HomeMy WebLinkAboutSEPTIC PERMIT - M20-00021 - W 2000 S - Relocating SFRhrlrlic Health
Permit # :
Date :
Patcel # .
DoclD#:
RP05N39E03't 805
PERMIT-Subsurface Sewage Dis posal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
3320010-2
03t30l2o2n
3320010
Idaho fublic Health Disticts
Applicant's Name: Marilyn Saurey
Marilyn Saurey
XXXX W 2000 S Rexburg lD 83440
Owners Name:
Property Address :
Legal Description:
Subdivision:
Township 5N Range 39E Section 3
Lot Block Size(acres)34.0
Tlpe oflnstallation Type of System (check all that apply)Water SupDly
E Nsw System
f) Expansion
D Repair
tr Tank Only
E Absorption Bed
tr Capping Fill
I Central System
E Composting Toilet
! Drip Distribution
f] ETPS
E Experimental
E Extra Drainrock
! Evapotranspiration
E Gravel Drainfield
E Gravelless Drainfield
E Gray Water Sump
E Gray Water System
! Holding Tank
E Incinerator Toilet
E Individual Lagoon
E Interm ittent SF
E Intrench SF
tr LSAS
D Pit Privy
E Pressurize d DF
E Recirculating GF
! 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
D Shared
tr Public
Water Souce
E Basic System
E Complex System
E Well
tr Spring
lnspection required. before covering any system components by Environmental Health Specialist48 Hours advanced notice required for inspection
Maximum depth of excavation:2 FEET 6 lnches
Minimum SQ FT for Gravel drainfield: 833 Square Feet
Minimum SQ FT for Gravelless drainfield: 625 Square Feet
lf using gr€velless domes place same number in each trench for equal distribution
For questions regarding this permit call Eastern ldaho Pubtic Health at 208-356-3239
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:
c-1, c-t
Bedrooms
Callons Per Day
Gallons Per Day
USDA
Gallons
Squarc Feet
Feet
3
2 50.0
1000
ai2
100
Note: (Final approval of this permit requires inspection of the uncovered syst€m.)All plans, specifi cation s, and conditions contained in the approved permit application are hereby incorporated into, and are enforceable as partofthe permit. The permit will expire one (1) year ftom date ofissuance. The permit may be
Revision Date: 06117 l2O1O
l)ate
renewed ifthe renewal is applied for on orbefore the on date
1
EHS Permit Issued Signature
EHS Code
6 - ZO1O
Conditions of Approval:
E Residential permit
! Non-residential permit
I
I
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1