The URL can be used to link to this page

Home My WebLink AboutSUB201600147 Approval - Agencies 2016-10-19COMMONWEALTH ®f VIRGINIA ESVILLE In Cooperation with the Thomas Jefferson Health District ALBEMANNARLE COUNTY (P LMYRA) 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 (LOVINGTON) Fax (434)972-4314 Charlottesville, Virginia 22906 8/1/2016 Rachel Falkenstein, senior Planner Department of Community Development 401 McIntire Road, Room 227 Charlottesville, VA 22902 RE: Review of Proposed Subdivision Plat as part of Tax Map 71-34C4, located in Albemarle County, Virginia. Ms Falkenstein: On October 12, 2016, 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: James Fulcher, private OSE, License Number I940001377. 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 s bdivision approval does pe in to the requirements of local ordinances. Sine e St on o En iron ental H Specialist, S ll// Onsite ewage and Water Programs Ai ROVr') N-m r I wwImmwmnim_._11111 Nair .pos2°' VDH Use Only Commonwealth of Virginia Health Department ID# Application for Subdivision Review Due Date (page 1 of 2 to be filled out by the Owner or Agent) Owner Matthew Gruber-Peak Builders,LLC Phone(434)296-3234 Mailing Address 2180 Owensville Road Phone Charlottesville,VA 22901 Fax DevelopeilAgent Phone Mailing Address Phone Fax • AOSE James Futcher Phone(434)851-9620 Mailing Address PO Box 1502 Phone Amherst,VA 24521 Fax Directions to Property: 250 W to L on State Route 635(Miller School Rd.);1.8 mi.to Ron State Route 688(Midway Rd.);0.4 mi.to R on State Route 824(Patterson Mill La.);0.3 mi.to site on L Name of Proposed Subdivision TM 71-34C4 Tax Map 71-34 Other Property Identification Dimension/Acreage of Property 13 acres Number of lots proposed 2 Proposed water source(note:new or existing,public or individual) existing private wells General size of lots 6.5 (give range if appropriate) Additional description of subdivision further division of LOT 4 Overview of soils and geology(optional but encouraged) soil mapped generally as Hayesville,Silty Clay Loam argillic to 2-3' underlain by Silt Loam and Loam parent to 6'. 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 he property sufficiently visible to see the topography,otherwise this application will be denied. I give permission to the V ginia Department of Health(VDH)to enter onto the property described during normal business hours for the purpose of processi this application and to perform quality assurance checks of evaluations and designs certified by an Onsite Soil Evaluator i SE)or a Professional Engineer(PE)as necessary until the sewage disposal system has been constru«•i d appr'%ed. Signature of Own;'•gent Date Commonwealth of Virginia Health Deparnnennt1UseOnly 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 Form F Revised 7/02/09 APO-ROVED 1 6 Page of OSE/PE Report for: Construction Permit n Certification Letter n Subdivision Approval n Property Location: 911 Address: Patterson Mill Road City: Lot 4B Section Subdivision GPIN or Tax Map# 71-34C4 Health Dept ID# Latitude N38-01-56.23 Longitude W7843-05.38 Applicant or Client Mailing Address: Name: Matthew F. Gruber-Peak Builders Street: 2180 Owensville Road City:Charlottesville State VA Zip Code 22901 Prepared by: OSE Name James Fulcher License# 373 Address PO Box 1502 City Amherst State VA Zip Code 22901 PE Name: License# Address City State Zip Code Date of Report 8/5/2016 Date of Revision#1 OSE/PE Job# AL1507 Date of Revision#2 Contents/Index of this report(e.g.,Site Evaluation Summary,Soil Profile Descriptions,Site Sketch,Abbreviated Design,etc.) 1. Cover Page 4. Site Sketch 2. Soil Summary/Abbreviated Design Form 5. Survey Plat sheet 1 3. Soil Descriptions 6. Survey Plat sheet 2 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 VAC5-610),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. ElThe 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.A.11 I recommend that a(select one): Anstruction permitO certification letter subdivision approval ✓❑ be(select one)issued denied U. OSE/PE Signature 4444r 9 Date 8/5/2016