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COUNTY OF ALBEMARLE
Department of Community Development
401 McIntire Road,Room 227
Charlottesville,Virginia 22902-4596
Phone(434)296-5832 Fax(434)972-4126
10/19/2016
Teresa Batten
Virginia Department of Health
1138 Rose Hill Drive
Charlottesville,VA 22906
RE: SUB201600195 Leonard Edward Johnson&Kara H. Johnson—2 lot subdivision
Dear Ms. Batten:
The County of Albemarle has received an application to for a subdivision of TMP 131-83. This project requires
Health Department approval before receiving final County approval. The applicant has provided the attached soils
information. Please review the proposal for suitable subsurface drainfields which comply with the provisions of
Chapter 18, Sections 4.2.2,4.2.3,4.2.4, and Chapter 14, Sections 14-309 and 14-310 of the Albemarle County Code.
Should you have any comments please feel free to contact me.
Sincerely,
, OPR,Vji-
Rachel Falkenstein
Planner/Senior Planner
Department of Community Development
Voice: (434)296-5832 ext. 3272
Fax: (434)972-4035
Commonwealth of Virginia VDH Use Only
Health Depai intent ID#
Application for Subdivision Review �� Due Date
(Page 1 of 2 to be filled out by the Owner or Agent) PROVED
Owner Marvin and Debra Thornton Phone (434)286-9504
Mailing Address 581 Blacks Lane Phone
Scottsville,VA 24590 Fax
Developer/Agent Steve Gooch Phone (434)531-0487
Mailing Address 703 Oliver Creek Road Phone
Troy,VA 22974 Fax
AOSE Steve Gooch Phone (434)531-0487
Mailing Address 703 Oliver Creek Road Phone
Troy,VA 22974 Fax
Directions to Property: From Charlottesville Rt.20 South, left on Rt.726, left on Rt. 795,right on Rt.638(Blacks Lane)to property on right
at end of state maintenance
Name of Proposed Subdivision
Tax Map 131-83 Other Property Identification Dimension/Acreage of Property 69.16 Ac.
Number of lots proposed 2 Proposed water source(note:new or existing,public or individual) new,individual
General size of lots 3.0 Ac.and 66.16 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.
iGi
Signature o Ow er/Agentv c Date 7/ 6
DU Use Only
Commonwealth of Virginia HealthDepartmentID#
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