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Home My WebLink About0076 RALYN ROAD - Health ri b Rat o-d D22-O Cc�`t1.t-Cl TOWN OF BARNSTABLE LOCATION 7 AZ Y.✓ RcL SEWAGE # VILLAGE Co.TU/� ASSESSOR'S MAP & LOT INSTALLER'S NAME & PHONE NO. -. J M AC a M Al Cif -r Sow SEPTIC TANK CAPACITY J doo LEACHING FACILITY:(type) P/ T (size) NO. OF BEDROOMS 3 H PRIVATE WELL OR PUBLIC WATER BUILDER OR OWNER � t DATE PERMIT ISSUED: DATE COMPLIANCE ISSUED: Iy VARIANCE GRANTED: Yes No_� 4�1 w tj � + � 1 I _ %% 1 r� ASSESSOR'S MAP NO. PARCEL LOCATION SEWAGE PERMIT NO. VILLAGE I,NSTA LLER'S NAME ESS 1'N iVL�S len ut��DM R U I L-D R OR OWNER DATE PERMIT ISSUEDG2� DAT E C0 M P L I A N C E ISSUED ►�a w, e i s�P�Q t f 12 TO 7- ( 000 A _ m0vtCA No.. --------_....-,�-- � µ Fax............................. APM E THE COMMONWEALTH OF MASSACHUSETTS ' BOARD OF HEALTH TOWN OF BARNSTABLE INVpfiration fur Diri nsal Work,i C vastrurtion ramit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 76 Ralyn.-Ro... ..ot...... . ................ .............. Gerald Buft"on Location-Address or Lot No. owner Address W J. P.Ma_comb ...,7. .:--.... ,a -----...••--- Installer Address Type of Building Size Lot............................Sq. feet ►-r Dwellings No. of Bedrooms.................3-.---.-..--..--.-.-._...Expansion Attic ( ) Garbage Grinder ( ) 04 Other—Type of Building ---.-.__.•-- ------------- No. of persons....-..--..---------.------- Showers ( ) — Cafeteria ( ) a' Other fixtures ................. W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. 9 Septic Tank—Liquid capacity............gallons , Length................ Width............---. Diameter---............. Depth................ Disposal Trench .................... Width.................... .Total Length.-...--............. Total leaching area....................sq. ft. Seepage Pit No--------_---_------ Diameter.................... Depth below inlet...--............... Total leaching area..................sq. ft. z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by.......................................................................... Date........................................ a Test Pit No. I................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water......:................. 9 -----------•....................•--•---•---•----•--•----•------•---........--•...--•-------•-••...............................----......•••--•............•-- 0 Description of Soil....................................................................................................................................................................... x Sand V .........-•------•-------------•----•--••--•-•--........•••-•--••-•-•-••••--••-•--••-•--•---•--------•---•-••-•-•---•-----•-•-----•--------------•--•----•-•-•----••-•-•--••-•-•...........------.....•-- W ..........................-............................................................................................................................................................................. U Nature of Repairs or Alterations—Answer when applicable.....-- 1-1.00 --- 11 o n leaching pit. 0 ••------•--•--------•--------------•---------------------...--------------------------------------•---------•---------------....---------------------------------•--....--•--•-••--•-•...............•. Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has ee issued by the board of health. Signed . ... . ... ..:...... 4...' r `............................... ...5./..28.�9°�-....:...... Date ApplicationApproved By ............... ... ------- ................................................... ..... Date Application Disapproved for the ollowing reasons: . .......... .. . ............................. ......................................................................------ . ................... ....................... .......................... ..... .................................................................... ..... ................................ Permit No. ........L. (..-.....0..@ Issued Dare `�.-�.�.�v�Y"'"`.+ y..i.°'\ V .-. .--1.y,1�-x _v� ,�rrw'+�...�-•'..�,r:::�,�.,,7`v-,-.... �,�.�a,_.., .;,:ti..w..., ,.,•,_,,, .�y;,:,.,... �:..xa+.�.w � .. i _ qq� No..7 _ '..j FFs...�....30.00... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE Appliration for Diripwial Works Tonotrnrtion remit Application is hereby made for a Permit to Construct ( ) or Repair (XX) an Individual Sewage Disposal System at: 76 Ralvn Road Cotuit .................••---------•-•-•--..........._..............-----------•-------•-----••---•-----• --•---•---------------...-----••--•--••--•--•--•-•----•--•---•---••----•--•----....--•--.......... Location- Address or Lot No. Gerald ......................•..........._..._..----------.......--•-•-•--..._.... -••--•••-----------•••-•--•....................••---•------.....--••-••-----•..................... Owner Address a J.P•.•Maconj2er J Installer Address UType of Building Size Lot............................Sq. feet ., DwellingXX No. of Bedrooms................3.........................Expansion Attic ( ) Garbage Grinder ( ) aOther—Type of Building ............................ No.- of persons............................ Showers ( ) — Cafeteria ( ) Other fixtures ------------------------------------------- W Design Flow............................................gallons per person per day. Total daily flow............................................gallons. WSeptic Tank—Liquid capacity............gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft. Seepage Pit No--------_.. -_---._ Diameter____.-_-.---_--_--. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................................................................... Date........................................ Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water.--_.................... (X4 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ a --------------•---------•----•----••----••------------•---...--•-•------•--•._.......-------••--•...._........-••--•-------••-----•-••----.........-•-----_•- DDescription of Soil....................................................................................................................................................=---••------...-•--- x Sand U ..........................•--------........•-•------------•--•--••-•-•---•-----------...........----------••--•-•--••-•-------••----------••---••----•--------------------•-•---......-•-•--------...... W UNature of Repairs or Alterations—Answer when applicable........1-1000_-_qp-llon leaching pit. ------------------------------------------•-----•.•----------------------------••---•--•---•------------•------------------------------•-------------------------------•---•--------.................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance has beep issued by the board of health. Signed .._.... .... �� ` 5./_28/94... Dare Application Approved By ........... `+...................... ..... .. ?..'.. ..V Application Disapproved for the following reasons- -------------------------- ....................................._...................................--... .. .. .. -- .. .. ................................................................ . . .................................... Dare Permit No. .......�.V_.........�y-. .� .................. Issued . ............................................... Dace THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH TOWN OF BARNSTABLE ' U-e>r#ifirate of V((.l amplianre THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired ( XX ) by J.P.Macomber Jr. ............... ........... . ........... ............................................ ...... . --. ...................--......... h,�aue� 76 Ralyn Road Cotuit at ................................. ... .............................. ............ ............. . .................. .................................... . . ........................... has been installed in accordance with the provisions of TITLE 5 of The State Environmental Code as described in the application for Disposal Works Construction Permit No. -.._-��-�/- ... ,-.?.,��...- dated ......_._..__.............................. THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION gSATISFACTORY. DATE - - ..... L.--.1................ .. ---------------..-._.. Inspector -- - -................................................................. f —_— -------------.____------._--------_— •—-- ---„— --.,----- THE COMMONWEALTH OF MASSACHUSETTS - BOARD OF HEALTH 'No FEE.--•-•• .. TOWN OF BARNSTABLE 30.00 .---��'"�� . . .. 6isplasal orko Tonotrurtion hermit - ..... ..... J P MacoMber Jr. Permissionis hereby granted------. --------------------•----•-•-••-------••----••-•--------•------•••--•---------..........--•-•--------••--------•................ to Construct ( ) or Repair (KX) an Individual Sewage Disposal System at No26 Ralyn Road Cotuit - - . street CQJ q as shown on the application for Disposal Works Construction Permit No.&. -/__ Dated....... _.-.?�__.-_�.4 ......... vBoard of Health DATE--------- '' ..................................... FORM 36508 HOBBS R WARREN.INC..PUBLISHERS ASSESSORS MAP NO- C;)� _ 9 PARCEL. NO.: Fics.......L�: THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH ....... ........ ........................O F..........................................--------......---•--------......_............... Apphration for Uiipnoal Morkg Tnnitrurtinn ramit Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ....:.........•LI*--.......... _m t._.sm..................................... ......------••--------.....---...-•-----•----.............................-•----.............•..•. ocation-Add s .................•-----...----•--^-._....or Lot No. caner ddress .........................A Installer Address fJ Type of Building Size Lot................,....._....Sq. feet Dwelling—N.o. of Bedrooms___ ...�.. ..................Expansion Attic ( ) Garbage Grinder (110 Other—Type T e � YP of Building ----- ------------=----- No. of Persons..........a............. Showers ( 1g) — Cafeteria ( ) dOther fixtures •-------------- ------------------------------------------------------------------------------------------------------------------------------------ W Design Flow............................................gallons per person per day. Total daily flow__._.......al:Q.....................gallons. WSeptic Tank—Liquid capacity./d!S gallons Length................ Width................ Diameter................ Depth................ x Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area....................sq. ft. 3 Seepage Pit No.___.-_-_:../....... Diameter...... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by Date ;---------- Test Pit No. 1................minutes per inch Depth of Test Pit.................... Depth to ground water........................ Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ ODescription of Soil............. ......................................................... ......•-•--••.......----------. ----•----• -•-•-•.•••••.---- x W ----•-•-•••--------------------•--•-•-----•------•----••-••••--•----•---•---••-••----•.....-•-•----•--•-•------•••-••----•--••-•--••-•- : --------- ....................---..................... UNa of Repairs or Alterations—Answer when applicable. '-- 1 ................M.Av- --- '. Agreement:The undersigned agrees t • stall the a�Q�ividual Sewage Disposal System in accordance with the provisions of iITLL 5 of the State Sanitary Code—.The undersigned further agrees not to place the syst i operation until a Certificate of Compliance has beeViue y the boarSi ned.._..... -g .. �APPlication Approved BY _ _ ... ..... /Date � - Application Disapproved for the following reasons---------------------------------------------•------.....----•--------------------------•-••-•--•._.....------.- ••-•-•--••-•---•-••--••-...•••--•....................•----•........-•-----••---•••....-••---•..........-----------•---------•-•----••-•----••-•--••---••-•-•--•••----•---•-•--••-•-•--•--•----••-••---- Permit No.... ............... Issued Issued............................................-ate...... Date ------------ ....e.. ��.............- - - - No Fics....... THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ..................:................----....OF.......................................................................................... Appliratinn for Dinpouttl Works Tonottrnrtion rrrmi# Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal System at: ........... Cw '.: : ..................................... ......•---...----•-----..................--- -•-•--------•...--•------................ ocation.Add or Lot No. t...__�_.. . _ :..�._......_ .----•.-•------•--....._ . ......................................................-........................--.............. °" caner Address aC.A-.I v........... .. ! ,N. ............................ ....................=•---••--•---------....--•--.............•---.......--•....................... Installer Address Type of Building Size Lot.........' !.... �Sq. feet Dwelling—No. of Bedrooms.-_ --.3. ...........................Expansion Attic ( ) Garbage Grinder �`4 Other—Type e of Building yp g ....... .._._..____�..... No. of persons........... ............. Showers ( �.— Cafeteria ( ) Other fixtures ............................................................... W •-•--------.....--- •-----........-•------ ....... .. ...... Design ............................................ -• --• ; • � o sP person day. daily 3�lO.....................>�Ions. WSeptic Tank—Liquid caPacrtyloopgllos Length •. Widt ... Diameter................ Depth...... x Disposal Trench—No..................... Width.................... Total Length.........:.......... Total leaching area...................sq. ft. Seepage Pit No............/....... Diameter......&X...__. Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed by........................... ---•--•-•---------•---------•----•-----...---. Date........................................ 1.4 Test Pit No. l................minutes per inch Depth of Test Pit....................'Depth to ground water......................... f3. Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................ 04 ................ ......----•----......._........--------...................................................................... DDescription of Soil................ : .......---•-------........--••-•------------------•-•-••------•---------•-......--------............----.....•--:...........---•--..•- x W ................................................................................................................H....w.•..�._..................IL .:._..................... U Na of epairs or Alterations—Answer_when applicable......n�`•. ,,... .°. 1............. ......��... .. Z... t.---�- -fit c- ,.........0.._...l�.�n_... .-.�:...�'�.:�cA............................ Agreement: The undersigned agrees to igsstall the foredescribbed ividual Sewage Disposal System.in accordance with the provisions of TITI.I 5 of the State Sanitary Code— The undersigned further agrees not to place the syst i operation until a Certificate of Compliance has beenreethe board lthSigned..-----•. 000* ------_.....•--•--.....---•....... ......... .-- Application Approved By ..................................... �. ............_.i Date-- ---- Application Disapproved for the following reasons:--••---••-------------•---••-------.....-•------...--------•-•--•----------•--•-----•------•-•-------.......__ ----....---•---•-••...................•--•---•--•----....-------=...................--.................................................................................................................. ' - Date PermitNo.--- . ...... 3 -._.._ Issued..----•--•............................................. Date THE COMMONWEALTH OF MASSACHUSETTS BOARD O HEA T ....... '� .............OF........ wkl.......................... .................................... Tntif uttte of Tomplitturr THIS IS 0 ERTIFY, T t e Individual Sewage. Disposal System constructed ( ) or Repaired (1 ) by.................. �= lam'. ... ... --- --•-• - -•- ....- -- ._ ... .. ....-. ns *� .I... at- ----------------�r!_ ....--- r x has been installed in accordance witl he provisions of TI 5 of The fate SanitaryCod a/escr' i the application for Disposal Works Construction Permit No.....��.•.-.:"w`�_ .... dated .......- `;fir- ..----.. THE ISSUANCE OF THIS ERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCT DN SAAISEACTORY. -� DATE............................. ..--..... ` Inspector....-•_... ........................................................ •- ............... THE COMMONWEALTH OF MASSACHUSETTS ... `^ BOARD OF HEALT _ ''!f......OF.................. ... �' ......... W... ........... No.. :. ... � Fn.. .. ...-•----- Dispo t rku ur#iotn fermi# Permission is hereby granted.... ........ . taC ---........................------.........................---- to Construct ( or R ( _ an Ind:-, ewage isposal System at No.......... {.I. .:.. -lid l?±.....��----.... 9? 12. ; ` --- ....................................................j ..... �. J Street ! 7 �/ as shown on the;applicarion for Disposal Works Construction Permit No...,. ._.._. Date f___ ..... ._.. .............. ....... .� th ........ .......... Board - of Heal - DATE------------r,"I. .._...��_. . �.......----••-•-------.......... r FORM 1255 A. M. SULKIN, INC., BOSTON ,f:_,....--^"""•� �X