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Home My WebLink AboutSUB200000056 Assessment - Groundwater 2000-05-15 Water Supply and/or Sewage Disposal System ConstrL.on Permit Page I of Commonwealth of Virginia Health Department Department of Health Identification Number. 101-00-0151 ALBEMARLE CO.HEALTH DEPARTMENT Tax Map Number 101-IA General Information BP#:2000470SF Water Supply System. NEW Sewage Disposal System- NEW 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: JEFF WOOD Telephone: 804-296-9119 Address: 310 AVON STREET-SUITE 1,CHARLOTTESVILLE,VA 22902 For a Type I Sewage Disposal System or Well to be constructed on/at WEST OF ROUTE 20,27 MILES SOUTH OF ROUTE 742. Sec/Bk Lot Actual or estimated water use 450 gpd- 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:IIIC CASED:20 feet GROUTED:20 feet I EHS DATE Building Sewer: -t/I.D.PVC Schedule 40, I Building Sewer Satisfactory yes_no_ or equivalent.Slope 1.25"per 10ft(min.) Other I EHS DATE Septic Tank.Capacity:900 Gals.(min.) I Pretreatment unit. Satisfactory yes_no_ Other I EHS DATE Inlet-outlet structure:PVC Schedule 40, I Inlet-outlet structure:Satisfactory yes no 4"tees or equivalent. Other I EHS DATE Pump and pump station. I Pump&pump station: Satisfactory yes no NO I EHS DATE Gravity mains. 3"or larger I.D.,min.6" I Conveyance method: Satisfactory yes_no_ fall per 100 ft., 1500 lb.crush strength or equivalent. Other I EHS DATE Distnbution Box: Precast concrete I Distribution box: Satisfactory yes_no_ with 7 ports. Other I EHS DATE Header lines: Material:4"I.D. 1500 lb. I Header lines: Satisfactory yes_no_ crush strength plastic or equivalent from I distribution box to 2 ft into absorption I trench.Slope 2"min. Other I EHS DATE Percolation lines: Gravity 4"plastic I Percolation lines Satisfactory yes no 1000 lb.per foot bearing load or equiv slope 2"-4"(min.max.)per 100ft Other I EHS DATE Absorption trenches: I Absorption trenches: Satisfactory yes no Sq ft.required: 1800 depth from I ground surface to bottom of trench 36": aggregate size .5-1 5": I EHS DATE Trench bottom slope 2-4"/100 ft center to center spacing 10 FT: I Date Approved by. Trench width 36"Depth of aggregate 13": Trench length 100 ft: I Number of trenches 6: I Environmental Health Specialists CHS202A SerViCe COPY FOR PROPERTY OWNER OR AGENT with a Please keep for your records! Page Number 2 of 3 Health Dep nt Identification Number tO'1OO-Ot51 Schematic drawing of sewage disposal and/or water supply system and topographic features. Show the lot lines 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 existing and/or proposed structures and sewage disposal systems and wells within 200 feet The schematic drawing of the well site or area and/or sewage disposal system shall 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 iliC WELL AREA: 10'ARC FROM CORNER PIN / / 60' 111Al( -_ To PRIVATE ROAD O > - --._-"- 0 PROPOSED HOUSE 1 � , i CC IP - 6TRENCHES 1= ' -- 100' LONG EACH / - 3' WIDE EACH °� III36" DEEP EACH ., _ �. - 10, CENTERS � '' - - INSTALL ON CONTOUR!! i) 4 r_ ` C LEGEND / PROPERTY LINE y { / DRAINFIELD 1 { 1 DRAINFIELD RESERVE AREA ti IRON PIN FOUND [! i; -- WELL AREA ' ' : : y ? .5 ._l.I.. 5. SWALEESC C'' This sewage disposal system and/or 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 been covered prior to approval shall be uncovered,if necessary,upon the direction of the Department. This Construction Date: S /S1 Issued by: _ Permit Valid until Environment F4 alth Specialist Date: Reviewed by: NOVEMBER,2001 HEALTH DEPT NO: / / OC - (Vs/ TAX MAP: /6 / - /4 PAGE 3 SEWAGE DISPOSAL AND WATER SUPPLY CONSTRUCTION PERMITS See Page 2 For Design Drawing. Drawing is Not To Scale • Permit is void if the house location interferes with the proposed well or drain field/reserve locations. • Follow all OSHA requirements. • Minimum separation between drain field/reserve area(s)and well sites is 100 feet from Class IIIC wells and 50 feet from Class 111B 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 and septic system is on the property and does not interfere with utilities and easements. • I 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 department approval. • Septic and Well Contractors should be provided with a copy of permit before 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. • Basement(floor is below surface of ground)? YES NO Walkout : YES NO • Fixtures in Basement? YES NO Lift Pump Required? YES NO • Is septic tank location in a place of suspected high water table? YES NO If yes,please refer to tank manufacturer's instructions on placing tanks in saturated areas. • Pump is required when the ground surface over the drain field trenches is at a higher elevation than any plumbing fixture or the sewer line leaving the house. • Do not disturb the drain field or reserve area(s). • No buried utility service shall be closer than 10 feet to any part of this system. • Do not install drain field systems during periods of wet weather or wet soil. • It is recommended that all trees be removed from the drain field area and all hydrophilic trees within 10 feet of the drain field area MUST be removed. • Place untreated building paper or approved material over the trench gravel. • The maximum soil cover over septic and pump tanks and distribution boxes is 18 inches to 24 inches. • All tanks shall be watertight. • Final grade of drain field shall be crowned to divert surface water and prevent ponding. • Roof drains,basement sump discharges(non-sewage), floor drains,footing drains,discharge from water treatment systems,etc.,being connected to this system is PROHIBITED! Divert these away from drain field. • Keep 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(requires a permit)any sewage disposal system that ceases to operate in a sanitary manner.