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
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