WWIR-1991-0313 - Laserfiche WebLink

Health Department 434FW91 Identification Number Schematic drawing of sewage disposal system and topographic features. PAGE 2 OF 4 Show the lot lines of the building lot and building site, sketch of property showing any topographic features which may impact on the design of the system, all existing and/ or proposed structures including sewage disposal systems and wells within 100 feet of sewage disposal system and reserve area. The schematic drawing of the sewage disposal system shall show sewer lines, pretreatment unit, pump station, conveyance system, and subsurface soil absorption system, reserve area, etc. When a nonpublic drinking water supply is to be located on the same lot show all sources of pollution within 100 feet. ❑ The information required above has been drawn on the attached copy of the sketch submitted with the application. Attach additional sheets as necessary to illustrate the design. WATER SUPPLY NOTES. 1. Refer to the attached site plan for the proposed Class IV well location. 2. The proposed Class IV well must be located a minimum of 10 feet from any property line. 3. The proposed Class IV well must be located a minimum of 10 feet from edge of utility such as electric or road easement. 4. The proposed Class IV well must be located a minimum of 50 feet fran any sewer line. 5. The proposed Class IV well must not be located in a swale or area subject to surface water concentration. 6. The well terminous must extend a minimum of 18 inches above the annual flood level. 7. The area around the well shall be graded to divert surface water away from the well. 8. If a dry hole is encountered, the well driller must contact the Loudoun County Health Department at 703 -777 -0234 to obtain a new well permit to drill another well. 9. All dry holes must be properly abandoned in accordance with the Loudoun County Department's specifications prioir to the appoval of this water supply. 10. This water supply is not for human or dcnnestic consumption.