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HomeMy WebLinkAbout1B - Application ChecklistTOWN OF YARMOUTH BOARD OF HEALTH VARIANCE OR REQUEST CHECKLIST FILING FEES ☐ NEW DWELLING, ALTERATIONS, ADDITIONS $55.00 ☐ SEPTIC SYSTEM FAILURES ☐ VOLUNTARY UPGRADES ☐ REQUEST FOR VARIANCE (SEPTIC RELATED) ☐ REQUEST FOR VARIANCE ( OTHER) ☐ TOXIC/HAZARDOUS MATERIALS VARIANCE ☐ RECOMMENDATION REQUEST FACILITY/BUSINESS NAME FACILITY LOCATION OWNER’S NAME OWNER’S ADDRESS OWNER’S PHONE # APPLICANT/PREPARER EMAIL ADDRESS PHONE # COMPANY (IF APPLICABLE) THE FOLLOWING INFORMATION (IF APPLICABLE) MUST BE SUBMITTED BY THE FILING DEADLINE DATE PER THE BOARD OF HEALTH SCHEDULE ☐ COMPLETED APPLICATION ☐ SEPTIC/SITE PLANS ☐ FLOOR PLANS ☐ LIST OF ABUTTERS (direct abutters*) - ASSESSOR’S ABUTTERS LIST (please request abutters list from Assessor’s Department using their form) ☐ LETTER TO THE BOARD (TEMPLATE PROVIDED) ☐ LOCUS MAP ☐ A COPY OF THE WHITE NOTIFICATION SLIPS (RECEIPT FOR CERTIFIED MAIL) - GREEN CARDS (DOMESTIC RETURN RECEIPTS) SHALL BE SUBMITTED TO THE BOH PRIOR TO THE HEARING ALL HEARING MATERIALS AND PAYMENT MUST BE FINALIZED AND TURNED INTO THE HEALTH DEPARTMENT BY THE FILING DEADLINE PRIOR TO YOUR HEARING DATE. X 484 & 474 Station Avenue, Village of South Yarmouth Yarmouth 2001 Associates 15 Maple Avenue, Morristown NJ 07960 Matthew Ashley, PE. mashley@bohlereng.com (508) 480-9900 Bohler, LLC. X X X X X X (514) 498-4444 syeramian@brasswater.ca X BOARD OF HEALTH SCHEDULE FILING DEADLINE MEETING DATE OCTOBER 27 NOVEMBER 3 NOVEMBER 10 NOVEMBER 17 - CANCELLED NOVEMBER 24 DECEMBER 1 DECEMBER 8 DECEMBER 15 BOARD OF HEALTH meet on the first and third Monday of each month. Meeting dates and filing deadline dates may be changed due to holiday schedule or at the discretion of the Board. YOUR MEETING DATE: HANDOUTS SUBMITTED AFTER THE FILING DEADLINE MAY BE ACCEPTED AT THE DISCRETION OF THE BOARD SOME VARIANCE REQUESTS REQUIRE ABUTTER NOTIFICATIONS TO BE SENT OUT 10 DAYS PRIOR TO THE HEARING, THE DEADLINE TO APPLY TO BE ON THE AGENDA DOES NOT REFLECT THIS REQUIREMENT. If an abutter notification is required, the applicant shall give written notice thereof by certified, return receipt mail or hand delivered with confirmatory signature prior to the Board of Health or agent’s review and determination. *Direct abutters shall be defined as those who own properties adjacent to, lot(s) directly across the street. If the direct abutter is a condominium, the notification shall be sent to the condominium association(s) or management company for the land directly abutting the subject property, and not the owners of the individual units(s). Abutter notification is required for, but not limited to, variance requests from 310 CMR 15.000 Title 5 Regulations, Yarmouth Septic Regulations, Yarmouth Animal Regulations, and Yarmouth Private Well Regulations. BOARD OF HEALTH HEARINGS FIRST & THIRD MONDAY EACH MONTH AT 5:00 PM (Meeting dates and filing deadline dates may be changed due to holiday schedule) MAIN HEARING ROOM IN YARMOUTH TOWN HALL 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664 04/06/2026