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HomeMy WebLinkAboutSUB201800224 Certified Engineer's Report 2018-12-17 Soils,Study for Drain Field Sites -Parcel&B and ,B1, A,Division of Tax Map 40-50C Albeitharle, County Prepared for: Charles Timothy and Sarah J.Henley 5876 Behrwood Road Crozet,VA 2292 _Prepared by: Steve Gooch Consulting Geologist,Inc. 703 Oliver Creek Road Troy,Virginia 22274 Yeallizra154 • , December 15,2018 _YriPlUiVIMOO ( Vi3A1190.2 Page 1 of 5 OSE/PE,Report for: Construction Permit Ft Certifi9a0on Letter El, Subdivision Approval El Property Location: 911 Address: City: Lot B. Section Subdivision GPIN or Tax Map# 40-50° Health Dept ID# Latitude Longitude Applicant orClient Mailing Address: Name: Charles:Timothyf,lenley and Sarah J. Henley ' Street 5876 PPa111vP°O'Rii4C1 city:Crozet ' State VA Zip Code 22932 Prepared by: OSE Name Steve Gooch License# •1 940001 2l34 Address 703,:Pliypr Creek Road city Troy State VA Zip Code 2?07•4 PE Name: License# Address City State Zip Code Date of Report 12/)5/113 Date of levision#1 OSE/PE Job# Date of Revision#2 Contents/Index,of this report(e.g.,Site Eviduation Summary,Soil Profile DeScriptions,Site Sketeh,Abbreviated Design,etc.) OISE:covpr Page Abbreviated,Design Form Soil Profile Sheet Survey Plat Soil Information Summary Sheet Certification Statement I hereby certify that the evaluations end/or designs contained herein were conducted in accordance with the Sewage handling and Disposal Regulations(12 VAC5=610),the Private Well Regulations(12 VACS=610 and all other applicable laws,regulations and policies implemented by the Virginia Department of health. .1 further certify that 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 work contained herein. The work attached to this cover page has been conducted under an exemption to the practice of engineering,specifically the exempfion in Code of Virginia.Section 54:1-40.11 I recommend that a(select one : nstruction permitO certification letter subdivision approval be(select one)issuecID denied U. OSE/PE Signature #2.P.,i7C.- Dk Date /*Via" 2q€2,,z_ z isir Soil Profile Parcel B A Division of TM,40-5QC „ r , Jones Mill Road Albemarle County , Hole Depth Hori4on Material"Description Soil Texture (in.) Group 1 0-6 , A Reddish broWn(2.5,YR 4/4) sandy clay loam, friable 2 6-60 Bt Red(1:0R 4/ )'silty clay lodrrA;firth, 10=20%rook 3 fragments 2 0-6 A .Reddish brown,(2, ,5YR.4/4) ftncly,cla.)r.loant,.ftiable 2 6-.16 Bt Red,(2.5Y1t5/8561arlOam,friable 3 16-48 C BrOwt4T5YR 5/4),sandyloatn,.friable w/gneiss fragments 2 below 36" 48 Or , 50%+.gneiss fragments 3 0-6 A Reddish brown(2.5yk 4/4) sandy clay loam, friable 2 6-18 Bt ' Strong:brown(7.5YR.-5/8)'elayloarti.,Iriabl 3 18-60 CB YelloWiSh,brown(10YR 5/8):sandy loam, reddish brown 3 . clayloam,White-:(ioyiz WO feldspar(lithdclirothie), ' gneiss fragments below 48" 4 0-6 A Reddish brown(2.5YR 4/4) sandy clay loam, friable 2 6,30 Bt Red(10R.4/8) silty clay'loath,firm 3 . _ 30-60 C Light reddishbrown(syg 6/4) sandy clay,loam,friable 2 5 0-6 A Reddish brown(2.5YR 4/4) sandy clay loarti,friable 2 ' 6-31 Bt Red(1.0R 4/8) silty clay loath, firm • 3 31-60 CB ,Yellowish red,(5YR:5/8) sandy loam,friahle w/yellowish 3 brown.(10Yi 5/8) silty,clay,loam 6 0-8 A Reddish brown(2.5YR 4/4).sandy clay loam,friable 2 8-20 Bt ited(10R 4/8) silty clay loam,firm 3 20-60 C Reddish brown(5YR 5/4)sandy clay loam, friable 2 w/Weathered granite gneiss fragments below 54" 60- Cr Page of Appendix 2 Soil Sumrrnary...-Repart, GENERAL INFORMATION Date 12/15/18 Submitted to Albemarle-County. Health Department Applicant.,Charles and-Sarah-Henley, Telephone Number (434)953-7879 Address 5876 Bearwood Road Crozet,VA22932 Owner same Address same Location Jones Mill.Road Tax Map 40-50C Subdivision • Block/Section `Lot B SOIL INFORMATION SUMMARY 1. Position in landscape satisfactory? J Yes l No Describe shoulder 2. Slope :9 % 3. Depth to,rock or,impervious strata: Max. 60"+ 'Min. 48" None 4. Depth to seasonal,water table.:(gray mottling or gray color) IXi .No IrF Yes 'inches Free water present Ix; No I`-' Yes 'range in inches n. Soil percolation rate:estimated •1X Yes Texture'group I ;II ® IV 0 No Estimated rate 75 min/inch 7. Permeability test.performed IT Yes Ix� No If yes, note type of test,performed and attach Ig Site Approved: Drainfield•to be.placed.at 24" depth at site designated on.permit. I' Site Disapproved: Reasons for rejection: 1. f T Position in landscape subject to flooding or periodic saturation. 2. T-: Insufficient depth of.suitabie.soil over hard rock. ' 3. IT Insufficient depth of suitable soil to.seansonal:water table. 4. Irl Rates of absorption too slow. 5. 17 Insufficient area of,acceptable soii.for required drainfield, and/or Reverse Area. 6. T Proposed system too close to well. Iri Other Specify (attach additional pages if necessary) ?clex-%.71 of 4- 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'foi‘a certification-lettetor subdivision approval. This abbreviated design covers the(lichnary and,reserve area, 0 only the,primary area, 0 only the reserve area(check one)for ,Parcel El A Division of Tax Map 40-50C Design Basis Total length,of available,area: , 100' Total width'of available area: , 150' Estimated,Perc.Rate: 75 at 24" in.-(depth) Number of bedrooms(orGPD): 4 1 2 Conveyance Method : Gravity Distribution methOd, (specify): Gravity "3c Dispersal system basis Table 5.4. LGMI required?jQ (Yes/No) Effluent quality required: •Primary ,. (Primary, Secondary,Advanced Secondary) Square feet per bedroom: 596 Total trench bottom area required: 4800 Area.Calenlations Number of trenches 16 Length of trenches: 100' Width of trenches: , 3' Center.to center spacing: 9' Reserve require 0? Yes Percent reserve area required: 100 Total,widtkof absorption area required 138' Total trench bottom area provided: 4768 The required width is calculated'by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 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 ncenter-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.,and down,the slope,than is required. Page of AOSE Form E Revised July 18,2007 • • • • , \ - T,M.;40-,d7A 'T".t•ad.40450E .; �` :,e ,,.!►': ` 4 PARCEL A, ,- •,CD 'moo: d' 9< . .. aO ,, a tH• PRDPEATYES 'Lt.,' 1.Ml.40-47( i • , i~1 :rN , LOT" 4 " 'P1 : o t° g � o NOnNSC •,PA3PE• Tl � ! r - ;:..44.P' , ' a t ` '' , 4 Well'r 0. 8r3444M4t::apt.: o �?USe•:' ' '6A " ;' Lgi . ,. -.. '� 6:Pcfit` '''' ''ell,Welf.Site ,-,,,, ,, ;;,. ., 10. ", ,_.. , 1 /•/ill`. .\ t .:t, -L/. :. , g::::, :, ;;Ig .1:6 , ?7,;.;,,.;00,,c-Actifii' ,..,....,,,,--. ..-p-...”,'. ...,: :• •.- ,..-'] . ,,•,.. ....)..„ . Pilit'. ', .� 4:�1ji fT_„re f.� 4A/ A ■,,,:• y,`A.1'"'1��.3yc `q,., ,,+ - •s ' ,,,,, :,.: ; .,... „ ,....„. . ,: 'Q� • _.iCH g;�,TIld TMY,.°-t"' y''' ' :�, ` \, 1 i "• ft.,. « s 7 ,� • 'O'.�:81OO� , . `��,w+` ' ; ';.IKON ••O.B.A9011,4111;';&�.•,S4a PLAT • "(Ptf rtary an ''16 f ,. BE''T :taESICIEE� •17:'i7' ACRES 0�,. . - , r • CD +, ri 9 . , \...0.‘°"",. '',, ,. . • • z �' Sca1e 1!'. 0,0'. ,.•-`S,oil.Profiile:�Bole ' . `House;Well and•Diram Field Sites, . • 'j ,, ••Parcel B ' . ' • •• • !. A,.Division'ofTaxsMap,40-50•C i t 'Albers arle'County?Virginia '.6101.41C :SCALE . ; I"--. „99. , Steve Gooch.Consulting Geologist . ' , ' 703 Oliver-•Cireek'Road b .�QQ - . :4�4 Troy,�V,irginia 22974 ,boo. Page 1 of 8 OSE/PE Report for: r Construction,Perinit'' I Certification Letter Subdivision Approval Property.Location: 911 Address: City: Lot B1 •Section . Subdivision GPIN or Tax Map# 40-50C Health Dept ID# Latitude Longitude . Applicant.or Client Mailing Address: , Name: Charles•Timothy Henley:.and Sarah.J:Henley Street: 5876°Bearwood;.Road I • , ' City:Crozet State VA Zip Code' 22932 . Prepared by: 4 OSE Name. Steve pooch,' , License# 1940001284 Address 703 OliverCreek Road City Troy State VA Zip Code .22974 PE Name: .. License# .' Address City State Zip Code Date of Report 12/15/18 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.) OSE;Cover Page Abbreviated Design Forms Soil Profile Sheets Survey Plat Soil Information Summary Sheets 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 ofthe Commonwealth that•have been duly issued by the applicable agencycharged with licensure to perform the work contained herein. ' The work attached to this cover page has beenconducted under an exemption to the practice of engineering,specifically the exemption in Code of Virginia-Section 54.1-402.11 I recommend that a(select one): construction permit❑ certification letter0 subdivision approval be(select•one)issued denied,0. OSE/PE Signature .eke_ ,,,, r Date 1g1 51/i- Zcsf-1 Soil,Profile Primary Drain Field 'Parcel B1 A Division bf TaX Map 40-50C Albernarle County Hole 'Depth Horizon Material Description Soil Texture (in.) Group C 0-7 Ap Brown(7.5YR 5(4)clay loam, friable 3 7-45 Bt. izect(19R 4/8j silty play lo4m,'firm 3 45-84 C Yellowish red(5YR 5/8),sandy clay loam,white 3 (1OYR 8/1)feldspar(lithochromic), friable D 0-8 Ap • Brown(7.5YR 5/4)clay loam,,friable 3 8-46 'Bt Red,(,1CR 4/8),silty clay loam, firm 3 46-60 , Cl YelloWish,red2(5yR 5/8) sandy clay loam,white 3 (10YW811) feldspar(lithoehromie), friable , 60-84 C2 Light brown(7.,5YR 6/4) sandy loami 25'°/0 granite 2 fragments,friable F 0-9 Ap Brown(7.5YR 5/4)clay loam, friable 3 9-44 Bt Red (10R 4/8)silty clay loam,firm 3 44-69 BC , Red(101.5/8)silty clay loam,yellowft 0YR 7/8),Sandy 3 clay loam, firm 69-84 C ,Light red(2.5YR 6/8)clay loam,white(10YR 8/1) 3 feldspar, friable G 0-10 Ap Brown(7.5YR 5/4)clay loam,friable 3 10-35 Bt 'Red(10R 4/8)silty clay loam, firm 3 35-61 BC Red(2.5YR 5/8)'silty clay loam, brownish yellow 3 (10Yg.6/8) sandy clay lOam,firm 61-84 C Light red,(2.5YR 6/8),brownish'yellow(10YR 6/8)sandy 3 clay 19am,red(10R 4/8) clay loam, white(10YR,8/1) feldspar(lithochromic),friable H 0-10 Ap Brovvn(7.5YR 5/4)clay loam, friable 3 10-38 Bt (oR 4/8)silty clay loam, firm 3 38-67 BC Red(2.5YR 5/8) silty clay loam,brownish yellow 3 (10YR,6/8) sandy clay loam, firm 67-84 C Yellowish brown(10YR 5(8) sandy loam,red(10R 4/8) 3 clay loam,white(10YR 8/1)feldspar(lithochroinic),liable Page _3__ of 7 Appendix 2 Soil Summary,:Report • GENERAL INFORMATION Date 12/15/18 'Submitted.to Albemarle County Health Department Applicant.Charles.and-Sarah,Henley Telephone Number (434)953-7879 Address 5876,Bearwood,.Road,Crozet,VA 22932 OWner same Address same • Location Jones,Mill:Road Tax Map 40-59C Subdivision Block/Section Lot .B1 ' • ',SOIL.INFQRMATIQNSUMMARY _ tr tMl vZ ,v t 1. Position,in landscape,satisfactory? r, Yes 17 ;No Describe`shoulde'r 2. Slope 6 % 3. Depth to rock orimpervious strata: Mak. Min. None X 4. Depth to seasonal water table.Igray mottling or gray color) Ixi No l Yes inches Free water present fX No 17 Yes range in inches Soil percolation rate estimated :hc! Yes Texture..group I II ,® IV IWi No Estimated rate 85 min/inch 7. Permeability test performed I. ,j Yes Ix, No If yes, note type Of test,performed and attach rx; Site Approved: Drainfield to be placed at 42" depth at site.designated on permit. IT Site Disapproved: Reasons for rejection: 1. IT Position in landscape subject to flooding.or periodic saturation. 2. 17 Insufficient depth of suitable soil.over hard rock. 3. r; Insufficient depth of suitable soil to seansonal water table. 4. n Rates of absorption too slow. 5. L`i Insufficient area of acceptable soil,for required drainfield, and/or Reverse Area. 6. 17 Proposed system too close to well. 17 Other Specify (attach additional pages if necessary) Abbreviated Design-Form This form is for use with gravity,pump to gravity,enhanced flow,ancl low pressure distribution(LPD)sewage system designs and when applying fbr a certification letter or shbdivision,approval. This abbreviated desigh covers the 0 primary and reserve area,,E/only the primaty area, 0 only the reserve area(check one)for Parcel B1 7 A,.Division of TM 40-50C Design Basis Total length of available area: .100'. Total width of available area: 100' Estimated Perc.Rate: s,85 at 42" , in.(depth) Number,of.bedrooms(or GPD): 4 1 2 Conveyance Method : Gravity Distribution method (specify): Gravity 30. Dispersal system basis Table 5.4 LGMI required? No (Yes/No) Effluent quality required: Primary (Primary, Secondary,Advanced Secondary) Square feet per bedroom: 718 _ Total trench bottomhrea required:2872 Area Calculations Number of trenches 10 Length of trenches: 100' 'Width of trenches:, 3' Center to center spacing: 9' Reserve required? Yes Percent reserve area required: 100 Total width of,absorption area required 81' Total trench bottom area provided: 3000 The required width is calculated by multiplying the center4o-center spacing by one less than the number of trenches and adding 1.trencilwidth plus any required reserve area. If the topography is not uniform facross 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 perfectly acceptable to have more area available,especially up.and down the Slope;than is required: Page of AOSE Form E Revised July 18,2007 Pe_ C.'c.) 7 Soil Profile Reserve Drain Field Parcel B1 ---... A Division of Tax Is,4ap 40-50C Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group A 0-6 Ap Brown(7.5YR 5/4)clay loam, friable 3 6-29 Bt 'Red(10R 4/8) silty clay loam, firm 3 29-56 Cl. Yellowish red(5YR 5/8) sandy clay loam,white 3 (10Yk 8/1)feldspar(lithOChromic) Note: Free water,@ 42" 56-84 C2 ' Weaired(1010/4) sandy clay,loarp, fiiable .2 B 0-8 Ap Brown(7.5YR.5/4)clay loam;friable 3 8-54 Bt Red(10R 4/8) silty clay loam,firm,moist 3 54-84 C Yellowishled(5YR 5/8) sandy clay loam,white 3 (10YR,8/1)feldspar‘(lithochromic) Note: Free water @ 22" C 0-7 Ap Brown(7.5YR,5/4)clay loam, friable 3 7-45 13t Red(10R 4/8) silty clay loam, firm 3 .., 45-84 C Yellowish red(5YR 5/8) sandy clay loam,white 3 (10YR 8/1)feldspar(lithochromic), friable D 0-8 Ap Brown(7.5YR 5/4)clay loam, friable 3 8-46 Bt Red(10R 4/8)silty clay loam, firm 3 46,60 Cl Yellowish red,(5Yk 5/8)sandy clay loam, white 3 (10YR 8/1) feldspar(lithochromic), friable 60-84 C2 Light brown(7.5YR 6/4) sandy loam, 25%granite 2 fragments, friable E 0-8 Ap Brown(7.5YR 5/4) clay loam, friable 3 8-36 Bt Red(IOR 4/8) silty clay`loam, firm,manganese nodules 3 24"-30",moist 36-84 C Yellowish red(5YR 5/8) sandy clay loam, friable 3 Page & of I Appendix 2 'SOH SOITInialy'Report , GENERAL INFORMATION Date 12/15/18 Submitted to Albemarle County , Health Department Applicant,Charles and'Sarah Henley Telephone Number (434)958-7879 Address 5876 Beerwgod Road Oro*, vitk,2?932 Owner same Address same Location Jones Mill Road , Tax Map 40,50C Subdivision - Block/Section Lot Bi ' , SOIL:INFORMATION,SYMIY:IA , Dei4`v14 1. Position in landscape satisfactory? 15" Yes , 17 :No Describe shoulder • 2. Slope 5 % 3. Depth to rock or imperviousstrate: Max: Min. None X 4. Depthto Seasonal water,tab,lelgrPY rriPttling.or:grY.4=9100 PT! No fl Yes inches Free water present. fi No J Yes range in inches 2242 Q. Soil percolation rate estirriated g Yes Texture group I II 0 IV 17 Estimated rate, :PO min/inch 7. Permeability teStperformed 171 Yes 1?7, No If yes, note type of test,perforrned and:attach p.-c) Site Approved: Drainfield to be placed at 10" depth at site designated on.permit. n Site Disapproved: Reasons for rejection: 1. 17 Position in landscape subject to flooding or periodic saturation. 2. n insufficientxlepth of suitable soil over hard rock. 3. IT Insyfficient appth of suitablesoil to sepnspnal water.table. 4. 17 Rates of absorption tor)slow. 5. n Insufficient area of acceptable soil for required grainfield, andtor.Reverse Area. 6. Ei Proposed system too clOse to well. IT Other*Specify (attach additional pages if necesary) Pale.7vF8" Abbreviated Design Form This form is for use With,gravity;pump to gravity,enhanced'flow,arid low pressure distribution;(LPD)sewage system designs and when,applying;for a certification letter or subdivision.approval. This abbreviated design covers,the 0 primary and reserve area, 0 only the primary area; [Only the reserve area(checkcone)for;Parcet,B1 A 'Division,of TM 40-SOC Design Basis Total length of available area: _ .100', Total width of available.area: 75' Estimated Pere.Rate; 90 at . 10", in:(depth) Number.of bedrooms(or GPD): 4 1 2 Conveyance Method,: Puma Distribution method.(specify): . Pump 3c Dispersal system-basis Table 5.4 ,LGMI required? No (Yes/No) Effluent quality required,: % Secondary (Primary, Secondary,Advanced Secondary) Square feet per bedroom: . 424 _ Total;trench bottom area required: 5088 Area Calculations Number of trenches 26 'Length of trenches: 100' Width of trenches: 1" Center to center.spacing: 2'. Reserve required? This is reserve Percent reserve,area,required: 100 Total width of absorption area required 50' , Total trench bottom area provided: 5200__ The required width is calculated by multiplying.the.center-to-center spacing,by one less-than.the number of trenches and adding,l 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. .Page of AOSE Form E Revised July 18,2007 , .4 ' , ( 01'r) • 4 '. , 0,l,i l N.,, ,. tot. :, , r.M.4a`A�ol ,�,. ,: 4- 6 , Vi 9". i ,.,d •� q,,dA-. ;i,'M.40 47. E ::, � .g� ,j. LOT. 1....-43,7j,..,:ts, ,, ., ,, , it9,LpLLLif ,; itlEUl�H9 eer?" t . 1. 8.. $ !9. . , lee'„ , ,..' ' ,,,,,..„ ,..,,;:,.: ::', , •.;,,,,,,,,;•,,,040,' , ,;:',A10; ,,-1',%,-'\,.., IV, ''',i." ,'' Viii!,37424e4,18Yit 4 ,; eg g � � G s. ' ma. '�` ''"4�:., .�� �,` � ':i.�,i,�,r 4'i!d����� ..y',p, p tl i a ' ' ''''-,-,'-.' ''„ ' 'i",'.' — .;; " '' , • ':',:,,„,„,1&17,, '', ,,,-,,.‘,..il 11,.,, -.,-,,,,, - " " -, ,,,-,-,- ',.-..,-. , 2,.,:,,,_-_-',i,',,,,,,' ,:L.„,v',.1„,ize,4veill .... .,. it, , , 'RON, c''' Am' .„..„ „..„,,.1r,L,-?'!;',7,'''',..„...;k: ,,,')-4' ',..,,,..,, 1. s., , it ' '311 ,, :' *:,-.44-ilLit.'''''''.:V i ,� "Y:. o ,! -,:.;,:-,A;:''.,;(':,''.-(+ } � � M§d; � ° KS .,. �+ !' t �� � ':oe : ty�;. gyp, , $ iNOTHY 640 ' 101i' \‘� .. t .4 It M • C1 r;-! >n �' t i9Qi�°-Q4il� V .5,42 1 i 5 �rt�1 ■y�,.QJh�hd 1 ay.do •x!�..�ppwt pi;�',4 P�i�r ��' ,tom ., A ,,,,0 ' , \ • .,� p �pPV� r ��'i'Mo4N,.',�7,V.D , '', ;P ° C r4 'Sci1e:1° .„I, 0 '� 'Soil Profile,Hole, House,'Well;_and:Drain Field'Sites parcel,B 1, A lDivision"of Tax,Map'40-HOC , t3RAPhlC GALE "«°200,, _A►lbemarle'Coun ,_ eologist � �V�'C�OOCII�;Otl9li� ,, 7U3',Oliver Creek'Road QQ .0®' ' ;6YC) Troy,Virginia 22974,, Commonwealth of Virginia VDH Use Only Health Department ID# Application for Subdivision Review Due Date (Page 1 of 2 to be filled out by the Owner or Agent) Owner Charles Timothy Henley and Sarah J.Henley Phone (434)953-7879 Mailing Address 5876 Bearwood Road Phone Crozet,VA 22932 Fax Developer/Agent Steve Gooch Phone (434)531-0487 Mailing Address 703 Oliver Creek Road Phone Troy,VA 22974 Fax AOSE Steve Gooch Phone (434)531-0487 Mailing Address 703 Oliver Creek Road Phone Troy,VA 22974 Fax Directions to Property: From Charlottesville take rt.250 West,right on Browns Gap Turnpike,left on Jones Mill Rd.to property on left after 5026 Jones Mill Rd. Name of Proposed Subdivision Tax Map 40-50C Other Property Identification Dimension/Acreage of Property 24.17 Ac. Number of lots proposed 2 Proposed water source(note:new or existing,public or individual) new,individual General size of lots 7.0 Ac.to 17.17 Ac. (give range if appropriate) Additional description of subdivision Overview of soils and geology(optional but encouraged) In order for VDH to process a subdivision application you must attach a plat of the property showing the location of the proposed onsite sewage disposal systems and the reserve absorption areas(if required)and the location of the water supply system on each lot,if applicable. Each plat or subsection of a subdivision shall be accompanied by specific soil information for each lot(absorption area and reserve area). If not provided by the local subdivision ordinance,the district or local health department may require the plat to show streets,utilities,storm drainage,water supplies,easements,lot lines,and original topographic contour lines by detail survey or other information as required. When the AOSE site evaluations are reviewed,the property lines,building location and the proposed well and sewage system sites must be clearly marked and the property sufficiently visible to see the topography,otherwise this application will be denied. I give permission to the Virginia Department of Health(VDH)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 an Authorized Onsite Soil Evaluator(AOSE)or a Professional Engineer(PE)as necessary until the sewage disposal system has been constructed and approved. Cfrj Signature of Owner/Agent Date imon*efti of Virginia ypo Use OnlY Health Depaitment Application for Subdivision Review Due Date (page 2 of2 to be filled out by the county Official requesting a VDH review) county Office inithtting requerit . , C-!nt444144114411 • Phone . • 44.01 offices of the Virginia Department of Health may review subdivision applications far compliance with state rules and regulations gewmingsewage treatment and dispersal and private water/*plies,compliance with local ordinance governing sewage beget**and dispersal and private Water-supplies and potentially for compliance with other local ordinentes Please indicate the native ofreviewyou are asking the health department to conduct, 1. ReView for CaftlifitilMCC with the Sewage Handling and Disposal Regulations 2. Review for conformance with local onsite wastewater ordinances 3. Other(describe below) L. • • . . • " " • • • . • • • . . . . • . . . • . • • • . , Name and title orrequestor" Date OSB Form F Revised 72/09 • . THE PLATTING OR DEDICATION OF THE FOLLOWING DESCRIBED LAND, PARCEL B1, THE LAND USE NOTES SHOWN ON THIS PLAT ARE IMPOSED AT THE REQUEST OF THE DIRECTOR OF PLANNING. BY PLACING CONTAINING 7.00 ACRES, A PORTION OF PARCEL B (T.M.40-50C) IS WITH THE ' HIS/HER SIGNATURE ON !THIS PLAT HE/SHE HAS DEEMED THAT THEY ARE CORRECT AND IN ACCORDANCE WITH THE ALBEMARLE FREE CONSENT AND IN ACCORDANCE WITH THE DESIRE OF THE UNDERSIGNED COUNTY ZONING ORDINANCE IN EFFECT THIS DATE. THESE NOTES ARE NOT RESTRICTIVE COVENANTS RUNNING WITH THE LAND OWNER(S) , PROPRIETORS, AND/OR TRUSTEES. IF ANY'.. AND THEIR APPEARANCE ON THIS PLAT IS NOT INTENDED TO IMPOSE THEM AS SUCH. ANY REFERENCE TO FUTURE DEVELOPMENT RIGHTS SHOWN HEREON, IS THEORETICAL ONLY. A. T.M.40-50C IS ZONE RA : . B. PARCEL 81 IS ASSIGNED ONE DEVELOPMENT RIGHT AND MAY NOT BE FURTHER DIVIDED. CHARLES TIMOTHY HENLEY C. THE RESIDUE OF PARCEL B RETAINS,THREE DEVELOPMENT RIGHTS AND MAY BE FURTHER DIVIDED. WHEN USED THEY SHALL NOT TOTAL MORE THAN 20.89 ACRES. D. ACCORDING TO THE COUNTY OF ALBEMARLE GIS DATA, PARCEL BI AND THE RESIDUE OF PARCEL B, EACH CONTAIN A BUILDING SITE THAT COMPLIES WITH SECTION 4-2-1 OF THE ALBEMARLE COUNTY ZONING ORDINANCE. E. SETBACK REQUIREMENTS: SARAH J.HENLEY , FRONT= 75' (ALONG STATE ROUTE 811): SIDES= 25' REAR= 35' . CITY/COUNTY OF , F. THIS PROPERTY LIES WITHIN THE BEAVER CREEK RESERVOIR WATER SUPPLY WATERSHED. STATE OF G. ACCORDING TO THE COUNTY OF ALBEMARLE GIS DATA, THIS PROPERTY DOES NOT LIE WITHIN AN AG-FORESTAL DISTRICT. H. UNDER CURRENT COUNTY POLICY. PUBLIC WATER AND/OR SEWER SERVICE WILL NOT BE AVAILABLE TO THIS PROPERTY. THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED' BEFORE ME THIS DAY OF ' 2018. BY CHARLES TIMOTHY HENLEY NOTES:' 1. OWNER(S), ADDRESS & LEGAL REFERENCES: NOTARY PUBLIC # T.M..40-50C. CHARLES TIMOTHY HENLEY & SARAH J.HENLEY' MY COMMISSION EXPIRES : 5876 BEARW000 ROAD, CROZET, VIRGINIA 22932. NOTARY SEAL D'.B.5108-405 & D.B.4908-541 & 542 PLAT. 2. THE BOUNDARY47ATA SHOWN HEREON IS BASED ON A CURRENT FIELD SURVEY. CITY/COUNTY OF 3. T.M.40-50C IS•SyBJECT TO AN EASEMENT TO VIRGINIA GAS DISTRIBUTION CORPORATION (D.B.333-180) . STATE OF ti THE FOREGOING INSTRUMENT WAS ACKNOWLEDGED. 4. NO TITLE REPORT FURNISHED. ALL EASEMENTS KNOWN BY ME ARE SHOWN OR NOTED HEREON. THIS PROPERTY IS SUBJECT BEFORE ME THIS DAY OF TO ANY ADDITITAk CONDITIONS, UTILITIES, EASEMENTS, AND/OR COVENANTS THAT MAY EXIST. 2018. BY SARAH J.HENLEY 5. ACREAGE OF T.4.40-50C BEFORE THIS RURAL SUBDIVISION PLAT: 24. 17 ACRES. i 6. SHOULD AN OFFICIAL DETERMINATION OF PARCELS OF RECORD REVEAL THAT ADDITIONAL PARCELS AND/OR DEVELOPMENT RIGHTS EXIST. THE INTENT OF THIS PLAT IS NOT TO COMBINE PARCELS OR EXTINGUISH DEVELOPMENT RIGHTS. NOTARY PUBLIC #° MY COMMISSION EXPIRES NOTARY SEAL APPROVED FOR RECORDATION RURAL SUBDIVISION PLAT . PARCEL BL. CONTAINING 7.00 ACRES AGENT FOR THE BOARD OF SUPERVISORS. DATE A PORTION OF PARCEL B (TAX MAP 40 PARCEL 50C) THE PROPERTY OF CHARLES TIMOTHY HENLEY & SARAH J.HENLEY LOCATED ON STATE ROUTE 811 (JONES MILL ROAD); 810 \„. ......, WHITE HALL MAGISTERIAL DISTRICT B�THoA 811 ALBEMARLE COUNTY. VIRGINIA o FOR % JONES SCALE: i"= 200 ' DATE: DECEMBER 1 1, 2018 HALL ROAD �o REVIEW ROAD BRIAN S.RAY SITE FOR Lie.No.002281. CHARLES TIMOTHY HENLEY & SARAH J.HENLEY RAY &" SURs1 4'1 ROGE663.BERKMARSSOC COURTINC. 1D CHARLOTTESVILLE, VIRGINIA 22901 ='2000 +/- TELEPHONE:AYSURVEYING COM 3195 SHEET 1 OF 2 14525A VICINITY MAP - SCALE: 1" GL ' (2017) DENOTES YEAR MONUMENTATION WAS PREVIOUSLY SET BY THIS FIRM. • 1 T.M.40-47A. . • \ (�? LOT 2 le a T.M.40-50B \ t 4; > PARCEL A to \9A .s'�' �' i• \%\C �Br ,.S�/ \4 o p IFF, �v T�LOT 3?B _ ; f \•\% 10„, NONESUCH PROPERTIES LLC cz ,• S\► \ . D.B.3742-16, 18 & 19 PLAT d'i �gk�\ .' 0.8.3444-408 HEALTH DEPARTMENT COPY ® ,� /,', `o�\\K�',�. :-� , NOT FOR RECORDATION lE \4 ,/ \�\r sss 32 46 E c� ft' �./� IR'rOTN \ \ 1176. 15' �'� \\ tra ,/f T. LOT 4 7C ,‹.4) k S14 p0 \PROPOIOD\\+AN ,� NONESUCH PROPERTIES LLC c,� 12.1.• * \ D.B.3742-i6, i8 & 19 PLAT 40‘" 1-s. *P" 4'fl."1';'; .41 pH Site BFUtai.e Fue impi• 0 et. FLAG' s " R. .� 4. ! •' ,;-*,, ,0 61-3 FLAB d ,.., 'i!�! �6A•4Ao, d H ids o.�, \'Pp Pft:te, ' . Hoy a ,,,e1.. pi. „, asii, , I t 1.--.pv, , �' - Ralf ra rcF-co' p: t� . , , ,., i1 T.M.40-470. SET Q 1 N� 0'0 \ �p,' LOT 5 • FLAs r' •• • .'. '* RC L Bi '�' NONESUCH PROPERTIES LLC t2 � �' + ��,,�+• ,.t ,[\ Z �A E • 0.8.3742-16, !L8 & 19 PLAT 7.00 ACRE -. 44-408 �. , .,0' "c,. N� • o� y r •la't� '';.s" . r:•„ o.5.34 i FLAs .� 414 \�A,* • '' • FLAG l a Ili T.M.40-50C 1'6E`• aF 1 "� �'� "- n �'� `` CO W o •off• PARCEL B: .. `�,,�a‹,� \..` t,o*r . M' , ems; 'r ` .° v b•°- CHARL.ES TIMOTHY IENLEY 'p u. et 0 t fIT1 P�/and Res : ; -;"!� ,•F ° & SARAM J HEN; EY ,�.�'N` ♦ ©♦ �, , • (Ptvz APPRovEo IRON 0.6.4900�8 54i!& 4542 PLAT \ ° 'i'-soy SET i 5x0UE� 17.i7 ACRE .•�"'� IRON • SET T.M.40-50A % .#'`0 (2017). c , c Scale4"=200' •-Soil Profile Hole-. cn er.� `. ,,,./° FOR_ House,Well and Drain Field Sites e .�'� T.M.40-500 REiIIEW Parcels B and B1 �,• PARCEL C A.Division of Tax Map 40-50C .. ,,, • Albemarle County,Virginia1. Steve Gooch Consulting Geologist .. 703 Oliver Creek Road p Troy,Virginia 22974 SCALE: i" al 200' . DATE: DECEMBER ii, 2010 GRAPHIC SCALE i"=200' ROGER W.RAY & ASSOC., INC. 663 BERKMAR COURT CHARLOTTESVILLE VIRGINIA 22901 0 2Qd 4®0 s40 TELEPHONE: (434) 293-3195 RAYSURVEYING.CON SHEET 2 OF 2 14525A