HomeMy WebLinkAboutSDP201300056 Action Letter 2015-08-28VIDHOFIHEALTH NT
Protecting You and Your Environment
PE Construction Permit
August 20, 2075
Rivanna Community Church
601 Earlysville Green
Earlysville, VA 22936
Page I of 3
Albemarle County Health Department
PO BOX 7546
Charlottesville, VA 22906
(434)972.6219 Voice
9724310 Fax
RE: Site Address: 601 Earlysville Green, Earlysville, VA 22936
Tax Map: 31 -32
HDID: 101 -15 -0347 Reserve: reserveareaprovided
System Capacity: Non - Residential, 1250 gallons per day (Flow Equalized to 650 gpd)
Dear Riverton Community Church:
This letter and the attached drawings, specifications, and calculations (35 pages) dated July 28,
2015, constitute your permit to install a sewage disposal system on the property referenced above. Your
application for a permit 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.
VDH is not required to perform a field check to verify the private evaluations of OSEs or PEs and such a
field check may not have been conducted for the issuance of this permit.
The soil absorption area ( "site "), sewage system design, has been certified by Richard L.
Blackwell, HI PE as substantially complying with the Board of Health's regulations (and local
ordinances if the locality has authorized the local health department to accept private evaluations for
compliance with local ordinances). This permit is issued in reliance upon Otat certification. VDH hereby
recognizes that the soil and site conditions acknowledged by this permit are suitable for the installation of
an onsite sewage system. The attached plat shows the approved area for the sewage disposal system;
there are additional records on file with the Albemarle County Health Department pertaining to this
permit, including the Site and Soil Evaluation Report. This construction permit is null and void if any
substantial physical change in the soil or site conditions occurs where a sewage disposal system is to be
located.
If modifications or revisions are necessary between now and when you construct your dwelling,
please contact the OSE /PE who performed the evaluation and design on which this permit is based.
Should revisions be necessary during construction, your contractor should consult with the OSE /PE that
submitted the site evaluation or site evaluation and design. The OSE/PE is authorized to make minor
adjustments in the location or design of the system at the time of construction provided adequate
documentation is provided to the Albemarle County Health Department.
The OSE /PE that submitted the certified design for this permit is required to conduct a final
inspection of this sewage system when it is installed and to submit an inspection report and completion
statement. As the owner, you are responsible for giving reasonable notice to the OSE/PE of the need for a
final inspection. If the designer is unable to perform the required inspection, you may provide an
inspection report and
Tax Map /GPIN: 31 -32 Page 2 of 3
HDID: 101 -15 -0347
completion statement executed by another OSE /PE. The Albemarle County Health Department is not
required to inspect the installation but may perform an inspection at its sole discretion . No part of this
installation shall be covered until it has been inspected by the OSE /PE as noted herein. The sewage
system may not be placed into operation until you have obtained an Operation Permit from the Albemarle
County Health Department.
This Construction Permit is null and void if conditions are changed from those shown on your
application or if conditions are changed from those shown on the Site and Soil Evaluation Report and the
attached construction drawings, specifications, and calculations. VDH may revoke or modify any permit
if, at a later date, it finds that the site and soil conditions and /or design do not substantially comply with
the Sewage Handling and Disposal Regulations, 12 VAC 5- 610 -20 et seq., or if the system would
threaten public health or the environment.
This permit 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 die 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.
This permit expires on February 18, 2017. This permit is not transferable to another owner or location
Sincerely,
Josh Kirtley
Environmental Health Technical Specialist
Albemarle County Health Department
Cc: Blackwell, Richard L., III PE
Tax Map /GPIN #: 31 -32
HDID #: 101 -15 -0347
WHAT YOU WILL NEED TO GET YOUR
SEPTIC SYSTEM OPERATION PERMIT
Page 3 of 3
• Your system must have a satisfactory inspection at the time of installation. This will be done by either a
representative of the local Health Department, a private OSE, or a PE, depending on the designer of your
permitted system. If your system is designed/inspected by an OSE or PE, they must submit a copy of the
inspection results, complete with an as -built diagram, to the Health Department.
• Please ensure that your contractor turns in a Completion Statement to the local Health Department after
installation.
• If your permit is for an alternative system, you must sign, have notarized, and record the attached Notice
of Recordation in your locality's land records. Please bring proof of this recordation to the local Health
Department
Allow 5 business days after the last piece of documentation is received for the Operation Permit to be
issued. To avoid delays, clearly label each piece of documentation with the property Tax Map /GPIN
number and HDID number shown above and on your construction permit. Please note that due to the
individual circumstances ojyour permit there may be additional required items not covered by this
checklist.
If you have any questions about any of the items on this list, please do not hesitate to contact the
Albemarle County Health Department at (434) 972 -6219.