BP-54523RESIDENTIAL
❑ Approval in Part (Per 780 CMR.5.1-11.13)
'ION FEE IS NON RE -FUNDABLE A NON -TRANSFERABLE
SECTION 1 -SITE INFORMATION
`
1.1 Property Address: 1(P J IVIS OA(;W POINT f-7-OAD
1.2 Assessors Map & Lot Number:
Lot Area (sf.) 0 ® ✓'2--7 G;j A�S Frontage
Map Lot to -
Required Provided
Front Yard
Side Yard
Rear Yard
1.3 Historical District ❑ Yes No
Has application been submitted to the Historic Commission?
❑ Yes ❑ No Date:
1 Water Supply (MGL c40 s54):
❑ Municipal Private Well
'Iles ewage Disposal System:
❑ Municipal ,On Site Disposal System
❑ CONSTRUCTION PLANS El SITE PLAN ❑ENERGY REPORT
SECTIOI+'t- PROPERTY OWNERSHIP/AUTHORIZED
AGENT
2.1 Owner Record
U
GN a i(pri t) je4I� / A v Ix�}.
f� !t �°
Contact Address Phone Number
2.2 th rized
t/s r�Z7- 9'9- gas
Name (print) ;
J �I�
tart dr �e� e N mb r
E�, t
_SECTION 3 -CONSTRUCTION
SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable ❑
Licensed Construction Supervisor:
License Number:
Expiration Date:
Address:
gnature: Telephone:
3.2 Registered Home Improvement Contractor: a( N�A_ N 56.PJ
Not Applicable ❑
Are you a Home Improvement Contractor subject to (780 CMR.1 10. R6)? Yes ❑ No
Aecton!
If No, go to the next
Are you claming exemption from the requirements? ❑ Yes No
If Yes, submit the required affidavit!
Company Name: PA N
7Registration Number /(if none, state "none"):
h
Address:
Signature: Telephon C14 13 / q
E piration Date: $ Qd
3.3 For Residential Remodel Work Only
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND:
QUESTIONS OR COMPLAINTS call or write:
Home Improvement Contractors Registration, One Ashburton Place - Room 1301, Boston, MA 02108, 617-727-8598
❑ 1 am a Homeowner performing all the work myself.
Owners Name (print):
Signature:
By signing the above, the homeowner acknowledges that there will be no eligibility to the Guaranty Fund
Date:
3.4 Homeowner Exemption - One & Two Family Only
FOR HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
5108.3.5 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0, effective July 1, 1982, no individual
shall be engaged in directly supervising persons engaged in construction, reconstruction, alteration, repair, removal or demolition involving the structural elements of buildings
or structures, unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled Rules and Regulations for Licensing Construction
Supervisors.
Exception: Any Homeowner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Homeowner
engages a person(s) for hire to do such work, that such Homeowner shall act as supervisor.
For the purposes of this section only, a "Homeowner" is defined as follows: Person(s) who owns a parcel of land on which he/she resides or intends to reside, on which
there is, or is intended to be, a one or two family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than
one home in a two-year period shall not be considered a Homeowner.
If you are applying under this section sign below:
Signature:
Your signature carries certain responsibilities, including but not necessarily limited to, general liability
SECTION 4 - WORKER'S COMPENSATION INSURANCE AFFIDAVIT (MGLc 152 § 25)
Worker's Compensation Insurance Affidavit must be completed and submitted with this application. Failure to provide this
affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached: ❑ Yes ❑ No
SECTION 5 DESCRIPTION OF PROPOSED WORK (Check atlapplicable)
❑ Deck ❑ Pool ❑ Repairs ❑ Alteration ❑ Chimney/Fireplace ❑ Woodstove/Pellet Stove
❑ New Construction* ❑ Accessory Bldg. ❑ Roofing/Siding ❑ Other
(Energy report required) (Shed/Garage) (Specify below)
❑ Addition ❑ Replacement window/door ;tpecify
emolition
(Energy report required) No. of windows Doors _ below)
*If new construction, please complete the following:
Single Family: No. of Bedrooms No. of Baths
Two Family: No of Bedrooms Unit 1 No. of Baths Unit 1
No of Bedrooms Unit 2 No. of Baths Unit 2
❑ Furnace (hot air) - fuel gas (natural or propane), fuel oil, electricity, other (specify):
❑ Boiler (heating) - fuel gas (natural or propane), fuel oil, electricity, other (specify):
❑ HVAC (combined unit) primary fuel, natural gas, propane, electricityXFueil
other
❑ Air conditioning - (separate unit)
❑ None of the above to be provided
❑ Hot Water: Gas Electric Other
Description of proposed work:
Z
SECTION fi -ESTIMATED CONSTRUCTIONCOST
Item Estimated Cost ($) to be completed by permit applicant
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
5. Total =(1+2+3+4)
SECTION 7A - OWNER UTHORIZATI
(to be completed when owners agent or contractor applies for building permit)
(Please Print) ��
1, W P LAW A M A, VIJt; 1 t� , as Owner of the subject property hereby authorize--- AANOA A) �C,/ t '
to act on my behalf, in all matters relative to work authorized by this building permit application.
:SECTION 7B ' ERiAUT . RtZED AGENT DECLARATION
as Owner/Authorized Agent hereby declare that the statements and information
on the for i plication are true and accurate, to the best of my knowledge and belief.
Signed r i sp alties of perjury.
f6& of Owner/A thou Agent to
PLAT 7, LOT 9
LEGEND
O O 0 SEPTIC TANK
- - -14 - - - EXISTING CONTOUR
14 PROPOSED CONTOUR
W WATER SERVICE
FLOOD ZONE LIMIT
TEST PIT
PROPERTY LINE
IL
40-FOOT RIGHT-OF-WAY
20 0 10 20 40
SCALE IN FEET
FINISH GRADE
PROVIDE INLET TEE
(310 CMR 15.232(3))
"V" NOTCH
PROVIDE A RISER
TO WITHIN 6 OF
- 4 INLET
GRADE (310 CMR ,
15.232(3 f
0 � +
SET ON LEVEL
DB-9
STABLE BASE (6"
2-J
.6'Y. �
COMPACTED GRAVEL ,
OR COMPARABLE)
DISTRIBUTION BOX
DETAIL
NOT TO SCALE
FINISH GRADE
�ITPT - I -!► -T4 i lT- i i i
T1-ITi=i. i--I
PROVIDE INLET TEE
(310 CMR 15.231[3J)
"V" NOTCH
PROVIDE A RISER
TO WITHIN 6" OF
2' INLET
GRADE OO CMR
15.232(3 f +
00
DB-5
SET ON LEVEL M
6'
� '
STABLE BASE (6
• i - ,
COMPACTED GRAVEL
OR COMPARABLE)
FORCE
MAIN DISTR
BUTION
FINISH GRADE OVER
TANK = 17. 1 + THREE (3) 20-INCH MANHOLES WITH REMOVABLE
MIRAFI 140N FILTER FABRIC OR
APPROVED COMPARABLE SUBSTITUTE CONNECT LINES AND
CAST IRON OR CONCRETE COVERS OF DURABLE MATERIAL
BUILT UP WITH CONCRETE RISERS
4" PERFORATED SDR 35 PVC PIPE PROVIDE VENT WITH
FINISH GRAD AT
E TO WITHIN 6 OF GRADE
THROUGH THE CHAMBERS SCREEN.
TOP OF FOUNDATION HOUSE = EXISTING (310 CMR 15.228 (2)) 4" SOLID WALL FINISH GRADE ELEVATION A (3 10 CMR 15.241)
PVC PIPE
ELEVAr/0N= 22.8
= 16.0 - 14.3
(MINIMUM)
SLOPE = 2�
TOPSOIL AND SUBSOIL BACKFILL 5'
OVERDID 13. 3 TOP of CHAMBER
NORTH18.8J_ a0000aa0000000aooa000000aoo000
12.75
SOUTH 18.5f 1,500 GAL
16.30 REINFORCED
SEPTIC TANK
F7;t
CAP ALL ENDS
BOTTOM OF CHAMBERS (BED) TO BE LEVEL; ELEVATION 12.25 OF PERF. PIPES
LENGTH OF BED=1QCULTEC CONTACTOR®100 CHAMBERSCLEAN
ARSE
LEVEL STABLE SAND
CLEAN
A COARSE
BOTTOM OF EXCAVATION ELEVATION = 7.8 * SAND J
LEVEL STABLE BASE THAT HAS BEEN MECHANICALLY
HIGH WATER TABLE ELEVATION = 8.25 „
* 6 MINIMUM INTO THE C SOIL HORIZON
COMPACTED AND ONTO WHICH SIX (6) INCHES OF
SOIL ABSORPTION SYSTEM NOTES:
CRUSHED STONE HAS BEEN PLACED TO MINIMIZE
UNEVEN SEFRING (310 CMR 15.228 (1))
1. AL SYSTEM COMPONENTS SHALL BE MARKED WITH MAGNETIC TAPE OR A
COMPARABLE MEANS IN ORDER TO LOCATE THEM ONCE BURIED (310 CMR 15.221)
2. ALL SOIL ABSORPTION SYSTEMS SHALL HAVE A MINIMUM OF ONE INSPECTION PORT
CONSISTING OF A PERFORATED FOUR INCH PIPE PLACED VERTICALLY DOWN INTO
SEPTIC SYSTEM PROFILE THE STONE TO THE NATURALLY OCCURING SOIL OR SAND FILL BELOW THE STONE.
THE PIPE SHALL BE CAPPED WITH A SCREW TYPE CAP AND ACCESSIBLE TO
NOT TO SCALE
WITHIN THREE INCHES OF FINISH GRADE (310 CMR 15.240).
BOX DETAIL NOTES:
NOT TO SCALE
1. A PORTION OF THIS SITE IS WITHIN THE 100 YR FLOOD ZONE "Y13"
(EL 18 NGVD) AND "V9" (EL 17), AS SHOWN ON N.F.I.P./F,LR.M.
PANEL J250051 0024 E, REVISED: JULY 2, 1992.
2. PROPERTY LINES SHOWN ON THIS DRAWING ARE APPROXIMATE, HAVE
NOT BEEN VERIFIED AND ARE NOT THE RESULT OF A FIELD SURVEY.
3. CONTRACTOR SHALL COMPACT THE EARTH AND PLACE A PATIO BLOCK
BENEATH ANY ELBOWS TO SUPPORT THE SEWER PIPE .
4. THE EXISTING SEPTIC TANK SHALL BE PUMPED AND REMOVED OR FILLED
WITH
SAND. FOR APPROXIMATE LOCATION OF EXISTING SOIL ABSORPTION
SYSTEM, SEE AS -BUILT PLAN, PREPARED BY HOLMES & GEISSER, INC.,
DATED 3/19/93.
' 5. AN IMPERVIOUS BARRIER (SEE DETAIL) SHALL BE PLACED AROUND THE
t I EASTERLY HALF OF THE LIMIT OF EXCAVATION.
1 '
D-BOX (SEE DETAIL) PLAT 7, LOT 7
DCATED OR REMOVED)
LITY HANDHOIE /
Cb
VALVE 00/
ACCESS TO
)ECK ® 2" PVC _FORCE MAIN M WATER PIPE
OUT
1.6% \ _
BUILDING
! FLOOD ZONE V13
I �r (EL. 18)
J I
y /
oVC' 0 2%. OVERDID
=LIMIT OF �Q
EXCAVATION' RETAINING WALL J
/ I =TOP OF /
'' COASTAL BANK
LAMP ri i I 27' 28 , / 00
�'IL
� VENT/ l
( STONE MASONRY WALL Q�
100' BUFFER ZONE /
•
PLAT 7, LOT 11 f
REQUESTED WAIVERS
1. WAIVER TO ALLOW A REDUCTION OF SOIL ABSORPTION SYSTEM
SETBACK FROM THE SOUTHERLY PROPERTY LINE (40-FOOT WIDE R.O.W.)
TO SIX (6) FEET (310 CMR 15.405(1)(a)).
2. WAIVER TO ALLOW A REDUCTION OF SOIL ABSORPTION SYSTEM SETBACK
FROM THE COASTAL BANK ((RETAINING WALL) TO 28 FEET
(310 CMR 15.405(1)(f) AND DBOH SUPPLEMENTAL REGULATIONS,
SECTION 15.211).
3. WAIVER TO ALLOW ONE DEEP HOLE IN THE DISPOSAL AREA AS
REQUIRED BY 310 CMR 15.102. CHRIS MICHAUD, DBOH AGENT,
DETERMINED THAT THE DEEP HOLE ADEQUATELY CHARACTERIZES
THE SOILS FOR THE PURPOSE OF DESIGNING THE SOIL ABSORPTION
SYSTEM (310 CMR 15.405(1)(k)).
SITE BENCHMARK:
1. CORNER OF CONCRETE PATIO
ELEVATION = 11.39 (N.G.V.D. 1929)
SEPTIC SYSTEM COMPONENTS
SEPTIC TANK: USE 1,500 GAL. TANK AS MANUFACTURED BY MBO
PRECAST, INC., OR USE AN APPROVED COMPARABLE
SUBSTITUTE.
DISTRIBUTION BOX: USE 9 OUTLET DISTRIBUTION BOX AS
MANUFACTURED BY MBO PRECAST, INC.
OR APPROVED COMPARABLE SUBSTITUTE.
APPROVEDMIRAFI 14ON FILTER FABRIC OR
•
• D• - OVER THE
CONTACTORS AND COVERED•
THERE SHALL BE AN AIR SPACE CAST IRON OR CONCRETE COVERS
OF AT LEAST 3 BETWEEN THE SHALL BE BROUGHT TO WITHIN 6-
TOPS OF THE TEES AND THE 'k OF GRADE WITH CONCRETE RISERS.
BOTTOM OF THE COVERS. 6" MAX. (310 CMR 15.228 (2))
4" PVC
INLET
•CUR 15.227!
a►,;�1� ;�� X * �s{1` �•.�4� s�jJf�� ���%Y� ��j)f � � ��� �•�1r� :� 1J�: ,�,jX�:ii����� �X: 'i�
i i-i i i-r i i-i i, i r i-i a i_i � i-i i i_._i _ _i i i-i i i==i I I=1 11=1-�=_;i' _I '•._. � I f t=I I I_I 11=1 11=1 I I�I 1 !_
27'
SECTION A -A THROUGH LEACHING BED
LEACHING BED
NOT TO SCALE
CULTEC CONTACTOR®100
STANDARD DUTY
_z
J" - 1j" DOUBLE
WASHED STONE "a�
4" PVC
OUTLET
TEST PIT DATA
DATE OF TEST: 1 QZ7/08 DATE OF SOIL EVALUATION: 10 708
INSPECTOR CHRIS MICHAUD, D.B.O.H.
PERFORMED BY. ALAN. J. HEUREUX, P.E.
0„ TEST PIT 11 15.7
A
FILL
6"+ LOAM OVER
51 " CLEAN SANDY FILL 11.5
B
SANDY LOAM
10 YR 5/6
FRIABLE
68 10.0
C
SANDY LOAM
2.5 Y 6/3
FIRM
MOTTLES 0 93"
10 YR 5/4
FAINT
122,, 5.5
WATER TABLE: 93"
BOTTOM OF PERC HOLE,• 100
PERC. RATE.• 50 MIN/IN
S=0.02 --
lr FINISH GRADE
10
TOP OF 9 _11
CHAMBER=13.3 MIN. 6 MIN. 3l 1
5'
OVER
BOTTOM OF 40 MIL H.D.P.E IMPERVIOUS BARRIER
CHAMBER=12.25 5 FOOT WIDE ROLL
CONTACT WESTPORT WIN WATER�WC6.WESPR833 STATE ROAD, O46 -122
(OR APPROVED COMPA LE SUBSTITUTE)..
BOTTOM OF -� ..
EXCAVATION= 7.8
�k IN ACCORDANCE WITH MDEP POLICY/SOP/GUIDELINE JBRP1DWM1WPeP1G02-1
DATED 311102 (www.state.ma.us/dep/brp/wwm/t5pubs.htm)
IMPERVIOUS BARRIER WITH SIDE SLOPE*
NOT TO SCALE
BOARD OF HEALTH STAMPS:
BOARD OF HEALTH STAMPS:
GENERAL NOTES D �---
1.) This system sholl be inspected when the leaching area is 9.) Grout shall be used at all points where pipes enter or exit OCT 3
fully excavated, when all components are in place and again after all concrete structures to provide a watertight seal 1 2?g
final cover to grade is complete. The contractor shall notify the 10.
local Board of Health and the Engineer a minimum of 24 hours in ) All shi lap joints in the septic tank shall be sealed with
P DAHT
advance of an required inspections. neoprene gaskets or asphalt cement. GONSE MOUTH
Y q P Rt/A7iOl� CONtMtSStON
2.) All base aggregate for leaching structures shall consist of 11.) All PVC pipe used shall meet ASTM D 3034-73 SDR 35 and
double washed stone 3/4 to 1 1/2 inches in diameter and shall be 310 CMR 15.251 (5) except inlet and outlet tees which shall be
free of iron, fines and dust in place (310 CMR 15.247 (1) (2). schedule 40 PVC. STAMP OF P.E.
3.) Elevations for the system are based on the datum shown. 12.) Some manhole locations shown on the precast concrete ,
structures may not be standard locations and must be specially y.
E
4.) The contractor shall not allow any ..heavy equipment to be ordered as such from the supplier.
operated over the limits of the sewage disposal system during ,
construction of the system. 13.) The contractor shall excavate all unsuitable material in the Or`�,, g 4£
leaching area shown on the plan and backfill with clean gravel or
5.) No field modifications shall be made to the system without coarse sand 310 CMR 15.255 3 ALAN J. EUREUX, P.E. DATE' I r = l
prior written approval from the Engineer and the Town Board of ( ()) 1
Health. 14.) A Certificate of Compliance as required by Title V. 310 CMR
15.021, must be obtained by the contractor upon completion of the THIS PLAN SHALL NOT BE VALID UNLESS THE SIGNATURE OF i#
6.) Unless otherwise noted, all system components shall be work. If an As -Built plan is required due to the contractor THE ABOVE NAMED PERSON IS AN ORIGINAL SIGNATURE ANDS.,;-aha
installed in accordance with the current edition of Title V of deviating from these plans, the cost of said "As -Built" plan THE PROFESSIONAL SEAL APPEARS IN RED INK.
the State Environmental Code and applicable town shall be paid for by the contractor.
regulations. 15.) The contractor shall be responsible for verifying the actual
7.) At all points of intersection of water lines and sewer location of any existing utilities shown on this plan. SUBSURFACE SEWAGE DISPOSAL SYSTEM
lines, mechanical joint cast iron pipe shall be installed for 16.) This septic system is not designed for the use of a garbage
both lines for 10' on either side of the intersection point. disposal unit. SITE LOCATION: 9 65 MI SHAUM POINT ROAD DARTMD UTH
8.) The precast concrete septic system components shall be ,
manufactured by MBO Precast, Inc., Plymouth, MA or an 17.) It is recommended that the septic tank be pumped out at
approved comparable substitute. least once every three years. OWNER: ESTATE OF JOSEPH T. GALLAGHER CIO WILLIAM DURGIN
P. 0. BOX 1242
NEWPORT, RI 02840
SYSTEM DESIGN DATA NO. DATE REVISION BY PLAT: 7 LOT: 10
DESIGN CAPACITY. 6 BEDROOMS 0 110 GAL/DAY= 660 GAL/DAY DATE: 10/29/08
REQUIRED EFFECTIVE LEACHING AREA
660 GAL/DAY / 0.20 GAL/DAY/SF= 3300 SF Boucher & Heureu X Inc.
LEACHING BED DESIGN CALCULATIONS
7.5 L.F. CONTACTOR 100 HAM = CIVIL ENGINEERS
®0 CHAMBER X 5 S F./L.F. 37.5 SF/CHAMBER LAND SURVEYORS
* IN ACCORDANCE WITH M. D. E. P. MODIFIED CERTIFICATION FOR GENERAL USE
DATED 12122105 DRAWN 9Y S.K.D. SHEET 1 of 1 648 AMERICAN LEGION HIGHWAY, SUITE ONE
90 CHAMBERS X 37.5 S.F./CHAMBER= 3375 S.F. D£S/GNED BY DRAWING N0. • g A.J.H. 1843-01.dW WESTPORT, MASSACHUSETTS 02790
MINIMUM REQUIRED NUMBER OF CHAMBERS= 88 tcl. (508) 636-5905 - fax. (508) 636-2477
CHECKED BY. A.J.H. ,ba No. • 1843-01
COPYRIGHT® 2008 BOUCHER & HEUREUX INC.