HomeMy WebLinkAboutSEPTIC PERMIT - M19-00103 - 3088 Henry's Fork Way - SFRhrbllcHeaftrr
Idaho R$lic Heallt Dishisb
PERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(2O8) 523-5382
Teton Land Development Group LLC
Permit #
Date
Parcel #
Doc lD #
3319066-3
08t21t20't9
RPO4PHF0000060
3319066
Teton Land Development Group LLC
Applicant's Name:
Owners Name:
Property Address:
Legal Description:
Fork tD 83440
Tvoe of Installation Type of System (check all that aDply,Water SuDDlv
E New System
E Expansion
E Repair
tr Tank Only
LJ Absorption B€d
tr Capping Fill
tr Cental Sysrem
E Composting Toilet
tr Drip Disnibution
tr ETPS
tr Expcrimental
D Exta Draimock
E Evapotranspiration
E Cnavel Draffield
Ll Cmvelless Drainfield
tr Gray Warcr Sump
D Gray Water Systcrn
tr Holding Tank
E Incinerator Toilet
D Individual Lagoon
E Interminenr SF
E Intrench SF
tr LSAS
D Pit Privy
U Pressurized Dl
D Recirculating GF
D RV Dump Station
E Sand Mound
tr Se€p€e Pit
E St€ep Slope Drainfield
E Two Cell Lagoon
E Vault Privy
E Other (see below)
K Private
tr Shared
tr Public
Water Source
E Basic Systern
E Complex System
E Well
tr Spring
Conditions of Aoproval :
-Septic).
is certified by presby in the State of ldaho
ponents by Environmental Health Specialist
rement and the minimum drainfield size reouirement.
et
medium grade s€rnd (ASTM C-33). The insta er is
sand used in this installation meets this
For questjons regading this permit c€lt Eastem ldaho public Heatth at 20g-356-3239
E Residential permit
E Non-residential permit
Soil Tlpe:
The minimum septic tank capacity is:
The minimum effective drainfield absorption area is:
The drainfeld can be no closer to permanenVintermittent surface water than:
350.0
Bedrooms
Gellons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Feet
B-1
200
EHS Code
Permit Issued