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Recorded Deed Restriction and Application E�I�c 2912? F•�3�1 �4r3--r.�9� ��''�'—1��—2�1-r-1 01 ��'9 = --°'��tx .��'Y��,, TOWN OF YARMOUTH i 0 a � 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 Telephone(508)398-2231 ext. 1240, Fax(508)760-3472 BOARD OF HEALTH NOTICE OF DEED RESTRICTION RESIDENTIAL Notice is hereby given of the applicability of the Town of Yarmouth Health Department for a deed restriction, to 4 Templeton Place , shown in Town Assessors Book dated 2015 , Map 87 , Parcel 6. As Deed is recorded at the Barnstable County Registry of Deeds, on the Deed Book 6311 , Page 184 . As plan of land is recorded at the Barnstable County Registry of Deeds on a subdivision plan titled "Subdivision Plan of Land in West Yarmouth, Mass. for James F. Ruhan et a1, Boston � Survev Consultants, Inc. 608 Main Street, West Yarmouth, Mass.", Lot 233 dated March 11, 0 1970,and recorded on the Plan Book 237 Page 143. � � �' The engineered plan prepared by Down Cape En ine�ering, Inc. , dated July 31, 2015 ', � approved by the Health Depa.rtment on August 24, 2015 , requires a maximum, not to ' a, exceed: � 0 � � � � (1) the number of bedrooms not to exceed Two (2 �per design restrictions, , H (a) Title 5, Section 15.214,Nitrogen Loading Limitations � ' � � U a Yarmouth Health Department: � � � � ) �-"� C—� � °�� J a Bruce G. Murphy, He lth Director, R.S., C.H.O., MPH Date � ,--� M � oOwner/Representative: � : '� I e read and f nderstand the conditions of the above restrictions � � A and c t e s w ___� � � � �- /� . � Da ' hn P , Dat 4., � � �,� � .� drea Pankratz, Owner � Date oA � � P.O. Box 385 ' Rehoboth. MA 02769 BARNSTABLE REGISTRY OF DEEDS �ohn F Meatle, Register � •°��Y��, TOWN OF YARMOUTH 0 C 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 �� Telephone(508)39&2231 ext 1240, Fax(508)760-3472 BOARD OF HEALTH August 24, 2015 Mr. &Mrs. David Pankratz P.O. Box 385 Rehoboth, MA 02769 RE: Two Bedroom Deed Restriction 4 Templeton Place,Yarmouth,MA Dear Mr. &Mrs. Pankratz: Please find enclosed the Two Bedroom Deed Restriction which is required as part of the septic system approval process for the replacement of the septic system at the above address. The Deed Restriction must be signed and dated by the current owner(s) or legal designee. Once the restriction is signed,please have the original restriction recorded and stamped with the new Registry recording information at the Barnstable County Registry of Deeds, Route 6A, Barnstable. A copy of the stamped Restriction must then be returned to the Health Department as proof of the recording prior to issuance of the Title 5 Certificate of Compliance which is typically issued upon installation and approval of the septic system. Your septic engineer or septic installer may be available to assist you with this process. If there aze any further questions,please contact this office at 508-398-2231 X1240. Thank you for your prompt attention. � Sincerel , � %` � i � , �y L. von Hone, R.S., C.H.O. ' �Assistant Health Director � �. i cc: file ; °� TOWN � FYARMOUTH Bo�dof � Health = 1146 ROLTTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 ' , �� Telephone(508)398-2231,ext. 1241 Health . ' in , Fax 508 760-3472 Divrs o � ) .....uM��..<:_,...,,�w.:,� €� 3;t(;js.:�i\�rl ��J} APPLICATION FOR TITLE 5 DEED RESTRIC �' AUG �Q �E�1� . �� r The information requested below must be accurate and completed in full to ensure the deed restriction can be completed properly and in a timely manner. 1. Town of Yarmouth Assessor's Book(most current : I / Map �� Lot � Address � / e►'�1�I`2�� !a C2 T 2. The property deed is recorded at the Barnstable County Registry of D.eeds in Deed Book �O 3 l � ,Page�or Land Court Certificate . �. � i�� l��l�c�u�� , ��51'�� ',��Ged�� i�,��.l��rG� �� 3. The lot ' icatied above is shown on a plan f d entitled: Su.�o�1✓i f�u r r o �sj y��y��'-'�� , �-�� o�M c�1�! �.�,�a�. -� � dated !/ 0 .,'�j�SS, The plan land for the lot is re�orded at the Barnstable County Registry of e s in Plan Book � 23� Page 1_y 3 or Land Court Plan � � 4. The engineered septic lan has been prepared by �4�� .e�p e. �� YI.P.2��. and dated t,�, �/ c�� oZ.O I,S 5. Board of Health approval date 6. The number of bedrooms is re�cted to l,J v � e: V 0.v1� p��l A� ✓6t.�Z i�?G�. �'q �- � 7. �wncr Nam �/�C� Address: �• C�• a D 7� �a� ��o�o� M�- oa � 69 The required information supplied to this department for the application of a Title 5 Deed Restriction is correct as shown above. � Applicant (/l�/l� Date °�� 1`J osiaoiio