HomeMy WebLinkAboutRecorded Deed Restriction and Cover Letter r�,�.== � �������� r�-�—��—�,�l,s �=�1
B�'tfihISTABLE LAhIL? G+DURT fiEGI�TRY
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"' 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
�� Telephone(508)39&2231 egt. 1240, Fax(508)760-3472
BOARD OF HEALTH �,,� : —
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APPROVAL/NOTICE OF DEED RESTRICTION ���� ���,
August 31, 2015
Ms. Sandra A.Perkow
�!�!.'TF�D�P7;
28211 NE 140�'Place
Duvall,WA 98019
Re: Title'S Approval with Perc=l�e DrigIIis�ersal System a�: 46 Daihert�Lane,.,Xa_rmouth
Lot 9-A,Land Court Plan 16770-C,Cerhficate#203263 Document#1244979
Dear Ms.Perkow,
This Department is in receipt of plans and specifications for the septic system construction at 46 Doherty
Lane, West Yarmouth. T'he septic system plans by Ronald J. Cadillac, PLS, RS are dated December 3,
2014,and last revised February 6,2015.
This Department has reviewed this information and approves of the request as shown on the plans:
An existing 2 Bedroom Dwelling to be demolished and reconstructed as a 4 Bedroom Dwelling.
A Perc-Rite Drip Dispersal alternative septic system is proposed under DEP General Use
Approval(Transmittal#X250379,dated revised May 23,2012)without variances.
The conditions are as follows:
� l. Throughout its life,the Perc-Rite Drip Dispersal Unit shall be under an operation and
� maintenance agreement with a certified operator for a minimum of one(1)year. A signed copy
� of the most current contract must be on file at the Yarmouth Health Department and the
� Barnstable County Department of Health and the Environment(BCHDE)at all times.
� 2. The monitoring program for the wastewater treatment system will include annual maintenance of
the system per DEP General Use Approval Transmittal #X250379. Copies of the annual reports
'L are to be submitted to the Health Department and BCDHE within thirty (30) days of the
h. inspection date. Data. provided to the BCDHE must be provided in a format acceptable to
� BCDHE.
3. Prior to issuance of the Certificate of Comp liance, certification of the septic system by`�.he Perc-
Rite Drip Dispersal ITnit consultants to the Health Department is requ�red. Additionally, this
ApprovaI Letter must be signed by the owner/representative, and recorded at the Barnstable
County Registry of Deeds and a copy showing proof of the recording must be submitted to the
Health Department.
Please feel free to contact me if you have any comments or questions on the above. I can be reached at
the Health Office, 508-398-2231, ext. 1240, Monday througti Friday, during the business hours of 830
a.m.to 4:30 p.m.
Since y, I ha e read and fully un stand the conditions of the
�
ab approval and ac p th m as written:
Bruce G.Murph ,R. .,C.H.O.,MPH
Director of Health ' -
O er epresentative Date
BGM/avh
cc: Ronald J.Cadillac, PLS,RS,P.O. 258,West Yarmouth,MA 02673
File
H:\OFFICE�AM1'�BOH�Approvat Letters\46DohertyPercRiteDripApprova102.17.15.1et.doc
•'�'��Y''��, TOWN OF YARMOUTH
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1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
�.�� Telephone(508)398-2231 ex�1240, Fax(508)760-3472
BOARD OF HEALTH
August 31, 2015
Ms. Sandra A. Perkow
28211 NE 140�'Place
Duva11, WA 98019
RE: Title 5 ApprovaUDeed Restriction for 46 Doherty Lane,West Yarmouth,MA
Dear Ms. Perkow:
Please find enclosed the Title 5 Approval/Deed Restriction which is required as part of the septic
system approval process for the installation of the Perc-Rite Drip Dispersal System at the above
address. The Deed Restriction must be signed and da.ted by the owner(s) or legal designee. Once
the restriction(and the additional copy)is signed,please have the original restriction recorded
and the copy stamped with the new Registry recording information at the Barnstable County
Registry of Deeds, Route 6A, Barnstable. The 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.
If there are any further questions,please contact this office at 508-398-2231 X1240. Thank you
for your prompt attention.
Sincerel
y L. von Hone, R.S., C.H.O.
Assistant Health Director
cc: file