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~~~ <br />~~ ,~J <br />~ `~ <br />_:,.. <br />r <br />Page 1 of <br />Coicnty OfLoudoun <br />Division ojEnvironmenta! Health <br />Leesburg, Virginia 20177 <br />(703) 777-0234 Metro (703) 478-8408 Fax (703) 771-5023 <br />Automated Inspection Request (703) 771-5331 <br />WELL/WATER Permit # 740187410005 <br />Owner Name: ROCK SPRINGS PROPERTIES LLC <br />Owner Name2: %ARTHUR B ALPHIN <br />Owner Address: 700 N HEREFORD LN <br /> MADISON IN47250 <br />Applicant Name: ROCK SPRINGS PROPERTIES LLC <br />Applicant Name2 <br />Applicant Address: P.O. BOX 3126 <br /> LEESBURG VA 20177 <br />Home Phone: 540-668-6460 <br />Work Phone: 703-787-8979 <br />Subdivision: <br />Lot: <br />Bldg/Floor/Unit: PROPOSED LOT 5 ~ ~ 5 ' S <br />Permit Active Date: 2004-09-29 <br />Pm #~ 283152408000 <br />Tax Map #: /90////////36C <br />Construction Purpose: NEW CONSTRUCTION <br />Permit Purp: WATER FTW <br />Structure Type: RESIDENTIAL SGL FMLY DETACHED <br />Site ID <br />New ~ Repair ^ Abandonment ^ Upgrade ^ <br />Based on the application for awell/water su <br />l <br />s <br />t Well ID # <br />pp <br />y <br />ys <br />em construc <br />Ordinances, a construction permit is issu <br />d t <br />ROCK SP tion permit filed in accordance with Chapter 1040. Codified <br />e <br />o: <br />RINGS PR OPERTIES LLC <br />DESIGN <br />Water supply, existing: (describe) NOTE: INSPECTION RESULTS <br /> Water supply location: S <br />ti <br />f <br /> a <br />s <br />actory yes ^ no ^ <br />To be installed: class IIIB Drillers Report (G.W.2) Received yes ^ no ^ <br />Cased and Grouted to Bedrock plus 10' or a minimum <br />' Well Construction Approval yes ^ no ^ <br />cased 65 <br />Grouted 65' whichever greater Sanitarian Date <br />Well Location. See Page ~ ~J Well Driller Lic # <br />I. If well yield as determined by 30 minute airlift test is les Pump Installer Lic # <br />s <br />than 5 gallons per minute, a pumping test must be performed Chemical Quality Data Received yes ^ no ^ N/A ^ <br />as follows: Pumping Data Received yes ^ no ^ N/A ^ <br /> A <br />b <br />i <br /> <br />A. Pump and related equipment shall be installed and the static s <br />u <br />lt sketch on page <br /> <br />water level measured. Bacteriological Sample Received es ^ no ^ <br />y <br /> <br />B. Pumping shall begin at a rate of withdrawal rester than 5 <br />g Water System Approved <br />es ^ no ^ <br />y <br /> <br />GPM until water level drops to a <br />oint <br />l <br />t Sanitarian Date <br />p <br />c <br />ose <br />o bottom of the <br />well. <br />II. Criteria for approval of well and well yield are as follows: <br />C. At this point, the pump rate shall be adjusted so the water The well must produce a: <br />level remains constant <br />D. Measure and record the volume of water di <br />h A. Minimum of 1 gallon per minute for 6 continuous <br />sc <br />arge and <br />water level (electric tape) at 15 minute intervals throughout pumping hours after the well has been pumped out <br /> <br />the test. according to Part 1, Sec. B of this permit. <br /> <br />E. Discharge water at least 50 feet from the well and sew B. The pump test can be terminated early and well yield <br />age <br />disposal area. considered adequate if: <br /> <br />F. Interruption of pumping longer than 15 minutes shall re <br />i 1. The well cannot be pumped out as stated in Part 1, <br />qu <br />re <br />extending the pumping time that amount of time Sec. B of this permit. <br />. 2. The well yields 2.5 GPM or <br />reater f <br />3 h <br /> g <br />or <br />ours of <br />• continuous pumping after Part 1, Sec.B of this <br /> <br />The well/water system is to be constructed as specified b permit are completed. <br />y <br />by the permit ~or attached plans and specifications ^ . C. Sufficient storage and yield may be considered for <br /> approval. <br /> <br />This water system construction permit is null and void if D. Person conducting the pump test shall collect a sample <br /> <br />(a) conditions are changed from those shown on the to be analyzed for constituents described in Codified <br /> <br />application (b) conditions are changed from those shown Ordinances of Loudoun County Title 4, Chapter 1040, <br /> <br />on the construction permit. Appendix III. <br /> <br />./ E. Replacement wells are exempt from this requirement. <br /> <br />Date: 200 09-29 Issued By: This Con <br />t <br />ti <br /> <br />Date: 0 r) Reviewed By: <br />1.s-s~ s <br />ruc <br />on <br />Permit Valid Until <br /> 2005-09-29 <br />`__»-------- r- ~~ <br />