WWIR-1991-0081 - Laserfiche WebLink

Well /Water System Construction Permit Page 1 Of 4 Loudoun County, Virginia t.,, Health Department 304FI,.791 Division of Environmental Health Identification Number 777 -0234 Metro 478 -8408 Map Reference 00000000000000 IRRIGATION V= ONLY General Information 65/4 New)7 Repair ❑ Well ID. #U,(* 11, -r00 Based on the application for a well /water supply system construction permit filed in accordance with Chapter 1040, C dd ifie Ordinances a construction permit is hereby issued to: PUN1DY WAY CORD Telephone 1(703) 641 -9000 Owner Address/0 Kettler and Scott 8081 14blftrap Rd., Suite 300, Vienna, VA 22180 For a well /water system which is to be constructed on /at Rt. 7 East into Faurfac Co. L on Rt. 9 ist L on Rt. 602 (Seneca Rd, ) follow to end Subdivision Section /Block Lot DESIGN NOTE: INSPECTION RESULTS Water supply, existing: (describe) Water supply location: Satisfactory yes / ❑ Drillers Report (G.W.2) Received yes [�' no El Well Construction Approva��6 ��) yes C� no ❑ To be installed: class TV Cased and Grgptegd to Bedrock plus 10' or a minimum -J `1 cased -AW s'�O Grouted LSb whichever is greater Sanitarian _Sm Pate al L Well Location See Page 3 Well Driller adu& Pump Installer Lic # I. If well yield as determined by 30 minute airlift test is less Chemical Quality Data Received yes no ❑ N/A than 5 gallons per minute, a pumping test must be performed Pumping Data Received yes ❑ no ❑ N/A EX as follows: As built sketch on page A. Pump and related equipment shall be installed and Water System Approved yes ❑ no ❑ the static water level measured. Sanitarian Date B. Pumping shall begin at a rate of withdrawal greater II. Criteria for approval of well and well yield are as than 5 GPM until water level drops to a point close to bottom of the well. follows: C. At this point, the pump rate shall be adjusted so The well must produce a: the water level remains constant. A. Minimum of 1 gallon per minute for 6 continuous D. Measure and record the volume of water discharge and water level (electric tape) at 15 minute intervals pumping hours after the well has been pumped throughout the test. out according to Part I, Sec. B of this permit. E. Discharge water at least 50 feet from the well and B. The pump test can be terminated early and well sewage disposal area. yield considered adequate if: F. Interruption of pumping longer than 15 minutes 1. The well cannot be pumped out as stated in shall require extending the pumping time that Part I B of this permit. amount of time. 2. The Well yields 2.5 gpm or greater for 3 hours of continuous pumping after Part I B of this permit is completed. The well /water system is to be constructed as specified C. Sufficient storage and yield may be considered for g y y by7 permit Xl or attached pans d specifications G3/ ��t� approval. G`l/� t SM -v/' L�'WLGd �� This water 4stem construction permA is null and void if D. Person conducting the pump test shall collect a sample to be analyzed for constituents described (a) conditions are changed from those shown on the in Codified Ordinances of Loudoun County Title application (b) conditions are changed from those shown 4, Chapter 1040, Appendix III. on the construction permit. E. Replacement wells are exempt from this requirement. Date: 6/26/91 Issued by: Susan Y e t" This Construction 'a Jr Permit Valid until Date: Z7 Reviewed by: AD�tii ry A Sanitaria V Original / Health Department Copy / u g Department Copy / Applicants Copy