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BP-067 FIELD INSPECTION Dartmouth Building Department r^Trip Plat: 79 400 Slocum Road-P.O. Box 9399 � �F � Lot(s) : 48-48 North Dartmouth, MA 02747 Lot Size: 1. 81 A Telephone 508-999-0720 Zone Dist. : SRB Issued Date: 07/26/95 Permit No. : 67 Project Location: 37 Sundance Road _ Number Street Subdivision Name: Fox Run Terrace (Lot 324) Nearest Cross Street: Applicant/Agent: John F. Fabian Jr. Contact Person Phone #: ( ) 508-998-2259 Proposed Use: Residential Residential,Commercial,Industrial,etc. Permit Issued To: New Construction _ Type of Improvement,Add,Alter,New Const.,Demo,Land/Move,etc. New One-Family Dwelling/ 3 bedrooms/ 2 bathrooms/ septic system/ well water/ oil heat (3360 sq. ft. ) indicate no. of bedrooms and bathrooms and other rooms Owner(s) of Record: David Bousquet Address: 51 West Street, New Bedford, MA 02740 DATE TIME TYPE OF INSPECTION REMARKS ( INITIAL 11-9 a t% (. Jt4( BUILDING PERMIT Dartmouth Building Department Plat : 79 400 Slocum Road-P. O. Box 9399 Lot (s) : 48-48 North Dartmouth, MA 02747 Lot Size: 1. 81A Telephone 508-999-0720 Zoning Dist. : SRB July 21, 1995 (typed) Permit No. : 67 Issued Date: 07/26/1995 Clerk: soh Project Location: - 7 Sundance Road Number Strout Subdivision Name: Fox Run Terrance (Lot 324) Nearest Cross Street : Applicant/Agent : John F. Fabian Jr. Address: 70 Nestles Lane. Acushnet, MA 02743 Contact Person Phone #: ( ) 508-998--2259 Type of License: Owner: ( ) Const. Superv. License #: (001759) Architect : ( ) Engineer: ( ) Other: ( ) Proposed Use: Residential Residential. Commercial, industrial, eta. Permit Issued To: New Construction Type of iapre . Add, Alter, New Const., Demo, Land/Move, etc. N _-One-Faam-i1v nwel-1-ino1- 3--bedro,om--s/_ 2 t bathno-oats-I----..se ic=- s :aa/- -.. ,.-- well water/ oil heat indicate no. of bedrooms and bathrooms and other rooms Gross Area of Const. : 3360 sq. ft. Cost of Const. $123. 300. 00 Cost-Other Const. : TOTAL FEE: f 336. 00 Owner(s) of Record: David Bousquet Address: 51 West Street. New Bedford, MA 02740 All work shall comply with 780 CMR 5th Ed. (MGL Chap. 142) and any other applicable Mass. Laws or codes and plans on file. I hereby certify that the proposed work is authorized by the owner of record and I have been authorized by th owner to make this application as his authorized a e t /2 Signature of Owner/Agent : �F ��' Address: ******************** *** ** * * ** **************************** Signature: a Approved/Issued By:,r oel S. Reed, Loca Building Inspector COM NTS: ORIGINAL ❑ APPLICANT 0 ASSESSORS ❑ CLERK 9 COPY OCCUPANCY PERMIT DAVID BOUSQUET NEW DWELLING Occupancy is hereby granted for the premises located at 37 Sundance Road Assessors Plat 079 Lot.48-48. The premise has been found to meet the requirements of the Massachusetts State Building Code in effect as of the date of permit issue and other applicable Massachusetts Codes and regulations as evidenced by approvals affixed to the reverse of this permit. The use is further found to be in compliance with the Local-Zoning By-Laws for Lse a indicated, as of this date of issue. This permit is further conditioned on-the continued maintenance of permitted conditions as provided by law. ZONING DISTRICT - Single Residence District APPROVED USE - RESIDENTIAL • BOARD OF APPEALS/SPECIAL PERMIT N/A Approved by David J. Silveira DEC 15 1995 Building Commissioner & Zoning Enforcement Officer DATE OF ISSUE CERTIFICATE OF OCCUPANCY - IMPARTMENTAL APPROVAL To be signed by each division indicating compliance on final inspection. BUILDING SPECIFICATIONS PER 780CMR-119.5: USE GROUP CLASSIFICATION TYPE OF CONSTRUCTION MAXIMUM LIVE LOAD FLOORS SPECIAL CONDITIONS BUILDING PERMIT NO. 67 Approved by Date DEC 15 1995 Comment PLUMBING ,/ PERMIT NO. SOf Approved by Av Date ia. • ra • 95- Comment d M GAS ,/ PERMIT NO. YL/ Approved by 6,9) C Date _/a• •y s Comment ELECTRICAL PERMIT NO. // F_ Approved by / /1.--pb.,ZDate / —7- 95- Comment FIRE DIP-3 PERMIT NO. Approved by�/�//-,G"lc/r9")7 /9- Date /g. 1 •r� Comment BOARD OF HEALTH PERMIT NO. 9S- / Approved by .,.. / ,, Date a Pi c $ Comment a--7_ DPW-WATER ,,/ PERMIT NO. Approved by I Date Comment DPW-SEWER PERMIT NO. Approved by � Date Comment WATER DIVISION-CROSS CONNECTION JOB NO. _ Approved by //4- Date Comment E - 911 COO ' Ii ATE R ADDRESS NO. Approved by /�- Date DEC 15 1995 Comment / PLANNING DIREC OR (Off-Street Parking Plan) Approved by /609 Date Comment rat trLpT thAr PERMIT 7 •z- phc, • .0:44 C •,2•2'g•;2, f.,-2 .77 t77 t "`24,.....53' ••'• , •-•„ „ • - „--- e 7• • f2kci 1,"•!, I r4t. •4. 3•"2' j„?7,?' ••-; Ln„ r' ., 0.0 t 4.;t Pr p a n , _ . 0, t: A. 1 f- t f 7 _ _ 3 h tC 214,..:2I ? _ 4,, t2tEiL t (.4-E-;• rw-r t 4f h e „,4 2,2,1 f,f ,c.to e 414F 4.-p‘,4“,ti, r n .2 / -•1 u t ,,,,, — • 71r' Si- ... , t;: 1', 4•714 4•t 17 • ) Plat 99 Lot 91P- jt's- Address .�l -5t4i1 I1L 414c,.c_ __ Required approval Approvals receive3 please (X) approvals Please (X) approvals anc required for this project Initial as received DATE INITIALS 4/7/ Zoning • i/ Building Comm. &7- /f-1,s CQ Board of Appeals Water Card /� Sewer Card c, v Board of Health de - 7 5 1''-4-0 Bond _ Selectmen G/7- Conservation Fire Chief d k 2 a 9s- 'Po Cross Connections Licensed Contractor Controlled Const. Affid. 1 t.// Other information required :-.47.;.4.-4,.....4</.17-/14 - -- fc› ei C../7, 0 o3TT►t.k PERMIT NO. �tN4 �9 DATE ISSUED j- % `'� '°`� TOWN OF DARTMOUTH ✓� w' G.o0 i. �) APPLICATION FOR TOTAL COST 33 ti � �o y� LESS APPLICATION FEE �4 a `� .- • �ea4 sy BUILDING PERMIT FINAL PERMIT FEE //• O 1 LOCATION OF BUILDING 01 Number & Street 37c5 ' ' 2, ,✓l . . ./O 01.1 Zoning District . 4 4 ,02 Cross Streets(between) and i 03 Lot --OfF' Plat ��1 04 Subdivision x/e,/, . � Lot J;7// OWNS SHIP COST 05 Lh'Private (individual, corporation, ` non-profit institution, etc.) 36 Cost of Improvement /G .fg�. 06 El Public (Federal, State, or local government) 36.1 To be installed but not included in the above cost GG TYPE O�CONSTRUCTION 36.2 Electrical �O1 - 07 Ca'New Construction 36.3 Plumbing V ,/f 08 ❑ Addition -Type of Room(s) 36.4 HVAC 09 ❑ Alteration 36.5 Other - Specify 10 ❑ Foundation Only example: elevator :,i 11 ❑ Demolition (#of units if residential) 37 TOTAL / r„�' 12 ❑ Moving (relocation) STRUCTURE STATISTICS 38 Wood Frame 13 Number of Bedrooms f 39 ❑ Masonry (wall bearing) 14 Number of Bathrooms (Total) 3' 40 ❑ Structural Steel Full-Tub / 41 ❑ Reinforced concrete 3/4 - Shower / 42 ❑ Other - Specify 1/2 - Toilet Only / RESIDE,AITIAL-PROPOSED USE DIMENSIONS 15 One-Family 43 Number of stories 16 ❑ Two or more families 44 Total square feet of floor area, all floors, . 1.3 (a Sfi Number of units based on exterior dimensions 17 ❑ Garage 18 ❑ Shed 45 Total land area, square feet />=1C7 - 19 ❑ Carport , 20 ❑ Swimming Pool SEWAGE DISPOSAL In-Ground Above-Ground 21 ❑ Woodstove 46 ❑ P blic or private company 22 ❑ Fireplace 47 FU'Private (septic tank, etc.) 23 ❑ Other- Specify WATER SUPPLY 48 ❑ Public or private company NON-RESIDENTIAL - PROPOSED USE 49 L 'Private, (well, cistern) 24 ❑ Amusement, recreational PRINCIPAL TYPE OF HEATING FUEL J 25 ❑ Church, other religious 26 ❑ Industrial 50 ❑ cpas 27 ❑ Parking Garage 51 Lal'Oil .f 28 ❑ Service station, Repair garage 52 ❑ Electricity 29 ❑ Hospital, institutional 53 ❑ Coal 30 ❑ Office, bank, professional 54 ❑ Other - Specify 31 ❑ Public utility 32 ❑ School, library, other educational TYPE OF MECHANICAL 33 ❑ Stores, mercantile 55 Will there be central air conditioning? ❑Yes P4. 34 ❑ Tanks, towers 56 Will there be an elevator? ❑Yes Lilo 35 ❑ Other - Specify PARKING PER ZONING BY-LAWS 57 0 Enclosed 58 Outside RECEIPT FOR PERMIT ouTH. TOWN OF DARTMOUTHy `4,��� PERMIT NO. 1.6:t - 1 Date ry Received From - �` L€-�t. ;�` ' .— - —•-G.--G.�+�c,� y • 7 Owner `3� ..v:."-L -.e - 0,..-11,,.- .-r Location ^.7 +-'r.`_ i �.E "Tv,.t_ c Type z, r_ _.�- _�.. Amount Paid --:-3df/ °--- c-k- ,9-1 I �? Received By 1 V. _4--64-1-. _ 7 I RECEIPT FOR PERMIT TOWN OF DARTMOUTH 0,-.007N\ _ , =-1_--- ---•”'-=.11,o PERMIT NO. NA tt".:,- Date 7- / 7 ..' _,- ...„...._. / .. • Oceived From (-./. ..--14,-. it- ./7.---m--t.:..4-1.--44.._--zi .4.1' ,t, 7-, Owner -\ . 1 Location „ ..N., "--(..-4..,--:,-t.....--;t4: c,,.-1.,i___,. „ iv Type .I/ i . , .4.' ''' 1 Amount Paid ii, , i . Received By ,.;.: , 59 Does this building contain asbestos? ❑ YES L1"NO If yes complete the following: Name & Address of Asbestos Removal Firm: IDENTIFICATION - To be completed by all applicants PLEASE PRINT 60 Owner (print) �66/' �a//�//ice/ ///46 .5 -7 /f NAME MAILING ADDRESS TELEPHONE NO. .U9‘7 S;(.1 61 Signature • DATE 7AV/`Y- Builder's 62 Contractor (print) i��,c �/�i/ - �� /'1. 1-�s Z < 7�� �y License No. g/,%-7.1- N E M ING ADDRESS TELEPHONE NO. 63 Signature S , J,TELEPHONE DATE 64 Architect or Engineer (print) NAME MAILING ADDRESS TELEPHONE NO. 65 Signature DATE ��- � CERTIFICATION TO PERFORM WORK 66 I/We hereby appoint ;4'y '/ 4AI" /7 . i��s✓��v� /;,/ ///i NAME ADDRESS as my/our agent for the purpose of applying for and obtaining a building permit for the work to be done described in this applicatio . Signature C�c�= J I -- DATE 7//.0 ADDITIONA INFORMATION 67 Has A-1 or Determination been issued by Conservation Commission? ❑ YES ❑ NO Submit copy of notification sent to DEQE and the State Dept. of Labor Industries and result of air sample analysis after asbestos removal is complete. 68 Owner or Agent - I certify under peril of the penalties of perjury that the information herein is accurate to the best of my knowledge. Signatur / / /wnerorAgent DATE 69 BOARD OF HEALTH REVIEW DATE Inspector or Authorized Person COMMENTS: 70 DPW- WATER Service No. SEWER Service No. To be completed upon issuance of permit- (if applicable) 71 I will post permit and d r ss so as be visible from street. Signature DATE / /5. Owner or Agent 72 I have received ist of required inspections II Signature DATE Owner or Agent L 73 FOR RESIDENTIAL PROJECTS OTHER THAN NEW DWELLINGS: ire you a Home Improvement Contractor subject to the registration law(780 CMR-6)? YES NO Are you claiming an exemption from the law by homeowner sign-off? YES NO (if yes,submit required signed affidavit) Contractor's Signature: Date PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO THE GUARANTY FUND (780 CMR-6) QUESTIONS or COMPLAINTS? Call or write: Home Improvement Contractor Registration One Ashburton Place-Room 1301 Boston, MA 02108 617-727-8598 Owner's Signature: Date: TOWN OF DARTMOUTH • REQUEST FOR ASSIGNhENT OF HOUSE NUMBER Owners) of Property Present Address r/.er. Telephone Number 9/ House Location: Plat 7,9 Lot Subdivision ter% r� �:� Lot .3 ' Corner Lot ? Yes No L/ Street ._;r2 W. �� / Single Family p/ Multi Family Condominium # of Units Site Plan Submitted ? Yes 7 No Date Submitted ? � y l�' i at rare f . House Number Assigned 37 SUNDANCE ROAD Date Assigned 7-24-95 Date Assessors Notified 7-24-95 Date Building Dept. Notified 7-24-95 Date Owner Notified &upertntkngent, Department of Public Works 1 TOWN OF DARTMOUTH . BUILDING DEPARTMENT TELEPHONE 508-999-0720 FAX 508-999-0738 TO: Fire Chief Dist. 1, 2, 3 I ❑ Board of Appeals 1 Tax Collector ❑ D.P.W. Engineering Board of Health ❑ D.P.W. Water/Sewer Conservation Comm. ❑ Cross Conn. /Water Div. ❑ Selectmen-Licensing 0 Planning Board _ Town Clerk j7=q) 9-1-1 Police Department The following is forwarded to your office for your information only - no response is required. PLEASE PRINT The Building Department is in receipt of an application for Plat 72 Lot ,i-h`<i-, Address 1,1.-fi , ( , ` by „. }6-i to ? - , CONTACT PERSON&TELEPHONE if demo,Construct, alter, occupy, etc. a(n) - ..-4-L"— • �✓L�-t The plan was received by this office on L 7.--7 6=, 6-- . date This office will review said plans and subject to availability of potable water, where required, the provisions of Zoning By—law per MGL Chapter 40A and HSBC 780 CMR 5th Edition will have available to issue or will deny a permit for the above-mentioned work within 30 days of date of receipt. The applicant has been advised that your office as indicated above may require them to apply for licenses or permits subject to your jurisdiction and that they should contact your office, as indicated, for specific information. It is not necessary to respond to this notice unless there is a specific issue at hand or you wish to forward material or information required for permitting. When required, an Occupancy.Permit will not be issued until all Town Agencies have had the opportunity to "sign off" that the work under their jurisdiction is complete to their satisfaction. To The Applicant: Be advised that this notice will be sent to the Agencies checked above as they may have separate jurisdiction for your project. Any questions about the Agencies Regulations & Policy should be addressed to the individual Agency. Your signature acknowledges your receipt of a copy of this notice. Ai , /C:1—` 2 /e--7/46� APPLICA.\T.TELEPHONE in.EASE PRINT) SIGNATURE DATE LICENSED CONTRACTOR'S\.A\IE.TELEPHONE(PLEASE PRINT} DATE • RECEVED It pa r - n 4; 9 5 jUL ZO r 11 1/ 0 bp. LO7 324 s t F; • lit 0 • • la • (3 • __ 1°P 70, afre,67-a 000 Ar,:r PLOT PL (oo t14.:4"el*, 7 72-1./C THE COLLECO 'S OFFICE 95 JUI 10 AN 10 DATE: 7 /f TO: BUILDING DEPARTMENT FROM: COT.T,FCTOR'S OFFICE RE: PAYMENT OF PAST DUE TAXES PLEASE BE ADVISED AT ON THIS DAY 7 THE TAXES FOR PROPERTY LOCATED ON Ai PARCEL # 7 - HAVE BEEN PAID. THE PERMIT WHICH HAS BEEN REQUESTED MAY BE ISSUED. IF YOU HAVE ANY QUESTIONS CONCERNING THIS PLEASE CALL. cc:DEBORAH L. PIVA TOWN COT.T F'CTOR .1 vvvIv yr Litwin I IV J'J I in ouIl,.L11VV LCTJyfl 1 IVI JM I • TELEPHONE 508-999-0720 FAX 508-999-0738 TO: � L 9/c } Fire Chief Dist. 1, 2, 3 / 0 Board of Appeals Tax Collector ❑ — (-� �.W Engineering Board of Health Q D.P.W. Water Sewer Conservation Comm. Q Cross Conn. /Water Div. Selectmen-Licensing Q Planning Board LJ Town Clerk 61-21 / 9-1-1 Police Department The following is forwarded to your office for your information only - no response is required. PLEASE PRINT The Building Department is in receipt of an application for Plat T 2 Lot �cC.- , Address -�<��,.� ��v�z e , by C Jai _. to CONTACT PERSON dt TELEPHONE# demo.contract.alter. occupy, etc. a(n) -L�- - -�-� . The plan was received by this office on - _2� This office will review said plans and subject to availability of potable water, where required, the provisions of Zoning By-law per MGL Chapter 40A and MS3C 780 CMR 5th Edition will have available to issue or will deny a permit for the above-mentioned work within 30 days of date of receipt. The applicant has been advised that your office as indicated above may require them to aptly for licenses or permits subject to your jurisdiction and that they should contact your office, as indicated, for specific information. It is not necessary to respond to this notice unless there is a specific issue at hand or you wish to forward material or information required for permitting. When required, an Occupancy'Permit will not be issued until all Town Agencies have had the opportunity to "sign off" that the work under their jurisdiction is complete to their satisfaction. To The Applicant: • Be advised that this notice will be sent to the Agencies checked above as they may have separate jurisdiction for your project. Any questions about the Agencies Regulations & Policy should be addressed to the individual Agency. . Your signature acknowledges your receipt of a copy of this notice. APPLICANT.TELEPHO\E!PLEASE PRINT SIGNATURE DATE LICE'SSED CO',TRAC T OR'S"sa%1ETELEPHO'E)PLEASE PRINT) DATE t •".` _ _—_-. The Commonwealth of Massachusetts til>___- - ( Department of Industrial Accidents 1ii - Office DI livesilgalloss cz =-=3 600 Washington Street s ,%� Boston,Mass. 02111 �a- Workers' Compensation Insurance Affidavit carrtinl ordratl4II" ` <•--- �...: 3 ss,,��..,,� g Y « .. ., -lam"�L�111� 1�t.`.s• �`"Y r '''.ri...-. .. -•'�`; •:y.V �f:�.cis.;v-• .a.,:,--: :-_ name: location: city phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity - , am an employer providing workers' compensation for my employees working on this job. company name: .ill/�`/,�f/d� address: 0 ,d �,s `..f/ . city: /M! /Y/./e% /1f" _ghonc# 9,9���.�9 insurance co. ///.�/r'T , 7?' �_ /5. „i/ otiev# � - ze_L Q/ [l I am a e proprietor. •eneral cnatractor, or homeowner(circle tine) and have hired the contractors listed below who have the following workers' compensation polices: corn an name: (k4/ --- 71-- / address: - J"‘, j /1e9//L' .4 1 lf- ciri: / l /,c cjd flif‘ike3 i insurance co. /., /j `id1r //- Gi,C/�/ / y # ''. '. company name: (ft/,../1":,4/7/ T IGI ,7.9//e' address: cif /,///."7---- ,,ed, tin: f'-2-2/ 41/../,?../ nbone#: - insurance co. mjtt<v# ,, /zdy Aflaeh additional sleet ifaeerssarr :z- t . - „:-- .,;.e;__ = Failure to secure coverage as required under Section 25A of biGL 152 can lead to the imposition of criminal penalties ofa fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a floe ofS100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify nder the pains and pen ies of perjury that the information provided above is true and correct. Signature r _'/ Date ��� Print name ,r� /d,O-'"�./.' Phone# {c ; official use only do not write in this area to be completed by city or town official z, citypermit/license# or town: Building Department << Licensing Board n check if immediate response is required Selectmen's Office I: [(Health Department contact person: phone#; Other r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association. corporation or other legal entity, or any two or more c the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local Iicensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter hay been presented to the contracting authority. "raree+-7 [-,�� v•. � —�".� �.s^?�` mile. .r _ ippiicants' Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a,space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Offi. of Investigations would like to thank you in advance for you cooperation and should you have any questions. please ,to not hesitate to give us a call. T:e Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations • 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 CONSERVATION, COMMISSION INSPECTOR COMMENTS AND RECOMMENDATIONS Activity described in this A-1 site inspection is in an area subject to the protection of the Mass . Wetlands Protection Act (MGL Ch. 131 S . 40 ) and the Dartmouth Wetlands Protection Bylaw, a Notice of Intent ( form 3) must be filed with the Dartmouth Conservation Commission before work\activity can be permitted. No work shall begin until a permit is received . Activity described is within the 100 foot buffer zone to an area -subject to protection and will likely effect that area. A Notice of Intent ( form 3) should be filed with the Conservation Commission before work can be permitted. No work shall begin until a permit is received. Activity described is within the 100 foot buffer zone to an area subject to protection. A Request for Determination of Applicability of the Act and the Dartmouth Wetlands Protection Bylaw ( form 1 ) must be filed with the Conservation Commission before work\activity can be permitted. No work shall begin until receiving a determination from the Commission. No wetlands or other areas subject to protection by the Wetlands Protection Act and the Dartmouth Wetlands Protection Bylaw exist on site or within 100 feet of the site . No forms need to be filed with the Conservation Commission. A survey plan of the wetland flag locations shall be submitted to the Conservation, of/ficee for file . X Other Comments : W.�� ��t'7 „,„ (j2-Q-1- . Ca..1_4...L.* C.,032-+Cf- -- 5)) NOTE: The A Site Inspection is intended to inform the applicant of The proper procedures which need to be followed in order to comply with the Dartmouth Wetlands Protection By-Law and the Mass . Wetlands Protection Act (MGL Ch. 131 S . 40) . It is not a final determination under the Act . THIS INSPECTION EXPIRES THREE ( 3 ) YEARS FROM THE DATE OF ISSUANCE (SHOWN BELOW) . All forms referred to are available in the Conservation Commission Office, Room 107, Dartmouth Town Hall, 400 Slocum Rd. Office hours ire from 9AM - 4PM Monday through Friday. Site Inspection Fees : 1-5 acres $50 . 00; 5-10 acres $75. 00; 10 acres and above $200 . 00 . Conservation inspector will flag wetland edge for sites from 1-5 acres only. Sites over 5 acres must be flagged by a wetland scientist, botanist or other qualified person prior to submitting the site inspection. The Conservation Inspector will then verify the wetland flagging existing in the field and make any adjustments necessary. / �-- o N - Date ..-nuance Dartmouth _,,risr . _. _ _ :sn nor...-.. .. IIPII = 2! § . e i i 1 56 i3; w ! Illi \ I g v. j11.1 '( (/� NLL 3 : -:t4,:t21 if ' yl 'Ut 5 LL I a 1 -.,.. MI 0 !! -.....,,,, n iev tea � Eiji « 7.. ft h ao= i g tt / b i I ._ th 1 \ - .440, _ t ,,,,,, II i i ;; I tt z pA e .. la ,Sla ttbi tt. 1 -- --,„,. -- ...r7:r -. n3 .. \ T- A. a. 1§i 3 gytsii Al W .:,..E oil • 4%4 7-- / narw•. . s A4.00 44. 4. l$ 8 / / - ( 1 li 7 / I tO 1 [,:i 's--- .: >- g y., 2lit ' ilR o„ �n IN 5 4� 1!"III' IT 1 \ ,e ,\ !Ofr E o6 '" = m % • g . lill h i \1•c\ . Ili 9. 0NIHdS fC- 1- I •T A — „_ y is �� frFT f 1 T 6 1 11_ i . / D WATS, m_I 1 /9 DARTMOUTH BUILDING DEPT 12 9 3�< ZONING REVIEW TO: X ENGINEER PLANNING DEPARTMENT vp 1DE X FILE/NOTEBOOK )(BOARD OF HEALTH X CONSERVATION COMMISSION ****************************************************************************** PLAT 79 LOT 'Yl_ y� STREET NAME Su Act nce.. Rd OWNER'S NAME-DA RTMOVT tI LAND II- SUBDIVISION & LOT # CONTACT PERSON st.r.c n L eves 4 ve_ TELEPHONE # rig$ 2 ' 2 3 DESIGN PROFESSIONAL AGENCY S 1 T EC. THIS PLAN WAS PREPARED BY A _ SANITARIAN _ LAND SURVEYOR PROFESSIONAL ENGINEER (INDICATE CIVIL, STRUCTURAL OR ARCHITECTURAL _ OTHER CHECK APPROPRIATE ANSWER WHERE PROVIDED, CROSS OUT INAPPROPRIATE ANSWER After review of the site plan for the above noted location I find the following: 1. Zoning District ��t3 c k"`n5e 6- 4-0 Vacant Lot k yes _ no Date of Lot Creation/01-12/•fc Zoning District appropriate X Yes _ No 2. Street Existing, _ Public, _ Private, _ Ancient Way _ "paper" has it been Bonded yes _ no Street complies )(Yes No 3. Frontage '/37.3 ' Lot Area /• 1/ & complies \C yes _ no complies �C yes _ no Percentage of Lot Coverage 7 0 % maximum allowed. See # 8. 4. Current required setbacks for this site are (o o Front 26 other sides. "Grandfathered" setbacks (are) (ate) allowed, for vacant lot only, at £n front, sides and 30 rear, per 19g.Zoning for Main Use. Exempt setbacks existing _ yes no Exempt setbacks will exist due to "Grandfather" Rights X yes _ no •s E 7:6 i F 5. Off-Street Parking Driveway complies _ yes _ no complies yes _ no 6. Cellar Slab elevations _ N/A X required complies _ yes . no Height of foundation from bottom of footing to top of wall or it Varies from to i NDte141 Sryus OF ovve c.e_((ar (over) 7. Accessory Structure(s) indicated _ yes X no. Setbacks comply A)ile " no 8. Aquifer Zone N/A 1 2 Maximum impervious cover is 10% of lot area. SFE */7 9. F.I.R.M. Zone C.- elev Panel # 250051 00 /OB date 6 - /-13 Comment 10. Other Overlay District k) 1/1- Comment 11. Zoning Board of Appeals action k not required is required for the W s granted - Case # for _ Variance _ Special Permit 12. Certified "As Built" REQUIRED including top of foundation elevation in actual elevation numbers, not assumed. 13. Submit further information _ No k Yes. If yes, refer to item(s) # 6 /7 . 14. Project will require further review when new, revised or requested information is submitted to any agency. 15. This Zoning review does not indicate compliance with any other Agency, including, but not limited t., the Massachusetts State Building Code. 16 Building Department Permit(s) required yes _ no 17. �-c 3 .�=�1'! r /a/ el G�zcd i� N�►c � sE r 'tcK i4T SocJT-f1 cafe i OF -Foust:. -�,Submitted by, David J.Silveira Building Commissioner & Zoning Enforcement Officer Date 2-! 14 S- ZONIRE VI.TWO SOIL DATA LEGEND 4/to/8� TP.4t5 - Wst�lo`( Kr_41VSg9°�1 DATE: (10`115189 - PERF(-)RMEO BY : c'�14Q E.IJfo1N> .R.If�(� WITNESSED BY hU5A1.1 (��IFFt1J 100 EXISTING CONTOUR TP Sul• k TP 3ZA 5 9z.o TP 415 9Z,o � o PROPOSED CONTOUR oeI �a.o Lop. M >; o, I.oAM o�, LOAM ft. —i' PIPE INVERT ELEVATION hul"otL -)LAF"i2otLL TEST PIT ZA �° ° 24 ajo.o SEPTIC TANK FtMF_ FIn1E_ 5ZI $9 3 t� DISTRIBUTION BOX -To Td �Ii�S� W PROPOSED WATER SERVICE LINE M Ep• MAD SP.fsn To. OBSERVED GROUNDWATER op',s,� MFIp• TABLE ELEVATION W 1TiA VSIT•N �A•Is AREA _t?oME 5oM1G RESERVE H>AY6AI,.ES/511-T PENc.E Eb3.0 10$ " _ - $3.0 SILT TRA.G% oP Tzrs-rls of h,L.T, 7oME PLOT PLAN • t2o h ola�5 $z o IZoII I SZ•o Itio = 8Z.3 1.-GALE = 1 e1- 30 " P1✓R.c-. �loL� kAOL PlcQC,. F. Y.O. �` • F P'�-�'��-= � ��l 1 PI✓tzt. • R.t�'rE.'. PIGZJG . �p'C fah �Z 1" Its 8 MIS• `'��vv J ��- Lo 3 Z4 4 � No Af;C'lVt�'•( � M . IF 5- OIA OUTLET LT%.. TOP VIEW S S•• [NA OUTLETS, 2'• WALLS ' t T- e•• L CROSS SECTION VIEW z" DISTRIBUTION BOX NOT TO SCALE F--1 6 _dl. )• 5•' DIA. INLETS END VIEW I -] 5'•01A KNOCKOUTS INLET PLAN VIEW /--9- ■ 9- COVER r-ts" DIA COVER �10` ■ la COVER I- TAPER - ++ / •� I _ . •-_6 CxJ uouIo 31'veALLS LEVEL 9 CROSS SECTION VIEW 3 `\ SEPTIC TANK NOT TO SCALE DWELLING PRECAST LEACHING CHAMBER TOP OF FOUNDATION �• --.o FLOWDIFFUSORO EL 9Z •O -e PRECAST LEACHING CHAMBER F D 4 X 8 L FLOWDIFFUSOR H 7 9 /4 8 14 8 This plan, as proposed, has been reeieTM for zoniintg oo'#p1iu-c"s AW found to indicate the intent for such compliance. Thy applicant/owner wad submit a certified 'as built' plan to detertine ,cospliance of the structure with zoning plament requirements prior 'to any foundation o inspection or any further construction. —64-,4 isialessie SEP 2 a GFATIIRE DATE ZOR113" DISTRICT: SIRGLE RESIDERCE kyo car Dra�,i41-11g thst Be KeO _ _. .. ••� 11 n._:�.. TL] I�tl:"110ing Vi l llly 1 Ille ro ti ss CA This Mork. G DEPARTMENT R n 1'• 9 Town of DaTtv.O'��h I ,I I "I A f- I PLAN view 00 I G L7 C! C I I O .a r.,. on r..■■ �r J ...x.n✓n,w wo R.,,•,l•,b■ .ROUT VIEW sloe VOW 7 �., .eMON A sec TIDY e' 9 PRECAST LEACHING CHAMBER FD 4 X 8 — L FLOWDIFFUSOR", l A , l ; �•• I r ♦ - - - - - - - - - - - - - - - - - - - - - - - - - A _J PLAN vuW O C O lC� p 1:7 v.rn■•owr.o, rJ .r•. FRONT vIEMI sloe vlel" rn I or 0 0 o q o p o I /`��°�^""— ■.x.olln ro■ wo r,..l •rw. —. r L L r. ..I , L sec TIOU A s1CTlOAe s PRECAST LEACHING CHAMBER FD 4 X 8 — D FLOWDIFFUSC�R' c ' pb 2---D 2H e 7rC>Kl Do �.-' S.3S oe APPeo\/E✓D E:QVAL_ / / / �b( ,_ — .` '\ ` \ ` \ \ \ \/, v PLOT PL _AJQ - \ \ DESIGN DATA 1_ PAI4 `; f��l, (� y GENERAL NOTES i 1 l i 330 t7��1(�IJ FIA W eSDe►� x = PO ' �. I 1 O GPD/ 130 PEA . 4r$e G 2 ECJ V 11L.� D I 10 00,0 Qb.i`� 1� (1 xa �/ i /__ s� ZSTE� OESIG,IJ UL 5 1=1.ow �1PF�25, 4'xa'x.9Co',W1T11 �{'S-��E 1. THIS SYSTEM SHALL BE INSPECTED WHEN LEACHING AREA IS FULLY EXCAVATED l 1` N a /� / / q / / // / Q AND WHEN ALL COMPONENTS ARE 1N PLACE. WHEN THE SYSTEM IS READY FOR J / .< / l ecx� 92 INSPECTION, THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD OF HEALTH. \ I (� SIDF-WD.I.I: 4a L Oki& X .q(o' DEEP x 2 SIOASx 1r2�" GPD/S•F - r GpD 2. WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND FINES. I !t 155 31 Ce , F3 3. ALL ELEVATIONS ARE BASED ON AxuMEo ELEVATION DATUM. 41 0O"['rOIVA 4-eLOIJG X 12-WIDE Y, 40-5 GGPR/sF = -� GPD 4. HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE LIMITS O , I 1.00 _ 23 OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRUCTION / / / / t✓1�1�5 12-WIo � X . q(0 DEEP Y, Z EI`]vs it-4-� GPD/S.r - -2:47 G PO OF THE SYSTEMS. A 5. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHA':-L BE MADE ` ✓ , / / I .el GPD 4&S<j 0 WITHOUT PRIOR WRITTEN APPROVAL OF A ENGINEER AND THE LOC,%L BOARD PczovtDD 6. OF HEALTH- UNLESS OTHERWISE NOTED ALL SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE WITH TITLE V OF THE STATE ENVIROMENTAL CODS AND ANY NOTE: TOPOGRAPHY BASED ON APPROVED CONSTRUCTION PLANS j . CON-- •I Q � ` � \ _ , � � / TRACTOR SHALL VERIFY GRADES PRIOR TO ;THE START OF, 7, ATPALLABLE POINTSCAL RULES. OF INTERSECTION OF WATER LINES AND SEWER dNES CONSTRUCTION. z, ; L. , — 0,00. r, ,* MECHANICAL JOINT CAST IRON PIPE SHALL BE INSTALLED FOR BOTH LINES SHOWN" ARE 1X-I1�4A•TE ONLY. 10' EITHER SIDE OF THE INTERSECTION POINT. AR EXISTING UTILITY LOCATIONS SHOW 'O�� EXACT LOCATIONS TO BE VERIFIED PRIOR TO THE START OF B. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTUREt BY CONSTRUCTION. A. ROTONDO & SONS OR APPROVED EQUAL. 9. GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE THIS SYSTEM WAS DESIGNED IN ACCORDANCE WITH STATE TITLE: STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. This System Is Not D10. ALL SNI PLAP JOINTS IN SEPTIC TANK SHALL. BE SEALED WITH NC OPRENE. GASKETS Designed V AND TOWN OF DARTMOUTH B.O.H. STANDARDS. THE SOIL, TOPOGRAPHY AND PROPERTY LINE DATA ARE FROM OTHERS. OR ASPHALT CEMENT. For Garbage Grinder, Whirlpool THEREFORE SITEC, INC. CANNOT GUARANTEE THE ACCURACY OF, 11. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA AND BACKFILL WITH THIS INFORMATION. CLEAN GRAVEL AND COARSE SAND. Or Other Nigh Water Use Devices. 12. A CERTIFICATE OF COMPLIANCE AS REQUIRED BY SECT. 2.8 OF jITLE V MUST BE OBTAINED BY THE CONTRACTOR UPON COMPLETION OF THE ABODE WORK. IF AN "AS -BUILT" PLAN IS REQUIRED DUE TO CONTRACTOR DEVIATING FROM THESE _ BOARD OF HEALTH INSPECTION ENGINEER'S AS -BUILT PLANS, WORK FOR SUCH "AS -BUILT" PLANS SHALL BE COMPENSATED FOR BY FINISH GRADE REQUIRED WHEN EXCAVATED THE CONTRACTOR. FINISH GRADE PLAN CE�;TI13. THIS SYSTEM IS NOT DESIGNED FOR GARBAGE DISPOSAL UNIT. ELEV•= `��•0 OVER TANK =91.o STATEMENT' REQUIRED = 1 ST LENGTHS TO FINISH GRADE BE LEVEL ELEV - 9o. o f..; 4 { 2,, OF c�-toQ : -�- 1_oT 3 Z4 �UtJD,�11G�. �pp,p, So• DA2'cMOU`CN VA*.. I $9•(oZ ISoo :> 8�•11 ®C�C�I© ®© ©© ®®I39= •�' 10 ¢� �� - �Z,l �p .. _ _ CL /ENT: -�-�-'50 GAL. 1�' t� OG� ®= C� ® C3Q� O� 411 1� GQ11�i I� _�40 H STAMP P. P 894 REINFORCED CONG 88.Z(o 81.30 WADI-I�.D S70t�1>:Ij /,�Lt� 1 ► cam 2� _ �t� r� ; �� � 7 D� �-T M O UT" LAND TR_U"1:> (, E,' LT$ �� ST UN p, SEPTIC TANK01 I I��' r l . • ivrl :. ..:,..:.. .l- •,- .. .,..: ,6 � L,li:kGAV�-r 10I�.I Nq 32165 I f'' SUBSURFACE SEWAGE t.,.:�.' ..':.�<�: �--- LEVEL STABLE BASE (SEE Lb-t�+�ti) eu--; 87.0 i T10t i Gi �a 1:��T I '�' ors ���� .3/ .�...� _.�t;E DISPOSAL SYSTEM SYSTEM PROFILE ® W°'�� 1P'$ue � 83.3 7•� -�� F3.0.1-1. AlwUSTSp B.O.N. NOTES P.L.S. STAMP contact: �Z NOT TO SCALE ELEVATIONS MUST NOT BE Lr at: CHANGED WITH JUT BOARD THE APPROVAL BY THIS OFFICE I11E ��"''�i° Ro (, .r I R a_ d �, r� n� ag DOES NOT GUARANTEE THE _ (soe� v2:2s oZ r EFFECTIVENESS OF ANY Civil and Environmentrl Engineering 1 INSTALLATION land Use Plannr9 DARTMOUTH BOARD OF HEALTH DA T E: 8job no. W N N- L07 3Z4 1.81AC.+ \e1to, i • THE COMMONWEALTH OF MASSACHUSETTS • . BOARD OF HEALTH / �/ No q5 - J� -.J O F __� (I0�j . f2(nL 441.'�. FEE.S 1.) c Bispias 1 00 nr Tnnsfr inn Permit Permission ' hereby granted qu3.-- - 'cv)` to Construct (ir or Repair ( an Individual Sewage Disposal System at No L.0.1 3 Zy L4Q -e--- Street as shown on the application for Disposal Works Construction Permi o q�_ `C j Dated 25-q Bbard of Health DATE 1' SOIL DATA LEGEND 4/l0/89 TP. 415 DATE: W15152 PERFORMED BY S4619tre lWo WITNESSED BY 100 EXISTING CONTOUR TP 3Z4 A q2.o TP 377A5 92•0 TP 41S 9a•o 10 PROPOSED CONTOUR 01, of Lop,M o1I L.oAM -j'' PIPE INVERT ELEVATION Ldp, M hul3ho 11. SuVi1,501L h Uo1L TEST PIT ?A 070.0 24 90 0 SEPTIC TANK PINE F%t\1F_ 321 , g9.3 DISTRIBUTION BOX -Co To MF,D' 1`IMF_ W PROPOSED WATER SERVICE LINE M Ep. 7A.r41) t 0,9'D TO V OBSERVED GROUNDWATER MI✓p TABLE ELEVATION W 1Tt•1 �11T{� '�oM'E. �A•t1 p OoME W MA °AKs RESERVE AREA c�v�saEt. ��av�L Sorn� HA•`! aNLEs / 511r"T 'PE me s We 5-5. 0 _ �'RA•GtL oi= TR.P.GS OF 't? U-T, hoNAE h�L.T , �oME PLOT PLAN • h ola�5 t2o $z o ► � sd 8Z.o Itlo► = aZ•3 (00, �.�-GALE , PLPG.oL.TE: 15.0-9. 40 1 ti 1" IVA 4 MIrJ. I" Its S N11VA a :, :t►:r IL^ , J ,. TOP VIEW S S•• 01A OUTLETS 1. S•' DIA. INLETS END VIEW I 2.. WALLS F ` T-Fr 6~ CROSS SECTION VIEW DISTRIBUTION BOX NOT TO SCALE r_ - - - - - - - - - - - - - - - - - - - --- 1 ] 5"01A KNOCKOUTS ,. , S~ DIA J i INLET OUTLET - 1 I I L------------------ +J PLAN VIEW r6- ■ 9" COVER /--16' OIA COVER r10' . 14 COVER 1-TAPER CROSS SECTION VIEW SEPTIC TANK NOT TO SCALE A ,o:< li t9 J a 41 No AL.Twl-r-y LO-T 3 Z•4 16 V- ZONE "-, d 0 s DWELLING PRECAST LEACHING CHAMBER 1-8 FD 4 X 8- D TOP OF FOUNDATION FLOWDIFFUSORCQ) EL - 97- •O O 1-e PRECAST LEACHING CHAMBER FD4X8- L FLOWDIFFUSOR:-0 FINISH GRADE ELEV. - 91.0 FINISH GRADE OVER TANK ='I `i;�_K,4A -= S0-Z This plan, as prepesed, has in-vft reviev-d for vinwg asplia-4cioe found to indicate the intent for suds coupliance. The applicant/ovner ' "• .. `.lt' plan to detenluine coapliance of the t requireaente prhnr to any foundation :ruction. ems.... S i 9) ioa!2 DATE IUU{. b 1 iie Brwiildirlg During The rogress Of This Work. BUILDINIG DEPARV&ENT Town of Dartmouth ►LAr V1.w OO � Oo M-ft" C3 C3 C7 Lr r J „p,nqu+f r w w o war •. a rar r r� Or .. ,.over view . .ro, vi,•. , �i. I L7,- Jr .. L ..cnor� • PRECAST LEACHING CHAMBER FD 4 X 8 - L FLOWDIFFUS09" t • .r aors r-------- r,- - -_- -- - - - - ---, A 1 1 .. r♦--__------_•- -- -- - - - - - - - - A PLAN v,fw O 0 �- L_ .AO.r wf,r ao. view �r r r!19 !=y' o c •.00� w•ti,•l.•tq ter` ! /fCr,..A-A UCr,Or►� PRECAST LEACHING CHAMBER FD 4 X 8 - D FLOWDIFFUSO?� P LOT PL_AJN l = (oo, DESIGN DATA � � K � �►� D��II�tJ F�,ow : y� �oeAil�• x Ilo GPI/I�o�. = 4�•o-�PD �Eou�e.r D C-�qSTE M V ES 16NI = Ube 5 flow VIK- f Z>io 4' xa'x .qU', W i7H 'q' Ceti-1 E-_D 'sue Q E J ,ao SIDEvi a'L ,: 4e LOUG x .q(o, DEt:P x 2 SIDESX 1.4, GGPDVS.1: �2+t-eii GPD e)OoTTOnA 4$' LOKJG X I Z-' WIDE x 01,55 GPo/s� _31 il-A G FD E1V05 I � a0 . IZ► VJID� x . °ICo DEEP x x ' Z EtJOS-•4•�-� GP�Js.� = 2 --� G PQ 32 6. PD PI?1U�/1 DAD NOTE: TOPOGRAPHY BASED ON APPROVED CONS AkJ-. PION PLANS. CON- TRACTOR SHALL VERIFY GRADES PRIOR b', tSTART OF CONSTRUCTION. ,i^'. a' EXISTING UTILITY LOCATIONS SHOWN ARE APPROXIMATE ONLY. EXACT LOCATIONS TO BE VERIFIED PRIOR TO THE START OF CONSTRUCTION. �er i� ��!® Designed ` THIS SYSTEM WAS DESIGNED IN ACCORDANCE WITH STATE TITLE For � Fba ge Grinder, Whirlpool V AND TOWN OF DARTMOUTH B.O.H. STANDARDS. THE SOIL, p TOPOGRAPHY AND PROPERTY LINE DATA ARE FROM OTHERS. Or Other High Water Use Devices. THEREFORE SITEC, INC. CANNOT GUARANTEE THE ACCURACY OF + THIS INFORMATION. BOARD OF HEALTH I 'REQUIRED{�JHEH EXCAVATED � ENGINE.- VATEp RS AS -BUILT .'LAN & CERTIFICATION STATEMC�4T�; it 1 ST LENGTHS TO FINISH GRADE BE LEVEL ELEV - 90. o J 89•�oZ 8�.11 ®c3C3® ®� �® ®o�c� io• 89 4 8� • 30 REINFORCED CONC, 88•Zco .71 SEPTIC TANK 1.,.:,.. :: ::;•;:•:.-.: :<�: LEVEL STABLE BASE Orr- e)CCAVA,-rIC>K1 (_ (SEE IJo'Tlr *` SYSTEM PROFILE - �' wAT�� -r��E 83•3 - S.o.N. At�usT�p NOT TO SCALE 2" OF 3j ' PE �Tor`1 41 o F- 3/.4Io-1112- GQ,trsH �D W A� 1-I�G� S7oI�lE A �t:1t 2- ELEVATIONS P11UST NOT BE CKII NGED WIT•40UT BOARD OF i"JULTI1 APPROVAL Ah KAA., W 2--D EH CC7r0Q DO 56QS O2 APP 2.(>/r:::::D EQL)AL- GENERAL NOTES 1. THIS SYSTEM.SHALL BE INSPECTED WHEN LEACHING AREA IS FULLY EXCAVATED AND WHEN ALL COMPONENTS ARE IN PLACE. WHEN THE SYSTEM IS 'BEADY FOR INSPECTION, THE CONTRACTOR SHALL NOTIFY THE LOCAL BOARD 0` HEALTH. 2. WASHED CRUSHED STONE SHALL BE FREE OF ALL DIRT, DUST AND TINES. 3. ALL ELEVATIONS ARE BASED ON A-,1wi D ELEVATION DATUM. 4. HEAVY EQUIPMENT SHALL NOT BE ALLOWED TO OPERATE OVER THE 'LIMITS OF THE SEWAGE DISPOSAL SYSTEM DURING THE COURSE OF CONSTRIICTION OF THE SYSTEMS. 5. NO FIELD MODIFICATIONS TO THE SEWAGE DISPOSAL SYSTEM SHALL BE MADE WITHOUT PRIOR WRITTEN APPROVAL OF A 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 ENVIROMENTAL CODE AND ANY APPLICABLE LOCAL RULES. 7. AT ALL POINTS OF INTERSECTION OF WATER LINES AND SEWER LINES, MECHANICAL JOINT CAST IRON PIPE SHALL BE INSTALLED FOR B07H LINES 10' EITHER SIDE OF THE INTERSECTION POINT. 8. SEPTIC TANK, DISTRIBUTION BOX, ETC. SHALL BE MANUFACTURED BY A. ROTONDO & SONS OR APPROVED EQUAL. 9. GROUT TO BE USED AT ALL POINTS WHERE PIPES ENTER OR LEAVE ALL CONCRETE STRUCTURES IN ORDER TO PROVIDE A WATERTIGHT SEAL. 10. ALL SHIPLAP JOINTS IN SEPTIC TANK SHALL -BE SEALED WITH NEC`'RENE GASKETS OR ASPHALT CEMENT. 11. EXCAVATE ALL UNSUITABLE MATERIAL IN LEACHING AREA AND BACK`ILL WITH CLEAN GRAVEL AND COARSE SAND. 12. A CERTIFICATE OF COMPLIANCE AS REQUIRED BY SECT. 2.8 OF TITLE V MUST BE OBTAINED BY THE CONTRACTOR UPON COMPLETION OF THE ABOVE WORK. IF AN "AS -BUILT" PLAN IS REQUIRED DUE TO CONTRACTOR DEVIATING FROM THESE PLANS, WORK FOR SUCH "AS -BUILT" PLANS SHALL BE COMPENSATED R-8Y THE CONTRACTOR. 13. THIS SYSTEM IS NOT DESIGNED FOR GA D FEB s 1 y 4 k DARTV,OUTH MAR 1 41995 `s I ` BOARD OF HEALTH � �tl Lo-T 3 z4 �UND,e,fsG�. ZAI�.O, moo. DP�2.'et� „N OF DART it B.O.H. STAMP P.E. S a •. f"� ; t, LIPP VED .� DA R__T M 0 UT�A LkWD T?__uS r F'vlL RI) of HE _kLTH ST o OS D. I Da4_3 �� i�9� � _ _..._. civlL _ S U B S U n FAC E SEWAGE' TOV,; of ,Ai•T •UMT11. <-- DISPOSAL SYSTEM B.O.H. NOTES P.L.S. STAMP contact: �Q1�uV�-'�QU►E at: THE APPROVAL BY THIS OFFICE 13 Welby Rose DOES NOT GUARANTEE THE SITEC Nrw Bedford, µA 02745 EFFECTIVENESS OF ANY (W °&2125 INSTALLATION Civil and Environm-'ntal Engineering DARTMOUTH BOARD OF HEALTH Land Use Planning 1. Is 7 i DA T E: 8 • Z(o •gZ job no. �, ► r 1'> > . 1a�-..f r � 'b.i.� • � fir• 7�4_ �; r.+VA •.� ; �L r a1. ", tv 41 ev - a s i• t t j jow oo� oe _ltc 41!� wo OP 0:P;x /_i.� op r rn 004a JOO.. 01 i- ---- - --- - - -- --- — -- - - --•- - - - - - --- - - - - - - f do I FT f Ir ` - - - - --- - - - - ----- - - - --4F., 1 j �'.- I f' aF Nix, 11 - - - - - - - - - - - r "1.1 It ♦ • ---•---- - — — -- — _ — -- — - s { ! '� . � 4 � t `car—' � ,.t -. f"i.; . jr 5 _ — 1 ps __ - _----s�•ew•a-aA-.•.a+a�w+��.I.e•�n��Y++ai...�.. _.+._.•.+ v ��q. a-•--J .. _.. ._..�1.L�aT� .._...r. �w-�-►�..r•.+�wsa♦ + -'�• 'q"�..r. ^M , , J1. - - - - :'-vf-�.r�•.�e�.+ __w_.� rr.:...+...���-ram....- _...♦.-_..�._��..._._a-....,.+__.... ...,_,_.r.r._.rr.+c•►+•q...w..•._�..s+.�r..-....--�-M-�- + rl �. t' !;VC/e�;jpL': .ram r rr..r+w• ���� - - r�i .r.~r..�� ai..r�+ � -- - I � • i fL � � 1 /'�� � �c' � { � � ,� � � � - '- �� { , UILDING DURING ii.. s€ y� � iu tii �+S � tFj p � •. Af Al is: WORK. Ile PROGRESSOF THi #, :1 1 ' . . .. I I� `? .� ,1..1`.:�:. , ,.' .-';;;)I l , }r`� ;1. Ij - 'L i_.`L] .j ��i t+ • t ra r►! � �� ! rs� t � T r l • .� �/- /1 w 1 .ram r---s+ I i I op ♦ ` . ! „� . ..! i • .� 1 �� r,E� .mot ,� J_-- .!"�. i F, L &— - !, - --lot � r� ! •_' �-f' - a r- •. t I u I v Vzo i 0 p " t 9-5 I'MI ` , I �. AV - M—M— M via H314 N59.L,4TI�i' CDX T4- 1APS 15TL one%& St t, 6 its , in. r: r f; s v e' ,r ;. ,, so-{ .. + i -, rzp d e s a n a Ct Sr S 01 pecr, re a. u i e rcr SL -p-ops AS Q) QD� C3 "Now 45� c li� I-L 6% Z CIN, ti Til C'N 41Z ; r r r 0"OU Df� 71, En pf 1 rl ul T K Y 0 U R D G [A U 'H) B AT THE BUILDING DURING THE PROGRESS OF THIS WORK. of Dartmouth :ZN4 74t 11 % rri It % 4% -, It r two. IL . % OOF 000pol ;oolop, "*oft. P .0000' 9 4w le_ -ja _01 41b 10 L r. 40 0 > o44 j tea t� 0 :� �-- m ��a �-- m rn to G) Mi > 0-4 M > 0 -.4 0 C_ fn fn zz m m �� - >r s - r ljj�� . _ � _.._ �0--olo,� _ .. eumm"Mom � ._ � w gyp_ �_,� r r - � ` � / ` ` � - ` � � 1 '.. � l � +�, l; .c `u � It \: *41.% 00, FJ ;;, _ ` ` _ Ise+ �✓•` /• ' � T(.. �- n ft �lr. Co 0 ' ' ' ` t / - �',i r � � ft eoV.-r, i CA 0--ftIm / Age ' � ' k4f Q t• 400 �. opo", .Woo, do.. oo� 6 74 IL Zo X- w _41. 2 K 16 xv. tvlu BUILDIN G DURING �NT T H E VHIS WORK. PRO.GRESS OF p Aj"T. 16 1 3. DYVG -I J%- 0 k.