HomeMy WebLinkAboutSEPTIC PERMIT - M19-00139 - Galbraith - RP05N39E263051 - ShopIdabo tuUb Hcalt Distsicb
Ty Galbraith
PERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-s382
Permit # : 3319082
Dale : 10117n0'19Parcel#: RP05N39E263051
Doc lD #: 3319082
Ty Galbraith
Applicantb Name:
Owners Name:
Property Address:
Legal Description:
SuMivision:
XXXX W 6200 S Rexburg lD 83440
Township 5N Range 39E Section 26
Block Sizqacns):2.5
Tvoe of Installation TvDc of Svstem (check all that aDDlv)Water SuDDlv
D! New Sysrem
E Expansion
E Repair
tr Tank Only
E Absorption Bed
tr Capping Fill
tr c€ntal system
tr Composting Toilet
tr Ihip Distribution
C] ETPS
tr Expcrimental
D Exha Drainrock
E EvapoEanspiration
E Gravel Drainfield
E GraYelless Drainfi€ld
E Gray Water Sump
E Cray WaEr System
tr Holding Tank
E kEin€rator Toilet
tr Individual lagoon
E Lntermittcnt SF
E Intench SF
E] LSAS
tr Pit Privy
LJ Pr€ssurized D!
E Recirculating GF
E RV Dump Station
E Sand Mound
tr Seepage Pit
D Steep Slope Drainfield
D Two Cell Lagoon
tr Vault Privy
tr Othcr (see below)
E Private
tr Sharcd
tr Public
Watcr Source
tr
tr
Basic System
Complor Systan
E Well
tr Spring
Conditions of Aooroval :
Inspeclion required befiore covering any system components by Environmental Health Specialist
48 Hours advanced notice required br inspecti( n
Maximum depth of excavation:2 FEET
Minimum SQ FT for Gravel drainfteld: 444 Square Feet
Minimum SQ FT for Gravelless drainfield: 333 Square Feet
lf using gravelless domes place same number in each trench for equal distribution
For qui5tions regarding this permit call Eastern ldaho Public Health at 208-356-3239
E Residential permit
tr Non-residential permit
Soil Tlpe:
The minimum septic tank capacity is:
The minimum efrective drainfield absorption area is:
The drainfeld can be no closer to pennanentiintermittent surface water than:
Note: (Flnrl approvrl of this permit requlres iuspection of the uncovered system.)
All plans, specifications, and conditions mntained in the approved permit applicarion are hereby incorporat€d into, and ar€ €nforc€5bl€ as part
of the permit. The permit will expirc one (l) year Aom date of issuance. The permit may be renewed if the renewal is applied for on or
200.0
B€droons
Gallons Per Day
Gallons Per Day
USDA
Gallons
Squarc Fe€t
Feet
200.0
B-1
900
before the
Date: 06/17
EHS Permit Issued Signature