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BOARD OF HEALTH
NOTICE OF DEED RESTRICTION
RESIDENTIAL
Notice is hereby given of the applicability of the Town of Yarmouth Board of Health for a deed
restriction, 2 Hoover Road , shown in Town Assessors Book dated 2016 , Map 63 , Parcel 35.
As Deed is recorded in the Land Court at the Barnstable County Registry of Deeds on the Deed
Certificate# 120018 and Document# 502813.
As plan of land is recorded in the Land Court at the Barnstable County Registry of Deeds, on a
subdivision plan titled Plan 33983-B�Sheet 2 , Lot 12 and dated November 19. 1971.
The engineered plan prepared by Sweetser Engineerin� , dated October 13. 2016 approved
by the Health Department on November 18, 2016 , requires a maximum,not to exceed:
(1) the number of bedrooms not to exceed Two (,2 )per design restrictions:
Title 5, 310 CMR
- Section 15.203, Minimum Design Criteria
- Section 15.214, Nitrogen Loading Limitations, Zone II Areas of Wellhead
Contribution.
Yar ut e lth Depart t:
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Bruce G. Murphy, R.S C. . ., M.P.H. Date
Health Director
Owner/Representative:
I have read and fully understand the conditions of the above restrictions
and accept them as written:
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Kathleen A. Gould, Owner Date
2 Hoover Road ���� �'��
West Yarmouth, MA 02673 AFt� 1 201�
iBARNSTABLE COUNTY
REGISTRY OF DEEDS HEALTH DEPT.
�`��_ BARNSTABLE REGISTRY OF D�EDS
JC�HN�,�n�n�� �E����r�� John F, Meade, Registet
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�'� 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
��� Telephone(508)398-2231 ext. 1240, Fax(508)760-3472 '
BOARD OF HEALTH '
November 21, 2016 � �
Ms. Kathleen A. Gould '�
2 Hoover Road �
West Yarmouth, MA 02673
RE: Two Bedroom Deed Restriction
2 Hoover Road,West Yarmouth,MA
Dear Ms. Gould:
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(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 recording fee at the Registry is currently $ 75.00 plus $ 1.00 '
for the copy) 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.
Sincerely,
y L. von Hone, R.S., C.H.O.
Assistant Health Director
cc: file
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���0900MTt��6��j Telephone (508) 398-2231, Ext. 241 — Fax(508) 398-2365
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BOARD OF HEALTH
APPLICATION FOR TITLE V DEED RESTRICTION
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 .
Lot
Address /
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Map� �_ .�-
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book , Page or Land Court Certificate � �����3 �-
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3. The lot indicated above is shown on a plan of land entitled:�' Z-- !��
, dated = --
The plan of land for the lot is recorded at the Barnstable County Re istry of Deed�s"in�Plan
Book Page or Land Court Plan ,�� ����i' ��
4. The engineered septic plan has been repar by � ���p���
and dated � ���
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5. Board of Health approval date �✓ r� ���
6. The number of bedrooms is restricted to �—
7. Owner Name: _��l'/4T�pE'/i✓ ,�t �°dt/��
Address: � ���a�?!`C�� �'�r�' '
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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.
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! Applicant Date
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