE MEETS STATE •STANDARD..FOR .COL WORM;.BASTEALA .• • IN-DRINKING 'WATER: TOTAL COL•IFORMS,MERE-'NOT••BETECTE.Ow.:,; • E.COLL- BACTERIA WERE .NOT DETECTED. • • RUN BY THE COL I TAG PROCEDURE. • • 0: MPH COLI FORK. BACTERIA,PER 100•ML.•SAMPLE,: 10 NET VE NUM MI SIMINIM MI OLEO% MBE IE110,0111FOIS • -- • • • • AQUA-AIR LABORATO S, INC REPORTED• BY • Fax Fran 434 978 7938 04/10/88 13:46 •Pg: •.2 — - -- N • " MAR 2 7, Commonwealth of Virginia 3.1) Uniform Water Well Completion Report Owner: 01411t R AIN6Weig, Tax Map ID# 31-3k, 50 Address: to. - Wit :. - VDH Permit# i,� • Phone: 9j)- a1'1'b- \%Lap WWCB#: Locatior\ale3 1+ • County: , lrpttn t11- *Well Data* General Information Drilling Methodr44064 Date Completed: Total Depth: Vi p Depth to Bedrock: Yield: 213 Length of Test: Static Water Level: It) Stabilized Water Level: Natural Flow: 21) Well Disinfected: Disinfectant Used: Amount Used: Casing From:kto From: to Size: a Mataterial: Size: Material: Weigh Schedule: lab Weight/Schedule: Gravel Pack From: to From: to From: to . Grout From l7 to 20 From to From to Bore Hole Size: ' p3" Bore Hole Size: Bore Hole Size: Type: c rt , Type: Type: Method: rip Method: Method: Water Zones or Screened Intervals From ►}S to 46 From to Mesh Size Diam - Mesh Size Diam From kc&i O to c) From to Mesh Size Diam Mesh Size Diam • Private Well: Domestic Agricultural Industrial Monitoring_ Public Well: Community Non-Community j . . _ _ . • Driller's Log • lb- 1 15- ,xo tico1 . \ Q\ J • ,\UQ 5 L vt e. . I certify that the information contained here is true and that this well was installed and constructed in accordance with the permit and further that the well complies with all applicable state and local regulations,ordinances,and laws. Name: Wilson Well Drilling,Inc. Address: POB 729 Ruckereville VA 22968 • Phone: 434-990-2010 ' • Autbo ' d Signature: r0 it—Q- Date: Representing: `Wilaan Well DriHing,Inc. Virginia Contractors License Number: 2705028506 _ __ __ . e•-; ----,---v. • - .- - ,-,Sewage:Disposat System 'Operation ...Permit! „... -- . -.. . ... . • ' . . ....-..„. , - . , . N...: 1 P di)nimonwealth of Virginia .t.•/— . _ . eplf -artment of Health-• •-•: ..• -.. • :. e. .. . • -. • -.Health DDepartment . . .- - • • • 1(1-. . . , - ...: •1.: -7. SD-90-100 _ . .. . _. . . - Identification-No • - Tax Map_No: -31-38C733-6 - - - - - - '.. Thomas Jefferson , Health Department . -'• •- • - . , . , . • I m" -- - ,. . . ' .. . Ti.inzi Woodling. - • is Hereby Granted Permission . to Operate a.(Type). . .-I • • '.- Sewage Disposal System:Having,a'Design.Capacity of: - .. .450_ gpd, at V South 14,. Pt. 663 - ,- -_ . -•,,_ - . . . - • _ 4S-4 ,- - SUBDIVISION . ' • ' , : - SECTION/BLOCK ..-. ' • • - - LOT • . • - , • • - , .---,- - N/A . . - •- -- - .. . - . . ,. . . Ilia,pernilt is. Issued,-in Accorilance:.with. the-PrOvialoils-of 32.41,...ChaPter 6 of the Code.of -Virginia •as Amended:and Section(s)' • • = . 22 • . . D 3 '..- -, . • • .. Alf:the Sewage-Handling:and Disposal Regulations of the-Virginia_Department of Health.and- . . . . . . - • • . • .• • . . with Previously.,Issyed. permits - , !•r•:•• " - .' • - . • • -- • . . _ , . .• . . . . _ Dated ' -• • - ' .• - . . , . . •----iith .the..understanding•-that-the Owner:and/or-any •Subsequent;Owner;Will .operate the Sewage Disposal System in •Accordance '-:! Ii the Sewage Handling 'and:DiSposal.•RegulBtioris of the-Virginia.Department of Healtfrand.any Variancet-or-Conditions Granted. . Issuance•of an Operating,Permit'does.not imply•or Guarantee--that the-Sewage-,Dispiisal System-:will.furictionifor anY. Specified , Period of Time.! - • - • , : • : ' ,... . . - . -. • - . .. .. . ._ . .. . •VARIANCES GRANTED- : -:•',ki-•'-• ----:. . - 9- -: :F r•'• .-• .'• • : _ 'SPECIAL CONDI,TIONS'-----. ,: • • • - . ... . -- ...tr... ,:CI'NONE• •-? ,1:1•SEE ATTACHED •'" '."-:. _ . ; : • •' .1_ ,.. ••• ' 7,13 NONE • - -- Cr-SEE ATTACHED. •• , .. •. . • • •. •• .. . - A . . ' - Ci7i/Cin% - ' . • ( ._ . .........-.,..-. tt........„. - - - •. ..., .... •. -.. ..„.•„Effective Date-.,-...;.. , . -.-- • .L , 7Redsmmended1Salitarian), • •• -.-•• ... -7 ••• , Approved (State Health•Co Issioner).i.v. :- ...• _ . • -- . . - - --: - _ • - • . . _ - - - • �Completion St ,atement • - - - Coininpnwealth of Virginia . ' • . State •Department of Health Health Department ' • - - _ Identification Number ', Department Health Depa . > Name. of Corn any/Corpor_ation/individual:' i . / 0 • - � • - 4 Address: Q 6049J4lc4%i iS Telephone: 9R- D �`t Owners• Name Uu o-e-eilad.4 . _ . Owner's Address - ' y Location of Installation: Lot - - - • Block ' - t r • • Section: •_ _ Subdivision: _ - Other: _ .- - I hereby'certify that the onsite sewage disposal system has been installed"and completed in accordance with the con- struction permit issued. (date)• - ' and is in compliance with Part.D of the Sewage. Handling and Disposal Regulations and when appropriate the plans and specifications for•the project: . ol j1 C:q qd • 1214;ift(titatier . ' • • - 4--ja Date . _ Signature and Title , • • . _ C.H.S. 203 Rev.4/83 - :f --, ,• t .•.: tea' _ t • ` -':"-Sew•ager•Disposal System' Construction. Permit PAGE L 2. Of r r! - • . Commonwealth of Virginia - Health Department artment.Of alth • - . - • - Identification 'Num • r (!90-• f+t Y ma- ( r,�.a • q c• t: ,,., a Health, Department . _ Map Reference J I General Information • New ❑• Repair ) Expanded 0 • -Conditional 0 FHA.❑• VA ❑ Case No. _ .. . .BEised on'the application.for•a sewage disposal system construction permit filed in accordance with Section.• 3.13.01, a c truction .rmit i 'iereby issued to: , . - • Owner. tfY1M t rt-c\ ' Telephone ' • ‘ Address -)i 1 �.1.t (L i1ity, 1/A• 2293[a _ • - \'For•- •a Type 1 o-r_ -S�gv0,�•getotsposal syst1 n-w-hich i beWpr14ructed'7y3t _ � /V/-/i to '. l- ^/fit• Lot �W . Subdivision- �• • ` Section/91ock � --• I'l - • . :Actual•orestimated water,use !DESIGN •• . NOTE: INSPECTION RESULTS _ - • ,,'• • •Water supply ex stln ,(t! scribe) = - - • Water.supply location: Satisfactory. -:yes 0 •no.0 •- • - . , G.-5s comments•' • . To.be;inetatled•-class- • /OA • • •G.W.2 Received: ,yes ❑• no.0...not.appllcable-� - 44cased. • NJ grouted .Ni• - _ . • . •, •. • .• Bulldlnng,sewer:7 .. • • --. . :' - Building sewer. : • . : yes 0/o•❑ comments' ID. PVC-40; or equivalent. Satisfactory ' . ,- _ - ' -L▪ .-'Slope 1.25" per 10''(minimum). - • . - . _ - • • •.❑ Other ' ' . • Septic tank: Capacity 0 • - •gals. (minimum), .Pretreatment unit: . •+ 'yes' :no 0- comments _. _ • ....,•:-., '_ p- Other . \._ • • . • - Satisfactory , .... • , , - : . - • . _ .Inlet-outlet sttvctare: - . i. ' . .Inlet=outlet structure: ;, •:yes--Q•rio U.• comments.: ....: --.'- • . PVC,40,4"-tees or equivalent. • - .• Satisfactory -• , • . . - ▪ . '0 'Other. • . . • _ -▪• - p and pump station:' - - . . .• ye . - - -Pump&pump station: . - s.a .no•E .'comm .. Pumcomments ,. •No>C . • Yes 0 describe.and show . :Satisfactory ..4..:; ' /ff, -.E • _ - • • if yes: • _ - " • • - ' Gravity•mains.43'•,or=.larger'lb.,• minimum.:6"-fall per. Conveyance method:.: •_ 'yes Q✓no•❑ 'comments 4.- •'••,I • .100', 1500 lb:crush strength:or equivalent.. . • .. Satisfactory r& -• •• • .D. Other • • . • Distribution box: �' • .` •• •Distribution bait: • . ' yes' "no 0 comments - • .Precast concrete with (v -ports. .. Satisfactory . . -•• - , • ❑ Other • - • - _ . • • " •Header lines:'. -- • • • • - • Header lines:. • • . .yes eno ❑ comments •Material:4" ID. 1500 lb. crush strength plastic-or equiva- Satisfactory . - - • • lent from distribution .box to 2' into absorption-trench. •- • • Slope 2"minimum: . . • •- • n Other . . • . • • . -Percolation lines;. • . .. _ ' Percolation.Iines: yes den° 0 comments • • ••. Gravity 4" plastic 1000'lb. per foot. bearing load or Satisfactory • • • . equivalent, slope 2" 4".(min. max.) per 100'. - ❑ Other • • . - . 1, Absorption-trenches- • Absorption trendies: yes t�no ❑• comments : . . . •Square ft. required I� :.depth from groued.surface Satisfactory . . , - , - to bottom of trench. 36 = ; ag regate•size 0.--if 2 : . . -• • Trench •bottom slope 2• U'� • •j00 7i'•'-' - - center. to center spacin _jg, -; trench width 3I p•/• Date 5/� . �.f:(,( spected and approved by: •• .Depth of aggregate •. �//� - Trench length L �, Number of trenches �- - "`���"'"`saa"`nitsrlan'. • C.H.S. 202A Revised 6✓e4 ' • r r If•2 - -_ FILE COPY - - F 71,+ .:-+ - . • ;• ' ....Lai •; - teaitn impartment - - • •�• • � "�.; = - 411 Identification, --•mber f r I-9°' 1 OO - Scheraiatlp,drawing of.sewage disposal system and topographic features. PAGE Z OF •Show the lot lines of the building lot and building site, sketch ofproperty showing any topographic features which may impact on the design of . the system, all existing and/or proposed structures including sewage disposal systems and wells within 100 feet of.sewage disposal system and reserve area. The schematic drawing of the sewage disposal system shall show sewer lines, pretreatment unit, pump station, conveyance sys- tem, and subsurface,soil absorption system, reserve•area, etc. When a nonpublic drinking water supply is to be located on the same lot show all sources of pollution within 100 feet. • . -j The information required above'has been drawn on-the attached copy of the sketch submitted with.the application. .Attach additional•sheets as necessary to illustrite.the design. . •- . 67..I •• • •jrc..._ . - • .`�'�'� •• u‘ • i_ ?1i&kP1bII(:: . I?: ��: I - : : 7. \''.1":- ' . -- :. \...1 ••* * - . . . : :1.. • frr. - ‘s . (op .Lo3 `5•• VI. �: �: - • :I . - • �- % A�.: • • The sewage disposal•system.isto-be constructed as specified,by the permit p or-attached.plans and specifications ❑ . This sewage disposal system construction permit is null and•vpia if (a) conditions r_are changed.-from'those shown on.the application (b) condi- tions are changed from those shown on the construction permit. - - , No part of any-installation shall be covered or used.until-inspected,:corrections made if necessary, and approved,-by the local health-department or unless expressly-authorized by the.local health dept.-Any-part of any'.instaliation which has been_covered.prior.•to approval shall-be uncov- --Bred,-if necessary,upon the direction of the Department:J • • • - - - • - Date:. 5'J`n 19v Issued by:. - A . - • ' ' This Construction - • , . - Ad .s? 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I ,►i. ,, t•ti-i . 7. 4.. _�...�..�. 411/ Soil Evaluation Form PAGE OF 2- Commonwealth of Virginia Health Department Department of Health Identification Number 101 - 90-18 C� Tax Map Number 31 -38G- 330 • • General Information�,,� f Date //) 5 �fi ielbCe1 Health Department Applicant -Ze4 Sq(1140,n4 , -tit • Telephone No. 98/- Ng, Address r-Q . lat1 (D9t5 VA '• 229c/ •�-rm t Owner + m V An( b% Address j kR I 34 I th Sf ) �._r VA. 2 3C' Location 5e,�'h.dY � 7pG�'` t� l���r ��-th • 713 l Subdivision /Y 4- Block/Section v Lot r ilt • Soil Information Summary 1.Position in landscape satisfactory Yese No 0 Describe 2.Slope <I° °r6 / 3.Depth to rock/impervious strata Max. Min. None 1 4.Depth to seasonal water table(gray Mottling or gray color) Now Yes 0 inches 5.Free water present No]8' Yes 0 range in inches 6.Soil percolation rate estimated Yes Texture group I II II IV • No 0 Estimated rate_ min/inch 7.Percolation test performed Yes 0 Number of percolation test holes No$i Depth of percolation test holes Average percolation rate f�ll� - • Name and till of v u r. i • Signature: Department Use • ET Site Approved: Drainfield to be placed at ' 4" depth at site designated on permit 0 Site Disapproved: Reasons for rejection: 1.0 Position in landscape subject to flooding or periodic saturation. 2.0 Insufficient depth of suitable soil over hard rock. • 3.0 Insufficient depth of suitable soil to seasonal water table. 4.0 Rates of absorption too slow. 5.❑ Insufficient area of acceptable soil for required drainfield,and/or Reserve Area. 6.0 Proposed system too close to well. 7.0 Other Specify C•H.s.201A Revised//87 v-1 • .' ; - r _"O.GOOCH&ASSOCIATES. • .:, •• nsulting Geologists and Engineers • - - . . . ' Soil Profile • • - •.41'r.1. , •••. n•'V.t.x ..J."0414V1-4:+4.4. a• 4I•h'11•:I•II.ftrW71f•.N•••.I1.19• IP..o 4114 I00+.IVN11141`•1•r,I/FV.•I. 41.0•• •11••.r• .••r.w;;.r.P...1 It•I 01•A0ii.WN110• •. Subdivision T.M. 31-39C -(Woodling -Property) Location .• . • Lot No. ' Proposed new lot' - see, sketch ' . " " ;- - ' • .Hole. ' Slope • Depth Material Description • (inches) , • A 10% 0-6 • Topsoil • • • . - 6-60 Red-brown mica sandy loam B • 9% 0-6 . Topsoil' : 6-36 'Brown clay -loam with quartz ' . 36-60 Red-brown to yellow-brown mica sandy loam ' C - 6% 0-6 . 'Topsoil • - 6-24 Red mica clay loam • 24-60 Red-brown to yellow-brown mica • sandy loam D 7%" 0-6 'Topsoil . . - 6-42 Brown sandy loam , • • 42-54 •Red -mica clay loam 54--72 Red-brown mica sandy loam E • . - 7% 0-6 Topsoil . ' - •• .6-24 ' • Red. mica silty . clay loam • • • 24-72 • Brown mica sandy loam , F . 6% ' . .0-6 , Topsoil . • •' - • • . . • ' 6-30 Red mica silty- clay loam . • • •- .30-72 • 'Red-brown •to yellow-brown mica - . • • • • . sandy loam . : • •• • -Remarks: Favorable percolation rates can be expected - in the • • mica •clay- loam and mica sandy loam. , Depending 'on the , final house, pumping 'to- the primary• drainfieid site • . ma be required. Pumping to the, reserve site in ' • •: the vicinity,of• holes D, 'E and F will -be required. . • • ; • • • • - - • • • , •4.., yE O. coda'8t ASSOCIATES • - • :• • .Consulting Geologists and Engineers : • • • _ . • Soil Profile. : • - Subdivision T.M.• •31-39C•.(Woodling••Property) Location -' . . .! . Lot No.:-Existing house and Earlysville General -Store - (reserve sites) - see . : - .. : sketch • . - Hole. . ' •Siope' V Depth . - . Material Description • . • • (inches) . ' ' ' • - . A 7% . 0-6 - ' • Topsoil , . . . � - .6-48 • - Red-brown mica silty loam • ' • ' . ' 48-72 . Red-brown mica sandy loam B 6% - . . -6 •• • -Topsoil: - ' 6-36 Red mica silty 'clay loam - • • .• 36-72 ' Red-brown mica• sandy loam • • C - 7% " - , 0-6 • Topsoil ' . 6-24 . • Red mica -silty clay loam • • •- " " 24-54 .. Red-brown mica sandy loam • a 54-72 ' Brown-white mica loamy sand D • 696• 0-6 Topsoil , 6-36 • Red mica silth clay loam - . 36-72 Red-brown mica sandy loam - - E • 6% - 0-6 :. Topsoil • •• 6-30 Red mica silty clay loam • .30-72 Red-brown mica .sandy loam - Remarks: Favorable percolation rates can be expected in the mica sandy loam, and mica loamy sand. There is • sufficient area for the reserve sites for the . existing house and •the drainfield' serving Earlysville General Store. ' .tv .•.a -♦. -..C... . ...... -, ...•!...r. ..i.••a ......qi..ar..lpe. a ry r.... •C' • ri..•-adtl. n......•'•, -.... ..u»a w-x.. n.. • 1- •. • . I • • •• l _ E. O. GOOCH&ASSOCIATES - - Consulting GeologistsQi and Engineers •�• '..•r Y•.sh.•.1.s4..4..4.7001 t.-•.dtr.••..d•.1.1N.P ITIOI T.V1.X 4;�r.q.aY•.:.H sp. Soil Profile l...Aw01 W.•b4ui •1...• . bo.••-• • i a +.• ..1'.....un��.{U111Y-.a.:1�..ti'pV711 Subdivision Location - • Lot No. . -iiinsimpo 0 . _ •,,. . II 4 . %�+vs- % 1 �r •d . ..."71 t 1 Ili., ti4. l 'c. 4.4 1 r.1 •D j . ,re. I l:/on. ®- �k��ar pit,,J./J 51J • • • • • • • fl . .• . • • • • • V. - Application for a t__ wet Disposal System ' nstruction Permit Commonwealth of Virginia For Department Use Only Health Department ICI�0-C� .. Department of Health . Identification Number Map Reference 31 - MC. -339. Health Department - Date Received •3(2a /4 0 • • To Be Completed By The Applicant• • • - • 'hype sewage system: ' 0 New Repair - 0 Expanded ❑ Conditional FHA/VA yes 0 • no` p • _ i r - - . 'Owner il'fl14't Address rr C R . i', •0GP 1- Phone •• - . • • F,C.it..:11-t' hilt,& 1//9 V93( n n Agent l� ,Jae--Jae-- Address D /JQa (46 mil'15 • Phone 9 8/• b 4/6 • .Directions to Property . L - __0 (i t 7L/3 • dew lP 63, 4 156 7,cu 6 ../),6 3 ..-& 64.(; • .ram. ,kk' ou.L b.tict. :Subdivision - • • Section Block Lot • Other 'Property Identification ' - . Y . Dimensions/size of Lot/Property _ - • • - Other Application information.. r • - -t. Building/facility ❑ New • ,` Existing - Intermittent Use .❑ Yes 0 No If yes, describe: - IL "Residential Use . Yes • - 0 No ' Termite Treatment - 0 Yes 0 No_ - •i 'IR Single Family 0 Multifamily Number of Units — Number.of Bedrooms 3 Basement .- • • ❑ Yes No • - Fixtures In Basement 0 Yes O No • • '• l III. Commercial Use - ❑ Yes, 0 No Describe: • - Commercial/Wastewater • 0 •Yes 0 No •'Number of Patrons • Number of Employees If yes, give volumes and describe - . • , IV.. Water Supply: 0 Public 0 New - Describe: • • 0 Private '❑ Existing ' • ' V.. Proposed Installation: Septic tank and drainfield 0 Other• . If other, describe- " , - SITE • Attach a site plan (rough sketch) showing dimensions of 'property, proposed and/or existing 'structures and - PLAN driveways, underground utilities, adjacent soil absorption systems, bodies•of water, drainage ways, and wells and springs within 200 feet radius of the center of the proposed building.or drainfield. Distances may be paced or estimated. _ The property lines and building location are clearly marked and the property is sufficiently visible to see the to- pography. I give permission-to the Department to enter onto the property described• for the purpose of processing. this application. Pt& 19, 1990 Signature of owner/age - Date c.H.e.200 RwWMd 4/03 - ' - •--— - ~mot._ - •i '. - n t :••'J. 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' ;' ,- - -- ." • y'' •• -.;.. •. ,1 • • ..N- ,�' ` •if • , F=I+� S • , „At r • • C M - 'f • • f • . , ••, • - . • .. - • • • - ••• - • ... _ . %.• 1 I.- _ AppU Cation#or::a ! fr-j e Disposal'Sy J•steTf'enstruction:Permit .'• commonwealth of•Virginia t -- ' .-For•Department•Use Only . •Health.Department; - ••• 1-- =Department-of Health j<• . _• • - . _ Identification Number I OI-.1U-f . • .f - = -- - • _ • - - •• ,-- - _ Map Reference' -.mot• . _P'st- i:l - •- -Health.Department... .. • - Date Received:. '��• U •• • - - - - Tote Completed By The Applicant` . . ?.� •. ' _ - r- Type,sewage system::• :.sue. p New a- .:fl• aRepair,... r.• . • ,.- .'p:Expanded--. •.. , : •p-Conditional- . . ..- FHA/VA- yes 0 - - nc .❑• - - ' - .�:Owner. .J-/4114' 6194x.-4t;et .Address 14•C R. I _ 8 • I - - :. •. ,Phone. • - • . u • - - Err a,�-r,acfi:C�e. •U/f -a 293 6 • /} 2 c Agent: lihG .et". •f�a1u Yil d. -• we.- :Address I.0 /"J"41 �.�1 / 5 . •. . . Phone l8/-d 4/(,.- -. . . - ' fit. a,LteztC a t le, 1JA P c/U C - - :Directions;to::Property .aO - & L i&' • di ?y3 94 _4..663., - - U v u.. ' /5b • 0-dt- EaHo • .Grc. .a ,a) ,: 194, 0 -'1.404. $cd c "A%0.,4 jA.,,,,zcad v v. v • Subdivision 1 - - - - -: .Section. :Block - ' - -• - ..Lot. • • ,Other..Property identification :• - • - - • _ - - • • ._.-Dimensions/.size of.:Lot/.Property,'- •,-- • •` - - • - Other Application Information:-.,- .' • - . -• -• • - .. : • - ' ' - • - • • • L Building/facility • • • • •❑:New ••:• ;[J Existing -. ' • .. - `. • Intermittent..Use . _. .: . .(] Yes . A.•, - 1 .❑ No• If-yes; describe: --"--'• •• • - _ R. -Residential Use. - .2 Yea. _ : • ' 0:No . • • Termite Treatment 0 Yes - • ` '❑ No 4_. : ,p:Single Family-- - :❑ Multifamily • Number-of Units —> -Number.of Bedrooms.3°- Basement ❑ Yes • 'CrNo - • .- , . Fixtures In Basement : 0 Yes : - ' ❑ No • -AIL .Commercial Use :❑ Yes - • . :❑-No 'Describe: • - • • - - - • • • Commercial/Wastewater: ❑ Yes - . - - 0-No 'Number of Patrons -Number of Employees If yes, give volumes and describe IV. Water Supply: ❑ Public 0 New D_escribe: • . 0 Private 0 Existing V. Proposed Installation: • .Septic tank and drainfield • - ❑ Other If other, describe SITE Attach.a site plan (rough.sketch) showing dimensions-of property, proposed and/or existing structures and -.PLAN. driveways, underground utilities, adjacent soil absorption systems; bodies of water, drainage ways, and wells • and'•springs within••200 feet radius of the•center of.the proposed building or drainfield. Distances may be paced or estimated.• • • • The property lines and -building location are clearly-marked and the property is•sufficiently visible to see the to- pography. I give permission to the Department to enter-onto the property described for the purpose of •processing this application. e';e.0*/,-€)_.- aee ' ,&Ail Aai(dat,-A•Az-e) Ik0.4.0.2./u /9, /9 9 0 � 'Signatureof owner/agent .• 0 . Y • • Date C.H.$.200 Revised 4/83 :..Application•for: a i '- ge Disposal SysteTm ''pnstruction Permit S. :Cqn1n onwealtkof Virginia - .For Department Use Only • - Health Department Department of Health . • Identification Number COI_gV" i VO Map Reference :1 ,t: %% ' • Health Department Date Received 3/72- NO To Be Completed By The Applicant . • n • Type sewage system: . 0 New. ..•Repair • Q Expanded - ❑ Conditional FHA/VA yes ❑ no p 14 .Owner J�''rn`nZ' "iit u-Or. .Address C R 1 , 13�V 1 Phone C..O.A.C.�,,O A L1L W .A 973 C, v .Agent A 7 f J�0 a &(- ,ti i- ,.�-:cc - .Address i U. /6 v 6••°! 15 Phone r!'e/-G SF% !/ r Q e,A0..3. 1 �"! a_c• r a..F i.e. O , a r/G t .Directions to..Property.CO d. CQ-11 ,Wc' C 611 7y3 Oat. -IL (v"3 , /60 -1•,-L /561 .o.a. V ' Q;� �iw .(LC. ��2l�` � 4�U� 4'�.t,v .© ��.TC4• ,OCi.�i ",O1ryi� CrG[f litoit V ✓ ,• 1 .Subdivision. • ..Section Block - Lot. 1._Other_ Property_Identification r Dimensions/size of Lot/Property • • AOther Application Information • fI. Building/facility 0 New gip"Existing . ,, intermittent Use . ❑ Yes... ' 0 No if yes,.describe: • • • II. Residential Use • . ;®'Yes 0 No i. Termite Treatment ' ❑ Yes 0 No • . - . �Q• Single Family 0 Multifamily Number.of Units ._. . -Number,of Bedrooms 3 Basement 0 Yes ;p"No Fixtures 1n Basement 0 Yes 0 No .-.Ili. Commercial Use 0 Yes ❑ No Describe: • Commercial/Wastewater O. Yes • 0 No Number of Patrons Number of Employees *Self yes; give volumes and.describe i IV. Water Supply: 0 Public 0 New Describe: . 0 Private ❑ Existing V. Proposed Installation: ;Q.Septic tank and drainfield 0 Other If other, describe I I,• SITE Attach a site plan (rough sketch) showing dimensions of property, proposed and/or existing structures and PLAN ,driveways, underground utilities, adjacent soil absorption systems, bodies of water, drainage ways, and wells aridhsprings within 200 feet radius of the center of the proposed building or drainfield. Distances may be paced or estlinated. The�-property-40es and building location are clearly ma'rked and the property is sufficiently visible to see the to- pography. .l••give permission to the Department to enter onto the property described for the purpose of processing- this appliCa�;� ,� ji , . �_ ,�/ 4.14.1./0.A4Jite.,.,- 1,kaicic /9, /990 '. Signature of owner/agent i 0 r Date N. c.H.8.200 RrvIMd 4 3 ti .1 ,1 ii as .anynaaxa . II LZ . It9Z • I 5Z - • • • • lz • • • 6l • lS l - Li ------) y 9i - _ 191 • . • .I Pi. El' El. , 11 • fl,Jfrc 6 _ . .• rer,44.1yr v.i.,,74 7/ 1-., —-..`..r. - 3".,....-..W � I i 8 /J 1 1 —p= - • - "\,,........"7"Y47. ‘AA'.'7717-14...4 I f 07? . . . . • - 1/473 777-727-ev/z , ( - . • 31'JO - • dA9[L]3tld3Hd . al) / • • • :� • I - - EOLO ST SUBSURFACE EXPLORATIONS. FOUNDATIONS, EARTH.DAMS.SOILANALYSId: 1111 ROSE HILL DRIVE,SUITE S -E.t ..004 CH • ,. BLAST DAMAGE. GEOLOGICAL & LAND USE STUDIES& REPORTS CHARLOTTESVILLE,VA.22901 CHARLOTTESVILLE (804)293-7780 t ENGINEERS a Rl"�t'•a4 tu...1•w.a:ai�.li• ngtl,I:• 1 t r w nW a .1 . ti r .. . • • • .IO .sa r 1.141•n,d.,w�.t •.••a w •.i.0 . .t• � +• wlr:w �u � n .n7il�inet af4•rN"a•, w: u�t ai•.:,. n,s•. 1 4n,••fb flrh1i'1•^+•,• �ur H.G.LAREW,P.E. E. O. Good AND AssocIATEs CHARLOTTESVILLE . • . Consulting Ceologists and Engineers , • .,February 9, 1990 • Mr. Timm Woodling HCR 1 Box 1 Earlysville, Virginia 22936 • • Re: Soils and Geological Study Tax Map 31-39C - - • State Route '663 . Earlysville, Virginia • Dear Mr. Woodling: ' As requested, , we have completed a soils and geological • •study. at the referenced site. The purpose of the study, was . to determine the. suitability of the soils on each. proposed - 'lot •for. -the. dispos'ai of sewage by means of individual septic tank/ drainfield. systems. The investigation • has consisted - • of drilling a series of hand auger test holes to determine . soil. profiles on each lot. A log of each test- hole is shown • - on the encl'osed. soil profile sheets along with a sketch showing the approximate hole locations. The holes have been • flagged .with red .ribbon for future reference. . • •• - • Generally, the soil profile on each ,lot consists- of . • about 6 inches of topsoil beneath which there is a layer . of - • , : silty clay loam . of variable. thickness. This upper silty clay loam layer is underlain by mica clay loam, mica sandy - loam and/or . mica loamy sand which, in turn, grades vertically into the underlying granite gneiss. - In our opinion, the drainfield lines can be placed in the mica clay loam, mica sandy loam and/or mica loamy sand as percolation tests run on similar soils in the area have yielded percolation rates that meet the current Health. Department requirements. - , We understand that you propose to subdivide the parcel into- 2 lots with the front lot being approximately -2 acres. _ The exact location of. the new lot line dividing the 2 lots . • had not been determined at 'the time of our investigation. - -, ,. As we have discussed,- the location of the new. lot line and the resulting building setback line will be cri_tical. in - determining where a house .can be located on the back parcel %• and whether or not a pump system will be required. . We strongly suggest . that if you proceed with this . 1 • ..v .. • .., .P. .a...,.. .... . ..... ,., n. .....r.,r.•.••l•••. .•l• ... . .' .M 'S ...YJ.y./.-•; M.•• .1., - • u. 9 2 • • — planned subdivision of the property that you have a • -•,a•-•,;•-i.• �=-P•hmaisurveyor•PlocateKour ;soil'•°profiie«"holes• v'to'-'•see where "'they'''400"'' 6"' ' "' will be situated with respect to the new lot line. As you know, final approval of the individual drainfield sites rests with . the sanitarian • with the Charlottesville-Albemarle County,, Health Department. • We hope' this is the information if you need, if any questions, please let us know. Very truly yours, • • E.O. Gooch & Associates • • Steve Gooch' SPG/cg • Encls. • • • • • • • • • • • • • • • • • • n. .•. ..r ... .n. .a•. .. -... ... . •.•. . ••ram- • . .. • •-,r .... . ...ar - ..• .• . ...n.r..o ..... • ' REQUEST FOR INFORMATION - r . - _ THOMAS JEFFERSON HEALTH DISTRICT • DIVISION OF ENVIRONMENTAL HEALTH • 'This request is;for; , __Z__ Copies . / Review of Records • , • • • Date of Request: .3—•/a? - 0 . Name of Requester: ea C- S' A co !•' ' • :. Address: c� you m.,I. % • a_77;i7; IC.J.. ............: nithibh,...„i • _„--,_7--__. - - a • .• • - ••. • 1 j•4...• . • Phone: cam., if. ci-- 7 r.741b4c • • Owner's Name:. q/c, r .k .QSS •.e 1 -e r ,- NAN (.7. "(Ivy • I k C �j' / Or Marta hum roacartu) • Address: (C , C� P O(I I1 l U i w•PC ' - - '.fRre-(y-f-III (i f , V4 'Phone: / �. ads - • Specify Information about.which copies are requested.or the specific records which are to be - reviewed, include Tax Map and Parcel numbers for land records: • • . • 7- m ?4 3 i•c-_.,- •' . • --i h�`�'b If h a►.t-� . r f ?s�• in E7-e r� fi,e t �. ` I-6 -• `(d/ • • When are the copies needed'of when would you like to review the records? cState law allows . •• e. the•health•department.up to 5 work days"to respond to a request for information) - . .CA /9 • Other Comments: • • • • By submitting this request I am aware that state law allows the-health department to charge me - for the cost.of providmg copies, searching records and computer files and the staff.time needed ' - to assist me with the review of records and the safeguarding the records. I agree to pay this . cost but wis to r !iv an estimate of that cost first if it will exceed $- '• . C----() • , -- L -D • t . Signs a Date • U **********• *******************,************ ***4**************************** • . FOR.OFFICE USE 0/SY: - Date received: Received by: Assigned to: Estimated cost: S - Actual Cost: S _ _ . _. Date Paid: Date Information Sent: _ • form=TJ-F0I-1