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County Of Loudoun Page 1 of 5 <br /> Division of Environmental Health c(a.: /. <br /> Leesburg, Virginia 20177 `� T�- Tf1„ <br /> Office(703) 777-0234 Fax(703) 771-5023 ^ .;1� �y+ <br /> Inspection Request (703) 771-5808 <br /> ) <br /> SEWAGE DISPOSAL Permit # T30393050001 5= ; <br /> Owner Name: PETRIE,TYLER Permit Active Date: 2014-01-31 1757 <br /> Owner Namc2: Pin#: 008252393000 <br /> Owner Address: 118 LAKE DR Tax Map#: /81/A/4////22/ <br /> STERLING VA 20164-8606 Construction Purpose: REPAIR <br /> Applicant Name: GREAT FALLS SEPTIC SERVICE INC Permit Purp: SEP MR <br /> Applicant Namc2: Structure Type: STRUCTURE TYPE <br /> Applicant Address:34176 CHARLESTOWN PIKE <br /> PURCELLVILLE,VA 20132 <br /> Home Phone: 540-668-7661 Work Phone: 540-668-7660 Ext System Type : DRAINFIELD <br /> Subdivision: RICHLAND ACRES Lot: SEC 4 LOT 22 <br /> Directions to property : 7E to L on Lakeland Dr.,to R on Thomas Av.to L on Lake Dr. <br /> -/17a -63 0 <br /> NEW _ REPAIR X EXPAND _ ABANDON _ PUMP/HAUL _ STP <br /> Based on the application for sewage disposal system construction permit filed in accordance with Chapter 1066. Codified Ordinances,a <br /> construction permit is issued to: PETRIE,TYLER <br /> Actual or estimated water use (0) Bedrm -0 GPD <br /> Sewage Disposal System Design Inspection Results <br /> Building Sewer: 4"SCI I 40 OR FQUIV <br /> Comments: Existing Pass Fail N/A <br /> Pre-Treatments: <br /> #1 SEPTIC TNK EXISTING <br /> Pass Fail N/A <br /> Inlet-Outlet Structure:2000 REGULATIONS / <br /> Comments: Existing Pass Fail NIA <br /> Pump and Pump Station: Yes X No_ Pressure Distribution Yes_ No X <br /> Comments : Existing Pass Fail N/A ✓ <br /> Gravity Mains: 3"or larger I.D.,minimum 6"fall per 100',1500 lb.crush strength or equivalent. <br /> Comments : Existing <br /> Pass Fail N/A <br /> Distribution Box: CONCRETE Number of Ports>N/A <br /> Comments : Replace(1)Splitter and <br /> (2) D-boxes Pass Fail_ N/A <br /> Header Lines: Material: 4" I.D. 1500 lb crush strength plastic or equivalent from distribution box <br /> to 2'into absorption trench slope 2"minimum. <br /> Comments :Existing Pass Fail N/A <br /> Percolation Line: Gravity 4"plastic 1000 lb per foot bearing load or equivalent,slope 2"to 4"per 100'. <br /> Comments: Existing Pass_ Fail_ N/A <br /> Absorption Trenches: <br /> Square ft. required : Pass_ Fail_ N/A <br /> Depth from ground surface to bottom of trench: /� / <br /> Aggregate size: 0.5 TO 1.5 6, I n Contractor f�'f- ! 4/ '�►// <br /> Trench bottom slope:2-4"/100' <br /> Center to center spacing : License# Phone <br /> Trench width: <br /> Depth of aggre• Date Approved : 7/c5/ <br /> Trench = <br /> Inspected and Approved by EH <br /> N ' •er of trenches : <br /> The sewage disposal system to be constructed as specified by the permit X and attached construction plans/specifications_ <br /> This construction permit Is null and void If(a)conditions are changed from thos own on the app' tion(b)conditions are changed from those shown on the construction permit. <br /> Date 2014-01-31 1 ?�L This Construction <br /> Issued by : Permit Valid Until <br /> Date: Reviewed by : 2015-07-31 <br />