HomeMy WebLinkAboutSPETIC PERMIT - 22-00699 - Mountain Archery - AdditionPERMIT-Subsurface Sewage Dis posal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE perml # :
IDAHO FALLS lD 83401 Dare:
(208) 523-5382 parcet #:
3322124
09t14t2022
Public flealtl.
Idaho Rrblic Health Disbicts
Applicant's Name: Ryan Malm
RP06N40E080030
651 E 3000 N Rexburg lD 83440
Ou'ners Name:
Property Address:
Legal Description:
Subdivision:
Township 6N Range 40E Section 8
Lot Block Size(acrts): 5.9
Tlpe of IDstallation Type ofSystem (check all that apply)Water SupplyE Tank Only
E New System
E Expansion
D Repair
E LSAS Repair
E LSAS New
fl Absorption Bed
tr Capping Fill
E Central System
! Composting Toilet
! Drip Distribution
f] ETPS
E Experimental
E Extm Drainrock
E Evapotranspiration
E Gravel Drainfield
E Gravelless Drainfield
E Gray water Sump
! Oray Water System
E Holding Tank
fl lncinerator Toilet
E lodividual Lagoon
E Interminent SF
E tntrench SF
tr Tank Only
tr Pit Privy
E Pressurized DF
! Recirculating GF
! RV Dump Sration
! Sand Mound
E Seepage Pit
tr Steep Slope Drainfield
E Two Cell Lagoon
D Vault Privy
! Other (see below)
El Private
! Shared
! Public
Water Source
E Basic System
C Complex System
lnspection required before coverin q any system compo nents by Environmental Health Specialist
!{llgurs advanced notice required for inspection
Maximum depth of excavation: 36 lnches
Itllltqtum SO FT for Gravel drainfield: 458 Square Feet
Minimum SQ FT for Gravelless drainfield: 344 Square Feet
lf using gravelless domes place same number in each trench for equal distribution
For questions regarding this permit Glll Eastern ldaho Public Health at 208-356-3239
E Residential permit
El Non-residential permit
Soil Type:
0 Bedrooms
Gallons Per Day
Gallons Per Day
USDA
Gallons
Square Feet
Feet
275
B-1
The minimum septic tank capacity is:1000
The minimum effective drainfield absorption area is:344
The drainfeld can be no closer to permanent/intermittent surface water than:200
Note: Final approval of this permit requires inspection of the uncovered system.
See page 2 for additional terms and cotrditions,
Y* lu*
EHS Si
09114t2022
Revision Date 0310512021
Date Issued
Scott Larsen
X Well
tr Spring
Conditions of Approval:
PERwIIT-Subsurface Servage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE permir s:
IDAHO FALLS lD 83401 Dste :
(208) 523-5382 P.rE t#:
3322124
09114t2022
RP06N40E080030hrbllcHeglth
Idaho Rrblic Health Districts
Ryan Malm
Scott Larsen
Applicmt'* Nrme:
Owncrs Narr:
hogcrty Addrcxs:
l-cgll Dcrcription:
stbtuvbior:
651 E 3000 N Rexburg lD 83440
To*'nship 6N Ran*c40E Soclioo 8
Lttt lthxh Sizqrcrrt 5.9
This permit expires if th€ system is not constructed as approved within two yEars from the date issued.
Once the system is constructed and approved bV the Heahh DBrkl, all regulrements of the approved
phns and specifications. permit and permit applk;iition (including operetions, maintenance, monitoring,
and reporting) are applicable indefinitely and Gonvev through transfer of prop€rty owncrship unlcss the
system is abandoned, removed, replaced, or the permit i5 renewed. A permit may be renewed if the
permit application is reeived on or before the expiratlon date of the prevlous permil. Prior to a transfer
of property, the transferor must inform the bansferee of all applicable requirements o the permit and
application. Failure to satisfy the permit or application reguirefients may result in enforcement action.