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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 #:12450856000 LCTM:/81/C/2////12/ <br />Property Address or other description: 11 Oak Lane Sterling VA 20164 <br />Date Received:09/16/2016 BOCA App #: T60395060001 <br />Building Permit #: BR App #: <br />Applicant Name: Marty Fletcher Applicant Phone: 571-485-0750 <br />Owner Name: Keith & Melissa Eck Owner Phone: <br /> <br />Please call Applicant to schedule a timed inspection <br /> <br />Description of project: Garage Addition & 2 Story Addition <br />nd <br />New Construction (Building Permit Clearance Req.) <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 /> 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 /> 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 /> 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. Documentation from the property owner confirms future connection to public <br />sewer. <br />Environmental Health Specialist: Mark Sharrer Date: 11/3/16 <br />pc: Residential Plans Review, Building and Development (if special conditions apply to construction <br />of the structure) <br />