RAVALLI COUNTY SANITARIAN'S OFFICEINDIVIDUAL SEWAGE DISPOSAL INSTALLATION PERMIT

(NOTE - THIS PERMIT IS NOT VALID UNLESS SIGNED BY A RAVALLI COUNTY SANITARIAN>

NOTE - mE RAVAUI COUNTY SANITARIAN MAY WJ71IDRAW mE SEPTIC PERMIT IF ANYINJi.RMATlON PROVIDED.JO THE SANITARIAN'S OFFICE IS FOUND IN ERROR. 4..

. 13 ~~.(' Kec.~/t/.fE'p ~S-~~EEvAiuATIONI < 6~() It; EVALUATOR: )?S ; PERMIT#: 2f--5'L/V ~~&

; / ~EIfNl'rINSTALLATION FOR: TELEPHONE: J'I ~-;;;:-+ADDRESS: Be ~.~INST~BY:.~~~~~~~~~r-PARCEL #:.--,u.::;...4-L-~lI'"

n.ooDPLAlHDETBRMIHATlON!__ =IS TIDS PROPBRrV (OR Ii. PAJlT OF m ON TIlE FLOODPLAIN! I

·IF VIIS -Ii TIIBIUI Ii. IOOJ'OOT SEPARATION nOM THE DF TO TIlE DPLAL"I1 ViS I NOIF VIIS - "U!LANDS' wrnmr fLOODPLAlH. IiTIUIU Ii. 200 FOOl' SEPARATION nOM THE DF TO TIlE J'L.OOOPLAlN! VIIS I NO

/81 FLOOD PLAlH ADMIN1STllATOR....,. _

NUMBER AND TYPE OF STRUCTURE (S) SERVED - RESIDENTIAL I COMMERCIAL1. PLACE SYSTEM AS SHOWN ON A1TACHED PLOT2. SET ASIDE THE REQUIRED REPLACEMENTAREA

TYPE :; r . 3. COMPLY WITH ALL REQUIRED SETBACKSmn.m~ 4. INSTALLER MUST SUBMIT PLANS PRIOR TOTOTAL NUMBER OF BEDROOMS ~ BEGINNING INSTALLATION

, OF SEPTIC TANKS I SIZE OF SEPrlC TANK~O (GALLONS) • .b r"IITOTAL LlNEAR FEET tSZL-SYSTEM TYPE ~ BED I OTHER) ,,/'t,,"V'RGL?>APPLICANT'S SIGNATURE AGREEING TO THE CONDITIO OF TIUS P _ ~~

PLAN APPROVED: DATE:L3.SE/" ffBY::fv':=~~~~~~~~==z:£~=.LFINAL INSPECTION APPROVAL: DATE: ?-"t2/-f'6

THIS PERMIT IS VALID FOR ONLY ONE YEAR FROM THE DATE OF ISSUANCE- A F1NA~~ THE SYSTEM IS REQUIRED-~KETCHlADomo: NOTES ON THE~ERSE SID~

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"~ INSPECTION CHECK LIST FOR SEPTIC SYSTEM CONTRACTORS

~ IN RAVALLI COUNTY

Read ycm: permit thoroughly.Make sure the system is in the COl:Lect location. Olec:k your pem.i.t.A 100%replaCE!lIerlt area must exist.

Place system exactly as shewn. If any problems arise durin; CO!".st::.::'uctionsuch asevidence of high groundwater, bedJ::ock, or inadequate separation frcm required set.l:ac.1o;,stop construction imrrpdjately ani t:hone the Sanitarian's Office.

WHEN CAU.J:NG FOR A F"INM. lNSPEX:TICN:

1. Concrete septic tank an::l di.st:ribItion bOx must be uncovered.2. cnte follCMing pipes must be unc:x:wered: tank to foundation, tank to distriJ::uticn

lx»c or header, header lines, dist:rib.Iti.on box outlet lines, and at least oneabsorption trench. .

3. '!he en::i caps of each absoLption trench lliUst be uncovered. \.4. 'lhe lines that run out of the distrib.Ition box must be a solid line for at

least five feet to avoid seepage arcurxi the distril:ution box.5. Baffles ImJSt be i.nstalled in septic tanks.6. Depth of trenches. Oleck ycm: permit. A st:arrla.rd trench depth is 24 inches.

NOm: MaxilIIIJm depth of trench Js 36:inc:hes. Check permit for speci£icrequirenv=nts of trench depth. ~ ..

7. An equal rn.nnber of absorption lines are required on each side of the inlet liT" on aheader line.Use a distril:ution box on a slope or hillside if slope is greater than 3%.All lines must be 4 inch pipe ani the correct ASIM.Absorption trenches must be at least 7 feet on centers with 5 feet of urxtisturbedearth in between. .2729 pipes must be used in drainfields on al:GoLption trenches, header lines, anddistril:ution box outlets. 3034 pipes or heavier class must be used betweenfoundations and septic tanks ani between tanks aro. dist:ril:ution boxes or headers.Maximum slope on absorption trenches shall be 4 inches J?er 100 feet. (rec.xmnerxilevel grade)All joints in solid lines must be glued.No absorption line may exceed 100 feet in l~.Absorption lines must be of equallen;th. (a 10 foot total. variance allCMed indifficult situations)NOl'E: Di.striJ::ution l:loxes have an inlet that is higher than the outlets; installcorrectly. water pc:ure:1 into the distril::uti.on box 1lDlSt flow down each pipe exiti.n3"the distril::uti.on box ani not back flush into the distr.il:JUtion box.An equal cma.mt of water must enter each distribution box outlet.At least two absorption lines are required in all installations.Sealed entry and ¢t pipes fran tank ani distribution box are required.Paper or straw l!lIist be placed over pipes. (paper lIUlSt not tear when walked on)Six inches of washed rock un:ier al:sorption lines and 2 inches of reck overabsorption lines are required as a miItim.nn. A permit may require additional rock.Holes in absorption lines llIUSt be aligned parallel on down side ofpipes; pri.nti.rq is on the top of the pipe. /./J /J

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Permit Number: 'J¥~£ ,.:Owner of

Contractor /Installer: V 6I'2h'T~ d-- t;Zt tf,/1./Y'1fPI/1/

Date Inspected: C2 el-ltJ-l'lYF

V ~~~I certify that I have inspected this system and found it to bein compliance with the listed criteria. ,~/ ~~~

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DRAWING Of ~YSTEM INSTA~LED,

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