Airmont Meadows Subdivision - Hydrostudy - SKV-18

~. . III~~N. ~~. ii -DEC 02 2~ County O, f'Loudoun Division ojEnvtronmenta! Health Leesburg, Virginia 20177 Office (703) 777-0234 Fax (703) 771-5013 Inspection Request (703) 771-5808 WELL/WATER Permit # 750258260009 Owner Name: DOUGHERTY, GAIL G ET ALS TRUST Owner Name2: % SCHNADER,HARRISON,SEGAL & LE Owner Address: 1600 MARKET ST STE 3600 PHILADELPHIA PA19103 Applicant Name: DOUGHERTY, GAIL G ET ALS TRUST t Applicant Name2: C/0 EMERY & GARRETT Applicant Address: P.O. BOX 1578 MEREDITH NH 03253 Home Phone: S bd Work Phone: Ext ' u tvtston. Lot: Permit Active Date: Pin #: Tax Map #: Construction Purpose: Permit Purp: Structure Type: System Type 2005-11-22 614469655000 /42////////93/ NEW CONSTRUCTION WATER Fl'V1l STRUCTURE TYPE IIIB vrfl w I Page 1 of 5 DlreCtlons t~ property : Rt 7 W to Rt 719 S then turn left onto Snickersville Turnpike f property is about 0.8 miles on the left New X Repair _ Abandonment _ Upgrade _ Hy Based on the a lication for awell/water su I s stem constr PP PP Y Y drofrack Well ID # K - ~ ti i uc Ordinances, a construction permit is issued to: DOUGHERTY, GAI on perm t filed in accordance with Chapter 1040. Codified L 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 ~ ~- 3 Well Driller Lic # I. If well yield as determined by 30 minute airlift test is less Pump Installer Lic # ~ than 5 gallons per minute, a pumping test must be pertormed Chemical Quality Data Received yes ^ no O 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 stati s u s etch on page c water level measured Bacteriological Sample Received yes ^ no ^ . B. Pumping shall begin at a rate of withdrawal greater than 5 Water System Approved yes ^ no ^ GPM until water level dro t Sanitarian Date ps 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 i water level (electric tape) at 15 minute intervals throughout pump ng 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. Interruption of pumping longer than 15 minutes shall require 1. The well cannot be pumped out as stated in Part 1, Sec. B of this permit. extending the pumping time that amount of time. 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.B of this permit X and attached plans/specifications. permit are completed. _ C. Sufficient storage and 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 h to be analyzed for constituents described in Codified are c anged from those shown 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. /~ , Date: 2005-11-22. Issued By: a This Construction Date: ~ Reviewed By: ~ ~ ~ ~ Permit Valid Until 2006-11-22