WWDH-1991-0314 - Laserfiche WebLink

Well /Water System Construction Permit Page 1 Of 4 Loudoun County, Virginia Health Department 510TW91 Division of Environmental Health Identification Number 777 -0234 Metro 478 -8408 Map Reference MEMO/ ZOZZM/ ��uu IIEE....II WATER W'' AsAN'DOISPE NT General Information New [Z Repair ❑ Well ID. # w Based on the application for a well /water supply system construction permit filed in accordance with Chapter 1040, Codified Ordinances, a on ructi n ermit is hI�ereby issued to: Bondy My F/r Owner Kettler & Scott Telephone 703 -641 -9000 Address trap M., Suite 300, Vienna, Va 22180 w ich is to be c n cted on /at Rt. 7 East into Fairfax County, L on Pt. . ell /wa r sys ' tru Fl� 'i t on Rd.) follow to end. Subdivision Section /Block Lot DESIGN NOTE: INSPECTION RESULTS Water supply, existing: (describe) i Water supply location: Satisfactory yes ❑ no ❑ Drillers l to art G W Received yes q Burt � 0FW91, 434FW91, To be installed: class Cased and Grouted to Bedrock plus 10' or a minimum Well yes C' no cased Grouted —' whichever is greater �Approa�l_ Sanitarian Date Well Location See Page Well Driller �'�� Lic # 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 p g yes ❑ no ❑ N/A ❑ 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. D. Measure and record the volume of water discharge A. Minimum of 1 gallon per minute for 6 continuous 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 The well/ water system is to bees specified permit is completed. by the permit) or attached plans and specifications ❑. C. Sufficient storage and yield may be considered for approval. D. Person conducting the pump test shall collect a This water system construction permit is null and void if 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 requi ement. Date: 10/9/91 Issued by: Susan Yates This Construction SanitarI i Permit Valid until Date: Reviewed by: 12/9/91 Supervisory Sanitarian Original Health Department Copy / Building Department Copy Applicants Copy