HomeMy WebLinkAboutSEPTIC PERMIT - M19-00109 - Erickson - 3627 W Hwy 33 - GaragePERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permit #
Date
Parcfl#
Doc lD #
3319085-2
Idaho R$lic Hcalh DisEicts
Neil Erickson
Neil Erickson
Applicant's Name:
Owners Name:
Property Address:
Irgal Description:
SuMivision:
3627 W Highway 33 Rexburg lD 83440
Lot
Type of Installation TyDe ofsyst€m (check all that apply)Water Supply
E New Syst€xn
E Expansion
E Repair
D Tmk Only
IJ Absorphon lr€d
tr Capping Fill
E Cenrral Systern
E Composting Toilet
E Drip Distibution
f] ETPS
- Experimental
E Extra Drainrock
E Evapotranspiration
E Gravel Drainfield
E Gravelless fhalnfield
tr Gray Water Sump
E Oray Wat€r System
D Holding Tank
E Incinerator Toilet
C Individual Lagoon
E Intcrmittcr SF
D Intrench SF
tr LSAS
O Pit Privy
D hessurized DF
tr Recirculating GF
E RV Dump Station
E Sand Mound
E Seepage Pit
O Steep Slop€ Drahfi€ld
E Two Cell Lagoon
tr Vault Privy
E Other (see below)
E Pdvate
tr Shared
tr Public
Water Sourc€
E Basic Systun
E Complex System
8l Well
tr Sptng
Conditions of Aooroval :
any system comPonents by Environmentjal Health Specialist
for inspeclion
ET
d: 111 Souare Feet
d: 83 Souare Feet
umber in each trench for equal distribution
Eastem ldaho Public Health at 208-356-3239
tr Residential Permit
E Non-residential Permit
Soil Type:
The minimum septic tank capacity is:
The minimum effective drainfield absorption area is:
The drainfeld can be no closer to permanenVint€rmittent surface water than:
Note: (Flnal approval of this permit requlres inspectlon of the uncoversd system.)
All plans, specifications, and conditions contained in the qproved permit applicerion are hereby incorporated into, and are enforceable as part
ottll" per.it. Th€ permitwill €xpire one (l) year Aom date ofissuance. The permit may be renewed ifrhe renewal is applied for on or
50.0
Bedrcoms
Gallons Per Day
Gallons P€t Day
USDA
Gallons
Square Fect
Feet
B-2
900
1't1
before the
EHS Permit lssued Signature