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HomeMy WebLinkAboutSEWER PERMIT 1 - 23-00848 - Bear World - Jurassic Creek Gift Shop+ *NOTE* TH/s pERMrr ts oNLy r/AI-tD FoR oNE YEAR FRqM DATE oF $sr tE I r)-'l lnstallation shall com?lv y,ith all the rectuircments ofthe llealth District and ldaho's lndividual Subsu r{ace Se$tape DiDosal Reetlatk s as stdtcd DISTRICT SEVEN HEALTH DEPARTMENT SEPTIC below. Failure to inslall syslem in conDliance wilh Dernil will cause dis aDproval by Dislricl T ard oossible lesalacti('n CDP No t-cod.:,&!*Pcrnut No: Receipr No: Permit Issued To: Name For Location: Address: Legal Description: % Section Subdivision: City R<\,ro zip,6?y'{0 Section "9 J^-ETownsh Lot: 4h{,', Range Block: Multiple tank (llusing or required): _ Total gallons First tank gallons ATU: Conpany gallons Second tank: _ gallons Model: 6e Size of Septic Tank; Pump Chamber (if required) Type(s) of Srat dard S€wage Disposal System P€rmitted: Trench Other *Comple Altemative D al Systems are r Bed Pit Gravelless b $\ls^t 'fype(sl of Compler Alternative Disposal System Permitted: Sand Filter Intermittent Sand Filter Intlench Sand Mound _ Lagoon - Extended rea Sys tems Soil Absorption Systerns _Lar ired to be installed by a licensed complc TIO\{Feet DISPOSAL AREA SIZE: AP LICAI'Io R-{l'U: r N )tA_\t\fl'\t SOIL I'\'Pll: DE oF f xc.d\'q.Ft Ealst day lft2 DISTAN( U 10 N ARI]ST St:RI-E WATER (explanation): -33 not make any changes purpos€ of ifispectioh Permltthethe wdtterl apwithorrthc [)ate o Phone: 'ti,rre, 1l @^,r,,1?c4&3s:lzsc ffi'tt$ *4 I hereby a€ree tlat the plbr/r1 frofii Diritiicr 7. pera5 from <7 flt^Applicanr/Agcnt Dalc: TSSI:ED BY EIIS Note* Other reouirements on reverse side of Dermit: +. DISTRICT SEVEN HEALTH DEPARTMENT APPLICATION FOR SEWAGE DISPOSAL PER,\,{IT ecer r#Amt:cX> C o m m e rcial. In d u strial. Re cre atio n a l. Institrttional (This is trot a permit to install) Orvnerofsystem: 7rllo,^,rL-,* t)go- uto,-(,L Phone # 35 7 Nlailing .4.ddress of Owner:P 0.9o' lbO Location of actual system: Legal Description: l/4 Section. _ Section _ Township_ Subdivision Name if applicable: Address: Lot Directions to property: City ZiPt 9j.lvo Range _ Block zip - ermit # Amt:r# Constructional Activify: New Construction ( ) Enlargement ( ) Replacement ( ) Lot Size:acres. Water Supply: Private Well (,xl;) Shared Well ( ) public System ( ) Wastewater Flow Information: Maximum gallons per day of waste being disposed of.Ito a Number ofp ersons served )o o Grease traps? v. r French drains? Type wastes being disposed of. Proposed Disposal System: tandard & Basic Al :Trench( ) Gravelless Trench ( ) PitPrivy ( ) Vault Privy ( ) Extra Drainrock Trench ( ) Absorption Bed ( ) SeepagePit ( ) Capping Fill Trench( ) SteepSlope ( ) Composting Toilet ( ) Incinerator Toilet ( ) Sand Filter-Intrench ( ) Holding Tank ( ) Complex Altemative Svstem: Evapotranspiration ( ) Experimental ( ) Extended Treatment Package ( ) Large Soil Absorption System ( ) Lagoon ( ) Pressure Distribution Systems 0o) Sand Filter- Intermittent ( ) Recirculating Gravel Filter ( ) Sand Mound ( ) Two Cell Infiltrative ( ) 'Note* Cunent mles require you hire a septic installer that has a complex installer to install a complex systems. A homeowner camot install compler systems. Central System:( )*Note* Required for any system lyhich receives wastewater in volumes erceeding 2,500 gallons per day and any system rvhich receives wastelyater from more than 2 drvelling units or more than 2 buildings under separate olvnership. I certify that municipal sewage facilities are not reasonably accessible. I understand that ifthis system is constn:cted by anyone other than owrer, a licensed installer must install it. I understand that the system must be inspected and approved pnor to final cover. I understand this is an application only and that it is necessary to have a permit before construction can begin. * Note * Once the permit has been issued, no changes can be made without prior approval from District Seven Health Department. Iamthe: Homeowner ( ) Orvner's authorized representative: Installer $fl ticense nq*U.. - Contractor ( )/\' Vyd_,j.L tI hereby authorize acc perty for the purpose ofconducting an on-site evaluation. Date:Siened Bv: Is Owner Installing? E EVALUATION ON REVERSE SIDE 8/r9/03 ciry: Rr,.lrkvl ENVZ 8OI'IBNIATJ BEALIg gBCIZO-E lortrllrt!r 254 a aElr.E lat !o r.ll. D lla02-!tt7 z9a-52t-att2,,lXr 20!-5tl-0457 cEfta/ttIEt 8de !D alaaT-o:to:ot-7ta-llz:tll.:0a-7!a-4400 llEir/trlolral 5 :!rI tlt! r!t!ey, D ltaa! zoa -azt -7t4!,tllr 201-a:a.Or5a crlll/Jtt]!rq lao .En.!y !r!.9t? rD ataaz-oto! 20a-7at-7217,l&:0a-ra!-alltl nDltclL I ttrl IldtEq ll, lraao:04.1!a-tMtill,zot-lta-.ata SEPTIC PERMTT TNFORMATTON SHEET PROCESS: l. ) 7o. aa$.f $ 90.00 $ 140.00 s 140.00$fl ?0. oo Application Fec (Application fec may be paid scparately ifqpc systcrn is unhown, or may bc itrclude with pcrmit fcc.) Pcmit Standard and Basic AJtemativc Systcus Pemit Complcx Sysms Pcmit, LirEc Syst@s Sitc Evaluatiors. Evaluation of propcrty whcn pcrurit is not rrquetcd (la, for potcotial buying c propcrty). thc fcc may bc creditcd as an apptication fec and is good for one (t) ycr. J Submit aoolication for oermit: Obtain and completely fill out application, including a plot plari Applicatiors catrnot b processed widrout payrncnt offce. No prynetrts caa be taken in the lield. Schedule site evaluation: Environmcnal Health Spccialist must go on+ite in order to evaluatc thc application and tc assess the sinration bcfore issuing thc pemit (A rrprcsentative must mect the EHS at the sitc to aasrvcr aay guestions. (Iest holes may be rcquircd to dctcruinc soil tlpc, liniting laycr, or watcr lcvel erc.) Plan on 4!4!ry of two tr three working days for proccssiug ofapplication Permit Issuance: When permit is rerdyto issu., applicantwill bc called to come to thc offce to sign pcrmir The pcrmi: can bc uscd to get building pefllit ton Planling and Zoning A copy ofthe permit should be girrcn to liccnscd installer who will then bc able to irull systcrn (Ihc pcrmit is ralid for one year only. It can be renewcd prior to the annivena4 date at an additional cost ($40.00.) Constnrction ofseotic svstem: When liccnsed iostaller has copy of permil construction can bcgin anytiuc thercafer. System must be installed in accordancc wi& issucd pennit Any chsnges must be spproved by Itlstrict Seven Health Dcpartment Final Insoection Necessarn It is nccessary to have the sptem inspected by an Environmemal Hcalth Specialist prior to covcring in order lo determinc ifqntem rvas insalled in accordancc widr issucd pcrmit. It is the oq,ner's or installer's rcsponsibility to call for final inspection. Systems covered priorto linal inspection will bc rcquirrd to bc uncovered for llnal inspection. 4. 5 THING.S TO MBER: l. Septic systems MUST be insalled by a licensed installer. (List ofinstallers can be obtained from your local district health dcpartnent oftice.) Homeovmers can only iustall their own scptic s)6tem if it is a standard s,,stcn-2. No changes to the systcm spccifications stated on lhe permit can be made withour prior approval fiom Disria Scvcn Health Departnent 3. Septic systems (tank and drainfield) MUST BE INSPECTED PRIOR TO COVERING.4. If the system is not impected prior to covering, the installer or owner will be asked to uncovcr the system for lnspectlon. This may cause more erpeNe ,! qatem mry becoEe damaged lf disturbed, SAVE fEME: Avoid unnecessary delays by filling out the application form completely. Be surc to include a mailiag address and phonc number ofthe owners, and, ifapplicable, a phone number ofthe contact person @uilder and/or insaller).2. District Seven Health Deoartment reo an tnsDectiotr. Sign uires 24 hours noti ce to schedu Date: Thrrsdav. .A.pril I l. lf I have received, read, and understand the above information. District 7 Eealth Department .E.E: Control box MANIFOLD: I.ATERAI.S: JRIFACES: End caps or interco HEALFI DEP/4RTMENT { ALTERNATIVE SYSTEM INSPECNON SUPPLEMENT Permit #o4083 NamDate- lnshllertNe rl2)i!2J2' .r$N-e-Zf.E *cJx- Water tigh(g routed? J t s' D .', DOSING TANK: She/! /il_.Manufad| Septic bnk filter or pump screen manufactu /7 7 ELECTRICAL: Visual/audio alarm on separate circuiP A €l tires in conduit? seal off model 'h" X' /Dose I /ctt PUMP: Mfr H,P./a rer a 'e 4ry *'s?r v"J,Zl /( PI./L t/c 5 €a 7/ 7 fur emuent? ii ri Quick disconnect?-gCi- Size of discharg Elevation difference between pump and _/ TRANSPORT PIPEz Type-/:!L-size-4/-- Size-::: - Ty sue-fu " Lengil1 Size,y'4 " sprarg36" o SKETCH l-6r+f | >t, a,:, Y 'r't ) 1 / too .4ru0r 1Co OI ,<a e v nnected laterals ,612 SysEm tested for uniform distribution? INTERMITTENT SAND FILTER ASTM C-33_ Source Qu Container Constructed according to approved plans?- INTRENC{ sANp FILTER @, Gravity AJi-]M c-33 t "' *urce-7ruf!,r:-.- SAND MOUND Dimensions ASTM C-33- Source- QuantitY \)tr \" f s. c\i v Bed dimensions bo'x izf 'Sand below Basal area ripped Pneumatic-Ured vehicles used? R-Code_T{.ode S{ode- Activity_ Adion Taken_ Inspectjon Time- TGvel llme- Ir 8 i DISIRICT SEVEN , o// f Watertight and meets all other requirements of the TGM, and I \s -___-:1_, .t? "-7