HomeMy WebLinkAboutSEPTIC REPORT - 23-00505 - Golden West Irrigation - InteriorFINAL/AS-BUILT –Subsurface Sewage Disposal
EASTERN IDAHO PUBLIC
HEALTH
1250 HOLLIPARK DRIVE
IDAHO FALLS ID 83401
(208) 523-5382
(208) 528-0857
Permit #:3323057
Date Rcvd:Aug 25, 2023
Parcel #:RP05N39E014591
Applicant's Name:
Owners Name:Roy Jenkins
Property Address:2256 S HWY 191, Rexburg ID 83440
Legal Description:Township:5N Range:39E Section:1
Subdivision:.Lot:Block:Size (acres):4.6
As-Built (not to scale)System Type:
Basic, Gravel Drainfield
Gravel (Yards):
16 Edstroms
System Mfg: NA Sand (Yards): NA
Septic/Trash Tank (Gal):
1000
Installation Depth (Inches):
48
Septic/Trash Tank Mfr:
AAA
Rock Under Pipe (Inches):
8
Depth to Tank Lid (Inches):
12
Date System Installed:
08/25/2023
Standpipe/ Riser (Inches):
NA
Riser Longitude:
NA
Pump Tank (gallons):
NA
Riser Latitude:
NA
Pump Tank Mfg:
NA
Well Installed?
Yes
Drainfield Width (Ft):
6
Distance to Tank (Ft):
>50
Drainfield Length (Ft):
70
Distance to Drainfield (Ft):
>100
Drainfield Area
Installed (Sq Ft):
Valve: No
420 Dist-Box: No
Effective Area (Sq Ft):
420
Drop-Box: No
All plans, specifications, and conditions contained in the approved
permit application are hereby incorporated into and may be
enforceable as part of the permit.
Technical Allowance Granted? No
Comments:
Notes/Condtions of Approval
Installer Name:HOMEOWNER
Installer Phone:(111) 111-1111
Installer Number:I-0000
Signature:
Date:Aug 25, 2023
By signing above, I certify that all answers and statements on this Final/As-built are true and complete to the best of my knowledge.
Official Use Only
As-Built provided by EHS
EHS Final Inspection Signature
Aug 25, 2023
EHS Code Date
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12/12/2023https://www.inspectionsonline.us/id%5cbonnevilleidahofalls%5cinspect.nsf/xxvw_AllDo...