Loading...
Site Inspection`., �`:iii 400 Slocum Road • P.O. Box79399 Z North Dartmouth, Massachusetts 02747 Yoffyit 1 Elt711(1/1110a ,-----7 . ECE:VE ) i996 S PM 24 Pit `i 2. Fill771:)A-1 SITE, 1A1SPj�?CTION,FO K �"`` )NSERVATION COMMISSION OAR i 1 1F�:.0-I ri i ,L.U111 v t PT, (508)9g9.0722 . - *7,4_4. //ig �5 6 Name of P son Makin Request Date L-1 CQ,L,, 40,1,4, L' 0 T l-1 i,eo3 L ,�7Address of Applican Street Location of Property . t('_.z,(Z-e/v ---- 411 74- 02 ?,3 5 . -An r9 P 7.6 4- F City\Town, State), Zip Plat and Lot Number S7 i N 5 /21 F ✓�,'-, • CY-7 ---7-3 0 ,i4 5 i‘ -4-.4,..(e__C_,., ---) / ` Telephone (Day & Evening ) Proposed Use of Land (Dwelli'ng, d' ion etc. ) Owner Name gi-gnature Owner or Owners Repr , ative .)-9 1 73- , z c 7— i\I , 6 - ;( WI% Address S gnature of Applicant --_______, LOCATION OF PROPERTY: Please attach a site plan. If a site plan is not available, a hand drawn map showing the. exact location and size of property to be inspected is acceptable . The map shall include the following information: street name , house number on abutting lots, property bound ' locations, and any natural or man-made features which will allow the inspector to find the site . Use the space provided below to draw a map or attach an extra sheet . Property boundaries should be clearly marked in the field prior to requesting site inspection . Wetlands exist on (North, south, East, West) of site. Edge of wetland has been marked on site by Inspector. Flag numbers - Any activity (clearing, digging, removal of vegetation, etc.) in a wetland or within 100 feet of a wetland requires a permit from the conservation Commission. . No work shall begin until permit is received. A Notice of Intent should be filed with the Conservation Commission before any work begins on site. A Request for Determination should be filed with the conservation Commission before any work begins on site. No wetlands or other areas subject to the jurisdiction of the Conservation commission exist on site or within 100 feet of site. No forms need to be filed with the Conservation Commission. A survey plan of the wetland delineation should be submitted to the Conservation Commission office. // other Comments: d*(4✓7e4( liiiiOP **461df I T(Uq or " "S ✓ S / P1' nfs 7ha'1n1 ScA cif / ' ?,' A. i4 n yy Q C J r v!-4y /^ U J 1er zoo die' e y[j`,r1/ rSvft { _ � lor,fei'[�4'1'7Gn . W df� d�f1��� c� J `cr,- 2 e doe/ nay` rep)1 re 6A!ClivIAPot 6,11 Avlricki to Note: The A-1 Site Inspection is a procedure outlined in the Dartmouth Wetlands Protection Bylaw. It is a service available for the purpose of identifying wetland areas on a site. The issuance of this completed Site Inspection is NOT a final determination of wetland boundaries or their jurisdictional status under the Massachusetts Wetlands Protection Act (MGL Ch. 131 S40) or the Dartmouth Wetlands Protection Bylaw. Only the issuance of a Determination of Applicability or Order of Conditions by the Conservation Commission finalizes the determination of wetland boundaries and\or their jurisdictional status under these Laws. The completion of this Site Inspection is not an authorization to proceed with work. This site inspection expires three (3) years from the date of issuance (shown below) . All filing forms are available in the Conservation Commission office, room 107 at the Dartmouth Town Hall, 400 Slocum Rd. from 9AM - 4PM Mondays and 8:45AM - 4:30PM Tuesday through Friday. Site Inspection Fees: 1-5 Acres $50. 00; 5-10 Acres $75.00; 10-100 Acres $200.00; Above 100 acres $400. 00 The Conservation Inspector will flag the wetland edge for sites from 1-5 acres only. The Conservation Commission reserves the right to refuse to perform a site inspection on areas less than 5 acres where abnormal site conditions would require an excessive amount of time be spent by the conservation Inspector in making a determination of the wetland areas present. Sites over 5 acres must be flagged by a wetland scientist, botanist or other qualified person prior to submitting of site inspection. The Conservation Inspector will then review the flagging in the field and make adjustments where necessary. The Conservation Commission may require proof of the qualifications of the person performing the delineation on sites larger than 5 acres. Y"'" 6 Date JZ :ssua co C nse atio n Officer IA t&L1 1-1 l LL C))( i CGbL1 Cl ues F7.4 412/71 , Pv 31 a Ate. MAP 19 , L 01 S tJo-c .• A �tiZINCa -0A1.I& A- % t7 \�O °� dfis -t‘ekV fox Good C-101?7' \\&I• oo • �lzo� 'C`( 1. i.• vS a tea,- 0 • 1 1 O 3 \� o� �9 -5 ,..X1-4t.F • �� CA2 © ,4 N q Z� ,1� �F0 + ,, „0-.0A..4.-•• ? •‘ 1. -1 -11 42r 72 s'.4. 1 1 \ i # ,),,e6020. o, , .qe 0...),,,. \ 1, ;VW?' ,, • U 1 T. ar.5.1A/ : it r / r , I ' / /I ,i I / /! L' I` / V j I ello lr r IOW,. ; „ I _._____ / 1'Pr\ ifigry ' r• ) ; ; - . • • , -4 / '11114L1*"111‘-' ' \ . ,t I I .% \\,::\ 1 , / ' / . sff-e.-%66,..? //L.', I 1 I i • / ,„or., ;,i.Z'"."--- 111 1 \ `, \ I 8/ (.1:- 1 Nitkik-.,e..-;--wirw-,......... _ .... ..,7:-.„..--...".,....i.„,.., % ; j I I7� .1_ �ia!„� , /Q / pv' pry . ' kr If \ 0 i :01 i / I 11 t� .\ — (, / / , / I ••r -• r 0, h r��✓` ado'a C~~ . 't,,�.° °C