HomeMy WebLinkAbout07110079 Sewer/Water Permit/sHamilton Countv Health Department
One Hamilton County Square, Suite 30
Noblesville, Indiana 46060
Office: (317)776-8500 Fax. (317) 776-8506
_..c.. ` Charles Harris, MD
Health Officer
On-Site Sewage Disposal System Permit
Date:09119l07 Permit Number: 2007-00129 Fee: $250.00
Owner/Applicant Information Contractor Information.]
Name: Pat Rider Name of business: Baker Construction
Address: 5640 Elderberry Road Name of owner: Brian Baker # 0002
Noblesville IN 46062 Business phone: (317) 773-7546
Site Location Information
Parcel Address: 0 Creekwood Ln Subdivision: WILLIAMS CREEK FARMS
CARMEL Lot: 10
Township: Clay Parcel ID#: 17-09-35-00-00-010.111
On-Site System Permit Requirements
General System Information
Permit Type: New
Use of Facility: 1 or 2 Family Dwelling
# of Bedrooms: 5
Septic Tank Volume: 1500 gallons
Compartment(s): 1
Dose Tank Volume: 1250 gallons
Compartment(s): 1
Distribution Type:
Disposal Type:
Permitted Sq.Ft.:
Trench Depth:
Flood Dosed
Absorption Field
2500
10-24 inches
Drainage Requirements
Drainage Required: NIA
Drain Type: NIA
Drain Depth:
Drain Diameter
Permit must be posted in plain view of access road serving site
_1* Final Inspection by:
Signed: ea Seal Date:
Hal'.h Officer
SCANNED
Hamilton County Health Department
One Hamilton County Square, Suite 30
Noblesville, Indiana 46060
r4. Office: (317)776-8500 Fax: (317) 776-8506
?.. ?- Charles Harris, MD
Health Officer
Private Water Well Supply Permit
Permit Number: 2007-0103
Issued: September 20, 2007
Expires: September 20, 2008
Permit Fee: $125.00
Ap licant Information
Name: Pat Rider
Address: 5640 Elderberry Road
Noblesville IN 46062
Well Driller Information
Name of business: Perry and Sons Well Drilling
Name of owner: Steve & Jane Perry
Business phone: (765) 642-7105
Site Location Information
Parcel Address: 0 Creelavood Ln Subdivision:WILLIAMS CREEK FARMS
CARMEL Lot:
Township: Clay Parcel ID#: 17-09-35-00-00-010.111
Well It will be necessary for the Hamilton County
S 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: 50
Structure separation: 25
Permit must be posted in plain view of access road serving site
J
n 0- p , . r-7 J Inspected By
Signed: SEAL Date
Hannihon County Health Officer
SCANNED