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HomeMy WebLinkAboutRecorded Deed Restriction and Application Bk. 18170 P932s �7443
Y 01-30-2004 a �04 = 20a
���F �q�'�� TOWN OF YARMOUTH
� y 1146 ROUTE 28 SOiJ7'H YARMOi.I'I'FI MASSACHUSEI"I'S 02664-4451
H MATIIICM[ES �
�+R,,,���,Fs.� Telephone(508)398-2231, Ext 241 — Fax(508) 39&2365
BOARD OF HEALTH
NOTICE OF DEED RESTRICTION
RESIDENTfAI,
Notice is hereby given of the applicability of the Town of Yazmouth Board of Health Department for a dced
restridion,to 51 Captain Dore Road ,shown in Town Assessors Book dated 2002.Map 67 parcel 168. As
Deed is recorded at the Bamstable County Registry of Deeds,on the Deed Book ]0743 Page 182 .
N
• pp
�- As plan of land is recorded at the Barnstable County Registry of Deeds on a subdivision plan titlad "Subdivision
0o Plan of a Portion of Cantains VillaQe,South Yartno�rth"dated December 17, 1970,and recorded on the Plan
a Book 249�Page 111 .
M
7
= o The engineered plan prepared by Shav Environcnental Services ,dated December I S 2003 app�oved by the
"' Health Department on Januarv 15,2004 ,requires a ma�cimum,not to exceed:
�
' �
� (1) the rnunber of bedrooms not to eatce� Two (21;
A per desigo restrictions,Title V,Section 15214,Nitrogen Loading Limitations,
Zone II Areas of Wellhead Contribution.
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d
� Bruce G.Murphy,Health Ditector,R.S.,C.H.O.,MPH Date ) d �y
a
� EXECUTED as a sealed instrument this date,
.�
� �c.tl�. L./. �.UX1L_
Alan R To Linda L.Towne,owner
51 Captain Dore Road 51 Captain Dore Road
South Yannouth, MA 02664 South Yarmouth,MA 02664
COMMONWEALTH OF MASSACHUSETTS
Barnstable,ss U ! �� ,2004
Then personally appeared the above named S Iq n 1��T�+���E t ��AOi4 Z. I Of�v�'� and acdmowledged the
foregoing instrument to be-�is free act and dced,before me.
thet�-
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No Public
My Commission Expires: I
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� 7 � • Pspe��n
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4''yA , ,
�$� .y �'�o TOWN OF � YARMOUTH
� 1146 ROUTE 2S SOi7"I'[i YARMOTITII MASSACHUSEI'f5 02664-4451
H MATTACMC S �
�rr,�,���o,.� Telephone(508)398-2231, Ext 241 — Fax(508)398-2365 _
BOARD OF HEALTH
January 29, 2004
Mr. & Mrs. Alan Towne
51 Captain Dore Road
South Yannouth, MA 02664
• RE: Two Bedroom Deed Restriction for 51 Captain Dore Road, S. Yarmouth, MA
Dear Mr. &Mrs. Towne:
Please find enclosed a Two Bedroom Deed Restriction for the above address. Prior to final
approval of the engineered septic plans,the Deed Restriction must be signed and dated by the
' owner(s) in from of a notary. Once the restriction is signed and notarized, please tnake a copy
and have both the original restriction and the copy recorded at the Bamstable County Registry of
Deeds. The copy of the recorded Restriction must then be retumed to the Heakh Department as
proof ofthe recording. You may wish to contact your septic design engineer to guide you
tluough this process.
If there are any further questions,please contact this office at 508-398-2231 X241. Thank you
for yow prompt attention.
Sincerely,
�
��C�aC�� .
Amy L. Von Hone, R.S.
Assistant Heahh Agent
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04/26/2014 22: 76 FAH �002/002
Jan-15-2004 OB:21 From- • , T-T38 P.002/002 F-33)
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oz � : ;� TOWN OF YAR �VIOUTH �
�, � 7�46 ROUTE 28 SOUTH YwRMOUI'H MnS5AC1i[ISP'[T$026644451 �
56��"�;;,;pa�`+'�d TUbphonc(508�348-223Y, Ex[. 241 — Fax C50l3)398-23G5
BOARD OF I-IEALTH I
i
APPLICATION FOR TTfLE V DEED RESTRICTION i
I
The i¢lformation iequested below�be aceurate and completed in ful]to ensure the deed re 'ction
can be compkted pmperly and in a timely manaer.
1. Town ofYarmouth Assessor's Book(most cunent):
Map� Lot /�� Address 5� �'a.�s�v� ��/�2 �Tt�
• �( 2. The proPerty deed is recorded az the Barnstabk County Registry of Deeds in
� � Deed Book Ibait3.Page 1801 or Lazid Coun CertiScate_ r�A
� �3, The lot indicated above is shown oa a plan ot'land entitled: SJ�w�s�cn �?u�x�
e�' c. �?�,c�.�, oC �'c.r��.:ng �f;llc� S,tika.,�aK, daud_ �a � � �l 19=?�t�
The plsa of laad for the lot is recorded at the Baxt�s abie Courny Registry of beeds in Plan
Boek y�'�q Page i l ( or Land Court Plan
4. The engineered septic plan has been prepared by `<�4+�� �n�.re�e��`r•� �.
anddaxed l'a.,�5 ��`3 I
5, Board of Heatth appmval date
6. The number of bedrooms is restricted to Z '
X 7. OwnerName_ A\Gc� �1 -��� � L��vns� L���bwn�
/ `
aaan�: ^ C a ' �
5 . Y�cc��.��, o a
?he ra�u'ved informazion supplied to this de�nt for the appIicatioa of a Title V Deed
Restrictioa is conect as shown above.
AppliceM `2.J 'v� � Date [ l� -
s�oz I
� Priacea on
Recycled
� A�
04/26/2014 22: 76 FAX �001/002
CARMENE. SHAY � � �sos�s�o�
ENYIRONMENfAL SERVlCES,INC. P.O. Bo:627,Eaet Fai�uth,MA 02536
Facsimile Transmittal Cover Sheet
Please deliver the toliowiog as soon as possible to the persoe(s) listed. Please remember t6at all
or some oi this information aay be coofidentiaL
• DATE: 1 �.�9 �4 �3GC� GONIL� DD
To: �lm.� '�Icc+ �}�tx.Q JAN 2 9 2004
, HEALTH D PT.
, FAX NUMBER:_ _ �S- 3g$ — d 3(0�
FROM: l c���vs, ��-
NUMBER OF PAGES TNCLUDING COVEIt SHEET: �
ADDTfTONAL COMMENTS:
�r� �.S�C i C�;:r�n
i ( CcL����c��`e �
I[thero are any problems witb this traasmittal, please caU(508) 54&0796.
. ,
F�UK
Amy Von Hone, R.S., C.H.O.
Assistant Heaith Director
Yarmouth Health Departrnent
. 1146 Route 28
South Yarmouth, MA 02664
Telephone: 508.398.2231 eut 241
Facsimile: 508.398.0836
T« Cartnen Shay FAX: 50g548-0796
Papex 2 Dats 1/15/04
❑urgent x For Reviavr ❑Pl�ae Cawnak ❑Ploase Reply
• Comments:
Carmeir
Prior to final approval of septic plans for 51 Captain Dore Road, the enclosed application
must be completed and rettffned to me for processing.
Please call with any questions.
The abcurr�ent and infamation submifted with this facsimle 6ansmissan may caltairr Confidential
irtfama6bn han the Yarmoufh Flealtli Departmant /f you are rrot the interrdsd recipient please be
advised tliat any discxlosuie or u��the co�ents of this fan hansmissan is prohib�eql B you have
rersived this fax in enor, please noti/y the Yam�ouih Health Depar6r�ent immediately to pennt this
depettment to a�ranye fortlie ietReval of the a'g'mal dawment and aN c�opies.