ie Environmental Services - Water Quality 7T Onsite Wastewater Scan Data Entry Form rermit#: (SORIA @IGIC! pnt OGUBMALla\4) opoaTe: (MOB MAld SYSTEM USE: SEWAGE TYPE: PUMP/SIPHON?: PRESSURE MANIFOLD: House [& Domestic O Yes Q Yes Mobile Home CD Industrial No BJ No O Business O Other SYSTEM TYPE: ‘SUB TYPE: NBR BEDROOMS: MAINT. SCHEDULE: o1 OA o1 Yes on OB o2 B No wm oc o3 ow oo m4 ov Oe os CERT. OPERATOR Ov Ee ge O Yes O Other Gc O Other {& No GT ST PT SIZE DRAINFIELD SIZE(SQ. FT.) DRAIN TYPE: oO oa 750 O Stone O og a 200 (OWfalalla) B EZ Flow EG Ge ooo: infittrator O & CQ 1,200 OD Biodiffuser O QO Q 1,500 O Cultec O Q OQ 1,800 C Drip O QO QD 2100 © Hancor O QO Q= 2600 C Large Dia. Pipe oad 3,000 O Mutti-Pipe O QO Q 4000 O Other O OG QO 5000 O QO Q = 8000 QO Q $10,000 O O Q _ Other wg B] —_None/NA GT or PT MAX DEPTH(IN.)) STONE DEPTH (IN.): TRENCHES: TRENCH WIDTH (IN.) D 12 in. or less D Bin. orless B Individual 0 12in. or less O 18 in. or less. & 12 in. or less C1 Bed O 18 in. CO 24'in. or less O 18in. orless D 24in. [& 26 in. or less C1 24 in or less By 36in. CO 28 in. or less CO Other D6 it orless 1 30in. or less O 9ft orless D 32in orless O Other O 36 in. or less Ol Other E El _WAKE COUNTY DEPARTMENT OF ENVIRONMENTAL SERVICES WELL AND SEWAGE SITE LOCATION PERMIT NO PERMIT(S) FOR CONSTRUCTION, LOCATION OR RELOCATION ACTIVITY SHALL BE {SUED UNTIL AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION HAS BEEN ISSUED “PERMIT VOID IF NOT IN COMPLIANCE WITH ZONING REGULATIONS ANDY OR IF SITE IS ALTERED OR INTENDED USE CHANGED" PERMIT#: 0033680. STATUS: A APP. DATE: 06/03/2008 BLDG. PERMIT: 0053624 PIN: 0668.01 16 1882 000 TAX MAP: 0782 RECORDED: Y ORIG. PERMIT# TOWNSHIP: 06 HOLLY SPRINGS JURISDICTION: we ZONING: R30 APPLICANT: KEITH M. FLINCHUM BUILDERS, IN (6001 TENBURY CT RALEIGH, NC 27608, (919 824-0129 USE: HD USE: 101 ONE-FAMILY HOUSE EXIST USE: DISPOSAL” BEDROOMS: 4 BASEMENT:N EMPLOYEES: 0 Site: ‘ADDRESS: 4912 OAKWEALTH DR SUBDIVISION: MAJEWSKI LOT: 04 ACRES: 1.01 DIRECTION: SUNSET LAKE RD TR ON STANSTEAD TL ON KINGPOST T LON GREENBREEZE TR ON OAKWEALTH LOT 13 ON SIGN Well System: WATER: COMMUNITY - TYPE: EXISTING ‘WELL LOG INFORMATION: DEPTH WELLI CONTRACTOR: ‘CASING DEPTH: ___ YIELD. STATIC LEVEL: REG PUMP CONTRACTO REG Construction Compliance GROUTAPPROVED — C] DATE __ EHS __ WELLHEAD APPROVED DATE EHS SYSTEMFINALZED—[]_ DATE EHS. coumeNTs: ‘Operation Peat DESIGN FLOW:____gal/min, ACTUAL FLOW: INNOVATIVE LETTER: INSTALLED By: Ty ke INSTALLATION APPROVED BY: PROPRIETARY SYSTEM 2 Fav FILTER NO: COMMENTS, OPERATIONS PERMIT ISSUED? 4 op pate: I-30 ‘This permit is based in parton information provided by the homeowner or his/her representative in the application submitted fo this ‘permit. The Environmental Health Specialist isnot responsible fr false or misleading information contained inthe application, The Environmental Health Specialist is also not responsible far concealed conditions onthe propesty or for statements in this report that may Ihave resulted from false or misleading statements provided to him in the application. Neither Wake County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily in the future or that the water supply will remain potable, As Built Information: Date: 11.5-95 Benchmark: _ St Rod reading. Distance to Structure: 10’ _ Steels tiw gis IDhigrs 467 DOM: _6-1-0 Elev: 1/0" Distance to Well:_/Za —__gals_, ID#: DOM. Elev. DoowFOPR ice ei Supply Line: 2 A. Pump/Control Panel Line 1: u's" — —— Date: Line 2: 3°27" = a — Date: Lime 3: _¢'¢7e" =e Bate Line 4: TI —_ — aan Date; Line 5 se 7 Date Distance to P/L: Notes:WAKE COUNTY DEPARTMENT OF ENVIRONMENTAL SERVICES WELL AND SEWAGE SITE LOCATION PERMIT NO PERMIT(S) FOR CONSTRUCTION, LOCATION OR RELOCATION ACTIVITY SHALL BE ISSUED UNTIL AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION HAS BEEN ISSUED “PERMIT VOID IF NOT IN COMPLIANCE WITH ZONING REGULATIONS AND/ OR IF SITE IS ALTERED OR INTENDED USE CHANGED PERMITE: 0033680. STATUS: A APP. DATE: 06/03/2005 ‘BLOG. PERMIT#: 0063624 PIN: 0668.01 16 1882 000 TAX MAP: 0782 RECORDED: Y ORIG. PERMITE: TOWNSHIP: 06 HOLLY SPRINGS JURISDICTION: WE ZONING: R30 ‘APPLICANT: KEITH Mt. FLINCHUM BUILDERS, IN 6001 TENBURY CT. RALEIGH, NC 27606 (919) 524-0129 use: HD USE: 101 ONE-FAMILY HOUSE EXIST USE: DISPOSAL: BEDROOMS: 4 BASEMENT: N. EMPLOYEES: @ FOUND DRAIN: site: ‘ADDRESS: 4912 OAKWEALTH DR SUBDIVISION: MAJEWSKI LOT: 04 ACRES: 101 DIRECTION: SUNSET LAKE RD -TR ON STANSTEAD TL ON KINGPOST T LON GREENBREEZE TR ON OAKWEALTH LOT 13 ON SIGN IMPROVEMENT PERMIT TANK SIZE: 1200 gal. PUMP Tank: ___gal. SQFT: 1200. INNOVATIVE MAX DEPTH LINE: 26 in WASTEWATER: INDIVIDUAL SEWAGE. DOMESTIC. TYPE SYSTEM: IG | PUMP:N. PIMN. DAILY FLOW. 480 galéay DESIGNFEE REG? — PAID. ~—- WATER: COMMUNITY COMMENTS: wisucor_y onreezomes evict CHM fog ZR et (vers ZATION FOR WASTEWATERWATER oNSTRUCT ‘VOID SIXTY (60) MONTHS FROM DATE OF ISSUANCE. ‘AUTHORIZATION CONDITIONS: Contractors shail instal system on contours, see attached site plan for wastewater system design and well location. No Underground utilities, water lines or sprinkler systems may be located in the orginal system or repair areas. A septic tank fiter with a riser for access is required. The wastewater system shall not be covered or paced into use until inspected by the Wake County Department of Environmental Services and an Operation Permit issued. An Accepted Status System may be used in place of conventional system, iit can be placed in the permittedauthorized trench footprint (except reduction inline length andor number as alowed for in approval) andthe installation isin accordance withthe accepted system approval, without Linauthorized product alteration. If permit required use of an Accepted Status System, substitution with ancther accepted status system may be made, as long as no changes are necessary inthe locaton of each nitrification line (including any increase inne length), trench depth or effluent distribution method. If changes are necessary, prior approval by this office is required before system instalation, OTHER CONDITIONS: INSTALL LINES ON CONTOUR. MAINTAIN ALL SETBACKS, 00 NOT GRADE OR REMOVE SOIL FROM SEPTIC SYSTEM AREA. INSTALL {Q0°XS') GRAVELLES LINES, 25% REDUCTION ALREADY GIVEN. 1200 GAL ST. CALL PRIOR TO INSTALLATION WITH ANY ‘QUESTIONS, CHANGES OR CONCERNS. TANK SIZE: 1200 gal. PUMP TANK:___gal. SQFT: 1200 INNOVATIVE MAX DEPTH LINE: 26 in, MAINT:N OPER:N LO:P TRENCH: 6 LENGTH: sof WIDTH: 36in. DESIGNER: FEB & ASSOC #SUBFIELDS: DESIGN HEAD PRESSURE: __ DESIGN FLOW: 4 CAISSUED? Y DATE: 0872072005 BY: (CHM),PS ‘Approve_———— IMPERVIOUS AREA CALCULATIONS ‘ curve RaplUS LENGTH beLTA CHORD CHBEARING . HOUSE - 3,279 SE. Front cel 50.00" 39.27" 450012" 38.27" S err22'20"'W ——ORNE-WALK — 2.551 SE Some POOLPATIO — 1,250 SF. Side. Poor PROPOSED IMP. AREA ~ 7,080 S.e-ognayents soma ~ 974 sf MIU AIP inne | Ny 99%46'19° 37427 | a ra (VICINITY MAP NTS 4 & : a & 5 N ncresLE66ND o "APPROX. FLOOD HAZARD FUTURE, SOLS LINE PROPOSED POOL 8 PATIO AREA —_ REA BY COORDINATES FLpoo HAZARD SOILS LINE SHOWN PAR BM. 2005 PC. 293 ="EXIST. IRON PIPE, ot existing stand Bardance with 50° NEUSE RIVER \w-— RIPARIAN BUFFER :D PLOT PLAN FOR! 'M. FLINCHUM BUILDER, INC. ag \2 JOAKWEALTH DRIVE Dif MAJEWSKI PARTNERS SUBD. "BOOK OF MAPS 2005 PG. 293 HOLLY SPRINGS TOWNSHIP Yala HRS SC Hor ares Scae: 1" = 50° MAY 3, 2005 BM, 2005 PO. 203 AKWEALTH DRIVE -— Ee i ei BENTON DEWAR & ASSOCIATES FEL iu bi sunteton Saag ronment zou 0 OTe eto estes ay SURVEY OF AI EXISTING sunseT 087680 18, PLAT 18 OF A BOUND! SPLAT ISAOF Ase a REGULATED GY. & COUNTY 0% ee TANGA D MANGE THAT REGULATES PARCELS OF LAND- (eie)-662-9813Zoning PP Date, ‘Approve — IMPERVIOUS AREA CALCULATIONS DELTA CHORD CH.BEARING cuRVE RADIUS - ~ LENGTH " vot Fi a . oot HOUSE ~ 3.279 5. Front, ct 50,00 39.27 45%00"2' sa.er' 3 67°22'20°W —-ORVECWALK — 2581 Si 7 ‘ POOL/PATIO ~ 1,290 SF. side? ———— Foot BROPOSED IMP. AREA ~ 7,080 $.Feommpnts ALOMBLE ~ 6704 SE APSE uncer alonne.e / : y a9°46'19"E _374.27. cn REISE AT oy — “APPROX, FLOOD HAZARD \y iq Zope SOLS TINE 2 SY COORDINATES» 'HAZARD SOILS LINE SHOWN 1, 2005 PG. 293 "EXIST. IRON PIPE W ~ RIGHT 'OF WAY." » BOOK OF MAP: ‘ 50° NEUSE RIVER ~~ \w—— RIPARIAN BUFFER wv) ED PLOT PLAN FOR?: br: FLINCHUM BUILDER, INC|} BM, 2005 P6. 293 agi2 JOKwen TH DRIVE Az): MAJEWSK! PARTNERS SUBD. "BOOK,OF MAPS:2005 PG. 203 HOLLY SPRINGS TOWNSHIP. sew wen HOLLY SSN. ~ NORTH CAROLINA. y, sme aT ROT a Bek Se Ee DE sae w7 dort Becta ee Tate Sa shen OF Beton PER e- BSI Bevo, Wake TH CA : = as ncovernation nuwer yOPea, twis Se ony oF 1M 2022. . eS lien 4 EAE DRONE ewan eos, “ ALTE D eran ae SLAM ASAT ete ee ss : a es RE St THAT UGuB" rhiatots REGULATED, 8Y : LOE HNOLTHALNGE SHAT REGULATES PARCELS OF LAND.