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SUB201600022 Assessment - Environmental 2016-02-16
fi y g., Efi PPEU ql,,,,J `, 4 , COMMONWEALTH of VIRGINIA In Cooperation with the Thomas Jefferson Health District ALBEMARLE-CHARLOTTESVILLE FLUVANNA COUNTY(PALMYRA) State Department of Health 1138 Rose Hill Drive GREENE COUNTY(STANARDSVILLE) LOUISA COUNTY(LOUISA) Phone(434)972-6219 P. O. Box 7546 NELSON COUNTY(LOVINGSTON) Fax (434)972-4310 Charlottesville, Virginia 22906 2/16/2016 Rachel Falkenstein,Senior Planner County of Albemarle 401 McIntire Road Charlottesville,VA 22902 RE: Review of Proposed Subdivision Plat as part of Tax Map 65,Parcel 30,located in Albemarle County,Virginia. Dear Ms.Falkenstein: On February 5,2016,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 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 Kyser;Onsite Soil Evaluator Number 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 a proval does pertain to the requirements of local ordinances. Sincerely- i, . / --------tj e:„....7 _ nviro ntal Health Speciali ,Sr. Onsite age and Water Progr s l y 1\ Cam'I I L d i ce w ortit ,t;%; v le COUNTY OF ALBEMARLE " ax V O Department of Community Development 401 McIntire Road,Room 227 Charlottesville,Virginia 22902-4596 Phone(434)296-5832 Fax (434)972-4126 2/5/2016 Teresa Batten Virginia Department of Health 1P1.120'70 1138 Rose Hill Drive Charlottesville,VA 22906 RE: SUB201600022 Lamb Family Division-Family subdivision Dear Ms. Batten: The County of Albemarle has received an application to subdivide Tax Map 65,Parcel 30.This project requires Health Department approval before receiving final County approval. The applicant has provided soils information, which is attached. Please review the proposal for suitable subsurface drainfields which comply with the provisions of Chapter 18, Sections 4.2.2,4.2.3,4.2.4,and Chapter 14,Sections 14-309 and 14-310 of the Albemarle County Code. Should you have any comments please feel free to contact me. Sincerely, kal0 P-A-&-12° Rachel Falkenstein Planner/Senior Planner Department of Community Development Voice: (434)296-5832 ext.3272 Fax: (434)972-4035 • i IV1UMNi- 3MqO ' \`. Ange Page 1 of / OSE/PE Report for: ��uu Construction Permit Certification Letter I I Subdivision Approval— Property Location: 911 Address: City: Keswick Lot A Section Subdivision Lamb Family GP1N or Tax Map# 65 parcel 30 Health Dept ID# Latitude Longitude Applicant or Client Mailing Address: Name: Calvin Dabney Street: 2435 Gobblers Ridge City:Charlottesville State VA Zip Code 22902 Prepared by: OSE Name Rivanna Soil Consulting LLC -434-249-0298 License# 1940001357 Address P.O. Box 758 City Keswick State VA Zip Code 22947 PE Name: License# Address City State Zip Code Date of Report 12/07/2015 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.) 1-z asg 064:t ,' ,hall slit �al` 8 s, � Sim e 3-Y So.-IsSit . ,,_ . 7 AA4, 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 b} 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 work 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(select one): nstruc ion permit❑ certification letter subdivision approval Z✓ be(select one)issued denied U. OSE/PE Signature pate 12/07/2015 7,,,, z O/9 Commonweal h of Virginia VDH Use only Application for: ewa e System ater SupplyHealthD Department ID# g Y Due Date Owner 1Q J y LI sa/ Phone Mailing Address J/77 1Gr/ i/VA f/ J�AA� Phone I .&.i LK 2Z?97 Fax Agent CAk;al ,Pith i .c Phone VW- 774- s- Mailing Address Z y3s 60 4?l ?Lift Phone CilpidiRvEvine v/i ZhOi Fax Site Address •/ S`$A Email nn Directions to Property: t-its? %j 2e e o/ ..-}6 l►OO J +/- •d /nt ft S elf ?pu a 22. Subdivision Lib fr ;Iy Section Block Lot A Tax Map 435)140,4 30 Other Property Identification Dimension/Acreage of Property S oo)*res 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 0 Construction Permit 0 Voluntary Upgrade 0 Repair Permit Proposed Use: Single Family Home(Number of Bedrooms q ) Multi-Family Dwelling(Total Number of Bedrooms ) Other(describ ) Basement? . es0Nlo Walk- ut BasementsONo Fixtures in BasementsONo Conditional permit desired?DYesB O If yes,which conditions do you want? 0 Reduced water flow 0 Limited Occupancy 0 Intermittent or seasonal use ❑Temporary use not to exceed 1 year 'l Do you wish to apply for a betterment loan eligibility letterYesseIoon*There is a$50 fee for determination of eligibility. Water Supply Will the water supply beOPublic or rivate? Is the water supply0Existing ore roposed? If proposed, is this a replacement well?®Yes Er If yes,will the old well a abandoned?OYes ONo Will any buildings within 50'of the proposed well be termite treated?©Yes f Io / O All Applicants Is this a private sector OSE/PE application? ' es No If yes,is the OSE/PE p kage attached?25<ijNo Is this property indeed tc 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 markec 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. ' —/ - lS Sig re of 0 en/Agent Date This form contains personal informati n subject to disclosure under the Freedom of Information Act. Revised 12/1/2014 ?Jr 3 of /J VDH Use Only Health Department 1D# Due Date Site and Soil Evaluation Report (For certification letters and subdivisions) General Information Date:11/13/2015 Albemarle County Health Department Applicant: Calvin Dabney Telephone Number:434-996-5458 Address:2435 Gobblers Ridge Charlottesville VA 22902 Owner: Ruby Lamb Address:177 Campbells Road Keswick VA 22947 Location : Eastside of Route 600;+/- 6 miles South of Route 22 Subdivision Lamb Family Block/Section Lot A Soil Information Summary I. Position in landscape satisfactory Yes ✓ No_ Describe: Sideslope 2. Slope 5 3.Depth to rock/impervious strata Max. 49 Min. 36 None 4.Free water present No ✓ Yes_ Range in inches 5.Depth to seasonal water table(gray mottling or gray color)N/A inches 6. Soil percolation rate estimated Yes ✓ Texture group I E" ✓O1ii Ow No Estimated rate 75 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: Jason K Kyser C O O Signature: Department se Site approved: Drainfield trench ttoms to be place t 18 (inches)depth at site designated on permit. _ Site disapproved: Reasons for rejection: (check all t t apply) I. Position in landscap subject to floo 1 or periodic saturation. 2. _Insufficient depth of suitable soil o hard rock. 3. _Insufficient depth of suitable soil to seasonal water tahle 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 11 Revised 7 02 2009 Page CI of Date of Evaluation. 11/13/2015 Profile Description SOIL EVALUATION REPORT Property ID: Tax Map 65 parcel 30"A" 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 t 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 0-8 10YR5/4 Yellowish Brown Silt Loam III Bt 8-40 5YR5/6 Yellowish Red Silty Clay Loam III R 40"+ Rock-Schist 2 A 0-8 10YR5/4 Yellowth Brown Silt Loam III Bt 8-36 5YR5/8 Yellowish Red Silty Clay Loam-15%Schist Frags III R 36"+ Rock-Schist 3 A 0-7 10YR5/2 Grayish Brown Silt Loam III Bt 7-39 5YR4/6 Yellowish Red;7.5YR5/6 Strong Brown Silty Clay Loam Ill BC 39-48 2 5YR4/8 Red;7 5YR5/6 Strong Brown Silty Clay Loam III R 48"+ Rock-Schist 4 A 0-6 10YR5/4 Yellowish Brown Silt Loam III Bt 6-36 5YR5/8 Yellowish Red Silty Clay Loam-15%Schist Frags III R 36"+ Rock-Schist 5 A 0-7 10YR5/4 Yellowish Brown Silt Loam III Bt 7-43 7 5YR5/6 Strong Brown,5YR5/6 Yellowish Red Silty Clay Loam Ill BC 43-48 10YR5/6 Yellowish Brown,7.5YR5/6 Strong Brown;2 5YR5/6 Red Silty Clay Loam III R 48"+ Rock-Schist 6 A 0-8 10YR5/2 Grayish Brown Silty Clay Loam II I Bt 8-41 5YR4/6 Yellowish Red Silty Clay Loam III BC 41-49 10YR5/6 Yellowish Brown;7 5YR5/8 Strong Brown;5YR4/6 Yellowish Red Silty Clay Loam R 49"+ Rock-Schist REMARKS OSE Form G(pg 2)Re'.ised7 02 2009 Page 5 of cl Design Calculations Property ID: Tax Map 65 parcel 30-parcel"A" Flow Type of use(iesidential, etc)Residential Show Calculations Here' No. of bedrooms: 4BR _ No. of employees:NSA Square Footage of building space:2000 sqft Daily flow(peak design) in GPD: 600 GPD Treatment No. of septic tanks:1 _ Show Calculations Here' Size of septic tank(s): 1250 Gallon Pretreatment required? _yes ✓ no If yes, specify type of treatment device: Absorption area design Soil Texture Group: lli If pump system, enhanced flow, or LPD show Reserve area required? ✓ yes_no calculations here or on a separate sheet. _ 50% ✓ 100%_other(check one) (dosing volume, head, pump design, etc.) Specify other Water Supply -Class of well:llic well Describe (bored, drilled): Inc Drilled or Bored Distance between septic tank(s) and well:50'+ Distance between absorption area and well: 100.+ information and calculations required for commercial and/or conditional use applications only OSE Foim I Rel.ised 7'2;2009 • Page.G Of 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 Rfiirnary and reserve area. 0 oniy the primary area, 0 only the reserve area(check one)for /pX Alp 4$7,1,,4 Jo yye./ %f (property ID). Design Basis Total length of available area: /OD Total width of available area: /ZO' Estimated Perc. Rate: 75. at its in.(depth) Number of bedrooms(or GPD): 606 ‘PP i Conveyance Method : 44017 Distribution method (specify): Dispersal system basis T ble$, / ,SOR LGMI required? A (Ye int Effluent quality required: i/;mpy r' econdary,Advanced Secondary) Square feet per bedroom: 511 5/,4 41 Total trench bottom area required: Zinry Gravity,pump.siphon Enhanced tlo.v.LPD.or Drip Dispersal Table 5.4 of SHDR or identity the GMP used Area Calculations Number of trenches v (Note if a pad is used) Length of pad or trenches: /0D Width of pad or trenches: 3 Center to center spacing: Reserve required? Yee Percent reserve area required: /OD� r Total width of absorption area required /��i Total trench bottom area provided: ZYGD 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 1 of System Specifications Property ID: Tax Map 65 parcel 30-parcel"A" Applicant Information Name Calvin Dabney Phone 434-996-5458 Address 2435 Gobblers Ridge Charlottesville VA 22902 Location Information Tax Map No. 65 parcel 30 parcel"A" Property address GPIN No. Directions East side of Route 600;+/- 6 miles Subdivision Lamb Family South of Route 22 Section Block _ Lot A General Information System Type I Number of bedrooms 4BR (e.g. septic tank, drainfield) Daily flow 600 GPD (gpd) Type of property Residential (e.g. commercial, residential, etc.) Conditions Sewer Line Septic Tank—Inlet/Outlet Structure Schedule 40 PVC, 4" ✓ or equivalent Capacity: 1250 gallons (add check or describe equivalent below) 2"d septic tank 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 Conveyance line/force main Information Distribution box Information Method Gravity No. of boxes 1 (e.g. gravity, pumping, dosing siphon) No. of outlets 12 If pumping, attach Pump Spec Sheet Surge or splitter box required: Material Schedule 40 PVC Yes No ✓ Pipe diameter 4" Slope of pipe 6"/10o' (in inches) Header line Information Percolation line Information/Absorption Area 1500 pound crush strength Yes I Center to center spacing 9 ft. Minimum slope is 2"/100 ft. Yes ✓ Required spacing 9 ft. Installation depth 18 inches Aggregate depth 13 inches No. of Laterals 8 Lateral length 10o ft. Lateral bottom slopei-Iinches Lateral width 36 inches/ OSE Date /2/)�to/s OSE Form J Revised 7/ ��> / • L t // ,\3°! rrj: t----•lcepyt! ,,_ Veld pay30 `kG ,� ', 4; 5',C,t,I Rtee5 S,k Sk4,kki j T ko �cwk. .1,ic, ti OG I) o It ..,! , -.; i zii 1:1 „ i \ \ y Are) e t y k 1 ' S41 Dc v i ---- �20 i .tio� D, i t TAP 65-31 , High Point, LP s DB.1890 Pg.520 Nail in ec c Stone \ d.3\ \., , 1 100' Stream / n Setback Line / 2 S ��� =Loo' l c7 cb p, ', stream — �. „ tip' _ in UP qti • New 20 y� •ti Jc `��� ?ccess Esmt.• . ./ oP Joyce �� \., / UP • .1. . \ MP t LP p�°� ` • shed o� ..(1) (to be removed) DB 1� • P9-`-0 ` �'�,N,` - _ } _ - c - :e ,t,j Iron 57e `�, \� Drainfield Fd. Dwelling 4' �, shed 1 Residue / O S�fi ti Tax Map 63 / N o Par co( 30 P / a��ldable N Area Iron 21.826 Acres(field run) N Fd. - Proposed -5.001 Acres(Parcel"A") �• /� '���_,_ well ; ��. 16.825 Acres(New Total) j/ '/ 3 o`y /� ;i 106 /;, N�� TMP 65-27 IMP 55-20 N Cecil H. 6 �V- / 104, Doris M. ^d�ie Cecil H. & DB.4169 PgS Doris M. Gardner �'��'Sc�6, 102 D.B.461 Pg.460 ?� ti Our.�cS. Primary/Reserve,' / I��, / Drainfiled Iron cd, -, r c , / Farce! ",- a�'3,,, I `�?S \\ 5.001 Acres ,40 ^ ` r \ ; 1 / "�'_.:_;L 3�; \\ / TAP6525 / ti co Linda a4169 Pg.f630 t TAP 65-21 APPROVED FOR RECORDATION NOTARY PUBLIC OWNERS APPROVAL The foregoing instrument was The platting or dedication of the following acknowledged before me this described land; T.M.P. 65 - 30, is with the Agent for the Date day of free consent and in accordance with the Board of Supervisors 201_ desire of theundersigned owners, proprietors and trustees. Owners - T.M.P. 65-30 My Comm ss ion expires, Owner: Ruby M. Lamb ,201_ L. 177 Campbell Rd., �.. Keswick Va. 22947 Ruby M. Lamb d Date Legal References: immt D.B.1185 Pg.652 D B.810 Pg.363 (VEPCO) D.B.511 215(Plat) D.6.165 Pg.440 (Plat) Property Zoning: RA Building Setbacks: Fronti = 25'(from private road) No lot shown on this familysubdivisionplat maybe sold Side = 25' Rear = 35' or conveyed to a person other than an eligible 'member of the immediate family', as that term is defined in The boundaries of the land shown Chapter 14 of the Albemarle County Code, for a period herein are from a current field of four (4) years after the date of recordation of this run survey. plat except as authorized by section 14-212 (A) of the Albemarle County Code. If any lot created by the recordation of this plat is conveyed back to the grantor Survey prepared without the benefit during the four (4) year period, it shall be recombined of a title report and does not with the parent lot within six (6) months after such necessarily indicate all encumbrances conveyance. upon the title. Parcel "A" is assigned 2 development right and may be further dIvided into lots no less than 2 acres. The residue of Tax Map/Parcel 65-30 is retaining 3 development rights and may be further divided into lots no less than 2 acres. Under current county policy, public water and/or sewer services will not be avail- able to this property. 231 Parcels "A" and Residue each contain a building site that complies with Section 4.2.1 of the Alb. Co. code. The properties shown hereon, lie in 22 22 Flood Zone X and not in an area designated as a 100 Year Flood Hazard, as shown on Federal Flood 600 Rate Insurance Map No. 51003C0325D, effective date, Feb. 4, 2005. 647 The parcels shown are not within Site a water supply watershed and are not in a agricultural or forestal district. Vicinity Map The stream buffer shown hereon shall 1"= 2000' be managed in accordance with the Albemarle County Water Protection ordinance. The streets in this subdivision may not meet the standards for acceptance into the secondary system of state highways and will not be maintained by the Va. Dept. of Transportation or the County of Albemarle. The contours shown on the drainfields are according to assumed datum and are from a current field run survey, showing 2 foot contours. PLT H OF o`er -9 Z O -+ U D Robert W. Coleman, Jr. No. 2007 1q�O SURVEy�Q PLAT SHOWING THE " LAMB " FAMILY DIVISION SURVEY TAX MAP PARCEL 65 - 30 RESIDENTIAL 175 AND 177 CAMPBELL ROAD SURVEYING SERVICES RIVANNA DISTRICT (434) 245 - 8744 ALBEMARLE COUNTY, VIRGINIA 1701E 7 CHARLOTTTESVILLE,ALLIED VIRGINIA,REET IT22903 SHEET J. OF 2 DECEMBER 4, 2015 15-162 div 0 100 200 400 UP = Utility Pole GPS COORDINATES: BSL = Building Setback Line (A) 3905192.7 / 11537290.5 m (B) 3906661.1 / 11538502.6 co 41*. -r,in SCALE I N FEET (C) 3906578.6 / 11538575.8 (D) 3904572.2 / 11537918.1 L.a. New property corners are to x e, be set with iron rebar. E. co o (1) denotes N.E N.E. edge of New 20' a 0° Access Easement for the TAB 65-63 cc benefit of Parcel "A" \ Hig7 Point LP S41.52'01"E 312.36' . 0.8.2704 Pg.1 IEI . \ ,, . ..7 . , (8) ,, Nail in Stone S0 .o �• • 0 tea►. 66 k0 / h6 0. Fd.p fi / 46 (C) m 40titi / AZ 04) �' J / TA° 65-31 Ai 4 F� / High Point LP t p k o co / D.B.15% Pg.520 s \ Pipe N�0 Nail in rr' Fd. / Stone \ s\ \ / \ L \ \ t \ • \ 100' Stream / ) ... Setback Line \... Entrance Road I h2 �\ DB 511 Pg 215(Plat) \ \ '(Gravel)_ p* \ 12'1h Strom \ — J \ � _ ` \\\\\,, \ New 20 L.. U•P 1,—� 6529 t P� Ames Esmt. A. Diaz 6 \\ : / ' P Joyce R. Martin Diaz \ ���\ UP t 4 D.B.3436 Pg.208 TMP 65-31 ` High Point, LP �o shed o�` �trailer — \ D.8.1890 Pg.520 Z,Q `�(i} (to be removed) `` OO A � I Story�`• \`. Residue \ Reserve I \ Dwelling ' '<'\ Drainfield ' F •\ shed �` ` 1Iq ` . \ \•, TaxResidue a 65 / s\�`,q�s-9 �m,� \ / \ co 0 (A) Parce 30 / Buildable ti`t' o Iron 21.826 Acres(field run) ^� / Area \ • Fd. -5.001 Acres (Parcel"A") AO proposed 'i`� 16.825 Acres(New Total) �O / t'�_ well / 4P /v /. / TAB 65--20 A`' /tih 106 n) TAF 65-27 CDoriscil M. Garther 10 �; .V. / / 104; ,j Cecil H. 6 D.B.461 Pg.460 �� 0/ / 102 / ' .2 Doris 4 169 M. Garthe' / Primary/Reserve/ / 0/ Drainfiled / i / Iron d. a / Parcel "A" / �.d, `\ 5.001 Acres h a v?, \ / ^O)' df` s\<9 0/ A. 'sue ti/ 6' \ / •2) TAP 65-25 \J Linda C. Shifflett TAB 55-21 0.8.4169 Pg.630 Cecil H. 6 Iron Doris M. Geer' Ed. PLT H OF D.B.871 Pg.171 (D) . Z 0 I-I U D Robert W. Coleman, Jr. No. 2007 ` PLAT SHOWING 9N° supoi0�P THE " LAMB " FAMILY DIVISION SURVEY TAX MAP PARCEL 65 - 30 RESIDENTIAL 175 AND 177 CAMPBELL ROAD SURVEYING SERVICES RIVANNA DISTRICT (434) 245 - 8744 ALBEMARLE COUNTY, VIRGINIA ALLIED STREET SUITE 7 CHARLLOTTTESVILLE, VIRGINIA, 22903 SHEET 2 OF 2 DECEMBER 4, 2015 1"= 200' 15-162 div