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RESERVOIR
70
i d
J;ranbeny
coo
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SITE LOCUS
SCALE IN = 2,083'
NOTE ----------.
MAINTAIN ELEVATION 99.0 (TOP OF PEASTONE)
FOR A DISTANCE OF 15 FEET FROM SOIL
ABSORPTION SYSTEM IN ALL DIRECTIONS.
LEGEND
O o o
SEPTIC TANK
3 o
PUMP CHAMBER
p
DISTRIBUTION BOX
----- 100 ----
EXISTING CONTOUR
PROPOSED CONTOUR
TEST PIT
RESERVE AREA
W
WATER LINE
— — — — — — — — —
LIMIT OF EXCAVATION
(310 CUR , i'5.255) WET #BEND
pDOCIll
--7 I 0) / 96
• i / 97
LOT 19 ,
pCC WET i#7
•
1
LIMIT OF
a
WOODED/ ' \ ! ,� _� �r \ AREA �T)'I'.) ,�
1
1
1
PLOT PLAN
6
SEPTIC SYSTE
M COMPONENTS
SEPTIC TANK: USE ►,500 GAL. TANK AS MANUFACTURED BY M&S
CEMENT BLOCK CORP. OR APPROVED COMPARABLE
Sues FITUTE.
DISTRIBUTION BOX: USE 2 k SO. a W/BAFFLE AS MANUFACTURED
BY M&S CEMENT BLOCK CORP. ' OR APPROVED
COMPARABLE SUBSTITUTE.
LOW GALLEY.USE "S" TYPE (SIDE INLET) LOW GALLEY CHAMBER AS
MANUFACTURED BY M&S CONCRETE BLOCK CORP.
OR APPROVED COMPARABLE SUBSTITUTE.
PUMP CHAMBER: USE 1000 GAL. REINFORCED CONC. CHAMBER AS
MANUFACTURED BY M&S CEMENT BLOCK CORP
OR APPROVED COMPARABLE SUBSTITUTE.
0 T 0 1 I=HU V11=01%XFI Vf1 1 I
— 330
DESIGN CAPACITY. _
C _BEDROOMS x 11 D GPD/BEDROOM _GPD
SEPTIC SYSTEM , DESIGN: 3 LOW 3
GALLEYS 4 x8 WITH OF STONE
SURROUNDING GALLEYS
WITH12.5 2 EFFECTIVE DEPTH
H ( , STONE BENEATH GALLEYS. )
SEPTIC SYSTEM DESIGN PERCOLATION RATE: <2_ MIN./INCH (0.74 GPD/S. F.)
SEPTIC SYSTEM DESIGN CALCULATIONS:
SIDEWALL: _3�LONG x, 2 SIDES x 2_0_. DEEP x 0.74 GPD/SF = 88 GPD
ENDWALL: 10' LONG x 2 ENDS x 2• DEEP x _�• 74 GPD/SF = _ 29 GPD
BOTTOM: 30 LONG x ��' WIDE x o.74 GPD/SF - 222 GPD
TOTAL SYSTEM CAPACITY 339 GPD
I
WLET
(
GENERAL NOTES
• AR - EALT T
BOARD OF H H 5 AMPS
12. -Some 'manhole locations w ;
1.) This system shall_ be inspected when the leaching area is ) shown on the precast � concrete
structures ma not be `stan�
fully excavated, when all components ore in place and again after Y lard locations and must be specially
s
final cover to grade is complete. The contractor shall notify the ordered as such from the supplier. `
local Board of Health and the Engineer a minimum of 24 hours in
advance of, an required inspections. 13.) The .contractor shag ex(cavate all unsuitable material in the
Y q leach'in area shown on the Ian and backfill with clean ravel. or
9 P 9
coarse sand 310 CMR 15.4 55 3 2.) All base aggregate for leaching structures shall consist of ( ()) •
double washed stone 3 4 to 1 1 2 inches in diameter and shall be.
free of iron, fines and dust in place (310"CMR 15.247 (1) (2). 14•) A Certificate of 'Complitance as required by Title V. 310 CMR
15.021 must be obtained thythe contractor upon completion of . the
P P BOARD OF HEALTH: STAMPS:
3. Elevations for the system are based on on assumed datum.. work. If an "As —Built" plan 'is required due,to to the contractor ° .. •
Ys q _
deviating from` these plans, the cost of said "As -Built" plan ,
4.) The contractor shall not allow any heavy equipment to be shall be paid for by the contractor. ,
operated over the limits of the sewage disposal system during
15. The contractor shall be responsible for verif in the actual construction of the system.` ~ :. ) .., . P Y 9 • - ,
location of any ;existing utilities shown on this plan.
5.) No field modifications 'shall be made to the system without
prior written approval from the Engineer and the Town Board of 16.) This septic system is mot designed for the use of a garbage `
Health. disposal unit.
17.. It is recommended thai't the septic tank be um ed out at 6.) Unless otherwise noted, all system components -shall be ) P P P k 10,111d
least once ;eve three ear=;. STA` z� .. E �G
installed in accordance with the current edition of Title V of every Y
the State Environmental --Code and applicable town 6�t.AN .J s
regulations. 18. Pro ert lines , shown crn this Ian area rox�mate oil ,and j a 9 ) P Y P PP Yl
are NOT. the result of a fieild survey.'(
' J. <► 7.) At all points of intersection of water � lines and' sewer
lines, mechanical Joint cost iron pipe shall be installed for
both lines for 10 on either side of the intersection point. '
. ALAN HEUREUX, `-P DATE s/or� �1_
,
8. The precastconcrete_ _ :. _ , , •
} p a septic system components shall be ;
manufactured by M & S Cement Block Corp., Fall River, MA or
. THIS PLAN `SHALL NOT BE VALID UNLESS THE SIGNATURE OF
J & R Precast, Inc., Berkley,. MA or use an approved comparable
THE ABOVE NAMED PERSON !S AN ORIGINAL SIGNATURE AND ' .'
substitute.
: THE PROFESSIONAL SEAL APPEARS ' 1N RED INK.
9.) Grout shall be used at all points where pipes enter or exit
all concrete structures to provide a watertight seal.
SUBSURFA"'E. Isr-5,08AL
10.) All shi la joints' in the se tic tank shall be sealed with
neoprene askets or as halt cement. SITE,,.LOCATION: P 9 PON. 167\ PINE ISLAND ROAD, 'DARTI OUTH, MA,.'
11. All PVC 'used shall
pipe meet ASTM D 3034-73 SDR 35 and OWNER..MARY; M. FAUNCE
310 CMR 15.251 5 except inlet nr
O P i et and outlet tees which shall ;be
h I sc edu e 40 PVC.. r
N0. DATE REVISION BY. PLAT., 79 LOT:
15
DATE. FEBRUARY k .
f 16 ? 999
1999
Residential
Residential
2.2 Authorized Agent:
c
F.
-contact Address .
Name (p. "-�) ----�—
'...
�4*
. ..........
- T.
XX
XX. ......
3.1 1
,.ansed Construction
u ct to n Su
pervisor:
e ry 1So r.
41, V
v
Licensed Construction Supervisor `
Address
125
Telephone ,�--
Signatur::0:7off
3.2 Registered Home Improvement Contractor:
t Contractor subject to (780 CMR-6)? �` yes ❑ no
Are you a Home Improvement J
If exemption from the requirement? ❑ yes U no
no"O p to the next section!
Are you claimm.g p
If yes, submit the required
affidavit!
1
, 41
vi iL
Company Name
_ r
Address
Not Applicable ❑
Licen
se Nu
mber er
c. n
Expiration Date
C) 2. coo
Not Applicable 0
Registration Number (if none, state "none")
2.
Telephone
01
/ Expiration Date ,�.
a Telephone (� 2
-60
Xe C.1-6
r
y
3
F rRes
ident
ia
l
Rem
Re
model
el Work Only
PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY
•QUESTIONS OR COMPLAINTS call or write:
FLrND. A 02108(617)72 7-8598
• - shburton Place - Room 1301, Boston, M ,
e Improvement Contractors Registration, One A
Horn p
J wry ers Name (print)�
� r
Signv.ture
signingthe above, Aliome owner acknowledges that there will be no eligibilty to the Guaranty Fun
by
Date
3.4 homeo caner Exemption - One & Two Family Only
FOR
HOMEOWNERS WHO INTEND TO PERFORM AND BE RESPONSIBLE FOR THEIR OWN PROJECT
1 D9.1.1 Licensing of Construction Supervisors: Except for those structures governed by Construction Control in Section 116.0,
effec give 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 she 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 hue 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 nNro 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:
.71 YJLi.G7. l l.11 V .
carries certain responsibilities, including but not necessarily limitedto, genera lability
Your signature p
a
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 ApJbendix of 780
CMR R5.2.15)
7
Workers Compensation Insurance affidavit must be completed and submitted with this application. ailure to pro�4�ide this affidavit
will result in the denial of the issuance of the building permit. Signed Affidavit Attached:yes El r��o
'
. . ...... ........ ........
... .... ......
.......:::::............
. .. ............
................. OP-0
.......... , * : -:-:-
X.
ove
.............
... ..... .
n „a.�, n a�1r�;tinn ❑ alteration repairs 0 chimney/fireplace ❑ woodst
construction*
❑ deck ❑ pool ❑ accessory bldg.
(shed/garage)
O replacement window/door
no. of windows doors
f new construction ollowing:
I �lease complete the f
p
Single Family. no. of bedrooms no. of baths
bedrooms unit 1 no. of baths unit 1
Two Family: no. of
no. of bedrooms unit 2 no. of baths unit 2
Bniaf Description of Proposed Work:
0 -,r1rn n 1,
2LPmC4.
too r vo`-4-4p
ure,,, o-o L5ec(-)n
•c
-10)
Item
1. Building
2. Electrical
3. Plumbing
4. Mechanical (HVAC)
S. Total = (1 + 2 + 3 + 4)
O other
(specify below):
D demolition
(specify below):
....... .. ' . •} :• �. tv.�{.....................:::::::::::........:.}:•i'r:•?:•ri:•i:•}:•i}:•i::�i}:i�ir:•}}:•}::i•::C�::::?:�5:>::i::: SS::::<.?:<:<.::jj:::::ij:::::.:
Estimated Cost ($) to be completed by permit appli�-:ant
Estimated Total
RM
00
' ........ --..- ..............
(please print)
as Owner of the subject property hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.Al-� - Ir t",%) V
%
� -`-may ` � d.....................::::::::::: Date:.,.::.;�:.:;::��:;:.:>:::::' :::<: ,:::: �::::::::::::>:::�; : :::............
Signature of Owner
as Owner/Authorized Agent hereby declare that the statements and information
on the foregoing application are true and accurate, to the best of my knowledge and belief.
Signed under the pains and penalties of perjury. _
PT1T1t eMO L—Lt,�
-2 O'el
c }oci
§it4nature of Owner/Authorized Agent Date
c.
•\cap forms\bid a .res Page 2
.grin\ �, Pp
January 20, 1999
c:\-vvpwin\forms\bldgapp.res
Page 3
January 20, 1999
l
_____ h
Residential �/ - 1'
/•�.�--
/
7 1
a FOUNDATION ONL
19
_ 19 9 9 ent� �
9
I� ,� Resod a
:. •
• •....' .•:: ':• ':::•'• :' :•:•::•:•: :•:•••••'':: :::::::� :.. :. :::.:: :•:-.' ':' '•'•'•''''•' :: '::.:•::.•:••'::•
:M
�" '�
, � 6 / ��
l . Date la. ,� � � ~�� r f ��_� ��
p n reviewed.
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. H LI) � a
O e son.
Date
7. HOLD sub •ect to Zonin Board of A eals acti •
� g pp on.
8. Comm
e �1tS .
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"S
f
h
•
•
9. Ins ect n
ature .
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Applicant informed of ab .' ve
Comments :
f j
_!I r .0 R /' ��
Date. 1- , k
� f F`
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r fr—�'— �,,, I-- 'I
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Time: ,fit' _ Lam. % Clerk• �� .�.
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:;��
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Total Perms L. Fee. � �L) (D Less A licatlon Fee. 25.00 Remain n Balp m
pp � g ,e $ i
TOTAL FEE:
Permit Issued To:
- � -i .-
Gross Area - New Construction totals . ft. .
q
) t en
Gro r
�.
ss A ea Altera
ton t tal ft
o s .
q
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DARTMOUTH BUILDING DEPARTMENT
400 Slocum Road, P.O. Box 79399
Dartmouth, MA 02747
508-999-0720 FAX SQ8-999-G�738
DATE'RECEIVED
- #
t '
1. - .. i .� • _' �. ...r [1 _ - ► !
f1 �r:1 i i i'
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APPLICATION TO CONSTRUCT, REPAIR, RENOVATE OR DEMOLISH A'ONE OR TWO FAMILY DWELLUI TG
'� : S 1:S'
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.... ................................................................................................................................................................:.:.::..::.................. ..............
Zoning review:
Energy Report:
::.:1� 1 �:?:
.:: .
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... .A P..
- -- - - -
S ignature : D ate : . . -i
•
Signature: ate: f
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