HomeMy WebLinkAboutSEPTIC PERMIT - M20-00012 - Weekes - 4866 W 4294 N - ShopPERMIT-Subsurface Sewage Dis posal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permit # :
Date :
Parcel # :
DoclD#:
3320002
02t03t2020
Public flealth RP06N39E100604
3320002
Idaho tublic Healtl Districts
Paul Weekes
Paul Weekes
Applicant's Name:
Owners Name:
Property Address :
Legal Description:
Subdivision:
3381 W 3000 N Rexburg lD 83440
Township 6N Range 39E Section l0
Lot Block S izelacreslt 2.0
Type oflnstallation Type ofSystem (check all that apply)Waler Supply
E New System
E Expansion
! Repair
tr Tank Only
fl Absorption Bed
tr Capping Fill
E Central System
n Composting Toil€t
! Drip Distribution
E] ETPS
E Experimental
E Extra Drainrock
E Evapotranspiration
E Gravel Drainfield
E Gravelless Drainfield
E Gray Water Sump
E Gruy Water System
tr Holding Tank
E Incinerator Toilet
E Individual Lagoon
E Interminent SF
E Intrench SF
tr LSAS
tr Pit Priry
E Pressurize d DF
E Recirculating GF
tr RV Dump Station
E Sand Mound
E Seepage Pit
E Steep Slope Drainfield
E Two Cell Lagoon
D Vault Privy
E Other (see below)
E Private
! Shared
E Public
Water 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:2 FEET 6 lnches
Minimum SQ FT for Gravel drainfield: 444 Square Feet
Minimum SQ FT for Gravelless drainfield: 333 Square Feet
lf using gravelless domes place same number in each trench for equal distribution
For questions regarding this permit call Eastern ldaho Pubtic Health at 208-356-3239
I 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 permanent/intermittent surface water than:
Note: (Final approval of this permit requires inspection of the uncovered system.)All plans, specifications, and conditions contained in the approved permit application are hereby incorporated into, and are enforceable as partofthe permit. The prermit will expire one (l) year from date ofissuance. The permit may be renewed ifthe reneual is applied for on or
B-2. B-2
Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Feet
2
200.0
900
444
200
before the ex on date.
EIIS Code
EHS Permit lssued Signature
2 -2-o7t)
Revision Date: 06117 120'tO
Conditions olApproval:
Date
l
I