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<br />County of Loudoun Zoning / Environmental Health <br />Building Clearance Evaluation Request <br />(May be completed by Zoning or Building) <br /> <br />Addition Check <br /> <br />Pin #:13195238000 LCTM:/81/A/31A//25/ <br />Property Address or other description: 117 Lakeland Drive / Sterling, VA 20164 <br />Date Received: BOCA App #: <br /> T10123150001 <br />Building Permit #: BR App #: <br /> <br />Applicant Name: Contact Method <br />Samuels <br />Owner Name: Contact Method <br />Samuels <br /> <br />Please call (Call to Schedule?) to schedule a timed inspection <br /> <br />Description of project: <br />Dining Room and Foyer additions <br />(Building Type) <br />CLEARANCE EVALUATION RESULTS (completed by Environmental Health) <br />Water Supply: <br /> A well has been drilled and tested in accordance with Chapter 1040 of the Loudoun <br />County Codified Ordinance (Permit #: ). <br /> <br /> The property is served by public water supply. <br /> The project referenced above has no impact on existing water supplies in the <br />immediate area. <br /> Existing supply appears to be satisfactory. <br />Sewage Disposal System: <br /> A permit has been issued to construct a sewage disposal system <br />(Permit #: for # of Bedrooms ). <br /> <br /> The property is served by public sewer. <br /> The project referenced above has no impact on existing sewage disposal systems in <br />the immediate area. <br /> Existing systems appear to be satisfactory. <br />Building Zoning Permit Clearance <br /> Granted with conditions stated below <br /> Hold – Date: ; Off Hold – Date: <br /> <br /> Denied (Changes of Use Application denied after 60 days if no activity) <br /> <br />Conditions / Reasons: Must meet all required setback distances to well and sewage disposal <br />systems. <br />Masonry and pressure treated wood construction up to the <br />first floor ceiling bearing plate; no closer thatn 15' to <br />existing well, no foundation treatment for termites, 100' well <br /> <br />restriction filed with County Clerk's office. <br />Environmental Health Specialist: John Mazza Date: <br />4-15-11 <br /> <br />