PSSD-1988-0583 - Laserfiche WebLink

Sewage Disposal System Construction Permit Page / Of 'S' Loudoun County,Virginia Health Department p 270BR94r Identification Number Division of Environmental Health x i 777-0234 Metro 478-8408 Map Reference 22aDE0®®D®®®®G Lad Iv gen® ✓q f4 / øI' General Information 53 ((2)) H New i Repair 0 Cgu,arye .k'Jt,7- 0,44e Cno 4) Site ID.# e 55 P- ` 0 5-X3 Based on the application for a sewage disposal system construction permit filed in accord nce with Chapter 1066,Codified Ordinances,a construction permit is hereby issued to: Owner Mark Plamondon Telephone (W)R21-1089/(H)554-2045 Address Rt_ 2, Box 71, Bluemont, VA 22012 For a Type Sewage disposal system which is to be constructed on/at 7W to 760, turn L turn R on 626, turn R on 765, turn R forest hill Subdivision Frazier Section/ lock 53 ( (2)) Lot H Actual or estimated water use 5/sr: a' (Y6" ` 'f/96 C,�.,':4",af f if ('° go/(r._DES4Nh 1.) 20 NOTE: INSPECTION RESULTS Septic Tank: Capacity gals.(minimum). Pretreatment unit: yes 0 no 0 comments ❑ Other E)vsh," Satisfactory Inlet-outlet structure: (6x/ /9) Inlet-outlet structure: yes ❑ no 0 comments PVC 40,4"tees or equivalent. Satisfactory ❑ Other Pump and pump station: Pump&pump station: yes 0 no 0 comments No ❑ Yes ❑ see specifications attached Satisfactory Pressure Distribution 0 Y 0 N Gravity mains: 3" or larger I.D.; minimum 6" fall per Conveyance method: yes ❑ no 0 comments 100', 1500 lb.crush strength or equivalent. Satisfactory ❑ Other i t Distribution box: Distribution box: yes 0 no 0 comments 4 Precast concrete with i ports. Satisfactory ❑ Other Field Marked yes 0 no ❑ Header lines: ! Header lines: yes ❑ no 0 comments Material: 4"I.D.1500 lb.crush strength plastic or equivalent from Satisfactory distribution box to 2' into absorption trench. Slope 2" minimum ❑ Other Percolation line: Percolation line: yes ❑ no ❑ comments Gravity 4"plastic 1000 lb.per foot bearing load or equivalent, Satisfactory slope 2"4"(min. max.)per 100'. ❑ Other if Absorption trenches: (,'X/. t ) Absorption trenches: yes ❑ no ❑ comments Square ft. required _ ;depth from ground surface Satisfactory to bottom of trench ;aggregate size , Trench bottom slope Contractor _ center to center spacing ;trench width License# Phone Depth of aggregate Trench length 75 ' ; Number of trenche /C1 Date inspected and approved by: See Plannimetric for Location and Page /Y for further conditions �,/ Sanitarian The sewage disposal system is to be constructed as specified by the permit I or attached plans and specifications ❑ . This construction permit is null and void if (a) conditions are changed from those shown on the application (b) conditions are changed from those shown on the construction permit. / / Date: 5— /6 9�' Issued by: This Construction i 1� by: / ,f-, �/ /Ut Yn...�-- Per ylid Date: Reviewed � J ,0-7p. j Supervistr�/Sanitarian 0 7A,5 ,grim i l- i 5 7 / f ( i,Zti),1 0/' 84/14`''1, �ru4 f /4-0.0, /ne /'G hy'7'''zy-t, /c -i e Xi Sh° 6:.,/4x/./71<-e-02,1',7 c44.ha Q f5' f w'f�«« , 5 ',, 6o : ('%%v'i4,/1)