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HomeMy WebLinkAboutSUB201300070 Approval - Agencies 2013-05-20 COMMONWEALTH of VIRGINIA In Cooperation with the Thomas Jefferson Health District ALBEMARLE-CHARLOTTESVILLE State Department of Health FLUVANNA COUNTY(PALMYRA) 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 July 26,2013 J.T.Newberry Department of Community Development 401 McIntire Road,Room 227 Charlottesville,Virginia 22902-4596 RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual Onsite Sewage Systems for TM 114, Parcel 8C. Dear Mr.Newberry: On June 13,2013,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, and the Sewage Handling and Disposal Regulations(12 VAC 5-610-10 et seq.,the"Regulations"),(and local ordinances if the locality has authorized the local health department to accept private evaluations for compliance with 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 Onsite Soil Evaluator(OSE)or a Professional Engineer working in consultation with an OSE for residential development. This subdivision was certified as being in compliance with the Board of Health's regulations by: Jason K. Kyser,OSE#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 approval is issued in reliance upon the certification that approved lots are suitable for "traditional systems,"however actual system designs may be different at the time construction permits are issued. This subdivision approval does pertain to the requirements of local ordinances. Sincerely, 1 /� Travis T. Davis Environmental Health Specialist Senior Page I of OSE/PE Report for: Construction Permit I I Certification Letter Subdivision Approval Property Location: 911 Address: City: Lot kale. Section Subdivision S 0,-110, GPTN or Tax Map# fir pol WI -&31Iiac Health t ID# Latitude Longit Applicant or Client Mailing Address: ,,.�nn / r. Name: //!/c A�+�! pJ ..5 /i Street: SLO l�/Ge✓11�a/ei� T✓✓ G - i�t 4o City: GGtreddieSei4 State (ff' Zip Code 729"/ Prepared by: OSE Name ''�'V/Q4�,y (iv✓�Sw/hq License# /? oo%35•- ea / Address — City Gl„�✓/, jes�d//e State (/i'l Zip Code Z.2Yo5- PE Name: License# Address City State_ Zip Code Date of Report 03///00/3 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.) 1974-1'2 CDSE Cfr _ {, pLa�.�r�y. �,yc /�n! � _�./ lro�rl .�cw•/ri /k 3-`I __.7•f//cjj .h.44v//lr A-lel ; 5.0 5, /�_-.. ►/ G G fA4_fZf sJ J 11437,1 9e f' , 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 T currently possess any professional license required h■ 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. if 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(selectt pne): construction permits certification letter subdivision approval©V-- he(select one) issued✓denied❑. OSE/PE Signature Date D✓''s/,3/L%� plc Z v� Commonwealth of Virginia Health Department DHD# Only Application for: E-Sewage System [%ater Supply Due Date— - Owner gd,, X 5Adhr Phone !?y'2? - - Mailing Address 5-20 6/ee.'r]'eJpi ✓✓//c:t /,O Phone L'�r4✓�p s r�/ /J 22%/ Fax_ — Agent J&hc h.,,/ 12 S, diet Phone '/34" -zr ?//9 — Mailing Address 51O //�✓e•�+ 'e fc/t,9e:a 5.1c � Phone C/A,4/(a .Fi4 V G/ — Fax Site Address pp '/ Email Directions to Property: . ,9451 o/ /ta�Ic 7,s- ; •7 p mde6 es/ 7_7 /� Subdivision S /re' Section Block Lot 4c 114 Tax Map /Pt notru' 8'C Other Property Identification Dimension/Acreage of Property 1Z$77 7/fFcres 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 y ou wish to apply for a betterment loan eligibility letter? _If yes.there is a$50.00 fee for de ,• do gibilit\.ot(Sewage System ir xistt on r do to Single Family Home(Number of Bedrooms 3) MG Mu y elling (Total Number of Bedrooms I ❑Other(describe) Basement? Yes,Dcircle one). Walk-out Basement'? Ye (circle one) Fixtures in Basement'?Yes to circle one). Conditional permit desired? Yes�i (circle one). Byes,which conditions do you want? ❑Reduced water flow ❑Limited occupancy ❑ Intermittent of seasonal use ❑Seasonal or temporary use not to exceed I year Water Supply Will the water supply be Public ore'rivate circle one). Is the water supply Existing of 'roposet�(circle one). If proposed. is this a replacement yell? Yes t o circle one). Will the old well be abandoned?Yes(circle one). Will any buildings within 50' of the proposed well be termite treated? Yes®o(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.building 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 application and to perform quality assurance checks of evaluations and designs until an operation permit is approved. Signature of Owner/Agent Date • e- 3oi � VDH Use Only Health Department ID# Due Date Site and Soil Evaluation Report (For certification letters and subdivisions) General Information Date : 017/3/2&/3 /9/A4,,,,,eff County Health Department Applicant: Ohl e I ! - 41/et Telephone Number: V37-276 - '7/9 Address : 5:20 A.e.e,did /•.K•k /t✓o C�.�/�/i(ex✓+4 l4 L29o% Owner : /'/.Cid7/ . ". ",//e,-- Address: 52.0keu //�reil /ts�fce ` sti. e At, Location : Suwilts.ic o/ /fv,. e 795-," g/ .9 d TL7 Subdivision 5■107,i Block/Section Lot 444 Soil InformBtion Summary 1. Position in landscape satisfactory Yes✓ No Describe : 5',c/Az/off 2. Slope V 3. Depth to rock/impervious strata Max.3? Min. Z7 None 4. Free water present No ✓ Y'taes Range in inches 5. Depth to seasonal water table(gray mottling or gray color) it//A inches 6. Soil percolation rate estimated Yes Texture group DI 011 1QIV No Estimated rate is-min/in 7.Percolation test performed Yes tuber of percolation test holes No Depth of percolation test holes Average percolation rate mpi Name and title of evaluator: r)r15;,,,, ,' se ' 6 ®. Signature: De artment Use ite approved: Drainfiel., ench bottoms be placed at /Z (inches)depth at site designated on permit. Site disapproved: Reasons for rejection: (check all that appl ) 1. _Position in landscape subject to flooding or periodic saturation. 2. _Insufficient depth of suitable soil over hard rock. 3. _Insufficient depth of suitable soil to seasonal water table. 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 I)Revised 7/02/2009 Page LI of 8' Date of Evaluation: 04/01/2013 Profile Description SOIL EVALUATION REPORT Property TD: Tax Map 114-8C-Residue 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 r 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 0-7 7.5YR5/4 Brown Silty Clay Loam III Bt1 7-14 5YR5/8 Yellowish Red Silty Clay Loam III Bt2 14-35 10YR6/8 Brownish Yellow Heavy Silty Clay Loam Ill R 35"+ Rock-Schist 2 A 0-5 7.5YR7/4 Pink Silty Clay Loam III Bt 5-17 7.5YR6/8 Reddish Yellow Silty Clay Loam III BC 17-27 10YR7/6 Yellow Silty Clay Loam III R 27"+ Rock-Schist 3 A 0-5 10YR5/4 Yellowish Brown Silty Clay Loam III Bt 5-13 7.5YR6/8 Reddish Yellow Silty Clay Loam III BC 13-24 10YR7/8 Yellow;5YR6/8 Reddish Yellow Silty Clay Loam Ill C 24-39 Veragated 10YR7/8 Yellow;7.5YR5/6 Strong Brown;2.5YR5/8 RED 2.5Y8/1 White Parent Material Silty Clay Loam III R 39"+ Rock-Schist REMARKS OSE Form G(pg 2)Revrsed7'02/2009 Page 5- 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 rimary and reserve area, ❑ only the primary area, ❑ only the reserve area(check one)for // At /p/®s,,,,1 - (property ID). Design Basis Total length of available area: 4,0' Total width of available area: yO 1 Estimated Pere. Rate: '$ at /Z in. (depth) Number of bedrooms(or GPD): 33,E �/Sd GPD Conveyance Method : Gr�vr�y z Distribution method (specify):AJ J nviro- l" Dispersal system basis, lZ 1490 s---(0/3-?OLw) LGMI required? /1/0 (Ye Effluent quality required: Sic �, r► (Primary econc y Advanced Secondary) Square feet per bedroom: 375- 7. • Total trench bottom area required: 81.5- i Gravity.pump.siphon ,Enhanced flow. LPD.or Drip Dispersal Table 5.4 of SHDR or identify the GMP used Area Calculations Number of trenches_ / (Note if a pad is used) Length of pad or trenches: Co' Width of pad or trenches: Ze' Center to center spacing: /,S Reserve required? Yes _ Percent reserve area required: /av f' Total width of absorption area required_ y0 Total trench bottom area provided: /Zoo , , 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 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 of 5 Design Calculations Property ID: j Mrif /iyR« rpG 65;1,4e_ Flow 1 Type of use IrLsidenual. etc) fes,je„hcA/ Show Calculations Here No. of bedrooms: 3SJC No. of employees: Square Footage of building space: Daily flow (peak design) in GPD: yS0 Treatment No. of septic tanks: / Show Calculations Here' Size of septic tank(s): /voo 74,-i Pretreatment required? yes�o l f yes, specify type of treatment device: Absorption area design Soil Texture Group: y If pump system, enhanced flow, or LPD show Reserve area required? es_no calculations here or on a separate sheet. _ 50% . l 00%_other(check one) (dosing volume, head, pump design, etc.) Specify other Water Supply Class of well: G (A/.J/ Describe (bored. drilled): 12- J4J _ Distance between septic tank(s) and well: SD�-f- Distance between absorption area and well: jpo'}- Information and calculations required for commercial and/or conditional use applications only OSE Form T Revised 7,2'2000 Page 7 of System Specifications Property ID: 7,gx/I1yp //yf,grceiSc- -45)(1/14e- As I licant Information Name//IIG RAJ Sp41.4 Phone (1,39-2?‘- 2//? Address 57.o 6re..m}r4J 7cime-c .5 :k./GO Gltotlr v-//c t/4 2,2?of Location Information Tax Map No. I/YP,,,,44 8'e. -lis,e/uc. Property address GPIN No. Directions Sowfhs,j, o,/ lade, 795- Subdivision 5 ,//ec 11- ./ rhvles b-Afs/ ®f /e 71.7 Section Block Lot R.,idu� General Information System Type ?r Number of bedrooms 313K (e.g. septic tank, drainfield) Daily flow g51) (gpd) Type of property ges,du,.it;al (e.g. commercial, residential, etc.) Conditions Sewer Line Septic Tank—Inlet/Outlet Structure Schedule 40 PVC, 4- t...."" or equivalent Capacity: (Ooo gallons (add check or describe equivalent below) 2nd septic tank 4/4 gallons Per the 2000 Sewage Handling& Disposal Regulations, Check which option chosen: Septic tank with inspection port �y Septic tank with effluent filter Reduced maintenance septic tank Conveyance line/force main Information Distribution box Information Method 6rotti No. of boxes I (e.g. gravity, purItping. dosing siphon) No. of outlets S" If pumping, attach Pump Spec Sheet Surge or splitter box required: Material 5e-hejje o/v PVG Yes No ,/ Pipe diameter y" Slope of pipe%Pwtd' (in inches) Header line Information Percolation line Information/Absorption Area 1500 pound crush strength Yes Center to center spacing is-ft. Minimum slope is 2"/100 ft. Yes ✓ Required spacingl.Sft. Installation depth Iy inches Aggregate depth fe inches of ./slcr% 5fiebi No. of Laterals / Lateral length /,o ft. Lateral bottom slope p inches Lateral width inches OSE . Date 051/00/3 , __ OSE Form J Revised /2/2009 / mss- Junius L. 6' Florence E. Jordan tst. q OP D.8.1381 Pg.185 / P'7` ? o/ ? �DF2 / \ N / .YD / DF3 \ �0 �' ' f9. 1 \ T ,"DF4 \\ No \ ` bldg. \ IF TMP 114-6 site \ Charles S. Martin, II \ 2.9 •t3 6 Michael P. Sadler LLC Parcel "X" \ N1 4.23,01„E 1\ 0.8.4311 Pg.121 \ 2.547 Acres / ��� K 01-le \ ` \\ 0J11d�g/ IF �5 B�11din9 Se \\ \ \ `3 �ai/ // 2 \ ^\ \ 7e/ V.,0? // \ \ \ / 5. "GIB'•/ / ,,,0. \ Nieg ti�/ Tax 114 \\ to / 55 / Map\ Parcel 8C \ S \ 7.257 Acres \ il \ (Residue) \ o \ \ \ • \ \ `• • \ \ �cS TS ' / NOy4, S \ i +F ary. is \\ bldg.site \\ ---\ \ •l, \ / k- Lewis v99 \\ DF1 ,.0 7 114-8 4s') \\2 "y titi° '80 Pg.665 \ e% �� -o -DF4 100' Stream QT \ 4 Buffer u'y DF3 / ” stream IF G3 - Stn�� = /D©, J \.: / ---_, 2�� / 100' Stream Buffer 4 IMP 114-59 ) '' -Edward S. Mona .0) 0.3.83 Pg.375 co F IF IMP 114-61C L� G4 H. Jack Paw, Jr. 9„ 0.8.1158 Pg.281