HomeMy WebLinkAboutSEPTIC PERMIT - 21-00075 - Winder Station - New Commercial - Bldg BPERMIT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
Permit # :
Dale :
Parcel # :
DoclO#:
3321008
03104t2021
Prrblic flealtl.
Idaho Pnblic Health Disticts
Applicant's Name: Thomas Luthy
RP05N39E016632
3321008
Thomas Luthy
2787 S 2000 w Rexburg lD 83406
Owners Name:
Property Address:
Legal Description:
Subdivision:
Township 5N Range 39E Section 1
Lot Block Sizelacresy 4.0
Tlpe oflnstallation Type ofSystem (check all that apply)Waler Supply
El New System
I Expansion
E Repair
tr Tank Onty
E Absorption Bed
E Capping Fill
E Cential System
E Composting Toilet
E Drip Distribution
tr ETPS
E Experimental
E Extra Drainrock
E Evapotranspiration
E Gravel Drainfield
E Gravelless Drainfield
E Gray Water Sump
E Gray Water System
tr Holding Tank
D Incinerator Toilet
E Individual tagoon
E Intermittent SF
E Intrench SF
tr LSAS
tr Pir Priry
E Pressurized DF
D Recirculating CF
tr RV Dump Station
E Sand Mound
E Seepage Pit
E Steep Slope Drainfield
E Two Cell Lagoon
E Vault Priry
E Other (see be low)
Xl Private
! Shared
tr 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:4 FEET
Minimum SQ FT for Gravelless drainfield: 833 Square Feet
lf using gravelless domes place same number in each trench for equal distribution
System lnstallation according to engineer design and instructions from Engineered Systems Associates
daled 31412021
For questions regarding this permit call Eastern ldaho Public Health at 208-356-3239
E Residential permit
EI Non-residential permit 500.0
Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Feet
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 part
of the permit. The permit will expire one ( I ) year from date of j ssuance. The permit may
B-2
1000
833
200
before the on date.
Ll E S Permit Issued Si
EHS Code
Revision Date: 0611712010
Date
be renewed ifthe renewal is applied for on or
Conditions of Approval: