HomeMy WebLinkAboutRecorded Deed Restriction and Application�
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"— 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS OZ664-24451
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; BOARD OF HEALTH G3C� ��;,���
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� NOTiCE OF DEED RESTRICTI4N
� RESIDENTIAL HEALTH DEPT.
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; Notice is hereby given of the applicabi2ity of the Town of Yarmouth Baard of Health for a deed
restriction, 172 Diane Avenue , shown in Town Assessors Book dated 2016 , Map 99 , Parcel
65. As Deed is recarded in the Land Court at the Barnstable County Registry of Deeds on the
� Deed Certificate# 196432 and Document# 1185381.
As plan of Iand is recorded in the Land Court at the Barnstable County Registry of Deeds, on a
subdivision plan titled Plan 31209-D f Sheet 2�.Lot 99 and dated October, 1970.
The engineered plan prepazed by EAS Survey,Inc. ,dated June 20.2016 approved by the
Health Department on June 23.2016 ,requires a maa�imum,not to exceed:
(1) the number of bedrooms not to exceed Two (2 )
per design restrictions, Tit1e 5, Section 15.214,Nitrogen Loading Limita.tions,
Zone II Areas of Wellhead Contribution.
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Ya alth Depa ent:
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, Bruce G. Murphy,R ., . .0.,M.P.H. Date
Health Director
' OwnerlRepresentative:
I have read and fully understand the conditions of the above restrictions
and accept them as 'tten:
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Jo K.Miller,Trustee Date
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,Ja�ne A. Miller,Trustee Date
1V�Iiller Faznily Irr+evocable Trctst
172 Diane Avenue
South Yarmouth,MA 02664
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•��'Y��, TOWN OF YARMOUTH
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,'�,�," 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
�y��� Telephone(508)398-2231 ext. 1240, Fax(508)760-3472
BOARD OF HEALTH
June 23, 2016
John K. &Jane A. Miller
172 Diane Avenue
South Yarmouth, MA 02664
RE: Two Bedroom Deed Restriction
172 Diane Avenue, South Yarmouth,MA
Dear Mr. &Mrs. Miller:
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
Reslxiction must be signed and dated by the current owner(s) or legal designee. Once the
restriction(and a copy) is signed,please have the original restriction recorded and the additional
copy stamped with the new Registry recording information at the Barnsta.ble 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. A
f�ed or emailed copy to this office is accepta.ble.
If there are any further questions,please contact this office at 508-398-2231 X1240. Thank you
for your prompt attention.
• Sincerely,
i
� y L. von Hone, R.S., C.H.O.
Assistant Health Director
cc: file
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�. � ` TOWN OF YARMOUTH Boardof
, Health
1146 ROUTE 28, SOUTH YARMOUTH,MASSACHLJSETTS 02664-24451 -
�� Telephone(508)398-2231,ext. 241 Health
Fax(508)760-3472 [�'��,]}`Jv'��
JUN 2 2'2��Q16 �
H�ALT;1 DEFT.
APPLICATION FOR TITLE V DEED RESTRICTI
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):
Map� Lot �S Address /�L J��4�✓U,g�/�
2. The property deed is recorded at the Barnstable County Registry of D eds in , '����
Deed Book �,Page � or Land Court Certificate �� l�6��32 . �-,9,.�
3. The lot indicated above is shown on a plan of land entitled: GC c3lZ�9 ��S'�T�
�T 99 , dated
The plan of land f9 r the lot is recorded at the Barnstable County Registry of Deeds in Plan
Book / Page / or Land Court Plan �31 La 9 D , ��f� L �c% /���
4. The engineered septic plan has been prepared by C �-� �U���� �
and dated ��G' � , ZU/�
5. Board of Health approval date �j � �i "-�� .
6. The number of bedrooms is restricted to ���
° 7. Owner Name: ��'�°� � . � �y-�/E �4- ��L�-G�-
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Address: l72 D�/f ��--� /4!/�
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The required information supplied to this department for the application of a Title V Deed
Restriction is correct as shown above.
(�Ap licant � D 4 �.2 f�
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