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'.! r t. 1 .r 10 `T r•• -� S� � + � tee• � r \ •K� "A i Sewage Disposal System Construction •Pe'rrhit i=AG4- 1 0>^ - .r Contmontitreaph of; Virginia Health Department DA arbnant gtHealth Identification Number 161—` 9 ' 1Y 2 - Health Health Department 1400W, Map Reference 54(1- 9_5fil General Information New Repair ❑ Expanded ❑ Conditional, ❑ FHA ❑ VA p Case No. Based on the application for a•.sewage disposal system construction permit filed 'in• accordance with Section - 3.13.01, a constAuction permit hereby issued to: Owner WIP004•Telephone Address A 295— ' nd �,rr,ffr� ' („ V 2 For a Type - ,Sewage disposal system which is to. be co structed on/at nt 141 &N Subdivision Section/Block — __ __A!A Lot a/m. Actual or estimated water use Q DESIGN NOTE: INSPECTION RESULTS ti Water supply; existing.- .(describe) Water supply kiigin. Sat s actory: yes- es•comments To be installed: class comments G. W. 2 Received: 'Yes 0- no ❑+ . not -applicable:❑ cased -�routed SuNding sewer: BuNding aswsr yes no ❑ comments - I.D.• PVC -40, or equivalent. Satisfactory... . Slope 1.25" per 10' (minlmum). '❑ Other Septic tonk:-Capacity gals. (minimum). Pretreatment unit: yes [/.no ❑ comnHmts ❑ Other Satisfactory _ Inlet-outist etructurs: InteNmust W9chire: • yes no ❑ comments PVC 40,4" tees or equivalent. Satisfactory ❑ Other Pump ar�d pump station: PumP•A pump shftn:• . • yes ❑ no ❑ comments, No p/ Yes p. describe and. show design. ,: if Satisfactory yea: Gravity mains; V or larger I;D., minimum 6" fail per Conveyance method: yes' Q/no •❑ comments-. 1001, 1500 lb. crush strength or. equivalent. Satisfactory ❑ ether Distribution boat: Precast concrete with (Q Distrlbttian bolt: • ye® E911, no ❑ comments — ports. Satisfactory - ❑ Other �. Header fines. Material: 4" I.D. 1500 ib. crush strength plastic or equiva- Header ling: yes no ❑ comments Satisfactory lent from distribution box to 2' into absorption trench. Slope 2" minimum. 1-] Other r Percolation Was. • percolation Nnes: yes Pr no ❑ comments Gravity 4" plastic 1000 lb. per toot beaming load or Satisfactory equivalent, slope 2" 4" (min. max.) per ❑ Other Absorption'trenches• Square ft. required 1 2�10.: depth from, ground su �. to bottom trench �_; Absorption Vandres: yes pr no ❑ comments Satisfactory of aggregate size !�: .,. Trench bottom slope 2 '�!' /rl1r1 As . center to center spacing �; trench width Date f) �4r},! Depth of a p ggregate �_; " , ,i�pect�d[�napproved by: (: Trench length.Aeys' ; Number of trenches r9 A ' - c.Ks. XMA Pwim ryes :. _ •■- .. .s _ I r Ir � . a 1 r SO Evaluation Form Commonwealth of Virginia Health Department Department of Health tdentiffcatikm Number Tax Map Number PAGE I OF L General information Date'+d Health Department Applicant Telephone No. 2q5 _-- Address _ Owner Address 151 Location tfngd' r. W ., ' $� Subdivision _ $ dock/Section A&t Lot Soil Intomtation Summary 1. Position in landscape satisfactory Yes I" No G Describe 2. Slope to % 3. Depth to rocklimpervious strata Max Min. None 4. Depth to seasonal water table (gray mottling or gray calor) No"G inches 5. Free water present No;d" ew D range in inches 6. Soil percolation rate estimated Yes Ca" Texture group 1 11 M IV No ❑ Estimated rate min/inch 7. Percolation test performed Yes © umber of percolation test holes pe No Depth of percolation test hal Average percolation rate Name and tiilpi or Signature: ! Depart irdmt Use ite Approved: Drainfeld to be placed at M depth at site designated on permit G Site Disapproved: Reasons for rejection: 1. ❑ position In landscape subject to flooding or periodic saturation. 2. ❑ Insufficient depth of suitable soil over hard rack. 3. ❑ Insufficient depth of suitable soil to seasonal water table. 4. ❑ Rates of absorption too slow- 5. low5. ❑ insufficient area of acceptable soil for required dralnfield, and/or Reserve Anes. 6.0 Proposed system too close to well. 7. ❑ Other Specify C,K& 01A RoWmW41e7 V-1 0 00r,• - E O. GOOCH & ASSOCIATES rA-F+ Consulting Geologists and Engineers !, Soil Profile Subdivision Tax Map 45 - Parcel 59 Location See sketch Lot No- House Site 2 Hole Slope Depth Material Description Remarks (inches) 6 12% 0--6 Topsoil Favorable per - 6 -84 Broom mica sandy loam colation rate: 7 10% 0-6 Topsoil can be ex,- pected in the .6-24 Red mica clay loam mica clay - --- .--_ _ _' 24_84 - Brown -red mica sandy loam loam, mica 8 5% 0-6 Topsoil _loam and mica `- 6-36 Red to brown -yellow silty sandy loam:` clay loam 36-48 Red mica clay loam 48-84 Red mica loam 9 7% 0-6 Topsoil 6-48. Red -brown silty clay loam 48-66 Brown mica sandy loam 66-- Hand auger refusal 10 6% 076 Topsoil 6-30 Red silty clay loam 30-42 Red -brown mica loam 42-84 Yellow-brown mica sandy loan; • S Health Deparlment Identification Number 0-142- Schematic drawing of sewage disposal sarsbrn and topographlo features, PAGE _Z_ OF �- Show the lot linos of the bullding lot and building site, skatch of properly showing any topographic features which may impact on the design of the system, ail existing /or proposed structures including. sewage disposal systems and Wallis within foo teat of sewage disposal system and Marva ares. The achemagc drawlrsg of the sewage disponi system shall show sewer lines, pretreatment unit, pump station, conveyance eye - tam, and subsurface soil absorption system, reserve atm. S1C_ when a nonpublic drinking water supply is to be located on the same int show all saw. not poihttton within 100 feet p The Information required above has been drawn on the attached copy of the sketch submitted with;the application. Attach additional sheets as 9scassary to illustrate the design. I � t , _ter r- �ta�_ ' N In - 46o , . u~ VeAP .The sewage disposal sy is to be constructed.as specified by the permit p or attached .pians and -specificatlone ❑ . This siwag i disposal system eonatnretian permit Is null and vold If •(a) conditions aro changed from those Shown on the application (b) condl- tlons are chanpad from those shown on the construction paMdL r " No part of MY Installation shell.be covered or treed until inspected.;correclions.made If necessary, and approved, by the local heakh department or unless exPrsasty auihortzed:by the to". health dept. Any pert at any Installation which has been covered prior to approval shall be uncov- ered. H necessary, upon the direction of the Departmen Date: 1 x'40 Issued by: 1 This Construction Per ii Reviewed b -note: �G - G ��� to _Supra_ �laano an rtan --------------------•------------- -- ---- ---------------------------- If FHA or VA financing f + 11 J r ---- - Reviewed by Date Date C,K8.1= Aarisb I SupWom "Marten. Aegicnal Senllarlan- II.2A FILE COPY 0 m E. Q. GOOCH & ASSOCIATES 0000<kl. Consulting Geologists and Engineers Soil Profile Subdivision Tax Map- 45 - Parcel 59 Location See sketch Lot No. -House Site 1 Hole Slope Depth Material Description Remarks (inches) 6% 0-6 Topsoil Favorable 6-30 Red silty clay loam percolation _ 30-48 Red --brown mica clay loam rates can be .48 -84 --___ __Brown mica sandy loam expected in 2 6% 0-6 . -- -- -- `--- --- - - - -- -- Topsoil —the mica cladloam, anica `� 6-42 Red -brown silty clay loam loam and micz. 42-84 Brown mica sandy loam sandy loam. 5% 0-6 Topsoil 6-54 Red --yellow silty •clay loam with white clay seams 54-84 Brown mica sandy loam 5% 0-6 Tops o.i 1 6-84 Brown mica sandy loam 6% 0-6 Topsoil 6-30 Red -brown mica clay loam 30-84 Brown mica loam (Schistose) ; e &Oj Application for a Sewage Disposal System Construction Permit COMMonwealth Of Virginia For Department Use Only Health Department Department of Health Identification Numbpr Map Reference 520 - 25V Yk L 65" Health Department Date Received " 6 To Be Completed By The Applicant 7"M sewage system: New ❑ Repair ❑ Expanded ❑ Conditfonai FHA/VA yes ❑ no ❑ F, 1 OOwner-Aditrese96CPhone CM 5-310 o1a9a/ Agent Address to Property .-- Subdivision section Other Property Identification Trn A45- 5 Phone Block Lot Dimensions/size of Lot/Property 44,54 Q-Vula .. tltlmr ApplMatlon bbirmation L Building/faedNq Intermittent Use ❑ Yes R Reeldendal the 1f Termite Treatment gle Family Basement Fixturesin Basement �Zft M. ComnWelel the ❑ Yes ❑" Existing O'No If yes, describe: ❑ No ❑ No '. ❑ Multifamily Number of Units — Number of Bedrooms 3 ❑ No ❑ No a<0 Describe: Commercial/Wastewater ❑ Yes to Number of Patrons Number of Employees frt yes, give volumes and describe IV Water supply: ❑❑ Pylic 0IN00ew Describe: LA) ALL ®'Private ❑ Existing V. Proposed Installation: If other, describe — a►5eptic tank and drainfield ❑ Other SITE Attach a site plan (rough sketch) showing dimensions of property, proposed and/or existing structures and PLAN driveways, underground utilities, adjacent soil absorption systems, bodies of water, drainage ways, and wells and springs within 200 feet r us of the center of the proposed building or drainfield, Distances may be paced or esti mated. The property lines b Iding rocs ' n e clearly maftd and the property is sufficiently visible to see the to- pography. I givo s on the el enter onto the property described for the purpose of processingthis application. f/ . & , ��, .�. �� ��. I 4 r� S � r f ' - i' � • ... _ _ { • Y w Y a 4' � r� �4 4 �� ��-..; � _ :�wN tea. C - Application for a Sewage Disposal System -Con struction . Permit Commonwealth of Virglnia For Department Use Only Health Department 'Department of Heap identification Number �} Map Reference Health Department Bate Received To Be Completed By The Applle:ant Type sewage wstem: New ' ❑ Repair ❑ Expanded ❑ conaitloAal - //. FHA/VA yes ❑ no ' p Owner s+ °1 r Role. _ 1 Address l&J l td _ Phone Agent i�Address rPlfort® to Property 74r.s or /oe/7/ Subdivision Section Block Lot Other, Property ' Identification Trn . Dlmenslons/slne of lot/P rty I LI �o 3 o� Applicaflon , i L BuMng/faedllr� Vew []'Existing Intermittent Use ❑ Yes VNo ' If yes, describe: IL Reshhndal the " ❑ No Termite Treatment � ❑ No 3 gle Family ❑ Multifamily Number of Units _ Number of Bedrooms Basement�` ❑ No Fixtures In Basement �Tlas (] No M. Convnerdal the ❑ Yes W40 Describe: Cornmerclal/Waste►water [I Yes i to Number of Petrone . Number of Employees If yes, give volumes and describe01 IV. Water Suppfr: ❑ P lid 01ONew Describe..�� � - -- ivate 0 Existing V.' Proposed Installation: i &R-Ilk"Optic tank and drainfield ❑ Other If other, de®cribe, SITE Attach a site plan (rough sketch) showing dimensions of property, proposed and/.or existing structures anc PLAN• driveways, underground utilities, --adjacent soil -absorption systems, bodies of'water, drainage_wsys_shd well: and springs within 2W feet ra s of the center of. the proposed building or dreintield.•Distances 686 68 paces or estlmated. F The property,lines a b Iding loce n of clearly matked and the property is sufficiently visible to see the -to pography:•I•gl4—i is, on tris' eh" o`enter'ontoe tlia-property'�descfi6ed for tFie pui'p066 of processin( this application. :.� .,.-r -T_ ' , : . THOMAS JEFFERSON HEALTH DISTRICT Important Notice- REASE READ BEFORE FLING YOUR APPLICATION AND PAYING YOUR FEE :. This is to inform you that the fees for environmental health permits mandated by the State, cannot be refunded once the application has been filed and the fee paid -except for the following reasons: If you; as the applicant, withdraw your application before the ! sanitarian Bakes a visit to evaluate the property. 2. -The Health Department is unable to issue a permit and then only if you own -,the lat-and-ar-e-'-seek_i.ng_to_ construct your principal place of residence on this lot and you provide writt� notification-to-the_Heal.th__ Department that you are foregoing your right' to appeal the. denial of �`- your request for a permit. -_ -_ ?� _•� F'In order for you to then appeal at a• later date, the above refunded fee - �= would need to be paid before a hearing date would be scheduled. _ ... Jr•� e r .- .till ku••:..:�•,t.+�r'i.ne+•i•rtr.rs�_r•.+�+`•�+r« � �w�t•+�+r a 'i BEFORE YOU PAY THE FEE FOR A SEPTIC SYSTEM PERMIT PLEASE READ THE FOLLOWING CAREFULLYIt is your responsibility to make it clear to the sanitarian which or wo areas• on your lot you want tested, although he will advise you which areas :appear more suitable for a septic system. No more than two areas will be -#ested and the permit will be _issued showing the location of the system in - =only one suitable site: The site cannot be `changed later inithout additional expense on your part. (You will need to hire a private soil consultant to E test another site and submit his report, along with a new application and fee to the health department). If you do not intend,to build now but only need J the soil tested before a sale is made, we recommend that you hire a soil i consultant to do the test and apply for a Health Department permit when you = know Where you want to build. i��!t �ayae-�=ra�'�c'ti.s.3^�T _. •'ri.z�... ya.�s.-i!}..s=--. _-w .*,. :.r�; - �•. x.=•.r«":-in.2;•Sr.•' -�F"••�s, �•_e', r+._•p ' +}' _ } =� ".' -r- - - - -Y i - ..-J��_ � •_•7••a;`l�y�yt.n�y. YY r n� .�+ar�'_w.:..•I` cs. s••. .•. L ' y: !+y'. _ y '3:: • '^�y=[:•r•• -.7y _y..yy..��.. ng xd understand ' `� •' - -.'_ ;_igna re o ant ate r 3� : a Note that the back of this form may be used for your site _ plan sketch. r i ' raeoLcalsr- E. O. GOOCto- CHA RLOTTiESV ICL'E ENGINEERS H. G. LA R Ew, P. E. CHARLOTTESVILLE SUBSURFACE EXPLORATIONS. FOUNDATIONS. EARTH DAMS. SOIL ANALYSIS. BLAST DAMAGE, GEOLOGICAL A LAND USE STUDIES A REFORTS E. 0. GOOCH AND -ASSOCIATES Cnnsuhing Gedi osts and Engineers June 16, 1988 Mr- Drew Murray A.B. Murray, Inc. 1510 Oxford Road Charlottesville, Virginia 22903 Re: Soils and 'geological study Tax Map 95 Parcel 59 Dear"'Mb. "Murray v- - -- 1111 ROSE HILL DRIVE,SUITE 5 CHARLOTTESVILLE, VA. 22801 1804) 203-77SO As requested, we have completed a soils and geological study at the referenced site. The purpose of the study was to determine the suitability of the soils for the disposal of sewage by means of septic tank/drainfield systems. The investigation has consisted of drilling a series of five (5) hand auger test holes to determine soil profiles in the vicinity of 2 proposed house sites. A log of each test hole is shown on the enclosed soil profile sheets along with a sketch showing the approximate hole locations. The holes have been flagged with orange ribbon for future reference. Generally, the soil profile consists of about 6 inches of topsoil beneath which there is,a layer of silty clay loam of variable thickness. This silty clay loam layer is underlain by mica loam, mica clay loam and mica sandy loam which, in turn, grade vertically into the.underlying granite gneiss. Drainfield lines can be placed in the mica clay loam, mica loam and mica sandy loam as percolation tests run on similar soils in the .area have yielded percolation rates that meet the current Health Department requirements. As you know, final approval of the drainfield sitesrests with the sanitarian with the Charlottesville -Albemarle Health Department. We hope this is the information you need. If you have any questions, please let us know. Very truly yours, E.O. Gooch & Associates 54XJ,L ,� Steve. Gooch Enc1s. SPG/cg • , �/ �� � r • xM ss - 59P rINQWLE DDE HAROLD L. MOON - @. 6i9 - 21? , 220 PLAT �I 1• boa t _ rHE LAND LSE RfGULAr?DMS LISTED BELOW ARE IMPOSED PWISUANT T9 TME ALBEMARLE COLIWrr ZONING ORDINANCE ' pipe IN EFFECT rMIS DATE AND ARE SHOWN FOR AYFORMA►ION it PURPOSES ONLY THEW ARE NOT RESTRICTIVE COVENANTS Ae RUNNING WITH THE LAND AND THEIR APPEARANCE ON IMlS �. PLAT 1S NOT INTENDED TO IMPOSE THEM AS SUCH � �O•t P\' , A. TO AE TOTAL OF Y LOTS OF LESS THAN 21 AC. EOACH. o B. I DIVISION RIGHT IS BEING TRANSFERRED WITH LOT X. PG LOT X tf }, 3.39 AC. h fi O.S. 1010 - 3u. 314 PLAT 1� Ir4n Sfr Pe APPROVED FOR RECORDATION u 43 - 59Kr y�P�P �`%• :Rr c. rONES.A- • .r r:. 8. 993 226 - z� 'A�i` OIRECYOR OF PLANNIND 611 - 631 PLAT 3.93 S AC. °I \1, �a ��\ TM. 45 - 599 -`rl WILLIAM R GOODMAN 08 618 • 483 , 485 PLAT Pipehim wo 6 a 4` �\ P Smi CO. 1 T.M. 45 59F SL \r LOWS A. KRAMER SIDUE of LOT 8 \� 118. 615 34 , 36 PLAT \\ e 4.54 f ACI. AMELA O. MURRAY \, %1010 311 314 PLAT \\ s ban UE OF LOT B HAS A YINuMWr OF 30,00D SA D \` ;WUS AREA WITH SLOPES LESS THAN 2S%- �4► Nor TD BECOME AN W IVOOL LOT. BUT IS TO q'>Z TQ B COMBINED MOTH T.M. 45 59K:. �Z \ 'ERTY DOES NOT LE WITHIN THE 100 YEAR Y r� AIN ACCOROM6 TO THE FL006 INSURANCE s ` Iron ��+M PLAT SHOWING \ R / LOT X I CONTAINING 3.59 AC. % AND THE RESIDUE OF LOT B ,M 45 - 39 \ ` O ANDREW MURRAY THE PROPERTY OF PAMELA G. MURRAY DB 1094 251 / LOCATED ON 301 ACCESS ESMT /v OFF OLD RIO MILL ROAD I f ALBEMARLE COUNTY.VIRGINIA ✓% fI�Q SCALE -' I"= 1001 DATE : 7- 25 - 69 �j n 1%, ^ .. ° ' � - . ' ._ — .' ^ .� ' ° ' J 1%, ^