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Home My WebLink AboutSUB202100210 Study 2022-02-15VDHOFVIRGINIA HEALTH DEPARTMENT Protecting You and Your Environment Albemarle County Health Department P.O. Box 7546 Charlottesville, VA 22906 (434) 972-6219 Voice (434) 972-4310 Fax Sewage Disposal System Construction Permit HD ID #: 101.13-0037 Owner Information This Permit is NOT Transferable to another Owner or Location Howard and Mildred Trail r432 Keswick Road Keswick , VA 22947 Phone: 0 Location Information Albemarle ax Map: 79A2-26 ubdivision: Royal Acres roperty Address: 3432 Keswick Road Section - Block - Lot 26 and 27 Directions Repair Permit (No Waiver Granted) General Information Type of Property: Residential Daily Flow: 450 gallons Bedrooms: 3 Sewer Line Distribution Information (NEW) See also 12VAC 5-610.720 through 770; Min ID Y See also 12 VAC 5-610-920 & 930 Method: NEW Distribution Box Material: Concrete Box Number of Ports: 10 Conveyance Line/Force Main Information (NEW) Header Line Information (NEIN) See also 12 VAC 5-610.860 through 880 See also 12 VAC 5-610-930.D Conveyance; Method: Gravity; Line Diameter: 4 in; Material: Material: Sch 40 Plastic; Minimum Slope: 2" per 100' Septic Tank - Inlet Outlet Structure Percolation Lines and Absorption Area See also 12 VAC 5-610-810, 815. 817, & 820 See also 12 VAC 5-610-930.E & 950.E eptic Tank Number: xisting Septic Tank Ex. Drainfield to remain in use. esign Details: he inlet structure shall be one to two inches higher than the utlet structure and shall extend six to eight inches below and ight to ten inches above the normal liquid level. The outlet tructure shall extend 35-40% below the normal liquid level and ight to ten inches above the normal liquid level. o comply with the maintenance requirements of 12 VAC •610.817 the septic tank must be provided with one of the ollowing three options: 1. Inspection port. 2. Effluent filter. 3. Reduced maintenance tank 1/3 Construction Drawing Owner Information Howard and Mildred Trail Phone: 0 3432 Keswick Road HDID #: 101-13.0037 Keswick, VA 22947 Transferable to another Owner or Location Howard and Mildred Gail property HD 10Ilumber. 10143-0037 Tax Map W-26 Royal Acres Lots 26 d 27 3432 Keswick Road Allemnle County, Viaginia Fan bq Construction Drawing showing: s House a 1: General location of new distrtbdtioi kxswa Y boa, conveyance Nine, and header li es to be installed. a E I �aawwru (4 Loardghpn4 Repwr1he siite was Dunngtheccouriu9ion,b wasdlo be in pw severs �� det sthisW. has arPereato being poorcoto reps. on Due to lhislat, Ids Repair Prril is bang issued to repine—- dw easting dstribdion box. header lines. and comepnce rim. In an adempt to wk with bar horn omertothe greatest care possible rato keep costs to a rtddmum,bvs repair will4 mMactMinMphases. PhaselWll requte the replremere of DY conporierts mentioned above. Phase ll will requre the intaRation or new drtidins and possibly a newseptie taw, perdrgharms HD variation in the general Yea show. � I Ara0.,muY e 6 kaY:x MxuerYY ti vatnaw,Yn ';qy e Pk ST v G Dbam � � _ /Eerpbted n m Hca1¢Laus I Nbcrepdtad _ sbd a _ Rb Site Evaluation and System Design By: Josh Kirtley �% February 05, 2013 Josh Issue Date Environmental Health Specialist, Sr. V3 slob I August 07, 2014 Expiration Date Howard and Mildred Trail Property HD ID Number: 101-13-0037 Tax Map 79A2-26 Royal Acres Lots 26 & 27 3432 Keswick Road Albemarle County, Virginia Construction Drawing showing 1: General location of new distribution box, conveyance line, and header lines to be installed. Notes. I. PULL the measurements to confirm location 2. If there are any questions about the installation of this D.box. STOP work immediately and call Josh at 972-6288 or 960-8653. If no answer, call the Health Department at 972-6259. 3.1'ermit NOT drawn to scale. Repair Justification: During the site evaluation, it was determined that several of the septic components appeared to be in poor condition. Due to this fact, this Repair Permit is being issued to replace the existing distribution box, header lines, and conveyance line. In an attempt to work with the home owner to the greatest extent possible and to keep costs to a minimum, this repair will be conducted in two phases. Phase I will require the replacement of the components mentioned above. Phase II will require the installation of new drainlines and possibly a new septic tank, pending further HD evaluation in the general area shown. Existing House sunporch 29' Conveyance Line to be replaced 1 IExisting Drainfield I (4 Lines of unknown length) � � Ex. Well (approx) Attu: Contractor Replace the components indicated as shown. Ex. ST / .box to u --'be replaced sn Header Lines to be replaced Shed w 414 Slop�� t Commonwealth of Virginia Application for: ❑ Sewage System ❑ Water Supply Mailing Address ._�!t 32t(� 5 i.: c c114, ,Pn /Id Agent Mailing Address Site Address 1 /Z 2-1 R, I L VDH Use OnItt-13—(„Chq Health Department IDB I Due Date Phone,�t;rf- !:,? 9 7 4— ? 4,(G Phone Fax Phone Phone Fax Email %/ /i 11rg.'I (T ie.,Z, emo Directions to Property: Subdivision ��/y5 L uZ� Section Block Lot Tax Map t% � Q i -- A (/ Other Property Identification Dimension/Acreage of Property -7AC- Sewage System (New Construction) Construction permits are valid for 18-months. Owners are advised to apply for a construction permit if they intend to build within 18 months of completing this application. Certification letters do not expire, may be recorded in the land records, and transfer with a property sale. For which are you applying? ❑ Certification Letter ❑ Construction Permit Sewage System (Existing Construction) Check all that apply: ❑ Repair ❑ Modification ❑ Expansion ❑ Replacement ❑ Upgrade Do you wish to apply for a betterment loan? _ If yes, there is a $50.00 fee for a betterment loan determination and you must complete the application addendum for betterment loans.. Sewage System (New or Existing Construction) Ingle Family Home (Number of Bedrooms _3 ) ❑ Multi -Family Dwelling (Total Number of Bedrooms ❑ Other (describe) Basement? �'se No (circle one). Walk -out Basement? Yes/No (circle one) Fixtures in Basement? Yes/No (circle one). Conditional permit desired? Yes/No (circle one). Ifyes, which conditions do you want? ❑ Reduced water flow ❑ Limited occupancy ❑ Intermittent of seasonal use ❑ Seasonal or temporary use not to exceed 1 year Water Supply Will the water supply be Public or Private (circle'ooe).� Is the water supplyExisting or Proposed (circle one): If proposed, is this a replacement well? Yes/No (circle one). Will the old well be abandoned? Yes/No (circle one). Will any buildings within 50' of the proposed well be termite treated? Yes /No (circle one). Note: For sewage systems, a plat of the property may be required and a site sketch is always expected. For water supplies, a plat of the property is not required and a site sketch is always expected. The site sketch should show your property lines, actual and/or proposed buildings and the desired location of your well and/or sewage system. Your property lines, buildnig location and the proposed well and sewage system sites must be clearly marked and sufficiently visible to see the topography. I give permission to the Virginia Department of Health to enter onto the property during normal business hours for the purpose of processing this aliplication and to perform quality assurance checks of evaluations and designs until an operation permit is approved. Signature of Owner/Agent �' Date VIRGINIA DEPARTMENT OF HEALTH Thomas Jefferson Health District Environmental Health Services PLEASE READ BEFORE FILING YOUR APPLICATION AND PAYING FEE This is to Inform You of the Following: 1. The fees for Environmental Health permits mandated by the state and county cannot be refunded once an application has been filed and the fee paid except: a. if the applicant withdraws their application and makes a request for a refund in writing before the Environmental Health Specialist makes a site visit to evaluate the property. if the health department is unable to issue a permit and you are seeking to construct your principal place of residence on this lot You must then provide written notification to the health department that you are foregoing your right to appeal the denial of your request for a permit and include your social security number. In order for you to then appeal at a later date, the above refunded fee would need to be re -instated before a hearing date would be scheduled. Please note that because this is a state agency, if you have a debt with the state, your refund would go towards your account. 2. Bare applications for sewage disposal and/or water supply construction permits will become void if it is inactive for 90 days. After that time, a new application and payment of all applicable fees will be required. 3. Incomplete AOSE application packets for sewage disposal and/or water supply construction permits will be denied. Applicants will have 90 days to resubmit a complete application packet. After 90 days, payments of all applicable fees will be required. This fee waiver applies only one lime. If you submit a new application and the defects are not corrected, or new defects appear, then the fee waiver will not apply to future applications. 4. Sewage Disposal Construction Permit with or without a Water Supply Construction Permit is valid for 18 months once it is issued. A Water Supply Construction Permit is valid for 54 Months. 5. No private well shall be constructed within 50 feet of the property line with an adjacent property that is used for an agricultural operation, as defined in § 3.1.22.29. The following shall be exempt: (i) the owner of the adjacent property that is used for an agricultural operation may grant written permission for construction within 50 feet of the property line; or (11) certification that no other site on the property complies with the Board's regulations for the construction of a private well. It Is Your Responsibility to: 1. Have a backhoe and operator on site at the scheduled appointment date and time. If you are unable to secure a backhoe you must contact the health department to cancel the appointment If the owner meets one of the following, then a backhoe may not be required: a. the health department has determined that the applicant's income makes them eligible for a fee waiver; b, the site has previous soils work approved by the health department for a design flow greater than or equal to that being applied for; C. the application contains an AOSE or AOSE/PE packet; or d. the applicant submits a'TJHD Backhoe Policy Exemption Addendum" and meets all requirements. Have the corners of property lines of lot clearly marked and to have the four corners of the proposed house site flagged. If lot is too overgrown, then bush hogging may be required before site visit. 3. Make it clear to the Environmental Health Specialist (EHS) which one or two areas on your lot you want tested. The EHS will advise you which areas appear more suitable for a septic system. No more than two areas will be tested and the permit will be issued showing the location of the system in only one suitable site. 4. Hire a private soil consultant (AOSE) to test another site and submit a report to the Health Department if sites that have been previously approved during division of property or sites that have previously been permitted are changed. New application and fee will be required. A plicant or Agent Signature Date County of Albemarle - GIS-Web - Property. Information Page 1 of 1 , Parcel ID: 079A2-00-OG-02600 Parcel Assessment Data (CAMA) Last Updated On: 01/12/2013 Other Parcel Data Last Updated On: 01/15/2013 GIS/Mapping Data Last Updated On: 01/15/2013 Summary Information Parcel Information Total Acres 7 Primary Prop. Address 3432 KESWICK RD Other Address N/A Property Card(s) 1 Lot 26 & 27 Property Name N/A Subdivision Royal Acres Notes L-26 & 27, B-G ROYAL /ACRES Owner Information Owner TRAIL, MILDRED D & HOWARD K TRAIL TRUSTEES OF THE MILDRED D TRAIL REVOCABLE TRUST Address 3432 KESWICK ROAD KESWICK VA, 22947 Owner as of Jan 1st TRAIL, MILDRED D & HOWARD K TRAIL TRUSTEES OF THE MILDRED D TRAIL Most Recent Assessment Information Year 2012 Assessment Date 01/01/2012 Assessment Reason Reassessment Land Value $236,300 Land Use Value $0 Improvements Value $225,900 Total Value $462,200 Most Recent Sales History Previous Owner N/A Owner N/A Sale Date 10/25/1996 Sale Price $212,000 Deed Book/Page 1572/317 Other Tax Information as of Jan 1st State Code Single Family Resid (Urban) Tax Type Reg, Taxable Parcel Level Use Code Single Family Appraiser C]S http://gisweb.albemarle.org/GISWeb/Propei-tylnfo.aspx 1 /22/2013 LEGEND: 50' R/W (UNDEVELOPED) IF - IRON FOUNDIS J PP = POWERSET POLE' N8, 22'�5'E IF S84 '05'52"F TF IF ON L NE 25.22' FROM CORNER L OT 25 jog. go, 9 4 J LOT 26 3.176 ACRES (INCLUDING R/W) 2.967 ACRES (INSIDE R/W) LOT 27 3.498 ACRES (INCLUDING R/W) 3.348 ACRES (INSIDE R/W) cn uj m A I V m C O - m m O m A v v u lT Q cp N m mao a Ino m m .1 O � z FRAME '"= SHEDS 44440440000 OOoo � H �U C. STEVE GARRETT D Lic. No. 2025 SURNE�� to 46 to LOT 29 -+Nnoo Pp 0.0' Q I � pm0000 WELL i i e 3 m o 0 0 o O ru to go i oo iuo Q N NON ;'/ 59.0' ti m in iiO1i e N o SURFACE TREATED / � � 1 STORY BRICK m U Q Q en o m DRIVEWAY % n N W/ BASEMENT N 3. 4' m 2. 7' UUcJUUU /i 50' SBL v 46.9 IS ON LINE IF ON LINE HOUSE DETAIL IF ON LINE il� 25.27' FROM 25.10 FROM 1" = 30' 340' PP FROM CORNER C RNER N CS.23 RNtR CJ I/ KERVICK ROAD D� If _ 50' R/W PHYSICAL SURVEY SHOWING ARCELS C-27 & C-26 AS SHOWN ON TAX MAP 79A1 LOT 26 & 27 - BLOCK G ROYAL ACRES 79A2—OG-19 79A2-OG-17 79A2-OG-18 TM:7 79A2-OG-25 79A2--OG-24 J 3420 34.061 79A2—OG-20 `I 79-12 ++i 79A2-OG-28 79A2-OG-25 f% J 3446, :r:3432�i , r �ykA N I T krs6a77jL__ O � � 731 - I 150 ft KESW�BK R� 79A1—OE-13A 79A1-0E-13 79A1--OE-6 79A1--OE-3_ 79A1-OE-5 , Legend dude: same �le..s m mev mer ^a wma� � lax�dl 79A1-OE-9 GISWlb Geaaaol.c oala soi.,w. r .... elmrrwle.vp Id Pe M.O -A—'l^oyelllv.0 neMA el1v 4W M.S n, JvuvY x2. M13 ez 1572PG0317 o11553 PREPARED BY: MARTIN & RAYNOR, P.C. THUS DEED made This 22nsd day of October, 1996, by and between HOWARD K. TRAIL and MILDRED D. TRAIL, husband and wife, Grantors, and MILDRED D. TRAIL and HOWARD K. TRAIL, TRUSTEES OF THE MILDRED D. TRAIL. REVOCABLE TRUST UNDER AGREEMENT DATED JUNE. 21, 1996, Grantees, i whose address is 3.432 Keswick Road, Cedar Run, Keswick, Virginia 22947, WITNESSETH: Thal for estate planning purposes anel no monetary consideration, the Grantors do hereby GIVE, GRANT, BARGAIN and CONVEY with GENERAL WARRANTY OF TITLE and, subject to the matters herdnafter set forth, with ENGLISH COVENANTS OF TITLE, unto the said Mildred D. Trail and Howard K. Trail, Tnlstees of the Mildred D. Trail Revocable Trust under agreement dated June 21, 1996, all those certain lots or parcels of land, with the improvements thereon and appurtenances thereto, situated in Albemarle County, Virginia, being Lots 26 and 27, Block G on plat of Royal Acres, of record in the Clerk's Office of dm Circuit Court of Albemarle County, Virginia, in Deed Book 280, pages 335-338, and being the same property conveyed to Howard K. Trail and Mildred D. Trail, husband and wife, by dead of Randy L. Harper and Denessa E. Harper, husband and wife, dated April 23, 1993, recorded in the Clerk's Office aforesaid in feed Nook 1305, page 89. Full power, right and authority is granted unto the Grantors and their successors in trust by the above describers Trust Agreement to sell, lease, exchange, encumber and/or convey the said property, either in whole or in part, upon such terms and conditions and for such consideration, or no consideration, as the Grantees may in the discretion of the Grantees deem advandageous, with die further right to subdivide and re- Br I572PG0318 subdivide said property and to dedicate such portions diereof for public use as the Grantees shall dam desirable, together with the right to grant licenses and easements for utility or other purposes across, over ard under said pruperty, and the Grant= are hereby empowered to execute, aekmwlcdge and deliver such detQs, deeds of trust, leases and other instruments rsecessary to carry out the foregoing powers, and there shall be no obligation or liability upon any purchaser or purchasers, lessee or lessees of said property, or any part thtreof, or upon any ply nr parties making any loans secured by dead or dads of trust upon said property, or any part thereof, to see to the proper application of the proceeds of such sale, lease or Iron. Every deed, deed of trust, lease or other instrument executed by the Grantors, Of their successesrs in trust, on behalf of the trust identified herein and in relation to the pruperty described herein shall be conclusive evidence in favor of every person claiming any Tight, tide, or interest Utereunder that (i) at the lime of the delivery of such instrument the trust was in full force and effect; (ii) that such instrument was executed in accordance with the terms and conditions of the trust agrecmem establishing such trust, as the same may be amended from time to time, and is binding upon all beneficiaries under said tout; and (in) if such instrument is executed by succtssor(s) in trust to the Gmmocs, that such successor(s) in trust have been properly appointod and are: fully void with all the titre, estate, rights, powers, duties and obligations of the Grantees, provided such successor(s) in trust certify in said instrument that such successor(s) have been properly appointed. 'Me properly hereby conveyed is subject to any and all easements, restrictions, reservations and conditions umtained in duly recorded deeds, plats and other instruments H VIRGINIA: IN THE CLERK'S OFFICE OF THE CIRCUIT COURT OF ALBEMARIE' THIS USED WAS PRESENTED. AND WITH CERTINCATE ANNEXED, 6 ADM M 1 TO RECORD ON AT _U.5 O'CLOCK -M. STATE TAX LOCAL. TAX TRANSFER FEE I.T.T.P. VSLP f 1.00 (IAf) CLERK'S FEE PLAT SFCI'.58.1103: STATE TAX 1F6fE: f___ _ lO)BI SN J. EfARSTTA3.4C71RH LOCAL TAX f (1l3) LOCAL TAX RV.� f _._lJTl1 DEPHIV CIM TOTAL f 00