HomeMy WebLinkAboutSEPTIC PERMIT - M19-00126 - Oldham - 4904 N Salem Hwy - SFR Addition.pdfIdaho tublb Hcalh Disticb
Brandon Cooper
PERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permit #
Date
Parcel #
Doc lD #
3319092
11t18t2019
RP07N40E323004
David Oldham
Applicant's Name:
Owners Name:
hoperty Address:
Legal Description:
Subdivision:
4904 N Salem Highway Rexburg lD 83440
Township 7N Range 40E Seotion 32
Block S ize{acr.s),4.9
Tvoe of Installation Type of Swem (check all that aDDly)Water SuDDly
E New System
E Expansion
tr Repair
tr Tank Only
LJ Absorptron B€d
! Capping Fill
tr cental system
tr Composting Toilet
tr Drip Distibution
tr ETPS
tr Expcrimental
tr Exta Drainrock
E Evapotranspiration
E Gravel Drainfield
U oravelless Lhainlield
E Gray Water Sump
D Gray Water Systcm
tr Holding Tank
E lncinerator Toilet
E Individual L:goon
D Intermittent SF
C lntrench SF
tr LSAS
tr Pit Privy
LJ Pressurizld Dl
E Recirculating GF
tr RV Dump Station
E Smd Mound
tr Seepage Pit
D Steep Slop€ Drainfield
E Two Cell Lagoon
tr Vault Privy
E Other (see below)
K Private
tr Shared
tr Public
Water Sourc€
E Basic System
E Complex Systern
E Well
tr Spring
Conditions of Aooroval :
Septic).
is certified by Presby in the State of ldaho
ponents by Environmental Health Specialist
You must meet the minimum Presby pipe length requirement and the minimum drainfield size requirement.
Minimum SQ FT of installed system: 417 Square F. et
Pipe required. 150 Feet
the use ofan approved medium grade sand (ASTM C-33). The installer is
to the inspector that the sand used in this installation meets this
requirement.
For questions regarding this permit call Eastem ldaho Public Health at 208-356-3239
E Residential permit
El 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 surlace water than:
Note: (Final approvel of this permit requires inspectlon of the uncovered system.)
All plansr specifications, and conditions contained in the approved permit application ar€ hqeby incorporated into, and are enforceabl€ as par:t
ofthe permit. The permit will expire one (l) year from date of issuance. The permit may be rencwed ifthc renewal is applied for on or
250.0
Bedrco0s
Gallons Per Day
Gallons Per Day
USDA
Gallons
SquarE Fee*
Feet
B-2
1000
417
before the
EHS Permit Issued Signaturc
Revision Date: 081 17 12010