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Docurncnt Referral Number: 10761
ACCESSORY USE AUTIIORIZATION
September 11, 2019
City of Eagle
66() East Civic Lane
Eagle, ID 83616
Applicant/ ()wner Morgan Creek I lorries
Property Address "?364 N Corsey Way, Fagle
Legal Description I,ot 1 l3lock 2 Henry's
This office has no objection to the remodel of the main house to enlarge great room and to
remove the office and create a great roorn in the A1)1„) house. In addition, a 15 x 31' bathroom tc.)
existing shop with the condition that it only have a toilet and sink with no shower to the existing
sewage disposal system inspected and approved on September 29, 2004. Based upon the plans
submitted by the applicant, it appears the proposed addition will neither impact the drainlield nor
septic tank locations. The flealth Department's acceptance is subject to the owner's
acknowledgment °Idle following statements:
I. Any construction, alteration, or extension of the existing sewage disposal system or of a new
system shall not be started until a valid permit for such activity has been obtained from
Central District Health Department (as required by the Rules For IncliviclualiSubsuil ace
S'ewaxe Disposal Systems, May 1993).
2. In the event that the sewage disposal system fails, the owner will pursue immediate action to
expediently and properly correct any malfunction so as to prevent the development of the
health hazards in accordance with applicable codes, regulations, and ordinances.
3. Refer to application for applicant signature.
Sin T rely, .
t,
Lori Badigian, R.E.I.I.S.
Senior Environmental Health Specialist
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ACCESSORY APPLICATION For Office Use Only
''' CENTRAL
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D E.,l'AR 11.41..NT Environmental Health Division permit t\,In
Ada and Boise County Elmore County Valley County
(0 +1,L; t Receipt No.
3 ft 7
707 N Armstrong Place 520 E 801 St.North 703 N'VI'St. [Date Received By
Boise ID 8'3704-0825 Mountain Home ID 83647 McCall ID 83638 .-i.;if: ( iiiC
1h.208 327-7499 Ph.208 587-9225 Ph.208 6347194
This Application is for: 0 ACCESSORY USE E]TEMPORARYLIVINGQUARTERS
OwnertApp cant's,Narne , PhOrle ',,, cr", , ,,, Email
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CURRENT6 Street Address City State I Zip Code
MAILING c( R. ( t\-,) ..1.1;':7Ye 7:7:::,f...:r.:!.' V -I.,A,..(.)IVY .,
PROPERTY Street Address Oily , , State Zip Code
ADDRESS . 6..45'1_(,: /.
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'IA 1/4 ',i'eclien / I ownship
Range
LEGAL ,
DESCRIPTION
i OF PROPERTY lot .1 Block. Subdivision 1 y.
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i Note:Be sure your legal description is accurate-an inaccurate legal description may iesult in rejection of your application
Location I . Inside City El In County I Parcel# _______._..__._...........„.._................._______ ..__................
Naratiyedescriptfpn of your voiect ,,.': /" ,
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Please list current number of bedrooms n the home r:.:-) Number of bedrooms to be added- ,,/ Total number of bedrooms
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Year Septic System was installed&approved: ,nL,Ooti File No: Year home was built
NOTE:SHOULD THIS DEPARTMENT HAVE NO RECORD OF YOUR SEPTIC SYSTEM,YOU MUST HAVE YOUR SEPTIC TANK SIZED OR PUMPED AND BRING THE RECEIPT TO THIS OFFICE,
PLOT PLAN: Please provide a copy of your building plans, and draw an aerial view of the property showing:
(Indicate Directions) • The outline of the buildings, well locations(s) and water lines, • location of septic tank,
drainfield, and drainfield replacement area, • location of, ditches and streams, and • location of
•....
• street or road. • Indicate dimensions and separation distances of each of the above from the
septic tank and drainfield. (See example on back of sheet.)
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1 I hereby certify that all information conpinectinAtis.applicationisaccufa2Lomplale-and I authorize the health authority access to this property I also understand that any modifications,repairs or
I conStruclion of a replacement or tier(individual orSyb_wia.ciSoole thsposai system requires that I obtain a permit to do so from the Central District Health Department
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Applicant'slAgent'sSigriatil'' : ''' pale;;:73) 7,,,i0t„:1,I. .
Address(if different from above) Phone
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• FOR OFFICIAL USE ONLY
Proposed use is 0 Approved 91 Approved perconditions O Denied(see attached
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