Airmont Meadows Subdivision - Hydrostudy -SKV-20

~i~ --DEC022~.Y -. `~ County Of Loudoun Division ojEnvironmenta! Health Leesburg, Virginia 20177 Office (703) 777-0234 Fax (703) 771-5013 Inspection Request (703) 771-5808 WELLNVATER Permit # 750258260010 Owner Name: Owner NameZ: 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: DOUGHERTY, GAIL G ET AlS TRUST Construction Purpose: NEW CONSTRUCTION Applicant NameZ: C/0 EMERY & GARRETT Permit Purp: WATER FTW Applicant Address: P.0. BOX 1578 Structure Type: STRUCTURE TYPE MEREDITH NH 03253 System Type : IIIB Home Phone: Work Phone: Ext Subdivision: L Page 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 # ~KV ~-2C~ Based on the application for swell/water supply system construction ermit fil d i p e n 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 e ^ ^ To be installed: class IIIB ry y s no 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 L` .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 performed Chemical Quality Data Received yes ^ no ^ N/A ^ as follows• Pumping Data Received yes ^ no ^ N/A ^ As built k t h A. Pump and related equipment shall be installed and the static s e c on page 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 ^ Sanitaria GPM until wat r l l d n Date e eve rops to 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. A. Minimum of 1 gallon per minute for 6 continuous D. Measure and record the volume of water discharge and pumping hours after the well has been pumped out water level (electric tape) at 15 minute intervals throughout according to Part 1, Sec. B of this permit. the test. B. The pump test can be terminated early and well yield E. Discharge water at least 50 feet from the well and sewage considered adequate if: disposal area. 1. The well cannot be pumped out as stated in Part 1 F. Interruption of pumping longer than 15 minutes shall require , 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 planslspecifications 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 to be analyzed for constituents described in Codified (b) conditions are changed from those shown on the comstruction permit. Ordinances of Loudoun County Title 4, Chapter 1040, Appendix III. E. Replacement wells are exempt from this requirement. ,~ ~ , Date: 2005-11-22 Issued By: ~ _' .v `~~'~` This Construction Date: ~/~Z ~~~r Reviewed By: ,~ Permit Valid Until 2006-11-22