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~~~ <br />~_ j~°~: <br />Page 1 of <br />County Of Loudoun <br />Division ojEnvironmental 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 # 740187410003 <br />n <br />;i <br />~ ;;j NO'S 0 1 2004 <br />-~~ <br />Owner Name: ROCK SPRINGS PROPERTIES LLC <br />Owner Nam <br />2 Permit Active Date: 2004-09-29 <br />e <br />: %ARTHUR B ALPHIN <br />~ Owner Address: 700 N HEREFORD LN Pin #: 283152408000 <br />Tax Map #: /90////////36C <br />MADISON IN47250 Construction Purpose: NEW CONSTRUCTION <br />Applicant Name: ROCK SPRINGS PROPERTIES LLC Permit Purp: WATER~FTW <br />Applicant Name2: Structure Type: RESIDENTIAL SGL FMLY DETACHED <br />' Applicant Address: P.p, gOX 3126 Site ID <br />LEESBURG VA 20177 <br />Home Phone: 540-668-6460 <br />Work Phone: 703-787-8979 <br />Subdivision: <br />~ Lot: <br />^f <br />Bld$1Floor/Unit: PROPOSED LOT 7 ~ K ~' ' / <br />New Repair ^ Abandonment ^ Upgrade ^ Well ID # <br />Based on the application for swell/water supply system construction permit filed in accordance with Chapter 1040. Codified <br />Ordinances, a construction permit is iss <br />ROCK S <br />d t <br />ue <br />o: <br />PRINGS PR OPERTIES LLC <br />DESIGN NOTE: INSPECTION RESULTS <br />Water supply, existing: (describe) Water supply location: Satisfacto <br />ry yes ^ no ^ <br />To be installed: class IIIB Drillers Report (G.W.2) Received yeS ^ na ^ <br />Cased and Grouted to Bedrock plus 10' or a minimum Well Construction Approval yes ^ no ^ <br />cased 60' Grouted 60' whichever is eater Sanitarian Date <br />~ Well Location. See Page ~ '~ Well Driller Lic # <br />I. If well yield as determined by 30 minute airlift test is less Pump Installer Lic # <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 /> <br />A. Pump and related equipment shall be installed and the stati As built sketch on page <br />c <br />water level measured Bacteriological Sample Received es ^ no ^ <br />y <br />' <br />. <br />B. Pumping shall begin at a rate of withdrawal greater than 5 Water System Approved yes ^ no ^ <br /> <br />GPM until water level drops to a point close to bottom of the Sanitarian Date <br /> <br />well. 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 <br />~ The well must produce a: <br />level remains constant. <br /> <br />D. Measure and record the volume of water dis <br />h <br />A. Minimum of 1 gallon per minute for 6 continuous <br />c <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 require 1. The well cannot be pumped out as stated in Part 1, <br /> <br />extending the pumping time that amount of time Sec. B of this permit. <br />2 <br />. . The well yields 2.5 GPM or greater for 3 hours of <br /> continuous pumping after Part 1, Sec.6 of this <br />~r <br />The well/water system is to be constructed as specified b permit are completed. <br />C <br />y <br /> <br />by the permit ~ or attached plans and specifications ^ . . Sufficient store a and <br />g 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 an 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 /> E. Replacement wells are exempt from this requirement. <br /> <br />Date: 20 4-0 - 9 Issued By: i'I2. <br />Yr~ <br />Date: ~~ ~ C (~ Reviewed By: <br />. '~ This Construction <br />.-r~ Permit Valid Until <br />*~~,. <br /> <br />i <br />2005-09-29 <br />