HomeMy WebLinkAboutSEPTIC PERMIT - M19-00135 - Mortensen - 5676 S 2000 W - ShopIdaho h$lic Health Disticts
Mel Mortensen
PERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-s382
Permit # : 3319081Date: 1011012019Parcel#: RP05N39E247212OoclD#: 3319081
Mel Mortensen
Applic$t's Narne:
Owners Name:
Property Address:
Legal Description:
SuMivision:
5676 S 2000 W Rexburg lD 831140
Township 5N Range 39E Section 24
Lot Block Size(ants),77.0
Tvoe of Insral lation TyDe of System (check all that aoolv)Water Supply
E New Systern
fl Expansion
E Repair
D Tank Only
LJ Absorption Bed
tr Capping Fill
E Cental System
tr Composting Toilet
tr Drip Distribution
E] ETPS
tr Expcrimental
E Extm Drainrock
E Evapotranspiration
E Gravel Drainfield
lAl Cravelless Drainlield
tr Gray Water Surnp
E Gray Water System
tr Holding Tank
E Incin€rator Toilet
D Individual lagoon
E Intcrmittent SF
E Intench SF
O LSAS
tr Pit Privy
LJ Prcssuriz€d DI
tr Recirculating GF
tr RV Dump Station
E Sand Mound
E Seepage Pit
tr Steep Slope Drahfield
E Two Cell Lagoon
E Vault Privy
tr Other (see below)
K Private
tr Shued
tr Public
Water Source
E Basic System
tr Complex System
E Well
tr Spring
Conditions of Aooroval :
Inspection required. before covering any system components by Environmental Health specialist48 Hours advanced notice required for inspection
Maximum depth of excavation:4 FEET
Minimum SQ FT br Gravel drainfield: 167 Square Feet
Minimum SQ FT fur Gravelless drainfield: 125 Square Feet
lf using $avelless domes place same number in'each trench for equal distributionFor questions regading this permit call Eastem ldaho public Health at 20g-356_3239
tr Residential permit
tr Non-residential permit
Soil TWe:
The minimum septic tank capacity is:
The minimum effective drainfield absorption area is:
The drainfeld can be no closer to permanent/intermittent surface water than:
100.0
Be&ooms
Gallons Per Day
Gallons P€r Day
USDA
Crallons
Squarc Feet
Feet
B-1
167