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Home My WebLink About018-95 Frederick Co. Landfill - Shawnee - Backfile (2)RECEIPT N1_ 024524 AMOUNT DUE l _ �l AMOUNT PAID $ BALANCE DUE PAID Sr �A:H I �� HCK OTHER FREDERICK COUNTY DEPT. OF PLANNING AwD DEVELOPMENT P.O. BOX 601, 9 NORRI-H LOUDON ST. WiNCHESTER, VIRGINIA 22601 0 ATE.(\ RECEIVED FROMf._ ADDRESS ��/rn^/ THE SUM OF _____ f__• Y -' 1 _. _. OlLARS • FOR N SITE PLAN CHECKLIST The checklist below indicates all the information that needs to be submitted as part of the site plan application. All required information must be submitted prior to the final approval of any site plan. The Department of Planning and Development will review the application to ensure that it is complete. If any portion is not included or complete, the site plan application will not be accepted and returned to the applicant(s). Site Plan Package One set of approved comment sheets are required from the following review agencies prior to final site plan approval. It is recommended that applicants contact the Department of Planning and Development to determine which review agencies are relevant to their site plan application. Virginia Department of Transportation (VDOT) Frederick County Sanitation Authority Department of Planning and Development Inspections Department Frederick County Engineer (Public Works) Frederick County Fire Marshal Department of Parks and Recreation .f �a 2. One copy of the Site Plan application ✓ 3. Five Copies of the Final Site Plan for approval 4. One reproducible copy of the Site Plan (if required) 5. A 35mm slide of the Site Plan (if required) County Health Department City of Winchester Town of Stephens City Town of Middletown Airport Authority Soil & Water Conservation District l r "JES COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703; 678-0682 July 18, 1995 Frederick County Department of Public Works Attn: Harvey E. Strawsnyder, P.E., Director P.O. Box 601 Winchester, VA 22604 RE: Site Plan Approval for Frederick County Landfill Dear Mr. Strawsnyder: The Frederick County Planning Department administratively approved Site Plan #i018-95 for the Frederick County Landfill on July 24, 1995. The approved site plan calls for the construction of a new maintenance and office facility that will be 4,500 square feet, the installation of a new well, the provision of a disabled parking space that will be van accessible and will be designated with appropriate signage, the installation of a sidewalk that will be four feet in width, and all appropriate erosion and sedimentation control measures. Our department has provided you with three copies of the approved site plan. This will allow you to maintain an approved copy on site and two copies for your files. Please ensure that the contractor contacts this office to schedule an on -site inspection once all improvements are complete. Please contact me if I may answer any questions regarding this letter. S\\(ijincerely, VvC)- /I Evan A. Wyatt Planner II EAW enclosure cc: W. Harrington Smith, Jr.,Shawnee District Supervisor T. Roy Jennings, Frederick County Real Estate 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 COUNTY OF FREDERICK, VIRSA • DEPARTMENT OF INSPECTIONS Caller jS F+ro._— Time Called 3 JiJ P Date Called Phone No. �n(o fir' ':7,43 Time Requested �45ArP Date Requested A ` Af' Received By wA,) Date of Inspection 5 /I •1 L PERMIT HOLDER NAME F:2En0zI t; 0OL)Nri • a� � Li-- RT. NO. Lot No. SEC. No. SUBDIVISION_ STREET NAME L_Ai'I0F'1L_L_ DIRECTIONS rl l wuoLj P%+<'L- -To 5. li, BUILDING NO. PLUMBING NO. _ ELECTRICAL NO. MECHANICAL NO. SIGN NO. r DISTRICT r';Y PERMIT FOR: M `�� ^IT'J'LC I P+rJCOI LF>> I� � Type of Inspection Residential Footers Slab Water Sewer Rough Plumbing Groundworks Other: Setbacks: FR Draintile Service Rough Electric Rough Mechanical Gas Piping/Test Commercial BK Time In: Temperature Time Out: �' h^�� Weather Results: 'Approved dot_ T -)m e n • O. 1 Rejected Comments: �. Il G �pn,�,� • Q F-t Gas Fire -up Framing Final Final Building Final Plumbing L R Final Electrical Final Mechanical V Site Plan _ Fire Marshall Special/Complaint — Cut in No. Signature Date COUNTY OF FREDERICK, VIROIA • DEPARTMENT OF INSPECTIONS / Caller JOE L i%"L_DCRL Time Called Z' 3G r!, Date Called 3 Phone No. I'n(n5 ' 51+3 Time Requested I15Ate Date Requested ASA Received By FVpoo A . Q-/P,-r— Date of Inspection 31+/q PERMIT HOLDER NAME rPE�t' IQ-, Q'QQfJ_ri �tP'F aF P� ��-1r�QRKS RT. NO. 71`9 Lot No. SEC. No. SUBDIVISION STREET NAME LAN Dr ILL- RoAJ1, DIRECTIONS M i L Lj^r >> Ply-'_ -M, BUILDING NO. - 9 S SpoING`..' 1.1TL_ PLUMBING NO. n►) I-.�JDr►u.. �R-�7 rJ 'r'tE ELECTRICAL NO. Qh= MECHANICAL NO. SIGN NO DISTRICT 5 F►,R140 NE� A AA �- PERMIT FOR: Tp Type of Inspection �1 Residential a mma Lei* AN'MM Footers Setbacks: FR BK L R Slab Draintile Gas Fire -up Final Electrical Water Service Framing Final Mechanical Sewer Rough Electric Final �' Site Plan Rough Plumbing Rough Mechanical Final Building Fire Marshall Groundworks Gas Piping/Test Final Plumbing Special/Complaint Other: p Time In: 8 ' Temperature a F Cut in No. Time Out: k'"f Weather ` Results: Approved Comments: Signature Rejected t E& .n. Q Date ;L+ / 9 • •6272 29 SITE PLAN APPLICATION Department of Planning and Development Use only. Hate application received € Appllc il%M 3 � Complete. Date of acceptance ;� incomplete. Date of return. 1. Project Title: 1 d i ng 2. Location of Property 480 Landfill Road - Route 719 (street address) 3. Property Owner: FrPrlPri r-k (nunt.y. Virginia Address: P.O. sox 601 Winchester, Virginia 22604 Telephone: 703-665-5666 4. Applicant/Agent Harvey E. Strawsnyder, Jr., P.E. Address 107 N. Kent Street, 4th Floor Winchester, Virginia 22601 Telephone: 703-665-5643 5. Designer: Same as applicant/agent Address: Telephone: Contact: 6 6. Is this an original or revised site plan? Original X Revised 112829.3031 7a. Total acreage of parcel to be developed: one (1,�` acre �-� 7b. Total acreage of parcel. _01 8. Property Information: a) Property Identification Number: b) Current Zoning: R A c) Present Use: Open area d) Proposed Use: mpw Maintenance Building e) Adjoining Property Use(s) RA f) Adjoining Property Identification Number(s) Re,; rant i ai & Agricultural g) Magisterial District(s) Shawnee I have read the material included in this package and understand what is required by the Frederick County Planning Department. I also understand that all required material will be complete prior to the submission of my site plan. Signature: Date: 5 Ib e u • Request For Site Plan Comments Department of Planning and Development Mail to: Department of Planning and Development Atten: County Planner P.O. Box 601 Winchester, VA 22604 (540) 665 - 5651 Hand deliver to: 107 N. Kent Street Fourth Floor Winchester, VA (540) 665-5651 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name 1 k eerie e/( Address: /�� c ke 5-r , Phone number: Ck __ 5 & y Name of development and/or description of the request: Location of development: Z V % Z- u,., alf) ) ( L,,, S ;L-10 ��1� jCnsce - Planning and Development's Comments: -jr- 619-95 & Planning and Development use only Date received 9 ?-ih5_ Date revision received Incomplete Incomplete Date reviewed Z 8 �' _ Date reviewed t r Signature and Date Signature and Date (revision) Date approved Request For Site Plan Comments Department of Planning and Development Mail to:-?8Z93Q Department of Planning and Develop,15te Atten: County Planner .; P.O. Box 601 �' Q Winchester, VA 22604 �Q o (703) 665 - 5651 . a Hand deliver to: 107 N. Kent Street Fourth Floor Winchester, VA C" (703) 665-5651 Please fill out the informatioMi5 accurA^ as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name: a� ,r Address: 12 C� I"��c ( C Phone number: L L 7 Name of development and/or description of the request: t.^ Location of development: F-.4 -s J ,� 14Ll Planning and Development's Comments: . • 1 a Planning and Development use only Hate received 5 2S 5" Date revision received Incomplete Incomplete Date reviewed 45* Date revie� Signature and Date " 61. G Signature and Date (revision A Date approved 9S 0 • June 2, 1995 Frederick County Department of Public Works Attn: Joe C. Wilder, Engineering Technician P.O. Box 601 Winchester, Virginia 22604 COUNTY of FREDERICK Department of Planning and Development 703/665-5651 FAX 703/ 678-0682 RE: Preliminary Review of Frederick County Landfill Maintenance Building; Site Plan Dear Joe: I have had an opportunity to review the above referenced site plan. The following information needs to be included to satisfy the requirements of the Planning Department: 1) Please provide a professional registered engineer's certificate with the appropriate signature on the cover sheet. 2) Please include a date line with the signature block for approval by the Zoning Administrator. 3) Please provide the name, address, and telephone number of the developer. 4) Please provide the name, address, and telephone number of the designer. 5) Please provide a legend on sheet on 2A of 5 that describes the symbols depicted on the marked -up site plan. Please provide our department with approved review agency comments from the Fire Marshal, Health Department, and the Building Official, as well as five copies of the final site plan that address the comments specified in this letter. Once I have received this information, I will recommend final approval of this site plan. Please contact me if I may answer any questions regarding this letter. Sincerely, Evan A. Wyatt Planner II EA W enclosure 107 North Kent Street P.O. Box 601 Winchester, VA 22601 Winchester, VA 22604 • • SITE PLAN CHECKLIST The checklist below indicates all the information that needs to be submitted as part of the site plan application. All required information must be submitted prior to the final approval of any site plan. The Department of Planning and Development will review the application to ensure that it is complete. If any portion is not included or complete, the site plan application will not be accepted and returned to the applicant(s). Site Plan Package 1. One set of approved comment sheets are required from the following review Pn�iPs r�,; � :4fnal ¢itP Din ap rp nv;;l It is recommended that applicants contact the Department of Planning and Development to determine which review agencies are relevant to their site plan application. Virginia Department of Transportation (VDOT) Frederick County Sanitation Authority V/ Department of Planning and Development VInspections Department Frederick County Engineer (Public Works) vFrederick County Fire Marshal Department of Parks and Recreation 2. One copy of the Site Plan application 3. Five Copies of the Final Site Plan for approval 4. One reproducible copy of the Site Plan (if required) 5. A 35mm slide of the Site Plan (if required) County Health Department City of Winchester Town of Stephens City Town of Middletown Airport Authority Soil & Water Conservation Distrct x • 0 Site Plan Information Checklist The following information must be included on your site plan. If your site plan is incomplete or is missing information, it will not be reviewed and returned to you for revisions. Administrative Information Y N 1. Name of proposed development v' 2. Name, address, and phone number of owner. 0 Name, address, and phone number of developer. 0 Name, address, and phone number of designer. 0 Certificate of surveyor, engineer, or architect. 6. Date plan prepared and date of revisions. 4g 7. A listing of all conditions placed on the site as a result of a conditional use permit or conditional zoning approval. A space labeled "Approved by the Zoning Administrator' for the approval signature and date of approval. 9. A description of setbacks or conditions placed on the site as a result of a variance approval. (Reference the variance application number ) General Site Information Y N 10. Location map (scale 1:2000) 11. Magisterial District 12. Scale of site plan (not to exceed 1 50) VL 13. North Arrow 14. Zoning of site 15. Use, zoning, and Property Identification Number (PIN#) of all adjoining properties. This includes properties located across nght-of-ways, streams, and railroad tracks. 16. Surveyed boundaries for all lots and parcels. 9 General Site (con't Y N 17. Acreage of all lots included in the plan. 18. The location and dimensions of all required setbacks and yard areas. O/A 19. The location and type of all dwelling units. 20. Location and description of all recreation facilities. 21. Location of sidewalks and pedestrian ways. 22. Location and area of common open space. 23. The location, height, and dimensions of all signs. 24. Location, height, and specifications of outdoor lighting fixtures. 5. Location and nature of outdoor storage areas. 26. Location of outdoor trash receptacles and dimensions of structure (fencing, etc.) required to enclose receptacles. Building Information Y N VL 27. The height of all buildings and structures. 28. Location of all buildings, structures and uses 29. The proposed use of each building, structure and area. /F1 30. Ground floor area and total floor area of all buildings with FAR calculations for commercial and industrial zoning districts. Roads Y N 31. Name and number of existing and planned streets on and adjoining the site. 32. Location of existing and planned streets on and adjoining the site. .� h 33. Posted speed limit of existing adjacent roads. —199 34. Location and dimensions of all proposed entrances from public right-of-ways. E u • 35. Location of all entrances on adjoining roads within 200 feet of the proposed or existing entrance. 36. Dimensions, boundaries, width, pavement, and construction of planned roads. Utilities Y N NEW wEU— -Tv W APPRAVED 4y HIIEWu}I Oe-FM-. Location of all utilities, including sewer and water lines with the size of lines, mains, and laterals. 38. Location and width of all easements, including access, utility, and drainage easements. 39. Location and nature of fire lanes, fire hydrants, and all other facilities necessary to meet Fire Code requirements. TT:) at kPPlZ-WED gy FiC%C HAc�fLsWY'rL— Parking Y N 0 Calculations describing the required number of parking and loading spaces. 41 Location and dimensions of all parking and loading spaces, driveways, parking aisles, curbing and other features to be used. 42. Location and dimension of all disabled parking spaces and ramps. . EX 1sT N c, G RAN Q PAV—K► N (, ACEAr M EQ U Arc Natural Features TO SE1ZVE P!EW #AA , kyw)J *W-C- natr—I L-i TY Y N . A-D A -M BE DE.'M1LM I QED 43. Existing and finished contour lines. 44. Location of steep slopes, woodlands, floodplains, wetlands, sinkholes, and other environmental features. �L 45. Location of streams and drainage ways 0 Landscaping Y N 46. Landscaping plan descnbing location and types of plants to be used. 19 47. Location of required buffers and screening with cross sections or profiles. Erosion and Sediment Control Y N A UREA-Oy ,FgcTve-jCD r o-,jTt) 48. A stormwater management plan with run off calculations and location and description of facilities to be used. 9 Soil erosion and sedimentation control plan describing the ITT location and methods to be used to minimize erosion and sedimentation during development. Gt�Ks uc-r1 o.J ACEA l O , 006 1 I 12 • • Request For Site Plan Comments Frederick County Inspections Department Mail to: Frederick County Inspections Dept. Atten: Building Official ; P.O. Box 601 Winchester, VA 22604 (540) 665 - 5650 Hand deliver to: 107 N. Kent Street Fourth Floor Winchester, VA (540) 665-5650 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one copy of your site plan with this sheet. Applicant's name: Address: Phone number: Name of development and/or description of the request: PeuI low S �e M � Location of development: 7c� % L �o �, ��// 14 I Inspections Department's Comments: Comments are on the back on this sheet. Inspections Dept. use only Hate received Date revision received Date approved Incomplete Incomplete Date reviewed Date reviewed Signature and Date > r. Signature and Date (revision) L� E Building shall comply with Virginia Uniform Statewide Building Code and Section 304, Use Group B (Business) of the BOCA National Building Code/1993. Other codes that apply are title 24 Code of Federal Regulation, Part 36 Nondiscrimination on the Basis of Disability by Public Accommodations and in Commercial Facilities. L.P. tank and piping wi.�requiresrelocation. Need pipe location and gal. capacity of tank. ADA 20% rule applies for renovation and additions. E • Request For Site Plan Comments Frederick County Inspections Department Mail to: Hand deliver to: Frederick County Inspections Dept. 107 N. Kent Street Atten: Building Official Fourth Floor P.O. Box 601 Winchester, VA Winchester, VA 22604 (703) 665-5650 (703) 665 - 5650 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one copy of your site plan with this sheet. Applicant's name. Address: Phone number. ✓ ,✓ PC, Bk (o/ ./ 66S-56y3 Name of development and/or description of the request: I Location of development: [ ., Inspections Department's Comments -Building shall couply with Virginia Uniform Statewide Building Code and Section 311, Use Group S Storage of the BOCA national Buildi nor CfYiPA W1 Qthar lPc that analT ra title 2A1'ndP Clf Fr rnl Regulation, Part 36 'Nondiscrimination on the Basis of Disability by rniblic Ac ions in Me Confrierclai Facilities. Parking stiaii corm y wi min. one van acres i hl P Sp acP for the first- 5 _gp acP_q _ Inspections Dept. use only Date received � k 'S Date revision received Incomplete Incomplete Date reviewed Data reviewed Signature and Date Signature and Date (revision) Date approved Request For Site Plan Comments RE - Frederick County Fire Marshal Mail to: Frederick County Fire Marshal Atten: Fire Marshal P.O. Box 601 Winchester, VA 22604 (540) 665 - 6350 Hand deliver to: 107 N. Kent Street First Floor Winchester, VA (540) 665-6350 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name Address: Phone number: Name of development and/or description of the request: Peu) S s, c/* )i 4JJi .4-),7-, tv l Sly r /4?cx Location of development: 2,1 Kc % Fire Marshal's Comments: Fire and Rescue Dept. use only Date received �� Date revision received Date approved/ Incomplete Incomplete Date reviewed / /3 ;Dad Signature and Date Signature and Date (revision) COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0925952856 Date Received 092595 Date Reviewed 101395 Applicant Frederick County Address P.O. Box 601 Winchester, Virginia 22601 Project Name Animal Shelter Phone No. 540-665-5643 Type of Application Site Plan Current Zoning RA Ist Due Fire Co. 18 Ist Due Rescue Co. 18 Election DistrictShawnee Tax I.D. No. 65-A-156 RECOMMENDATIONS Automatic Sprinkler System XX Residential Sprinkler System Automatic Fire Alarm System XX Other REQUIREMENTS Emergency Vehicle Access Adequate XX Inadequate Not Identified Fire Lanes Required Yes No XX Comments Access to all structures must be maintained at all times Roadway/Aisleway Widths Adequate XX Inadequate Not Identified Special Hazards Noted Yes No XX Comments Hydrant Locations Adequate Inadequate Not IdentifiedXX Siamese Location Adequate Inadequate Not Identified XX Additional Comments Attached? Yes No XX Plan Approval Recommended? Yes XX No Signatit��✓ T itl eFit�F/'�.��-// COUNTY OF FREDERICK, VIRGINIA FIRE MARSHAL'S OFFICE LAND DEVELOPMENT COMMENTS Control No. 0601952484 Date Received 060195 Date Reviewed 060895 Applicant Name Harvey E. Strawsnyer, Jr. Address P. O. Box 601 Winchester VA 22601 Project Name Maintenance Shop Phone No. 703-665-5643 Type of Application Site Plan Current Zoning RA 1st Due Fire Co. 18 1st Due Rescue Co. 18 Election District Shawnee RECOMMENDATIONS Automatic Sprinkler System X Residential Sprinkler System Automatic Fire Alarm System X Other Emergency Vehicle Access; Adequate X Inadequate Not Identified Fire Lanes Required; Yes X No Comments Access to structure must be maintained at all Roadway/Aisleway Widths; Adequate X Inadequate Special Hazards Noted; Yes Comments Not Identified No X - Continued - • Hydrant Locations; Adequate Inadequate Not Identified X Siamese Connection Location; Approved Not Approved Not Identified X Additional Comments: 1) Burning of construction debris on site is prohibited. 2) Storage and use of flammable or combustible liquids must be in compliance with Virginia State Fire Prevention Code. R w 5- hr. Doug as A. Kiracofe Fire Marshal PLANS APPROVED FIRE MARSHAL, FREDERICK COUNTY 0 • Request For Site Plan Comments Frederick County Engineering Department Mail to: Frederick County Engineering Dept. Atten: Director of Engineering P.O. Box 601 Winchester, VA 22604 (540) 665 - 5643 �0, Ig" Hand deliver to: 107 N. Kent Street Fourth Floor Winchester, VA (540) 665-5643 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach two copies of your site plan with this sheet. Applicant's name Address: Frederick County Animal Shelter 297 Landfill Road Winchester, VA 22602 Phone number: 1�4n-667-97 92 Name of development and location of the request: Revision to site plan for Frederick County Landfill Main- tenance Facility - Addition to Animal Shelter Engineering Department's Comment: 2 9-7 La nd f i , 1 R na rj Off of Sulphur Springs Road - Route 655 Request For Site Plan Comments Frederick County -Winchester Health Department Mail to: Hand deliver to: Frederick -Winchester Health Department 800 Smithfield Ave. Atten: Sanitation Engineer Winchester, VA P.O. Box 2056 (703) 772-3480 Winchester, VA 22604 (703) 722 - 3480 Please fill out the information as accurately as possible in order to assist the agency with their review. Please attach one copy of your site plan with this sheet. Applicant's name: Address: Phone number: Name of development and/or description of the re uest: Location of development: r9_�_ SvJI U2 Health Dept.'s Comments: Ll�e f 22 6o V • MAY 12 1995 Sewage-Disposal--System-Construction Permit PAGE ' OF Commonwealth of Virginia Health Department Department of Health _ Identification Number Health Department Map Reference General Information New Q' Repair ❑ Expanded ❑ Conditional ❑ FHA ❑ VA ❑ Case No. Based on the application for a sewage disposal system construction permit filed in accordance with Section 3.13.01, a construction permit is hereby issued to: '� _ 7 Owner _ '�� ' c" c v .(� �/ Telephone - Address �,, /' o [, O l w iV ( '/ /1 = 2 For a Type Sewege-&Mosai-system which is to be constructed on/at Subdivision Section/Block Lot Actual or estimated water use �- r DESIGN NOTE: INSPECTION RESULTS Water supply, existing: (describe) Water supply location: Satisfactory yes ❑ no comments G. W. 2 Received: yes ❑ no ❑ not applicable ❑ To be installed: class ��-.,-'_ �� cased 4 ' routed _t Building sewer: Building sewer: yes ❑ no ❑ comments I.D. PVC 40, or equivalent. Satisfactory Slope,V25" per 10' (minimum). ❑ Other Septic tank: Capacity gals. (minimum). Pretreatment unit: yes ❑ no ❑ comments ❑ Other '• Satisfactory Inlet -outlet structure: Inlet -outlet stricture: yes ❑ no ❑ comments PVC 40, 4" tees or equivalent. % Satisfactory \ ❑ Other �: Pump and pump station: Pump a pump station'. yes ❑ , no ❑ comments No ❑ Yes ❑ ', describe and show design. Satisfactory if yes: Gravity mains: 3" orslarger I.D., minimum 6" fall per Conveyance method: yes ❑ no ❑ comments 100', 1500 lb. crust* strength or equivalent. Satisfactory `Y ❑ Other ' Distribution box: Distribution box: yes ❑ no ❑ comments Precast concrete with ports. Satisfactory ❑ Other Header lines: Header lines: yes ❑ `ono ❑ comments Material: 4" I.D. 1500 lb. crush strength plastic or equiva- Satisfactory lent from distribution box to 21 into absorption trench. \\ Slope 2" minimum. \ ❑ Other Percolation lines: Percolation lines: yes ❑ no ❑'\ comments Gravity 4", plastic 1000 lb. per foot, bearing load or Satisfactory equivalent, slope 2" 4" (min. max.) pe' 1001. ❑ Other \ - Absorption trenches: Absorption trenches: yes ❑ no ❑ comments Square ft. required : depth from ground surface Satisfactory to bottom of trench ; aggregate sizes Trench bottom slope center to center spacing ; trench width Date Inspected and approved by: Depth of aggregate ; Trench length ; Number of trenches Sanitarian C ►+ 5 2M RevmW "4 II-2 0 • Health Department Identification Number Schematic drawing of sewage disposal system and topographic features. PAGE l OF 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 too feet of sewage disposal system and reserve area. The schematic drawing of the sewage disposal system shall show sewer Imes, pretreatment unit, pump station, conveyance sys- tem, 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. Lj A 17VA, SI i V t T'r Oiv NAvk� LE tC �Xr�7/iYf� SNOB I I � 4 N, L L -C-- I - The sewage disposal system ie-fo be" onstructed as specified by the permit ❑ or attached plans and specifications ru . This sewage disposal system construction permit is null and void if (a) conditions are changed from those shown on the application (b) condi- tions are changed from those shown on the construction permit. No part of any installation shall be covered or used until inspected. corrections made if necessary. and approved. by the local health department or unless expressly authorized by the local health dept. Any part of any Installation which has been covered prior to approval shall be uncov- ered, if necessary, upon the direction of the Department. r Date: Issued by: _ � "'l'' This Construction - - Sanitarian Permit Valid until Date: �1 �� i�.� ' Reviewed by: ------------------------------------------------------------------------•----- If FHA or VA financing Reviewed by Date Date C H S 2020 Rev sW 664 Supervisory Sanitarian II-2A FILE COPY Regional Sanitarian Pump & Haul Storage Facility Construction Permit flo-,9-e, Commonwealth of Virginia Department of Health ,Z E ► LAND �1 � �- /`'J� l � T�/�✓�� F�9 c lc i 7-Y Health Department p q Identification Number l � kJ! NG Health Department %ZCOU Al-rY is Hereby Granted Permission to Construct Storage Facilities for the Pumping and Hauling of Sewage in Accordance with Application Identification No. - a %;—' 4.5�- and Plans and Specifications Identified as PA 6 ES Z 0' 3 OE = 7W / 1 PL4?1�; /T and in Accordance with Section 3.31 of the Sewage Handling & Disposal Regulations adopted pursuant to Title 32.1, Chapter 6 Code of Virginia as amended. Effective Date B.W.E. 26-1 Recommended Approve 0 �r b \ nn 7 \J n \C I * 1• I 1 To PRoPO 56D 5LO(�; r: /O �--o- Tb f'Ro�Sc'D- 7 M!W 8VIL.On.16 <gOARLuz I 1• - I. 35-40°7o c; L-1QV.I0 ,)c-rnrn ¢° nvc 40 900 ELL5ovj 5--H 4- R Eq'o FoQ ELFCM /G Co.-IDUI'r 2 L Pvc. 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