HomeMy WebLinkAboutSEPTIC PERMIT - 23-00218 - Tom Luthy Storage - Shell OnlyPERMIT
10
Public Health
Idaho Public Health Districts
Applicant's Name: Thomas Luthv
Owners Name:
Property Address:
Legal Description:
Subdivision:
Thomas Luthy
-Subsurface Sewage Disposal.
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE Permit #
IDAHO FALLS ID 83401 Date
(208) 523-5382 Parcel # :
XXXX S HWY 191 Rexburg ID 83440
3323033
05/19/2023
RP05N39E015176
Township 5N Range 39E Section 1
Lot Block Size(acres): 1.3
Type of Installation
Typc of S stem (check all that apply
Water Supply
Ll Tank Only
❑ Absorption Bed
®Gravelless Drainfield
Pressurized DF
New System
❑Capping Fill
❑ Gray Water Sump
❑ Recirculating GF
Z Private
❑ Expansion
❑ Central System
❑ Gray Water System
❑ RV Dump Station
❑ Shared
❑ Repair
❑ Composting Toilet
❑ Holding Tank
❑ Sand Mound
❑Public
C LSAS Repair
❑ Drip Distribution
❑ Incinerator Toilet
❑ Seepage Pit
❑ LSAS New
❑ ETPS
❑ Experimental
❑ Individual Lagoon
❑ Intermittent SF
❑ Steep Slope Drainfield
❑ Two Cell Lagoon
Water Source
® Basic System
❑ Extra Drainrock
❑ Inucnch SF
❑Vault Privv
®ii Well
❑ Complex System
❑ Evapotranspiration
❑ Tank Only
❑ Other (see below)
❑ Spring
IN Gravel Drainfield
Cl 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: 4 Feet
Minimum SQ FT for Gravel drainfield: 333 Square Feet
Minimum SQ FT for Gravelless drainfield: 250 Square Feet
If using gravelless domes place same number in each trench for equal distribution
If using gravelless domes the trench can be no wider than 36"
For questions regarding this permit call Eastern Idaho Public Health at 208-356-3239
❑ Residential pen -nit 0 Bedrooms
Gallons Per Day
® Non-residential pen -nit 200 Gallons Per Day
Soil Type: B-1 USDA
The minimum septic tank capacity is: 900 Gallons
The minimum effective drainfield absorption area is: 333 Square Feet
The drainfeld can be no closer to permanent/interm 1ttent surface water than: 200 Feet
.Note: i•inai appro+at of this per•ntit requires inspectitttl of the urrcovercd SNstenl.
See page 2 for additional terms and conditions.
EHS Sio ature
05/19/2023
Date Issued
Revision Date 03/05/2021
PFRIN"HT-Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC HEALTH
1250 HOLLIPARK DRIVE permit # :
10 IDAHO FALLS ID 83401 Date
Public Health (208) 523-5382 Paroo # :
Idaho Public Health Districts
1pplicam" \;in,i Thomas Luthy
( h'tier. \jnw:
t'r►,Nm Addre,,:
l.c�;al Ik�:E�pli�rtt:
whkln'isi011:
Thomas Luthy
XXXX S HWY 191 Rexburg ID 83440
3323033
05/19/2023
RP05N39E015176
11',Inp5N F isac39E Section 1 _
l.,,t 114 c k Sire :,: 1.3
This permit expires if the system is not constructed as approved within two years from the date issued.
[ nc`ts the Cytitetrt ;4 ,• 011%t.rut:ted and approved by the Health District, all re(luirerrlent,, of the approved
pans and specifications, permit and permit application (including operations, maintenance, monitoring,
and reporting) are applicable indefinitely and :convey through transfer of proporty ownership unless the
system is abandoned, removed, rep)aced, or the permit is renewed. A permit may be renewed if the
Permit Application 15 received on or E vkne the expiration date of the previous permit_ Prior to a transfer
of proper-,V, the transferor must inform the transferee of all applicable requirements of the permit and
application_ Faiiure to satisfy the permit or application requirements may result in enforcement action.