HomeMy WebLinkAboutSUB201800140 Approval - Agencies 2018-09-18 go
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Albemarle County VIRGINIA DEPARTMENT OF HEALTH Louisa County
PO Box 7546 Thomas Jefferson Health District PO Box 160
Charlottesville,VA 22906 Revised March 29,2009 Louisa,VA 23093
(434)972-6219-Office (540)967-3707-Office `i* I of S
(434)972-4310-Fax ENVIRONMENTAL HEALTH SERVICES (540)967-3733•Fax
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FluPO Box 1 County Greene County Nelson County � ���
PO Box 136 PO Box 38Ili PO Box 98
Palmyra,VA 22963 Stanardsville,VA 22973 Lippizenn Lovingston,VA 22949
(434)591-1965-Office (434)985-2262-Office (434)263-4297-Office
(434)591-1966-Fax (434)985-4822-Fax 434)263-4304-Fax
ITS EXISTING SEWAGE-DISPOSAL l
` Applicant's Name
Cf i slin Aprllot ik • Agent's Name I-yQt y
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Applicant's Address Agent's Address
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City State Zip City State Zip r
Cc\r 1 cM-e 't I it of 779o(
Home Phone: Home Phone:
Work Phone: Work Phone:
Cell Phone: y 39- 9(p c-i_-7-7 I 0 Cell Phone:
PROPERTY INFORMATION
Parcel: - sr(f\3
Building/Zoning Permit Number:
SubLLLon Section RAN
ct on Block Lot M me
PPro osed New Ction
Directions to Property: New bI le \4OfY'(?
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PLEASE ANSWER THE FOLLOWING QUESTIONS Circle One
1.)Was your septic system installed and approved within the last 10 Years? YES
2.)Does proposed addition or replacement come within 20'of the drain field or reserve area? Y€ NO
S
3.)Does proposed addition or replacement come within 50'of your well? �y
4.)Are there wet spots in your yard, slow running drains,backups, or discolored spots in lawn? YES
By signing this statement you are requesting that the Environmental Health Specialist evaluate your
system and are granting him/her permission to enter your property. If a site visit is needed,
you may be r ired to uncover r septic tank and distribution box lids.
-e/ .{_ 9/5 f 15S
Applicant/Ag ni Signature Date
SEE PAGE 2 FOR HEALTH DEPARTMENT FINDINGS
PAGE 1 of 2
es •
PAGE 2 of 2
HEALTH DEPARTMENT USE ONLY
Site Visit WAS NOT made and existing water supply WAS NOT evaluated,
unless otherwise noted under comments.
A ADEQUATE DESIGN
A review of our records indicate the existing sewage disposal system(SOS)and reserve area
(where indicated)appears to be adequately designed for the proposed use.This does not imply
that the existing SDS will continue to function properly for any minimum period. No conflicts were
noted when the attached site plan(including footprint)was compared to those records. Exact
locations may vary from records and it is suggested that the exact location of the SDS be
confirmed before beginning construction.
U INADEQUATE DESIGN
Existing SDS inadequate. Applicant must apply at the Health Department for a sewage disposal
construction permit. Permit must be issued and a copy submitted to building inspections before
Building/Zoning permit is issued.
AS-BUILT DRAWING:
COMMENTS:
SYSTEM AVM 1 3r F„►,a16.1Ny Ytitr . tlogipicreit wir,ik Now ftwoz N6 40,42
fowl 61,014,,gr cod, TEES e- Og31-146 - i34X. ega-rim, or" fent 'Wen /1 *PI)
PRuffg'ty GN� Ow If Ivatgamt it moor,:
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. VA/18
Health Department Official Date
Revised March 29,2009
Andy Reitelbach
From: melodybah@aol.com
Sent: Tuesday, September 18, 2018 12:26 PM
To: Andy Reitelbach
Subject: Fwd: B2018-02129-MHC (Health Dept Approval)
Attachments: B2018-02129-MHC (HD Approval).pdf
Andy, here is one of the approvals.
Melody
N. Melody Beisner
Commonwealth Land Surveying, LLC
1484 Greenbrier Place
Charlottesville,VA 22901
434-973-0513-office
434-962-1997-cell
434-973-0872-fax
From: cristinaprince1124@gmail.com
To: melodybah@aol.com
Sent: 9/18/2018 11:31:09 AM Eastern Standard Time
Subject: Fwd: B2018-02129-MHC (Health Dept Approval)
Hi Melody I just talk to Steve and he had asked me to forward you the approval from the health department.
Thanks,
Cristina Prince
Forwarded message
From: Napper, Michele<michele.napper@vdh.virginia.gov>
Date: Mon,Sep 10, 2018 at 1:28 PM
Subject: B2018-02129-MHC (Health Dept Approval)
To:Jamie Frazier<Lrazier@albemarle.org>
CC: <cristinaprince1124@gmail.com>
Attached is the approval for Daniel & Cristina Prince. Property identified as Parcel ID
#11400-00-00-057A3.
Thank you. Have a great week!
Michele R. Napper
Administrative&Office Specialist III
&District Rabies Program Manager
Thomas Jefferson Health District
Environmental Health Services
n38 Rose Hill Drive, Charlottesville,VA 22903
.
(434) 972.6236 (direct)
(434) 972.6219 (office)
(434) 972.4310 (fax)
michele.napper@vdh.virginia.gov
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