HomeMy WebLinkAboutEIPH Septic Permit - 20-00519 - Muir Glen - 278 W Moody Rd - Short PlatPERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permil # :
Date :
Parcel # :
DoclD#:
2220081
07 t2812020
hrblicHealth RP06N40E075220
2220081
SDH Construction
Mark Farnsworth
Applicant's Name:
Owners Name:
Property Address :
Legal Description:
Subdivision:
278 W Moody Road Rexburg lD 83440
Township 6N Range 40E Section 7
Lot Block Size(acres)2.1
Tlpe oflnstallation Type ofSystem lcheck all that apply)Water Supply
E New System
L Expansion
E Repair
tr Tank Only
E Absorption Bed
tr Capping Fill
E Central System
E Composting Toilet
E Drip Dist bution
tr ETPS
E Experimental
E Extra Drainrock
E EYapotmnspiration
El Gravel Drainfield
E Gravelless Drainfield
[J Gray Water Sump
E Gray Water System
tr Holding Tank
E Incinerator Toilet
E Individual Lagoon
E Intermiftent SF
D Intrench SF
f] LSAS
t1 Pir Priry
E Pressurized DF
E Recirculating GF
E RV Dump Station
E Sand Mound
! Seepage Pit
E Steep Slope Drainfield
E Two Cell Lagoon
E Vault Priry
E Other (see below)
El Private
! Shared
tr Public
Water Source
E Basic System
E Complex System
K Well
tr Spring
ln-spection 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 drainfield: 889 Sguare Feet
Minimum SO FT for Gravelless drainfield: 667 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
fl 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
400.0
B-2, B-2
'1500
889
200
the uncovered system,)
Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Squarc Feet
Feet
6
All plans, sprecifications, and conditions contained in the approved permit application are hereby incorporated into, and are enforceable as part
ofthe permit. The permit will expire one (l) year from date ofjssuance. The permit
Date
may be renewed if the renewal is applied for on or
before the ration date.
4 EHS Permit Issued Signature
EHS Code
Revision Date: 0611712010
Idaho Public Health Disticts
Conditions olAporoval: