HomeMy WebLinkAboutRequest for Deed Restriction :' a., TOWN OF YARMOUTH
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'sC —1% '3' 1 146 ROUTE 28 SOUTH YARMOUTH MASSACHUSETTS 02664-4451
M ATTACHEES
4�./ro..to*11 Telephone (:1081 398-2231. Ext. 1241 -- Fax 308 760-3472
B O A R D OF HEALTH
September 13, 2010
Ms. Nancy Heiden
17 Shady Rest Drive
South Yarmouth, MA 02664
RE: Two Bedroom Deed Restriction for 17 Shady Rest Drive, South Yarmouth,MA
Dear Ms. Heiden:
Please find enclosed the Two Bedroom Deed Restriction for the above address 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 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. Your engineer may be able to help you with processing the
paperwork at the Registry for you.
If there are any further questions, please contact this office at 508-398-2231 X1241. Thank you
for your prompt attention.
Sincerely,
avon Hone, R.S., C.H.O.
Assistant Health Director
cc: file
TOWN OF YARMOUTH
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1 146 ROUTE 28 SOUTH YARMOUTH JIASSACHUSETTS 02664-4461
� .+�ro/AGM� Telephone (508) 398-2231, Ext. 1241 — Fax (008) 760-3472
BOARD0.00
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 17 Shady Rest Drive , shown in Town Assessors Book dated 2010,Map 98 ,Parcel
19 . As Deed is recorded at the Barnstable County Registry of Deeds, on the Deed Book 7009 ,
E Page 237 .
} As plan of land is recorded at the Barnstable County Registry of Deeds on a subdivision plan titled
y "Section B,Fleetwood Park,(South)Yarmouth,Mass. for Lad Investors, Inc. "Lot 111 dated June
0 1964 , and recorded on the Plan Book 187 Page 31 .
. The engineered plan prepared by Bass River Engineering ,dated August 12,2010 approved by
the Health Department on September 7, 2010 ., requires a maximum, not to exceed:
(1) the number of bedrooms not to exceed Two ( 2 ) per design restrictions,
(a) Title 5, Section 15.214, Nitrogen Loading Limitations
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Yar uth Health Department:
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Bruce G. Murphy, Healt' t4 ector, R.S., C.H.O., MPH Date
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Owner/Representative:
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I have read and fully understand the conditions of the above restrictions
and accept them as written:
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Nancy M. Heiden, Owner Date
17 Shady Rest Drive
South Yarmouth, MA 02664
CTOWN OF YARMOUTH Board of
Health
1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451 -
Telephone(508)398-2231,ext.241Health
Fax(508)760-3472 Division
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):
Map 9 Lot I° Address 1'7 SHA,.9u1 fae..31 1 k--1\Ib
2. The property deed is recorded at the Barnstable County Registry of Deeds in
Deed Book 7001,Page 2..*3 7 or Land Court Certificate
3. The lot indicated above is po ion a plan of land entitled: 5e Glb N 15
FLeer P600 PAR. .., A tl,NIA;r,, ' y ,( 0.6im fated J " 1`16' . AIL177
The plan of land for the lot is recorded at the Barnstable County Regiiy of Deeds in Plan
Book 1 67 Page t or Land Court Plan
4. The engineered septic plan has been prepared by 3,ti s'S g,IV la Et36,it.)&RING
and dated g - 12_-- 10
5. Board of Health approval date 9 - 7'-"/D
6. The number of bedrooms is restricted to 2---
7. Owner Name: MAJOC,1 H 10e
Address: 17 SHAol g., S1. 1 rdv,
Soiiiii L1j4 o nt 1 mA
The required information supplied to this department for the application of a Title V Deed
Restriction is correct as shown above.
Applicant Date
5/02