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SUB201300060 Approval - Agencies 2013-05-06
'semi Nur, ( Artve It " rive , } ' C•MMONWEALTH 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 June 6,2013 J.T.Newberry Planner Department of Community Development 401 McIntire Road Charlottesville, Virginia 22902 RE: Review of Proposed Subdivision Plat for Individual Onsite Sewage System for TM 133 Parcel 28A. Dear Mr.Newberry: On May 10,2013,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 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: Stephen P. Gooch, OSE#1940001284. 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 does pertain to the requirements of local ordinances. Sincerely, ravis T. 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O U) --I I-'D I r- I I, 00 o I I z ¢)o I ° I , rnH zo III 6�` r moron III XiF - (1) � 1 �•?cnc��r`v �I :w n "wmc) 1 '_' o H ,; 171 51 I V~'• 0 O ,� = W9)zim Wo W o ,.-, I I o o -� m -I M (�',, I Hr r; o .r;cnc° 1 < -z ' o; C —i v to Cl) cnn a ''' N C.11 33 ) I m Tl ;a'', -0 N =1 rAO �w c W I HSN I m Q C �� m 0 m Z 0� ;4{; ''.' x II = 13�ZZw 1 W ” �; SOZO Rl m < p - W N N U) ° D S z 3 I ;,v, r s- Cl) N rn-” oA O C) 0 N 00 - Z11 I ;-71 I o, mI' Id rn O O w zW I I C m O op Dm I I tVM w D m W ►, 73 I I D c_n�- U' Z I b• 1 I X GI , C-) 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 Wilbur A. Snead Estate Phone Mailing Address 8772 Old Green Mountain Road Estate Phone Esmont,Virginia 22937 Fax Developer/Agent Gooch Engineering and Testing,Inc. Phone (434)293-7449 Mailing Address 1821 Broadway Street Phone Charlottesville,Virginia 22902 .` AOSE Steve Gooch ho �� 4' w w 1821 Broadway Address Y Street Phone Charlottesville,Virginia 22902 Fax Directions to Property: From Esmont,Rt 6 west,left on Old Green Mountain Road to 8798 Old Green Mountain Road Name of Proposed Subdivision Tax Map 133-28A Other Property Identification Dimension/Acreage of Property 7.04 Ac. Number of lots proposed 1 Proposed water source(note: new or existing,public or individual) existing individual General size of lots 3.04 Ac.(Residue)Parcel X(4.0 Ac.)is being added to TM 127-15D (give range if appropriate) Additional description of subdivision Parcel X will be added to T.M. 127-15D as a boundary line adjustment. There is no existing dwelling on Parcel X. 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. q-eil112- ?PITA- Signature of Owner/Agent Date Commonwealth of Virginia Health Department I�eOnly Application for Subdivision Review Due Date (page 2 of 2 to be filled out by the county official requesting a VDH review) County Office initiating request Contact Individual Phone Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and regulations governing sewage treatment and dispersal and private water supplies,compliance with local ordinance governing sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please indicate the nature of review you are asking the health department to conduct. 1. Review for conformance with the Sewage Handling and Disposal Regulations 2. Review for conformance with local onsite wastewater ordinances 3. Other(describe below) Name and title of requestor Date OSE Form F Revised 7/02/09 Soils Study for Reserve Drain Field Site Residue TM 133-28A Albemarle County Prepared for: David H. Bass 1864 Anchorage Farm Charlottesville, Virginia 22903 Prepared by: Gooch Engineering& Testing,Inc. 1821 Broadway Street Charlottesville, VA 22902 May 8, 2013 -Neve Now, Page 1 of 6 OSE/PE Report for: Construction Permit Certification Letter Subdivision Approval Property Location: 911 Address: 8978 Old Green Mountain Road City: Esmont Lot Residue Section Subdivision GP1N or Tax Map# 133-28A Health Dept ID# Latitude Longitude Applicant or Client Mailing Address: Name: Wilbur A. Snead Estate Street: 8772 Old Green Mountain Road City:Esmont State Virginia Zip Code 22937 Prepared by: OSE Name Steve Gooch License# 1940001284 Address 1821 Broadway Street City Charlottesville State Virginia Zip Code 22902 PE Name: License# Address City to _ tp ode i,• • t • �. ,� �f • � 1 Date of Report 5/8/13 .' • • . OSE/PE Job# D 'e of Revision Contents/Index of this report(e.g.,Site Evaluation Summary,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.) OSE Cover Page Abbreviated Design Form Soil Profile Sheet Survey Plat Soil Information Summary Sheet 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 of the Commonwealth that have been duly issued by the applicable agency charged with licensure to perform the work contained herein. I I 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 54.1-402.11 I recommend that a(select one): construction permits certification letters subdivision approval si be(select one)issued IN denied❑. OSE/PE Signature Date Soil Profile Reserve Drain Field Residue Tax Map 133-28A Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 1 0-6 A Reddish brown (2.5YR 5/3) clay loam 3 6-43 Bt Red (10R 5/8) silty clay loam 3 43-60 C Olive yellow (2.5Y 6/8) silt loam 3 2 0-4 A Reddish brown (2.5YR 5/3) clay loam 3 4-23 Bt Red (10R 5/8) silty clay loam 3 23-40 BC Red (10R 4/8) silty clay loam and olive yellow (2.5Y 6/8) 3 silt loam 40-60 C Olive yellow (2.5Y 6/8) silt loam 3 3 0-3 A Reddish brown (2.5YR 5/3) clay loam 3 3-23 Bt Red (10R 5/8) silty clay loam 3 23-47 Bt2 Yellowish red (5YR 5/8) silty clay loam 3 47-60 C Olive yellow (2.5Y 6/8) clay loam 3 4 0-3 A Reddish brown (2.5YR 5/3) clay loam 3 3-23 Bt Red (10R 5/8) silty clay loam 3 23-33 BC Red (10R 4/8) silty clay loam and olive yellow (2.5Y 6/8) 3 silt loam 33- Cr 50%+rock fragments 5 0-3 A Reddish brown (2.5YR 5/3) clay loam 3 3-20 Bt Red (10R 5/8) silty clay loam 3 20-35 BC Red (10R 4/8) silty clay loam and olive yellow (2.5Y 6/8) 3 silt loam 35- Cr 50%+rock fragments 6 0-3 A Reddish brown (2.5YR 5/3) clay loam 3 3-36 Bt Red (10R 5/8) silty clay loam 3 36-48 C Olive yellow (2.5Y 6/8) silt loam with rock fragments 3 48- Cr 50%+rock fragments 7 0-4 A Reddish brown (2.5YR 5/3) clay loam 3 4-25 Bt Red (10R 5/8) silty clay loam 3 25-45 BC Red (10R 4/8) silty clay loam and olive yellow (2.5Y 6/8) 3 silt loam with rock fragments 45- Cr 50%+rock fragments Soil Profile Reserve Drain Field Residue Tax Map 133-28A Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 8 0-4 A Reddish brown (2.5YR 5/3) clay loam 3 4-22 Bt Red (10R 5/8) silty clay loam 3 22-46 BC Red (10R 4/8) silty clay loam and olive yellow (2.5Y 6/8) 3 silt loam 46-60 C Yellow (10YR 7/8) clay loam 3 • slow Page Y of 6 Appendix 2 Soil Summary Report GENERAL INFORMATION Date 5/8/13 Submitted to Albemarle County Health Department Applicant David Bass Telephone Number (434) 979-2860 Address 1864 Anchorage Farm Charlottesville,Virginia 22903 Owner Wilbur A. Snead Estate Address 8772 Old Green Mountain Road Esmont, Va. 22937 Location 8798 Old Green Mountain Road Tax Map 133-28A Subdivision Block/Section Lot Residue SOIL INFORMATION SUMMARY 1. Position in landscape satisfactory? IX Yes I— No Describe side slope 2. Slope 18 % 3. Depth to rock or impervious strata: Max. 60" Min. 33" None 4. Depth to seasonal water table (gray mottling or gray color) ig No I— Yes inches 5. Free water present 1X No E Yes range in inches 6. Soil percolation rate estimated IX Yes Texture group I II II IV 1— No Estimated rate 90 min/inch 7. Permeability test performed E Yes 1X No If yes, note type of test performed and attach IX Site Approved: Drainfield to be placed at 21 depth at site designated on permit. E Site Disapproved: Reasons for rejection: 1. li Position in landscape subject to flooding or periodic saturation. 2. 1- Insufficient depth of suitable soil over hard rock. 3. 1— Insufficient depth of suitable soil to seansonal water table. 4. 1- Rates of absorption too slow. 5. I— Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. 1— Proposed system too close to well. 7. 1- Other Specify (attach additional pages if necessary) 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 ❑ primary and reserve area, ❑ only the primary area, my the reserve area(check one)for Residue—Tax Map 133-28A(Property ID). Design Basis Total length of available area: 230' Total width of available area: 35' Estimated Perc. Rate: 90 at 21" in. (depth) Number of bedrooms(or GPD): 2 1 2 Conveyance Method : Gravity Distribution method (specify): Gravity 3c Dispersal system basis GMP 118A LGMI required? No_(Yes/No) Effluent quality required: Secondary (Primary, Secondary, Advanced Secondary) Square feet per bedroom: _ 306 Total trench bottom area required: 1224_ Area Calculations Number of trenches 6 Length of trenches: 100 Width of trenches: 3' Center to center spacing: 10' Reserve required? this is the reserve _ Percent reserve area required: 200 Total width of absorption area required 23'* Total trench bottom area provided: 1800 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. *D-box will be placed in the center of the reserve area. Drain field area will be 20' by 200' Page of AOSE Form E Revised July 18,2007 ' O 3 V to I I CC m H WCV I I CC.w m o o N I 1t - N 3 z Dm z 1 -- 1 �� 0 o Cr) o bA o acs' N 1-4 rn a o W • Zo ;0,11 I U mMz0aJ ° CC 01 m CU 11 N pi Ii`°1 Q °= ; II N r, N cc al m C/1 d. N ..-1 w• ill i--I �UWno a iozm°m =CC `' 0 Q '� �� c2n CC Z .0°CA I-,o o f o� J z a Q M U •,� 4\', -� °) 1 W Q� 1- o N Q � � O cn Z CL o II Q,• , ..., Um) -I o Q : 1 r1 ao- J Q in a 0 a? a� 'd am" o ,_ m �, U z ', 1C, 111 N F- I m� U a cr CV Cl) , ct O , a Yon M 0 z o ; '1 V CL 1 m r to _ V1 �•+ IJ-I E-'� Q •--' U ckl.1 Urcc °a° I J I- 1 �N m O II 0) 1 =LL JJ• ° cnmZm2 1--4u_ (n 1 Z O • ° cU, Ow ;a1 _ s�---�0Z mI-Z<1 l ,-.., <-1 • -1 i �Z r 111 fn ¢O •-1c. •IDD OZ It-7 J O M. 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