HomeMy WebLinkAbout0051 RALYN ROAD - Health (2) r-lcmo
No. D�• ,—V / Fee l l
BOARD OF HEALTH
TOWN OF BARNSTABLE
Zippricatiou jor Vern Cougtructiou Permit
Application is hereby made for a permit to Construct(vf, Alter( ); or Repair( ) an individual well at:
Location-Address Assessors Map and Parcel
� LoSLo �/
Owner Address
D CoLAUwc`/ Q�it/!t/�S.? �CeMG�S7`Ne<� cl�y�aSy �'Qcf AAdg 4c-e Me4 ca�GYy
Installer-Driller Address
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of Well 1V" /�y L Capacity
Purpose of Well w
Agreement:
The undersigned agrees to install the afore described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the
well in operation until a Certificate of 71, a has been issued by the Board of Health.
Signed k
Date
Application Approved By 3
Date
Application Disapproved for the following reasons:
Date
Permit No. 1 � �4 Issued 3(� �f��r
Date
—--------- ----------- ---------------
— ----------------------------
BOARD OF HEALTH
TOWN OF BARN STABLE
Certificate of Compliance
THIS IS TO CERTIFY,that the individual well Constructed(v< Altered( ), or Repaired( )
by Q GN.t,;/S
Installer
at �� dY•j 0J C.A u lT
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. Dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
No. �f Fee Ll
,�jd '�
BOARD OF HEALTH
TOWN OF BARNSTABLE }
'ZIppYication -for Velt ctCongtruction Permit 4
Application is hereby made for a permit to Construct(v), Alter( ), or Repair( an individual well at:
Tol
F.
J Location-Address w Assessors Map and Parcel
Owner• Address
A, ' iSCU1uh1('�/ '9"d'11�5-•) cJCoM�� o c�c4�wSY cf N+c;SI,�� a i+rco c�J�Y�r
Insta ler Driller' t J, - -- Ad"dress
Type of Building
Dwelling
Other-Type of Building No. of Persons
Type of Well 5/' P y L Capacity
Purpose of Well
Agreement:
The undersigned agrees to install the afore;described individual well in accordance with the provisions of the
Town of Barnstable Board of Health Private Well Protection Regulation-The undersigned further agrees not to place the
well in operation until a Certificate of Co��mm�pliiance has been issued by the Board of Health. /
Signed �� .ifu, (" �
Date
Application Approved By 3)a3(a�
�. .. r Dater
Application Disapproved for the following reasons:
a- tl
ate'
Permit No. VL/ J V���j Issued 3 1c3) QL _
r _ Date
BOARD OF HEALTH t
TOWN OF BARNSTABLE
Certificate of Compliance
•f THIS IS TO CERTIFY,that the individual well Constructed(v)' Altered( ), or Repaired(
by Q
'. Installer 5
at �"l 0- Ni 6J (' l u I
has been installed in accordance with the provisions of the Town of Barnstable Board of Health Private Well Protection
Regulation as described in the application for Well Construction Permit No. Dated
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE WELL
SYSTEM WILL FUNCTION SATISFACTORILY.
Date Inspector
BOARD OF HEALTH
TOWN OF BARNSTABLE
Vern Con.5truction Permit
No. W d`UC��` � Fee
t. Permission is hereby granted to
Installer
to Construct(Pf, Alter( ); or Repair( an individual well at:
Street
as shown on the application for.a Well Construction Permit No.� Dated
9
Date 1. �( Approved ByCl L_ �—�
„p
99.7 PROPOSED SPOT GRADE 9
-){I-- PROPOSED WATER SERVICE PL. gx. 229 PG.
® TEST PITyestas
96 73
LEGEND
96.50 y -"fly
110. 96" 5
y6 _ "dN
Droina9 - t� LOCUS MAP`
30 en 9. _x, $
L
a
sq.
OT .26
" 29, 25 8 S.F.t x 94.37 `�,� ,` F 89.17
0.7 AC _ r ` p - -- -� x
m a §9 f 4 63
P.
Sg l
o Bt.Blx Zg 96.68
97.21 l N x 9. CO
m
a)
r - 96.96 96- 97.00 0
x (z
a 85.1 [ x 7.56 a
Sx 9.7 99.7' Ix O
Nr- If A 37r a' z C
0D 8° n PROPOSED iv
g
' f DECK
97 {, p
7 9.T
7 A ,.75.�
f : :75 35.
8 m
f"' x 3T 97.30 y 97.65
I PROPOSED x
HOUSE 98,12
f T.O.F. EL-100.5 ! .� CD
94.30
f __ I 97.6 x I LB
f ( 117' 3
'/x -. GARAGE 17.7' - If.
r T.os.
97,84 =99:7 t3-7 4I K 5.77
e.s3
24' 99.7 hp.
9 .61 PROPOSED O 10' \
_ -FTI TANK
f �TP-2 - _ O 9,.71 x
RESERVE AREA _3 :.. / .T7 TP 1
TP-4 9879
•
3
DRIVEWAY p g
67.54'
R 540.00 R 450 00
A-10.26' PROPOSED S.A. S 1253'05 W I
�: 3-500 GAL. CHAMBERS i T PED
98.45$UP 1114-5 SURROUNDED W/STONE UP No.
_
9$:30 98 edge 98,16 of pavement 97.94 97.96 CATCH BASIN x
98.80 97.99
RALYN ROAD
FLOOD ZONE DESIGNATION
/, �� 0r - ® NON 4AZ.ARD-ZONE X
jib 1 r �9� BENCHMARK WIND EXPOSURE CATEGORY:Exposure 8
?�;AG. NAIL SET
1 1d,Etii'z.E �/ �8z irk, EL.=9823I ZONING G!cc1FlCATtON: ZONE RE jRP00)
C1IAL SETBACKS: FRONT YARD=30'
ryo x$7 SIDE/REAR YARD=15-
e LOT AREA = 87.120 SF (OR AS APPROVED)
MAXIMUM -S tALDING HEIGHT = 30'
WATER PROTECTION 015T1RIC15
SALT'kA'ER ESTUARY PROTECTION
g IT ScAll NAM JM IQ PROPOSED SEPTIC SYSTEM SITE PLAN
ERg6leetkt®Wbift bra WARNER SURVEYING 1'=2W P.T.M. 173-21
12 weal aosem+a Road 22 Lon Rwd DAZE *ma=l SiMT No. 51 RALYN ROAD COTUIT MA
FmosW01%MA 02644 Hmekh,MA 02845
(WS)477-013 (eaa)432-S= 6/12/21 P.T.M. 1 Of 2 Prepared for. Christopher& Ussa Ploszey, P.O. Sox 174, Mashpe% MA 02649