WWIN-1993-0054 - Laserfiche WebLink

Well/Water System Construction Permit Page I Of Loudoun County, Virginia Health Department Division of Environmental Health Identification Number 0117 FW 93 777 -0234 Metro 478 -8408 © ®Q ©0®®®0® Map Reference General Information New ® Repair ❑ Abandonment ❑ Upgrade ❑ Well ID.# Based on the application for a well /water supply system construction permit filed in accordance with Chapter 1040, Codified Ordinances a construction permit is hereby issued to: timothy Owner Snook Telephone 703= 444 -2933 (o) 800 -945 -39.07 Address axa 1 Court, Sterling, VA 20165 IFor a well /water system which is to be constructed on /at R 7 F thru S-t @rl i ng L en Het 17 —Knel l , (A1 onkian Pkw R on Grandgipw P1- 1st Pntra.nc@ on I Subdivision ` ection /Block 82 Lot 2 -A DESIGN NOTE: INSPECTION RESULTS Water supply, existing: (describe) Water supply location: Satisfactory yes 3"' no ❑ Drillers Report (G.W.2) Received yes 13r no ❑ To be installed: class_ Cased and Grouted to Bedrock plus0' or a minimum Well Construction Approval yes [Y no ❑ L- cased M 1r 5 Grouted 6 65 whichever is greater Sanitarian Date 1-:D1 Well Location See Page Well Driller 14 &V Lc tf Pump Installer Lic # I. If well yield as determined by 30 minute airlift test is less Chemical Quality Data Received yes ❑ no ❑ N/A ❑ than 5 gallons per minute, a pumping test must be performed Pumping Data Received yes ❑ no ❑ N/A ❑ as follows: As built sketch on page A. Pump and related equipment shall be installed and Bacterialogical Sample Received yes ❑ no ❑ the static water level measured. Water System Approved yes ❑ no ❑ B. Pumping shall begin at a rate of withdrawal greater Sanitarian Date II. Criteria for approval of well and well yield are as than 5 GPM until water level drops to a point close to bottom of the well. follows: C. At this point, the pump rate shall be adjusted so The well must produce a: the water level remains constant. A. Minimum of 1 gallon per minute for 6 continuous D. Measure and record the volume of water discharge and water level (electric tape) at 15 minute intervals pumping hours after the well has been pumped throughout the test. out according to Part I, Sec. B of this permit. E. Discharge water at least 50 feet from the well and B. The pump test can be terminated early and well sewage disposal area. yield considered adequate if F. Interruption of pumping longer than 15 minutes 1. The well cannot be pumped out as stated in shall require extending the pumping time that Part I B of this permit. amount of time. 2. The Well yields 2.5 gpm or greater for 3 hours of continuous pumping after Part I B of this permit is completed. The well/water ,s� t is to be constructed as specified C. Sufficient storage and yield may be considered for by the permit f3 or attached plans and specifications ❑. approval. D. Person conducting the pump test shall collect a This water system construction permit is null and void if sample to be analyzed for Constituents described (a) conditions are changed from those shown on the in Codified Ordinances of Loudoun County Title application (b) conditions are changed from those shown 4, Chapter 1040, Appendix III. on the construction permit. E. Replacement wells are exempt from this requirement. Date* LfI719 3 Issued by: AW1.14 1 - This Construction Wan Permit Va id yntil Dater Reviewed by: 7y pervisory sanitarian Original / Health Departbent Copy / Applicants Copy r� 70 G,-o i � ), 4111- 'tvQ4.