Laserfiche WebLink
0 <br />Well /Water System Construction Permit Page J- of —�t7 <br />Loudoun County, Virginia Health Department <br />Division of Environmental Health Identification Number 791 FW 2001 <br />Local Ph# 703 - 777 -0234 Fax #: 703 - 771 -5023 Map Reference /81/A/4////36/ <br />General Information <br />New X Repair _ Abandonment _ Upgrade _ Well Id `) 01�'zoa� '- 034/5 <br />Based on the application for a well /water supply system construction permit filed in accordance with Charpter 1040, Codified <br />Ordinances, a construction permit is hereby issued to: <br />Owner: Zangeneh, Said Subdivision: <br />Company Section / Block: Lot No.: <br />Address: 8370 Greensboro Drive #821 McLean VA <br />Phone #: (703) 855 -1819 �Z- D <br />V <br />Construction Directions: Rt 7E - left on Algongian Parkway - left on Thomas Avenue t S <br />Design NOTE: Inspection Results �7 Z <br />Water Suppy, existing (describe): none <br />Well Abandoned? M Yes _ No <br />Water supply location: Satisfactory? Yes V No <br />To be installed: class 1116 <br />Cased and Grouted to Bedrock plus 10' or a minimum <br />Drillers Report (G.W. 2) received Yes -v- No <br />cased 60' Grouted 60' whichever is greater <br />Well Construction Aj oval? Yes V No <br />6I <br />Well Location (See page) 2 <br />Sanitarian `' Date 1l <br />Well Driller )'� ' °I Lic # <br />I. If well yield as determined by 30 minute airlift test is less <br />than 5 gallons per minute, a pumping test must be <br />Pump Installer Lic # <br />performed as follows: <br />Chemical quality data received? Yes _ No NA <br />Pumping Data Received ? Yes _ No _ NA <br />A. Pump and related equipment shall be installed and <br />the static water level measured. <br />As built sketch on page Yes _ No <br />B. Pumping shall begin at a rate of withdrawal greater <br />Bacteriologica Sample Received? Yes _ No <br />than 5 GPM until water level drops to a point close to <br />Water System Approved? Yes ._ No <br />the bottom of the well. <br />C. At this point, the pump rate shall be adjusted so the <br />Sanitarian _ Date <br />11. Criteria for approval of well and well yield are as follows: <br />water level remains constant. <br />D. Measure and record the volume of water discharge <br />A. Well must produce a minimum of 1 gallon per minute for 6 <br />and water level(electrical tape) at 15 minute intervals <br />throughout the test. <br />continuous pumping hours after the well has been pumped <br />E. Discharge water at least 50 feet from the well and <br />out according to Part I, Sec. B of this permit. <br />sewage disposal area. <br />B. The pump test can be terminated early and sell yield <br />F. Interruption of pumping longer than 15 minutes shall <br />considered adequate if: <br />require extending the pumping time that amount of <br />time. <br />1. The well cannot be pumped out as stated in Part 1 B of <br />this permit. <br />2. The well yields 2.5 gpm or greater for 3 hours of <br />The well /water system is to be constructed as specified by <br />the permit X or attached plans and Specifications X <br />continuous pumping after Part I B of this permit is <br />This water system construction permit is null and void if <br />completed. <br />(A) conditions are changed from those shown on the <br />C. Sufficient storage and yield may be considered for approval. <br />application. <br />D. Person conducting the pump test shall collect a sample to <br />(B) conditions are changed from those shown on the <br />be analyzed for constituents described in Codified <br />construction permit. <br />Ordinances of Loudoun County Title 4, Chapter 1040, <br />Appendix Ill. <br />E. Replacement wells are exempt from this requirement. <br />Date 5/18/2001 Issued by: JRS ,, Construction Permit Valid <br />Unit] <br />5/18/2002 <br />Date "f�'� Reviewed by: <br />'78 <br />I <br />