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WATER DEPARTMENT
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WATER DEPARTMENT
99 Buck lsland Road
W(.sl Yarnrouth, MA 0267.)
Tclclrhone: (5{}ttr 771-7921 . Fa\: (508) 771-79911
LETTER OF WATER AVAILABILITY
DATE OF ISSU E: Z V7/
,ra^ \'U) stNcLE DWELLTNG
2, DU PLEX FAMILY DWELLING
3 CONDOMINIUM DWELLING
4, COM M ERCIAL/IN DUSTRIAL
5, OTH ER (SPECIFY)
Reference: Massachusetts General laws Chapter 40, Section 54
Please be advices that the Town of Yarmouth public water supply is available to service address
to 8*tt* /d
Map ZZ Parcet: 7-l I
lssuance of this Letter of Availability is sub.iea to the following provisions / restrictions:
1. The property owner agrees to comply with all federal State, and local Laws, Rules and
Regulations as they pertain to the use of the public water supply.
2. The Yarmouth Water Department shall have exclusive rights as to the size, number, type
and location of all water service lines, fire service or appurtenant items connected to the
water distribution system.
3. The Yarmouth Water Department reserves the right to require, at the property owner's
expense, the rnstallation of water mains and appurtenant items to meet water demands
requisites within any structure relevant to this Letter of Availability.
4. The Letter of Availability will expire 180 days from the date of issue
I have read and understand the provisions / restrictions of this Letter of water Availability
Representative of Yarmouth Department
Name
O
e)t,
r's Signature Water Dept. Signature
YARMOUTH WATER DEPARTMENT
Residential Service Application
'lndividual applications and water services are required for each unit within a dwelling / building.
I. USE
Number of Units
Condo Dwelling'
Duplex Dwelling
Other (specily)
II, APPURTENANCES
Number of Unrts
Lawn Sprinkler
Fire Sprinkler
Separale Fire Services
Fire Pump
Swimming Pool
Other (specify)
lll. FIXTURES (how many)
Sinks
Toilets
Bath Tub i Shower
Garbage Disposal
Number of Units
I
IV. WATER CONSUMPTION
Average Daily Consumptron Peak Hourly Consumption
Sinks
Toilets
Bath Tub / Shower
Garbage Disposal
ARCHITECT / ENGINEER
Architect's Name:
Address:
Crty, State & Zrp
Phone #:
t1*o 26gr
64,/4 l"
o
,"* 36d P@
Engineer's Name
Addressl
city, state & zip
Phone #:
Fl Waler,YlVD Shoncul Onty\YWD\YWO Forms\2013 Resrdenlratservrce apphcation doc
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It// Cnto ,fctr,to"t-,9t *rtc*blf Rou>€ 2et V*a.tvrou7^ /Llil ozt?3fa'r zzt 4zoo
TO THE YARMOUTH WATER DEPARTMENT:
I hereby submit an applicalion for a resdential water seMce to be localed at
Map#. ?aQ Lot #o Unt#House #JA -
areet. tP.n-ut EK lp'41
I hereby agree to pay all charqes for the same and will comply with all federal, State and Local Laws, Rules and Regulations as they
pertain to the use of the Public Water Supply. Should a police road detail be requi.ed, I further agree to pay atl costs associated with
police road detail. The Police Department has the sole authority regarding the need for such a road detail.
Further, I will hold harmless the Town of Yarmouth Water Department, their agents and employees against all claims, damages, losses
and expenses resulting from injury to or destruction of tangible prope(y including but not limited to shrubs, trees and fencing during the
installation, relocation or rehabilitation of any Municipal waler service.
Further, water service excavations will be restored to a rough grade condition. Complete landscaping will be the responsibility of theproperty owner or owner's agent at the property owner's expense.
TO BE COMPLETED BY OWNER / AGENT:
Aoor,cat,on Dare Zlq/ ?/Z'
conracr Name 6in' 6"+'Ttrf
IZ RoLr', Ltq,t e
Porus4*to 0z,f(?
BILL COST OR WORK rO: (TYPE OR PRTNT)
Name, finone, l/'Ysc.ld 5
Address: 6 $e--gtttY' Rtl
^/t++cnrtuit-,
YARMOUTH WATER DEPARTMENT
Residential Service Application
Phone / Day
Phone / Evening
er / Agent Signature
Pole #:
Cross Street
Cross Street
Digsafe #:
! Relocation E Replacement
5or?tr1 /€s z-
7"/ ,7/ O Y,{oct
Yarmouth Water Department policy requires that a water service over 125 feet in length shall be a minimum of 2 inches in diameter
Variance to Waler Service Requirements is available w th the app@val of the Water Superintendent.
owner / Asenr name: ?to ft"P a tLrn*5, 5t " $ n'V,
Ownef, Agert (type or Ptnt)
Address:
city, state & zip
City. Street & Zip
FOR OFFICE USE ONLY
To Field:
Service #:
Service lnstaller.
fl New Service E cut and Cap
Comments
H:,WaledYlVD Shoncut On|y\YWD\YWO Forms\2013 Residenlial service application doc
D Other (specify)
6L-
Zoning
R- 25
25,000 sF
150'Frontoge
Mox. Coveroge 25%
Proposed Coveroge
lron Pioe
,I EL 1 0.9
.c/h
/
l,/"
Setbocks
Front
Side
Reor
30'
15'
20'
a
SiEPHE
8.
lilOORE
No. 39398 -1
17.O%
SITE LOCUS
NOl TO SCAI..E
Owners:
Edwords Fomilv Revocoble Trust
fl ,loonne Nolon fdwords, Trustee
Tyrone Edwords, Trustee
6 Berwick Rood
West Yormouth, MA 02673
Assessor's Mop 22 Porcel 218
D8125O5/O
LC Plon 11455-4 Lot 3
This property is not in o Wellheod
Protection Distric t
5.) This property is in Flood Zone AE
Bose Flood Elevotion 1 l.O
Firm Mop 25001C0588J 7/16/14
6.) Elevotions shown ore NAVD88
c
Mop 22
Porcel 2l3
z
1)
2.)
3)
4.)
<^i ;,srJnvr'
Note:
Floor Plons to be submitted with building permit
60
I k
Locus
Lerls 8oy
&
Lewis Boy
E n olew ooB6och
Proposed Site ond Septic Plon
10 Berwick Rood West Yormouth, MA
Prepored for:
Edwords Fomily Revocoble Tru st
6 Berwicft Rood
West Yormouth, MA 02673
Prepored by:
All Cope Septic ond SurveY
618 Route 28
West Yormouth, MA 02673
(508) 771 - 42oO
ollcopeseptic@gmoii. corn
Byr MA Check: SM Dwg. #4O7Sheet I ot 2Jonuo.y 19, 2022
I
WEST YARMOUTH, MA
TOWN OF YARN4OUTH
1 146 ROUTE 28
SOUTH YARMOUTH, N4A 02664
EDWARDS TYRONE
6 BERWICK ROAD
WEST YAR[,4OUTH, MA 02673
1O BERWICK . LETTER OF AVAILAB
tLtry
INVOIGE
Due upon receipt
TOWN OF YARMOUTH lnvoice Date 0211412A22 eusgqrnsl Nurngel 220340
lnvoice Date
02t14t2022
lnvoice No.
7365
Customer Number
220340
lnvoice Total Due
$150.00
Amount id
Description Quantity Price UOM Original Bill Adjustment Paid Amount Due
LETTTR OF I,]ATER AVAIIABILITY
IACH LETTER
M ,150 00 IACH $0 00 ,0.00 $ i50 00
Please put lnvoice Number on your check.
Make Checks Payable to: TOWN OF YARMOUTH s 1 50.00
Please Note: Demand and interest will be charged on the 31st day
lnclude your account number and invoice nts
lnvoice Total: