HomeMy WebLinkAboutSEWER PERMIT 2 - 23-00848 - Bear World - Jurassic Creek Gift ShopS-€?lI
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'NO"TET THIS PERM]T IS ONLY VALID FOR ONE YEAR FROM DATE OF ISSUE
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lnstallation shall c u,irh all the u h District ahd ldaho's Individual Su
below. Failure to instdll systern in comDliance with permit vill cause dis approval by District 7 and possible lesal action.
osal Re ons as sl,
CDP No
Permit Issued To: Name
7 rcode:239 Time:33Permit No
Receipt No
b Phone
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Legal Description: % Section
SuMivision
Section 28 Township
Lot Block
! Size of Septic Tank:t5&gallons Multiple tank (lfusing or required):Total gallons
Pump Chamber ( if required): _ gallons
Firs ank: _ gallons Second tank: _gallons
s EwA GE DISPOSAL (DRAINFIELD) SPE CATIONS (minimums)'
Type(s) oI Slon.lard Sewage Disposal System P€rmitted: Trench /Bed Pir
Basic Alternative Pri"y_ Stccp Slope System _Capping Fill _ Exea Drain-rock Trench _
Type(s) of Complu Altemalive Disposal System Permitted: Ssrd Filter Interminent _ Sand Filter Intrcnch
Sand Mound
Other
Lagool _ Extendcd Trcatmcnt Systcms _ Largc Soil Absorptior Systems _
I
L
t:
er the permit
th
ritten
of inspection.
Date:/A
I hereby agree that the
approval fiom District 7.
AppticanUAgent S
iemenls revene side o tmit:
i
,. d,i-! i{,,:, DISTRICT SEITEN HEALTII
SEPTIC PERMIT
For Location: Addrcss Ciry t Zil-
.5tJ n ng"---3?6
(minimlms)
Grarelless /5O
.Compla Alternative Disposal Sy*ems are required to be installed by a licensed complet installer*
DISPOSALAREA SIZE, I2JD Sq.Ft. MAXIMUMDEPTHOFEXCAVATTOX: 'f I TCCI
DISTAIIcEToNEAREsTstJRFAcErrVATER(explan8tion):
BYEHS
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t:
t
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:
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INSPECTION-CONDUCTED FOR: Name it No q
LOCATION OF INSPECTION: Street Address
Legal Description: % Section
Subdivision:
?,-t-tSl-rC 7e.c-rR6rE
Section Townsh lp
ci
Lot Block
)
Capscity of Septic Tank Installed ,i5OD sal cspacity = or gcater than pcrmit rcquirements?
Was Scptic Talk construction in compliancr with Statc rcgulatioN and was tar* State approvod?
Wcrc inlct 8nd outlc( propcrly scaled?
d"t\6 N
N
N
N
o
o
o
o
N/A
@
Did
Was
mmlmum sepamtion rcqui
requircd?Yes
requircd by permit?
Depth from final grade to manholc
Gofeet
Type ofDisposal installcd Mcsts permit requirem ts?
In complialco with P€rmit Issucd?
No
No
No
No
No
N/A
Disposal Area Size Sq Fcct
DRAWING: (Sho* buildings, scptic syst dr components, wat r lioes, surfa.r watlrs, & ,w.lls withio 300 fcct of sc
Did Disposal System mcet the minimum s€pantion distance as required by thc Permit?
Was Dispossl System crnstuctcd in compliance with thc Statc Techical Guidanc€ Manusl?
Maximum depth ofDisposal System I Fect In compliance v/ith pemit lssued?
ptic systrm. I mpo(ant to show distanccs.)
SUBSI,]RF DISPOSAL (DRATNTTELD) rNSP ECTION
Wcst
East
South
Oo,
SELF-INSPECTION; If given approval for self inspection Installer certifies that information provided is accurate and system was
installed as shown.
Installers Signature X License #: _ Date:
Malor defulencies which violate the Intent of Rxles and must be corected, system not
DATE:
icense #:
with In ofRules
3. Have
Yes
Yes
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SEVEN HEALTH DEPAR.TMEM
SYSTEM INSPECTION REPORT
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North
Ss- er,k-VeD
Official Use Only
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