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Wetland Site Inspection 2002r THjAATMOUTH ;$.0_ ,,�J' MASSACHUSETTS / CONSERVATION COMMISSION z --�-=_- MICHAEL O'REILLY 400 SLOCUM ROAD• P.O. Box 79399 30�,—"5��'� ENVIRONMENTAL AFFAIRS COORDINATOR rb64' DARTMOUTH. MA 02747-0985 `"' A 598)--9--04822•FAX: (508)910-1897 n i `-1 y hffp://www.town.dartmouth.ma.us A-1 Site Inspectiork Form 0 t €!:_j Name of Person Making Request a i' - - r .=;ON J 4 I,/ A .-4 as / /16 f/� ///," :% /l� la �S'/c 77 6/ i -- c' Mailing Address Street Location Of Property To Be Viewed /I. 2) )/71.7174e271-4 - 7 r r eo .'D'-t e -2 - iin 4 City/Town, State Zip Code DartmouthAssessors Map and Lot Number 1% 3 2 S \S'G%/)1d ftv1af 4 `S °e1 Telephone-Day y �,1� ?-c' Proposed Use of Land(house,addition,garage, etc.), & , 9- Telephone-Evening Signa e of Person leaking Request Name of Owner of Site Tci Be Viewed Pi hit Name r^ Owner's addres's Signature of Owner of Site to be Viewed Ssv:2 -e1' /Y © ')o° , -r� Site Inspection Fees: - Print Name 1-5 Acres$50.00;5-10 Acres$75.00; 10-100 Acres$200.00;Above 100 acres$400.00 All filing forms are available in the Conservation Commission office,room 107 at the Dartmouth Town Hall,400 Slocum ltd.from 9AM -4PM Monday and 8:45AM-4:30PM Tuesday through Friday. -+�,. For parcels from 1 to 5 acres only,the Conservation Inspector is available to flag the wetland edge. However it is the Applicant's option to acquire the services of a private consultant to delineate the wetlands on a parcel of that size. The Inspector has the right to require the ` - Applicant to obtain the services of a private consultant to perform a wetland delineation on areas less than 5 acres where abnormal site .conditions or extensive use of soils evaluation 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 mast be flagged by a wetland scientist,botanist or other qualified person prior to submitting the A 1 site inspection form. The Conservation Inspector will then review the flagging in the field and make adjustments where nmecsary- The Conservation Commission may require proof of the qualifications of the person performing the delineation. 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 boundaries or their jurisdictional status under the Massachusetts Wetlands Protection A ctct lion is NOT a final det th Dartmouth ermination of wetland Wetlands Protection Bylaw. Only the issuance of a Determination of Applicability or Order of Conditions by Conservation Commission finalizes the determination of wetland boundaries andlor 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. CONSERVATION COMJJSSION INSPECTOR COMMENTS AND Cl No wetlands or other areas subject to the jurisdiction of the Conservation Commission exist on site or Ritt ,. of site. No otiaing with the Conservation Commission recaired. - ❑ The Proposed work is not located within 100 feet of a wetland area. Other wetlandst work to be locatedmay exist on sites Any further outside of inspected area requires the filing of an additional A 1. Wetlands exist South, Fast, R.'est site.Please refer to drawingif provided by information. All ovations on sketch provided bnv inspector ( inspector)for location are approximate. ❑ Edge of wetland has been marked on site by Inspector. Flag numbers: wet Through wet Additional wetlands marked wet Through wet wet Through wet wet Through wet ; wet Through wet ❑ Wetland delineated using: CI Vegetation only 0 Soils and vegetation ❑ 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. This completed form is not a Hermit, ❑ A Request for Determination should be filed with the Conservation Commission before work si te. begins on site. ❑ A Notice of Intent should be filed with the Conservation Conupicsion before any work begins on site. ❑ Coastal Bank exists on site. Engineer mutt cfi line rf. Coastal Bank per DEP Wetland Program Policy 92-1. Delineation must be submitted to the Conservation Commission office for review and approval _ O 100-year flood plain may be on 100-year flood a rflood flood site. Engineer or Dartmouth Budding Department must determine ifproposed plain. Ifwork is located in flood plain then a further filing with Conservation Commission is required. O A survey plan of the weCand delineation should be submitted to the Conservation Commission office. ❑ Due to abnormal site conditions and/or the necessity of gathering an extensive amount of soils information to adequately describe the wetlands on site the applicant must obtain the services of a private consultant to perform a wetland delineation. The delineation must be submitted to the Conservation Commission for review and approval ® Other Comments: Any rough sketch hand drawn on the attached plan by the Conservation Inspector is NOT TO SCALE. The applicant/owner should have the flag line surveyed onto a plan to determine the actual extent of the on the site. „' (.16X414A • • D of Issuance . Michael O'Reilly _.. Environmental Affairs Coordinator Elizabeth IL Leidhold (Revised nor RC) Conservation Officer "^ 4 40 q I 1 01 y' I I Hi 1 / 60 ‘), I0!k"`_ Tgt,a yv I 4 h py ,s0.9b°r� t? 1 #.94 ` tea. 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