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060015167
COMMONWEALTH OF VIRGINIA
VIRGINIA DEPARTMENT OF HEALTH
Frederick County Health Department
107 N. Kent St.
Winchester, VA
(540) 722-3480
August 7, 2006
AOSE Certification Letter
Old Virginia Land, LLC
101 Lee Street
Winchester, Virginia 22601
Re: Tax Map #69A-1-30-13;
Dear Old Virginia Land, LLC:
This letter is issued in lieu of a sewage disposal system construction permit in accordance with
§32.1-164 H. of the Code of Virginia . The location and dimensions of the approved site are shown on the
approved plat by Michael M. Artz, dated 7/4/06. The application for a certification letter was submitted
pursuant to §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 (ROSE) or a Professional
Engineer working in consultation with an AOSE for residential development. The site for an individual
onsite sewage system was certified as being in compliance with the Board of Health's regulations (and
local ordinances if the locality has authorized the local health department to accept private evaluations for
compliance with local ordinances) by Evans, Karl E. , (540) 974-4830. This letter is issued in reliance
upon that certification.
The Board of Health hereby recognizes that the soil and site conditions acknowledged by this
correspondence, and documented by additional records on file (including those by a private Authorized
Onsite Soil Evaluator, AOSE, Evans, Karl E.) at the local health department, are suitable for the
installation of an onsite sewage disposal system. The attached survey plat shows the approved area for
the sewage disposal system and well. The plat must be recorded for this letter to be valid. This letter is
valid until a permit for construction is issued and the system is installed, inspected and approved. This
letter is void if there is any substantial physical change in the soil or site conditions where the sewage
disposal system is to be located.
A permit to construct the sewage disposal system must be issued before construction of the system. If the
property owner (current or future) applies for a construction permit within 18 months of the date of this
letter, the application fee paid for this letter shall be applied to any state fees for a permit to construct a
system. After 18 months, the applicant is responsible for paying all state fees for a permit application.
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Tax Map #69A-1-30-13
This letter must be recorded in the land records within 90 days by the clerk of the circuit
court in the jurisdiction where all or part of the site or proposed site of the system is to be located. The
site shown on the plat is specific and must not be disturbed or encroached upon by any construction. To
do so voids this letter. If not recorded in 90 days this letter is void. Upon the sale or transfer of the land
that is the subject of this letter, the letter shall be transferred with the title to the property.
Future owners are advised to review the plat for the location of the onsite sewage disposal area to
make sure their building plans do not interfere with the area. If they have any questions regarding the
location of the area, they should contact the AOSE or PE identified on the previous page prior to
contacting the local health department for assistance.
The area evaluated, and certified by this letter, is suitable to accommodate a 3 bedroom house
using a system design of 450 gallons per day . The property will be served by a private water supply as
shown on the attached plat. -
This letter is an assurance that a sewage disposal system construction permit will be issued
(provided there have been no substantial physical changes in the soil or site conditions where the system
would be located); however, it is not a guarantee that a permit for a specific type of system will be
issued. The design of the sewage system will be determined at the time of application for a building
permit and sewage system construction permit. The design will be based on the site and soil conditions
certified by this letter, structure size and location, water well location (final determination to be made at
time of permit issuance), the regulations in effect at the time, and any off-site impacts that may have
occurred since the date of the issuance of this letter. In some cases, engineered plans may be required
prior to issuance of the construction permit. In accordance with §32.1-164.1:1 of the Code of Virginia ,
owners are advised to apply for a sewage disposal construction permit only when ready to begin
construction.
This certification letter may be subject to and must comply with any applicable local ordinances.
Sincerely,
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Joshua Anderson
EHSS
Attachment: Surveyed Plat
pc:Evans, Karl E.
Certificate of Acknowledgment: Tax Map #69A-1-30-13
August 7, 2006
County of Frederick
Commonwealth of Virginia
I certify the information provided herein is true a curate to the best of my knowledge and belief.
Environmental Health Specialist Senior
The foregoing instrument was acknowledged before me this
c ,cam.
Notary Public
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My commission expires: 31 DOOS
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day of
t-;ounty or
Commonwealth of Virginia
I (we) authorize this certification letter be recorded in the grantee index of the Clerk of the Circuit Court
of Frederick County under my (our) name.
The for oing
by
day ofA
�,s/ ,
Notary Public
My commission expires: 1C/ ! o, 2,010