HomeMy WebLinkAboutSUB201700103 Assessment - Environmental 2017-08-14 R •a pie.
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COMMONWEALTH ®f VIIRGINIA
In Cooperation with the Thomas Jefferson Health District ALBEMARLE-CHARLOTTESVILLE
State Department of Health FLUVANNA COUNTY(PALMYRA)
1138 Rose Hill Drive GREENE COUNTY(STANARDSVILLE)
LOUISA COUNTY(LOUISA)
Phone(434)972-6219 P. O. Box 7546 NELSON COUNTY(LOVINGTON)
Fax (434)972-4310
Charlottesville, Virginia 22906
August 7,2017
Timothy M.Padalino
County of Albemarle
Department of Community Development
401 McIntire Road
Charlottesville,Virginia 22902-4596
RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual Onsite
Sewage Systems as part of a division of Tax Map Parcels 22-3B&22-3D located in
Albemarle County,Virginia.
Dear Ms. Saternye:
On July 19,2017,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 Family 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:Jason K.Kyser, #1940001357. 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,
John F.Hutcherson,OSE
Environmental Health Specialist,Sr.
Page 1 of _
OSE/PE Report for:
Construction Permit_ Certification Letter l l Subdivision Approval F-4"----
Property Location:
911 Address: 3433 n1" Sisia), R - svi'/le (/I$ City: i r i/e at Z ?23 _
Lot 3g Section Subdivision /Q kJ Fslorly
GPIN or Tax Map# ZZ I n. i 3? Health Dept ID#
Latitude_ Longitude
igi ITT"Cla
Applicant or Client Mailing Address:
Name: 314u_r e, A4)4
Street: Lin Atdc 5 4-
City: anibi eS, '//e— State d/r* _Zip Code 22YOZ
Prepared by:
OSE Name 441.vmp_ra'/ ,44, LLc.- y3y2 in. pen' License# I?%'o /3S]
Address d. Day 751
City ,efwi'oie State Of Zip Code 2Z?'i
PE Name: License#
Address
City State Zip Code
Date of Report 041.91 pei7 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.)
for 1-2., QV e4.4. ,.../-; 414;o t 7f, a 1144
3-11 s •f Si;
7 «,
S Lu I . ],p,,.S /
y
Certification Statement
I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling and
Disposal Regulations(12 VAC5-610),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 rk contained herein
The 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.A.11
I recommend that a(selec e): nstruction permits certification letter subdivision approval El/
be(select one)issued denied U U.
OSE/PE Signature Date a/0y/Zo/7
pyG Z es-e
•
Commonwealt of Virginia 'VDH Use only
Application for: ewa e System ❑Water Supply Health el Department ID#
PP g Y PP Y Due Date _
Owner f`n ley `c e is /.4y J p Phone •
Mailing Address 3633 g.,r11 �+b ti J�o r..) Phone
3Allacr.,nfLt flf I✓!t Z29Z3 Fax
Agent ;/.t c.e ,Il,x4 Phone V.3'f—977- Y990
Mailing Address I*O3 7 .J Ss r.c* Phone
G1t,dbo}1svt lbe ti/9 u7,0Z Fax _
Site Address 1 le nrrI 1
ta
9 I n/ Email
Directions to Property: 3633 Dom.,Ic.y 37:01 rb,,, Kcytd
Subdivision t; jcL Ansii, !! Section Block Lot 3$
Tax Map ZZ/Chris/ 3$ / Other Property Identification Dimension/Acreage of Property 7,0441 Aclt S
Sewage System
Type 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.
OCertification Letter ] Construction Permit 0 Voluntary Upgrade 0 Repair Permit--
Proposed Use:
Single Family Home(Number of Bedrooms 3 ) Multi-Family Dwelling(Total Number of Bedrooms )
Other(describe)
Basement?DYes9 Wall,-.9.01 Basement?[ Yes Fixtures in Basement[Yesro
Conditional permit desiredlOYesBC If yes,which conditions do you want?
['Reduced water flow 0 Limited Occupancy ❑Intermittent or seasons 0 Temporary use not to exceed 1 year
Do you wish to apply for a betterment loan eligibility letter'fYes o *There is a$50 fee for determination of eligibility.
Water Supply
Will the water supply beDPublic or 'vate? Is the water supply ort:Proposed?
If proposed,is this a replacement well?OYes ONo If yes,will the old well be abandoned?DYes ONo
Will any buildings within 50'of the proposed well be termite treated?DYes l:33‘
All Applicants
Is this a private sector OSE/PE application? es( No If yes,is the OSE/PE pac a attached?[ Yes ONo
Is this property indeed to serve as your(owners)principal place of residence? es ONo
In order for VDH to process your application for a sewage system you must attached 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,actual and/or
proposed buildings and the desired location of your 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 checks 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.
C.- 6//3//7
Signature of Owner gent Date
This form contains personal information subject to disclosure under the Freedom of Information Act. Revised 12/1/2014
e
1 ` 3a�
VDH Use Only
Health Department ID#
Due Date
Site and Soil Evaluation Report
(For certification letters and subdivisions)
General Information
Date: 1 6,Joq/2.017 /9H,, 4,`c County Health Department
Applicant: P,,.,4.-e /fl4i99-
Telephone Number: 434-Y77— g990
Address: 1(03 P / �/�F/ &kw1W*{ v 1 V/9 ZZ7e'z y /
Owner. ��s11c/ I l'i y,�viJ Address: 3433 Bum Sir „ ,, ! Dk Lt4- vr'ii
Location : 3633 •w caSh cbv� ��r /�.t/��nrs i�Lc Glf 229Z 3
Subdivision IGr7/01ii . An;k, Block/Section Lot .3p
/ Soilil Infori9tion Summary
1. Position in landscape satisfactory Yes No Describe :
'5/7L
2. Slope f %
3. Depth to rock/impervious strata Max. 6,0 Min. 60 None
4. Free water present No es Range in inches
5. Depth to seasonal water table(gray mottling or gray color) te4"4 Inches
6. Soil percolation rate estimated Yes✓ Texture group El Eli RtrITIV
No Estimated rate c5 min/in
7. Percolation test performed Yes Number of percolation test holes
No ✓Depth of percolation test holes_—
Average percolation rate mpi
Name and title of evaluator: 3;;0r• k'. r #se/
Signature: ..i - /
De s, tment Use
-e approved: Dralnfield nch bottoms t. .e placed at 'IL (inches)depth at site designated on permit.
_ Site disapproved:
Reasons for rejection: (check all that apil
I. _Position in landscape subj t to flooding or periodic saturation.
2. _Insufficient depth of suitable soil over hard rock.
3. _Insufficient depth of suitable soil to seasonal water table.
4. _Rates of absorption too slow.
5. _Insufficient area of acceptable soil for required drainfield,and/or Reserve Area.
6. _ Proposed system too close to well.
7. _Other(Specify)
OSE Form G(pg 1)Revised 7/02/2009
Page / of e
Date of Evaluation. Og — Zv(7 Profile Description
SOIL EVALUATION REPORT
Property ID: 7 j , ZZ evej 38 - 3433 S .0 SbSv'o J
Where the local health department conducts the soil evaluation the location of profile holes may be shown on the schematic drawing
on the construction permit or the sketch submitted with the application If soil evaluations are conducted by a private soil scientist,
location of profile holes and sketch of the area investigated including all structural features i e sewage disposal systems,wells,etc
within 100 feet of site(See section 4)and reserve site shall be shown on the reverse side of this page or prepared on a separate page
and attached to this form
See application sketch See construction permit See sketch on reverse side or page attached to this form
Hole# Horizon Depth Description of color,texture,etc. Texture
(Inches) Group
1 A _ o- 7•s1,e ., L e Af e Ze 3s
B< d- 3l 61 ,C47 Zm./
as
Bc 31-do z•stt A1 G ji,1-ast 1T'
Z ,rj o-s 7 S rL 1/G Shvo.+-, 17 env,hwi n ?LT—
�f Z-Syie"/G AGI ru,/Gilrr�. /li s/ --s/ �-
G$ 3Z-f'ao �'Y,2 r/S� f illorrs� !YfA 471,/ G'�iK,_ �B ss-si
3 G�SF J/Yz s'/H�/�Kethh.vcI1 I t,,,,n &
Z9 sic 'fl& cla,Asl, ,¢ ci,7/ ., aG-
C Z7-SO 7.s-y r"g, Sfroo.7 t�re�h 6;71 Lon,.
REMARKS
OSE Form G(pg 2)Revised7/02/2009
Page S of
Design Calculations
Property ID: ZZ .w1 3g — 3633 3,..(rs -AAA A A-
Flow
Type of use(residential, etc) A;a,e,,t 3-,•„) Show Calculations Here'
No. of bedrooms: 3 M
No.of employees: /1//4
Square Footage of building space:$pstif.
Daily flow (peak design) in GPD: YSb6,PD
Treatment
No.of septic tanks: / Show Calculations Here'
Size of septic tank(s):
Pretreatment required? _yes'-rri5—
If yes, specify type of treatment device:
Absorption area design
Soil Texture Group: ZQ' If pump system, enhanced flow, or LPD show
Reserve area r�e ►► esfired? no calculations here or on a separate sheet.
_ 50% ✓1'00%_other(check one) (dosing volume, head, pump design, etc.)
Specify other
Water Supply
Class of well: .6 l Describe(bored, drilled): (4//
Distance between sept c tank(s) and
well:CO`t
Distance between absorption area and
well: too'4.-
1 Information and calculations required for commercial and/or conditional use applications only
OSE Form I Revised 7/2/2009
Page 4' Of 8
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, l the
reserve area(check one)for p I, /36 —343 /iin(property ID).
Design Basis
Total length of available area: SO Total width of available area: 75--
Estimated Perc. Rate: 5 at YL in.(depth) Number of bedrooms(or GPD): 3ryot 0,•95 L Pb
Conveyance Method: (�tA Distribution method2(specify): Lehr./ Tre e
s ��
Dispersal system basis 7 4/i c Y e/ $#pg LGMI required? No (Yew
Effluent quality required: irk/ 1211MSecondary,Advanced Secondary)
Square feet per bedroom: 4 #.lb Total trench bottom area required: /254 3.A
Gravity,pump,siphon
2
Enhanced flow,LPD,or Drip Dispersal
s
Table 5 4 of SHDR or identify the GMP used
Area Calculations
•
Number of trenches ! (Note if a pad is used) Length of pad or trenches: .O
t •
Width of pad or trenches:_3 Center to center spacing:
Reserve required? Yes' Percent reserve area required: /00f
i
Total width of absorption area required 75— Total trench bottom area provided: /3Cer ,
The required width is calculated by multiplying the center-to-center spacing by one less than the number of
trenches and adding I 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.
OSE Form E Revised 7/2/09
Page 7 of Y
System Specifications )
Property ID: �Y/� ZZ / 3g- 3633 Su✓v217 -1Ab.2 A,c
Applicant Information
Name 3 f,,,,c, Avow Phone Lati - 9 21- 1lyo
Address tiD3 Pn k s},r.ael-
C 401 ill f.- Uef Z27°1
Location Information
Tax Map No. Z2_fre#j Property address 3633
GPIN No.
Directions 3G33 84,„.,J7 bk Auci Subdivision Ay L4. /,9,,,,
Section Block
Lot 3g
General Information
System Type I Number of bedrooms 3N_
(e.g. septic tank, drainfield) Daily flow 45D IA) (gpd)
Type of property gosiem.iht 1
(e.g. commercial,residential, etc.)
Conditions
Sewer Line Septic Tank—Inlet/Outlet Structure
Schedule 40 PVC,4" equivalent Capacity: /Qoip gallons
(add check or describe equivalent below) 2" septic tank 4E//q- gallons
Per the 2000 Sewage Handling&Disposal
Regulations, Check which option chosen:
Septic tank with inspection port
Septic tank with effluent filter _
Reduced maintenance septic tank
Conve ance line/force main Information Distribution box Information
Method (,,,,�, No. of boxes
(e.g. gravity,pumping(dosing siphon) No. of outlets /'7
If pumping,attach Pump Spec Sheet Surge or splitter box required:
Material 4,j4ALlz, go PUG Yes_No
Pipe diameter 1"
Sloe of.i.ee"- CO in inches
Header line Information Percolation line Information/Absorption
Area
1500 pound crush strength Yes ✓ / Center to center spacing!.ft.
Minimum slope is 2"/100 ft. Yes ./ Required spacing ? ft.
Installation depth yZ inches
Aggregate depth Li inches
No. of Laterals 7 Lateral length SO ft.
Lateral bottom slope 1 Z-inches
Lateral width 36 inches
OSE Date p4/69/2-0 tJ
OSE Form J Revised 7/2/2009
i NL,yr wL w/ - ,_.vv ,L., „ it 67 P' vJ
Lots (A) and (B) are to be / \s� Q\;' ,�P°'2 2� -
comb fined to create a 3.00 Ac. ' 10'L• (B) �.`��� 2p
parcel to be known as Parcel 3E. TMP 22-3C 62' Well Es�.Finley � ,„
C. Ragland, etals / PO njy .
existing c'/ i[I 0 •
0.8.4875 Pg.49B / dwelling .0/ dr7 co 0�D)
/0c' r" \
�h // Parcel 3D �tea~// • Nfr / itFd.n .
'�2 / �cc. 1� �/ `
. / c0 01co TTv �� PDF ..
�a / New 25' Wide ti0P0 /� i10•��'' RDF
�,� pti /Access Easement / yam do
ok� 2� // K.4 / / 'C00`% het.Y• /
\ �\ `.`N:* c',t� / •0•�0/ `e, 13/ 60� TAP 22-4A2 ,
S `.� ` , / �� / �effrey L. Shifflett, etux/
\B^d noy _�. �, g �� \Q / 4 0.6.891 Pg.630
?ch / / �\\r�J\// Ar �/
ti \ \ /
ti� cP Lot `
t`- 100 Yea?*--- 96 / ,c P ,
100' Stream'` Flood Z ne ` - \ %•.�/ /,
•0 /
Buffer r.• PDF, // b0 00
�/20
\ /- �' ,\ ' (1) N44'52'55"W 149.65' - OLD LINE
_'.! Iron \\ (2) N44'57'57"W 149.67' - NEW LINE
)4•---- --"- f
�'�- � Fd. `�ti .denotes building site
/ �
-_ /. 0/ l`--- \ �‘
creek
- / re'/ /0 Dam Break
' / / /' gam/ •`� Indunation
/ 0�� //2� 2,o/ 00�0 \ Zone
/ 00 �\`
TMP 22-44
// /1 // Lot // ,� �` Samuel Meade Harris, etals
/ / / (B) / •h°' 0.64602 Pg.98
/ / / / p0
/ / / / D0
/ / 0 Mg
/ 3g.IF // RDF 120 ti /
217'888 1` \Y / 'N,',,
Nag 35 174 4�,-/ ' , �,J
392 31 (toai (D) Nor LhMon. Fd.of Pipe Fd. f p
r._r._,
4
;Nti
RECEIVED
AU6 1 4 1017
RECEIVED COMMUNITY
,,.. Q 5 7''17 DEVELOPMENT
COMMUNITY
DEVELOPMENT