Airmont Meadows Subdivision - Hydrostudy - SKV-14

1~,~ ~~~~ DEC 0 2 206 v~ ! vv County O~'Loudoun Division ofEnvtronmental Health Leesburg, Virginia 20177 Office (703) 777-0234 Faz (703) 771-5023 Inspection Request (703) 771-5808 WELL/WATER Permit # 750258260007 Owner Name: Owner Name2: DOUGHERTY, GAIL G ET ALS TRUST Permit Active Date: % SCHNADER HARRISON SEGAL & LE 2005-11-22 Owner Address: , , Pin #: 1600 MARKET ST STE 3600 614469655000 Tax Map #: PHILADELPHIA PA19103 /42/~~~~~~~93~ Applicant Name: Construction Purpose: DOUGHERTY, GAIL G ET ALS TRUST NEW CONSTRUCTION Applicant Narne2: Permit Pu GO EMERY & GARRETT ~' WATER FTW Applicant Address: P.O. BOX 1578 Structure Type: STRUCTURE TYPE MEREDITH NH 03253 System Type : IIIB Home Phone: Work Phone: Ext Subdivision: L Pepe 1 of 5 ot. Directions to property : Rt 7 W to Rt 719 S then turn left onto Snickersville Turnpike property is about 0.8 miles on the left New X Repair _ Abandonment _ Upgrade _ Hydrofrack _ Well ID # SKy - t'-E Based on the application for swell/water supply system constructi i f on perm t iled in accordance with Chapter 1040. Codified Ordinances, a construction permit is issued to: DOUGHERTY, GAIL G ET ALS TRUST DESIGN NOTE: INSPECTION RESULTS Water supply, existing: (describe) Water supply location: Satisfacto ^ ^ ry yes no To be installed: class IIIB Drillers Report (G.W.2) Received yes ^ no ^ Cased and Grouted to Bedrock plus 10' or a minimum Well Construction Approval yes ^ no ^ cased 70 'Grouted 70 'whichever is greater Sanitarian Date Well Location. See Page Z Y Well Driller Lic # I. If well yield as determined by 30 minute airlift test is les Pump Installer Lic # s than 5 gallons per minute, a pumping test must be pertormed Chemical Quality Data Received yes ^ no ^ N/A ^ as follows: Pumping Data Received yes ^ no ^ N/A ^ A b ilt k A. Pump and related equipment shall be installed and the static s u s etch on page Bacteriological Sample Received yes ^ no ^ water level measured. B. Pumping shall begin at a rate of withdrawal realer than 5 9 Water System Approved es ^ no ^ y GPM until water level dr t Sanitarian Date ops o a point close to bottom of the well. II. Criteria for approval of well and well yield are as follows: C. At this point, the pump rate shall be adjusted so the water The well must produce a: level remains constant. D. Measure and record the volume of water discharge and A. Minimum of 1 gallon per minute for 6 continuous water level (electric tape) at 15 minute intervals throughout pumping hours after the well has been pumped out the test. according to Part 1, Sec. B of this permit. E. Discharge water at least 50 feet from the well and sewage B. The pump test can be terminated early and well yield id disposal area. cons ered adequate if: F. InterruptiorS of pumping longer than 15 minutes shall require 1. The well cannot be pumped out as stated in Part 1, extending the pumping time that amount of time Sec. B of this permit. . 2. The well yields 2.5 GPM or greater for 3 hours of The well/water system is to be constructed as specified by the continuous pumping after Part 1, Sec.6 of this permit X and attached plans/specifications permit are completed. . _ C. Sufficient stora a and g yield may be considered for approval. This water system construction permit is null and void if (a) D• Person conducting the pump test shall collect a sample conditions are changed from those shown on the application (b) conditions are changed from th h to be analyzed for constituents described in Codified ose s own on the comstruction permit. Ordinances of Loudoun Coun Title 4, Cha ter 1040, ty p Appendix III. E. Replacement wells are exempt from this requirement. .-7 n Date: 20 5-11-22 Issued By: ~.- ~ ~' This Construction Date: ~ Z~ ~~ Reviewed By: ) .rt L Permit Valid Until 2006-11-22