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Permit for On-Site Wastewater Treatment System Louisiana Department of Health Office of Public Health |
IMPORTANT DO NOT DESTROY KEEP WITH HOUSE DOCUMENTS |
| Permit Number: | 1357038 | Date Temp Issued: | 10/27/2023 | ||
| Applicant's Name: | STEPHANIE RIFE | Phone Number: | 318 7581438 | ||
| Mailing Address: | 162 PECANIA DR FERRIDAY, LA 71334 | ||||
| Lot/Square Number: | Subdivision: | ||||
| Site Address: | 268 EARL MEDLIN RD RAYVILLE, LA 71269 | ||||
| Property Latitude: | Property Longitude: | Parish: | Richland | ||
| Section: | Township: | Range: | |||
| Dimensions: | 3.19 ACRES | Square Feet: | |||
| Notes: | |||||
| Percolation Avg.: | Not Run | Water Supply: | Community |
| Design Basis: | 5BR | Proposed Use: | Single Family Res. |
| Average Flow (GPD): | 600 | Type System: | ATU with ER |
| Discharge Location: | PARISH MAINTAINED DITCH ON OWNER'S PROPERTY | ||
| System Specifications: | INSTALL MINIMUM 600 GPD ATU WITH 150 FT OF ER FIELD; ALL DISCHARGE LINES MUST BE CONNECTED | ||
| Sanitarian's Number: | 1671 | Sanitarian's Name: | Jason Pylant |
| Installed Date: | 02/08/2024 | Sewage Treatment Plant ID Tag Number: | 478372 |
| Installer's Number: | 30502 | Installer's Name: | Hal Senn |
| Maintenance Provider Number: | 30502 | Maintenance Provider Name: | Hal Senn |
| Type System Installed: | ATU with ER | System Brand: | *Aqua Aire 750-C |
| Aerator Model: | JA420 (Jefe Aire) | Aerator Serial Number: | CC002643 |
| Type Effluent Reduction: | ERF- Infiltrator EQ-36 | Size & Secondary Treatment: | |
| Sanitarian's Number: | 1671 | Sanitarian Name: | Jason Pylant |
| OPH and LDH do not assume any liability or responsibility for electrical components of this system. | ||||
| Installer checklist has been provided by Installer. | ||||
| Based on its design, this system is expected to produce effluent meeting the secondary treatment standards as defined in the Louisiana Sanitary Code. | ||||
| If it is determined in the future that an error escaped LDH's detection during LDH's review of the applicant-submitted designs, plans, and specifications and/or any other erroneous approval actions which resulted in the issuance of this permit occurred, that oversight and/or erroneous approval shall not relieve you, the applicant, of the responsibility for complete compliance with all applicable requirements of Louisiana law [particularly La. Administrative Code Title 51 (Public Health-Sanitary Code)], specifically including responsibility for correcting the violations inadvertently overlooked and/or any violations that resulted from such oversight. | ||||
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Date: | |||
| Signature of Sanitarian | ||||
