HomeMy WebLinkAboutSEPTIC PERMIT - M19-00149 - Perry - 2437 W 4700 S - AdditionIdaho Public Heaff[ Distsicts
Stephen Perry
PERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permit # : 3319093Date: 11t26t2019Parcel#: RP05N39E149021
Doc lD#: 3319093
Stephen and Stefunie Perry
Applicant's Name:
Owners Name:
Property Address:
Legal Description:
SuMivision:
2437 W 4700 S Rexburg lD 83440
Township 5N Range 39E Section 14
Block Size(ants):8.0Lot
Tvoe of Installation Tyoc ofSvstem (check all that aDDlv)Vy'ater Supply
E New Systern
E Expansion
E Repair
tr Tmk Only
LJ Absorpuon B€d
tr Capping Fill
E Central System
E Composting Toilet
tr Drip Distribution
tr ETPS
tr Experimental
tr Exu'a Draiffock
E Evapotranspiration
E Gravel Drainfield
E Cravelless Drainfield
E Cray Water Sump
E Gray water System
tr Holding Tank
E Incinerator Toilet
tr Individual Lagoon
E Interm ittent SF
E Intrench SF
tr LSAS
tr Pit Privy
U Pressuflzed DF
E Recirculating GF
tr RV Dump Station
E Sand Mound
tr Seepage Pit
tr SteA Slope Drainfield
E Two Cell Lagoon
E Vault Privy
E Other (see below)
E Private
tr Shared
tr Public
Waaer Sourc€
E Basic System
E Complex Systern
Bl Well
tr Spring
Conditions of Approval :
Ins system components by Environmental Health Specialist48 nsDectionExi ground or collapsed in place and filled with soil.
Ma
Minimum SQ FT for Gravel drainfield: 583 Square Feet
Minimum SQ FT fior Gravelless drainfield: 438 Square Feet
lf using gravelless domes place same number in each trench for equal distribution
For questions regarding this permit call Eastern ldaho Public Health at 208-356-3239
E Residential permit
El 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 permanent/intermittent surface water than:
Note: (Flnal approval of thls permit requlres inspection of the uncovered system.)
All plans, specifications, and conditions mntained in the approved permit application are hereby incorporated into, and ate enforc€lble as part
of the pcrmit The permit will expire one (1) year fiom date of issuance. The permit may b€ ren€uaed if the rcnewal is applied for on or
350.0
Bedrooms
Gallons P€r Day
Gallons P€r Day
USDA
Gallons
Squarc F€€t
Feet
1250
bcfore the
Date: 0€/17
EHS Permit Issued Sienature