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HomeMy WebLinkAboutSUB202200125 Approval - Agencies 2023-01-31 (2)RGINIA VI) HOF IHEA DEPARTMENT Protecting You and Your Environment Sewage Disposal Certification Letter Approval December 8, 2022 Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-19F (Site 17-1 & 17-2) HDID:101-22-0403 Page I of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434)972-6219 Voice (434) 9724310 Fax APPROVED Important Note: Certification Letter Approval for Site DF 17-1 & 17-2 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within I E months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19F (Site 17-1 & 17-2) HDID: 101-22-O403 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: 41 / Jodi Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for: [D Sewage System ❑ Water Supply Owner: Stockton Creek LLC Go Alan Taylor Mailing Address: 455 Second Street SIE9 201 Charlottesville, VA 22902 _ Agent: Stockton Creek LLC Go Alan Taylor Mailing Address: 455 2nd Street SE, Suite 201 Charlottesville, VA 22902 Site Address: TBD L Afton, VA 22920 Directions to Property: VON USE ONLY Health DepL IDS I l 2 Z'(r' `� Due Dace: Phone: 512426-4728 Fax: Phone: Phone:—,-- 434-981-3634 Emati: ntmpsmn{�tteseonayutYtonmana�mem.eom Subdivision: OF 17-1 & 17-2 Section: Block: Lot: Tax Map: 69-19F Other Property Into: Acreage: 4.63 Sewage System Type of Approval: Applicants for new construction are advised to apply for a ce0canort tetterro determine ifahe lard is sdhaHaefnr a sewage system and to apply for a construction permit (valid for 18 months) only when ready to butd. ED Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total A of Bedrooms) Other (Describe): Basement (] Yes Walk -Out Basement? ❑ Yes Fbdures In Basement? ❑ Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes Q No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ intermittent or seasonal use ❑ Temporary Use (1 yr. ma)imum) Do you wish to apply for a betterment loan eligibility letter ❑ Yes" No "There is a $50 fee for determination of el'rgibg.q. u Water Supply Will the water supply be ❑ Public or Private Is the water supply ❑ Existingor d Proposed If proposed, is this a replacement well? ❑ Yes M No If yes, will the old well be abandorKKP ❑ Yes ❑ No Will any buildings within 51Y of the well be termite treated? ❑ Yes O No All Applicants Is this a private sector OSE/PE application? El Yes ❑ No If yes, is the OSE package attached? Q Yes ❑ No Is the property intended to serve as your (the owners) prkrdpat place of rediderroe? ❑ Yes No In order for VDH of process your application for a sewage system, you must attach a plat of the properly and a sae skatetL For water supplies, a plat of the property Is recommenced and a site sketch Is required. The site sketch should show your properly lines, actual andfor proposed buildings. and the desired location of your well and/or sewage system. When the site evaluation 1s conducted. the property Ones, building location and the proposed wen and sewage sites must be dearly marked and the property suMdently visible to see the topography. i give perm "" lb tld v A4' Vfterd ofM69M to enter onto the prop" described du M normal business hours for the purpose of processin "! ppffcatlon and fd Oofkrn qualify assurance checks of evaluations and designs certified by a private sector Onaite Soil Evaivator or Proho& Engineer as nepe the sewage dis t system and/or private water supply has been constructed and approved. C CitRlgiO4�F y'1A60'7 �/ v� l Q I22 (Z C� J . tyo.19'�W Sianatu / :e Date r9G'S (iYWC CiY�IWie�l sage of -La OSEIPE Report For: Construction Permit ❑ Repair ❑ Voluntary Upgrade 21 Certification ❑ Subdivision Approval -ernit Permit Letter Property Location: 1911 Address: TBD _. City. State, Zip: Afton, VA. 22920 ILot: Section: Subdivision: DF 17-1 d 172 IGPIN or Tax Map #: 69-19F Health Dept ID It, 11-atltude: Longitude, Owner : _ Name: Stockton Creek LLC do Alan Taylor Address: 455 Second Street SE, # 201 Charloftesv(ile, VA 22902 pumu my. E Name: Chris Hefhel Iress: PO Box 554, Wood Name: :k. VA 22664 Date of Report: 10/22/2022 Date of Revision #1: Date of Revision #2: Contents/index of this report 1. Cover Sheet I23. Sell Evaluation 16-7. AbbreviatedDesfyns Statement 6. Ora"/less Media Specifications 9. Site Sketch 10. Drahrfleld Location & Sanitary Survey License # 1940-001400 License # I hereby certify that the evaluations and/or designs contain herein were conducted in accordance wWn the appilcabta provisions of the Sewage Handling 6 Disposal Regulations (12VACS-610), the Private Wet) Regulations (12VAC5-630), the Regulations forAltemathre Onsite Systems (12VAC5-613) and all other applicable laws, regulations, and policies implemented by me virgins Department of Health. i further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duty Issued by the applicable agency charged with Iicensure to perform the work contained herein. The potential for both conventional and alternative onsite sewage systems hjOq"d ATed with the ownerfappticar* 0 The4otk'�" to mis/co°+hj[ page has been canducbsd under an exemption to the precUm dren¢sneermg, specaodty to en in Code of Vlrgirde, %ction 54.1-402A.11 I recommend th a` Qrfbnii'dGryrn•`Pertit ;.. ❑ Subdivision Approval be: Issued FlEI_TZP.L � � �v&,rt�,ter. e ❑ Re Permit E3 Voluntary Upgrade ❑ Denied OSE/PE signature: Ova. Date: - �� __ - �... Dale: 4• 9/10/2021 Page Z of io SOIL SUMMARY REPORT GENERAL INFORMATION Submitted to: Albemarle County Heatth Department Stockton Creek LLC c/o Alan Taylor Telephone Number: 512-426-47 455 Second Street SE, # 201 Charlottesville, VA 22902 Stockton Creek LLC Uo Alan Taylor Address: 455 2W Street SE, Setts 201 ChadottesYdle, VA2211M Location: TBD Tax Map/GPIN: 69-19F ion: Blk/Sec: Site: 1 1. Position in Landscape Satisfactory: 91 Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 8-11 % 3. Depth to Rock or Impervious Strata: Max. 70"+ Min. 4. Depth to seasonal water table (gray mottling or gray color): Not Observed i] 5. Free Water Present? 0 No ❑ Yes Range: S. Soil Percolation rate estimated: [A Yes Texture Group: 1 ❑ 11 ❑ III D ❑ No Estimated rate: 65 mpi g 24" 7. Permeability Test Performed? El No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA None P) Yes ❑ inches IV ❑ ❑ Site Approved. Drainfield to be placed at 24 " depth at site designated on pertttit. ❑ Site Disapproved. See reasons tar rejection. sons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table- 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages it necessary'} Notes: 71age? of tU SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/10/2021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number: 512426-4728 caress: 455 Second Street SE, # 201 Charlottesville, VA 22902 !Agent: Stockton creek LLC do Alen Taylor Address: 455 2nd sheet SE, suite tot charaaeavlm, vA 2mz (Property Location: TBD Tax Map/GPIN: 69-19F !Subdivision: Bik/Sec: Site: 17-2 1. Position in Landscape Satisfactory: 2) Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 6-9 % -- ----- -- ... _ 3. Depth to Rock or Impervious Strata: Max. 60+" Min. 49" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed 91 Yes ❑ 5. Free Water Present? 12 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 21 Yes Texture Group: I ❑ If ❑ III O IV ❑ ❑ No Estimated rate: 70 mpi @ 20" 7. Permeability Test Performed? ❑ No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA ❑ Site Approved. Drainfield to be placed at 20 " depth at site desijnated an permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock- 3 ❑ Insufficient depth of suitable soil to seasonal water table- 4 ❑ Rates of absorption too slow. 5 ❑_ Insufficient area of suitable soil for drainfreld and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pagges if necessary Aaaftlonal Notes: IWA Reserve Address: Stockton Creek PI P2 P3 P4 PS Seltzel Soil Eval Date: 09/09/21 GPm BultinQ Drainfield: 17-1 Ap 0-10 many roots Bt 10-27 5YR 5/6 clay loam, strong medmoLsubangtdarblocky structure, friable, common roots 5YR 5/6 light silty clay loam, weak medium suhangular BCt 27-35 blocky structure, friable, few roots, common IOYR 6/8 III parent material mottles 5YR 5/8 and IOYR 6/8 silt loam, structureless-massive, C 38-70 friable, few roots, common IOYR 8/1 parent material III mottles Ap 0-8 1 OYR 413 loam, weak inedima granular structure, friable, II many roots Bt 8-24 SYR 5/6 clay loam, strong medium subangular blocky structure, friable, common roots 5YR 5/6 light silty clay loam, weak medium subangular BCt 24-34 blocky structure, friable, few roots, common 1 OYR 6/8 III parent material mottles SYR 3/8 and IOYR 6/8 silt loam, stxmckazebess-masffive, C 34-70 friable, few roots, common IOYR 811 parent material III mottles Ap lOYR 4/3 loam, weak medium granular structure, friable, 0 11 II many roots Bt 11-29 M 4/6 clay loam, strong medium snbangular blocky structure, friable, common roots 5YR 5/6 fight clay loam, weak medium subangular BCt 29-40 blocky structure, friable, few roots, common 10YR 6/8 III parent material mottles 5YR 5/8 and 10YR 6/8 light silty Gay loam, structureless- C 10-70 massive, friable, few roots, common IOYR 8/1 parent III material mottles Ap IOYR 4/3 loam, weak medium gramtiar structi e, friable, 0-8 many roots Bt 9-30 BYR 5/6 clay loam, strong medium subangular blocky III structure, friable, common roots 8YR 8/8 and IOYR 6/8 silt loam, structureless-massive, C 30-60 friable, few roots, common IQYR 8/1 parent material III mottles A p 0-10 I OYR 413loam, weak medium granular structure, friable, Ii many roots Bt 10-26 5YR 6/6 Gay loam, Btrong medium subangular blocky Ul structure, friable, common roots 5YR 8/8 and 10YR 6/8 silt loam, structureless-massive, C 28-62 friable, few roots, common 1 OYR 8/1 parent material III mottles Address: Stockton Creek Pi P2 P3 P4 P5 h 6'� to Heltael Soil Eval Date: 09/10/21 Consultiaa Draiatteld: 17-2 Ap.�. �,. o.... o..,, ..�.....o.....,.. s.a...... .... lA friable, many roots Bt 9-2$ 8YR 6/6 clay loam, strong mediasubanga}arblocky M structure, friable, commum mots; 5% rabbles BCt W-32 SYR 6/6 and IOYR 6/6 light silty clay loam, weak medium III subangular blocky structure, hiabla, few roots, 3%. cobbles C 32-58 SYR 3/6 and IOYR 6/8 silt loam, stxuctureless-massive, IA friable, few roots Ap IOYR 4/3 sill loam, weak medium granular structure, IA friable, many roots Bt SYR 4/6 light clay loam, moderate medium subangular &25 blocky structure, friable, common roots SYR 6/6 and 7.5YR 6/8 light silty clay loam, weak medium BCt 25-34 subangular blocky structure, friable, few roots, common IA IOYR 6/6 parent material mottles C 34-60 IOYR 6/6 and 7,5YR 5/6 silt loam, massive, III friable, few roots Ap 0-7 IOYR 4/3 silt loam, weak medium granular structure, III friable, many roots Bt 7-20 7.5YR 4/6 silty clay loam, moderate medium subangular M blocky structure, friable, common mots 7.5YR 6/6 and 10YR 6/8 light silty clay loam, weak medium BCt 20-27 subangular blocky struchtre, friable, few roots, common III I OYR 916 parent material mottles C 27-60 IOYR 6/6 and T.SYR 5/6 sift loam, siructureless-massive, III friable, few roots A p 0-8 IOYR 4/3 silt loam, weak medium granular structure, AI friable, many roots Bt T.SYR 4/6 silty clay loam, moderemedium edium subaaguhm &20 blocky structure, friable, common mats 7.SYR 5/6 and lOYR 6/8 light silty clay loam, weak medium BCt 20-27 subangular blocky structure, friable, few roots, common III IOYR 6/6 parent material mottles C 27-60 10YR 6/6 and MYR 8/6 silt loam, stxuctureless-massive, III friable, few roots Cr 80-82 fractured schist Ap 0 8 IOYR 4/3 sift loam, weak medium granular structure, III friable, many roots T.5YR 4/6 silty clay loam, moderate medium subangular Bt 8 21 blocky structure, friable, common roots 7.SYR 5/6 and IOYR 6/8 light silty clay loam, weak medium BCt 21-34 subangular blocky structure, friable, few roots, common AI IOYR 6/6 parent material mottles C 34-49 10YR 7/6 and 7.SYR 618 silt loam, structurelsss-massive, IA friable, few roots Cr 48-33 fractured schist Heltrel Soil Consulting Page � of �O Abbreviated Design -Conventional Gravel -less Site 17-1 Albemarle County PRIMARY A. a. Estimated percolation rate. (minutess perinch) _ b. Recommended trench bottom. finches) 65 24 c. Depth to impervious strata/ or water tables or limit of evaluation. inches 70 70 70 d. Minimum separation distance required. inches 16 16 24 e. Separation distances in inches provided in design. 46 46 46 f. Sloe (percentage) 11 �19.5 g. Minimum trench bottom due to slope. Cinches _ h. Is the sloe greater than orequal to 10%? Yes i. If Ai is Yes, does 24 inches or greater to rocklimpervious strata exist below Ab? you j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 200h slope and continue for each 10% slope increase above 20%. If no to fy, add 1 ft. to the minimum center -to -center spacing beginning at 10% slope and continue foreach 10% slope increase above 10%. (Report the value, in feet, of the increase in oenber4o-Gnter spacing above the minimum). 0 B. a.Trench bottomsquare feet required per bedroom Table 5.4 496 b. Trench bottomsquare feet required for Gravel -less with 25% reduction. 372 C. Ia. Number of bedrooms. b. Gallons per da in design a. Length of trench. feet 5 750 D. so b. Length of available area. feet 80 E. Width of trench. feet 3 F. Number of trenches. 9 G. Center-to-centerspacing. feet 9 H. Ia. Width required. (feet 75 b. Width of available area. feet 64 i. Trench bottomsquare footage required. 1860 J. Trench bottomsquare footage in design. 2160 K. Is a reserve area required? Yes x INO a. Percentrequired? IW/e b. Percent available: 100•/0 Notes: *See attached abbreviated design form for reserve' Heltzel Soil Consulting, LLC Page / of CQ Abbreviated Design - TU Effluent with Trenches Site 17-2 Albemarle County RESERVE A. a. Estimated percolation rate. minutesper inch 70_ _ _ b. Recommended trench bottom. inches 20 49 s0 s0 c. Depth to impervious strata/ or water table/ or limit of evaluation. inches d. Minimum separation distance required. inches 18 12 24 e. Separation distances in inches provided in design. 29 40 40 f. Sloe (percentage) Minimum trench bottom due to sloe _ inches) 9 10.5 h. Is the sloe greater than orequal to 10%? No i. If Ai is Yes, does 24 inches or greater to rockfimpervious strata exist below Ab? Yes j. If yes to Aj, add 1 ft to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to A), add 1 ft- to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in cenber-ro spacing above the minimum). 0 B a.Design Type? TU b.Trench bottomsquare feet required loading rate, gpdMt2 O.s4 5 a. Number of bedrooms. c. b. Gallons per day in design 750 D. a. Length of trench. feet 75 b. Len th of available area. (feet) 75 E. Width of trench. feet s 5 F. Number of trenches. G. Center-to-centerspacing. feet — 9 H. a. Width required. feet 48 b. Width of available area. feet 48 1. Trench bottomsquare footage required. 1172 J. Trench bottomsquare footage in design. 1350 X J No K. a. Is a reserve area required? Yes b. Percent required 100% c. Percent available 1 100% Notes: EZflow 12O3H - GEO COVERNATIVE BACKFILL ESTABLISH 6" MIN. COVERVEGETATIVE � OR - •. �I 1�t t gilt .� 1.1,1 I, ►,t 1,.it it ll'►i1 - �►c11•. FABRICFILTER w 12" EZifow BUNDLE (TYP.) 36" MIN. TRENCH WIDTH NOTE: PRODUCT CONFIGURATION AND INSTALLATION DEPTH MUST COMPLY WITH APPLICABLE REGULATORY REQUIREMENTS. �}-4" PERFORATED I PIPE MAEZfZow° NFIlTR11TOR SYMMS INC. a Bu�Mss Park "M S%U kGT "S9T poo) alrw3e EZII"w 1203H - GEO Or EMS w oow7 ' cwrm¢ue "nsaaN. 0FH I ""t 1 "It Heltzel Soil 1412 SaumsvNle Road, Maumftwn, VA 22644 LLC SITE 17-1 & 17-2 SKETCH TM # 69-19F ALBEMARLE COUNTY, VA 1 J P5 RESERVE \ �4 ;3 P: \ SM 17-2 39' >�-- 'P4 P510 PRIMARY WE 17-1 — o0 P3- 00 f..+ PZ p� o 917 140t Page Q or 10 T.M.69 REVISED 4.63 October 20, 2022 50' 100' 150, DRAWN BY: CSH Heltzel Soil Consulting, LLC 1412 Saums,419 Road, Maurertown, VA 22644 DRAINFIELD LOCATION SKETCH TM # 69-19F ALBEMARLE COUNTY, VA PRIMARY SOM CI- 'CP&l 253 218'� - - - LL AREA �O 6 03' L \ October 22, 2022 DRAWN BY: CSH T.M.69-19F REVISED LOT 5 4.63 ACRES SWELL #10 Page , D of 16 160, (I�X ' 21 100-w WII,L AR I WELL #22 I T.M.69-19E REVISED LOT 4 A G r) A (`DCC ..R.'L 41T o. Bo' ISO, too' Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT STATE ROUTE 803 (30-PRESCRIPTIVE EASEMENT) GOODLOE LANE T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT POND VDH � MONUMENT FOUND VDH MONUMENT FOUND PROPOS STOCKTON CREEK 1t Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT (30-PRESCRIPTIVE EASEMENT) EXISTIN STOCKTON CREEK Page I of 3 VIRGINIA Albemarle County Health Department 1138 Rose Hill Drive DEPARTMENT Charlottesville, VA 22903 V/DHOF HEALTH (434) 972-6219 Voice Protecting You and Your Environment (434) 972-4310 Fax Sewaee Disposal Certification Letter Annroval December 8, 2022 APPROVED Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, #201 Charlottesville. VA 22902 RE: Tax Map: 69-19F (Site 18-1) HDID: 101-22-0404 Important Note: Certification Letter Approval for Site DF 18-1 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 32.1-163.5 of the Code of Kir ginia 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19F (Site 18-1) HDID: 101-22-0404 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 3 bedroom house using a system design of 450 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time.. and any off -site impacts that may have occurred since the date of the issuance of this letter, In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and -regulations. If you have any questions, please contact me. Issued by: ue/i .."o sh Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for. E Sewage System Owner. Stockton Creek LLC do Alan Taylor ❑ Water Supply Mailing Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LI C Uo Alan Taylor Mailing Address: 465 2nd Street SE, Suite 201 Charlottesville, VA 22902 Site Address: TBD Directions to Property: Subdivision: Tax Map: Afton, VA 22920 Comer of Route 250 6 Route 161 DF VDH USE CINI. Health Dept 10# i i Due Date: — Phone: 512426 4728 Fax Phone: Phone: 434-MI-36 4 Email"—shnPin istrudionimnaeffinwitem Lot: Acreage: 4.63 sewage System -- - of Approval: Applicants for new construction are advised to apply for a certification tetterto debarrnttte h ttre land is suitable fora sewage n and to apply for a construction permit (valid for 18 months) only when ready to build. 59-19F Section: Block: Other Property Info: R1 Certification Letter ❑ Construction Permit sod Use: Family Home (Number of Bedrooms) (Describe): tam O Yes ❑ No 3 Walk -Out Basement? Yes ❑ No ❑ Subdlvlson Approval ❑ Repair Muftftmlly Home (Total # of Bedrooms) Fbdures in Basement? ❑+ Yes ❑ No Conditional Permit Desired? ❑ Yes 0 No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (r yr. mapdmum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yaw- 21 No "There Is a $60 fee for determination of elioibAity. the water supply be ❑ Public or If proposed, is this a replacement well? within Sly of the well this a private sector OSE/PE application? Water Supply _ --- Private Is the water supply ❑ 6dsting or B Proposed ❑ Yes R1 No If yes, will the old well be abandoned? ❑ Yes ❑ No treated? ❑ Yes ❑ No All Applicants ❑ Yes ❑ No the property intended to serve as your (the owners) principal place of residence? If yes, Is the OSE package attached? Q Yes ❑ No ❑ Yes Q No to oroer for vurt Cr process your application for a sewage system, you must attach a plat of the property and a she sketch. For water supplies, a plat of the property Is recommenced and a site sketch is required. The site sketch should show your property lines, actual and/or proposed bulidings, and the desired location of your welt and/or sewage system. When the site evaluation is Conducted, the property Ines, building location and the prop" hsewage sites must be dearly marked and the property suflciently visible to see t � topography. 1 give peififsstoh'io tlhe of Health to enter onto the property described Wring normal business hours for the purpose of proceau h its appdce5on and gps&Y assurance checks of evafuatlons and designs certified by a private sector Onslte Soli Evaluator or Pr� a�onal Engtnoer nets ntsthe sewn a disposal system and/or private water supply has been constructed and approved. Ctltu�, �• ..-- iII=.L:fZLL 9 Lfc No.1940001460 ,r atlae'@flOwn t >" Date rC�h;�ti{ tsr.%M purer d%%W.+ MUM Mkrt�rmu XWLUKjkft F4e5 HDID# Dow Rs Dwr Dae n. a s...p.r d ❑ Construction Permit ❑ Repair Permit rrooertv Location: 1 Address: or Tax Map #: Bred by: Name: Name: OSE(PE Report For: ❑ Voluntary Upgrade ❑ Certification Permit Letter Section: Subdivision: DF 19-1 69-19F Health Dept. ID #: Longitude: Page oof _% ❑ Subdivision Approval City, State, Zip: Afyon, VA 22920 Stockton Creek LLC Wo Alan Taylor 455 Second Sfreef SE, # 201 _ ChadotfesH/h, VA 22902 Chris Heltrel License # 1940-001460 PO Box 554, Woodstock, VA 228" Ucense # Date of Report: 10/2Z2022 COntentslindex of this report: 1. Cover Sheet 11 Soil Evaluation Statement Date of Revision ft Date of Revision #2: 6. Site Sketch 7. DralnHe/d Location & Sanitary Survey I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of Ore Sewage Handling & Disposal Regulations tl2VAC5-610), the Private Well Regulations (12VAC"30), the Regulations fnrANamaWe Onsft Systems (12VAC5-e13) and all other applicable taws, regulations, and policies implemented by the Virginia Department of Health. )further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duty issued by the applicable agency charged with ficensure to perform the work contained herein. The potential for both conventional and alternative onsite sewage systems has been discussed with the ownedWplicent. O The work recommend that a: � LicNo.C9d0001460 Signature: has been conducted under an exemplion to the practice of engineedng, speffmay the 54.1-402A.11 ❑ Subdivision Approval be: 0 Issued Repair Permit ❑ Voluntary Upgrade ❑ Denied Date: \o t ZZ( 2Z page 'L of I SOIL SUMMARY REPORT GENERAL Date: 9/1012021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Tavlor Telephone Number: 512-426.4728 Address: 455 Second Street SE, * 201 Charlottesville, VA 22902 (Agent: Stockton Creek LLC rlo Alan Taytor Address: 455 2nd Street SE, Sutter 201 Charlottesville, VA 229M (Property Location: TBD Tax Map/GPIN: 69-19F Subdivision: Blk/Sec: Site: 18-1 1. Position in Landscape Satisfactory: El Yes ❑ No Describe: Convex Upland Sidestcpe 2. Slope: 11-13 % 3. Depth to Rock or Impervious Strata: Max. 55"+ Min. 44" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed Yes ❑ 5. Free Water Present? Q No ❑ Yes Range: inches 6. Soil Percolation rate estimated: ❑ Yes Texture Group: 1 ❑ II ❑ III 0 IV ❑ ❑ No Estimated rate: 70 mpi @ 18" 7. Permeability Test Performed? 0 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA (] Site Approved. Drainfield to be placed at 18 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of sutbable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield andtor reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages it necessary) Additional Notes: Page of? Heltzel Soil Consulting Property Address: TBD Site: 18-1 Tax Map Number: 69-19F Date of Evaluation: 9/10/2021 Profile Horizon Depth Description Texture class P1 A 0_8 10YR 4/3 silt loam, weak fine subangular blocky III structure, friable, many roots 7.SYR 5/4 silty clay loam, moderate coarse Bt 8-29 ill subangular blocky structure, friable, common roots 7.5YR 5/6 light silty clay loam, weak coarse BCt 29-36 subangular blocky structure, friable, common roots, III few IOYR 7/6 Ilthochromic mottles C 36-69 7.SYR 5/6 & 10YR 6/6 silt loam, friable, few roots III P2 A 0 7 10YR 4/3 silt loam, weak fine subangular blocky III structure, friable, many roots Bt 7-23 SYR 5/4 clay loam, moderate medium subangular III blocky structure, friable, common roots SYR 5/6 silty clay loam, weak coarse subangular BCt 23-32 blocky structure, friable, common roots, few 10YR III 7/6lithochromic mottles C 32-55 7.5YR 6/8 & SYR 5/6 silt loam, friable, few roots III P3 A 0-8 10YR 4/3 silt loam, weak fine subangular blocky III structure, friable, many roots Bt 8-22 SYR 5/4 silty clay loam, moderate medium III subangular blocky structure, friable, common roots 7.5YR 5/6 light silty clay loam, weak coarse BCt 22-30 subangular blocky structure, friable, common roots, III few IOYR 7/6 lithochromic mottles C 30-50 7.SYR 5/6 & IOYR 6/6 silt loam, friable, few roots IOYR 4/3 silt loam, weak fine subangular blocky III P4 A 0-7 III structure, friable, many roots Bt 7-30 7.SYR 5/6 silty clay loam., moderate fine subangular III blocky structure, friable, common roots C 3D-42 SYR 5/6 & 10YR 5/6 silt loam, friable, few roots, 10% Ilf channers Fractured bedrock, pervious, few roots Cr 42-45 Page y of I P5 A 0-8 10YR 4/3 silt loam, weak fine subangular blocky III structure, friable, many roots Bt 8-31 _ 7.SYR 5/6 silty clay loam, moderate fine subangular III blocky structure, friable, common roots C 31-55 5YR 5/6 & 10YR 5/6 silt loam, friable, few roots, 10% III channers Cr 55-58 Fractured bedrock pervious, few roots P6 A 0-7 10YR 4/3 silt loam, weak fine subangular blocky Ili structure, friable, many roots Bt 7 28 7.5YR 5/6 silty clay loam, moderate fine subangular III blocky structure, friable, common roots C 28 52 5YR 5/6 & 10YR 5/6 silt loam, friable, few roots, 10% II[ channers Cr 52-55 Fractured bedrock, pervious, few roots Heitzel Soil Consulting, LLC Page S of -1 Abbreviated Design - TL3 Effluent with Trenches Site 18-1 Albemarle County 70 to impervious strata/ or water table/ or limit of evaluation. mcnes q4 5U 5; d. Minimum separation distance required. inches 18 12 24 e. Separation distances in inches provided in design. 2s 37 37 f. Sloe (percentage) 13 Minimum trench bottom due to slope . (inches) 12.5 T— h. Is the sloe reater than orequal to 10%? Yes i. If Ai is Yes, does 24 inches or greater to rock/impervious strata exist below Ab? Yes j. If yes to Aj, add 1 ft to the minimum center-tocenter spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 it to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 0 ® a.Design Type? TL3 b.Trench bottomsquare feet required loading rate, gpdM 0.64 c. a. Number of bedrooms. 3 b. Gallons per day in design 450 D. Ia. Length of trench. feet so b. Length of available area. feet 60 E. Width of trench. feet 3 F. Number of trenches. 4 G. Center-to-centerspacing. feet s H. a. Width required. feet 30 b. Width of available area. feet 64 I. Trench bottomsquare footage required. 703 J. ITrench bottomsquare footage in design. 720 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Heltzel Soil Consulting, LLC 102 Sauffwft Road, Maumdown, VA 22644 SITE 18-1 SKETCH TM # 69-19F ALBEMARLE COUNTY, VA T.M.69-19F- REVISED LOT 5 4.63 ACRES 29' -ice •P6 PS WELL #10 ' 2�' oP3 SrFE 1 / P4• IHB Pi ti WELL �o o / Page �- of 7 100.00' — 1 October 20, 2022 DRAWN BY: CSH Heltzel Soil Consulting, LLC 1412 Saurnsville Road, Msumftwn, VA 22844 z w LL. RESERVE DRAINFIELD LOCATION SKETCH TM # 69-19F ALBEMARLE COUNTY, VA MUMMY SM7.1 T.M.69-19F REVISED LOT 5 4.63 ACRES SWELL #10 .LL AREA Cb6\ ti 100.w C W L AREA WELL 0 October 22, 2022 DRAWN BY: CSH Page -% of 7 21 #22 T.M.69-19E REVISED LOT 4 n c� n r% o Cc ,.4 41T o• ao• aso• eso• Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT PROPOS STOCKTON CREEK Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L MART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT (30-PRESCRIPTIVE EASEMENT) EXISTIN STOCKTON CREEK VIDHOFVIRGINIA DEPARENT HEALTH Protecting You and Your Environment Sewaee Disposal Certification Letter Approval November 28, 2022 Page I of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-43 10 Fax Stockton Creek, LLC APPROVED CIO Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-19H (Site DF 10) HDID: 101-22-0400 Important Note: Certification Letter Approval for Site DF 10 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19H (Site DF 10) HDID: 101-22-0400 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: 1 00000- #4osh Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for. ❑ Sewage System ❑ Water Supply Owner. Stockton Crook LLC do Alan Taylor Mailing Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC c/o Alan Taylor Mailing Address: 456 2nd Street BE, Suite 201 Charlottesville, VA 22902 Site Address: T9D Afton, VA 22920 Directions to Property: Comer of Route 250 8 Route f5f Phone: Fax: Phone: Phone: Fax: VDH USE ONLY Health Dept ID# iCl ?-O' -Gv Due Date: 512r4264726 434-9813634 Email: almpsor@atle.mnstmeuonmanagemem.eam Subdivision: DF 10 Section: Block: Lot: Tax Map: 69-19H Other Property Info: Acreage: 11.03 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine If the land Is suitable for a sewage system and to apply for a construction permit (valid far 18 months) only when ready to build. El Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total # of Bedrooms) Other (Describe): Basement Yes Walk -Out Basement? ID Yes Fixtures In Basement? 0 Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes 0 No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter ❑ Yes" ED No "There Is a $50 fee for determination of eilalbillty. Water Supply Will the water supply be ❑ Public or [.] Private Is the water supply ❑ Existing or [D Proposed If proposed., is this a replacement well? ❑ Yes 2 No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within 50' of the well be termite treated? ❑ Yes 0 No All Applicants Is this a private sector OSE/PE application? ❑� Yes ❑ No If yes, is the OSE package attached? Yes El No Is the property intended to serve as your (the owners) principal place of residence? ❑ Yes M No In order for VDH of process your application for a sewage system, you must attach a plat of the property and a site sketch. For water supplies, a plat of the property Is recommenced 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 ettes must be dearly marked and the property sufficiently visible to see the topography. I give penml hgppl - artment of Health to enter onto the property described during normal business hours for the purpose of prooessin ication a I4p rm quality assurance checks of evaluations and designs certified by a private sector Onsite Sal Evaluator or Prom Engineer as n - J9 ntil the sewage dispos system and/or private water supply has been constructed and approved. OAC �R?STOPtt£2s. �l Signat T e Date x�arr.{allot Dina Bsarae:,�,,,,,,�„Dot7o��„' 1faeS 11QED ix P>serodd aoa it AtfW72Vfft R &W# _ Reoet#t tl Page of b ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade Certification Permit Letter ❑ Subdivision Approval Property Location: 911 Address: TBD City, State, Zip: Alton VA 22920 Lot: Section: Subdivision: DF 10 GPIN or Tax Map #: 69-19H Health Dept. ID #: Latitude: Longitude: Owner: Name: Stockton Creek LLC c!o Alan Taylor Address: 455 Second Sheet SE, # 201 ChadottesW/le, VA 22902 Prepared by: OSE Name: Chris Waal _ License # 1940-001460 Address: PO Box 554, Woodstock, VA 22064 PE Name: License # Address: Date of Report: 10{2&2022 Date of Revision #1: Date of Revision #2: Contents/index of this report: 1. Cover Sheet 5. Site Sketch 2. Soil Evaluation 6. Dralrefield Location & Sarthary Survey 3. Profiles 4. Abbreviated Desl n Certification Statement I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private Well Regulations (12VAC5-630), the Regulations for Alternative Onske Systems (12VAC5.613) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency charged with Ilcensure to perform the worK contained nerein. The potential for both conventional and aftemative onsite sewage systems has been discussed with the owner/applicant. n ttpp this cover page has been conducted under an exemption to the practice of engineering, specifically the to Mrginia Section 54.1-402.A.I I I recomm a: ❑ Construe& --Permit ❑ Subdivision Approval be: ❑� issued C"RISW 1 tio�L iter ElRepjit Permit El Voluntary Upgrade El Denied O HELTZEb \ is No-1940001460 r ` c7 rz net OSE/PE S moire: r i�i�cj Date: �'�ONSI'tBs° The form Wntsins personal information subject to disclosure under the Freedom of Information Act Revised 12101114 Page 2 of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 10/31/2022 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC do Alan Taylor Address: 455 end street SE, suite 201 Charlottesville. VA 22902 Property Location: TBD Tax Map/GPIN: 69-19H Subdivision: Blk/Sec: Site: 10-1 1. Position in Landscape Satisfactory: 121 Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 18-20 % 3. Depth to Rock or Impervious Strata: Max. 60"+ Min. 35" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed ❑ Yes ❑ 5. Free Water Present? 0 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: I] Yes Texture Group: I ❑ it p III ❑ IV ❑ ❑ No Estimated rate: 60 mpi @ 3" 7. Permeability Test Performed? 0 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 1Z Site Approved. Drainfield to be placed at 3 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitablesoilfor drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ other (Specify Below. Add additional pages if necessary) Additional Notes: Address: Stockton Creek PI P2 P3 P4 PS P "7C' Reltzel Soil Eval Date: 10/21/21 Consultina Dsainfield: 10-1 Ap 0-10 10YR 4/3 loam, weak medium granular structure, very II friable, many roots Bt 10-20 7'3YR 5/8 heavy loam, weak medium subangular blocky 11 structure, friable, common roots C 20-35 7.5YR 5/8 and lOYR 8/6 light loam, friable, few roots, 5% II channers Cr 35-40 fractured bedrock, pervious A p 0-6 1 OYR 4/3 loam, weak medium granular structure, very II friable, many roots Bt 6_29 8YR 8/6 light clay loam, moderate medium subangular blocky structure, friable, common roots BCt 29-39 5YR 5/6 and 7.5YR 6/6 sandy clay loam, weak medium II subangular blocky structure, friable, common roots C 39-60 2.5YR 5/6 and 7.5YR 6/6 light sandy clay loam, friable, few II roots A 0-8 1 OYR 4/3 loam, weak medium granular structure, very II friable, many roots Bt B-21 5YR 5/6 light clay loam, moderate medium subangular blocky structure, friable, common roots BCt 21-30 5YR 6/6 and 7.6YR 6/6 sandy clay loam, weak medium II subangular blocky structure, friable, common roots C 30-48 2.SYR 5/6 and 7.5YR 6/6 light sandy clay loam, friable, few II roots, 3% channers Cr 45-80 fractured bedrock, pervious A 0-5 10YR 4/3 loam, weak medium granular structure, very friable, many roots II Bt 6-23 7.SYR 8/8 heavy loam, weak medium subangular blocky II structure, friable, common roots C 23-38 7.8YR 5/6 and 7.5YR 6/8 light loam, friable, few roots, 5% U channers Cr 38-42 fractured bedrock, pervious A 0-6 1 OYR 4/3 loam, weak medium granular structure, very friable, many roots II Bt 8-25 7.5YR 5/8 heavy loam, weak medium subangular blocky II structure, friable, common roots C 25-45 7.8YR 8/6 and 7.5YR 6/8 light loam, friable, few roots, 5% H charmers Cr 46-48 fractured bedrock, pervious Heltael Soil Consulting, LLC Page �k of (' Abbreviated Design -TL3 to Drip Disposal Site 10-1 Albemarle County A. a. Estimated percolation rate. (minutes per inch) 60 b. Recommended drip tubing installation. (inches) 3 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 35 35 35 d. Minimum separation distance required. (inches) 1s 12 24 e. Separation distances in inches provided in design. 32 32 32 f. Slope (percentage) 20 g. Is the sloe greater than 10, 20 or 30%? Yes i. If Ag is Yes, does 24 inches or greater to rockfimpervious strata exist below Ab? Yea B. a.Design Type? TL3 b.Soil Loading Rate, d/ftz 0.28 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of run. (feet) 75 b. Length of available area. (feet) 75 E. Width of drip tubing. (inch) 1 F. Number of runs. 20 G. Center -to -center spacing. (feet) 2 H. a. Width required, feet 39 b. Width of available area. (feet) 77 1. Ia. Total square footage required 2679 b. Total square footage in design 2926 J. a. Linear feet of drip tubing required 1339 b. Linear feet of drip tubing provided 1463 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Design is same for RESERVE Heltzel Soil Consulting, LLC 1412 Saumsville Road, Maurerlown, VA 22644 SITE 10-1 SKETCH TM # 69-19H ALBEMARLE COUNTY, VA WELL AREA STIR 2-2 T.M.69-19H ILSM2-1 REVISED LOT 7 11.03+/- ACRES 761--,1 Pi A_ P2. SITE 10-I o0�� �Ps �v . P4 0�06 1 October 24, 2022 DRAWN BY: CSH Page 7 of (S hm\'-� WELL AREA Heltzel Soil Consulting, LLC Page ( of 1412 SaumeAlle Road, Maurertown, VA 22644 616' 401' \ - M.w „u T.M.69-19G REVISED LOT 6 zs8, 2.63 ACRES I 1 235` 301' PREMARY 6S11d T.M.69-19F REVISED LOT 5 4.63 ACRES October 24, 2022 DRAWN BY- CS14 ---- ..-- #12 T.M.69-19H REVISED LOT 7 11.03+/- ACRES oul Ls I m WELL AREA 0. 00 \ N Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT T.M.69-6M REVISED LOT 7 £.C.ACKERMAN TRUST 0.8.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT STATE ROUTE 803 (30'PRESCRIPTIVE EASEMENT) GOODLOE LANE T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT POND VDH � MONUMENT FOUND VDH MONUMENT FOUND PROPOSH STOCKTON CREEK S i C TV Heltzel Soil Consultinq, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TA) -OR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND (30'PRESCRIPTIVE EASEMENT) VDH MONUMENT FOUND VDH MONUMENT FOUND EXISTING STOCKTON CREEK S ST.RT.7° oL0 :: .......................................... ......................................... .......................................... ......................................... T.M.69-19G �/���/// REVSED LOT 8 2.63 ACRES \\} T.M.69-19F REVISED LOT 5 4.63 ACRES n- 7 DTM.899E REVSED LOT 4 u 4.62 ACRE J. 1 T.M.6r9n- REVISED 7.70 AI T.M.69-19D REVSED LOT 3 4.56 ACRES 0.x)9 C VDH MONUMENT FOUND mi RGINIA V/DHOF HEALTH Protecting You and Your Environment Sewage Disposal Certification Letter Approval November 28, 2022 Pagel of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-4310 Fax Stockton Creek, LLC /�A� C/O Alan Taylor 4A 455 Second Street SE, 4201 /7r Charlottesville, VA 2290240 RE: Tax Map: 69-19H (Site DF 2) HDID: 101-22-0393 Important Note: Certification Letter Approval for Site DF 2 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19H (Site DF 2) HDID:101-22-0393 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: kfh Kirtley vironmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for: M Sewage System ❑ Water Supply Owner: Stockton Creek LLC Go Alan Taylor Mailing Address 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLG c/o Alan Taylor Mailing Address: 455 2nd Street SE, Suite 201 Charlottesville, VA 22902 Site Address: TBD Afton. VA 22920 Directions to Property. Subdivision: Tax Mao: -omer of Route 25D & Route 151 69-19H Section: Other Property Info: VDH USE ONLY Health Dept. ID# Due Date: Phone: 512-426-4728 Fax: Phone: Phone: 4344813634 Fex. Email: simpson*euasconstruetlmmanagemsnt-wm Block: Lot: Acreage: 11.03 Sewage Syetsm Type of Approval: Applicants for new construction are advised to apply for a certification letter to determined the lend Is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. 0 Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total # of Bedrooms) Other (Describe): Basement 21 Yes Walk -Out Basement? Yes Fixtures in Basement? [] Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes" C] No "There is a SW fee for determination of eligibility. Water Supply Will the water supply be ❑ Public or 0 Private Is the water supply ❑ Eldsting or ❑' Proposed If proposed, is this a replacement well? ❑ Yes (] No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within Sty of the well be termite treated? ❑ Yes No All Applicants Is this a private sector OSEIPE application? [Z Yes ❑ No it yes, is the OSE package attached? Yes ❑ No is the property intended to serve as your (the owners) principal place of residence? ❑ Yes 0 No In order for VDH of process vour application for a sewage system, you must attach a plat of the property and a site sketch. supplies, a plat of the property is recommenced and a site sketch is required. The site sketch snouw snow your propeny nova, awuui anw v. p wt waaw 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 prop a sties must be cleany marked and the property sufficiently visible to we the topography. I give on to the Virginia em of Health to enter onto the property described during normal business hours for the purpose of proce -...is application and to quality assurance checks of evaluations and designs certified by a private sector Onsite Soil Evaluator or Pr on gQfslHtAricesrite the sewage disposal system anti/or private water supply has been constructed and approved. O KELTZEL j `) 194D`JDZ16rJ = �o(Z�Z �Z L'ec No. el Ur Date nr��rrs+...mwa...r..wsda�iil�..:':. r..r..lwwn,tll r.UM s14M1 Vmtus.adv DaffiP.rared: Ora Dam Fees FIAID ® Film" awt f Peyp�typo'eLeck# eHDA Racctpte Page L of 9__ ❑ Construction Permit ❑ Repair Permit OSE/PE Report For. ❑ Voluntary upgrade Certification Permit Letter ❑ Subdivision Approval Property Location: 911 Address: TBD City, State, Zip: Afton VA 22920 Lot: Section: Subdivision: DF 2 GPIN or Tax Map #: 89-19H Health Dept. ID # Latitude: Longitude: Owner: Name: Stockton Creek LLC c/o Alan Taylor Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Prepared by: OSE Name: Cliffs Heltzel License # 1940-001460 Address: Po Box 554, Woodstock, VA 22884 PE Name: License # Address: Date of Report: 10,252022 Date of Revision #1: Date of Revision #2: Contentslindex of this report: 1. Cover Shea 8. She Sketch 2.3. Soli Evaluation 9. Drandlald Location & Sanitary Survey ". Profiles 6.7. Abbreviated Design Certification Statement I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private Well Regulations (12VAC5-530), the Regulations for Alternative Onsife Systems (12VAC,5-613) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that I currently posses 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 potential for both conventional and alternative onslte sewage systems has been discussed with the owner/applicant. L7 The work i saver page has been conducted under an exemption to the practice of engineering, specifically the exem Q dklattjx+r Section 54.1-402.A. I I �1 t I recommend that ��❑ Constntction � ❑ Subdivision Approval be: [] Issued ❑ ClS �ett ❑ Repair Permit ❑ Voluntary Upgrade ❑ Denied pC ELTZEL 1.1cN0.1940t�14fi0 OSE/PE Signatu :� �� Date: ` �� aysrlss°%A N The form contains personal information subject to disclosure under the Freedom of Information Act. Revised 1 MV14 page Z of "A SOIL SUMMARY REPORT GENERAL INFORMATION Date: 10/27/2022 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC C/o Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC do Alan Taylor Address: 455 2nd street SE, Suite 201 Charlottesville, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19H Subdivision: Blk/Sec: Site: 2-1 1. Position in Landscape Satisfactory: 0 Yes ❑ No Describe: Convex Upland Sideslo e 2. Slope: 5 % 3. Depth to Rock or Impervious Strata: Max. 60"+ Min. None 0 4. Depth to seasonal water table (gray mottling or gray color): Not Observed 0 Yes ❑ 5. Free Water Present? Q No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 2 Yes Texture Group: 1 ❑ 1121 III ❑ IV ❑ ❑ No Estimated rate: 50 mpi @ 20" 7. Permeability Test Performed? O No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 0 Site Approved. Drainfield to be placed at 20 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: Page 3 of 1� SOIL SUMMARY REPORT GENERAL INFORMATION Date: 10/28/2021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC do Alan Taylor Address: 455 2nd Street SE, Sufte 201 Charlottesville, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19H Subdivision: Blk/Sec: Site: 2-2 1. Position in Landscape Satisfactory: 1Z Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 6 % 3. Depth to Rock or Impervious Strata: Max. 60+" Min. 50" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed El Yes ❑ 5. Free Water Present? a No ❑ Yes Range: inches 6. Soil Percolation rate estimated: Yes Texture Group: I ❑ II (] III ❑ IV ❑ ❑ No Estimated rate: 70 mpi @ 0" 7. Permeability Test Performed? El No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 2 Site Approved. Drainffeld to be placed at 0 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: 100% Reserve Address: Stockton Creek Pi P2 P3 P4 PS Heltzel Soil b `toy -k Eval Date:10/27/21 Drainfield: 2-1 1 OYR 3/2 loam, weak medium granular structure, very II A 0-8 friable, many roots SYR 6/8 heavy sandy clay loam, moderate medium II Bt 8-36 subangular blocky structure, friable, common roots C 36-60 SYR 6/6 sandy loam, friable, few roots II 10YR 3/2 loam, weak medium granular structure, very II A 0-6 friable, many roots SYR 5/8 heavy sandy clay loam, moderate medium II Bt 6-30 subangular blocky structure, friable, common roots SYR 8/6 light sandy clay loam, weak medium subangular II Bc 30-40 blocky structure, friable, common roots 5YR 5/6 and 7.5YR 6/4 sandy loam, very friable, few roots, II C 40-60 3% channers 1 OYR 3/2 loam, weak medium granular structure, very II A 0-8 friable, many roots SYR 618 heavy sandy clay loam, moderate medium II Bt 8-29 subangular blocky structure, friable, common roots SYR 5/6 light sandy clay loam, weak medium subangular II BCt 29-47 blocky structure, friable, common roots C 42-68 6YR 5/6 heavy sandy loam, friable, few roots II 10YR 3/2 loam, weak medium granular structure, very II A 0-8 friable, many roots SYR 5/8 heavy sandy clay loam, moderate medium II Bt 8-29 subangular blocky structure, friable, common roots SYR 5/6 light sandy clay loam, weak medium subangular II BCt 29-47 blocky structure, friable, common roots C 47-55 BYR 5/6 heavy sandy loam, friable, few roots II 1 OYR 3/2 loam, weak medium granular structure, very II A 0-8 friable, many roots SYR 5/8 heavy sandy clay loam, moderate medium II Bt 8-29 subangular blocky structure, friable, common roots SYR 8/6 light sandy clay loam, weak medium subangular II BCt 29-47 blocky structure, friable, common roots C 47-55 SYR 5/6 heavy sandy loam, friable, few roots II Address: Stockton Creek PI P2 P3 P4 P5 Reltzel Soil Consulting el 'Or Eval Date: 10/28/21 Drai neld:2-2 1 OYR 3/2 loam, weak medium granular structure, very II A 0-8 friable, many roots 5YR 5/8 heavy sandy clay loam, moderate medium II Bt 8-59 subanbular blocky structure, friable, common roots 5YR 5/6 light sandy clay loam, weak medium subanbular II BCt 29-47 blocky structure, friable, common roots C 47-85 5YR 5/6 heavy sandy loam, friable, few roots II lOYR 3/2 loam, weak medium granular structure, very II A 0-9 friable, many roots 5YR 3/6 clay loam, moderate medium subangular blocky III Bt 9-26 structure, friable, common roots 5YR 4/6 light silty clay loam, friable, few roots, commom III C 26-50 lOYR 4/6 and 6/6 lithochromic mottles lOYR 2/2 loam, weak medium granular structure, very II A 0-6 friable, many roots 10YR 6/4 loam, weak fine subangular blocky structure, II E 6-14 friable, common roots 5YR 5/6 clay loam, moderate medium subangular blocky II1 Bt 14-39 structure, friable, common roots 5YR 4/6 light silty clay loam, friable, few roots, commom III C 39-86 1 OYR 4/6 and 6/6 lithochromic mottles 10YR 3/2 loam, weak medium granular structure, very, II A 0-6 friable, many roots SYR 5/6 clay loam, moderate medium subangular blocky IIl Bt 6-23 structure, friable, common roots 5YR 4/6 light silty clay loam, friable, few roots, commom lII C 23-48 10YR 4/6 and 6/6 lithochromic mottles 10YR 2/2 loam, weak medium granular structure, very II A 0-6 friable, many roots 1OYR 6/4 loam, weak fine subangular blocky structure, II E 6-11 friable, common roots 5YR 5/6 clay loam, moderate medium subangular blocky 1II Bt 11-29 structure, friable, common roots 5YR 4/6 light silty clay loam, friable, few roots, commorn III C 29-50 10YR 4/6 and 6/6 lithochromic mottles Cr 50+ Fractured bedrock, pervious Heltzel Soil Consulting, LLC Page 1(0 of cl� Abbreviated Design - TL3 Effluent with Trenches Site 2-1 Albemarle County PRIMARY A. a. Estimated percolation rate. minutes per inch) 50 b. Recommended trench bottom. (inches) 20 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 60 60 60 d. Minimum separation distance required. (inches) 16 12 24 e. Separation distances in inches provided in design. 40 40 40 f. Slope (percentage)5 q. Minimum trench bottom due to slope . (inches) 6.5 h. Is the sloe greater than orequal to 10%? No i. If Ai is Yes, does 24 inches or greater to rock/impervious strata exist below Ab? Yes j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 0 B. a.Design Type? TO b.Trench bottom square feet required loading rate /ft2 0.89 C. a. Number of bedrooms. 5 b. Gallons per day in design 7S0 2. a. Length of trench. (feet) 60 b. Length of available area. (feet) 80 E. Width of trench. (feet) 3 F. Number of trenches. 5 G. Center-to-centerspacing. feet 9 H. a. Width re uired. feet 39 b. Width of available area. feet I. Trench bottoms uare foota erequired. 841 J. Trench bottoms uare foots a in design- 1200 K. a. Is a reserve area re required? Yea X No b. Percent required 100°� c. Percent available 100% Notes: USE SITE 2-2 FOR RESERVE Heltzel Soil Consultincl, LLC Abbreviated Design -TL3 to Drip Disposal Site 2-2 Albemarle County RESERVE Page ! of Ok A. a. Estimated percolation rate. (minutes per inch) 80 b. Recommended drip tubing installation. (inches) 0 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 50 50 50 d. Minimum separation distance required. (inches) 18 12 24 e. Separation distances in inches provided in design.. 50 50 5o f. Slope (percents e) 6 a. Is the slope greater than 10, 20 or 30%? No i. If Ag is Yes, does 24 inches or greater to rocktimpervious strata exist below Ab? Yes B a.Design Type? TL3 b.Soil Loading Rate, gpde 0.21 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of run. (feet) 75 b. Length of available area. (feet) 75 E. lWidth of drip tubing. (inch) 1 F. Number of runs. 25 G. Center -to -centers acing. (feet) 2 H. a. Width required, feet 49 b. Width of available area. (feet) 80 I. a. Total square footage required 3671 b. Total square footage in design 3675 J. a. Linear feet of drip tubing required 1786 b. Linear feet of drip tubing provided 1838 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100696 Notes: Heltzel Soil Consulting, LLC 1412 Saumswlle Road, Maurertown, VA 22644 oo� ' 4 �Pl P5 SITE 2-2 \ �Q P3 $1 P2 .pl ONSITE 2-1 1 ` Pao Y go, --� October 24, 2022 DRAWN BY- CSH SITE 2-1 & 2-2 SKETCH TM # 69-19H ALBEMARLE COUNTY, VA ter- --- �s WELL AREA P2 T.M.69-19H Page,? of q WELL # 121 REVISED LOT 7 11.03+/- ACRES Heltzel Soil Consulting, LLC Page q of a 1412 $aumavhle Road, Maurartown, VA 22644 1.M.69-190 WELL#12 REVISED LOT 6 zs8, o.o 2.63 ACRES I `I^M^ ( T.M.69-19H 255' REVISED LOT 7 11.03+/- ACRES 30I, 1gQ 61iG10.1 WELL #11 T.M.69-19F REVISED LOT 5 4.63 ACRES ....... I.- / \ October 24, 2022 DRAWN BY: CSH WML MUU N 0. 100, GOO' Sao, Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 0.8.3530-234 PLAT STATE ROUTE 803 (30 PR GOLEASEMENT) T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT II III I I I II II I I II 11 11 1I II I II I I II �i I I I I I I I VDH MONUMENT FOUND VDH MONUMENT FOUND I S..R6 / LOT12 —y z n xRRs wT9 E 98 >GES LOTH .TN z.zzRQES zsondes xm ♦cRes z.R9auss s i or eivss F19 R[P6 � 151 VDH HPg.3 Heltzel Soil Consultinq, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT (30-PRESCRIPTIVE EASEMENT) EXISTING STOCKTON CREEK S ST.RT.75 oLD Page I of 3 VDVIRGINIA Albemarle County Health Department DEPARTMENT 1138 of Rose Hill Drive Charlottesville, VA 22903 OF HEALTH (43.4) 972-6219 Voice Protecting You and Your Environment (434) 972-4310 Fax Sewage Disposal Certification Letter Approval November 28, 2022 Stockton Creek, LLC C/OAlan Taylor 455 APPROVED 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-19H (Site DF 3-2) HDID: 101-22-0394 Important Note: Certification Letter Approval for Site DF 3-2 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before constniction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19H (Site DF 3-2) HDID: 101-22-0394 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 4 bedroom house using a system design of 600 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: Ash Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for: Sewage System ❑ Water Supply Owner. Stockton Creek LLC clo Alan Taylor Mailing Address: 465 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC c/o Alan Taylor Mailing Address: 455 2nd Street BE, Suite 201 Charlottesville, VA 22902 Site Address: TBO Directions to Property. Subdivision: Tax Map: Afton, VA 22920 DP 3-2 69.19H VON USE ONLY HeafthDepLlOkJ�J Due Date: Phone: 512-426-4728 Fax: Phone: Phone: 434-M-3694 Fax Email. shnpmmiostlsawnstrucdo manaaememtom Section: Block: Lot: Other Property Info: Acreage: 11.03 Sewage System pe of Approval: Applicants for new construction are advised to apply for a certification tether to determine It the land is suitable for a sewage stem and to apply for a construction permit (valid for 16 months) only when ready to build. 0 Certification Letter ❑ Construction Perms ❑ Subdivison Approval ❑ Repair reposed Use: ngle Family Home (Number of Bedrooms) 4 Multifamily Home (Total # of Bedrooms) :her (Describe): Basement O Yes Walk -Out Basement? Yes Fbdures In Basement? D Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes [] No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (t yr. ma)imum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes"' I] No "There is a $50 fee for determination of eligibility. Water Supply Will the water supply be ❑ Public or [Z Private Is the water supply ❑ EAsting or ❑' Proposed If proposed, is this a replacement well? ❑ Yes I] No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within 5V of the well be termite treated? ❑ Yes I] No All Applicants Is this a private sector OSE/PE application? Yes ❑ No If yes, is the OSE package attached? l] Yes ❑ No Is the property intended to serve as your (the owners) principal place of residence? ❑ Yes Q No In order for VDH of process your application for a sewage system, you must attach a plat of the property and a site sketch. a plat of the property is recommenced and a site sketch is required. The site sketch should show your property lines, actual anoror proposea buildings, and the desired location of your well and/or sewage system. When the site evaluation is conducted, the property bass, building location and the proposed ge sites must be cearty marked and the property sufficiently visible to see the topography. P 'tLTIInI give the Virglnlaant of Health to enter onto the property described during normal business hours for the purpose of proceication and to _ 4uefl"Assurance checks of evaluations and designs certified by a private sector Onsite Soil Evaluator or Proeer as necessal� the sewage dfsposa system and/or private water supply has been constructed and approved. Ht:I:rZFLo. 1940001460 Signatur fdy� hse I Date 1fYarrM�la/rsaYrY�r✓mnMr�r�rlassairMA�O�rls�rrw sa awbelll9an vox ilr as. Dar VAMnd: tine Doc FaeS HD1D# Fbanow scar r Firya�ittyes*4A �iDA Reoript8 Page k of (a ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade F1 Certification Permit Letter ❑ Subdivision Approval Property Location: --- - —— - 911 Address: TBD City, State, Tip: Afton, VA 22920 Lot: Section: Subdivision: DF3.2 GPIN or Tax Map #: 69-19H Health Dept. ID A Latitude: Longitude: Owner: Name: Stockton Creek LLC c/o Alan Taylor Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Prepared by: OSE Name: Chris Helizei License # 1940-001460 Address: PO Box 554, Woodstock, VA 22664 PE Name: License # Address: Date of Report: 10/25M22 Date of Revision #1: Date of Revision #2: Contentslindex of this report: 1. Cover Sheet 5. Site Sketch 2. Soil Evaluation 6. Dralnfleld Location 8 Sanitary Survey 3. Profiles 4. Abbreviated Design Certification Statement 1 hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (I2VAC5.610), the Private Well Regulations (12VAC5-630), the Regulations for Alternative Onsite Systems (12VAC5-613) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. 1 further certify that I currently posses 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 potential for both conventional and alternative onsite sewage systems has been discussed with the owneriapplicant. F7.3<tik n The wo r to r page has been conducted under an exemption to the practice of engineering. specifically the exam ofur fowSAI-401A.14 L I recommend that Construction Pero- ° ❑ Subdivision Approval be: ❑ Issued C '.� ULJ Car Sii>E@t99r Z4PIRepair Permit [I Voluntary Upgrade ❑ Denied 2EL • , Li c No. 1940001460 ��2 s !2Z o3GPr• 319natun:: PLC CAI-t -�� Date: �hSITF 501�1 The form contains personal inform0on subject to disclosure under Me Freedom of lnformetlon Act Revised 12MI114 Page 2 of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 5/18/2022 Submitted to: Albemarle County Health Department Owner. Stockton Creek LLC c/o Alan Taylor Telephone Number: 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC cro Alan Taylor Address: 455 2nd Street SE, suite 201 Chartottesvllie, VA 22WZ Property Location: TBD Tax Map/GPIN: 69-19H Subdivision: Blk/Sec: Site: 3-2 1. Position in Landscape Satisfactory: [] Yes ❑ No Describe: Convex Upland Sidesio e 2. Slope: 14-16 % 3. Depth to Rock or Impervious Strata: Max. 21" Min. 19" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed ❑ Yes El 19" 5. Free Water Present? 0 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 0 Yes Texture Group: 1 ❑ 11 C 111 ❑ IV ❑ ❑ No Estimated rate: 75 mpi @ 1" 7. Permeability Test Performed? 2) No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 0 Site Approved. Drainfield to be placed at 1 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: Address: Stockton PI P2 P3 P4 P5 v-3 3 0" Heltzel Soil Eval Date: 5/18/2022 Consulting Drainfield: 3-2 A0-7 '-"'_'- ....,.,u.....�.....y....Wa. o.J 11 friable, many roots Btl 7-21 MYR 5/6 clay loam, moderate medium subangular blocky III structure, friable, common roots Bt2 21 �3 SYR 5/6 heavy sandy clay loam, weak medium subangular II blocky structure, slightly firm, few roots, common IOYR 6/2 iron depletions, few IOTA 2/1 Mn concentrations C 33-67 SYR 6/6 heavy sandy clay loam, friable, few roots, common 10YR 6/8 lithochromic mottles =' A 0-7 1 OYR 4/3 loam, weak medium granular structure,very R friable, many roots Btl 7-20 7.5YR 5/6 clay loam, moderate medium subangular blocky III structure, friable, common roots Bt2 20�8 SYR 5/6 heavy sandy clay loam, weak medium subangular II blocky structure, slightly firm, few roots, common IOYR 6/2 iron depletions, few 10YR 2/1 Mn concentrations C 35-60 SYR 6/6 heavy sandy clay loam, friable, few roots, common II 10YR 6/8 lithochromic mottles A 0-6 IOYR 4/3 loam, weak medium granular structure,very Il friable. many roots Btl 6-19 T YR 5/6 clay loam, moderate medium subangular blocky III structure, friable, common roots Bt2 19-32 SYR 8/6 heavy sandy clay loam, weak medium subangular II blocky structure, slightly firm, few roots, common 1 OYR 6/2 iron depletions, few 1 OYR 2/1 Mn concentrations C 32 60 SYR 5/4 heavy sandy clay loam, friable, few roots, few II 1 OYR 6/6 lithochromic mottles A 0-8 1OYR 4/3 loam, weak medium granular structure,very II friable, many roots Btl B-21 7.8YR 5/6 clay loam, moderate medium subangular blocky III structure, friable, common roots Bt2 21-36 SYR 5/6 heavy sandy clay loam, weak medium subangular II blocky structure, slightly firm, few roots, few 1 OYR 6/2 iron depletions, few IOYR 2/1 Mn concentrations 5YR 5/8 sandy clay loam, friable, few roots, common I OTR C 38-84 6/8 lithochromic mottles II A 0.7 IOYR 4/3 Ioam, weak medium granular strncture,very 11 friable, many roosts Btl 7-20 7.5YR 5/6 clay loam, moderate medium subangular blocky III structure, friable, common roots SYR 5/6 heavy sandy clay loam, weak medium subangular Bt2 20.35 blocky structure, slightly firm, few roots, common 1 OYR II 6/2 iron depletions, few 10YR 2/1 Mn concentrations C 35-65 SYR 5/9 heavy sandy day loam, friable, few roots, common II 1 OYR 6/8 lithochromic mottles Heitzel Soil Consultinia, LLC Abbreviated Design -TL3 to Drip Disposal Site 3-2 Albemarle County Page q of �O A. a. Estimated percolation rate. (minutes per inch) 75 b. Recommended drip tubing installation. (inches) 1 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 19 19 19 d. Minimum separation distance required. (inches) 18 12 24 e. Separation distances in inches provided in design. 18 18 18 f. Slope (percentage) 16 g. Is the slope greater than 10, 20 or 30%? Yes I. If Ag is Yes, does 24 inches or greater to rocktimpervious strata exist below Ab? No B. a.Design Type? TU b.Soil Loading Rate, d/ftz 0.22 C. a. Number of bedrooms. 4 b. Gallons per day in design 600 D. a. Length of run. (feet) 90 b. Length of available area. (feet) 90 E. Width of drip tubing. (inch) 1 F. I Number of runs. 16 G. Center-to-centerspacing. (feet) 2 H. a. Width required, feet 31 b. Width of available area. (feet) 63 1. a. Totalsquare footage required 2727 b. Total square footage in design 2790 J. a. Linear feet of drip tubing required 1364 b. Linear feet of drip tubing provided 1395 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. percent available 100% Notes: Reserve Design is same as Primary Heltzel Soil Consulting, LLC 1412 Saumsv7le Road, Mauredown, VA 22644 0 WELL AREA WE 2-2 P3 P2♦ October 24, 2022 DRAWN BY: CSH SITE 3-2 SKETCH TM # 69-19H ALBEMARLE COUNTY, VA -�U # 13 1-0-\` voo�vr PUFFER 51% 'OPI Page -' of `O z SITE 3-2 3 ' 1OP5 6`0 r >� � o\ P4 WELL AREA -WELL # 12 Heltzel Soil Consulting, LLC Page of`O 1412 SaummAle Road, Maurertown, VA 22644 616'— .ao.od T.M.69-19G I \ WELL#12 REVISED LOT 6 zs�P, o.o� 2.63 ACRES I I 300' T.M.69-19F REVISED LOT 5 4.63 ACRES October 24, 2022 DRAWN BY: CSH T.M.69-19H REVISED LOT 7 11.03+/— ACRES 1 O' 100' QOO' 300, 'Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22684 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT STATE ROUTE 803 (30'PRESCRIPTIVE EASEMENT) GOODLOE LANE T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT II II I 1 II II II 11 11 11 11 it II II t II I 1 II I I I I I I I VDH MONUMENT FOUND VDH MONUMENT FOUND PROPOSE[ STOCKTON CREEK S LOTS 29B AGES LOT 11 L4T IU :.l3RGE ssoawEs n� lam\ m Lm 3. :.macro ELL IlB Lm ae lM PG6 �E tz1oe R�fW SCPS �V p 0 e VDH H�P93' Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND (30-PRESCRIP11VE EASEMENT) VDH MONUMENT FOUND VDH MONUMENT FOUND EXISTING STOCKTON CREEK S T.M.69-19G V REVSED LOT 6 \.} 2.63 ACRES /m T.M.69-19F y REVISED LOT 5 �E1 4.63 ACRES . e. •�,. Eu.: T.M.69-19E a REVISED LOT 4 4.62 ACRES SL u-� p Lea T.M.69-19D REVISED LOT 3 4.56 ACRES ELL 00 au T.M.69-19 RENSE LO za 11.03+ — A( IIr. T.M.89 REVISED 7.70 A / C VDH MONUMENT FOUND RGINIA VXDHOFIHEA HEALTH DEPARTMENT Protecting You and Your Environment Sewage Disposal Certification Letter Approval November 28, 2022 Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-19J (Site DF 4-2) HDID:101-22-0395 Page] of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-43 10 Fax APPROVED Important Note: Certification Letter Approval for Site DF 4-2 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19J (Site DF 4-2) HDID: 101-22-0395 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 3 bedroom house using a system design of 450 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: sh Kirtley 'Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for 0 Sewage System ❑ Water Supply Owner: Stockton Creek LLC c/o Alan Taylor Mailing Address: 455 Second Street BE, 0 201 Charlottesville, VA22902 Agent: Stockton Creek LLC c/o Alan Taylor Mailing Address: 458 2nd Street BE, Suite 201 Charlottesville, VA 22902 Site Address: TED Directions to Property: Comer of Route 280 8 Route 15f Subdivision: DF 4.2 Section: Tax Map: 69-19.1 Other Property Info: VDM UISE ONLY Health Dept IDe+nCjS- Due Date: Phone: 512-426 4728 Fax: Phone: Phone: 434-981-3634 Fax: Email: simpwn&uasconsouoeonmenegenwntcan Block: Lot: Amon.- 111411 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine If the land Is suitable for a sewage system and to apply for a construction permit (vaffd for 18 months) only when ready to build. 0 Certification Letter ❑ Construction Permit ❑ SubdMeon Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 3 MUitifamily Home (Total d of Bedrooms) Other (Describe): Basement 0 Yes Walk -Out Basement? 9 Yes Fbdures In Basemerd? 0 Yes ❑ No ❑ No ❑ No Conditional Perna Desired? ❑ Yes 0 No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. ma)imum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes" 0 No Water Supply Will the water supply be ❑ Public or 0 Private is the water supply ❑ Existlng or 0 Proposed If proposed, Is this a replacement well? ❑ Yes O No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within 50' of the well be termite treated? ❑ Yes 0 No All Appllearft Is this a private sector OSFJPE application? Yes ❑ No If yes, Is the OSE package attached? 0 Yes Is the property Intended to serve as your (the owners') principal place of residence? ❑ Yes 0 No ❑ No In order for VDH of process your application for a sewage system, you must attach a plat of the property and a site sketch. For water supplies, a olat of the omoanv Is rammmnn~i n d s see eye. d re buildings, and the and the or000sad I awe n to the Virainis PrOM881§Xft application or Pro BIIreI EBailt" O Signature _._ _.__ _.._._.. _..__._ ..... Y,,,., ",v -'Y ..,.ea,'a, anuwur proposea W of your well and/or sewage system. When the site evaluation is conducted, the property fines, building location ftftes must be dearly marked and the property sufficiently visible to see the topography. yicNo 194000/460 of Health to enter onto the property described during normal bualness hours for the purpose of ualky assurance checks of evaluations and designs certified by a private sector Onsite Soll Evaluator the sewage disposal Pystem and/or private water supply has been constructed and approved. O (2�?1-4Z •eras�n.s.ti.�i�� - �ywr.aar�,...arr.►.�a�rrr.r..na Mwrrt119ra omBrawab Dora Doc P4e3 Hm0 FIMN"asoti PoomootOVetbeckM MWO Raoelotl Date Page of t0 ❑ Construction Permit ❑ Repair Permit 1 Address: TBD GPIN or Tax Map #: Latitude: 1. Creek ared by: Name: Chita Haffzel Name: OSE/PE Report For: ❑ Voluntary Upgrade Permit 1Z Certification Letter Section: Subdivision: DF4.2 B8.1tlJ Health Dept. ID #: Longitude: I;'3 Date of Report: 10/2&2022 Date of Revision #1: Date of Revision #2: of this report: vwwwo� n tic Site Sketch 6 DreirMe/d Location & Senftary Survey City, State, Zip: License # License # ❑ Subdivision Approval I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private Well Regulations (12VAC"30), the Regulations forAftemattve Onstte Systems (12VAC6.613) and all other applicable Ism, regulations, and policies Implemented by the Virginia Department of Health. I further xrtify that I currently posses 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 potential for both conventional and aftemstNe )nsite sewage systems has been di caged with the owner/applicant. O The work recommend that a: Signature: to this, has been conducted under an exemption to the practice of engineering, specifically the Vr of ginia 64.1-402.A.11 natru it % ❑ Subdivision Approval 948g@[p60 [� epair Permit ❑ Voluntary Upgrade Zi Date: be: [Z Issued ❑ Denied �Olts (22 The form contains personal information subject to disclosure under the Freedom of Information Act. Revised *101/14 Page?, of Date: 5/18/2022 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number: 512-426-47 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC do Alan Ta for Property Location: TBD Subdivision: Address: ass end street Tax Map/GPIN: Blk/Sec: 1. Position in Landscape Satisfactory: O Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 44846 % 3. Depth to Rock or Impervious Strata: Max. 40" Min. 21" 4. Depth to seasonal water table (gray mottling or gray color): Not Observed ❑ 5. Free Water Present? 0 No ❑ Yes Range: 6. Soil Percolation rate estimated: 0 Yes Texture Group: I ❑ ❑ No Estimated rate: 7. Permeability Test Performed? 0 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA Site: None ❑ Yes 21" II ❑ 111 EO 80 mpi @ 1" inches IV ❑ O Site Approved. Drainfield to be placed at 1 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: --- 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Notes. Address, Stockton Creek PI P2 P3 P4 PS Pjj -3 Reltze15oil 16oa1 Date: 8/1812022 CortStrltiWQ Drainfleld: 4-2 Ap 0-5 lOYR 3/3 sandy loam, weak fine subangular blocky structure, friable, many roots II E 5-11 IOYR 6/4 sandy loam, weak medium subangular blocky structure, friable, many roots II Bt 11-22 M 8/6 sandy clay loam, moderate medium subangular blocky structure, friable, common roots II Cd 22-83 5YR 5/6 and 10YR 6/6 sandy loam, firm, few 10YR 6/2 iron depletions, few 2.BYR 8/6 iron concentrations II Ap 0-8 1 OYR 3/3 sandy loam, weak fine subangular blocky structure, friable, many roots II Btl 8-20 7.SYR 5/8 sandy clay loam, moderate medium subangular blocky structure, friable, common roots II Bt2 20-40 SYR 8/6 light clay loam, weak medium subangular blocky structure, friable, common roots III SYR 3/4 and 1 OYR 4/6 silty clay loam, slightly firm, few C 40-56 roots, few 10YR 6/1 iron depletions, common 10YR 8/6 III lithochromic mottles A 0-6 1 OYR 3/3 sandy loam, weak fine subangular blocky structure, friable, many roots II E 6-16 IOYR 8/4 heavy sandy loam, weak medium subangular blocky structure, friable, many roots II Bt 18-27 7'M 8/6 clay loam, moderate medium subangular blocky structure, friable, few roots Cd 27-84 7.8YR 8/4 clay loam, firm, common IOYR 6/1 iron depletions III A 0-7 1 OYR 3/3 sandy loam, weak fine subangular blocky structure, friable, many roots II Btl 7-23 SYR 8/6 clay loam, moderate medium subangular blocky structure, friable, common roots IIl 7.SYR 5/6 clay loam, moderate medium subangular blocky Bt2 23-42 structure, slightly firm, few roots, few IOYR 6/1 iron M depletions Cd 42-60 7'SYR 5/4 clay loam, firm, common 10YR 6/1 iron depletions III A 0-8 1 OYR 3/3 sandy loam, weak fine subangular blocky structure, friable, many roots II Btl 8-21 SYR 8/6 clay loam, moderate medium subangular blocky structure, friable, common roots III Bt2 21-40 T.BYR 5/6 clay loam, moderate medium subangular blocky III structure; slightly firm, few roots, IOYR 6/1 iron depletions Cd 40-60 7.8YR 8/4 clay loam, firm, common IOYR 6/1 iron III depletions Heltzel Soil Consulting, LLC Abbreviated Design -TL3 to Drip Disposal Site 4-2 Albemarle County Page � of (v A. a. Estimated percolation rate. minutes per inch 70 b. Recommended drip tubing installation. inches 1 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 21 21 21 d. Minimum separation distance required ' e uired. Inches 18 12 24 e. Separation distances in inches provided in deli n. 20 20 20 f. Sloe (percentage) 12 Is the slope greater than 10, 20 or 30%? Yes i. If Ag is Yes, does 24 inches or greater to rockrimpervious strata exist below Ab? No g a.Design Type? TL3 b.Soil Loading Rate, d/ftz 0.24 C. a. Number of bedrooms. 3 b. Gallons per day in design 450 D. a. Length of run. feet 85 b. Length of available area. feet 85 E. Width of drip tubing. inch 1 F. Number of runs. 13 G. Center-to-centerspacing. (feet) 2 H. a. Width required, feet 25 b. Width of available area. feet 50 I. a. Totalsquare footage required 1875 b. Totalsquare footage in design 2125 J. a. Linear feet of drip tubing required 938 b. Linear feet of drip tubing provided 1063 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Design is the same for RESERVE Heltzel Soil Consulting, LLC 1412 Saumswlle Road, Maurartown, VA 22644 Page 6r of `O SITE 4-2 SKETCH TM # 69-191 ALBEMARLE COUNTY, VA I... _. LOCATION AM BUFFER SITE 3-2 �C WELL # 12 October 24, 2022 DRAWN BY: CSH .ps SPI'E 4-2 T� O' OO' 100' 150' Heltzel Soil Co 1412 SaumaviDe Road, Meurertown, VA 22644 REAM BUFFER ' I #12 9-19H D LOT 7 /- ACRES Itin LLC Page b of b I DRAINFIELD LOCATION SKETCH TM # 69-191 ALBEMARLE COUNTY, VA 452' P WELL #14 rr j' me WEU naew TELL #15 I 06 I I I T. M 8.7 ° I T.M.69-19JREVISED LOT 8 N8.92+/- 16t ACRES � tj WELL #16 / w i i 36' .w October 28, 2022 DRAWN BY: SNV °' 300• woo• 3°°' Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND T.M.69-6M REMSED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT STATE ROUTE 803 (30-PRESCRIPTIVE EASEMENT) GOODLOE LANE T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT .:.:::: ... AA1 BUFFER OVERHEAD UTILTY / / sus Acnss uL.0 L LINE � .. 0°1 .,x m x.PCPES u x I,� RocU SR (VgR�sy UUT 9 69`h5>}f�R ojIr L°:a ^ti, 30i �W �FqM� NOT TO SCALE wH MONUMENT FOUND LINES w MONUI ., FOUI LOT Ll L9 ACRE5 .S LOI N »n AwEs ms eu..n -YN Lx°AUArnEs usncxu s OLE rota roN L Q0'm' m' PDIS C wH Kr x OS AI ONUMENT FOUND `+HELL wH :C. .H MONUMENT n ;3>'u:. FOUND n.�0 �csus 1 343ACAES CORNER FvC FENCE POST VDH MONUMENT C \ ^ a wH FOUND LOT S 1 MONUMENT T&VDH SjpSE R�AO�D jw CR��'E91F- Vt�3 y PA q1�i :N P p1 B 4, q09 wH MONUMENT FOUND H Pg3 wH FOUND Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT (30'PRESCRIPTIVE EASEMENT) EXISTING LOT LAYOUT STOCKTON CREEK SBD, ALBEMARLE CO, VA \T.M.69-190 /// REVISED LOT 6 2.63 ACRES POND T.M.69-19F REMSED LOT 5 4.63 ACRES VDH � MONUMENT FOUND VDH MONUMENT FOUND 051 ST.RT.750 (30'PRESCRIPTIVE EASEMENT) OLD TURNPIKE ROAD LOCATION STREAM e 6�VSED LOT 7 3+/ ACRES u T.M.69-19E REVSED LOT 4 4.62 ACRES 2� pB, T.M.69-19C REVISED LOT 2 2• 7.70 ACRES u � �x � T.M.69-19D REVISED LOT 3 4.56 ACRES T.M.69-19J REMSEO LOT 8 8.92+/- ACRE! ELL la / ■ REMSEDLOT 1 3.64 ACRES 150 �OOU EI ZP� SOSE NOpt\RRIW 5 v P EN04 Y713,��&U 2Y1i VDFI 09• ,209 MONUMENT ,11{P83 FOUND N VDH MONUMENT FOUND JU (qR lY 0 2so 6.2600 93���Np/ke 0% I '4F eG�i' I R OVERHEAD UTILITY LINES REVISED T.M.69-508 73 ACRES 1 F11 •1 P LE NOT TO SCALE VDH JUMENT VDH MONUMENT FOUND �aY N Q o vY z�N n, N Q.O. \ VDH ? �-mONUMENT FOUND VDH MONUMENT `CORNER IN FENCE POST VDH MONUMENT VDH FOUND RGINIA VIDHOFIHEAI.MH Protecting You and Your Environment Sewage Disposal Certification Letter Approval November 28, 2022 Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-19J (Site DF 5) HDID: 101-22-0396 Page 1 of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-43 10 Fax Important Note: Certification Approval for Site DF 5 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 1 E months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19J (Site DF5) HDID: 101-22-0396 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 4 bedroom house using a system design of 600 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: 1000- sh Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for ID sewage System ❑ Water Supply Owner Stockton Creek LLC c/o Alan Taylor Melling Address; 465 Second Street SE, 0 201 Charlottesville, VA 22902 Agent: Stockton Creak LLC cfo Alan Taylor Mailing Address: 456 2nd Street BE, Suite 2o1 Charlottesville, VA 22902 Site Address: TBD Afton, VA 22920 Directions to Property;I Corner of f ute 2W & RavM f C1 Subdivision: DF 5 Section: Tax Map: 69-19J Other Property info: ID VDH USE ONLY Health Dept. ID#l"^- •Oj (; Due Date: Phone: 512426.4728 Fax: Phone: Phone; 434-981.3634 Fax: Email: simpeondlommmbrusddonmamgementcom Block: Lot: Acreage: 6.92 Sewage sys�ffloalion of Approval: Applicants for new construction are advised to apply for a letter to determine if the land Is suitable for a sewagen and to apply fora construction permit (valid for 1@ months) only whendy to build. Certification Letter ❑ Construction Permit Proposed Use: Single Family Home. (Number of Bedroom*) 4 Other (Describe): ❑ Subdivison Approval ❑ Repair MutilFamily Home (Total 9 of Bedrooms) Basement ❑ Yes Walk -Out Basement? ❑ Yea Fixtures n Basement? ID No iB❑ Yea ❑ No ❑ No Conditional Permit Desired? ❑ Yes Q No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ IntenNttent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes" 0 No "Thare is a $50 fee for determinatinn of winihmh, Will the water supply be ❑ Public or ❑ private rIs the water supply ❑ Existing or ❑ Proposed If proposed, is this a replacement well? ❑ Yes No If yes, will the old well be abandoned? ❑ Yes ❑ No Will ar. bulldin s within 5U' of the well be termite treated? ❑ Yes No Is this a private sector OSEIPE application? � All Applicants ❑ Yes ❑ No If yes, Is the OSE package attached? Yes Is the property Intended to serve as ) principal P El No your (the owners) rind al lace of residence? ❑ Yea � No In order for VDH of process your epplk:atlon for a sewage system, you must attach a plat of the properly end a site sketch. For water supplies, a punt of the property la recommenced and a she sketch Is required. The site sketch should show your property Ilnea, actual and/or proposed buildings, and t sired location of your well and/or sewage system. When the she evaluation Is oontlucted, the property lines, truiWing tocatlor. and the swage sites must be decry marked and the property suificie Wslbie to see the to r blR.. �` pogrePhY. mineion to the VIrdbleveParunOnt of Neagh to enter onto the property described during normal business hours for the purpose of 10 this ap�on e d ! arform quality assurance checks of evaluations and designs ceN9ed-try a private sector Onalte Sou Evaluator slor r �ht. ary until the sewage dispossi system and/or private water supply P has been constructed and approved. KO ,9A �� �'� T/�,� .� \ ( o t243 i 22 Date Dm t Dow FaaS RDIDf P11MMIu Moot r ?4=1112MINtilinkill MW# Reo*! Pass of g ❑ Construction Permit ❑ Repair Permit Property Location: 911 Address: TBD Lot: Section: GPI N or Tax Map #. 69-191 Prepared by: OSE Name: Chris Hsj&e/ Address: PO PE Name: VA OSE/PE Report For: ❑ Voluntary Upgrade ED Certification Permit Letter Subdivision: DF5 Health Dept. ID #: Longitude: -•- - r , .vi carat[ Date of Revision #1: Date of Revision #2: of this report: S. Site Sketch & DralnWd Location & Sanitary Survey City, State, Zip: License # License # ❑ Subdivision Approval 22920 I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private Well Regulations (12VAC5.630), the Regulations for ARemat/ve Onslte Systems (12VAC5-613) and all other applicable laws, regulations, and policies Implemented by the Virginia Department of Hearth. I further certify that I currently posses 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 potential for butt. conventional and alternative onsite sewage systems has been discussed with the owner/applicant. G The wo '� ` §�4d tbith�'tover page has been conducted under an exemption to the practice of engineering, specifically the exemItCode of Vlr r. Section 54.1-402.A. 11 recommend that 0�❑Constructlopgsm 'r. ❑ Subdivision Approval be: ❑ Issued ��Le( �] Repair Permit El Voluntary Upgrade El Denied O .ty1y�• � •' /� SE/PE Signature Date: O` z V The form contalnS personal urformetbn Subject to 0780mure under /he Fmedo of Informeffon Act _. — Revised 12ID1114 Page 2 of G SOIL SUMMARY REPORT GENERAL INFORMATION F 10/27/2021 Submitted to: Albemarle County Health Department Stockton Creek LLC Go Alan Taylor Telephone Number. 512 4261t728 ress: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: StocMon creek LLC cto Alen Taylor Address: 455 2nd Sleet SE, sure tot CharlotleWoe, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19.1 Subdivision: Blk/Sec: Site: 5-1 1. Position in Landscape Satisfactory: O Yes ❑ No Describe: Convex Upland Sideslo e 2. Slope: 6 % 3. Depth to Rock or Impervious Strata: Max. 33" Min. 19" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed ❑ Yes P1 19" 5. Free Water Present? 121 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 1Z Yes Texture Group: I ❑ II ❑ III 0 IV ❑ ❑ No Estimated rate: 80 mpi @ 1" 7. Permeability Test Performed? El No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA O Site Approved. Drainfield to be placed at 1 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notea: 93 3 oar(. Heltzel Soil Eval Date; 10/27/21 Address; Stockton Creek Consul tirw Draiafield•5-1 Profile IHorl2onl 1]enth I Pl Ap 0-8 . V .n "` `Odin, wean memum granular structure, very friable, many roots — II E 5-12 10YR 8/4 loam, weak medium subangular blocky structure, friable, common roots II Bt 12-33 8YR 8/8 clay loam, moderate medium subangular blocky structure, friable, common roots III C 33-60 SYR 5/8 and 10YR 6/6 heavy silty clay loam, friable, few roots, few 10YR 6/2 iron depletions III P2 Ap 0-4 1 OYR 2/2 loam, weak medium granular structure, very friable, many roots II E 4-11 10YR 8/4 loam, weak medium subangular blocky structure, friable, common roots II Bt 11-24 8YR 5/8 clay loam, moderate medium subangular blocky structure, friable, common roots III C 24-89 SYR 5/8 and 1 OYR 6/6 heavy silty clay loam, friable, few roots, few 1 OYR 6/2 iron depletions III P3 Ap 0-6 10YR 2/2 loam, weak medium granular structure, very friable, many roots II Bt 8-19 SYR 5/8 clay loam, moderate medium subangular blocky structure, friable, common roots III C 19-46 SYR 6/6 and 1 OYR 6/8 clay loam, firm, few 1 OYR 6/2 iron depletions III P4 A 0-6 10YR 2/2 loam, weak medium granular structure, very friable, many roots II E 6-11 1 OYR 5/4 loam, weak medium subangular blocky structure, friable, common roots II Bt 11-21 SYR 5/8 clay loam, moderate medium subangular blocky structure, friable, common roots III C 21-80 5YR 5/6 clay loam, fum, few 10YR 6/2 iron depletions, few 10YR 6/6 lithochromic mottles III PS A 0-7 1 OYR 2/2 loam, weak medium granular structure, very friable, many roots lI Bt 7-23 7'SYR 5/6 clay loam, moderate medium subangular blocky structure, friable, common roots III C 25-74 2.5YR 5/8 and IGYR 6/8 heavy silty clay loam, firm, few roots III Ps A 0.3 10YR 2/2 loam, weak medium granular structure, very friable, many roots II E 5-11 10YR 8/4 loam, weak medium subangular blocky structure, friable, common roots II Bf i 1-25 SYR 9/8 clay loam, moderate medium subangular blocky structure, friable, common roots C 28-51 6YR 8/8 and 1 OYR 6/6 silty day loam, friable, few roots, few 1 OYR 6/2 iron depletions III Heitzei Soil Consulting LLC Abbreviated Design -TL3 to Drip Disposal Site 5-1 Albemarle County Page 4 of G ercolation rate. (minutes er inch) 80 nded dri tubin installation. inches) 1 =Estimated pervious strata/ or water table/ or limit of evaluation. (inches) e aration distance required. (inches 2121 1 distances in inches provided in design. 20 20 20 f. Slope ercenta e) 9 Is the slope greater than 10, 20 or 30%? No I. If Ag is Yes, does 24 inches or greater to roc�mpervious strata exist below Ab? No B a.Design Type? TL3 b.Soil Loadin Rate, gpde EqE4 C. a. Number of bedrooms. b. Gallons erda in desi n D. a. Len th of run. (feet 100 b. Len th of available area. (feet) 100 E. Width of drip tubing. (inch) 1 F. Number of runs. 1s G. Center -to -centers acin .(f=afl 2 H. a. Width required, feet 31 b. Width of available area. (feet) 67 I. a. Total square footage require 2857 b. Total square foota a in design 3100 J. a. Linear feet of dri tubin required 1429 b. Linear feet of dri tubin provided 1650 K. a. Is a reserve area re uired? Yes X No b. Percent re uired 100% c. Percent available 100% Notes: Design is the same for RESERVE Heltzel Soil Consulting LLC 1412 Saumsdle Road, Mauredown, VA 22644 #12 SITE 5-1 SKETCH TM # 69-19J ALBEMARLE COUNTY, VA 100.00, Page 4!� of (o me \--/-- WELL AREA October 24, 2022 DRAWN BY: CSH 'O' '°°" " Heltzel Soil Consulti 1412 Saumevllle Road, Maurartown, VA 22644 REAM BUFFER ' I #12 9-19H D LOT 7 ACRES I WELL MMA October 28, 2022 DRAWN BY: SNV LLC DRAINFIELD LOCATION SKETCH TM # 69-19J ALBEMARLE COUNTY, VA Page l of b I f 1 06 1 61 T. M 3nBbt 8.7 �_. T.M.69-19J 1361 REVISED LOT 8 8.92+/- ACRES, � WELL#16 / w i (loom O' 100• 200, 300' Heltzel Soil Consulting, LLC PO Box 554. Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND (30'PRESCRIP7IVE EASEMENT) VDH � MONUMENT FOUND VDH MONUMENT FOUND EXISTING STOCKTON CREEK S T.M.69-19G ���/// REVISED LOT 6 fie. 2.63 ACRES �^�^ ® T.MS.6E9p-191 ins 11%,( S/ �� lot- t� 3� / T.M.69-19F REVISED LOT 5 \\ /\ 4.63 ACRES REVISED LOT 4 4.62 ACRES E lti > 14, T.M.69- aka REVISED 2 • 7.70 Al -ME L TM.69-19D REVISED LOT 3 4.56 ACRES e' ELLMJ9 S / VDH MONUMENT FOUND 7 Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT STATE ROUTE 803 (30'PR G ODLOE LEASEMENT) T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT wH MONUMENT wH � MONUMENT FOUND PROPOSH STOCKTON CREEK S .Tw 2M RCPES `// znuxa SE �g1 SIN -579 NPO8A�2� M1tU VX wH 01.1? VYDHOFI HEAtTH ENT Protecting You and Your Environment Sewage Disposal Certification Letter Approval November 28, 2022 Page l of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-4310 Fax Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, 4201 pppRp�ED Charlottesville, VA 22902 RE: Tax Map: 69-19J (Site DF 9) HDID: 101-22-0399 Important Note: Certification Letter Approval for Site DF 9 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163. et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19J (Site DF 9) HDID: 101-22-0399 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsitc sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issueed by: i / sh Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA AppllWion for, 0 Sewage System ❑ Water Supply Owner: Stockton Creek LLC c/o Alan Taylor Mailing Address: 455 Second Street BE, 111201 Charlottesville, VA 22902 Agent: Stockton Creek LLC c/o Alan Taylor Mailing Address: 4M 2nd Street BE, Suite 201 Charlottesville, VA 22902 Site Address: TBD Afton, VA 22920 Directions to Property: Comer of Route 250 B Route f5f Phone: Fax: VDH USE ONLY Health Dept. IDS 10 ' 22.03` q Due Date: 612-4264728 Phone: Phone: 434-981.3634 Fax: Emall: simpsonifileaasoonsbuctlonmenagemwA.cam Subdivision: DF 9 Section: Block: Lot: Tax Map: 69.19J Other Property Into: Acreage: 8.92 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if the land Is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. 0 Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total # of Bedrooms) Other (Describe): Basement Yes Walk -Out Basement? F±1 Yes Fbrhires in Basement? Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yea E] No ifyes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes' O No Water Supply Will the water supply be ❑ Public or Private Is the water supply ❑ Existing or 21 Proposed If proposed, is this a replacement well? ❑ Yes No byes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within 60' of the well be termite treated? ❑ Yes ❑' No All Applicants Is this a private sector OSE/PE application? El Yes ❑ No If yes, Is the OSE package attached? p Yes ❑ No Is the property Intended to serve as your (the owners') principal place of residence? In order for VDH of process your application for a sewage system, you must attach a ❑ Yes 0 No a a plat of the property Is recommenced and a she sketch Is required. The site sketch should show your property Ones, 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 marked and the property sufficiently visible to see the topography. I give pe "7h6. i + partmem of Health to enter onto the property described during normal business hours for the purpose of application at{rF dorm gualfir assurance chocks at evaluations and pastime cer9fled by a private sector Onsite Soil Evaluator or s�%net Engineer as until the sewage di s el system and/or private water supply has been constructed and approved. CtkRH51 EO Z�n $ 7 c) 1940001460 Sion ra.o er(Aaertt ., Date Y M Sgaw OLUM lr Dure Braatsat DMDW 66— mm if Pfnd.! MGM 0 _ b m""aw"o MmIr Reasgittf, page— — of ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade Permit Certification Letter ❑ Subdivision Approval Property Location: 911 Address: TBD City, State, Zip: Afton, VA 22920 Lot: Section: Subdivision: DF 9 GPIN or Tax Map #: 69.191 Health Dept. ID #: Latitude: Longitude: Owner: Name: Stockton Creek LLC do Alan Taylor Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Prepared by: OSE Name: Chris Heltzet License # 1940-001460 Address: PO Box 564, Woodstock VA 22664 PE Name: License # Address: Date of Report: 10/26/2022 Date of Revision #1: Date of Revision #2: Contente/index of this report: 1. Cover Sheet 5. Site Sketch 2. Soil Evaluation 6. Drainfield Location B Sanitary Survey 3. Profiles 4. Abbreviated Design Certification Statement I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private We# Regulations (12VAC5-630), the Regulations forAttemetive Onslte Systems (12VAC5-613) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duly Issued by the applicable agency charged with Ilcensure to perform the worK contained herein. The pote" ial for both conventional and altemative onsite sewage systems has been discussed with the owner/applicant. C The work ' cover page has been conducted under an exemption to the practice of engineering, specifically the exam ¢dde Section 54.1 402.A.11 G I recommend that] Construction Pef�ai ❑ Subdivision Approval be: 0 issued ller7 ❑ Repair JPermit ❑ Voluntary Upgrade /�❑ Denied r Lic No.1940001460 m (Zg (2 o5E/PE 5ignatu L i Date, N� Hwy Tne form contafas personal hdormefion subject to disclosure under tha Freedom of Information Act. Revised 12101114 Page of L SOIL SUMMARY REPORT GENERAL INFORMATION Date: 10/31/2021 Submitted to: Albemarle County Health Department Owner. Stockton Creek LLC Go Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stoddon Creek LLC do Alan Taylor Address: 455 2nd Street SE: Suite 201 Cheriottesdlie, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19J Subdivision: BlklSec: Site: 9-1 1. Position in Landscape Satisfactory: O Yes ❑ No Describe: Convex Upland Sideslo e 2. Slope: 6 % 3. Depth to Rock or Impervious Strata: Max. 24" Min. 20" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed ❑ Yes [21 20" 5. Free Water Present? O No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 0 Yes Texture Group: I ❑ II ❑ III [21 IV ❑ ❑ No Estimated rate: 90 mpi @ 1" 7. Permeability Test Performed? 2 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 0 Site Approved. Drainfield to be placed at 1 " depth at site designated on permit. Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: b 3." Atldseaa: Stockton Creek Profile IHorizonl Depth Heltzel Soil Cronsnitia� Eval Date: 10/31/21 Drainfield: 8-1 I OYR 4/3 silt loam, weak medium granular structure, very III PI Ap 0-5 friable, many roots IOYR 6/4 loam, weak fine subangular blocky structure, II E 5-10 friable, common roots SYR 3/8 clay loam, moderate medium subangular blocky Bt 10-24 structure, friable, common roots 2.5YR 3/6 and SYR 5/8 silty clay loam, slightly firm, few C 24-46 roots, common IOYR 6/8 lithochromic mottles, few 10YR III 8/1 iron depletions 1OYR 4/3 silt loam, weak medium granular structure, very III P2 Ap 0-3 friable, many roots IOYR 5/4 loam, weak fine subangular blocky structure, II E 3-12 friable, common roots SYR 6/8 clay loam, moderate medium subangular blocky III Bt 12-22 structure, friable, common roots 2.8YR 5/6 and SYR 5/8 silty clay loam, slightly firm, few C 22-48 roots, common 10YR 6/8 lithochromic mottles, few IOYR III 6/1 iron depletions lOYR 4/3 silt loam, weak medium granular structure, very III P3 Ap 0-4 friable, many roots IOYR 6/4 loam, weak fine subangular blocky structure, II E 4-10 friable, common roots 7.8YR 5/6 clay loam, moderate medium subangular blocky III Bt 10-22 structure, friable, common roots 7.5YR 5/8 and 8" 5/8 silty clay loam, slightly firm, few C 22-45 roots, common IOYR 6/8 lithochromic mottles, few IOYR III 6/1 iron depletions IOYR 4/3 silt loam, weak medium granular structure, very III P4 A 0-3 friable, many roots 10YR 6/4 loam, weak fine subangular blocky structure, II E 3-10 friable, common roots SYR 5/8 clay loam, moderate medium subangular blocky III Bt 10-20 structure, friable, common roots 2.SYR 8/6 and SYR 5/8 silty clay loam, slightly firm, few III C 20-48 roots, common IOYR 6/2 iron depletions lOYR 4/3 silt loam, weak medium granular structure, very III PS Ap 0-5 friable, many roots lOYR 6/4 loam, weak fine subangular blocky structure, II E 6-12 friable, common roots 7.8YR 5/6 clay loam, moderate medium subangular blocky Bt 12-24 structure, friable, common roots 7.8YR 5/8 and BYR 6/8 silty clay loam, slightly firm, few C 24-48 roots, common IOYR 6/8 lithochromic mottles, few IOYR III 6/1 iron depletions Heltzel Soil Consulting, LLC Abbreviated Design -TL3 to Drip Disposal Site 9-1 Albemarle County Page '� of b A. a. Estimated percolation rate. (minutes per inch) 90 b. Recommended drip tubing installation. inches 1 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 20 20 20 d. Minimum separation distance required. (inches) 19 12 24 e. Separation distances in inches provided in design. 19 19 19 f. Slope (percentage) 6 Is the slope greater than 10, 20 or 30%? No i. If Ag is Yes, does 24 inches or greater to rock/impervious strata exist below Ab? No B a.Design Type? TL3 b.Soil Loading Rate, d/ft2 0.19 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of run. (feet) 75 b. Length of available area. (feet) 75 E. lWidth of drip tubing. (inch) 1 F. Number of runs. 30 G. Center -to -center spacing. (feet) 2 H. a. Width required, feet 59 b. Width of available area. feet 141 I. a. Total square footage required 3947 b. Totalsquare footage in design 4425 J. a. Linear feet of drip tubing required 1974 b. Linear feet of drip tubing provided 2213 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Design is the same for RESERVE Heltzel Soil Consulting, LLC 1412 SaumWile Road, Mauredow, VA 226" SITE 9-1 SKETCH TM # 69-19J ALBEMARLE COUNTY, VA P2 1P1 WE 9-1 *P5 P3i � \ 04 �0 142► -�6 �-/-� Page ; of G Jac; \. WELL AREA WELL \ T.M.69-19J REVISED LOT 8 i \\,,- V 8_92+ /- ACRES October 24, 2022 0• eo• too, 150, DRAWN BY: CSH iiiia Heltzel Soil Consulting, LLC 1412 Saumsvllle Road, Maurertown, VA 22644 REAM BUFFER i #12 9-19H D LOT 7 ACRES I 7 WELD ARM I DRAINFIELD LOCATION SKETCH TM # 69-19J ALBEMARLE COUNTY, VA 452' P O L „ WELL #14 1we (0 of(a I m eaen I ' o 5� ��.ad uic w�� I #15 I October 28, 2022 DRAWN BY: SNV R I--- Ila T.M. Eau 8.7 113 VIEU T.M.69-19J 00 EA REVISED LOT 8.92+/- AC WELL #16 / W O' 100' 200, 300' Heltzel Soil Consulting, LLC PO Box 564, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT (30'PRESCRIPTIVE EASEMENT) VDH MONUMENT FOUND EXISTING STOCKTON CREEK S ST.RT.7° oLD Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT PROPOSEC STOCKTON CREEK S VDHOFEHEALTHVIRGINIA PARTMEHT Protecting You and Your Environment Sewa$e Disposal Certification Letter Approval December 7, 2022 Stockton Creek, LLC CIO Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-50B (Site 7A-1 & 8A-1)) HDID: 101-22-0397 Page 1 of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-4310 Fax APPROVED Important Note: Certification Letter Approval for Site DF 7A-1 & 8A-1 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-50B (Site DF 7A-I & 8A-1) HDID: 101-22-0397 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located), however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: /ed/ h Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for, 2 Sewage System ❑ Water Supply (honer. Stockton Creek LLC c/o Alan Taylor Mailing Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC clo Alan Taylor Mailing Address: 455 2nd Street SE, Suite 201 Charlottesville, VA 22902 Site Address: THD Afton, VA 22920 Directions to Property. Comer of Route 250 & Route 151 VDH USE ONLY Health Dept. IN 10) -ZZ-0347 Due Date: Phone: 512426.4728 Fax: Phone: Phone: 434-881-3834 Fax Email: a,mpeen@ytlaecooebuctbmnanaeemmtcom Subdivision: DF 7A-1 & SA-1 Section: Block: Lot: Tax Map: 89-51013 Other Property Info: Acreage: 8.73 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if the land is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. ❑ Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total # of Bedrooms) Other (Describe): Basement Yes Walk -Out Basement? Yes Fbdures in Basement? Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes G No If yea, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes" [D No "There is a $50 fee for determination of eligibility. Water Supply Will the water supply be ❑ Public or F'j Prime Is the water supply ❑ ExisBng or [21 Proposed If proposed, is this a replacement well? ❑ Yes No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within 50' of the well be termite treated? ❑ Yes No All Applicants Is this a private sector OSEIPE application? @I Yes ❑ No If yes, Is the OSE package attached? Yes ❑ No Is the property Intended to serve as your (the owners') principal place of residence? ❑ Yea 0 No In order for VDH of process your application for a sewage system, you must attach a plat of the property and a site sketch. For water supplies, a plat of the property is recommenced and a site sketch is required. The site sketch should show your property lines, actual and/or proposed buildings, and the d i location of your well and/or sewage system. When the site evaluation Is conducted, the property lines, building location and the pro a sites must be clearly marked and the property sufficiently visible to see the topography. I give p ssAIn to the Virginla or F'ro Tonal to lmrHa neom of Health to enter onto the property described during normal bualneaa hours for the purpose of ualty assurance checks of evaluations and designs certified by a private sector Onade Soil Evaluator the sewage disposal system and/or private water supply has been constructed and approved. Date sari.,�..r�.�s..r.runr..sr.re.wws...�r.�n.r..tr.rr.�ae. anlrr>rraws YiiiJ�i�6c Duet. DweDave Pitm"Opehleet# E1D# Race*11 Page of _a ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade Certification Permit Letter ❑ Subdivision Approval Property Location: 911 Address: TBD City, State, Zip: Afton, VA 22920 Lot: Section: Subdivision: DF7A-1 & 8A-1 GPIN or Tax Map # 09-SOB Health Dept. ID # Latituae: Longitude: Owner : Name: Stockton Creek LLC Go Alan Taylor Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Prepared by: OSE Name: Chris Heltzel License # 1940-001460 Address: PO Box 554, Woodstock, VA 22604 PE Name: License # Address: Date of Report: 10/28/2022 Date of Revision 0111: Date of Revision #2: Contentslindax of this report: 1. Cover Sheet 9. Site Sketch 2-3. Soli Summaries 9. Drainifile/d Location & Sanitary Survey 4-5. Profiles 0.7. Abbreviated Designs Cord icatlon Statement I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5.610), the Private Well Regulations (12VAC5.630), the Regulations for A/temative Onsite Systems (12VAC5.613) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that i currently posses 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 potential for both conventional and alternative onsite sewage systems has been discussed with the owner/applicant. ❑�ne'-^ cover page has been conducted under an exemption to the practice of engineering, specifically the la Section 54.1-402.A.I I I recomment ❑ Subdivision Approval be: ❑ Issued qo ❑ Repair Permit ❑ Voluntary Upgrade ❑ Denied OSEIPE SiData r' CQA.��vFonhst,`�s The form contains personal information subject to disclosure under the Freedom of Urformation Act Revised 12)01114 Page 2 of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/10/2021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stoddon Creek LLC Go Alan Taylor Address: 455 2nd Stmet SE, Suite 201 Charlottesville, VA 22902 Property Location: TBD Tax Map/GPIN: 69-50B Subdivision: Blk/Sec: Site: 8A-1 1. Position in Landscape Satisfactory: 171 Yes ❑ No Describe: Convex Upland Sidesio e 2. Slope: 14 % 3. Depth to Rock or Impervious Strata: Max. 60+" Min. None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed 0 Yes ❑ 5. Free Water Present? 0 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: ❑ Yes Texture Group: I ❑ 11 ❑ 111 ❑ IV ❑ No Estimated rate: 75 mpi @ 20" 7. Permeability Test Performed? El No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA ❑ Site Approved. Drainfield to be placed at 20 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ tnsufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: PRIMARY Page 3 of Ck SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/10/2021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number: 5124264728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 :Agent: Stockton Creek LLC do Alan. Taylor Address: 455 2nd Street SE, Suite 201 Charlottesville, VA 22902 Property Location: TBD Tax Map/GPIN: 69-50B Subdivision: Blk/Sec: Site: 7A-1 1. Position in Landscape Satisfactory: 21 Yes ❑ No Describe: Convex Upland Sideslo e 2. Slope: 13 % 3. Depth to Rock or Impervious Strata: Max. 59"+ Min. None 4. Depth to seasonal water table (gray mottling or gray color): Not Observed O Yes ❑ 5. Free Water Present? 0 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: Yes Texture Group: I ❑ II O 111 ❑ IV ❑ ❑ No Estimated rate: 75 mpi @ 15" 7. Permeability Test Performed? O No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 0 Site Approved. Drainfield to be placed at 15 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: 100% RESERVE Py s(o" Address: Stockton Creek Heltzel Soil Consuitina Eval Date:9/10/2021 Dr4infield•8A-1 1 Profile jHorizor Depth I Description pexuirel 1OYR 4/3 silty clay, weak fine subangular blocky structure, IV Pl Ap 0-9 friable, many roots SYR 3/6 silty clay loam, moderate medium subangular III Bt 9-25 blocky structure, friable, common roots, 8% cobbles SYR 4/6 silty clay loam, weak medium subangular blocky BCt 26-38 structure, friable, common roots, 5% cobbles, common III IOYR 6/6 parent material mottles 1OYR 6/6 and SYR 5/6 light silty clay loam, structureless- C 35-58 massive, friable, few roots, 8% cobbles P2 Ap 0-9 10YR 4/3 silty clay, weak fine subangular blocky structure, IV friable, many roots 8YR 8/6 silty clay loam, moderate medium subangular III Bt 9-22 blocky structure, friable, common roots, 5% cobbles SYR 4/6 silty clay loam, weak medium subangular blocky BCt 22-33 structure, friable, common roots, 8% cobbles, common III IOYR 9/8 parent material mottles IOYR 6/6 and SYR 5/6 light silty clay loam, structureless- III C 33 88 massive friable, few roots, 8% cobbles IOYR 4/3 silty clay, weak fine subangular blocky structure, rV P3 Ap 0 6 friable, many roots SYR 5/6 clay loam, moderate medium subangular blocky III Bt 8�5 structure, friable, common roots, 5% cobbles SYR 5/6 silty clay loam, weak coarse subangular blocky BCt 38-40 structure, friable, common roots, S% cobbles, common III 10YR 6/6 parent material mottles SYR 5/8 and 1 OYR 6/8 light silty clay loam, structureless- III Ct 40-80 massive, friable, few roots, 5% cobbles 10YR 4/3 silty clay, weak fine subangular blocky structure, IV P4 A p 0-9 friable, many roots SYR 5/6 clay loam, moderate medium subangular blocky ffi Bt 9-32 structure, friable, common roots, 5% cobbles SYR 8/6 silty clay loam, weak coarse subangular blocky BCt 32-38 structure, friable, common roots, 5% cobbles, common III lOYR 6/6 parent material mottles SYR 8/8 and 1 OYR 6/8 light silty clay loam, structureless- III C 38-60 massive, friable, few roots, 8% cobbles IOYR 4/3 silty clay, weak fine subangular blocky structure, rV PS A p 0-T friable, zany roots SYR 5/8 clay loam, moderate medium subangular blocky III Bt T-35 structure, friable, common roots, 8% cobbles SYR 8/8 silty clay loam, weak coarse subangular blocky BCt 35-43 structure, friable, common roots, 5% cobbles, common in 1 OYR 6/6 parent material mottles SYR 5/6 and IOYR 6/6 light silty clay loam, structureless- III C 43-60 massive, friable, few roots, 5% cobbles (9 Saka Address: Stockton Creek PI P2 P3 P4 P5 Seltael soil Eval Date:s/10/2021 Drainfield: TA-1 10YR 4/3 silt loam, weak medium granular structure, Ap 0-8 friable, many roots 5YR 6/6 clay loam, strong medium subangular blocky Bt 8-24 structure, friable, common roots 5TR 6/8 and lOTR 6/6 light silty clay loam, weak medium BCt 24-33 subangular blocky structure, friable, few roots SYR 5/6 and IOYR 6/8 silt loam, structureless-massive, C 33-56 friable, few roots Ap 0-9 1 OYR 4/3 silt loam, weak medium granular structure, friable, many roots Bn 6/6 clay loam, strong medium subangular blocky III Bt 9-25 structure, friable, common roots, 8% cobbles BCt 25-32 5YR 6/6 and 10YR 6/6 light silty clay loam, weak medium III subangular blocky structure, friable, few roots, 3% cobbles SYR 8/6 and 10TR 6/8 silt loam, struchrreleas-massive, III C 32-86 friable, few roots lOTR 4/3 silt loam, weak medium granular structure, III Ap 0-8 friable, many roots SYR 6/6 clay loam, strong medium subangular blocky M Btl 8-85 structure, friable, common roots SYR 5/6 silty clay loam, moderate medium subangular Bt2 26-40 blocky structure, friable, few roots, few 10YR 4/6 parent III material mottles SYR 5/6 heavy silt loam, structureless-massive, friable, few III C 40-89 roots, few IOYR 6/2 iron depletions 10YR 4/3 silt loam, weak medium granular structure, III Ap 0 T friable, many roots SYR 6/6 clay loam, strong medium subangular blocky III Bt 7-23 structure, friable, common roots SYR 6/8 and IOYR 6/6 light silty clay loam, weak medium III BCt 23-34 subangular blocky structure, friable, few roots SYR 5/8 and 10YR 6/8 silt loam, structureless-massive, III C 34-54 friable, few roots IOYR 4/3 silt loam, weak medium granular structure, III Ap 0-6 friable, many roots 8TR 6/6 clay loam, strong medium subangular blocky III Bt 6-26 structure, friable, common roots SYR 6/6 and l OYR 6/8 light silty clay loam, weak medium III BCt 26-34 subangular blocky structure, friable, few roots 8YR 5/6 and IOYR 6/8 silt loam, structureless-massive. III C 34-85 friable, few roots Heltzel Soil Consulting, LLC Page (o of Abbreviated Design - TU Effluent with Trenches Site 8A-1 Albemarle County PRIMARY A a. Estimated percolation rate. (minutes per inch) 75 b. Recommended trench bottom. inches 20 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) so so 60 d. Minimum separation distance required. inches 18 12 24 e. Separation distances in inches provided in design. 40 40 40 f. Sloe (percentage) 14 g. Minimum trench bottom due to slo e . (inches) 13 h. Is the slope greater than orequal to 10%? Yes i. If Ai is Yes, does 24 inches or greater to rockrimpervious strata exist below Ab? Yes j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 6 e a.Design Type? n3 b.Trench bottom square feet required loading rate, gpdtft2 0.59 c. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of trench. feet 100 b. Length of available area. (feet) 100 E. Width of trench. feet 3 F. I Number of trenches. 5 G. Center-to-centerspacing. (feet) 9 H. a. Width required. feet 39 b. Width of available area. (feet) 70 I. Trench bottomsquare footage required. 1271 ,t. Trench bottomsquare footage in design. 1500 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Heltzel Soil Consultinq, LLC Page I of 4 Abbreviated Design - TU Effluent with Trenches Site 7A-1 Albemarle County RESERVE A. a. Estimated percolation rate. (minutes per inch) 75 b. Recommended trench bottom. inches 15 c. Depth to impervious strata/ or water table/ or limit of evaluation. Inches 32 32 32 d. Minimum separation distance required. inches is 12 24 e. Separation distances in inches provided in design. 17 17 17 f. Sloe (percentage) 13 Minimum trench bottom due to slope. inches 12.5 h. Is the sloe greater than orequal to 10%? Yes i. If Ai is Yes, does 24 inches or greater to rocklimpervious strata exist below Ab? No j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 1 B. a. Design Type? TU b.Trench bottomsquare feet required loading rate, pd/f12 0.58 c. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of trench. feet 100 b. Length of available area. (feet) 100 E. 1width of trench. feet 3 F. I Number of trenches. 5 G. Center-to-centerspacing. feet 10 H. a. Width required. feet 43 b. Width of available area. Meet I. Trench bottomsquare footage required. 1271 J. Trench bottomsquare footage in design. 1500 K. a. Is a reserve area required? Yes X I No b. Percent required 100% c. Percent available 100% Notes: Heltzel Soil Consulting, LLC 1412 Saumsville Road, Maurertown, VA 22644 103' 1 SrrE sat October 24, 2022 DRAWN BY: CSH SITE 8A-1 & 7A-1 SKETCH TM # 69-50B ALBEMARLE COUNTY, VA SrrE 8A-1 *P5 P2; ♦P5 100.00, lllc� WELL AREA �44' ♦ .SOS Pi �149' -� SITE 7A-1 P2' 0 Page qof Q 9 /il Heltzel Soil Consulting, LLC 1412 SaumsviAe Road, MaureRown, VA 22644 11 [19B OT 1 RE 6' DRAINFIELD LOCATION SKETCH TM # 69-50B ALBEMARLE COUNTY, VA =&i SM 8M1 October 28, 2022 DRAWN BY: CSH REVISED T.M.69-50B 8.73 ACRES ioo.oa me VMLL AREA #17 Page`1 ofQ I VDH .-MONUM FOUN VD H JNUMENT FOUND VIRGINIA VXDHOF HEALTH DEPARTMEHT Protecting You and Your Environment Sewage Disposal Certification Letter Approval December 7, 2022 Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-50B (Site 7B-1 & 8B-1)) HDID:101-22-0398 Page I of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434)972-6219 Voice (434)9724310 Fax APPROVED Important Note: Certification Letter Approval for Site DF 7B-1 & 811-1 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-50B (Site DF 7B-1 & 8B-1) HDID: 101-22-0398 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property- will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. if you have any questions, please contact me. Issued by: 4 / JoOfKirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for. E Sewage System ❑ Water Supply Owner. Stockton Creek LLC c/o Alan Taylor Mailing Address: 466 Second Street SE, # 201 Charlottesville, VA 22902 Agent Stockton Creek LLC c/o Alan Taylor Mailing Address: 456 2nd Street SE, Sune 201 Charlottesville, VA 22902 Site Address: TOD VA 22920 Directions to Property: VDH USE ONLY Health Dept IDa 1I? �ZZ'Q )Q Due Date: Phone; 6124264728 Fax: Phone: Phone: 434-981-3634 Fax: Email: simpeon@aUe nsbvcaonmanagememeom Subdivision: DF 7113•1 8: 88•1 Section: Block: Lot: Tax Map: 69-50B Other Property Info: Acreage: 8.73 Sewage system Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine If the land Is suitable for a sewage system and to apply for a construction permit (valid for 19 months) only when ready to build. 121 Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total # of Bedrooms) Other (Describe): Basement El Yes Walk -Out Basement? Yes Fixtures in Basement? I] Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter ❑ Yes" 0 No "There is a $50 fee for determination of eligibility. Water Supply Will the water supply be ❑ Public or Private Is the water supply ❑ Existing or [D Proposed If proposed, Is this a replacement well? ❑ Yes El No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildin s within 50` of the well be termite treated? ❑ Yes ❑' No All Applicants Is this a private sector OSE/PE application? Yes ❑ No If yes, Is the OSE package attached? Yes ❑ No Is the property Intended to serve as your (the owners) principal place of residence? ❑ Yes I] No In order for VDH of process your application for a sewage system, you must attach a plat of the property and a site sketch. For water suoolies. a purr ur ure property is recommenoea ana a site sxetcn 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 locetion and the pro sites must be cleariy.,narked and the property su8identty visible to see the topography. I give iiwkn to the Virgintlmerlt of Health to enter onto the property described during normal business hours for the purpose of pro this application a d rrn quality assurance checks of evaluations and designs oeditd by a private sector Onshe Soil Evaluator ur P lonal ntii the sews disposal sysrem and/or private water supply has been constructed and approved. C HELT, VicNa.19400L^1450 1 v �o(Zg (22 Sgnatu (qme t _ a� _ Date leer. •rrr•�sr+w�rr.y..+assw. W I,sar.ar.errrr.r�•a rrrrrwn vrxa L mot. V40111111eer•d: Do, Dw Yeob_,,,,_HDZDS A4pnaw most 1 fft=ot"Otbed0 i3HA4 Ra**1 Page of 1 ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade Permit El Certification Letter ❑ Subdivision Approval Property Location: 911 Address: TBD City State, Zip: Alton, VA 22920 Lot: Section: Subdivision: DF78-1 & 6&1 GPIN or Tax Map M 69-50B Health Dept. ID #: Latitude. Longitude: Owner Name: Stockton Creek LLC c/o Alan Taylor Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Prepared by: OSE Name: Chris Haltzel License # 191&001460 Address: PO Box 554, Woodstock, VA 22664 PE Name: License # Address: Date of Report: 10/2&2022 Date of Revision #1: Date of Revision #2: ContentsRndex of this report: 1. Cover Sheet 8. Site Sketch 2-3. Soli Summaries 9. Dralydleld Location & Sanitary Survey 4 5 Profiles 6-7. Abbreviated Desf ns Certification Statement 1 hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private Well Regulations (12VAC5-630), the Regulations forARematim Onsite Systems (12VAC5-613) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency cha h licensure to perform the work contained herein. The potenttai for both conventional and afttemative onsite sewage systems h with the owner/applicant. ❑ The r In to this co�vJ�r page has been conducted under an exemption to the practice of engineering, specifically the exe { In Code of Virginia n 54.1-402.A.11 am S7L7PHER S. 'Z I recommend that . UO ❑ Coryp@U Permit, ❑ Subdivision Approval be: ❑' issued rE�i6flBdli�I�QE`} $ Repair Permit ❑ Voluntary Upgrade ❑ Denied 08EIPE 3lgnaturo. 9�EONrrrc e0��'Date: `0(1 The r0mr Contains personal information subject to disclosure under the Freedom of Information Act Revised 12,V I/14 Page 2 of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/1012021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC do Alan Taylor Address: 455 2nd Street SE, Suite 201 Chadobtesville, VA 22902 Property Location: TBD Tax Map/GPIN: 69-50B Subdivision: Blk/Sec: Site: 813-1 1. Position in Landscape Satisfactory: 0 Yes ❑ No Describe: Convex Upland Sideslo e 2. Slope: 14 % 3. Depth to Rock or Impervious Strata: Max. 61+" Min. 32" None ❑ 4. Depth to seasonal water table (gray mottling or gray color): Not Observed ❑ Yes g 32" 5. Free Water Present? (D No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 0 Yes Texture Group: I ❑ II ❑ III Rl IV ❑ ❑ No Estimated rate: 75 mpi @ 15" 7. Permeability Test Performed? F1 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA E Site Approved. Drainfield to be placed at 15 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow, 5 ❑ Insufficient area of suitable soil for drainfeld and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: PRIMARY Page 3 of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 911012021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/o Alan Taylor Telephone Number: 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek Lac Uo Alan Taylor Address: 455 2nd Street SE, Suite 201 Charlottesrille, VA 22902 Property Location: TBD Tax Map/GPIN: 69-50B Subdivision: Blk/Sec: Site: 7B-1 1. Position in Landscape Satisfactory: 121 Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 13 % 3. Depth to Rock or Impervious Strata. Max. 58"+ Min. None El 4. Depth to seasonal water table (gray mottling or gray color): Not Observed El Yes ❑ 5. Free Water Present? I] No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 2 Yes Texture Group: I ❑ II ❑ III D IV ❑ ❑ No Estimated rate: 70 mpi @ 3" 7. Permeability Test Performed? 2 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 21 Site Approved. Drainfield to be placed at 3 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: 100% RESERVE Address: Stockton Creek P1 P2 P3 P4 P5 ?) 4oFg Heltzel Soil dal Date: 9/10/2021 Consultlna Drainfield:e& I Ap 0-10 .. u"Ju uun:ay auu� fuse, III friable, many roots Bt 10-27 8YR 5/6 clay loam, moderate medium subangular blocky structure, friable, common roots, III C 27-56 5YR 5/8 and 1 OYR 6/8 light silty clay loam, st mchlreless- massive, friable, few roots, 5% cobbles III Ap 0-6 10YR 4/3 silt loam, weak fine subangular blocky structure, friable, many roots Bt 6-34 5YR 5/6 clay loam, moderate medium subangular blocky structure, friable, common roots, 5% cobbles 5YR 5/6 silty clay loam, weak coarse subangular blocky BCt 34-43 structure, friable, common roots, 5% cobbles, common III 10YR 6/6 parent material mottles Ct 43-61 SYR 5/8 and 1 OYR 6/8 light silty clay loam, structureless- massive, friable, few roots, 5% cobbles III Ap 10YR 4/3 silt loam, weak fine subangular blocky structure, 0-9friable, many roots III Bt 8-28 SYR 8/6 clay loam, moderate medium subangular blocky structure, friable, common roots, III C 28-80 5YR 5/8 and IOYR 6/8 light silty clay loam, structureless- III massive, friable, few roots, 5% cobbles Apl 0-8 10YR 4/3 silt loam, weak fuze subangular blocky structure, III very friable, many roots Apt 8-14 10YR 3/3 silt loam, weak fine subangular blocky structure, III friable, many roots Bt 14-32 7.5YR 5/8 clay loam, moderate medium subangular blocky structure, friable, common roots Ill C 3MO 7.5YR 8/6 and 1 OYR 5/6 silty clay loam, structureless- III massive, friable, few roots, few 1 OYR 6/2 iron depletions Ap 0-8 1 OYR 4/3 silt loam, weak fine subangular blocky structure, friable, many roots Btl 8-20 5YR 8/6 silty clay loam, moderate medium subangular III blocky structure, friable, common roots, 5YR 5/6 silty clay loam, moderate coarse subangular Bt2 20-44 blocky structure, friable, common roots, few 10YR 6/2 iron III depletions C 44-50 5YR 5/6 and IOYR 6/6 silty clay loam, struct reless- III massive, friable, few roots, few IOYR 6/2 iron depletions A&Iress: Stockton Creek P1 P2 P3 P4 P5 Q3 Svk a 8eltael Soil Ebal Date: 9/10/2021 Consultina Drainfield: TB-1 Ap IOYR 4/3 silt loam, weak medium granular structure, 0 8 III friable, many roots Bt 8_27 SYR 6/6 clay loam, strong medium subangular blocky III structure, friable, common roots BCt 27-38 SYR 6/6 and IOYR 6/6 light silty clay loam, weak medium III subangular blocky structure, friable, few roots C 36-58 SYR 5/6 and IOYR 6/8 silt loam, stsuctureless-massive, friable, few roots Ap 0-7 IOYR 4/3 silt loam, weak medium granular structure, ffi friable, many roots Bt Y-86 SYR 8/6 clay loam, strong medium subangular blocky In structure, friable, common roots BCt 25-37 SYR 6/8 and 10YR 6/8 light silty clay loam, weak medium III subangular blocky structure, friable, few roots C 37-56 5YR 5/8 and IOYR 6/8 silt loam, structureless-massive, III friable, few roots Ap 0-9 1 OYR 4/3 silt loam, weak medium granular structure, III friable, many roots Bt 9-27 SYR 5/6 clay loam, strong medium subangular blocky III structure, friable, common roots BCt 27-35 SYR 6/6 and I OYR 6/6 light silty clay loam, weak medium III subangular blocky structure, friable, few roots C 38-85 SYR 8/6 and IOYR 0/8 silt loam, structureless-massive, M friable, few roots A p 0-10 1 OYR 4/3 silt loam, weak medium granular structure, III friable, many roots Bt SYR 6/6 clay loam, strong medium subangular blocky 10-23 III structure, friable, common roots BCt 23-31 SYR 6/6 and IOYR 6/6 light silty clay loam, weak medium subangular blocky structure, friable, few roots C 31-64 SYR 5/6 and IOYR 6/8 silt loam, structureless-massive, friable, few roots Ap 0-8 IOYR 4/3 silt loam, weak medium granular structure, III friable, many roots Bt 8-23 SYR 6/6 clay loam, strong medium subangular blocky III structure, friable, few roots C SYR 8/6 and 10YR 6/8 silt loam, structureless-massive, 23 52 III friable, few roots Heltzel Soil Consulting, LLC Page � of a Abbreviated Design - TU Effluent with Trenches Site 8B-1 Albemarle County PRIMARY A. a. Estimated percolation rate. (minutes per inch) 75 b. Recommended trench bottom. (inches) 1s c. Depth to impervious strata/ or water table/ or limit of evaluation. inches 32 32 32 d. Minimum separation distance required. inches 18 12 24 e. Separation distances in inches provided in design. 17 17 17 f. Slope (percentage) 14 q. Minimum trench bottom due to slope. inches 13 h. Is the sloe greater than orequal to 10%? yes i, If Ai is Yes, does 24 inches or greater to rocktimpervious strata exist below Ab? No j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 1 a a.Design Type? rt.3 b.Trench bottomsquare feet required loading rate. /ft2 0.59 c. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. Ia. Len th of trench. feet 100 b. Lencith of available area. (feet) 100 E. Width of trench, (feet) 3 F. Number of trenches. 5 G. Center-to-centerspacing. (feet) 10 H. a. Width required. feet 43 b. Width of available area. feet 46 I. lTrench bottom square footage required. 1271 i Trench bottomsquare footage in design. 1500 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Heltzel Soil Consulting LLC Abbreviated Design -TL3 to Drip Disposal Site 7B-1 Albemarle County RESERVE Page of O� A. Ia. Estimated percolation rate. (minutes per inch) 70 b. Recommended drip tubing installation. (inches) 3 c. Depth to impervious strata/ or water table/ or limit of evaluation. (inches) 58 58 58 d. Minimum separation distance required. (inches) 18 12 24 e. Separation distances in inches provided in design. 55 55 55 f. Slope (percentage) 13 g. Is the slope greater than 10, 20 or 30%? Yes I. If Ag is Yes, does 24 inches or greater to rocklimpervious strata exist below Ab? Yes B. a.Design Type? TL3 b.Soil Loading Rate, gpd1ft2 0.24 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of run. (feet) 100 b. Length of available area. (feet) 100 E. Width of drip tubing. (inch) 1 F. I Number of runs. 18 G. Center -to -center spacing. (feet) 2 H. a. Width required, feet 35 b. Width of available area. (feet) 40 I. a. Total square footage required 3125 b. Totalsquare footage in design 3500 J. a. Linear feet of drip tubing required 1563 b. Linear feet of drip tubing provided 1750 K. a. Is a reserve area required? Yes X No b. Percent required 100% c. Percent available 100% Notes: Design is for 100% Reserve Heltzel Soil Consulting, LLC 1412 Saumsv7le Road, Maursdown, VA 22644 rol 1 1021 �P4 SITE 86-1 & 76-1 SKETCH TM # 69-50B ALBEMARLE COUNTY, VA SITE 8A-1 100.00r 401 PS SITE 8B-1 / V SITE 7A-1 October 24, 2022 DRAWN BY: CSH WE 7B-1 'P4IP 2♦ 44'/�T Page V of q mc� WELL AREA L Heltzel Soil Consultinq, LLC 1412 Saumsvflle Road, Maumdown, VA 22544 M 11 ao -19B _OT 1 ;RES 36' October 28, 2022 DRAWN BY: CSH DRAINFIELD LOCATION SKETCH TM # 69-50B ALBEMARLE COUNTY, VA REVISED T.M.69-50B 8.73 ACRES #17 WELL ARBA ILE IEL #18 / WUL AaHA Page of L VDH lsl' MONUM r FOUN VD H MONUMENT FOUND O' BO' 160' 840' Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT PROPOSE[ STOCKTON CREEKS S Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT (30'PRESCRIPTIVE EASEMENT) EXISTING STOCKTON CREEK S ST.RT.7; T.M.69-19 REN.03+ST LO 11 RGINIA UYTHOFIHEALTH DEPARTMENT Protecting You and Your Environment Sewaae Disposal Certification Letter Approval November 28, 2022 Stockton Creek, LLC C/O Alan Taylor 455 Second Street SE, #201 Charlottesville, VA 22902 RE: Tax Map: 69-19C (Site 12-1) HDID: 101-22-0401 Page I of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-43 10 Fax APPROVED Important Note: Certification Letter Approval for Site DF 12-1 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE-License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19C (Site DF 12-1) HDID:101-22-0401 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: J h Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for. 0 Sewage System ❑ Water Supply Owner: Stockton Crook LLC do Alan Taylor Mailing Address: 488 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creak LLC do Alen Taylor Mailing Address: 486 2nd Streat BE, Suite 2o1 Charlottesville, VA 22902 Site Address, TBD Afton, VA 22920 Directions to Property: VDH USE ONLY Health Dept IDO 6t-ZZ-(11 Due Date: Phone: 512-4264728 Fax: Phone: Phone: 484-981-3eU Fax: Email: aimpsor@atleseauavctlonmanep mg cam Subdivision: DF 12.1 Section: Bloch: Lot Tax Map: 69-19C Other Property Info: Acreage: 7.7 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if the land is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. I] Certification Letter ❑ Construction Permit ❑ Subdivison Approval Cl Repair Proposed Use: Single Family Home (Number of Bedrooms) 8 Multifamily Home (Total # of Bedrooms) Other (Describe): Basement ❑ Yes Walk -Out Basement? ❑ Yes Fbdures In Basement? ❑ Yes ❑ No ❑ NO ❑ No Conditional Permit Desired? ❑ Yes No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. maximum) Do you wish to apply for a betterment loan eligibility letter? ❑ Yes" 0 No "There Is a SW fee for determination of alimbilihv_ Will the water supply be ❑ Public on 0 Private is the water supply ❑ Existing or ❑' Proposed If proposed, Is this a replacement well? ❑ Yes 10 No If yes, will the oil well be abandoned? ❑ Yea ❑ No Will any buildtngs within W of the well be termite treated? ❑ Yes No AN Applicants Is this a private sector OSE/PE application? (] Yes ❑ No If yes, Is the OSE package attached? l] Yes ❑ Is the property intended to serve as your (the owners principal place of rasidence7 ❑ Yes 0 No No In order for VDH of process your application for a sewage system, you must attach a plat of the property and a site sketch. For water supplies, a plat of the property Is recommenced and & 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 Imes, building location — and the proposed well and sewage sites must be clearly marked and the prop" suMcW* visible to see the topography. r,lneeras Depwriment Of Haaml to error onto the property described durkV normal business hours for the purpose of prperform quality assurance chec s of evaluations and designs certified by a private sector Onshe Soil Evaluator or until the sewage disposal system and/or private water supply has been constru ted end approved. TZEL 5100 Date O\'SI?E. SO" w.utr�srrMlwwa+swabr�aM��e•irra�lYri.lrr.rr4a 11w�r srawr 10N441tYatilhn1lax Des Brdkv&�Vsat=i FaaS_ fm i rf Flasnald most Fty>zsnt4'DdaAeoklf BiW# Reeefptt Page of OSEIPE Report For: ❑ Construction Permit ❑ Repair ❑ Voluntary Upgrade 1Z Certification ❑ Subdivision Approval Permit Permit Letter rroperty Location: 111 Address: TBD City, State, Zip: Afton, VA 22920 ot: Section: Subdivision: DF 12-1 'PIN or Tax Map 69-19C Health Dept. ID # Latitude: Longitude Name: Stockton Creek LLC do Alan Taylor Address: 455 Second Street SE, # 201 Cherfottesvi0e, VA 22902 Prepared by: OSE Name: Chris Hertel License # 1940-001400 Address: PO Box SS4, Woodstock, VA 22664 Name: Date of Report: 1012012022 Date of Revision #1: 1. Cover Sheet Sol/ of this report: statement Data of Revision #2: 6, Site Sketch 7. DralrrfleW Location & Santtary Survey License # I hereby certify that the evaluations and/or designs contain herein were conducted In accordance with the applicable provisions of the Sewage Handling & Disposal Regulations (12VACS-610), the Private Well Regulations (12VAC5.6W), the Regulations for AllematW Onsite Systems (12VAC"13) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duly Issued by the applicable agency charged with Iicensure to perform the work contained herein. The potential for both Conventional and alternative Dnste sewage systems has been discussed with the owner/applicant. o The recommend cover page has been conducted under an exemption to the practice of engineering, specifically the iLnis Section 64.1-402A.11 F ❑ Construc ion P *Ot"�bn La e Nr6-//..0 R S. 7 Lie NO. lWirlyi14�n s ❑ Subdivision Approval be: E /sued ❑ Repair Permit ❑ Voluntary Upgrade ❑ Dented t c�l2a(Z 2 Date: SO11 The form contains personal rnformetion subject to dsdosure under the Freedom of information Act RaLde 4 4=414A Page ? of 7 SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/8/2021 Submitted to: Albemarle County Health Department Owner Stockton Creek LLC Go Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: stodRon Creep LLC No Alan Taylor Address: 455 2nd sheet SE, suBe 20+ chadoltew1b, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19H Subdivision: Slk/Sec: Site: 12-1 1. Position in Landscape Satisfactory: 0 Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 15-16 % 3. Depth to Rock or Impervious Strata: Max. 6811+ Min. None 121 4. Depth to seasonal water table (gray mottling or gray color): Not Observed El Yes ❑ 5. Free Water Present? O No ❑ Yes Range: inches 6. Soil Percolation rate estimated: l] Yes Texture Group: 1 ❑ 11 Q cal ❑ ry ❑ ❑ No Estimated rate: 40 mpi @ 40" 7. Permeability Test Performed? 0 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA O Site Approved. Drainfield to be placed at 40 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. — 4-0- Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for dralnfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Addltfonal Notes: Address: Stockton Creek PI P2 P3 P4 P5 P' 3 041 Reltael Soil xv 1 Rate,• 09/08/21 COnsnitiaQ Araingeld• 12-1 Ap 0-6 'v An :. J avam, wetM mecuum granular structure, very II friable, many roots Bt 6-20 7'SYR 5/6 sandy clay loam, weak medium subangular blocky structure, friable, common roots II 7.5YR 5/8 and l OYR 8/1 sandy loam, structurelese-massive, C 20-68 very friable, few roots, common 7.SYR 6/6 parent material II mottles Ap 0-7 lOYR 4/3 loam, weak medium granular structure, very friable, many roots II Bt 7-22 5YR 8/6 light sandy clay loam, weak medium subangular blocky structure, friable, common roots II 7.SYR 6/8 and l OYR 8/1 sandy loam, structureless-massive, C 22-65 very friable, few roots, common 7.5YR 6/6 parent material II mottles Ap 0.8 IOYR 4/3 loam, weak medium granular structure, very friable, many roots II Bt 6-28 7.8YR 8/6 sandy clay loam, weak medium subangular blocky structure, friable, common roots II 7.8YR 5/6 light sandy clay loam, weak fine subangular BCt 2841 blocky structure, very friable, common roots, common II IOYR 8/1 lithochromic mottles 7.3YR 5/8 and IOYR 8/1 sandy loam, struct reless-massive, C 31-66 very friable, few roots, common 7.6YR 6/6 parent material II mottles Ap 0-8 IOYR 4/3 loam, weak medium granular structure. very friable, many roots II Bt 6-27 SYR 5/6 sandy clay loam, weak medium subangular blocky structure, friable, common roots II 7.6YR S/6 light sandy clay loam, weak fine subangular BCt 22-34 blocky structure, very friable, common roots, common II IOYR 8/1 lithochromic mottles 7.SYR 5/8 and IOYR 8/1 sandy loam, slructureless-massive, C 34-68 very friable, few roots, common 7.SYR 6/6 parent material II mottles Ap 0-6 1OYR 4/3 loam, weak medium granular structure. very friable, many roots II Bt 6-23 BYR 5/6 sandy clay loam, weak medium subangular blocky structure, friable, common roots II 7.8YR 6/8 and l OYR 8/1 sandy loam, stsuctureless-massive, C 23-66 _ very friable, few mots, common 7.SYR 6/6 parent material - mottles Heltzel Soil Consulting Abbreviated Design -Conventional Site 12-1 Albemarle County PRIMARY Page A of 1 A. a. Estimated percolation rate. minutes per Inch 40 b. Recommended trench bottom. inches 40 c. Depth to impervious strata/ or water table/ or limit of evaluation. inches 58 58 58 d. Minimum separation distance required. inches 18 18 24 e. Separation distances in inches provided in design. 28 28 28 f. Sloe ercenta a 1s Minimum trench bottom due to slope. (inches) 22 h. Is the slope reater than orequal to 10%? yes I. If Ai is Yes, does 24 inches or greater to rocktimpervious strata exist below Ab? Yes j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope Increase above 20%. if no to Aj, add 1 ft to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope Increase above 10%. (Report the value, in feet, of the increase in center-tosznter spacing above the minimum). 0 B. Trench bottomsquare feet required per bedroom able 5.4 314 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of trench. feet 100 b. Length of available area. feet 100 E. Width of trench. feet 3 F. Number of trenches. 5 G. Center -to -Centers acin feet g H. a. Width required. feet 48 b. Width of available area. feet 81 1. Trench bottomsquare footage required. 1570 J. Trench bottom square Wage in design. 1000 K I Is a reserve area required? Yes x INo Ia. Percent required? 100% b. Percent available, 100% Notes: "See attached abbreviated design form for reserve`* Heltzel Soil Consulting, LLC Page S of -7 Abbreviated Design - TO Effluent with Trenches Site 12-1 Albemarle County RESERVE A. a. Estimated percolation rate. minutes per inch 40 b. Recommended trench bottom. inches 40 c. Depth to impervious strata/ or water table/ or limit of evaluation. inches 68 88 Be d. Minimum separation distance required. inches 18 12 24 e. Separation distances in inches provided in design. 28 28 28 f. Sloe (percentage) 78 Minimum trench bottom due to slo e , inches 14 h. Is the sloe qreater than orequal to 10%? Yes i. If Ai is Yes, does 24 inches or greater to rocktirnpervious strata exist below AV yes j. If yes to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft. to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 0 t3 a.Design Type? TL3 b.Trench bottomsquare feet required loading rate, /ft2 1.11 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of trench. feet 100 b. Length of available area. feet 100 E. Width of trench. feet 3 F. Number of trenches. 3 G. Center-to-centerspacing. feet 8 H. a. Width required. feet 21 b. Width of available area, feet 81 i. Trench bottoms uare footage required, 678 J. Trench bottoms uare footage in design. two K. a. is a reserve area required? Yes X I No b. Percent required 100% c. Percent available 10096 Notes: Heltzel Soil Consultinq, LLC Page 6 of-? 1412 Ssunw% Road, Maumdawn, VA 22644 SITE 12-1 SKETCH TM # 69-19C ALBEMARLE COUNTY, VA 4 � Js .j �B% T.M.69-19C srr>;1zz-z Wo 'y B4 n 1 \ 0 y� IT 7 REVISED LOT 21 7.70 ACRES r P2 P3• SM 12-1 P40 October 20, 2022 DRAWN BY: CSH Heltzel Soil Consulting, LLC 1412 Saumavflle Road, Mauredown, VA 22644 ® BORE # O PIT# SLOPE DIRECTION PROPOSED WELL DRAINFIELD LOCATION & SANITARY SURVEY TM # 69-19C ALBEMARLE COUNTY, VA 171 21 9E T 4 ES 16 B? 631 #22 19D October 20, 2022 DRAWN BY: CSH fWELL AREA 2s7, 100 W W 466" T.M.69-19C REVISED LOT 2 7.70 ACRES ALL KNOWN WELLS 200' OF THE PRUPW I Page 7 of 13N m #20 SITES wr HHN 3 ARE EHO". Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND T.M.69-6M REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.B.3530-234 PLAT STATE ROUTE 803 (30'PRESCRIPTIVE EASEMENT) GOODLOE LANE T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.3380-82, 85 & 86 PLAT VDH MONUMENT II Ii I I 1 II II 11 1 I 11 11 II II' 11 I II I I 11 i 1 I 1 I i VDH i MONUMENT FOUND PROPOSI STOCKTON CREEK LOi9 x9l KAES .T LOTH �N, LL LII mrn I Lm aE :.»unEE (6 R oP at 109 VVDHP9� T LAYOUT , ALBEMARLE CO, VA (30'PRESCRIPTIVE EASEMENT) PIKE ROAD Yu APPROAMATE.�' LOCATION STREAM . ............................... a� VDH MONUMENT OVERHEAD UTILITY UNES REVISED T.M.69-50B 8.73 ACRES T.M.69-19J \ ELL an REVISED LOT 8 V 6.92+/— ACRES Y1i LLY16 N � ® rr 3 P e �� Em l 0 1 69-19B VD REVISED LOT 1 a H° MO UI 3.84 ACRES sR C. R IN FENCE EPOST VOH MONUMENT VDH FOUND NOT TO SCALE MONVUMENT FOUND / VDH MONUMENT FOUND August 21, 2022 DRAWN BY: SNV 'ANY CUTTING OR FILLING MAY RENDER THE DISPOSAL AREA UNSUITABLE AND VOID THIS PERMIT" Drainfield Installer: If you have any question or require minor adjustments to this design, contact AOSE at numbers at top of this page. Contact Heltzel Soil Consulting to schedule Pre -Construction meeting (72-hour notice required) RGINIA V/DHOFIHE HEALTH Protecting You and Your Environment Sewage Disposal Certification Letter Approval December 7, 2022 Page I of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-43 10 Fax Stockton Creek, LLC APPROVED C/O Alan Taylor 455 Second Street SE, 4201 Charlottesville- VA 22902 RE: Tax Map: 69-19E (Site 122-2) HDID: 101-22-0405 Important Note: Certification Letter Approval for Site DF 122-2 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance-with-the-Roard_ofHealth'_s_regulations_by--Chris-Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before constriction of the system. If the property owner (current or future) applies for a constriction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19E (Site 122-2) HDID: 101-22-0405 Page 2 of 2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: /L '--� sh Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for: 21 Sewage System ❑ Water Supply Owner Stockton Creak LLC do Alan Taylor Mailing Address: 456 Second 81reet BE, 0 201 Charlottesville. VA 22902 Agent. Stockton Creek LLC c/o Alan Taylor Mailing Address 455 2nd Street BE, Suite 201 Charlottesville. VA 22902 Site Address: TBD Afton, VA 22920 Directions to Property: Subdivision: DF 122-2 Tax Map: 69-19E VDH USE ONLY Health Dept IDuf I G k • ZZ - V- Due Date: Phone: 512-4264728 Fax: Phone: Phone: 434.881.3634 Fax: Email: simpsonlitatincorabuctimmanM.com Section: Block: Lot: Other Property Info: Acreage: 4.62 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine 9 the land Is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. El Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total R of Bedrooms) Other (Describe): Basement Yes Walk -Out Basement? Yes Fixtures in Basement? Yes ❑ No ❑ No [; No Conditional Permit Desired? ❑ Yes Q No If yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. mmdnwm) Do you wash to apply for a betterment loan eligibility letter? ❑ Yes" 0 No "There Is a $50 fee for detarminaHnn of alinihilih, Water Supply Will the water supply be ❑ Public or Private Is the water guppy ❑ Existing or 0 Proposed If proposed, is this a replacement well? ❑ Yes No If yes, will the old well be abandoned? ❑ Yea ❑ No Will any buildings within 6& of the well be termite treated? ❑ Yes 0 No All Applicants Is this a private sector OSE/PE application? O Yes ❑ No If yes, Is the OSE package attached? ❑ Yes is the property Intended to serve as your (the ownersl principal place of residence? ❑ Yes 0 No El No In order for VDH of process your application for a sewage system, you must attach a plot of the property and a site sketch. For water supplies, a -•- r �r� •r w • vv.......,1 ne aria axeam snouia snow your property Knee, actual and/or proposed buildings, and the desired location of your well and/or sewage system. When the she evaluation Is conducted, the property lines, building location and the propo $swap sites must be dearly marked and the property sufftlenty visible to see the topography. I giVe �blon to the V ent of Health to enter onto the property described during normal business hours for the purpose or pro��la epplCedbn and. rm quality assurance checks of evaluations and designs certlled by a private sector Onslte Sol Evaluator or P Iona? EngInea unfit the sewage disposal system and/or private water supply has been constructed and approved. TF� , ♦ S �k1R15��74� 11S LT e'9a000�a6o t to/22 Slgnaikdi..ow"MW _.I _e ` Date 7ak.e...rrL..sr1..e..grswrrdM/....al.ref.A.+rllr.r.. as ..s.r T•ww, yns tub adv Dow Roireit. Daft Doe i�roS IIDID € pkww al soot If -r r Rma �WW� ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade Permit 21 Certification Letter Page—L of 6 ❑ Subdivision Approval Property Location: 911 Address: TOD City, State, Zip: Afton, VA 22920 Lot Section: Subdivision: DP 122.2 GPIN or Tax Map #: 09-19E Health Dept. ID #: Latitude: Longitude: Owner: Name: Stockton Creek LLC do Alan Taylor Address: 455 Second Street SE, # 201 ChadoNesNNe, VA 22002 Prepared by: OSE Name: Chds Hehzel License # 194"01460 Address: PO Box 554, Woodstock, VA 22664 PE Name: License # Address: Date of Repon: 1W2Q/2022 Date of Revision #1: Date of Revision 02: CorMertsllndex of thia report: 1. Cover Sheet 5. SRO Sketch 2. Soil Eveluadw S. DraMeld Location 6 Sannary Survey 3. Profiles 4. Abbreviated Design Certification Statement I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applcable provisions of the Sewage Handling & Disposal Regulations (12VAC5-610), the Private Well Regulations (12VAC5.630), the Regulations forAftematkre Onsite Systerns (f2VACS=S13) and all other applicable laws, regulations, and policies implemented by the Virginia Department of Health. I further certify that I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duty Issued by the applicable agency charged with ecensure to perform the work contained hereln. The potential for loth conventional and aftemative onsite sewage systems has been discussed with the owner/applicant. The� is Cover page has been conducted under an exemption to the practice of engineering, specifically the ia111 p�� inia Section 54.1-402.A.tt G I recomme lglute a: ❑ Construdidrrfit ElSubdivision Approval be: i] Issued e5tt ❑ Repair Permit ❑ Voluntary Upgrade ElDenled K14G�Vr OSEIPE Si: C Dom: 0 NI�>1l� F rtmSYtt C Page Z- of 6 SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/8/2021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC Go Alan Taylor Telephone Number: 512-4264728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC do Alan Taylor Address: 455 2nd Street SE, suite 201 Chadotteshmle, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19E Subdivision: B1k1Sec: Site: 122-1 1. Position in Landscape Satisfactory: O Yes ❑ No Describe: Convex Upland Sideslo e 2. Slope: 15-17 % 3. Depth to Rock or Impervious Strata: Max. 60"+ Min. None 0 4. Depth to seasonal water table (gray mottling or gray color): Not Observed 2 Yes ❑ 5. Free Water Present? 2 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 2 Yes Texture Group: i ❑ If p III ❑ IV ❑ ❑ No Estimated rate: 40 mpi @3 30" 7. Permeability Test Performed? 21 No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA 0 Site Approved. Drainfield to be placed at 30 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ Insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: Page 2, of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/8/2021 Submitted to: Albemarle County Health Department Owner: Stockton Creek LLC c/0 Alan Taylor Telephone Number. 512-426-4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: Stoditn Creek LLC do Alan Taylor Address: 455 end Street SE, SWIG 201 Chark*wvft, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19E Subdivision: Blk/Sec: Site: 13-1 1. Position in Landscape Satisfactory: El Yes ❑ No Describe: Convex Upland Sidesio e 2. Slope: 15-17 % 3. Depth to Rock or Impervious Strata: Max. 60"+ Min. None I] 4. Depth to seasonal water table (gray mottling or gray color): Not Observed R] Yes ❑ 5. Free Water Present? O No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 0 Yes Texture Group: 1 ❑ 11 El 111 ❑ IV ❑ ❑ No Estimated rate: 40 mpi @ 30" 7. Permeability Test Performed? i] No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA ED Site Approved. Drainfield to be placed at 30 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 1 ❑ Position in Landscape subject to flooding or periodic saturation. 2 ❑ Insufficient depth of suibable soil over hard rock. 3 ❑ insufficient depth of suitable soil to seasonal water table. 4 ❑ Rates of absorption too slow. 5 ❑ Insufficient area of suitable soil for drainfield-and/or reserve area. 6 ❑ Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages If necessary) Additional Notes: Address: Stockton Creek Pi B2 B3 B4 BS P33o46 Dwal Date: 10/4/22 DrdnB* , 122-1 Ap 0-6 IV rut 41;5 loam, weak medium granular structure, very II friable, many roots Bt 6-22 7.8YR 8/6 sandy clay loam, weak medium subangular blocky structure, friable, common roots II C 22-68 7.SYR 6/8 sandy loam, structureless-massive, very friable, II few roots, common 7:5YR M parent material mottles A p 0-7 lOYR 4/3 loam, weak medium granular structure, very friable, many roots II Bt 7-31 7.8YR 8/8 sandy clay loam, weak medium subangular blocky structure, friable, common roots II C 31-60 TM 6/6 sandy loam, structureless-massive, very friable, II few roots, few 7.8YR 7/6 parent material mottles Ap 0-6 lOYR 4/3 loam, weak medium granular structure. very II friable, many roots Bt 6-24 T.3YR 5/6 sandy clay loam, weak medium subangular II blocky structure, friable, common roots C 24-60 T.SYR 6/6 sandy loam, strvctureless-massive, very friable, II few roots, common 7.8YR 7/6 parent material mottles Ap 0-5 lOYR 4/3 loam, weak medium granular structure, very II friable, many roots Bt 8-22 7.5YR 8/6 sandy clay loam, weak medium subangular II blocky structure, friable, common roots C 22-60 7.5YR 6/6 sandy loam, strvctureless-massive, very friable, II few roots, common 7.8YR 7/6 parent material mottles Ap 0-7 1 OYR 4/3 loam, weak medium granular structure, very II friable, many roots Bt 7-28 7.M 8/6 light sandy clay loam, weak coarse subangular ll blocky structure, friable, common roots C 28-60 TM 8/6 sandy loam, struct relesa-massive, very friable. II few roots Heltzel Soil Consulting Abbreviated Design -Conventional Site 122-2 Albemarle County Page q of G A. a. Estimated percolation rate. minutes per inch 40 b. Recommended trench bottom. inches 30 c. Depth to impervious strata/ or water table/ or limit of evaluation. inches 68 68 68 d. Minimum separation distance required. inches 18 18 24 e. Separation distances in inches provided in design. 36 38 38 f. Sloe (percentage) 16 g. Minimum trench bottom due to slope. inches 22 h. Is the sloe greater than orequal to 10%? Yes i. If Ai is Yes, does 24 inches or greater to rocklimpervious strata exist below Ab? Yes j. If yes to Aj, add 1 ft to the minimum center -to -center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, In Beet, of the increase in center -to -center spacing above the minimum). 0 B. Trench bottomsquare feet required per bedroom Table 5.4 314 C. a. Number of bedrooms. 5 b. Gallons per day in design 760 D. a. Length of trench. feet 100 b. Length of available area. feet 100 E. Width of trench. feet 3 F. Number of trenches. 6 G Center -to -center spacing. feet g H. a. Width required. feet 48 b. Width of available area. feet 103 1. Trench bottomsquare footage required 1570 ,;. Trench bottomsquare footage in design. 1800 K. I Is a reserve area -required? Yes >t INo a. Percent required? 100% b. Percent available: 100% Notes_ Reserve design is same as Primary Heltzel Soil Consulti %12 SaamevRe Road, Mamertown, VA 22844 LLC SITE 122-2 SKETCH TM # 69-19E & 69-19C ALBEMARLE COUNTY, VA `WELL #22 #zs T.M.69-19E REVISED LOT 4 4.62 ACRES .j 1 B2- �o I• Off, B3+ B4 w 1 October 20, 2022 DRAWN BY: CSH Pagel of b a "Pl PP \ �P5 o• eo• Lao, 1ao- Heltzel Soil Consulting, LLC 1412 Sawmville Road, Maurertown, VA 22544 ® BORE# O PIT# —� SLOPE DIRECTION QPROPOSED WELL DRAINFIELD LOCATION & SANITARY SURVEY TM # 69-19E ALBEMARLE COUNTY, VA I.l V / \VI ♦`V 7 SITE 17-2 LJ Ioo.w EIC W AREA WELL U w ,j >7 so, i' ra gel WELL #10 nm WELL #22 Page � of b T.M.69-19E REVISED LOT 4 / 4.62 ACRES 10 L 17' ioo.w October 20, 2022 DRAWN BY: CS14 o' so, too, 240• OT LAYOUT ), ALBEMARLE CO, VA 750 (30'PRESCRIPTIVE EASEMENT) OLD TURNPIKE ROAD NOT TO SCALE MOVDH NUMENT ...................................:::::. .. APPROXIMATE FOUND LOCATION STREAM toc, SRO RHEAD UNE \Wulf PU \'..... Q2eglHo�y?t/RNpp ♦E Iona \ \ Sag R4 c MONU H YEuau an AaEs \ FOUND W S1 ' ..... C OVERHEAD \ .. OLE UTILITY \ 7 UNES VDH y� MONUMENT FOUND XT 10?g ELLW 4. 22S ACRE$ n/ SWELL YIb ��N OLE myp VDH �� POLE ONUMENT FOUND �Y/FLLYSO IELLni VDH 3A7i "�. MONUMENT FOUND KRFS 11T. CORNER IN FENCE POST VDH MONUMENT VDH FOUND MONUMENT FOUND VDH 40NUMENT FOUND August 21, 2022 DRAWN BY: SNV .."ANY CUTTING OR FILLING MAY RENDER THE DISPOSAL AREA UNSUITABLE AND VOID THIS PERMIT * Drainfield Installer: If you have any question or require minor adjustments to this design, contact AOSE at numbers at top of this page. Contact Heltzel Soil Consulting to schedule Pre -Construction meeting (72-hour notice required) VIRGINIA V/DHOF HEALTH DEPARTMENT Protecting You and Your Environment Sewa(-,e Disoosal Certification Letter Annroval December 7, 2022 Page I of 3 Albemarle County Health Department 1138 Rose Hill Drive Charlottesville, VA 22903 (434) 972-6219 Voice (434) 972-4310 Fax Stockton Creek, LLC APpRO C/O Alan Taylor D 455 Second Street SE, #201 VE Charlottesville, VA 22902 RE: Tax Map: 69-19E (Site 15-1)) HDID: 101-22-0402 Important Note: Certification Letter Approval for Site DF 15-1 Dear Alan Taylor, This Certification Letter is issued in lieu of a sewage disposal system construction permit in accordance with §32.1-163, et seq., of the Code of Virginia. The Board of Health hereby recognizes that the soil and site conditions acknowledged by this correspondence, and documented by additional records on file at the local health department, are suitable for the installation of an onsite sewage disposal system. The attached plat shows the approved area for the sewage disposal system. This letter is valid until a permit for construction is issued and the system is installed, inspected and approved. This letter is void if there is any substantial physical change in the soil or site conditions where the sewage disposal system is to be located. The application for a certification letter was submitted pursuant to § 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. The site for an individual onsite sewage system was certified as being in compliance with the Board of Health's regulations by: Chris Heltzel, AOSE License 1940001460. This letter is issued in reliance upon that certification. A permit to construct the sewage disposal system must be issued before construction of the system. If the property owner (current or future) applies for a construction permit within 18 months of the date of this letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a sewage disposal system. After 18 months, the applicant is responsible for paying all state fees for a permit application. Tax Map: 69-19E (Site 15-1) HDID:101-22-0402 Page 2 of'2 This letter, and accompanying plat of survey showing the specific location of the sewage disposal system area and well area (if applicable), may be recorded in the land records by the clerk of the circuit court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To do so voids this letter. Upon the sale or transfer of the land that is the subject of this letter, the letter shall be transferred with the title to the property. Future owners are advised to review the plat for the location of the onsite sewage disposal area to make sure their building plans do not interfere with the area. If they have any questions regarding the location of the area, they should contact the local health department for assistance. The area evaluated, and certified by this letter, is suitable to accommodate a 5 bedroom house using a system design of 750 gallons per day. The property will be served by a Private water supply as shown on the attached plat. Owners are further advised that when connection to a public water system is proposed and the public water system has reached its permitted capacity, a permit for construction may not be issued until such time that a connection is approved and available for use. This letter is an assurance that a sewage disposal system construction permit will be issued (provided there have been no substantial physical changes in the soil or site conditions where the system would be located); however, it is not a guarantee that a permit for a specific type of system will be issued. The design of the sewage system will be determined at the time of application for a building permit and sewage system construction permit. The design will be based on the site and soil conditions certified by this letter, structure size and location, water well location (final determination to be made at time of permit issuance), the regulations in effect at the time, and any off -site impacts that may have occurred since the date of the issuance of this letter. In some cases, engineered plans may be required prior to issuance of the construction permit. In accordance with § 32.1-164.1:1 of the Code of Virginia, owners are advised to apply for a sewage disposal construction permit only when ready to begin construction. This certification letter approval has been issued in accordance with applicable regulations based on the information and materials provided at the time of application. There may be other local, state, or federal laws or regulations that apply to the proposed construction of this onsite sewage system. The owner is responsible at all times for complying with all applicable local, state, and federal laws and regulations. If you have any questions, please contact me. Issued by: JoOF Kirtley Environmental Health Technical Consultant COMMONWEALTH OF VIRGINIA Application for. Q Sewage System ❑ Water Supply Owner. Stockton Creek LLC c/o Alan Taylor Mailing Address: 455 Second Skeet SE, B 201 Charlottesville, VA 22902 Agent: Stockton Creek LLC cfo Alan Taylor Mailing Address: 455 2nd Street SE, Suite 201 Charlottesville, VA 22902 Site Address: TBD Afton, VA 22020 Directions to Property. Subdivision: DF 15.1 Tax Map: 69-19E VDN USE ONLY Health Dept lDa 2t14G Due Date• Phone: 5124284728 Fax: Phone: Phone: 434461-3M Fax Email: NmpsonGstlesconstructionmsnpsmeacom Section: Block: Lot: Other Property Info: Acreage: 4.82 Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if the land Is suitable for a sewage system and to apply for a construction permit (valid for 18 months) only when ready to build. D Certification Letter ❑ Construction Permit ❑ Subdivison Approval ❑ Repair Proposed Use: Single Family Home (Number of Bedrooms) 5 Multifamily Home (Total i of Bedrooms) Other (Describe): Basement 121 Yes Walk -Out Basement? Yes Fixtures In Basement? ID Yes ❑ No ❑ No ❑ No Conditional Permit Desired? ❑ Yes ED No N yes, what type of conditions are desired? ❑ Reduced Water Flow ❑ Limited Occupancy ❑ Intermittent or seasonal use ❑ Temporary Use (1 yr. ma)imum) Do you wish to apply for a betterment ban eligibility letter? ❑ Yes" 0 No Water Supply Will the water supply be ❑ Public or Private Is the water supply ❑ Exlsdng or (] Proposed If proposed, is this a replacement well? ❑ Yes El No If yes, will the old well be abandoned? ❑ Yes ❑ No Will any buildings within W of the well be termite treated? ❑ Yes ED No All Applicants Is this a private sector OSEIPE application? ID Yes ❑ No If yes, is the OSE package attached? [] Yes ❑ No Is the Property [Mended to serve as your (the owners) principal place of residence? ❑ Yes ❑ No In order for VDH of process your application for a sewage system, you must attach a plat or the property and a site sketch. For water eram5ea. a yna. ve ure p,upm ry is ra mrnencae anti a SQe aRe= m nKwrea. 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 Ines, bulding location and the proposed well and sewage sites must be dearly marked and the property sufficiently visible to see the to9ograohy. I give ~ e+ Department of Health to ender onto the property described during normal business hours for the purpose of rm quality assurance checks of evaluations and designs certified by a private sector Onsfte Soil Evaluator or Engineer as until the sewage posal system and/or private water supply has been constructed and approved. S. <- ..o L o �r kt�rrVFrh�S��� war.rrr+rr�u.��rwru..+ror/mwwtr.�.�.a RwamIL47N� Des 87aers8; IAers Daho FesS HDIDi€ PhWA1slnut! •r sumo ev..rr• Date ❑ Construction Permit ❑ Repair Permit OSEIPE Report For: ❑ Voluntary Upgrade Certification Permit Letter Page , of e ❑ Subdivision Approval Property Location: 911 Address: THD City, State, Zip: Afton, VA 22920 Lot: Section: Subdivision: DP 15-1 GPiN or Tax Map #: 69-19E Health Dept ID # Latitude: Longitude: Owner : Name: Stockton Creak LLC c/o Alan Taylor Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Prepared by: OSE Name: Chrfs Heltral License if 1940-001460 Address: PO Box 554, Woodstock VA 220M PE Name: License # Address: Date of Report 10V20y2022 Date of Revision #1: _ Date of Revision #2: CorkentsAndex of this report: 1. Cover Sheet 5. Site Sketch 2. Soil Evaluation 6. DralnNeld Location 6 Senitary Survey 3. Profiles 4. Abbreviated Design Certification Statement I hereby certify that the evaluations and/or designs contain herein were conducted in accordance with the applicable provision of the Sewage Handling 6 Disposal Regulations (f2VAC5.510), the Private Well Regulations (12 VAC54"), the Regulations for Alternative Onsite Systems (12VAC,"13) and all other applicable laws, regulations, and policies Implemented by the Virginia Department of Heatth. I further certify !fast I currently posses any professional license required by the laws and regulations of the Commonwealth that have been duty Issued by the applicable agency charged with licensure to perform the work contained herein. The potential for both comrentlonal and alternative onsite sewage systems has been discussed with the owner/applicant ❑ The wo%. " er page has been conducted under an exemption to the practice of engineering, specifically the exempAn•ut Ebrtlga deat I a Section 64.1-402.A.11 I recommend thaw �❑ Construction P ❑ Subdivision Approval be: Issued 0 Cr�bn LsttEsr ❑ Repair Permit O Voluntary Upgrade El Denied �46 o. xa Z. OSEIPE Sktnatuts: "r f LA = I n�ro 1 o i to `' Page Z of SOIL SUMMARY REPORT GENERAL INFORMATION Date: 9/9/2021 Submitted to: Albemarle County Health Department Owner. Stockton Creek LLC efo Alan Taylor Telephone Number. 512-426 4728 Address: 455 Second Street SE, # 201 Charlottesville, VA 22902 Agent: stoddon creak LLC do Alan Taylor Address: 455 2nd street SE, suim 201 Chartotteav9b, VA 22902 Property Location: TBD Tax Map/GPIN: 69-19E Subdivision: Blk/Sec: Site: 15-1 1. Position in Landscape Satisfactory: O Yes ❑ No Describe: Convex Upland Sideslope 2. Slope: 6-7 % 3. Depth to Rock or Impervious Strata: Max. 764 Min. None 21 4. Depth to seasonal water table (gray mottling or gray color): Not Observed I] Yes ❑ 5. Free Water Present? 21 No ❑ Yes Range: inches 6. Soil Percolation rate estimated: 0 Yes TextureGroup: 1 ❑ II ❑ 111 O IV ❑ ❑ No Estimated rate: 60 mpi @ 30" 7. Permeability Test Performed? p No ❑ Yes If yes, note type of test performed and attached results. Test Type: NA I] Site Approved. Drainfield to be placed at 30 " depth at site designated on permit. ❑ Site Disapproved. See reasons for rejection. Reasons for rejection: 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 suitable soil for drainfield and/or reserve area. 8 C Proposed system to close to well. 7 ❑ Other (Specify Below. Add additional pages if necessary) Additional Notes: Address: Stockton Creek Pi P2 P3 P4 P5 P53oF(. Reltael Soil Eval Data: 09/09/21 Consulting D-T i eld• 18-1 Ap 0-8 IUYR 3/2 silty clay, weak fine subangular blocky structure, N very friable, many roots Btl 8-28 SYR 8/6 clay loam, strong medium subangular blocky structure, friable, common roots III Bt2 2640 SYR 8/6 and 1 OYR 7/6 clay loam, moderate coarse subangular blocky structure, friable, few roots C 40-73 10YR 7/6 and BYR 8/6 silty clay, fractured, friable, few roots, common IOYR 8/1 lithochronuc mottles N Ap 0-10 1OYR 3/2 silty clay, weak fine subangular blocky structure, friable, many roots IV Bt 1 10-28 SYR 5/6 clay loam, strong medium subangular blocky structure, friable, common roots Bt2 28-41 SYR 8/8 and 1 OYR 7/6 clay loam, moderate coarse subangular blocky structure, friable, few roots C 41-76 IOYR 6/6 and 7/6 silty clay, structureissa - massive, very friable N Ap IOYR 3/2 silty clay, weak fine subangular blocky structure, friable, many roots IV Btb 8-27 8YR 8/6 clay loam, moderate medium subangular blocky structure, friable, common roots BCt 36-76 7.SYR 8/8 and IOYR 6/6 light silty clay loam, wreak coarse subangular blocky structure, friable, few roots C 36-78 IOYR 6/6 and 7/8 silty clay, structureless - massive, very friable N Ap 0-8 IOYR 3/2 silty clay, wreak fine subangular blocky structure, very friable, many roots N Bt 8-28 SYR 8/6 clay loam, moderate medium subangular blocky structure, friable, common roots III BCt 88-40 7-SYR 8/8 and 10YR 6/6 light silty clay loam, weak coarse subangular blocky structure, friable, few roots C 40-76 IOYR 6/6 and 7/6 silty clay, structureless - massive, very friable Ap 0-8 IOYR 3/2 silty clay, weak fine subangular blocky structure, very friable, many roots IV Bt 8-30 7.6YR 8/8 clay loam, moderate medium subangular blocky structure, friable, common roots III BCt - 30-4-1- 7.SYR 8/6 and IOYR 6/6 light aHty clay loam, weak coarse III subangular blocky structure, friable, few roots C OYR /6 and 7/6 silty clay, shuctureless - massive, very . _41-78_ _ N Heltzel Soil Consulting. LLC Page � of C Abbreviated Design - TL3 Effluent with Trenches Site 15-1 Albemarle County A. a. Estimated percolation rate, minutes per Inch 60 b. Recommended trench bottom. inches 30 c. Depth to impervious strata/ or water table/ or limit of evaluation. inches 76 76 76 d. Minimum separation distance required. inches 1s 12 24 e. Separation distances in inches provided in design. 46 46 46 f. Sloe (percentage) 7 g. Minimum trench bottom due to slope. inches 9.6 h. Is the sloe greater than orequal to 10%? No i. If Ai is Yes, does 24 inches or greater to rocklimpervious strata exist below Ab? Yea j. If yes to, Aj, add 1 ft to the minimum center4D-center spacing beginning at 20% slope and continue for each 10% slope increase above 20%. If no to Aj, add 1 ft to the minimum center -to -center spacing beginning at 10% slope and continue for each 10% slope increase above 10%. (Report the value, in feet, of the increase in center -to - center spacing above the minimum). 0 13.a.Design Type? TL3 b.Trench bottomsquare feet required loading rate, 0.74 C. a. Number of bedrooms. 5 b. Gallons per day in design 750 D. a. Length of trench. feet 100 b. Len th of available area. feet 100 E. Width of trench. feet 3 F. Number of trenches. 4 c. Center-to-centerspacing. feet 8 H. a. Width required. feet so b. Width of available area. feet ss I. iTrench bottomsquare footage required. 1014 J. Trench bottomsquare footage in design. 1200 K. a. Is a reserve area required? Yes X I No b. Percent required 100% c. Percent available 100% Notes: Reserve design is same as Primary Heltzel Soil Consulting, LLC pap $5 of 1412 3awnsft Road, Maumdawn, VA 22644 rr..i�:� SITE 15-1 SKETCH TM # 69-19E ALBEMARLE COUNTY, VA 1-1 me wF- AREA WELL #23 T.M.69-19E 0 REVISED LOT 'P1 ' �P5 '- October 20, 2022 DRAWN BY: CSH so, 4.62 ACRES P2• 7403 �1 s 110' 28' \ o• 30, too, too* Heltzel Soil Consulting, LLC rav(0 of b 1412 Saumavb Rood, Maureftwn, VA 226" ®Bou Prr# DRAINFIELD LOCATION & SANITARY SURVEY p rr -�- SLOPEDMEcnON TM # 69-19E PROPOSMVAU ALBEMARLE COUNTY, VA BRE T-t WELL #10 GTM 17.2 L——1 D'S rMB WELL ARF ,A) 171 100.W me � `WELL 022 \ Unx>3A WELL #23 T.M.69-19E REVISED LOT 4 �% ` so, 4.62 ACRES91 .PS mw /11 'P3 B26 �p Emma October 20, 2022 DRAWN BY: CSH sass Q TABPK0P0SEDDRAR4F7 y,4,4�f�Vl \ o• Bo• ■so• RA0. Heltzel Soil Consulting, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L LOT 6 STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND T.M.69—BM REVISED LOT 7 E.C.ACKERMAN TRUST D.B.4733-23 D.B.4733-20 & 21 PLAT D.B.4456-444 D.9.3530-234 PLAT STATE ROUTE 803 (30-PRESCRIPTIVE EASEMENT) GOODLOE LANE T.M.69-6G LOT 1 FRANK DONLEY & CARLA DONLEY D.B.338D-82, 85 & 86 PLAT VDH MONUMENT FOUND VDH MONUMENT FOUND PROPOS! STOCKTON CREEK IOi l! SAS.LA6 LOT. xA14CPE5 Loin E.N MIB lvos`Isl- DiA 2o941 S4� VDH HPg3 Heltzel Soil Consultinq, LLC PO Box 554, Woodstock, VA 22664 T.M.69-6L STUART TAYLOR SMACK D.B.5246-521 D.B.3415-704,707 PLAT POND (30'PRESCRIPTIVE EASEMENT) VDH -� MONUMENT FOUND VDH MONUMENT FOUND EXISTIN STOCKTON CREEK Al'j-19G V REVISED LOT 8 \1 2.63 ACRES T.M.69-19F + 1 RLOT 5 4.63 4.63 ACRES ST.RT T.M..69 11.03+7 f V�ELLY]I p 6 "" ELL3 T.M.69-19E REVISED LOT 4 4.I ACRES tip' S. 11 : i� T.h a REV: 2x 7.7 T.M.69-19D REVISED LOT 3 4.56 ACRES ne VDH MONUMENT FOUND