HomeMy WebLinkAboutSUB202200021 Approval - Agencies 2022-02-01In Cooperation with the Thomas Jefferson Health District
State Department of Health
1138 Rose Hill Drive
Phone (434) 972-6219 P. O. Box 7546
Fax (434)972-4310
Charlottesville,. Virginia 22906
Certification Letter
April 09, 2013
Abdulbari Ansari
1852 Mameo Road
Buckingham, VA 23921
Tax Map Number: 55A-4&5
Property Location: Half Mile Branch Road
Land Surveyor: William J. Ledbetter
HD ID Number: 101-13-0105
Dear Mr. Ansari:
ALBEMARLE- CHARLOTTESVILLE
FLUVANNA COUNTY..(PALMYRA)
GREENE COUNTY (STANARDSVILLE)
LOUISA COUNTY(LOUISA)
NELSON COUNTY (LOVINGSTON)
This Certification Letter is issued in lieu of a sewage disposal system construction permit in
accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that
the soil and site conditions acknowledged by this correspondence, and documented by additional records
on file at the local health department, are suitable for the installation of an onsite sewage disposal system.
The attached plat shows the approved area for the sewage disposal system. This letter is valid until a
permit for construction is issued and the system is installed, inspected and approved. This letter is void if
there is any substantial physical change in the soil or site conditions where the sewage disposal system is
to be located.
This Certification Letter, and accompanying plat of survey showing the specific location of the
sewage disposal system area (and well area if applicable), may be recorded in the land records by the
clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to
be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any
construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this
letter, the letter shall be transferred with the title to the property.
The Board of Health hereby recognizes that the soil and site conditions acknowledged by this
correspondence, and documented by additional records on file at the local health department, are suitable
for the installation of onsite sewage disposal systems, The attached plat (or plats) shows the approved
areas for the sewage disposal systems. This letter is void if there is any substantial physical change in the
soil or site conditions where a sewage disposal system is to be located.
The area evaluated, and certified by this letter, is suitable to accommodate a 4 bedroom house that
produces a maximum of 600 gallons of sewage effluent per day. In addition to the primary sewage
disposal site, a reserve area is required and has been identified.
This letter is an assurance that a sewage disposal system construction permit will be issued
(provided there have been no substantial physical changes in the soil or site conditions where the system
would be located); however, it is not a guarantee that a permit for a specific type of system will be issued.
The design of the sewage system will be determined at the time of application for a building permit and
sewage system construction permit. The design will be based on the site and soil conditions certified by
this letter, structure size and location, water well location (final determination to be made at time of
permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred
since the date of the issuance of this letter. In some cases, engineered plans may be required prior to
issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners
are advised to apply for a sewage disposal construction permit only when ready to begin construction.
This letter, and accompanying plat of survey showing the specific location of the sewage disposal
system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit
court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The
site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To
do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall
be transferred with the title to the property.
Future owners are advised to review the plat for the location of the on -site sewage disposal area
to make sure their building plans do not interfere with the area. If they have any questions regarding the
location of the area, they should contact the local health department for assistance.
This Certification Letter has been issued in accordance with applicable regulations based on the
information and materials provided at the time of application. There may be other local, state, or federal
laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is
responsible at all times for complying with all applicable local, state, and federal laws and regulations.
Sincerely,
Josh Kirtley
Environmental Health Specialist, Senior
Thomas Jefferson Health District
I certify that the information provided herein is true and accurate to the best of my knowledge and belief.
1104 %�/,�
viroE� nmentad'Aealth Specialist, Sr.
COMMONWEALTH OF VIRGINIA
CITY/COUNTY OF (!,/) ` )/ de , to -wit:
Subscribed and acknowledged before me this
Notary Public for the Commonwealth of Virginia at Large �
My Commission Expires: �AGI ,. L LJ/� O�-L�)l
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