HomeMy WebLinkAboutSEPTIC PERMIT - 21-00285 - 2907 Mendoza Dr - Mendoza shopPERMIT -Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
IV 1250 HOLLIPARK DRIVE Permit#: 3321087
IDAHO FALLS ID 83401 Date: 08/04/2021
PubYiC&iealth (208) 523-5382 Parcel # : RP04MCDO010030
Idaho Public Health Districts
Applicants Name: Victor Mendoza
Owners Name: Victor Mendoza
Property Address: 2907 Mendoza Drive Rexburg ID 83440
Legal Description: Township 6N Range 40E Section 8
Subdivision: Mendoza Commercial Lot 3 Block 1 Size(acres): 0.9
Type of Installation
Tyoc of System (check all that arDly)
Water Supply
❑ Tank Only
U Absorption Bed
0 Gravelless Drainfield
❑ Pressurized DF
® New System
❑ Capping Fill
❑ Gray Water Sump
❑ Recirculating GF
® Private
❑ Expansion
❑ Central System
❑ Gray Water System
❑ RV Dump Station
❑ Shared
❑ Repair
❑ Composting Toilet
❑ Holding Tank
❑ Sand Mound
❑ Public
❑ LSAS Repair
❑ Drip Distribution
❑ Incinerator Toilet
❑ Seepage Pit
Water Source
❑ LSAS New
❑ ETPS
❑ Experimental
❑ Individual Lagoon
❑ intermittent SF
❑ Steep Slope Drainfield
❑ Two Cell Lagoon
® Basic System
❑ Extra Drainrock
❑ Intrench SF
❑ Vault Pricy
® Well
❑ Complex System
❑ Evapotranspiration
❑ Tank Only
❑ Other (see below)
❑ Spring
® Gravel Drainfield
❑ Pit Privy
Conditions of Approval:
Inspection required before covering any system components by Environmental Health Specialist
48 Hours advanced notice required for inspection
Maximum depth of excavation:2 FEET
Minimum SQ FT for Gravel drainfield: 250 Square Feet
For questions regarding this permit call Eastern Idaho Public Health at 208-356-3239
❑ Residential permit
® 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:
B-1
900
250
300
See page 2 for additional terms and conditions.
EHS Sivulture
OS/04/2021
Date Issued
Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Feet
Revision Date 03/05/2021
PERTMIT-Subsurface Sew2igc Disposal.
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE Perni,. R : 3321087
IDAHO FALLS ID 83401 Gate : 08/04/2021
PalaiBeYIrslgh (208) 523-5382 FIarnnA r; RP04MCD0010030
Idaho public Huth Mtricts
Appliw:uiC's Naniv:
ChNnem Name:
PwNrty _ ddre%s:
Victor Mendoza
Victor Mendoza
2907 Mendoza Drive Rexburg ID 83440
Lcpl h+eNefiplikin: Tmu n,Ivp 6N Rwige 40E sci tion 8
5ubdit-kion- Mendoza Commercial l.o( 3 WoR k 1 0.9
This permit expires if ;tie iVstem is not constructed as appmvccl vjAhin one yea • from the date issued.
Once the system is constructed and approved by the Health District, all requirements & the approved
plans and specifications, permit and perm:t application (including operations, m&,intenance, monitoring,
and reporting) are applicable indefinitely and convey through transfer of -Property *wnership unless the
system is abandoned, removed, replaced, or the permit is renev.-ed. A por®n:t rray be retweipd if the
permit application is received on o€ before the expirat on date of the previ:;lus filer riot. Prior to a Nansfer
of property, the transferor mast inform the transferee of a B applicable requirements of Vie permit anc'.
application. Failure to satisfy the perrrit or application requirements may result in enforcement action.