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BP-13164FILE .i e _ � � �tea e � :1 LOT ELI ZA (50' WIDE) LANE LOT 2 150.00 , Q LOT 4A cn 40,000 +/- SQ. FT. -- 0.92 ACRES LOT 3A LOT 5 0 � F p��IOTIIyG / T p ATIpN / 130.E ` 0`1' s DRAINAGE DRAINAGE Ui EASEMENT, EA,S'E'MENT 24,297+/ - SQ. H . 0.56 ACRES 55.72 -� It i 176.10' -- ,-- s-9f Ac g C�Mil Copy Of Thl Endorsed _. w .. Must Cc Kept On Site EMI . EU S� I� F .�.,, c Built x +r. i� `'.jr .fit AA a b�. E 3 ..Ua As B ilt �� � � � t�" .:tad �j� ��� CONCRETE IS POURED, SlE brnicaed to the 1,,"a .kDate �- mod`- BUILDING DEPARTMENT -------- - Dept - prior to calling for Too -in of Dartmouth a foundation -inspection or _ - -' Pens-t anOi 3s th u Dated walls ra `' flo any f�irther construction. Wailed with a, maerial c �. B ire tO ndard specific YO � Deer t "tT, r 14. AT THE 'BUR IN IDQN� pRoGREss OF TH19 WO , f ---- town of Dartmouth IJ Li ---------- --- ....... ... - SMOKEUUP -DETECTORS ®CN 001 --- k - ql Owl All- �l { .r. rlt YOUR D�I..�V1iva MUSTD ��R�' �'a� AT THE BUILDING DURIIVD, IfHg � �* ,a y �' �.. , PROGRESS of THIS N 0 ,-4 Penetrations ter, I., rated mails and floors shall be Su RIB. � `' � a! �A ti�� a Material xca a :'e, of preventingthe BUILDING DEPARTMENT s.� < e ;� #�� ;1 t� arlt� �`Fi Tvv of Dartmouth � � �� f�t Survey '�7��st be ti�e requirements of the Test 5iarldard specific sLA bx:-rkftte to the Building � for Fire Stops ASTiV -E- 14. Dept. prior to caffing for a foundat-ion inspection or T WE3 Or- DAfiff-RIOUTH any further construction. RECORD PLAN A. C-,,,%y Of This n Plan MintBe Kept B Site F6i OLINY corl.9hruNkIF Date SONG-Wl -,. 7. SIZE AND DEPTH INSPECTION IS RECQUIRED BEFORE THE CONCRETE IS POURED. BUILDING DEPARTMENT Town of Dartmouth �Y ZZ -�:>IA t,.,3 c, rff - E5; 3G' Ic V`I t13Y1. McY} t tt YOUR DRAWING MUST BE KEPT `." - w q F �. ING UH i M., '°j^' AT THE BUILDING DURING THE 6�7 FIRPROGRESS OF THIS E9QIK. IN 7 Penetrations thru rated walls and floors shall bo ilt S irk ey mastbe 91,1Li)ING DEPA �'ful + F' I L E C 0 �q As sealed with a material capable of preventing the � 911 �� slibr fitted to passage of flani s and hot asses when subjected .01 D PLAN'Dept. prior to calling for to the requirements of than Test Standard s peolflo. RECOR ft�� rnt 1011 i s cctiol for Plre Mops A�TlVl-E-g14. C f€ i E '8sty t c it�n. . TIo is REQUIRED BEFORE a further coil THE CONCRETE IS POURED. flan ,gust ., n SHO �' tiri Galsir ion G�► WILDING DEPARTMENT % Town of Dartmouth Date %Aj ti N'TX� Z B1Era _ 6NCRe:��t• 7� of .. 2'.Z 1� '14`Lrr W7AKl;. t7 - U""PStom- t2° u tb eor, -2 &46 f ,fin 1-0► �_���� �tI Iw tt r I Mv.1 k^j a du—c!C4C, CI: M 0 m o -a i I, a I I i s � .�sl°E�TIJt�i i.� REG2LIlD:��3 BEFORE � THEf E IS POURED. RECORD NOP H A,,, g F H BUILDING DEPARTMENTCopy *5 1: �^pe sL E-'!E c TCO I a V 11EQ4..6IPIES 8E 6 oil l0 e v Irve .r .€ us Town of Dartm t� � �.„sA on. Kept a Site �. � must be a Pen trations tl�rru rated walls and floors shall be 511bfitted t the � ��� 11 �f' �$IQ� sealed with a material capable 0f preventing the � t. �`�® � �. to 9� prior to ca.�ai .g for passage of flames and hot gasses when subjected a C� I0t2 1n5 cc b� uR OR�°aVING MUST BE KEPT i to tree ccr�.�lsarl�9el�ty of t�� pest Standard specific r � a� �c,, � alli:AT THE BUILDING DURING THE further i c� S�F' cti� PROGRESS OF THIS WORK. $t�i Fire Mops ,�Si M-E-81 4. SRO BUILDING DEPAR6MS Town of Dartmouth 3 I1KE aDETEC TORS ahail i� instilled in p lance `With 780 CMP, Scctic.i �'> ECT?O -- 21hough ttror -ly rec nunended t curr^zntly requised per 780 CMR, Section 16. Pill T,nMrs MPARTMENT m FIRE ST IN "13" R a Hi 1,,,4 N s t d floors shall be Penetrations t l-I�ru rated walls a� n sealed with a material capable of preventing the 3 passaAe of flames and hot gasses when s.� acted to the requirements of the Test Standard specific m for Firs Stops ASTM-E-814. - 0 o C NO A As B Y,f.tt � rvey 11?��� e s-L��-rftitted to tile BWI.ding oDe pt. prior to calling for fly further construct; on. 2 x 12. V- e.� v o l i y - 1 � az 10 4t iKk ��- L I'`d.' ` IV ifCOX: ..» �!f 21 l 2 x k � � ,�" , . , 2 Y, c� 1-� -44 !4 f.f3PIOT!"f 51Z Aeia' DEFM ,. . � CioN IS REQUIRED BEFOA19 THE CONCRETE IS POURED. 13UILDING DEPARTMENT �* Town of Dartmouth YOUR DfiA ANG MUST SE KEPT AT THE BUILDING DURING TH: 'JiOGRESS OF THIS WORK. BUILDING DEPARTMENT' Tovm of Dartmouth TCIMN OF DAB C ° Of TWs rSt°O-- Plan Must Co K'Up! all Sun Caring Coy itC ion , g Date 6) "' 1 Lo" t7 C • '+ I"4 , �4 2xl l��°',• 2>e S I fi t' IAj19: 14: - - M f4' F11 fz' 00 h C'" 121 t `Y7-'l 3 0 xp C ��•-� bx �ty2---"' l /Ztt L G• caNC• 1_ - r U _ - a -i YflLNFI DS3A,W11`IG Ml9Z-7 BE u. ,4 e i•., .c 8 .EFT;' n0RE � Al ATTHE �uIL�1�� nt�Ih� �� Voeaoss OF TieSII. "y This "I", ia�s.FR» _ � . a "W's)l �� O Site R—WI-DING DEPARTMENT Penetrations ffiru rated galls arid: floors shall e Y g� IG � • �:,n of Dartmouth 3 sealed with material capable of preventing the ���� r�� ���It �r�..�c� rn�t�t �� passage f f.arhes and hit gasses when subjected s�.al .i to to tlic Building ate m to the requirements of the Test Standard specific Dept. prior to calling for ,Ya- �j— AIID DEPTH P sor,tc�-TUv fF- s,._ o fs�r Fly �"6� s ANTI I �i �. a foundation inspection e hSPECTION IS r f� !; } THE CC3NV ETE IS URED, FILE ED n f' rther construction. t)ILDING DEP RTf,AEN rJt nS lit ,.�.• d 4 ` C� y Tov2, n of Dartmout't - 4 �4t 6 �L a e• e y r r � r - _ N NOTICE '� '�®�.5 shall be installe in ia.� of E, C accordance `with 780 C1vIR, Secti 3603.16. EAT DETECT'' -- although rdeco ender! _.. _ are not cur as S u per 780 CM, 5� ®n fl v a rZ 603.16.4. _ - o ►+ 3 , l� alma � `' ` ` �oL-• .....__,...._ ____--_.... __...... . �' _ � l 3 7-1 _..I Lj 1 i 'V oil 41 , o ' N IA hJ _____ p06 w _ 1 t t 1 i � t ! `7-t - `71- ' f { TEST PIT DATA .------. Sao EXISTING CONTOUR DATE: 04/02/96_PERFORMED BY: MBH WITNESSED BY: CHRIS MICHAUD ALAN HEURUEX » TP #140 » TP #141 . ,.,... BEEDEN ROA 1 �i .---T1'r 0 A SANDY 9" LOAM B 21 " SANDY LOAM 27» C1 LOAMY 38" SAND C2 SANDY 54" LOAM 3 SANDY 120» LOAM A SANDY LOAM 1 SANDY LOAM B2 SANDY LOAM CISANDY LOAM C2 SANDY LOAM 3 SANDY LOAM.. DESIGN PERC RATE: 1" IN 7 MIN. PROPOSED CONTOUR DESIGN FLOW: 3 BEDROOMS X 110 GPD/BDM 330 GPD REQUIRED 12" MIN. EARTH PIPE- INVERT ELEVATION BACKFILL SYSTEM DESIGN: USE 40' X 15' LEACHING BED TEST PIT �--�-�t L-_ BOTTOM: 40' LONG X 15' WIDE X 0.60 G/SF = 360 GPD PROVIDED 2" DEPTH OF 1/8" -- __.1 SEPTIC TANK 1 /2" WASHED PEASTONE ❑ DIS`TRIBUTION BOX RESERVE AREA: 34' LONG X 18' WIDE 10" DEPTH OF 3/4" TO 1-1/2- DOUBLE WASHED W EXIrSTING WATER SERVICE LINE CRUSHED STONE n M'2`rmirm f%n^l IAIt11A1A rr rj 125.5 0 124.8 9» 123.8 123.3 21 » 122.3 43" 121.0 51» 115.5 120" ' id s i`fVl 1�/ Jld'1tL ` 1 RUIN 1 1 r F-,IJ JL 1 Dr1k 1\ JV PERC 0 42" PERC CAD 47" * E. r. / SIDE YARD SETBACK 10' PERC RATE: 1 IN 3 MIN. PERC RATE: 1 IN 7 MIN. , BENCHMARK: F&f j ` z G CATCH ✓ , ELEV,=128,34 / REAR YARD SETBACK 20 WATER ®54» WATER CAD 51 ELIZA , -. LANE , ' / (ELEV. 121.0) (ELEV. 122.0)--'" ,r n .. i s v r S, ` f f # / _ .. _... 1 THIS SYSTEM SHALL BE INSPECTED FULLYEXCAVATED _ TED WHEN LEACHING AREA L.a LL - AND WHEN P EN ALL COMPONENTS ARE IN PLACE. WHEN THEY�TEM IS .READY FOR INSPECTION .P, THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTH. NOTES: 1. THIS LOT 1S PART OF AN APPROVED SUBDIVISION / . _ v__ _. ` ~ -�,, / / /� \ 2) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL D`RT, DUST AND FINES. PREPARED FOR FLEMING REALTY CORP. FOR LAND 3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATUM• LOCATED ON OLD WESTPORT ROAD NAMELY DAISY FARMS / f 150.00 APPROVED ON MAY 16, 1996 i ! / ` - - �'' / 4) HEAVY EQUIPMENT SHALL IyQT BE ALLOWED TO OPERATE 0 R THE LIMITS OF THE 2. THE LOT IS LOCATED IN A SINGLE RESIDENCE i ti3� ---- - OF THE SEWAGE DISPOSACISYSTEM DURING THE COURSE OF CONSTRUCTION OF THE g (SR ZONING DISTRICT. ( ,� / -- P 4 40 3. THIN LOT IS LOCATED IN A FIRM ZONE "C„ I �, / // i / ;` ,,i,,i,� LOT COVERAGE: 4%+ - 4 _ '� / �' i '' 5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT _ 4. PEP CENTL / --_ F- rn � � / r i PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LOCAL BOARD OF HEALTH. 5. TWC� (2) REQUIRED PARKING SPACES PROVIDED. ✓�•� o 6. THI`, LOT IS LOCATED IN ZONE 3 AQUIFER ZONE. �`Z f ; f �T. / �' /\ / / / 6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTAL CODE AND ANY 100 TO 100 YR. / " r�� / / / o i / / _ APPLICABLE LOCAL REGULATIONS. STORM ELEVATION � / / o PROPO WELL. / _ 7 - Z2 PROPUSEIZ Y , 7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTURED BY A. ROTONDO & SONS i t o 3 BDRM. / / �, s" DTA. MOCKOUT / ?,� i z DWELLING� OR APPROVED EQUAL. cTrp.> w_ T.O.F.=130.50 / O\ � / � / � / -3" 2 / SLAB=122.75 �P f�� / i 8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE % �,! / f L 0 T /c3 - STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL z + / �, _ s" D=A. MOCaooT + + 1'-3" / / V 00 ` 41, 9 8 9/ S Q. , T , i XISTING [DETENTION POND 9) ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED WITH NEOPRENE GASKETS m 2 j OCATION SIZE AS PREVIOUSL OR ASPHALT CEMENT. / �� / �3 / '!, APPROVED - 4" .j 2wT LOT 6 / �� o �' tip" i PROPOSED WELL ' /�- _---�/� �'�� 10) EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA AND BACKFILL WITH CLEAN /�� GRAVEL AND COARSE SAND. SECTION A -Ps 40,000 S Q , F T , ; PROPOSEq 'VVELL - �` //,��•_...-. - - -- ' '•' i , / / 12/r-D�� 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL UNIT. z 6 i/2/ / f PROPOSED DEMON POND 1� 21� 1'� SECTION B E 2 -2 1/2" RE -DESIGNED 'LOCATION/SIZE n' / / i' OF DETENTIO POND COMPARABL�VOLUME ELEVATIONS TO � ��--------�-------�--`�" �-'� BOARD OF HEALTH S1 A ? 04F HEALTH INSPECTION }} ORIGINAL P ND DESIGN) �-- �' ..� 1 1/2R - J+ ! 100 YEAR LOOD ELEV.=123.0 REQUIRED WHEN EXCAVATED LIMIT OF DRAINAGE / =,%II`IEI:RS AS-B1�IE1'A ate+ 12 EASEMENTJIY,'LCAt) �' CER�i�►cA-ri® / _ BACKWASH OF WATER �oP E ENT REQmED PURFICATION OR PLA1�T VIEW � z 24. o ,- � ,,� , �� �. / / z ._ 1GIAP 44 LOT ' ELEVATIONS MUST NOT BE FILTRATION DEVICES MAY CHANGED WITHOUT BOARD NOT EDISCHARGEDTO DISTRIBUTION eox / , , , (SUB. LOTi 4 THIS E ICSYSTEM10 NOT TO SCALE /f / � � � �� 40,000 SQ, FT. OF HEALTH APPROVAL > LO� 5 ,1 , � i i TF4E A4PROVAI. BY TktIS OTFICE BOARD OF HEALTH ST 4�;�00 SQ, FT. 269.37 I) Il o DOES tjOT GUARANTEE THE EI:FE INSTA lJ1TION A1�Y BOARD OF t�EAI-iN CONSTRUCTION OF THIS NOTE: EXISTING TOPOGRAPHY AS SHOWN DARTh�OU SEPTIC SYSTEM DUST BE �� 2 99 - -- 1 DHASEFINITIVE PLANS) FROM ORIGINAL APPROVED THIS SYSTEMi NOT COMPLETEDWITHTHRE� r / PLOT PLAN 5'-8" - i „_ � D :SIGNED FO AO (3) YEARS OF THE DATE TOWN QF DARTI�fl H - 1 -30 BOARD OF HEALTH O GRIN I OOL OF APPROVA! ❑ 3.5"dia. F(NISH GRADE ' REVISED: SEPT.13, 1999 5"dia. knockouts R OTHE HIOi T outlet inlet ELEV. = 129.5 USA DEVICES, REVISED: JULY 28, 1999 NOTE: N0 WELLS FOUND WITHIN 100' OF THE PROPOSED DWELLING P.E STAMP SEPTIC SYSTEM EXCEPT WHERE NOTED. FINISH GRADE EL.= 1,28.5 Ffi�� � - SUBSURFACE SEWAGE DISPOSAL SYSTEM 6'x9• COVER 18' DIA. COVER 10"x14' COVER 4 APPLICANT: DAVID MEGNA 1" ' z�A 5 17 taper 4" 5' 5' � ; ` � fyv ASSESSORS MAP & LOT: NxAP 44 LOT 8-4 (LOT --4-) -r 9" STREET LOCATION ELIZA LANE, DAISY FARM - TOP OF '�;: 1500 GALLON TH a 3 T FOUNDATION 1 128.17 REINFORCED CONCRETE 127 27 127.10 126.80 ., :v• r~+ 7. DARTMOU i'-7.5" - ELEV.=130.50 , SEPTIC TANK 4'-6" ,` 127.o v v v v v v ENGINEERING FIRM: 127.97 v v 3/4'-1 1/2- WASHED v v 5,_4„ DISTRIBUTION v v v �o" INVERT o STONE v v v P.L.S. STAMP • INVERT 127.72 BOX v • 7 4 0 v o v o 126.30 liquid , . ® w S11E In level • LEVEL STABLE BASE SEASONAL HIGH GROUNDWATER ELEV.= 122.3 CIvR and Environmental En ering Land Use Plarming ' 0- 3"walls 1 LIMIT OF EXCAVATION 122.0 • CROSS SECTION VIEW 3" DATE: JANUARY 21, 1999 c) E P TI C TANK 5Ef TIG 5'(5TEM PROI`ILE CONTACT PERSON: _EVES UE BRIAN t Q 13 Welby Road NOT TO SCALE ADDRESS: New Bedford, MA 02745 TEL: (508) 998-2125 FAX (508) 998-7554 TEST PIT DATA DATE: 04 02 96 PERFORMED BY: MBH WITNESSED BY: CHRIS MICHAUD ALAN HEURUEX 0„ TP #140 TP #141 BEEDEN ROA it 9„ 21" 27" 38" 54" 120" A SAN DY LOAM 131 SANDY LOAM B2 SANDY LOAM C 1 SANDY LOAM C2 SANDY LOAM 3 SANDY LOAM 1 L 5.5 0 124.8 9„ 123.8 123.3 2111 122.3 43" 121.0 51" 115.5 120" PERC © 42" PERC RATE: 1?' IN 3 MIN. WATER @ 54" (ELEV. 121.0) A SANDY LOAM B SANDY LOAM C 1 LOAMY SAND C2 SANDY LOAM 3 SANDY LOAM 1 1tj.1 + o 0 F o °Oeo°° ° o°0 040° oo °° 0o o °00 °o°°° 0 0 °°o °o0 o ° o O 0 0 0 0° Q° b 4 o e 125.5 i o o ° v v / > EARTH BACKFILL 1 \\ 124.5 122.6 122.0 116 2 PERC © 47" PERC RATE: 1 " IN 7 MIN. WATER @ 51 " (ELEV. 122.0) v °° v°vs° d °d vd v v v v v °d vd — d vd dvd o v v v v >. • Sv D v v d v° d° d v v v l LOCU �u v v ° d v v v v v v v v v° v v o d v v ° e ° ° v d v v v ° ° ° d v v v v vv ° +L 1 12" MIN. EARTH BACKFILL — 2" DEPTH OF 1/8" — _ 1/2" WASHED PEASTONE 10" DEPTH OF 3/4" TO 1-1 /2" DOUBLE WASHED CRUSHED STONE LEGEND 100 EXISTING CONTOUR 0c PROPOSED CONTOUR ZZ PIPE INVERT ELEVATION TEST PIT 0 SEPTIC TANK ❑ DISTRIBUTION BOX w EXISTING WATER SERVICE LINE ® OBSERVED GROUNDWATER TABLE ELEVATION _ RESERVE AREA rn 3,-0„ 4,_0„ 4,_0„ 3'-0„ TYPICAL OF ALL TYPICAL LEACHING F- I E L D CROSS S E C T I O N BENCHMARK: F&G CATCHBASIN • o r NOT TO SCALE � s BENCHMARK: ,F&G CATCHBASIN ELEV.=128.34 ELIZA LANE i , F i k }30 t - < x. i n a V.. �, of <.. 3 s,_.,,. ., _. NOTES: 1. THIS LOT IS PART OF AN APPROVED SUBDIVISION PREPARED FOR FLEMING REALTY CORP. FOR LAND / LOCATED ON OLD WESTPORT ROAD NAMELY DAISY FARMS APPROVED ON MAY 16, 199650.00' 2. THE LOT IS LOCATED IN A SINGLE RESIDENCE ' 40 B (SR-B) ZONING DISTRICT. < --- -- p 3. THIS LOT IS LOCATED IN A FIRM ZONE "C". 4. PER CENT LOT COVERAGE: 4%+/- 40 , , , , o ,.. . ,' I 5. TWO (2) REQUIRED PARKING SPACES PROVIDED. , A- 6. THIS LOT IS LOCATED IN ZONE 3 AQUIFER ZONE. i \ :. >, o� 5" DIA. KNOCKOUT (TYP.) 5" DIA. KNOCKOUT — + } 5"dia. outlet 2^ + 2-T 7 1/2" SECTION A —A 2'-6 1/2" SECTIG?N B—B 2'-2 1/2^ 1'-3 1/2" A 1 1/2" L --- } 1 ­4 FLAN VIEW DISTRIBUTION BOX 1" taper w NOT TO SCALE 10'-6" CROSS SECTION VIEW SEPTIC TANK_ NOT TO SCALE 3.5"dia. knockouts inlet � 10*xl4* COVER T.. 4 4'-6- INLET INVERT 1 L 3" DWELLING TOP OF FOUNDATION ELEV.=130.50 1 "=30' i I �FINISH GRADE ELEV. = 129.5 NOTE: NO WELLS FOUND WITHIN 100' OF THE PROPOSED �FPTIr CYCTFKA FY(`PPT WW7Q[T NIOTi:-n SEPTIC SYSTEM PROFILE 1 F FINISH GRADE EL.= 128,5 L r. t 5' DESIGN CALCULATIONS DESIGN PERC RATE: 1" IN 7 MIN. DESIGN FLOW: 3 BEDROOMS X 110 GPD/BDM = 330 GPD REQUIRED SYSTEM DESIGN: USE 40' X 15' LEACHING BED BOTTOM: 40' LONG X 15' WIDE X 0.60 G/SF = 360 GPD PROVIDED RESERVE AREA: 34' LONG,X 18' WIDE ZONING REQUIREMENTS `MINIMUM AREA 40,000 SF FRONT YARD SETBACK 30' SIDE YARD SETBACK 10' - REAR YARD SETBACK 20' 1 THIS SYSTEM E SHALL BE INSPECTED S ECTED WHEN LEACHING AREA IS FULLY EXCAVATED AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SYSTEM IS READY FOR INSPECTION, THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEA'r_TH. 2) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL DRT, DUST AND FINES. 3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATUM- 4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OV-R THE LIMITS OF THE OF THE SEWAGE DISPOSAL" SYSTEM DURING THE COURSE OF CONSTRUCTION OF THE 5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LOCAL BOARD OF HEALTH. 6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL REGULATIONS. 7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTORED BY A. ROTONDO & SONS OR APPROVED EQUAL. 8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. 9) ALL SA LAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED WITH NEOPRENE GASKETS OR ASPALT CEMENT. 10) EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA AN0 BACKFILL WITH CLEAN GRAVEL AND COARSE SAND. 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL UNIT. BOARD OF HEALTH STAMPS 'Tow,, OUTH 1 - Any Ch :mtX3 MUSt So Resubmitted SEEREP03T BOARD OF HEALTH STAMPS t .. i R7VISED: JULY 13, 1999 REVISED.4/14/979 SUBSURFACE SEWAGE DISPOSAL SYSTEM APPLICANT: DAVID MEGNA ASSESSORS MAP & LOT: MAP 44 LOT 8-4 (LOT 4) ry STREET LOCATION ELIZA LANE, DAISY FARM DARTMOU "7 H ENGINEERING FIRM: P.L.S. STAMP In S,1TECvk Civil and Environmental Englnring Land Use Planning DATE: JANUARY 21, 1999 CONTACT PERSON: BRIAN LEVESQUE ADDRESS: d New Bedford, MA 02745 TEL: (508) 998-2125 FAX (508) 998-7554 Residential 1999 >:... ::..;::.:.... UN .... FRU PERT 4. flS 1 RSl t1 .1 [111TtjRt hif.AG tT :: >.<. >; ::r;::::;>:::>::;: ;:::;::>':`<:': '::;;;':::':; :::.:;.:: : ':::: . 2.1 Owner of Record: Name (print) Contact Address Phone Number 2.2 Authorized Agent: a, W Q,-160C `l� CL /A t Name (print) Contact Addr ss Phone Number ::::•:::•::':::::..:: . ' .:.: .. .. ..•:::::: • .::::•i.:.: ' .. : •: /v��{AST '}' • : iiii;; ....:viiii: i..::.::iii:':::.:::::i::i.:: i:<iv y::::ii::..:......... ... :.:.:: ii;i: i;iiii;i:<: i:: ' :.ri:X'::':.' : iii::.. �: /�.' �.! .. T Tom. rt�i{-�. . {�ERV1 FS ..::. .. ii::::.:.: iii:::::...: .:::::::: .:..::::::: :: ... �kJfa J�lti...1.3.U�'JGfl t:fCL`J......... :.::: :.. ... ... .: �:::.�..: ..:::::::: .: .....:::. 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor License Number 0 t Address Li, LJatL JJ 6 (4 Expiration/ Date Signature Telephone 3.2 Registered Home, Improvement Contracto . Not Applicable ❑ Are you a Home Improvement Contractor subject to (780 CMR-6)? ❑ yes ❑ no If no, go to the next section! Are you claiming exemption from the requirement? ❑ yes ❑ no If yes, submit the required affidavit! Company Name Registration Number (if none, state"none") Address Signature Telephone Expiration Date 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, iVA 02108, (617) 727-8598 x Owne s Name (print) Signature by signing the above, the home owner acknowledges that there will be no eligibilty 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 109.1.1 Licensing of Construction Supervisors: - Except for those structures governed by Construction Control in Section 116.0, effective July 1, 1982, no individual si"all 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 Constuction Supervisors. Eceeption: 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 dwelline, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than on;; 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 Residential 1999 Residential Ilk f-' 1171, 19A)e 1999 Residential ❑ FOUNDAT%ON ONLY $25.00 APPLICATION FEE IS NON-REFUNDABLE 1999 1. Date plan reviewed: 7— 2� 7 7 2. 30 days to review period expires: 3. OK to issue date: 4. OK to issue subject to requested submittals(see project review worksheet): Date: 5. DENIED '(see project review worksheet): Date: 6. HOLD reason: Date: 7. HOLD subject to Zoning Board of Appeals action: Date: 8. Comments: Date: 5 - Clerk: Total Permit Fee: $ C/ 3 U!(' Less Application Fee: $ 25.00 Remaining Balance: $ s TOTAL FEE: r 00Gross Area -New Construction total sq. ft. Gross Area - Alteration total sq. r. Permit Issued To r DATE RECEIVED 9s DARTMOUTH BUILDING DEPARTMENT `o _; 400 Slocum Road, P.O. Box 79399 ' Dartmouth, MA 02747 1. , t i.-`= n S508-999-0720 FAX 508-999-0738 lfiry4 APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A ONE OR TWO FAMILY DWELLING Zoning Review: Signature: Date: Energy Report: u Signature: , Date: '9_ Fire Chief: �J Signature: �Date: Board of Health: Signature: 0 Date:_ ' Conservation Commission: Signature: Date: Other: Signature: Date: `? _ 1 Description of work being performed: 'I NUMBER OF PLANS SUBMITTED: SITE PLAN SUBMITTED: ❑ yes ❑ no 1.2 Assessors Plat & Lot Number: 1.1 Property Address: Platte Lot -� Nearest Cross Street: D >e.1— Subdivision Name: 1.3 Historical District ❑ yes ❑ no Has application been submitted to the Historic Commmission? Total Land Area 4 Ft.: 4 0, 0 c3 Z— ❑ yes R"n-o Date: 1.4 Water Supply (MGL c 40 § 54): / 1.5 Sewage Disposal System: ❑ Municipal 2'Private Well O Municipal VOn Site Dispowal System I c:\wpwin\forms\bldzapp.res Page 4 Rev. July 7, 1999 c:\wpwin\forms\bldgapp.res Page I IRev. July 7, 1999