HomeMy WebLinkAboutSEPTIC PERMIT - M19-00130 - Stoddard - 2740 W 4000 N - Shop with Living SpacePERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permit # :
Date :
Parcel # :
DoclD#:
3320001
01t24t2020
Public flealttr RP07N39E356617
3320001
Idaho tublic Health Dishicts
Sam Stoddard
Sam Stoddard
Applicant's Name:
Owners Name:
Property Address :
Legal Description:
Subdivision:
2740 W 4000 N Rexburg lD 83440
Township 7n Range 39E Section 35
Lot Block Size(acres)14.0
Type oflnstallation Type ofSystem (check all that apply)Water SuDply
E New System
! Expansion
! Repair
tr Tank Only
E Absorption Bed
! Capping Fill
E Central System
E Composting Toil€t
tr Drip Distribution
E] ETPS
E Experimental
E Extra Drainrock
E Evapotranspiration
E Cnavel Drainfield
E Gravelless Drainfield
E Gray Water Sump
E Gray Water System
tr Holding Tant
E Incinerator Toilet
E Individual Lagoon
! Intermittent SF
I Intrench SF
tr LSAS
tr Pit Priry
El Pressurized DF
E Recirculating GF
E RV Dump Station
E Sand Mound
E Seepage Pit
E Steep Slope Drainfield
E Two Cell Lagoon
E Vault Priry
E Other (see below)
E Private
! Shared
E Public
Waler Source
E Basic System
E Complex System
E Well
! Spring
ln-spection required before covering any system components by Environmental Health Specialist
48 Hours advanced notice required for inspection
Maximum depth of excavation:6" to 8" scarification of topsoil
System lnstallation according to engineer design(Dyer Group) and instructions dated 1l17l2O2O
For questions regarding this permit call Eastern ldaho Public Health at 208-356-3239
E 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 pe(nanent/intermittent surface water than:
Note: (Final approval of this permit requires inspection of the uncovered system.)
All plans, spncifications, and conditions contained in the approved permit applicalion are hereby incorporated into, and are enforceable as part
ofthe permit. The permit will expire one (1) year from date of issuance. The permit may be renewed ifthe renewal is applied for on or
c-1, c-1
Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Fcet
1
150.0
900
500
300
before the ex on date.
EHS Permit Issued Signature
EHS Code
Revision Date: 06117 12010
Date
^2024
Conditions of Approval:
').