PSSD-1111-0046 - Laserfiche WebLink

Sewage Disposal System Construction Permit Page / Of Loudoun County, Virginia " Health Department Division of Environmental Health i'',1t Identification Number J 3, ; j 54,!)) 6 t, 777 -0234 Metro 478 -8408 1:.* �' Et -- Map Reference 71:33 ic_ / / D GENERAL INFORMATION , ._ ',;:;` .. 3m New ❑ Repair ❑ Expand ❑ Abandon,, Alter ❑ STP ❑ Pump & Haul ❑ Site ID# �'-�S,fl ail-00-16 Based on the application for sewage disposal system construction permit filed in accordance with Chapter 1066, Codified Ordinances, a construction permit is hereby issued t Owner 11 L) . L, , JJ . /4tj /2L 1 d Telephone - 7 6 3 - Y6 6 / V S6 6 Address ".2 / 6. 3/ ICI CIS'LT(( C r. —/ 3 4 1_)i it - 5 , 1 %,9. 2 6i For a Type ewage disposal system which is to be constructed on /at 7 f /V G,a 4z`... . i. I 0 . d _t- ES J. / ( d. (, ) 1-ie t is z.) le , -3:2LCJC•)ra.- / 711C. > > Subdivision Section /Block � S'^ Lot / C /1 / L Actual or estimated water use /V /4 DESIGN NOTE: INSPECTION RESULTS • ' . ! Building sewer: 4" I.D. PVC 40, or equivalent. Building sewer: yes ❑ no ❑\ ,zip ents Slope 1.25" per 10' (minimum). Satisfactory .0'1 Q Other .0( 5 & - - v�/'��.�LJ Z , ; �� Ad 0. • Septic Tank: Capacity gals. (minimum) Pretreatment unit: �� d yes ❑ no ❑ comments Other /�,6� -;.� C•- yy� j� Satisfact r � � t, ' st , ° W en � e Inlet- outlet structure: PVC 40, 4" tees or equivalent Inlet- outlet structure: yes ❑ no ❑ cominien ❑ Other Satisfactory Pump and pump station: yes ❑ no ❑ comments Pump and pump station: yes ❑ no ❑ com • ents Pressure Distribution ❑ Y ❑ N Satisfactory Gravity mains: 3" or larger I.D., minimum 6" fall per Conveyance method: yes ❑ no ❑ comments 100', 1500 Ib. crush strength or uivalent. Satisfactory x ❑ Other Distribution box: Distribution Box: yes p no ❑ comments Precast concrete with port•. Satisfactory ❑ Other Field Marked -s ❑ ' o ❑ Header lines: Material: 4" I. . 15 Ib. cr,sn strength plastic or Header lines: yes a.: • comments equivalent from distribution b x to 2' into : bsorption trench. Slope 2" Satisfactory minimum ❑ Other I Percolation line: Gravi 4" p .stic 100' Ib. p: oot bearing load Percolation line: yes ❑ no ❑ comments or equivalent, slope 2" " ( . max.) p • r to'. Satisfactory ❑ Other Absorption trenche ; Absorp on trenches: yes ❑ no ❑ comments Square ft. required depth from ground surface Satis .ctory 7 to bottom of trenc • ;aggregate size Co tractor r t- i r- >�oi - T id, i- I tL - Trench bottom - ope License # Phone center to cen • r spacing ; trench width Depth of a..regate Date * el '• `:"") I inspected and approved by: Trench I c gth ; Number of trenches - . . . - - C - 1 - - - - = - , See P .nnimetric for Location and Page for further conditions. SANITARIAN The sewage disposal system to be constructed as specified by the permit [r attached plans and specifications This construction permit is null and void if (a) conditions are changed from those shown on the applicati•n (b) conditions are changed from those shown on the construction permit. Date: js Z 5 00 Issued by: ab C ..,- __--/ The Construction S / n � id -ti I � Reviewed by: a � �`. P ermit � lid �j L Date: � 7 � Su. • rvisory San,tanan