HomeMy WebLinkAboutSUB201400070 Approval - Agencies r
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COMMONWEALTH of VIRGINIA
In Cooperation with the Thomas Jefferson Health District ALBEMARLE-CHARLOTTESVILLE
State Department of Health FLUVANNA COUNTY(PALMYRA)
1138 Rose Hill Drive GREENE COUNTY(STANARDSVILLE)
LOUISA COUNTY(LOUISA)
Phone(434)972-6219 P. O. Box 7546 NELSON COUNTY(LOVINGSTON)
Fax (434) 972-4310
Charlottesville, Virginia 22906
July 16,2014
Ellie Carter Ray �,
Department of Community Development x9 " ' ..
Division of Zoning and Current Development
401 McIntire Road
Charlottesville,Virginia 22902-4596
RE: Review of Proposed Subdivision Plat and attached Soils Information for Individual
Onsite Sewage Systems as part of a division of Tax Map 47 Parcel 57 located in
Albemarle County,Virginia.
Dear Ms. Ray:
On April 23,2014,the County of Albemarle requested the Virginia Department of Health(via the Albemarle
County Health Department)review the proposed subdivision plat identified above.This letter is to inform you
that the above referenced subdivision plat is approved for individual Onsite Sewage Systems in
accordance with the provisions of the Code of Virginia,the Sewage Handling and Disposal Regulations,
and local ordinances.
This request for subdivision review was submitted pursuant to the provisions of§ 32.1-163.5 of the Code of
Virginia which requires the Health Department to accept private soil evaluations and designs from an
Authorized Onsite Soil Evaluator(AOSE)or a Professional Engineer working in consultation with an AOSE for
residential development. This subdivision was certified as being in compliance with the Board of Health's
Regulations by: Steve Gooch; Onsite Soil Evaluator Number 1940001284. This subdivision approval is
issued in reliance upon that certification.
Pursuant to §360 of the Regulations this approval is not an assurance that Sewage Disposal System
Construction Permits will be issued for any lot in the subdivision identified above unless that lot is specifically
identified on the above referenced plat as having an approved site for an onsite sewage disposal system,and
unless all conditions and circumstances are present at the time of application for a permit as are present at the
time of this approval. This subdivision may contain lots that to do not have approved sites for onsite sewage
systems.
This subdivision approval does pertain to the requirements of local ordinances.
Sincerely,
Josh Kirtley
Environmental Health Technical Consultant
Onsite Sewage and Water Programs
V
Commonwealth of ViNginia VDH Use Only
x He th Danent ID#
A lication for Subdivision Review } rss �, A a
PP t tf ena
w:: to
(Page 1 of 2 to be filled out by the Owner or Agent) ,
Owner Jennifer Levien Phone (301)471-3192
Mailing Address 84 Club Lane Phone
Chagrin Falls,Ohio 44023-6714 Fax
Developer/Agent Steve Gooch Phone (434)531-0487
Mailing Address 703 Oliver Creek Road Phone
Troy,Virginia 22974 Fax
AOSE Steve Gooch Phone (434)531-0487
Mailing Address 703 Oliver Creek Road Phone
Troy,Virginia 22974 Fax
Directions to Property: From Charlottesville Rt 20 North to Stony Point,left on Watts Passage,left on Burnt Mill Road to 3307 Burnt Mill
Road on left
Name of Proposed Subdivision
Tax Map 47-57 Other Property Identification Dimension/Acreage of Property 37.065 Ac.
Number of lots proposed 2 Proposed water source(note:new or existing,public or individual) new,existing,individual
General size of lots 5 Ac.,32.065 Ac. (give range if appropriate)
Additional description of subdivision
Overview of soils and geology(optional but encouraged)
In order for VDH to process a subdivision application you must attach a plat of the property showing the location of the proposed onsite
sewage disposal systems and the reserve absorption areas(if required)and the location of the water supply system on each lot,if applicable.
Each plat or subsection of a subdivision shall be accompanied by specific soil information for each lot(absorption area and reserve area). If
not provided by the local subdivision ordinance,the district or local health department may require the plat to show streets,utilities,storm
drainage,water supplies,easements,lot lines,and original topographic contour lines by detail survey or other information as required.
When the AOSE site evaluations are reviewed,the property lines,building location and the proposed well and sewage system sites must be
clearly marked and the property sufficiently visible to see the topography,otherwise this application will be denied.
I give permission to the Virginia Department of Health(VDH)to enter onto the property described during normal business hours for the
purpose of processing this application and to perform quality assurance checks of evaluations and designs certified by an Authorized Onsite
Soil Evaluator(AOSE)or a Professional Engineer(PE)as necessary until the sewage disposal system has been constructed and approved.
Signature of Owner/Agent Date
a
VDH Use Only
ommonwealth of Virginia Health Department 1D#
Application for Subdivision Review Due Date
(page 2 of 2 to be filled out by the county official requesting a VDH review)
County Office initiating request '��
Contact Individual Phone
Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and
regulations governing sewage treatment and dispersal and private water supplies,compliance with local ordinance governing
sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please
indicate the nature of review you are asking the health department to conduct.
I. Review for conformance with the Sewage Handling and Disposal Regulations
2. Review for conformance with local onsite wastewater ordinances
3. Other(describe below)
Name and title of requestor Date
OSE Form F Revised 7/02/09
0V LA
• Airillii.N\ f‘
RGl -t, M •* Si fi �
. Y a[ `'' f W! Ali; p 1a
COUNTY OF ALBEMARL °'' '� y
Department of Community Development
401 McIntire Road,Room 227
Charlottesville,Virginia 22902-4596
Phone(434)296-5832 Fax(434)972-4126
RECEIVED
Date: 4/23/2014 Environmental Health Services
APR 2 5 2014
Teresa Batten Kfizkl
Virginia Department of Health
1138 Rose Hill Drive
Charlottesville,VA 22906
Regarding:
Project Name: SUB 2014-00070 Jennifer Levien—Rural Subdivision
Date Submitted: 4/22/14
Dear Ms. Batten:
The County of Albemarle has received application to develop/subdivide Tax Map 47 Parcel 57.
This project requires Health Department approval prior to receiving final County approval. The
applicant has provided a soils report,which is attached. Please review the proposal for suitable
subsurface drainfields that comply with the provisions of Chapter 18, Sections 4.2.2,4.2.3, 4.2.4,
and Chapter 14, Section 310 of the Albemarle County Code.
Should you have any questions or comments please feel free to contact me.
Sincerely,
Pic.«- __- . e°,-,(
Ellie Carter Ray, Senior Planner
County of Albemarle
Department of Community Development
Division of Zoning and Current Development
401 McIntire Road
Charlottesville, VA 22902
erav@albemarle.ora
(434)296-5832.. eat 3432 phone
(434)972-4126, fax
Steve Gooch, C.P.G./A.O.S.E STEVE GOOCH spgooch.geologist @gmail.com
CONSULTING GEOLOGIST, INC. Phone: 434-531-0487
703 Oliver Creek Rd. Troy,Virginia 22974
April 7, 2014
Mr. J.T. Newberry
County Of Albemarle
Dept. Of Planning and Community Development
401 McIntire Rd Room 227
Charlottesville,VA 22902-4579
Re: Soils Report for Drain Field Sites
Lot A and Residue
A Division of Tax Map 47 Parcel 57
Albemarle County
Dear Mr.Newberry:
Enclosed are three (3) copies of the soils work associated with the proposed drain
field sites for the above-referenced property. We request that you forward two (2)
copies to the Charlottesville-Albemarle Health Department for their review. Also
enclosed is the application for subdivision review form.
If you have any questions,please do not hesitate to call.
Sincerely,
Steve Gooch, Consulting Geologist,Inc.
4)(f-e,
Steve Gooch
Encl.
Soils Study for Drain Field Sites
Lot A and Residue
A Division of Tax Map 47 Parcel 57
Albemarle County
` 3
ro F3
p h�
Prepared for:
Tim Townsend
311 W. 5th Street
Frederick, Maryland 21701
Prepared by:
Steve Gooch Consulting Geologist,Inc.
703 Oliver Creek Road
Troy, Virginia 22974
April 7, 2014
Page 1 of 5
OSE/PE Report for:
s"' Construction Permit I I Certification Letter n Subdivision Approval
Property Location:
911 Address: 3307 Burnt Mill Road City:
Lot A Section Subdivision Levien Property
GPIN or Tax Map# 47'57 Health Dept ID#
Latitude Longitude
Applicant or Client Mailing Address:
Name: Tim Townsend
Street: 311 W. 5th Street
City:Frederick State Maryland Zip Code 21701
Prepared by:
OSE Name Steve Gooch License# 1940001284
Address 703 Oliver Creek Road
City Troy State Virginia Zip Code 22974
PE Name: License#
Address
City StO , k Z Cc e r '
T xy M ry .( .........
Date of Report 4/7/14 F ttrbf geekiotf#1 .�
OSE/PE Job# Date of ievision#2
Contents/Index of this report(e.g.,Site Evaluation Summary,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.)
OSE Cover Page Abbreviated Design Form
Soil Profile Sheet Survey Plat
Soil Information Summary Sheet
Certification Statement
I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the Sewage Handling and
Disposal Regulations(12 VACS-610),the Private Well Regulations(12 VAC5-630)and all other applicable laws,regulations and
policies implemented by the Virginia Department of Health. I further certify that I currently possess any professional license required
by the laws and regulations of the Commonwealth that have been duly issued by the applicable agency charged with licensure to
perform the work contained herein.
I I The work attached to this cover page has been conducted under an exemption to the practice of engineering,specifically the
exemption in Code of Virginia Section 54.1-402.11
I recommend that a(select one): construction permit❑ certification letter subdivision approval
be(select one)issued 0 denied❑.
OSE/PE Signature ?f /e �� Date L/ /7//I
«fie 2055
Soil Profile
Lot A
A Division of Tax Map 47 Parcel 57
Albemarle County
Hole Depth Horizon Material Description Soil Texture
(in.) Group
6 0-3 A Dark reddish brown(2.5YR 4/4) clay loam 3
3-28 Bt Red(10R 5/8) silty clay 4
28-48+ C Yellow(10YR 7/8) clay 4
7 0-4 A Dark reddish brown(2.5YR 4/4) clay loam 3
4-60 Bt Red(10R 5/8) silty clay 4
8 0-5 A Dark reddish brown(2.5YR 4/4)clay loam 3
5-48 Bt Red(10R 5/8) silty clay 4
48-60 BC Red(10R 5/8) silty clay and yellow(10YR 7/8) clay loam 4
9 0-6 A Dark reddish brown(2.5YR 4/4)clay loam 3
6-26 Bt Red(10R 5/8) silty clay 4
26-69 BC Red (10R 5/8) silty clay and yellow(10YR 7/8) clay loam 4
69- Cr 50%+weathered amphibolite fragments
10 0-6 A Dark reddish brown(2.5YR 4/4) clay loam 3
6-37 Bt Red(10R 5/8) silty clay 4
37-60 CB Yellow(10YR 7/8) clay loam, red(10R 4/8) silty clay loam,3
manganese
11 0-4 A Dark reddish brown(2.5YR 4/4) clay loam 3
4-22 Bt Red(10R 5/8) silty clay 4
22-46 BC Red (10R 5/8) silty clay and yellow(10YR 7/8) clay loam 4
46-60 C Yellowish brown(10YR 5/8) sandy clay loam 2
12 0-3 A Dark reddish brown(2.5YR 4/4) clay loam 3
3-42 Bt Red(10R 5/8) silty clay 4
42-72 CB Yellowish brown(10YR 5/8) silty clay loam, red(10R 4/8) 4
clay, manganese stains below 60"
Page 3 of c
Appendix 2
Soil Summary Report
GENERAL INFORMATION
Date 4/7/14 Submitted to Albemarle County Health Department
Applicant Tim Townsend Telephone Number (301)471-3192
Address 311 W. 5th Street Frederick, Maryland 21701
Owner Jennifier Levien Address 84 Club Lane Chagrin Falls, Ohio 44023-6714
Location 3307 Burnt Mill Road
Tax Map 47-57 Subdivision Levien Property
Block/Section Lot A
SOIL INFORMATION SUMMARY
1. Position in landscape satisfactory? X Yes No
Describe gentle side slope
2. Slope 4 %
3. Depth to rock or impervious strata: Max. 72"+ Min. 48"+ None
4. Depth to seasonal water table (gray mottling or gray color) iX No r Yes inches
Free water present 1( No Yes range in inches
6 Soil percolation rate estimated X Yes Texture group I II III IV
r No Estimated rate 110 min/inch
7. Permeability test performed _ Yes
X No
If yes, note type of test performed and attach
X Site Approved: Drainfield to be placed at 12" depth at site designated on permit.
■ Site Disapproved:
Reasons for rejection:
1. r Position in landscape subject to flooding or periodic saturation.
2. ; Insufficient depth of suitable soil over hard rock.
3. F Insufficient depth of suitable soil to seansonal water table.
4. ; Rates of absorption too slow.
5. Insufficient area of acceptable soil for required drainfield, and/or Reverse Area.
6. r Proposed system too close to well.
r Other Specify
volime
(attach additional pages if necessary)
�u5� 4j -c
Abbreviated Design Form
This form is for use with gravity,pump to gravity,enhanced flow,and low pressure distribution(LPD)sewage system
designs and when applying for a certification letter or subdivision approval.
This abbreviated design covers the mary and reserve area, ❑ only the primary area, ❑ only the reserve
area(check one)for Lot A—A Division of TM 47-57(Property ID).
Design Basis
Total length of available area: 95' Total width of available area: 107'
Estimated Perc.Rate: 110 at 12" in. (depth) Number of bedrooms(or GPD): 3
1 2
Conveyance Method : Pum Distribution method (specify): Pump
3c
Dispersal system basis Table 5.4(LPD) LGMI required? No (Yes/No)
Effluent quality required: Secondary (Primary, Secondary,Advanced Secondary)
Square feet per bedroom: 569 Total trench bottom area required:_10242
Area Calculations
Number of trenches 54 Length of trenches: 95'
Width of trenches: 1" Center to center spacing: 2'
Reserve required?_Yes _ Percent reserve area required: 100
Total width of absorption area required 106' Total trench bottom area provided: 10260
The required width is calculated by multiplying the center-to-center spacing by one less than the number
of trenches and adding I trench width plus any required reserve area. If the topography is not uniform
across the length of the site the trenches will need to flare apart on one end to maintain contour. When
this occurs it is necessary to use a center-to-center spacing that accounts for the flair or the installer will
not be able to fit the system within the approved area. It is perfectly acceptable to have more area
available,especially up and down the slope,than is required.
Page of
AOSE Form E Revised July 18,2007
Ver'�i
'"`..` �a� - For Hea1ik
ems,
0\I,3� o�e`r Depart°-YlLc rit Use
°0�•59.0, :504-0,41 Ad Health Department Approval
D€ 64'`„"0 c b?6<... ,-NThis subdivision is approved for individual onsite sewage systems in accordance with
63 -(' \ the provisions of the CODE OF VIRGINIA and the SEWAGE HANDLING and DISPOSAL
984 %1160�r• x Iron REGULATIONS(12 VAC 5-610-10 et seq., the "REGULATIONS"), (and local ordinances
�e ® d• L� vicS- _-- 1 I". ')Set if the locality has authorized the local Health Department to accept private evaluations
Nr i„es �: '
p for compliance with local ordinances).
PILL”ni vase, sea -,v I ! rn
/ \���)
��' ' e$,i�yfi�re -,/ ,r -�ecreaa 1 !„- Jo?� This subdivision was submitted to the Health Department for review pursuant to Sec.
Py-leS �” @ I I ,a,co 32.1-163.5 of the CODE OF VIRGINIA which requires the Health Department to accept
�® - �'- �o� SAN Z, 1 : private soil evaluations and designs from an Authorized Onsite Soil Evaluator(AOSE)
-- - )25�2 `o -o i . S {so
n or a Professional Engineer working in consultation with an AOSE for residential dev
i W o 0 1 I` !Set elopment. The Department is not required to perform a field check of such evaluations.
co 0 ) c b- 1 1 This subdivision was certified as being in compliance with th Board of Health's regul-
o 2 N >�, ations by:Steve Gooch,AOSE# �._This subdivision approval is issued in reliance
8'c._._ � 1, ,
1H n v n c ' upon that certification. 1940001284
` N0� ° 01 0 Qo 6 `ri �. 1 ,rte
0 0 o° �, i ;° Pursuant to Sec. 360 of the REGULATIONS this approval is not an assurance the
N u, N ® � a 1 ,N Sewage Disposal System Construction Permits will be issued for any lot in the
Z R I°- E a) " ; subdivision UNLESS that lot is specifically identified as having an approved site for
Iron u- ® . ko a� 1 ; an onsite sewage disposal system,and unless all conditions and circumstances are
North is based on V, 0 Go 0 I 1„
the plat in DB 4460-74 ' & ® x- present at the time of application for a permit as are present at the time of this appr-
the
d �1 1 1 '..� oval. This subdivision may contain lots that do not have approved sites for onsite
�, -9' 2
$ sewage systems.
�' 1 1°
. ; I �� This subdivision approval is issued in reliance upon the certification that approved
"1y,�{ '°, a , , t I ; lots are suitable for"traditional systems", however actual system designs may be
, , 1 ro �1 different at the time construction permits are issued.
04 tt3
i€ v I
- \ '` f W � 4` ;iron
ci .<U zws,s.n11,0s 3 I '� ,Set
Health Department Date
o`b (p u.
5 act I I 1 510°19'38"W
® �' n, r. ;
Page 1 of 5
OSE/PE Report for:
Construction Permit n Certification Letter I I Subdivision Approval NI
Property Location:
911 Address: 3307 Burnt Mill Road City:
Lot Residue Section Subdivision
Levien Property
GPIN or Tax Map# 47'57 Health Dept ID#
Latitude Longitude
Applicant or Client Mailing Address:
Name: Tim Townsend
Street: 311 W. 5th Street
City:Frederick State Maryland Zip Code 21701
Prepared by:
OSE Name Steve Gooch License# 1940001284
Address 703 Oliver Creek Road
City Troy State Virginia Zip Code 22974
PE Name: License#
Address
City State Zip Code
Date of Report 4/7/14 Date of Revision#1
OSE/PE Job# Date of Revision#2
Contents/Index of this report(e.g.,Site Evaluation Summary,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.)
OSE Cover Page Abbreviated Design Form
Soil Profile Sheet Survey Plat
Soil Information Summary Sheet
Certification Statement 4.
I hereby certify that the evaluations and/or designs contained herein were . I cted in accordance with the Sewage Handlmg.apd
Disposal Regulations(12 VAC5-610),the Private Well Regulations(12 V ∎30 + 11 e p `:c.1C a r ul rotr. a'ki °`�S
policies implemented by the Virginia Department of Health. I further cert. th' I «g, ery Dss y fessnal,ligense req>;itrd ,<
by the laws and regulations of the Commonwealth that have been duly iss `.` y.het ppltgat ag ch ed th fi nsr to,}
perform the work contained herein. #. a ;h )' 't , � t `!,; ,,,
monlial work attached to this cover page has been conducted under an exemption to the vractice of engineering,specifically the
exemption in Code of Virginia Section 54.1-402.11
I recommend that a(select one): construction permit❑ certification letter subdivision approval Q
be(select one)issued rj denied❑.
Now-
OSE/PE Signature . .-e Date f/7/I f
P�(712- °QC-
Soil Profile
Reserve Drain Field
Residue
A Division of Tax Map 47 Parcel 57
Albemarle County
Hole Depth Horizon Material Description Soil Texture
(in.) Group
13 0-3 A Dark reddish brown(2.5YR 4/4) clay loam 3
3-20 Bt Red(10R 5/8) silty clay 4
20-43 BC Red(10R 5/8) silty clay and yellow(10YR 7/8) silty clay 4
loam with weathered amphibolite fragments
43- Cr 50%+amphibolite fragments
14 0-4 A Dark reddish brown(2.5YR 4/4) clay loam 3
4-17 Bt Red(10R 5/8) silty clay 4
17-30 CB Yellow(10YR 7/8) clay loam amphibolite saprolite and red 4
(10R 5/8) silty clay
30- Cr 50%+amphibolite fragments
15 0-4 A Dark reddish brown(2.5YR 4/4)clay loam 3
4-29 Bt Red(10R 5/8) silty clay with amphibolite fragments 4
29- Cr 50%+amphibolite fragments
16 0-5 A Dark reddish brown(2.5YR 4/4) clay loam 3
5-32 Bt Red(10R 5/8) silty clay 4
32- - Quartz
17 0-4 A Dark reddish brown(2.5YR 4/4) clay loam 3
4-18 Bt Red(10R 5/8) silty clay 4
18-31 BC Red(10R 5/8) silty clay and yellow(10YR 7/8) silty clay 4
loam with weathered amphibolite fragments
31- Cr 50%+amphibolite fragments
Page 3 of
Appendix 2
Soil Summary Report
GENERAL INFORMATION
vikao-
Date 4/7/14 Submitted to Albemarle County Health Department
Applicant Tim Townsend Telephone Number (301)471-3192
Address 311 W. 5th Street Frederick, Maryland 21701
Owner Jennifier Levien Address 84 Club Lane Chagrin Falls, Ohio 44023-6714
Location 3307 Burnt Mill Road
Tax Map 47-57 Subdivision Levien Property
Block/Section Lot Residue
SOIL INFORMATION SUMMARY - Q`. eoN2 flyz4 1,k
1. Position in landscape satisfactory? X Yes No
Describe side slope
2. Slope 9 %
3. Depth to rock or impervious strata: Max. 43"+ Min. 29" None
4. Depth to seasonal water table(gray mottling or gray color) X No P Yes inches
Free water present IX No Yes range in inches
Soil percolation rate estimated X Yes Texture group I II III IV
■ No Estimated rate 110 min/inch
7. Permeability test performed I Yes
X No
If yes, note type of test performed and attach
iX Site Approved: Drainfield to be placed at 17" depth at site designated on permit.
Site Disapproved:
Reasons for rejection:
1. r Position in landscape subject to flooding or periodic saturation.
2. I Insufficient depth of suitable soil over hard rock.
3. t- Insufficient depth of suitable soil to seansonal water table.
4. ' Rates of absorption too slow.
5. Insufficient area of acceptable soil for required drainfield, and/or Reverse Area.
6. i Proposed system too close to well.
r.._., Other Specify
(attach additional pages if necessary)
r-y 47
Abbreviated Design Form
This form is for use with gravity,pump to gravity,enhanced flow,and low pressure distribution(LPD)sewage system
designs and when applying for a certification letter or subdivision approval.
This abbreviated design covers the ❑ primary and reserve area, ❑ only the primary area, IE4 the reserve
area(check one)for_Residue—A Division of TM 47-57(Property ID).
Design Basis
Total length of available area: 100' Total width of available area: 85'
Estimated Perc. Rate: 105 at ll 7" in. (depth) Number of bedrooms(or GPD): 4
1 2
Conveyance Method : Gravi Distribution method (specify): Gravity
3c
Dispersal system basis GMP 118A LGMI required? No (Yes/No)
Effluent quality required: Secondary (Primary, Secondary,Advanced Secondary)
Square feet per bedroom: 357 Total trench bottom area required: 1428
Area Calculations
Number of trenches 5 Length of trenches: 100'
Width of trenches: 3' Center to center spacing: 9'
Reserve required? This is reserve Percent reserve area required: 100
Total width of absorption area required 39' Total trench bottom area provided: 1500
The required width is calculated by multiplying the center-to-center spacing by one less than the number
of trenches and adding 1 trench width plus any required reserve area. If the topography is not uniform
across the length of the site the trenches will need to flare apart on one end to maintain contour. When
this occurs it is necessary to use a center-to-center spacing that accounts for the flair or the installer will
not be able to fit the system within the approved area. It is perfectly acceptable to have more area
available,especially up and down the slope,than is required.
Page of
AOSE Form E Revised July 18,2007
, For Heetlik
34 ,te�r2.e....
�
\1, Deparimeni Use
�6� B"�
°0 ,59"°, s°AoylBi A°i Health Department Approval
D�6 5ht5'gg' ' 6?y- ,, This subdivision is approved for individual onsite sewage systems in accordance with
c?_ 5'Z O1, �J \ the provisions of the CODE OF VIRGINIA and the SEWAGE HANDLING and DISPOSAL
784 -( ,‘6t.'" / Iron REGULATIONS(12 VAC 5-610-10 et seq., the "REGULATIONS"), (and local ordinances
12 0 je J` N.- O ��"<< _-s : )Set if the locality has authorized the local Health Department to accept private evaluations
gl� e6 I`N -\pe 1 1 for compliance with local ordinances).
n ylriiii �i 5e° FoP°"-- advt�\ I ."N Ito•�F e ; rw-e _.- 1r Ar-0,01 I I �� This subdivision was submitted to the Health Department for review pursuant to Sec.
®r pres o ' _- �..t 1 I,N ;' CO 32.1-163.5 of the CODE OF VIRGINIA which requires the Health Department to accept
...._ coy SAN Z, 1 ;O private soil evaluations and designs from an Authorized Onsite Soil Evaluator(AOSE)
_- X25 02 `m.4-o I I. n or a Professional Engineer working in consultation with an AOSE for residential dev-
W �,u o I i ;Set elopment. The Department is not required to perform a field check of such evaluations.
■
7 iii M 12 a)o n° � ; This subdivision was certified as being in compliance with th Board of Health's regul-
o to n.>�, E. ations by Steve Gooch,AOSE#' . This subdivision approval is issued in reliance
P- F) a•-•E IN u� "% 194000rzs4
NORM o N �t o o .0 . I upon that certification.
cq o Q° = I ;�
O 3 o 5 1 �'''k v Pursuant to Sec. 360 of the REGULATIONS this approval is not an assurance the
‘-- Z i N. ° 0 m I : IN Sewage Disposal System Construction Permits will be issued for any lot in the
g p2 o L :A ; subdivision UNLESS that lot is specifically identified as having an approved site for
North is based on Iron u� ® >1 I . an onsite sewage disposal system, and unless all conditions and circumstances are
Fnd. , - ` ,�' co O 1 ;: present at the time of application for a permit as are present at the time of this appr-
ihe plat in DB 4460-74 !.. ci �'1 ,r, oval. This subdivision may contain lots that do not have approved sites for onsite
�' t3,
"% �-- sewage systems.
�,�r. i.x ; ' This subdivision approval is issued in reliance upon the certification that approved
a, I I ; lots are suitable for"traditional systems", however actual system designs may be
a) V� '''x a4 s aa, �* I �� different at the time construction permits are issued.
�'. .� rx w I I � ;Iron
Q ,�; �- .a ;�m 1,, ;Set
Health Department Date
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19p 1S, Je fifer l,evie, D.i 256-539, DB 76-17 Plat moo,
I I 'S• Par e1 X)FromTM =7-74 Added To TM 47-57 I n
Pe he CertificaEi, . Of Confirmation Of Plat
Plat Showing Rural Subdivision Of alb. In. . ' : 1000108 (DB 460-74) wALTll OF
Tax Map 47 Parcel 57 (442) s7 91 9 o '',, `\
Rivanna Disc, Albemarle Co_, Va.
1 --°53 E ` �`r�
- WI " it vo Bryan J.,chambers �,
]Pir®]ED�lC°1�v �f ,.1 PERK TEST 3 No. 0403002141
SITES
�/ 7T °,,, •1 ^I PROPOSED RESERVE
aJ/ te�lC2_711:31' ...1—it -777117t(rm17t 21 "'o DRAIN FIELD g '� �
Horiz Scale: 1"= 100;'Date: 3/31/2014(436) Imo~ 3/31 / 11 04
Contour Interval=2' d -` _ 9�0 v�� `R
le N76°43,-14 I'S'' Owner: S u 1 )
Chambers - Land Surveying 97.0' Jennifer Leviers
112 Crofton Plaza -Suite K, Palmyra Va. Ph: (434) 589-5139 . 3307 Burnt Mill Rd. 100' 50' 0 100'
Mailing Addr_• 253 Willow Dr. Keswick Va. 22947 Charlottesville Va. 22911 ......r.....