HomeMy WebLinkAboutSEPTIC PERMIT - M20-00008 - 3620 Yosemite Cir - New SFRPERMIT-Subsurface Sewage Disposal
Permit # :
Dale :
Parcel # :
DoclD#:
3320003
02t07 t2020
Idaho tublic Health Dishicts
RP04PHF0000380
3320003
Nicholas Emery
Applicant's Name:
Owners Name:
Property Address:
Legal Description:
3620 Yosemite Circle Rexburg lD 83440
Township 6N Range 39E Section 03
Subdivision: The Preserve at Hen Fork Lot 38 Block 1 Sizelacresy:095
Tlpe oflnstallation Type ofsystem (check a1l that apply)Water Supply
E New System
U Expansion
I Repair
tr Tank Only
E Absorption Bed
tr Capping Fill
E Central System
E Composting Toilet
E Ddp Distribution
! ETPS
E Experimental
E Extra Drainrock
E Evapotranspiration
E Gravel Drainfield
E GravellessDrainfield
E Gray Water Sump
E Gray Water System
tr Holding Tank
E Incinerator Toilet
E Individual Lagoon
E Intermittent SF
E Intrench SF
tr LSAS
tr Pit Priry
E 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
tr Public
Water Sowce
E Basic System
E Complex System
& Well
! Spring
Conditions of Aooroval:
lnspection required before covering any system components by Environmental Health Specialist
48 Hours advanced notice required for inspection
Maximum depth of excavation:4 FEET
Minimum SQ FT for Gravel drarnfield: 778 Square Feet
Minimum SQ FT for Gravelless drainfield: 583 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
I Residential permit
fl Non-residential permit
Soil Type:
The minimum septic tank capacity is:
The minimum effective drainfield absorption area is:
The drainleld can be no closer to permanent/intermittent surface water than:
Note: (Final approval of this permit requires inspection of the uncovered system.)
All plans, sPecificalions, and conditions contained in the approved permit application are hereby incorporated into, and are enforceable as part
ofthe permit. The permit will expire one (1) year from date ofissuance. The permit may be renewed ifthe renewal is applied for on or
B-2. B-2
Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Feet
5
350.0
1250
778
200
before the ration date.
EHS Permit Issued Signature
2 - 2020
EHS Code
Revision Date: 06117 12010
Date
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382Publlc Healttr
Nicholas Emery