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HomeMy WebLinkAboutSUB201700036 Study 2017-02-25 Soils Study for Drain Field Sites Parcel F and Residue A Division of Tax Map 31-44 Albemarle County PP P RIP EC Prepared for: The Dirk G. Dehooge, Sr. Estate do Anita Dunbar 500 Westfield Road Charlottesville, VA 22901 Prepared by: Steve Gooch Consulting Geologist, Inc. 703 Oliver Creek Road Troy, Virginia 22974 February 25, 2017 Page 1 of 8 OSE/PE Report for: Construction Permit Certification Letter Subdivision.Approval l• 1 Property Location: 911 Address: City: Lot F Section Subdivision GPIN or Tax Map# 31-44 Health Dept ID# Latitude Longitude Applicant or Client Mailing Address: Name: The Dirk G. Dehooge, Sr. Estate do Anita Dunbar Street: 500 Westfield Road City:Charlottesville State VA Zip Code 22901 Prepared by: OSE Name Steve Gooch License# 1940001284 Address 703 Oliver Creek Road City Troy State VA Zip Code 22974 PE Name: License# Address City State Zip Code Date of Report 2/25/17 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.) OSE Cover Page Abbreviated Design Forms Soil Profile Sheets Survey Plat Soil Information Summary Sheets 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 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. The 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 54.1-402.11 I recommend that a(select one): onstruction permits certification letter el subdivision approval ✓❑ be(select one)issued f❑ denied Li. OSE/PE Signature fi� Date z/ Zs I I-7 )?use Z at S Soil Profile Primary Drain Field Parcel F A Division of Tax Map 31-44 ` ' Advance Mill Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 1 0-4 A Dark gray(10YR 4/1)loam, friable 2 4-10 EB Strong brown(7.5YR 5/8) clay loam, friable 3 10-44 Bt Red(10R 5/8) silty clay loam, firm 3 44-52 BC Red(2.5YR 5/8) clay loam, friable w/yellowish red 3 (5YR 5/8) sandy loam 52-60 C Yellowish red (5YR 5/8) sandy loam, friable 2 60- Cr 2 0-4 A Light gray(10YR 6/1) sandy loam, friable 2 4-10 E Light yellowish brown (2.5Y 6/4) sandy loam, friable 2 10-30 Bt Red(10R 5/8) silty clay loam, firm 3 30-48 Bt2 Red(2.5YR 5/8) clay loam, friable 3 48-84 C Dark yellowish brown(10YR 4/6) sandy loam,friable, 2 25% weathered schist fragments 3 0-6 A Light gray(10YR 6/1) sandy loam, friable 2 6-12 E Light yellowish brown(2.5Y 6/4) sandy loam, friable 2 12-40 Bt Red(10R 5/8) silty clay loam, firm 3 40-84 C Yellowish brown (10YR 5/8) sandy loam, friable 2 4 0-4 Al Dark gray(10YR 4/1) sandy loam, friable 2 4-16 A2 Light brownish gray(10YR 6/2) sandy loam, friable 2 16-39 Bt Red(10R 5/8) silty clay loam, firm 3 39-60 CB Yellowish red (5YR 5/8) sandy loam, friable, w/red 3 (2.5YR 5/8) clay loam 60-84 C Yellowish brown(10YR 5/8) sandy loam, friable 2 5 0-4 A Dark gray(10YR 4/1) loam, friable 2 4-10 E Light brown (7.5YR 6/4) sandy loam, friable 2 10-20 EB Strong brown(7.5YR 5/8) sandy loam, friable 2 20-36 Bt Red(10R 5/8) silty clay loam, firm 3 36-84 C Brownish yellow(10YR 6/8) sandy loam, friable 2 6 0-6 A Dark gray (10YR 4/1) loam, friable 2 6-27 Bt Red(10R 5/8) silty clay loam, firm 3 27-54 CB Strong brown(7.5YR 5/8) sandy loam, friable, w/red 3 (2.5YR 5/8) clay loam 54-84 C Reddish yellow(7.5YR 6/8) sandy loam, friable 2 Page of g Appendix 2 Soil Summary Report GENERAL INFORMATION Date 2/8/17 Submitted to Albemarle County Health Department Applicant Dirk G. DeHooge Estate do Anita Dunbar Telephone Number (434) 981-1421 Address 104 Westminster Road Charlottesville, VA 22901 Owner same Address same Location 4658 Advance Mills Road Tax Map 31-44 Subdivision Block/Section Lot Parcel F SOIL INFORMATION SUMMARY - Pte, ,,,) o fmtA � 1. Position in landscape satisfactory? Yes f- No Describe shoulder 2. Slope 7 % 3. Depth to rock or impervious strata: Max. 84"+ Min. 60" None 4. Depth to seasonal water table(gray mottling or gray color) IX No E Yes inches Free water present Ix No i+ Yes range in inches ''"CTSoil percolation rate estimated I Yes Texture group I II 0 iv E No Estimated rate 65 min/inch 7. Permeability test performed E Yes No If yes, note type of test performed and attach fg Site Approved: Drainfield to be placed at 42" depth at site designated on permit. r Site Disapproved: Reasons for rejection: 1. f Position in landscape subject to flooding or periodic saturation. 2 E Insufficient depth of suitable soil over hard rock. 3. f Insufficient depth of suitable soil to seansonal water table. 4. [- Rates of absorption too slow. 5. r Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. I` Proposed system too close to well. I- Other Specify (attach additional pages if necessary) PGS 8 Abbreviated Design Form This form is for use with gravity,pump to gravity,enhanced flow, and low pressure distribution(LPD)sewage system designs and when applying for a certification letter or subdivision approval. This abbreviated design covers the ❑ primary and reserve area, ©'only the primary area, 0 only the reserve area(check one)for Parcel F- A Division of TM 31-44 Design Basis Total length of available area: 95' Total width of available area: 75' Estimated Pere. Rate: 65 at 42" in. (depth) Number of bedrooms(or GPD): 5 1 2 Conveyance Method : _Pump Distribution method (specify): Pump 3c Dispersal system basis Table 5.4_ LGMI required? No_(Yes/No) Effluent quality required: Primary (Primary, Secondary,Advanced Secondary) Square feet per bedroom: 496 Total trench bottom area required:2480 Area Calculations Number of trenches 9 Length of trenches:_95' Width of trenches: 3' Center to center spacing: 9' Reserve required? Yes Percent reserve area required: 100 Total width of absorption area required 75' Total trench bottom area provided: 2565 The required width is calculated by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 trench width plus any required reserve area. If the topography is not uniform across the length of the site the trenches will need to flare apart on one end to maintain contour. When this occurs it is necessary to use a center-to-center spacing that accounts for the flair or the installer will not be able to fit the system within the approved area. It is perfectly acceptable to have more area available,especially up and down the slope,than is required. Page of AOSE Form E Revised July 18,2007 Soil Profile Reserve Drain Field Parcel F A Division of Tax Map 31-44 Advance Mill Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 2 0-4 A Light gray (10YR 6/1) sandy loam, friable 2 4-10 E Light yellowish brown(2.5Y 6/4) sandy loam, friable 2 10-30 Bt Red(10R 5/8) silty clay loam, firm 3 30-48 Bt2 Red(2.5YR 5/8) clay loam, friable 3 48-84 C Dark yellowish brown(10YR 4/6) sandy loam, friable, 2 25% weathered schist fragments 3 0-6 A Light gray(10YR 6/1) sandy loam, friable 2 6-12 E Light yellowish brown (2.5Y 6/4) sandy loam, friable 2 12-40 Bt Red(10R 5/8) silty clay loam, firm 3 40-84 C Yellowish brown(10YR 5/8) sandy loam, friable 2 7 0-3 A Gray(10YR 5/1) sandy loam, friable 2 3-14 E Yellow(2.5Y 7/8) sandy loam, friable 2 14-25 Bt Reddish brown (2.5YR 5/4) clay loam, friable 3 25-52 Bt2 Red (10R 5/8) silty clay loam, firm 3 52-84 C Brownish yellow(10YR 6/8) loam, friable 2 8 0-4 A Gray(10YR 5/1) sandy loam, friable 2 4-9 E Yellow(2.5Y 7/8) sandy loam, friable 2 9-30 Bt Red(10R 5/8) silty clay loam, firm 3 30-58 CB Yellowish red (5YR 5/8) sandy clay loam, friable 2 58-84 C Very pale brown(10YR 8/4) sandy loam, friable 2 9 0-6 A Gray (10YR 5/1) sandy loam, friable 2 6-17 E Light brown(7.5YR 6/4) sandy loam, friable 2 17-48 Bt Red(10R 5/8) silty clay loam, firm 3 48-70 CB Yellowish red(5YR 5/8) sandy clay loam, friable 2 70-84 C Very pale brown (10YR 8/4) sandy loam, friable 2 ,6 1 � Page n of " Appendix 2 Soil Summary Report GENERAL INFORMATION Date 2/8/17 Submitted to Albemarle CountHealth Department Applicant Dirk G. DeHooge Estate do Anita Dunbar Telephone Number (434) 981-1421 Address 104 Westminster Road Charlottesville, VA 22901 Owner same Address same Location 4658 Advance Mills Road Tax Map 31-44 Subdivision Block/Section Lot Parcel F SOIL INFORMATION SUMMARY - ~'��\«\1O ��\tNu��/ � ` 1 Position in landscape satisfactory? R Yes [- No Describe shoulder 2. Slope 8 % 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table (gray mottling or gray color) R No [- Yes inches - Free water present ig No [- Yes range in inches +`1m~Soil percolation rate estimated R. Yes Texture group I 0 III |V [- No Estimated rate 45 min/inch 7. Permeability test performed F Yes No If yes, note type of test performed and attach R Site Approved: Drainfield to be placed at 8G" depth at site designated on permit. [- Site Disapproved: Reasons for rejection: 1 [- Position in landscape subject to flooding or periodic saturation. 2. I- Insufficient depth of suitable soil over hard rock. 3. [- Insufficient depth of suitable soil to seansonal water table. 4. [- Rates of absorption too slow. 5. Insufficient area of acceptable soil for required drainfieid, and/or Reverse Area. 6. I- Proposed system too close to well. [- Other Specify (attach additional pages if necessary) Abbreviated Design Form This form is for use with gravity,pump to gravity, enhanced flow,and low pressure distribution(LPD)sewage system designs and when applying for a certification letter or subdivision approval. This abbreviated design covers the ❑ primary and reserve area, ❑ only the primary area, my the reserve area(check one)for Parcel F- A Division of TM 31-44 Design Basis Total length of available area: 100' Total width of available area: 60' Estimated Perc. Rate: 45 at 66" in.(depth) Number of bedrooms(or GPD): 5 1 2 Conveyance Method : Pump Distribution method (specify): Pump_ 3c Dispersal system basis Table 5.4 LGMI required? No_(Yes/No) Effluent quality required: Primary (Primary, Secondary, Advanced Secondary) Square feet per bedroom: 344 Total trench bottom area required: 1720 Area Calculations Number of trenches 6 Length of trenches: 100' Width of trenches: 3' Center to center spacing: 9' Reserve required? This is reserve_ Percent reserve area required:_100 Total width of absorption area required 48' Total trench bottom area provided: 1800® The required width is calculated by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 trench width plus any required reserve area. If the topography is not uniform across the length of the site the trenches will need to flare apart on one end to maintain contour. When this occurs it is necessary to use a center-to-center spacing that accounts for the flair or the installer will not be able to fit the system within the approved area. It is perfectly acceptable to have more area available,especially up and down the slope,than is required. Page of AOSE Form E Revised July 18,2007 9--25 20. ; i Ct�c.. i ANN I ICKGE MALLEK t VOC TRUST ABRE�T DATED APRIL .0, D.8.4024.-451, .8.3674--511 & D.B.304-76 PLAT1 t 2, IRON SET / x - - ot -. ... :,:',7::W.r.. 676°56'31`E 654.76" VON is T.M.31-441 T 28.59' FOUND 0- ROBERT ,.I.1EYER & . ; ;fir DENISE D.Et.4337-28B 1 # �; /..: 0V CU ,8.1907-286 & ; 87 PLAT ��a ': , , m IMX4 1 '. "' '16 573.24" FOUND 1501 �° ' • LL 378` ! ig .. FENCE pProposed Well Site 1 ,s cry'^° PARCEL F Q . IRON SET 21 .00 ACRES ^ + , Proposed House ' T'Lt F,;.1..0 15 1Dew ► ," .-" IRON SET r MICEOW IRON SET # SV #165 ass. D : Meld IRON SET 34'm .A �.E 41.7.1# 5 •�4, s Nifte . \%. . TSN sr i # ` .: ,. 1 .14.3i-44 DIRK G.DEPIDDBE, SR.ESTATE 1 It DIRK G. a FRANK R.mom,, DEBBY L.M.D t .DEMME 4 �''N. ELIZABETh A.I AR AND DEANNA D.KIRB %► 0.@.3896-629 & 630 PLAT I % �• W.B.i2' 13 \ \ " ! a - * 0.8.1907-284 WM1.• 1 $ ;; .1:' 1 D..B.1348- r ' y D. .1348-463 r I ��► `�o sr 0.6.558-257 , ,, '. w�a,�.* ' -. '' maim .0.6.503-229 1 / +► ' `S� t` , D.B.495-42 �,,, r D.8.44�4-99 t J 'lir ""�„ ss 0.8.306-523 �` 'sting Hou �y�',�''�'� I I 24 31.1841- ACRES i 1 ,' a rS y"n 1 DEDUCTION T/94i�9 I AAIiT L+n\ .� e4 tit/4 +�, ATION OF AREA \ \ w ,�' �`y,,, l 'M PLAIN) % s # 1 0 It+�l� \!4'\ -d/ al ' EL 510006 01400) f 4. 2005` t , \ f \ • € Scale 1"----200' •- Soil Profile Hole /44 House, Well and Drain Field Sites '� i Parcel F %% $/ u ` , / A Division of TM 31-44 /�, LE �*2O0 Albemarle County, Virginia t 14 t, `tit - Steve Gooch Consulting Geologist ,kms '' 703 Oliver Creek Road / ` 400 600 Troy, Virginia 22974 Page 1 of 5 OSE/PE Report for: Construction Permit Certification Letter Subdivision Approval ✓ Property Location: 911 Address: 4658 Advance Mills Road City: Lot Residue Section Subdivision GPIN or Tax Map# 31-44 Health Dept ID# Latitude Longitude Applicant or Client Mailing Address: Name: The Dirk G. Dehooge, Sr. Estate c/o Anita Dunbar Street: 500 Westfield Road City:Charlottesville State VA Zip Code 22901 Prepared by: OSE Name Steve Gooch License# 1940001284 Address 703 Oliver Creek Road City Troy State VA Zip Code 22974 PE Name: License# Address City State Zip Code Date of Report 2/25/17 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.) OSE Cover Page Abbreviated Design Form Soil Profile Sheet Survey Plat Soil Information Summary Sheet 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. The 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 54.1-402.11 I recommend that a(select one): construction permit❑ certification letter subdivision approval C be(select one)issued denied❑. OSE/PE Signature i-) b-Q- '&. Date a(&s'17 Soil Profile Pct.-Z ti Reserve Drain Field Residue A Division of Tax Map 31-44 Advance Mills Road Albemarle County Hole Depth Horizon Material Description Soil Texture (in.) Group 1 0-12 Ap Dark grayish brown (10YR 4/2) clay loam, friable 3 12-26 Bt Red (2.5YR 4/6) silty clay loam, firm 3 26-45 Cl Yellowish red (5YR 5/8) silty clay loam, friable 2 45-84 C2 Very pale brown(10YR 5/3) sandy loam, massive, friable 2 2 0-12 Ap Dark grayish brown(10YR 4/2) clay loam, friable 3 10-39 Bt Strong brown (7.5YR 5/8) sandy clay loam, friable 2 39-67 Cl Yellowish red(5YR 5/8) sandy clay loam, friable 2 67-84 C2 Yellowish brown(10YR 5/8) sandy loam, massive, friable 2 3 0-8 Ap Dark grayish brown(10YR 4/2) clay loam, friable 3 8-36 Bt Red (2.5YR 4/6) silty clay loam, firm 3 36-49 Cl Yellowish red (5YR 5/8) silty clay loam, friable 2 49-84 C2 Light yellowish brown (10YR 6/4) sandy loam, massive, 2 friable 4 0-4 Al Dark gray(10YR 4/1) loam, friable 2 4-10 A2 Light brown(7.5YR 6/4) sandy clay loam, friable 2 10-40 Bt Red (2.5YR 4/6) silty clay loam, firm 3 40-84 C Light yellowish brown (10YR 6/4) sandy loam, massive, 2 friable 5 0-7 Ap Dark grayish brown(10YR 4/2) clay loam, friable 3 7-32 Bt Red(2.5YR 4/6) silty clay loam, firm 3 32-44 Cl Yellowish red(5YR 5/8) silty clay loam, friable 2 44-84 C2 Yellowish brown (10YR 5/8) sandy loam, massive, friable 2 Page 3 of Appendix 2 Soil Summary Report GENERAL INFORMATION Date 2/8/17 Submitted to Albemarle County Health Department Applicant Dirk G. DeHooge Estate c/o Anita Dunbar Telephone Number (434) 981-1421 Address 104 Westminster Road Charlottesville, VA 22901 Owner same Address same Location 4658 Advance Mills Road Tax Map 31-44 Subdivision Block/Section Lot Residue SOIL INFORMATION SUMMARY - (11el _ 'Dru,vti. 4t) 1. Position in landscape satisfactory? Yes r No Describe shoulder 2. Slope 9 % 3. Depth to rock or impervious strata: Max. Min. None x 4. Depth to seasonal water table(gray mottling or gray color) Ix No r. Yes inches - Free water present Gr No E' Yes range in inches '41'6. Soil percolation rate estimated V Yes Texture group I 0 III IV No Estimated rate 45 min/inch 7. Permeability test performed E Yes No If yes, note type of test performed and attach IX Site Approved: Drainfield to be placed at 54" depth at site designated on permit. Site Disapproved: Reasons for rejection: 1. f Position in landscape subject to flooding or periodic saturation. 2. 1- Insufficient depth of suitable soil over hard rock. 3. E Insufficient depth of suitable soil to seansonal water table. 4. f Rates of absorption too slow. 5. I+ Insufficient area of acceptable soil for required drainfield, and/or Reverse Area. 6. I Proposed system too close to well. Il Other Specify (attach additional pages if necessary) Abbreviated Design Form This form is for use with gravity,pump to gravity,enhanced flow, and low pressure distribution(LPD)sewage system designs and when applying for a certification letter or subdivision approval. This abbreviated design covers the ❑ primary and reserve area, 0 only the primary area, the reserve area(check one)for Residue- A Division of TM 31-44 Design Basis Total length of available area: 85' Total width of available area: 75' Estimated Perc. Rate: 45 at 54" in. (depth) Number of bedrooms(or GPD): 3 Conveyance Method: Gravity Distribution method (specify): Gravity_ 3c Dispersal system basis Table 5.4_ LGMI required? No (Yes/No) Effluent quality required: Primary (Primary, Secondary,Advanced Secondary) Square feet per bedroom: 344 _ Total trench bottom area required: 1032 Now Area Calculations Number of trenches 5 Length of trenches: _70' Width of trenches: 3' Center to center spacing: 9' Reserve required?_This is reserve_ Percent reserve area required:_100 Total width of absorption area required 39' Total trench bottom area provided: _1050 The required width is calculated by multiplying the center-to-center spacing by one less than the number of trenches and adding 1 trench width plus any required reserve area. If the topography is not uniform across the length of the site the trenches will need to flare apart on one end to maintain contour. When this occurs it is necessary to use a center-to-center spacing that accounts for the flair or the installer will not be able to fit the system within the approved area. It is perfectly acceptable to have more area available,especially up and down the slope,than is required. Page of AOSE Form E Revised July 18,2007 . ,... _ , T.M.19-25 cos_ LINE ANN HUCKLE IMALLEK REVOCABLE TRUST AGREEMENT.DATED APRIL 20. 20i1 cof.4d CI 1 • D.8.4024-451. .8.3674-5i1 & 0.8.304-76 PLAT IRON SET C2' m st 60.40UND , :.::: S76"56'31*E 654.76* IRON iic T.M.31-44H T 28.59' ':i./:: FOUND co- ROBERT J.MEYER & 71"S DENISE E.PEYER /2,11. 1 1 t D.S.4337-408 1 It /il: Pd D.B.1907-286 II 28, PLAT .*4. •:::. ,..: ,, guy ',.. -:-•*-::'? 4314 #4:t. ., Y : ll, . co -7: I WELL 79 59 FOUND, $ lre= 4 PARCEL F FOLK, oProposed Well Site SET ( , POLE Pagsed House Site- 0 0 1,. : 1) ' _ KV IRON SET liI I OI IRON SET -es • ••-: # pdrivary • . , #., lo !RCN SET 14' 1035. 5, D mAKE 34'1, z ed - Az POLE 115,22.tais 1/95.5/ . te Cr* s I ' t439.45 IRON SET i kDIRK 0.0EHOOGE, SR.EBTATE 1 1 G.DEHOOGE. GUY M. 13400GE. '.. FRANK R.DEHOOGE. DEBBYC1 L.DEHOOGE, \\ DIRK Xt.ELIZABETti A,(AMBAR AM) DEANNA 0.KIRBY • 0.8.3896-629 & 60 PLAT W8.122-613 .8. 1907-284\ " • • * ' '-' * ROOM 13.8.1907-284 p. . ' val-* IP -..t = ;,4401,- i D..8.1348-489 \ kv* \ .\ 4:<).i.* At._ , SUMS .D.B.1348-483 Nit - 0.8.558-037' i % • .4X WISL. '' SUMO 0.8.503-229 / I) % vt ''.% N• ‘ D.B.495- 42 \\5* .N.\• , \ .. . '4,)'` 81"- 1 U.B.444-99 . *144*". MA100 1 !sting House-,.,-- 0.8.305-523 HUME.. 31.1844- ACRES 1 1 \ .. \ 910 (BY DEDUCTION FROM TAXATION RECORDS) 1 / s i \1/417)1/4,4L II' .. .14% it, '.•:•• = .. math , s%, il / ATM OF AREA % VI' / . FLOODPLAIN) % .. . ..s.s„. if I LOOD INSURANCE \ \ / / % 1 510006 0140D) I , % , %.„," / I 4. 2005. • i % .1% N ‘ \ i Scale 1"---200' - Soil Profile Hole / if i House. Well and Drain Field Sites / Residue / / .% / / N.,„ / A Division of TM 31-44 \ / / 4 1.0.200. .., / Albemarle County,Virginia % Steve Gooch Consulting Geologist 7/ 703 Oliver Creek Road 0 / 400 600 Troy, Virginia 22974 et/ / 0......04..........m........ ..... Commonwealth of Virginia Health Deppattme�nteOnly 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 Commonwealth of Virginia VDH Use Only Health Department ID# Application for Subdivision Review Due Date (Page 1 of 2 to be filled out by the Owner or Agent) Owner The Dirk G. Dehooge, Sr.Estate c/o Anita Dunbar Phone (434)981-1421 Mailing Address 500 Westfield Road Phone Charlottesville,VA 22901 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 Earlysville take Advance Mills Road to 4658 Advance Mills Road on left Name of Proposed Subdivision Tax Map 31-44 Other Property Identification Dimension/Acreage of Property 52.18 Ac. Number of lots proposed 2 Proposed water source(note:new or existing,public or individual) new,existing,individual General size of lots 21 Ac.+31.18Ac. (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 Depai talent 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. ��� zf2S117 Signature of Owner Agent Date +1111111 0Y AL8. �IRGII�ZQ' COUNTY OF ALBEMARLE Department of Community Development 401 McIntire Road,Room 227 Charlottesville,Virginia 22902-4596 Phone(434)296-5832 Fax(434)972-4126 Date: 02/28/17 Teresa Batten Virginia Department of Health 1138 Rose Hill Drive Charlottesville, VA 22906 Regarding: Project Name: SUB201700036 Dirk G. DeHooge, Sr. Estate—Rural Subdivision Date Submitted: 02/24/17 Dear Ms. Batten: The County of Albemarle has received application to develop/subdivide Tax Map 31 Parcel 44. This project requires Health Department approval prior to receiving final County approval. The applicant has provided a soils report, which is attached. Please review the proposal for suitable subsurface drainfields that comply with the provisions of Chapter 18, Sections 4.2.2, 4.2.3, 4.2.4, and Chapter 14, Section 310 of the Albemarle County Code. Should you have any questions or comments please feel free to contact me. Sincerely, (1/(14, 9\)/(16//(A' Cameron Langille, Senior Planner County of Albemarle Department of Community Development 401 McIntire Road Charlottesville, VA 22902 blangille@albemarle.org (434)296-5832, ext. 3432