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BP-10642P An As Binilt Survey rautst be submitted to the Building Dept. prior to caning for a foundation inspection or any further construction. YOUR DRAWING(MUSTBE KEPT AT THE BUILDING DURING THE PROGRESS OF THIS WORK. BUILDING DEPARTMENT Town of DarlmWh R'31[7 s'j-np. T Penetrations thru rated '- lamj Ond f10rS shall besse-10d With a nn,,�qvrlaj pOf preventing thePaofes-nd hotqs,-3jto romfE3svvheubi ^f d; softie far Fire Maps ASTM-E-814. T'st Standard specific TONNOF RECORD A Copy ON Tht� El-le4073"Od Plait fAu'S" Fre Kept an SHO U101,3 k,. M1119 CORSt-M L FAUMPY =P! ten, H INSPECTION IS REQUiRED BEFORE THE Cot-4cRETE is POURED. BUILDING DEPARTMENT T�wwvi Dertrrmtt 1/4" = 1 123" smoit"E", D r7liT E CT 0 R S ® C E I I /007 0 0 SONO-TU13E SIZE AND DEPTH INSPECTION IS REQUIRED BSFOPZ THE CONCRETE IS POURW- BUILDING DT--7ARTMEW Town of Dartmouth N- R `W I s shal! be Penetr ions thru rated w.kjis and t-or 0 seeled with a materia-1 Capable Of PrOvent"19 ""0 passage of flames and hot gasso-s when subjected Test S to the requirements Of the tandard specific for Fire Stops ASTM-E-814. N OTT C4 Ej Y,n As Buxit purvey imu.St be . Ibn,.itted to the Duil'01-ing Dept. prior to calling for a foundation inspection or any further constructiorl. YOUR DRAWING vUST BE KEPT AT THE BUILDING DURING THE PROGRIESS OF THIS WORK, BUILDING DEPARTMENT Town of Dartmouth 1 j4a= uih TO"WIN' RECOF-1-9 PLAN A Copy Of This Enaluserl Plan Must Be Kept On Site DU cow action :L at - 7 / , YOUR DRAWING MUST BE KEPT AT THE BUILDING DURING THE ,PROGRESS OF THIS WORK, BUILDING DEPARTMENT Town of Dartmouth mns= qTt,-)PPlNG REQUISEMENT Penetrations thru rated walls and floors shall be sealed with a material capable of preventing the passage of flames and hot gasses when subjected to the requirements of the Test Standard specific for Fire Stops ASTM-E-814. I E _0 An As Built SurNrey raust be submitted to the Bgild` -E1011, Dept, prior to Calling for a foundation inspection Or s any Wqtfj�. CO TOWN OF DARTMOUTH RECOnD FLAN A Copy Of This EnIvised Plan r1ust Do Kept On Sits During Cone4truction 1/4 12" V (71 �,70 VV N 0 F DA REVI 0 U I ."PLAN V This Wer. of] ust 10Eept- n, 'fit nan mi 8 -Dur:ng Coli'struttion SONO-TUB-E SIZE AND DEPTH INSPECTION IS REQUIRED BEFORF.z: THE CONCRETE IS POURED. BUILDING DEPARTMENT Town of Dartmouth NOTICE TOWN OF DARTLIMUT'd SONG -TUBE SIZE AND DEPTHW PLAN tISPECTION IS REQUIRED BEFORE ,An As Built Survey must be A Copy Of This a yeti THE CONCRETE IS POURED �+ �Besubmitted to the Building. Plan rrvst Ce Kept On Site BVILD(MG DEPARTMENT During Construct' � TI, of Dartmouth �'� Dept. prior to calling for Date a foundation inspection or any further construC-ti€ n. YOUR DRAYVING MUST BE KEPT AT THE BUILDING DURING THE PROGRESS OF THIS WORK. BUILDING DEPARTMENT Town of Dartmouth FIRE STOPPING REQ IIREM-E!"4T RPenetrations thru rated waft and floors shall be sealed with a material capable of preventing the passage of flat nes and hot gasses when subjected Y A to the requirements of the Test Standard specific for Fire Stops ASTM E-814. L TOWN OF 0211MIMMUE-H RECORID, PLAN A Copy Of This Ereemrsed PIER Must Co. Kept On Site During Construction Rite 17 - of FIRE STOPPING REQUIREMENT irPenetrations thru rated walls and floors shall be sealed with a material capable of preventing the SONO-TUBE S;--,E PIZ. OEPTH passage of flames and hot. gasses when sut-,jected fSPECTION IS REQUIRED BEFORE THE CONCRETE IS POURED. to the requirements of the Test Standard specific for Fire Stops ASTNI-E-814. WILDING DEPARTMENT Torm of Dartmouth E74 NU I I C YOUR DRAAVING MUST BE KEPT AT THE BUILDING DURING THE An As Built Sitrvey niust 'Ce PR009ESS OF THIS WORK. s0mitted to da.- Building WILDING DEPARTMENT Dept. prior to calling for Tov.,n of Dartmouth ,,-,a foundation inspection or ,,,?ny further construction. Cl .......... V CA", ..-.-. -- �_-` rY-----.-.... ._-- 3.•- y - F` - "tip, Yam Ftr ick\ ek r T.; SOIL DATA DATE: 10-15-98 _PERFORMED BY: SITEC INC. WITNESSED BY: SUE GRIFFIN TP-1 TP-2 169.5 C 168.7 1 166.5 3( 160.3 11 156.2 1 E 170.0 169.2 167.0 160.8 156.6 WATER @ 96" WATER ® 96" MOTTLES ® 36" EL.166.5 MOTTLES @ 36" EL.167.0 10YR6 8 1OYR6/8 PERC 128" PERC @ 130" RATE: 1 "IN < 2 MIN. RATE: 1 "IN < 2 MIN. 30.5" J 18.5" J l� 7.5" TOP VIEW I -�- J 5 DIA. INLETS END VIEW 5, 5" DIA. OUTLETS CROSS SECTION VIEW DISTRIBUTION BOX NOT TO SCALE E 3.5"dia. I I 5"dia. knockouts outlet irlet (— — — --- — — — — --I VIEW PLAN 20" dia. cover (typ) � 1» taper T T _ I — 3rr 1'-7 5» EARTH BACKFILL 0 0 4 0 0 0 a 0 O 0 0 O 4 O Q 0 0 0 0 0 0 00 0 0 p 0 0 0 0 4 o O 0 g 0 0 0 � 0 0 Oq 0 0 0 0 0 OO o 0 4 0 0 (40 0(4 0 0 °° ° v a °1 v ° a ° d d ° d d ° °° v v° v v vd ° d v w d v °° v v v ° v v v d v v d dv d vv° d a d v d v d d v IV °° d v � °dv°vv v ° v ° vvd° ° v ° ° vvavvv 4' 6' 4' rraicAL or ALL TYPICAL FIELD CROSS SECTION NOT TO SCALE �o 1 / pE� � � I i i (P � I 1 BENCHMARK- DMH RIM EL 178.73 IIf I l �5 I cr �00,o�ooM LNG I 1 4 N , � XISTING WELL 0,0' I WE�L RA U,3 \ �c9 C O 0 I liquid DWELLING level 10> 5r-4„ GA BAFFLE TOP OF 3"Walls FOUNDATION l ELEV.= 177.00 CROSS SECTION VIEW TOP OF SLAB ELEV.=169.00 SEPTIC TAN K NOT TO SCALE �� r r\ T n\ I ♦ ► 1 0' 30' 60' 90, FINISH GRADE M r-NI — 1-7CZ t7n i 100 EXISTING CONTOUR 12" MIN. EARTH 0 PROPOSED CONTOUR DESIGN PERC RATE: 1" IN 5 MINUTES .BACKFILL PIPE: INVERT ELEVATION DESIGN FLOW: 4 BEDROOMS X 110 GPD/BDM = 4L0 GPD REQUIRED TEST PIT SYSTEM DESIGN: USE 14 X 45 LEACHING BED 2" DEPTH OF 1 /8" — 1 /2" WASHED PEASTONE SEPTIC TANK BOTTOM: 45 LONG X 14 WIDE X 0.74 G/SF = 466 GPD PROVIDED 10" DEPTH OF 3/4" TO ❑ DISTRIBUTION BOX 1-1/2" DOUBLE WASHED CRUSHED STONE W PROPOSED WATER SERVICE LINE OBSERVED GROUNDWATER TAE3LE ELEVATION RESERVE AREA LIMIT OF 5' EXCAVATIONiz �2 EXISTING WELL �P 140 E<< RAD/US Cr COP POSED WELL��'� 100' WELLI \ RADIOS LOCUS'. MAP Ail '' • - s >5-•z ''s ✓ ' .. ,yam A � `+ : x' - t ,,,,,E � „�• r-,' rr _ GENERAL NOTES r LOCUS ',��"��� �s � r ,� "� �� � � ; z � a{' -A IS FULLY EXCAVATED 1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING ARC IS READY FOR INSPECTION AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTH. 2) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF A,LL DIRT, DUST AND FINES. �3= 3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATUM. `W- 4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATe .OVER THE LIMITS OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION. x` 1,6 STEM SHALL BE MADE WITHOUT 5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SY_. PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE 'l-OCAL BOARD OF HEALTH. 6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS S'MALL 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 MANU ACTURED 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 SEA':-- ` 9) ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED WITH NEOPRENE GASk ETS IOR ASPHALT CEMENT. 10.) ALL UNSUITABLE MATERIAL IS TO BE REMOVED AND REPLACED WITH CLEAN SAND ;HAVING A PERCOLATION RATE OF LESS THAN 2 MINUTES PER INCH. ALL BACKFILL MATER AL -HAS TO BE APPROVED BY THE DARTMOUTH BOARD OF HEALTH. 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL UNIT. I BOARD OF HEALTH STAMPS I I ELEVATIONS MUST NOT 9E BDA11D 0I: HEtjLTH p&� ON CHANGED WITHOUT DOA D CAUIRED V7HEN EXCAVATED OF HEALTH APPROVAL CONSTRUCTION OF THIS SEPTIC S YSTF ENGINEERS AS -BUILT MUST BE COMPLETED WITH THREE (1, PLAN & CERTIFICATION! YEARS OF THE DATE OF APPROVAL STATEMENT REQUIRECI NOTES: 1. ALL SEPTIC SYSTEM COMPONENTS AND PIPING LOCATED WITHIN 10' OF ANY DRIVEWAY RE TO BE H-20 LOFADING. 2. ALL WELLS WITHIN 200' OF THE PROPOSED SAS ARE SHOWN 1 00, ,FINISH GRADE EL.=174.0 �. .I :I I " LEVEL STABLE BASE 6",3/4"-1-1/2" CRUSHED STONE BASE L SYSTEM PROFILE ® SEASONAL HIGH GROUNDWATER ELEV.= 167.0 LIMIT OF EXCAVATION EL 160.0 SEE NOTE #1O 172.50 172.00 BOARD OF HEALTH STAMPS .A This System Is Not Desk n For Garbage Grinder, �9I Or Other High Water Use E. SUBSURFACE SEWAGE DISPOSAL SYSTEAA i JOE CORREIA LOT 14 MEDEIROS LANE J.€ SYLVAN SPRINGS II SUBDIVISION � 2 0 ,r'�' NO. DARTMOUTH, MA �DJ ENGINEERING FIRM: SITEC, Inc; 13 Welby Road I New Bedford, MA 02745 C(508) 998-212:. Civil and Environmental Engineorin9 FAX (508) 998- 7554 Land Use Planning DATE: 1-13-99 CONTACT PERSON: DAN AGU I AR ACAD NO. FILE N( SOIL DATA DA'y E: 10-15-98 PERFORMED BY: SITEC INC. WITNESSED BY: SUE GRIFFIN TP-1 TP-2 0" A SANDY 169.5 0" A SANDY 170.0 LOAM LOAM 10YR3/3 10YR3/3 10' B SANDY 168.7 10' B SANDY 169.2 LOAM LOAM 10YR6/6 10YR6/6 36" 166.5 36" 167.0 C1 SILT C1 SILT LOAM LOAM 10YR6/3 10YR6/3 110' 160.3 110' 160.8 C2 LOAMY C2 LOAMY SAND SAND 10YR6/3 10YR6/3 160' 156.2 160' 1 156.6 WATER @ 96" WATER @ 96" MOTTLES @ 36" EL.166.5 MOTTLES @ 36" EL.167.0 10YR6/8 10YR6/8 PERC @ 128" PERC @ 130" RATE: 1 "IN < 2 MIN. RATE: 1 "IN < 2 MIN. 18.5" TOP VIEW 1-6_ 5" DI A. INLETS I END VIEW 5, 5" DIA. OUTLETS CROSS SECTION VIEW DISTRIBUTION BOX NOT TO SCALE \ 10'-6" 5-8" ` 1 00, 3.5"dic. 1 \ \ 5"dia. knockouts outlet inlet 1 1 PLAN VIEW 20" dia. cover (typ) taper T i L 4'-0" 1'-7.5'> liquid level 10" 5'-4" 4'—E> j 7, GAS BAFFLE 1 3"walls 3" J CROSS SECTION VIEW SEPTIC TANK_ NOT TO SCALE ` EARTH BACKFILL \` 0 e, 0° 0 a 0 00 0 0 40 ° 04 ° 0 p0 0 ° �0° 0 �0° 0 0 0 0� ° 0 0 O 00 00 ° °° 0 040°0 0 h ° ° ° d ° ° ° ° ° ad v d v o v v o ° d ° ° v v 7 v o TYPICAL OF ALL o TYPICAL FIELD CROSS SECTION . NOT TO SCALE BENCHMARK: DMH RIM EL 178.73 t t i i I ' P 0,` (:)s i4'. I i it t t t t t t t \ t t J � N t t I EXISTING WELL \ 1pp' RADJI Us ' \ DWELLING TOP OF FOUNDATION ELEV.= 177.00 TOP OF SLAB ELEV.=169.00 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 MIT OF 5' EXCAVATION \ EXISTING WELL �pp SELL RAD/V S �cp O� ' c9 � SELL �'- LEGEND 100 EXISTING CONTOUR 0 PROPOSED CONTOUR PIPE INVERT ELEVATION TEST F'IT 0 SEPTIC; TANK DISTRIBUTION BOX W PROPO'SED WATER SERVICE LINE ® OBSER"VED GROUNDWATER TABLE ELEVATION RESERVE AREA LOCUS I`)IAP NOTES: 1. ALL SEPTIC SYSTEM COMPONENTS AND PIPING; LOCATED WITHIN 10' OF ANY DRIVEWAY RE TO BE H-20 LOADING,. LOT 14 �O 2. ALL WELLS WITHIN 200' OF THE PROPOSED SAS ARE SHOWN 00 :A 49,996 SQ, FT. ' LEVEL STABLE BAS&—j 1 6„ ,3/4 —1-1/2 CRUSHED STONE BASE SYSTEM PROFILE FINISH GRADE EL.= "174.0 ® SEASONAL HIGH GROUNDWATER ELEV.= 167.0 LIMIT OF EXCAVATION EL 160.0 SEE NOTE #10 172.50 172.00 DESIGN PERC RATE: 1" IN 5 MINUTES DESIGN FLOW: 4 BEDROOMS X 110 GPD/BDM = 440 CPD REQUIRED SYSTEM DESIGN: USE 14 X 45 LEACHING BED BOTTOM: 45 LONG X 14 WIDE X 0.74 G/SF = 466 GPD PROVIDED GENERAL N OTE 1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA I� FULLY EXCAVATED AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SYSTEM IS READY FOR INSPECEFION, THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTH. 2) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL GIRT, DUST AND FINES. 3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATUM. 4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION. 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 MANUFACT-IRED 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 SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED, WITH NEOPRENE GASKETS OR ASPHALT CEMENT. 10.) ALL UNSUITABLE MATERIAL IS TO BE REMOVED AND REPLACED WITH CLEAN SAND HAVIP,G A PERCOLATION RATE OF LESS THAN 2 MINUTES PER INCH. ALL BACKFILL MATERIAL HAS TO BE APPROVED BY THE DARTMOUTH BOARD OF HEALTH. 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL ()NIT. BOARD OF HEALTH STAMPS P.E. STAMP vE D. G1, sa Ct 2165 `STEP P.L.S. STAMP BOARD OF HEALTH STAMPS SUBSURFACE SEWAGE DISFOSAL SYSTEM JOE CORREIA I LOT 14 MEDEIROS LANE SYLVAN SPRINGS Ii SUBDIIVISION NO. DARTMOUTH, MA 1' ENGINEERING FIRM: _ F SITEC, Inc. 13 Welby Road New Bedford, MA 02745 (508) 998-2125 Civil and Environmental Engineering FAX (508) 998-7554 Land Use Planning DATE: 1-13-99 i CONTACT PERSON: DAN AGUTAR ACAD NO. FILE NO _ a PERFORMED BY: SITEC INC. WITNESSED BY: SUE GRIFFIN DA1`E: 10-15-98 TP 2 TP - � 0" A SANDY 169.5 0" A SANDY 170.0 LOAM LOAM 10YR3/3 10YR3/� 10' B SANDY 168.7 10' B SANDY 169.2 LOAM LOAM 10YR6/6 36" 10YR6/6 166.5 36" C1 SILT 167.0 C1 SILT LOAM LOAM 1OYR6%3 10YR6/3 110 ' 160.3 110' C2 LOAMY 160.8 C2 LOAMY SAND SANb 10YR6/3 10YR6/3 156.2 160' 156.6 16 0' WATER @' 96" WATER @ 96" MOTTLES @ 36" EL.166.5 MOTTLES @ 36" EL.167.0 10YR6/8 10YR6/8 PERC @ 128" PERC @ 130" RATE: 1"IN < 2 MIN. RATE: 1"IN < 2 MIN. 30.5" J�18.5' .�J l�- 7.5" (-- - - TOP VIEW I -(J+- �:�, 5" D I A. INLETS � _ - . a:.... END VIEW _+_ ' � � 5, 5" DIA. OUTLETS a CROSS SECTION VIEW DISTRIBUTION BOX NOT TO SCALE 10'-6" I s-s" � � � � ( ,1 3.5"dia. � � � � � � I knockouts I inlet I L-----------I PLAN VIEW 20" dia. cover (typ)-� � 1" taper �"� T 4' - E�„ ' „J 3 - L 3„ 1'-1" 4'-0" 1'-7.5" liquid � level ��• 5'-4" i., '' GA BAFFLE � +� 3"walls CROSS SECTION VIEW SEPTIC .TAN K NOT TO SCALE 5"dia. outlet _ __ GEN D DESIGN DATA � � � � EARTH BACKFILL � � � � o ° o ° p 4 0 ° 0 4 0 0 0 o p°° O a 0� O p� ° p Q ° c pp p �° DO °� 4p °� p p p� ° p p p p �° p�° p _ p °Q a 0 v v ;v v v v d v d v o v v v v ° d v d v d dv d dv d v v v ° v v v v v d v d v v v v vv�vv v v d v� vd v v a c v v vd v d v v� d v v v v ° v v v v d v v v v v v Q � v v vv v A v�� b y v d v vv v� v v v v v v v - 4' 6' 4' TYPICAL OF ALL CROSS SECTION TYPICAL FIELD NOT TO SCALE BEN CH M ARIA: �� � li' � � �1�� t, l I DMH RIM EL 178.73 ; I I 1�°� I � I I I '�, ' I I, i 1 i I I � + ` I ,��� t` � ,� ' '� 1 �� � �, �, OS�O�M � �, � `� �, �� � P�°Eby° � l , � � ��� ,. ,, , � , \ l � 2� � �'� � � � ' � � � 1 � � t � `, 1, ` � L ,� � � w \ 1 , i \ l � 1 N M J O EXISTING WELL 1pp� x SELL RgD��s � DWELLING ------� TOP OF FOUNDATION ELEV.= 177.00 TOP OF SLAB ELEV.=169.00 �,. ,,.-., , r+n n nr- 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 IMIT OF 5' EXCAVATION �: EXISTING WELL �, WE�� RAD/US v'cp o� � ��, WELL �'� I I -lC. RgD��s �. / / � / � i --_ ___-- /'�/� 115 •�0 LE goo EXISTING CONTOUR o PROPOSED CONTOUR DESIGN PERC RATE: 1" IN 5 MINUTES DESIGN FLOW:. 4 BEDROOMS X 110 GPD/BDM = 440 GPD REQUIRED PIPE INVER,�T ELEVATION TEST PIT SYSTEM DESIGN: USE 14 X 45 LEACHING BED ' �� SEPTIC TAh�1K BOTTOM:. 45 LONG X 14 WIDE X 0.74 G/SF = 466 GPC PROVIDED t ❑ DISTRIBUTICON BOX w PROPOSED.: WATER .SERVICE LINE OBSERVED. GROUNDWATER TABLE ELEVATION a RESERVE AREA I '� k LOCUS MAP. ♦ - - �. ac`�' ',Y. ,.'�v' „ fi ..^<z � 'w�`'f � $ ,. '�'--S��Y�.^�srr`c'7�" ,. ,1 � � � . ,�� >g � ,F sb r. � tiW }¢' � ""vet _ * � � s e'�_ : ,s� • � �� � � E a a � �,' x � ..�� : }�s �� .rr�� . k � � � �M � TE S ��- : GENERAL N 0 S> 4aa�, .rfi iifT � �,. � ',y'y,�i LOC U 5 Y � � � -�_ �.� ,� dr _ "t" :5, $ i �� � '�' � � -�-`, � �= 1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA IS FJLLY EXCAVATED a � IS READY FOR INSPECT101�, � � .,� �` � � - �� �' � � �r n'' AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SYSTE �'� �� fix � .� 3 �� � � . .-� -� •a �� THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTi�• �. - � � _� � ° � �. � -�- £ -� `� 2 DOUBLE WASHED CRUSHED STONE SHALL BE FREE. OF ALL DIR`� DUST AND FINES. _, � � � � ) . "� ' , ��� � � �. - �` � � �_ 3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATUM. � � � - � a � Y .�� � � � � � � .� � x,�; .. ° THE LIMITS ��� � � �� �� ry � �`` � .. � �y � 4) HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO .OPERATE .OVER �,;=` _i,` 4 �.,. � ' �� ��_ ; ` '� �.,,�, }� � x .��,. �" � . ' OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION. } � Y�s�� ..� n `� 5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM C�1ALL BE MADE WITHOUT �� � �: z �' s< � � PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LOCAL BOARD OF HEALTH. ,.�a.."- ,..._ t j� _`�{r # �w .�,,_ ;��, _ `�-= -- - � �--� �� ���- `� 6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL �E INSTALLED (N ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTAL CC�E AND ANY s APPLICABLE LOCAL REGULATIONS. 7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTUtED BY A. ROTONDO &SONS OR APPROVED EQUAL. 8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR '',_EAVE ALL CONCRETE ' STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. 9) ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALED WITH NEOPRENE GASKETS IOR ASPHALT CEMENT. ALL UNSUITABLE MATERIAL IS TO BE REMOVED AND REPLACES WITH CLEAN SAND HAVINi#� 10.) ALL BACKFILL MATERIAL A PERCOLATION RATE OF LESS THAN 2 MINUTES PER INCH. HAS TO BE APPROVED BY THE. DARTMOUTH BOARD OF HEAL''• 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL U�lIT. m NOTES: 1. ALL SEPTIC SYSTEM COMPONENTS AND PIPING LOCATED WITHIN 10' OF ANY DRIVEWAY RE TO BE H-20 LOADING. 2. ALL WELLS WITHIN 200' OF THE PROPOSED SAS ARE SHOWN FINISH GRADE EL.� 174.0 42' @ 1.5� � � � � � � � 172.50 1500 GALLON I a 172.80 7 ° v v v v° REINFORCED CONCRETE 172.97 SEPTIC TANK � �-**-�= - 1172. v ° v v 3/4"-1 1/2" WASHED v v ° v v DISTRIBUTION v sTONE ° ° ° GAS BAFFLE v 172.00 I v v v v 173.60 BOX I . .: :`',,' :'., � � LEVEL,. STABLE BAS ® SEASONAL HIGH GROUNDWATER ELEV.= 167.0 6 ,3/4 -1-1/2 CRUSHED STONE BASE `� L160.0SEENOTE#10 S Y J TE M P R 01- I� E LIMIT OF EXCAVATION E BOARD OF HEALTH S �I AMPS t 1 �� � �; A Copy 0� T his iandorsed Plan Must Oe inept On Site burin Const tion Date �� �. i BOARD OF HEALTH STAMPS ,�� ,.� ,� , �, :, - � � Y 9 t.� " ��` � �. "' _.a. P.E. -STAMP SUBSURFACE SEWAGE DISPOSAL SYSTEM ���yZH OF �qs��' � $TEVEN D. �G � � 0� C O R R E I A ��,IOIOSA u' m 3 N�132 65 � LOT. 14 MEDEIROS LANE �®9�c, TE � �� SYLVAN SPRINGS II SUBf�IVISION FSs�or�aL � � N0. DARTMOUTH, MA ENGINEERING FIRM: SITEC, Inc. P.L.S. STAMP �' i 3 welby Road New Bedford, MA 027 E5 `` (508) 998-2125 nvironmentai En sneering FAX (508) 998-7554 Civil and E 9 I Land Use Planning I DATE: 1-13-99 CONTACT PERSON: DAN AGUTAR }i !' ACAD N0. FILE N0. � s � �.� ^ -,�. ,,:, _ _ .._. _ , mid 0" A SANDY 169.5 Ott 0 LOAM 1OYR3/3 10' B SANDY 168.7 10 LOAM 1OYR6/6 36„ 166.5 36„ Cl SILT LOAM 1OYR6/3 110 160.3 11C C2 LOAMY SAND 1 C1YR6/3 160l 156.2 16C 170.0 169.2 167.0 160.8 156.6 WATER ®96" WATER ® 96" MOTI LES © 36" EL.166.5 MOTTLES ® 36" EL.167.0 10YR6/8 1OYR6 8 PERC @ 128" PERC 130" RATE: 1"IN < 2 MIN. RATE: 1"IN < 2 MIN. 30.5" _ I 7 F 18.5" 7.5" TOP VIEW 5" DIA. INLETS ' END VIEW — }—)— a 5, 5" DIA. OUTLETS CROSS SECTION VIEW DISTRIBUTION BOX NOT TO SCALE 10'-6" I 1 ( 1 ( 11 5-8" 3.5"dia. \ \ \ 15"dia. knockouts I outlet irlet PLAN VIEW 20" d10. cover (typ) 1" taper 4 Z T 3" EARTH BACKFILL \\ 0 o p o o 4 oQ 0 0 o p o O c O p 0 C p o O o p� o QO 0 o p p p p 0 0 0 o Cl 0 O p4 0 c p 0 C 0 p 0 o Q 0 0 °v ° v ° v °d vv S° d s IF v ° ° d d IF v v° ° IFvd ° d ° od ° vvv d v° o° °v°v d IF o° v° v d v d IFd IF dv d vv ° d°° v v° d v IF v IFve IF IF IFd° v ° I v °d IFIFo IF IFo v v v IFv v vv v 4' 6 ' 4' TYPICA'. OF ALL TYPICAL FIELD CROSS SECTION NOT TO SCALE 1-11 V �o \1 � t L=11,35. 000.00' R=' 1 ! I r I Ir rl ri l ! III ( ! BENCHMARK: 1 DMH RIM EL 178.73 i r I Ln ?,0 NG IN l i \ J i � r N ` J t EXISTING WELL 100, WELL RADIUS j liquid DWELLING level 5'— 4" 101, 4'—g I GA BAFFLE 7 TOP OF j FOUNDATION 3 walls jl ELEV.= 177.00 3" J CROSS SECTION VIEW TOP OF SLAB ELEV.=169.00 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 DESIGN DATA 100 EXISTING CONTOUR ff o PROPOSED CONTOUR DESIGN PERC RATE: 1" IN 5 MINUTES PIPE INVERT ELEVATION DESIGN FLOW: 4 BEDROOMS X 110 GPD/BDM = 440 G' D REQUIRED I TEST PIIT SYSTEM DESIGN: USE 14 X 45 LEACHING BED I 0 SEPTIC TANK BOTTOM: 45 LONG X 14 WIDE X 0.74 G/SF = 466 GPD PROVIDED ❑ DISTRIBIUTION BOX f W PROPOSED WATER SERVICE LINE I OBSERWED GROUNDWATER TABLE (ELEVATION' RESERlE AREA i LOCUS M A P r I -€R�:'�+t�,'^"',l : ..-.s Y'�:: �'.?��t°'a.��:,e:�^.�, s..:.. .^xt.:� F . :: ... .?'i�IrdY.. �'*�i6':::�,3:"�„`.-:..pr±., . -,,';.,� .,• ,, h. fs LIMIT OF 5' EXCAVATION " �2 1, \ EXISTING WELL �0 100 WELL RADIUS DIGS 00 CP 0__�,. POSED WELL�v'� 100 ' WELL RADIUS FINISH GRADE ri r%i 1'7r CZn LEVEL STABLE BAS 6",3/4"-1-1/2" CRUSHED STONE BASE L� SYSTEM PROFILE LOBS 1,17 � � - GENERAL N OTE� I I 1) THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA I FULLY EXCAVATED AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SY:,TEM IS READY FOR INSPEC PION, I THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTH. 2) DOUBLE WASHED CRUSHED STONE SHALL BE FREE OF ALL GIRT, DUST AND FINES. I I --z4: 3) ALL ELEVATIONS ARE BASED ON ASSUMED ELEVATION DATU�,11- I 4 HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE O� R; THE LIMITS OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION. 5) NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT } F RD OF HEALTH. PRIOR WRITTEN APPROVAL OF THE ENGINEER AND THE LOCAL BOA x ' 1�� s' K - BE INSTALLED IN 6) UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL - ACCORDANCE WITH TITLE V OF THE STATE ENVIRONMENTAL CODE AND ANY APPLICABLE LOCAL REGULATIONS. 7) SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFAC'pURED BY A. ROTONDO & SDNS OR APPROVED EQUAL. 8) GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER 0' LEAVE -ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. I 9)' ALL SHIPLAP JOINTS IN THE SEPTIC TANK SHALL BE SEALE) WITH NEOPRENE GASKETS OR ASPHALT CEMENT. 10.) ALL UNSUITABLE MATERIAL IS TO BE REMOVED AND REPLACED WITH CLEAN SAND HAVING A PERCOLATION RATE OF LESS THAN 2 MINUTES PER INCH, ALL BACKFILL MATERIAL HAS TO BE APPROVED BY THE DARTMOUTH BOARD OF HEA'-TH. 11) THIS SYSTEM IS NOT DESIGNED FOR A GARBAGE DISPOSAL UNIT. NOTES: 1. ALL SEPTIC SYSTEM COMPONENTS AND PIPINIG LOCATED WITHIN 10' OF ANY DRIVEWAY RE TO BE H-20 LOADINIG. 2. ALL WELLS WITHIN 200' OF THE PROPOSED `SAS ARE SHOWN FINISH GRADE EL..=174.0 v 172.50 v 3/4"-1 1 /2" WASHED IFv v STONE v ° v 172.00 ® SEASONAL HIGH GROUNDWATER ELEV.= 167.0 LIMIT OF EXCAVATION EL 160.0 SEE NOTE #10 BOARD OF HEALTH gTAMPS BOARD OF HEALTH STAMPS TOWN OF DARTMOUTH - REVIEWED Any Chna Flust SEE gF_VRT ®I ReVj,.&w FLB 05 1919 y N P.E. STAMP SUBSURFACE SEWAGE DISPOSAL SYSTEM a � JOE CORREI A 8 � a LOT 14 MEDEIROS LANE SYLVAN SPRINGS II SUBDIVISION NO. DARTMOUTH, MA ENGINEERING FIRM:' . STA P SITEC, Inc. P.L S 13 Welby Road I' New Bedford, MA 02745 k9 T E (508) 998-2125 Civil and Environmental Engineering FAX (508) 998-7554 Land Use Planning l DATE: 1-13-99 CONTACT PERSON: DAN AGUTAR ACAD NO. FILE NO. I, 80,0 MECHANICAIS & PREKARY FUEL Furnace (hot air) Fuel gas (natural or propane), fuel o' electricity, other (specify) LE Boiler (heating)- Fuel gas (natural or propane), fuel o' , electricity, other (specify) --JyX1 I 4 HVAC (combined unit) - Primary fuel, natural gas, propane, electricity, other (specify) 6 Air conditioning (separate unit) 77 None of the above to be provided Hot Water Gas Electric Fuel Oil V Other goo SPRINKLERS FOR STRUCTURES OVER 7500 SQUARE FEET and certain multifamily residential 1 u Required, --plans provided, plans not provided, why? Not required, not to be installed, Why? 1000 REQUIRED OFF-STREET PARKNG for ZONING & Architectural Access'' NOT APPLICABLE Parking Plan submitted To - Building Department E Planning Board ` bate submitted Number of spaces - indoors outside total provided j H-ndicap spaces - required _ yes _no. If yes, how many as a prt'of the total required number. Is Route 6 (State Road) Entrance permit required? yes 77 no If yes has it been issued yes _ no Submit copy of application and/or permit as soon as available. 1100 IDENIZFICATION (print or type except as noted) /Current owner -name: 1 �`« to addLess hone # �/ 9 9 i-3C) If corporation, officer in charge 1 1-7 Architect/Engineer - for overall design !I Company name Address Phone number Certified by State of Massachusetts as Certification number ,I NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals and not reproductions. _ F Architect/Engineer project supervision and reports Company name Address Phone number Certified by State of Massachusetts as Certification number NOTE Signatures and seals on all plans, affidavits and other documents SHALL BE originals amd not reproductions. General Contractor (if Homeowner, state homeowner here then" complete section 1300) Company name Address Phone number Ile Construction Supervisors license number 73 / NOTE Signatures and seals on all plans, affidavits and: other documents SHALL BE originals and not reproductions. ss*ss*zsssssssam:sssxssssssxssaaasssmaasssssssass:massaa:ssssvacs::::::asasaaassssaaaassssa^.^ssa*ssss:ass 1200 FOR RESIDENTIAL REMODEL WORK ONLY Are you a Home Improvement Contractor subject to (780CMR 6) ? Yes No _ If no go tai next section! Are you claiming exemption from the requirement? Yes NO _If yes, submit the requiredd affidavit! Ren_odel contractor name (please print) Address Registration number (if none state "none') - Phone number PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCMESS TO THE GUARANTEE FUND! QUESTIONS OR COMPLAINTS call or write: Home Improvement Contractors Registration One Ashburton Place - Room 1301 Boston, MA 02108 (617) 727-8598 Owners name (print) Signature Date . 1300 OWNER -SIGN - OFF I, the undersigned, am the owner of record or authorized lessee (provide documentation) and I have reviewed e application herein submitted. I state that to the best of my knowledge and belief that the information provided in this application is true and correct and that the permit requested be issued. Further I understand that the permit will expire in six months, from the date of issue, if no work is begun or six months after the last inspection if work has begun andthat the permit may be extended for six months if no work is anticipated if I request such an extension in writing. I understand that the permit may be extended only three times by written request. I understand that once the permit expires a new application may be required, including fees and current other requirements (including Zoning). i - Name _S aA,.,RJT Signature The above signature is my voluntary act and is signed under the pains and penalties of perjury. ate-- Who is authorized pickup the permit at the Building Department? (please print) C.T`AY �= ��F, l� Address �J Phone 60�' J39xw' 1400 HOMEOWNER EXEMPTION - ONE & TWO FAMILY ONLY FOR HOME OWNERS 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 127.0, 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 structues, unless he or she is licensed in accordance with the rules and regulations promulgated by the BBRS entitled RLIer s and Regulations for Licensing ConstrLction Supervisors. Exception: Any Home Owner performing work for which a Building Permit is required shall be exempt from the provisions of this section; provides that if a Home Owner engages a person(s) for hire to do such work ,that such Home Owner shall act as supervisor. For the purposes of this sectior. only, a "Home Owner" 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 dwellin , attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in two-year period shall not be considered a Home Owner. l If you are applying under this section sign below: Signature Your signature carries certain responsibilities, including but not necessarily limited to, general liability zszszszxzssz*zsss*zzs*ssz*zsz*s*sszszzzzs*zsz*zzzszzsssszzssz*szssz*sszssszzzz*szs*szszzszssssszzzz*zzsz _-. NOTICE TO LICENSED CONTRACTORS: The Building Code provides in the Rules and Regulations section that any licensed Construction Supervisor, whether or not they have taken the permit are responsible for code compliance. (see 2.15.2 of section 5) *zsss***�z*s*:ss***s*tszz****zz*zssss*s*s*zxszzszs*zzssssss*sszza***s*z*******zs*tss*szss*sz**szz***zs** 1500 COT Cost of Improvement Items to be installed but not included in the above cost: Electrical $ y J9 lI O Plumbing !� 9s� . 00 HVAC Other TOTAL $ 77000. C) o L' Alteration of existing, no increase in gross square feet. A separate Refuse Disposal Declaration re-quired. = Demolition - describe structure Number of dwelling units Number of bedrooms A separate Refuse DisposW Declaration required. Moving - (Provide copy of D.P.W. moving license) Type of structure from where (plat/lot or address) to where (plat/lot or address) Number of dwelling units Number of bedrooms per dwelling unit Re -roofing - (for existing only, is included in new construction) Number of square feet Number of layers already existing Number of layers when complete A separate disposal declaration REQUIRED Replacement doors and windows - (for existing only) (only where doors and windows exist and wiill not be enlarged) EGRESS dimensions must be maintained. Enlarged or new windows in an existing dwelling; will be considered as an Alteration, otherwise will be included in new construction. (see Code section 3401.110 for residential and Articl- 8 ft.-- commercial) = Temporary structure - includes when allowed, trailers, tents and the like and only for limited periods;•`of time. Describe 500 CONSTRUCTION PLANS None submitted. Why? = Submitted, usually three sets required. Four sets for food service uses. Number of sets submitted'; 600 SITE PLAN ❑ Not required, why? l J� ►'1'\ i t �' 07 1 Submitted When? .= Previously, date ❑ With this application 700 UTILITIES Water supply - required _ yes _ no, public ? yes _ no, on site well? Zes no, existing? _ yes _ no If required and not existing have necessary permits been issued? _ no _ yes, date (M.G.L. Chapter 40, section 54 provides that no building permit may be issued unless a water supply when required, is available. See Code 780 CMR section 114.1.2) Sewage disposal - required _ yes no, public sewer _ yes _ no private septic - on -site _ yes no. Submit copy of permit as soon as available. -- Woodstove - used (will requ -don prior to installation), new (provide manufacturers instructions). Location(s) (list) Fireplaces) (includes flue) List locations) Game Court - describe (include overall dimensions) s Tent, Trailer (Mobile Home) or Other - describe 300 COhLNURC'IAL - PROPOSED PROJEL71USE - INCLUDING THREE FAMILY OR MORE AND EXEMPT USES THIS SECTION NOT APPLICABLE (The following descriptions are based on the Massachusetts State Building Code Article 3, AS NOTED) See the Code) Assembly - restaurant, lounge, theater, school, etc. (see Code Section 302.0) Describe I _ Business - office, assembly with less than 50 occupants - indicate Medical or other professional (see Code Section 303.0) Educational - structure for training including child day care for those over 2 years 9 months (see Code Section III 304.0) Factory ' Industrial - (see Code Section 305.0) _ High Hazard (see Code Section 306.0) = Institutional - hospital. nursing home, infant day care (see Code Section 307.0) I _Mercantile - retail stores (see Code 308.0) Residential - three or more family, hotel (see Code Section 309.0) , ;Storage -includes garages (see Code Section 309.0) Utility & Miscellaneous Structures - includes tents and agricultural structures (see Code Section 311.0) New tenant for any of the above, indicate above (see Code Section 119.0 and Zoning By-law section 35) Tent or Trailer temporary purpose? - Other Descn-he the proposal briefly, INCLUDE -amber of dwelling units and bedrooms or occupant load as appiirabk, also existing condition 400 TYPE OF CONSTRUCTION OR WORK TO BE PERFORMED I New Constmcdon and/or Addition - total gross square feet (For commercial only total gross cubic feet) - indicate It will be considered new construction if there an increase in square footage in addition to any alterations). If project is an addition to existing structure - Total gross square feet of existing _ FOR COMMERCIAL ONLY Will this project be subject to CONSTRUCTION CONTROL (over 35.000 cu.ft.) Yes No. (If vex see Code section 127.0). Designer to submit Code Synopsis. 00 Will this project require Peer review (over 400.0cu.ft. Yes No 1 1see Code' Appendix Il :VPLIC-XNT TO PROVIDE I The following section for official use only. INSPECTORS' REVIEW Date plan reviewed 30 days to review period expires OK to issue date OK to issue subject to requested submittals (see project review worksheet) date DENIED see project review worksheet date HOLD reason dates HOLD Subject to Zoning Board of Appeals action Comments Inspectors signature Date'-�� Applicant informed of above -`Date a staff (fax, phonei, in person) ssxssssss:ssssssssssstsssssssssssssssssssxssssssssssssssssssssssssssssssssssssssssssssssssssssrs�sssssssssss Over six months since approved for issue - DEEMED abandoned! Advise applicant. Hold 90 days for return then dispose if not picked up. Inspector Date; Advised applicant Date Time staff (by phone, fax or in person) ss:ssssssssssssssssssssssss:sss:ss::ssss:s:sssssssssssssssssssssssssssssssssssssssssssss:sssfss:sssssss:: OFFICEUNSPECTORS NOTES TOTAL FEE `T.: - " c . Gross area - Total Sq. construction q• Ft. CUD___----y, alteration Total Sq. Ft. Permit is issued to Comments/notes on permit i� � Y 1600 TO THE ,APPLICANT AND APPROVAL Date of Application submission Plat Lot Street Aquifer Zone _ 9 Owner S i I Owner mail address Owner phone # OXXTXHXXEXRiiiIIINVOLVEDXiOiiLxViiEiDxiAiiGifE#N;iCiIfES a- iT;hi;e ffollowing ;agencies require ;separate fi3uffri;sfdfic;ti; niafl ffffiii;i f;f;;iif if Xi permits or approval pp for your proposed project. , CONTACT ITEM FOR RE(}UMM S'IIBAHSSIONS. TAX COLLECTOR = Approved HOLD By Date ❑ Board of Appeals Approved By Date Conservation Commission ` Approved By Date ❑ D.P.W. Water Approved By G D.P.W. Sewer Approved By Date ❑ D.P.W. Cross Connection - Approved By Date ❑ Treasurer (Bond) ❑ Approved By Date t1 D.P,W. Engineering — Approved By Date 7 oarr' of Health (weil) ^ Approved By Date ❑ oard of Health (septic) Approved By Date ❑ Board of Health (food service) = Approved By Date 17 Planning Board (parking) Approved By Date RE DISTRICT (I - II -" IIn - Approved Bp ' Date ssssss sssxsssssssssssssssssssssssssassssssssssssssssssssssssssssssssssssssssasssssssssasssssssssss BUILDING DEPARTM3MNf APPROVAL: 13 ZONING ❑ BUILDING INSPECTORBUILDING C0:1MISSIONER ❑ CONTROL CONSTRUCTION AFFIDAVIT xiXs2isizssiiiafariiiffi;iia*iffffixs;#iififiixi#itsifi#i#i#iiffiaXXxXiiiiXEiitfixf#l;iifiixiixXX##f##ii PROJECT SUMMARY: new constructions alterationidemo sewage disposal - public private [_ lter;add interior walls] [add rooms] [add footprint] water supply - publiciprivate well [pool] jgarage,shed/deck] [game court] [food servi e] Describe e� iiziiiisXszf XXiaaCaaiztaaafffif;;s=#===#==Y#==#iifif,.Xfiffi; iiiiiiXaafa tiiiixiiii;aiif;fi ffififssi;afiiai To the various departments: } This notice has been forwarded to you for your information and any appropriate action. Should you have any questions please advise. If any reason to withhold the requested permit is found, please advise. Your assistance and cooperation is appreciated. �- ! a, The Buiidin_ Departmei:* -'Date sent for review % v (for office one only) ION ORII�.Y Total Cost S / Received By Date Recta �%--�;�--+j C a Total Permit Fee Fee $ --� Permit ' Lamed Date t 100 LOCATION O PROJECT F TOTAL LAND AREA SQUARE FEET CURRENT ACCESSORS' PLAT 6 LOT ! ZONING DISTRICT OTHER ZONING OVERLAY DISTRICTS if applicable QA ZNUMBER & STREET �r NEAREST CROSS STREET 0-6 t 143 � 6''�J 42''r K �l LDIVISION NAME & LOT # koT or BUSINESS NAME PREVIOUS TENANT/ OWNER 20o RESIDENTIAL - PROPOSED PROJECT - one & two family residence only THIS SECTION NOT APPLICABLE ® Single family - number bedrooms number baths z wo family - number bedrooms unit 1 number baths unit 1 number bedrooms unit 2 number baths unit 2 Accessory apartment Total gross sq. ft.17 - Accessory structure: — Garage - detached - attached to dwelling, dimensions L W - Carport - detached - attached to dwelling, dimensions L W Shed dimensions L W Deck - dimensions L. qr - Gazebo - dimensions L R' Swimming pool above ground in -ground Size eChimnev - number of flues(0