HomeMy WebLinkAbout07090141 Sewer/Water Permit/sHamilton Countv Health Department
One Hamilton County Square, Suite 30
Noblesville, Indiana 46060
Office: (317)776-6500 Fax: (317) 776-8506
E
Fr- 'Charles Hanis, MD
"L Health Officer
r On-Site Sewage Disposal System Permit
Date:09/27107 Permit Number: 2004-0189 Fee: $250.00
OwnertA licant Information
Name: Mike Duncan
Address: 3196 Smokey Ridge Lane
Carmel IN 46033
Contractor Information I
Name of business: Final Grade Excavating Inc.
Name of owner: Philip Paull # 0080
Business phone: (317) 773-8262
Site Location Information
Parcel Address: 4395 Brenden Orchard Ln Subdivision:
Zionsville Lot:
Township: Clay Parcel ID#: 17-09-30-00-00-022.004
OnSite S stem Permit Re uirements
General System Information
Permit Type: New
Use of Facility: 1 or 2 Family Dwelling
# of Bedrooms: 7
Septic Tank Volume: 2000 gallons
Compartment(s): 1
Dose Tank Volume: 1500 gallons
Compartment(s): 1
Distribution Type:
Disposal Type:
Trench Depth:
Flood Dosed
Elevated Sand Mound
Drainage Requirements
Drainage Required: Perimeter (All sides)
Drain Type: Stoned (Non wrapped)
Drain Depth: 24" below mound inches
Drain Diameter 4" inch
i Permit must be posted in plain view of access road serving site Signed: ".1, 1 , I.-b
Health Officer
Seal
Final Inspection by:
Date:
Hamilton Countv Health Department
One Hamilton County Square, Suite 30
Noblesville, Indiana 46060
y 3 Office: (317)776-8500 Fax: (317) 776-8506
Y
. Charles Harris, MO
Health Officer
t Private Water Well Supply Permit
Permit Number: 2007-0107
Issued: September 27, 2007
Expires: September 27, 2008
Permit Fee: $125.00
Applicant Information
Name: Mice Duncan
Address: 3196 Smokey Ridge Lane
Carmel IN 46033
Well Driller Information
Name of business: C & J Well Drilling Company
Name of owner: Josh Abdnour
Business phone: (317) 892-2100
Site Location Information
Parcel Address: 4395 Brenden Orchard Ln
Zionsville
Township: Clay
Subdivision:
Lot:
Parcel ID#: 17-09-30-00-00-022.004
Well It will be necessary for the Hamilton County
Sp ecifications Health Department to obtain a water
sample with satisfactory results before the
well permit type: New water system will be released for use.
Well usage: Residential, Potable
To obtain final approval, please call the Health
Casing diameter: 5 Department and request a final inspection and
Pump type: Submersible water sample. Please have the permit number
and parcel number available.
Septic separation: 160
Structure separation: 55
Permit must be posted in plain view of access road serving site
Signed:
Hamilton County Health Officer
Inspected By
SEAL
Date