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SUB201400038 Approval - Agencies 2015-05-07
Nirme T�w+ YA r1 COMMONWEALTH of VIRGINIA Y IA In Cooperation with the Tha/MtS.Jtifc'rsott Health District ALBEMARLE,r,EtARLOTT r. !'LUVANNA COUNTY(PALMYRA) State Department of Health 1138 Rose Hill Drive CHLLNL CiOLINTY(STANAfDSVILLE) LOUISA COUNTY(LOUISA) Phone(434)972-6219 P. O. Box 7546 NELSON COUNTY(LOVINGSTON) Fax (434)972-4310 Charlottesville,Virginia 22906 May 7,2015 Christopher P.Perez Department of Community Development Division of Zoning and Current Development 401 McIntire Road Charlottesville,Virginia 22902-4596 RE: Review of Proposed Subdivision Phut and attached Soils Information for Individual Onsite Sewage Systems as part of a division of Tax Map 69 Parcel 58 located in Albemarle County,Virginia. Dear Mr.Perez: On April 15,2015,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: Aaron Sherwood;Onsite Soil Evaluator Number 1940001151. 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, Imo—_ – Josh Kirtley Environmental Health Technical Consultant Thomas Jefferson Health District vale pile 1 ef 8 OSE/PE Report for: Construction Permiit, Certification Letter n Subdivision Approval 0 Property Location: 911 Address: -- Rockfish Gap Tpke City: Afton Lot 1 Section Subdivision - OPIN or Tax Map# 80'8B (6.02 Ac.portion) Health Dept ID Latitude Longitude Applicant or Client Mailing Address: Name: !&J Home Builders, Inc. Street: 21708 James Madison Hwy. City:Troy State VA Zip code 22974 Prepared by: OSE Name Aaron M.Sherwood License# 1940001151 Address 1488 Huron Court city Harrisonburg State VA Zip code 22801 PE Name: License# Address City State Zip Code Date of Report 4616 Date of Revision#1 OSE/PE Job# Date of Revision#2 Contents/index of this report(e.g.,Site Evaluation Summery,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.) Pg.1.2.AOSE Cover Sheet/VOH Application Pg. 3-4-Soil Summary&Descriptions Pg. 7-well Setback Form Pg.5-Site Sketch Pg.8-Certification Statement Pg.6-Abbreviated Design Form(Cony.) Attachment-Survey 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 Anther 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 wok contained herein. ElThe wet attached to this cover pate has been conducted under an exemption to the practice of eutince Tina,specifically the exemption in Other(Cite Code Section): I recommend that a(select one): lion .- ' ,© certification letter subdivision approval be(select one)issued© denied OSE/PE Signature 471. 5/1„)'• Date 4-5-15 4.2.0$ Commonwealth Virginia Health Dent ID#- Application for. OSewage System ®Water Supply Owner: I&J Home Builders.Inc, Mailing Address: 21708 James Madison Highway Phone: 1-434591-1100 Troy.VA 22974 Fax: Agent:Aaron M.Sherwood.AOSE Email: AiriKAllikagMAILS2111 Phone:540-438-1308 Mailing Address:1488 Huron Court Ifiejagg,ig,VA 22801 Site Address: -- Rockfish Gap Tpke. Afton.VA 22920 Directions to Property: South side of Rt.250,0.55 mi.West of County Line. Subdivision: Section Block Lot: Tax Map : 69-5B (portion) Other Property Identification: Dimension/Acreage of Property: 6.02 Ac.portion Sewage System Type of Approval: Applicants for new construction are advised to apply for a certification letter to determine if land is suitable for a sewage system and to apply for a construction permit(valid for 18 months)only when ready to build. For New Construction: ®Certlflcatlon Letter ❑Construction Permit For Existing Construction: 0 Repair 0 Modification ❑Expansion 0 Replacement Proposed Use: 0.7:4 Single Family Home(Number of Bedrooms 4) ❑Multi-Family Dwelling (Total Number of Bedrooms ) ❑Other(describe) . Will there be a basement: Yes: ® No: ❑ If yes,will there be fixtures in Basement? Yes:® No:❑ proposed Swine Treatment M-' ,• ® Conventional Septic Tank ■ Secondary Treatment(112) ❑ Advanced Secondary Treatment(TL3) Esasardkantaningl p M Trench Trench(pump) ❑LPD ❑Drip ❑ 0% ❑ 50% 100% ( ) Weer Saaoly Will the water supply be: Public❑ Private 03 Is the water supply: Existing❑ Proposed Water Supply Type to be installed: Class IUC Well ❑Class IIIB Well ❑Public Water Replacement well? Yes❑ No® Will the old well be abandoned? Yes❑ No 0. Termite Treatment? Yes ® No❑ Is this an AOSE/PE application? Yes® Noif yyes,is the AOSE package attached? Yes® No❑ In order for VDH to process your application you must attach a site sketch and plat of the property. 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 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. *• this application and to perform quality assurance checks of evaluations and designs certified by an Authorized Onsite Soil Evaluator(A!'..E)or a Professional Engineer(PE)as necessary until the sewage disposal system has been constructed and approved, 4-5-15 Si_•1 . , . Owner/Agent Date *ftsv Noe VDB Use oolp Health Demme*Me Doe Dote Site and Soil Evaluation Report (For certification letters and subdivisions) Gemeral Information Date:45-15 Albemarle Canty Health Department Applicant: I&J Home Builders,Inc. Telephone Number:1-434-591-1100 Address:21708 James Madison Highway,Troy,VA 22974 Owner: same Address: Location• North side at Rt.250,0.55 m.East of County Line. Subdivision epee Block/Section Lot 1 Soil Inforaaatioa Summary 1.Position in landscape satisfactory Yes L No— Describe:convex bide ge Creeeetee Residuum 2.Slope 1647 % 3.Depth to rock/impervious strata Max_ Min._ None x 4.Free water present No L Yes__ Range in inches 5.Depth to seasonal water table(gray mottling or gray color)We inches 6.Soil percolation rate estimated Yes J Texture group QI QII ©M DIV No Estimated rate 50 minim 7.Percolation test performed Yes Number of percolation test holes No L Depth of percolation test holes_ Average percolation rate mpi Name and title of evaluator: �er woRUSE Syaature: /-',/ Depsrtneet Use Site approved: Drainfield trench bottoms to be placed at 24 (inches)depth at site designated on permit. _ Site disapproved: Reasons for rejection:(check all that apply) 1. Position in landscape subject to flooding or periodic saturation. 2. Insufficient depth of suitable soil over hard rock. 3. Insufficient depth of suitable soil to seasonal water table. 4. ,Rates of absorption too slow. 5. !_Insufficient area of acceptable soil for required draunfield,and/or Reserve Area. 6. _Proposed system too close to well. 7. Other(Specify) OSE Form G(pg 1)Revised 7/02/2009 PAGE 4 OF <nvMOMMI.W/1n1f 1011 TptM+D.L.L.G. LikiliffelglisimittApAeLft Hole Hrzn. Depth SOIL PROFILE DESCRIPTION Text (inches) Soils Evaluation Date: 7-8-14 Group Porn Evaluation method: Backhoe Pits 1. A 0-6 7.5YR 3/3 Dark Brown,Silt Loam topsoil with few subangular to subrounded 111/50 Greenstone and Granite cobbles/cha<hners/gravels;friable course granular structure. Bt1 6-29 7.5YR 4/6 Strong Brown,Sandy Clay Loam with common 15-20%Greenstone/Granite 11/45 boukiers/channers/graveis with friable course granular structure. Bt2 29-50 5YR 416 Yellowish Red,Sandy Clay Loam to Sandy Loam with layers of 15-20% 11/45 channers/c obbles;highly friable granular structure. 2. A 0-8 7.5YR 4/4 Brown,Charmery Loam t psoil with course granular structure. 111/50 Bt1 8-40 5YR 416 Yellowish Red,Sandy Loam to Sandy Clay Loam with 10% 11/40 Greenstone/Granite charmers and boulders;friable granular structure. 812 40-60 7.5YR 4/6-516 Strong Brown,Sandy Clay Loam with 20%charm ers/boulders;friable 11/45 granular structure. 3. A 0-8 7.5YR 4/4 Brown,Channery Silt Loam topsoil with course granular structure. 111/50 Bt1 8-31 5YR 416 Yellowish Red,Sandy Loam to Sandy Clay Loam with 10% 11/40 Greenstone/Granite charmers and boulders;friable granular structure. Bt2 31-50 5YR 511x5/8 Yelowish Red,Sandy Clay Loam with 10-15%channersiboukiers;friable 11/45 granular structure. 4. A 0-10 7.5YR 4/4 Brown,Channery Sit Loam topsoil with highly friable course granular 11/45 structure. 811 10-36 5YR 4/6 Yeilovrish Red,Sandy Loam to Sandy Clay Loam with 10% 11/40 Greenstone/Granite charmers and boulders;friable granular structure. Bt2 36-48 7.5YR 4/6-5/6 Strong Brown,Sandy Clay Loam with 15-20%c hanners/boulders;friable 11/45 granular structure. SANITARY SURVEY KIWI I I&J ei kti s-AZ O- SCALE-1"-100" (SANITARY SURVEY SHOWS SET-BACK RESTRICTIONS WITHIN 200'-PER OWNER INFORMATION) 4 .44 ` MONUMENT'` S .• F • • • • ■1 '�• . mss / , i ei ■ LOT 1 0'�'R4,,, '.�' 8.02 Acres t O o • 1 \$ ' i T s I 1 d...). 1 L - 3 1 L1 *1° N 3558'2.Y' E N 8,03153"11 % R , L14 ,F 207.74' -1. . OOP- \ 101 ,S: LiA X ...-- %.. WRONG SITE � ' L16 i 'cif ut -----:". 71 , 117 1 % ,N..`.;-- • ) MP 69- 5I o w�'' ' ,, , • 118 ' / �' 3.357 ACRI 1 • •_, ' ` / 1 RESOLE•r 1 .-'-, `� EXISTING 1 \ -" r1 DWELLING % % X_,. _ 1,20 ‘ 2.4oliala X L ti \ � ---- A Lai I.S. 301.22° N 8416600" W , D A P a 5-5 A 634.24• 1 N 84'1 . ,, ZENON, ANDREW D. OR CHANDA ASHLEY 242.02' D.8. 4445 PG. 713 < NM AMMO O 18.188 AGM Page 6 of DESIGN FORM—CONVENTIONAL TRENCHES (I&J Home Builders-Rt.250-Albemark Co. 1.Estimated Percolation Rate 50 min./inch 2.Trench bottom square feet X Gravity LPD 376 Sq.ft.bdrm. required per bedroom(from Drip sq.ft./bdrm. 3.Number of bedrooms 4 - Estimated Flow 600 gpd. Area Calculations: 4.Length of trenches 70 ft. Length of Available area 100 ft. 5.Width of trench 3 ft. 6.Number of trenches 8 7.Center-to-Center spacing 9 ft. 8.Width required 66 ft. Width available 150 ft. 9.Total square footage required 1504 sq.ft. NOTES- 10.Total square footage in design 1680 sq..ft. 11.Is reserve area required X Yes 50% X 100% No 12.Installation Depth 24 inches 13.Percent Slope 16-17 % NOTES: No Substitute Systems. Gravel Trenches only due to Boulders in soil profile. ..i.K...T.0 pre 7 of g • . Addendum N AO !fl Cartidealism 8htt■maemt Per Private Wei Csostruetina Pier mit Instructions:Please check one boot in 1-3 below.Statement templates fOr item*2 and d3 are on the fillowing pages. • The proposed veell she shown herein, f i 1. Is located a minimum of 50 feet from aIl PmPerty lines. ❑ 2. Is located within 50 feet of the adjacent property line(s)butI have de s:mined fat the atfacent property isag need for an agricultural operative. ❑ i.Written affirmation from the st.scesdt property owmeKs)that the property is go used for an agdeultuad cps, ❑ ii.Offer confinistion met land use is as agricultund plane d ❑ 3. Is located wit 50 feet of at lids where the pnopeiety is used tot an agricultural operation. For curd9'rmetlon I have attached the approlm ate documentation pannent to 1 32.1-176.S:2&the Code qf 1bbda.(check one below) ❑ i.%itempecmi pion from the ac acermt property owners)tar the well oonetruction. ❑ ii.I ow*that no of her site an the property complies wlt6 the Boanl's Reglml d=for the constriction afaprivate well. Page Certification Statement County: Albemarle Date: 4-5-15 Property ID TM 69-58 03.02/C.ran) Certified/Submitted by: Aaron M. Sherwood—ATEK Environmental & Soil Testing. This is to certify according to Sec. 32.1-163.5 of the Code of Virginia that work submitted for the referred property is in accordance of and complies with the Sewage Handling and Disposal Regulations of the Virginia Department of Health. I recommend a 'Certification Letter' (1)be 'approved' (2) C%�%�`• �/ l Seal AOSE# 1940001151 Aaron M. Sherwood qr YS-tr Date: 4-5-15 If the submission contains a certification by a professional engineer in consultation with an AOSE, the following statement shall be signed and sealed: I hereby certify that the evaluations and designs contained herein(refer to subdivision, lot,etc.)were conducted in accordance with the Sewage Handling and Disposal Regulations(12VAC 5.810-10 et seq.,the'Regulations)and the policies of the Virginia Department of Health for implementation of the Regulations. Furthermore, I certify that the evaluations and designs comply with the minimum requirements of the Regulations. I recommend a (1) be (2) SEAL Licensed PE: Date: (1)This blank must be filled in with one of the following terms: 'permit', 'certification letter', or 'subdivision approval'. 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