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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
May 21,2015
J.T.Newberry
County of Albemarle
Department of Community 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 132 Parcel 11 located in Albemarle
County,Virginia.
Dear Mr.Newberry:
On March 30,2015,the County of Albemarle requested the Virginia Department of Health (via the Albemarle
County Health Depailrnent)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: Roger C. Nelson OSE 141940001320. 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,
Travis T. Davis,OSE
Environmental Health Specialist, Sr.
1 �
Now NNW It 4—
VDH use Only
Commonwealth of Virg'i . .. ....Department>D
Application for Subdivision Review t. i,u 1 Due Date
(page 1 of 2 to be filled out by the Owner or Agent)
Owner Cart R.Evans
Phone 434.831.2254
Mailing Address 9145 Howardsville Turnpike Phone
Schuyler,Virginia 22969 Fax
DevelopeilAgent Phone
Mailing Address Phone
Fax
AOSE Roger C.Nelson,#1940001320 phone 434.221.9000
Mailing Address 568 Mayo Creek Lane Phone
Wingina,Virginia 24599
Fax
Directions to Property: 29S;L on Irish Road;Ron Rt.800;L on Howardsville Turnpike to site opposite Rockfish River Road
Name of Proposed Subdivision
Tax Map 132-11 Other Property Identification Residue and Parcel B Dimension/Acreage of Property 7.44 acres
Number of lots proposed 2 Proposed water source(note:new or existing,public or individual) new individual
General size of lots (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 plat 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 OSE 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
Onsite Soil Evaluator(OSE)or a Professional Engineer(PE)as necessary until the sewage disposal system has been
constructed and approved.
Signature of Owner/Agent Date
Commonwealth of Virginia HealthDeparnneennt °"n
Application for Subdivision Review Due Date _
(page 2 of 2 to be filled out by the county official requesting a VDH review)
County Office initiating request
Contact Individual Phone
Local offices of the Virginia Department of Health may review subdivision applications for compliance with state rules and
regulations governing sewage treatment and dispersal and private water supplies,compliance with local ordinance governing
sewage treatment and dispersal and private water supplies and potentially for compliance with other local ordinances. Please
indicate the nature of review you are asking the health department to conduct.
1. Review for conformance with the Sewage Handling and Disposal Regulations
2. Review for conformance with local onsite wastewater ordinances
3. Other(describe below)
Name and title of requestor Date
OSE Fonn F Revised 7/02/09
Air, Soil, & Water Environmental, LLC
Carl R. Evans Page 3 of 5
T.M.# 132-11 Residue Parcel
Albemarle County,Virginia
Site Evaluation:
Date of evaluation: 03 February 2015 Well: IIIC
Slope: 13% Position in landscape: shoulder
Depth to seasonal water table: none Texture group: III
Free water present: none Estimated perc rate: 65 mpi
Depth to rock/impervious strata:45" in Hole 3
Abbreviated Design:
Site will utilize an Aqua Safe AS 600 aerobic treatment unit and shallow placed drip disposal.
Projected daily flow: 450 gpd(3BR)
Conversion factor: 0.68
Area calculations: (150)/(0.68)(3BR)(3) = 1985 sq.ft.
Area Increase: (1985 sq.ft.)(1.17)=2323 sq.ft.
Total area required: 2323 sq.ft.
Reserve area available: 100%
Total available area: 7700 sq.ft.+
Installation depth: 12
Soil Profile Descriptions
Hole Horizon Depth(inches) Color/Texture Texture Group
1 A 0- 1 7.5yr 3/2 dark brown loam IIb
BA 1 - 8 5yr 4/4 reddish brown loam IIb
B 8-43 2.5yr 4/4 reddish brown clay loam III
BC 43 -48 mixed 2.5yr 4/4 reddish brown
and 5yr 4/6 yellowish red clay loam III
2 A 0- 1 7.5yr 3/2 dark brown loam IIb
BA 1 -9 5yr 4/4 reddish brown loam IIb
B 9-41 2.5yr 4/4 reddish brown clay loam III
BC 41 -48 mixed 2.5yr 4/4 reddish brown
and 5yr 4/6 yellowish red clay loam III
3 A 0- 1 7.5yr 3/2 dark brown loam IIb
BA 1 -8 5yr 4/4 reddish brown loam IIb
B 8-37 2.5yr 4/4 reddish brown clay loam III
BC 37-45 mixed 2.5yr 4/4 reddish brown
and 5yr 4/6 yellowish red clay loam III
auger refusal at 45"
Roger C.Nelson,Onsite Soil Evaluator# 1940001320,434.221.9000
=.4.0, a..rf
Air, Soil, & Water Environmental, LLC
568 Mayo Creek Lane.Wingina,Virginia 24599
Carl It Evans Page 4 of 5
T.M.#132-11 Parcel B
Albemarle County,Virginia
Site Evaluation:
Date of evaluation:03 February 2015 Well:IIIC
Slope: 8% Position in landscape: shoulder
Depth to seasonal water table:none Texture group: III
Free water present:none Estimated perc rate:65 mpi
Depth to rock/impervious strata: 45"in Hole 3
Abbreviated Design:
Number of bedrooms: 3 (450 gpd) Area required/BR:496 sq.ft.
Number of trenches: 5 Width of trench: 36"
Length of trench: 100' Length of available area: 100"
Width required:43' Width of available area:90'
Installation depth:24" Center to center spacing: 10'
Design square footage: 1500 sq.ft Total square footage required: 1488 sq.ft.
Pump required:no Reserve area: 100%available
Soil Profile Descriptions:
Hole Horizon Depth(inches) Color/Texture Texture Group
1 A 0-2 10yr 3/2 very dark grayish brown loam Ilb
E 2-5 10yr 4/2 dark grayish brown loam Ilb
EB 5- 12 7.5yr 5/3 brown clay loam III
B 12-37 2.5yr 5/3 reddish brown clay loam III
CB 37-48 mixed 2.5yr 5/3 reddish brown,Syr 4/6 yellowish red
and 10yr 6/4 light yellowish brown sandy clay loam Ilb
2 A 0- 1 10yr 3/2 very dark grayish brown loam Ilb
E 1 -4 10yr 4/2 dark grayish brown loam III
BE 4-8 Syr 4/4 reddish brown clay loam III
B 8-31 2.5yr 4/4 reddish brown clay loam III
C 31 -48 10yr 6/8 brownish yellow sandy loam IIa
3 A 0-2 10yr 3/2 very dark grayish brown loam IIb
AB 2-6 Syr 4/4 reddish brown clay loam III
B 6-36 2.5)T 4/4 reddish brown clay loam III
CB 36-45 10yr 6/8 brownish yellow sandy loam Ha
refusal at li"
Roger C.Nelson.Onsite Soil Evaluator#1940001320,434.221.9000
Air, Soil, & Water Environmental, LLC
568 Mayo Creek Lane.Wingina,Virginia 24599
Page 5 of 5
OSE/PE Report for:
Construction Permit Certification Letter_ Subdivision Approval Si
Property Location:
911 Address: City: Schuyler
Lot: Residue and Lot B Section: Subdivision:
GPIN or Tax Map#: 132 Parcel 11 Health Dept.ID#:
Applicant or Client Mailing Address:
Name: Carl R. Evans
Address: 9145 Hot ardsville Turnpike. Schuvlev. Virginia 22069
Telephone: 434.83 1.2 2 54
Prepared by:
OSE Name:Roger C. Nelson License#: 1040001320
Address: 568 Mayo Creek Lane
City: Wingina State: Virginia Zip Code: 24590
PE Name: License#:
Address:
City: State: Zip Code:
Date of Report: 21)March. 2015 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.)
Application
T.M. 132- 11 Residue Parcel Site Evaluation, Design. & Soil Profile Descriptions
132 - 11 Parcel B Site Evaluation. Design. & Soil Profile Descriptions
Certification
Survey Plat
Certification Statement
I hereby certify that the evaluations and/or designs contained herein were conducted in accordance with the
applicable provisions of the Sewage Handling and Disposal Regulations(12VAC 5-610),the Private Well
Regulations(12VAC 5-630),the regulations for Alternative Onsite Sewage 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 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.
x The work attached to this cover page has been conducted raider an exemption to the practice of
engineering,specifically the exemption in Code of Virginia Section 54.1-402.A.11
I recommend that a:construction permit certification letter subdivision approval
be issued x be denied
OSE Signature: °- C -
----°----•-.. Date: 20\larch 20 15
PE Signature: Date:
Roger C.Nelson.Onsite Soil Evaluator#1940001320,434.221.9000