HomeMy WebLinkAboutRecorded Deed Restriction and Application Doc: ls270s614 06-04-2015 12= 16
BARNSTABLE LAMD COURT RE6ISTRY
.��'Y'�'4.y. TOWN OF YARMOUTH
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1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
� Telephone(508)39&2231 ext 1240, Fea(508)7603472
BOARD OF HEALTH
NOTICE OF DEED RESTRICTION
RESIDENTTAL
Notice is hereby given of the applicability of the Town of Yannouth Board of Health for a deed
restriction, 4 Horse Pond Road , shown in Town Assessors Book dated 2015 , Map 46 , Pazcel
59. As Deed is recorded in the Land Court at the Barnstable County Regishy of Deeds on the
Deed Certificate# 162799 and Document# 844155.
As plan of land is recorded in the Land Court at the Barnstable County Registry of Deeds, on a
subdivision plan titled Subdivision Plan of Land in Yazmouth, Plan 38064-B, Lot 10, and dated
August 27, 1975.
The engineered plan prepared by Glen E. Harrington. R.S. , dated Anri128, 2015 approved
by the Health Department on Mav 22, 2015 , requires a maximum,not to exceed:
(1) the number of bedrooms not to exceed Two (21
per design restrictions, Title 5, Section 15.214,Nitrogen Loading Limitations,
Zone II Areas of Wellhead Contribution.
Ya outh Hea Department:
f 2-� 1 S
_ _ - - _
Bruce G. Murphy,R.S., C.H. ., .P.H. D te
Her vr��tor- - - ---- — --- ___ -- - - — -
Owner/Representarive:
I 6ave read and fully understand the conditions of the above restrictions
and accept them as written:
� � L�C�n�G��i�r� lO l�
Stepe A. Anagnos, Owner D te
4 Horse Pond Road
West Yarmouth, MA 02673
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JU�I Q 9 2�f
SC�� � HEALTH DEPT.
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' •���Y��,, TOWN OF YARMOUTH
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� 1146 ROUTE 28,SOUTH YARMOUTH,MASSACHUSETTS 02664-24451
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� Telephoue(508)39&2231 ext. 1240, Fax(508)760-3472
i BOARD OF HEALTH
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May 22, 2015
Mr. Stephen A. Anagnos
4 Horse Pond Road
1, West Yarmouth, MA 02673
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RE: Two Bedroom Deed Restriction 4 Horse Pond Road, Yarmouth,MA
Deaz Mr. Anagnos:
Please find enclosed the Two Bedroom Deed Restdction which is required as part of the septic
system approval process for the replacement of the septic system at the above address. The Deed
Restricfion must be signed and dated by the current owner(s) or legal designee. Once the
restriction(and the enclosed copy) is signed,please have the original restriction recorded and the
additional copy stamped with the new Registry recording informadon at the Barnstable County
Registry of Deeds, Route 6A, Bacnstable. The copy of the stamped Restriction must then be
rettuned 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 sepfic designer or installer may be available to assist you with this process.
If there aze any further questions, please contact this office at 508-398-2231 X1240. Thank you
for your prompt attention.
Sincerel
y . von Hone, R.S., C.H.O.
Assistant Health Director
cc: file
� G3C�5���1�D
� MAY i 3 2015
"' ` TOWN OF YARMOUT HEA
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Health
= 1146 ROLTCE 28,SOLTTH YARMOLJI'H,MASSACHUSETTS 02664-24451 -
�� Telephone(508)398-2231,e�ct. 241 Health
F�c(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 Yannouth Assessor's Book(most curre,n�)
Map /�(O Lot�_Address ��{/Or1'e ��v �[ �Ao�
2. T'he property deed is recorded at the Bamstable County Registry of Deeds in
Deed Book ,Page or Land Court Certificate �G��9 9
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3. The lot indicated above is shown on a plan of land entiUed: 5�.�.�%��S�'o r ��a.v�
O-� Lar«I �v� ja�wiav�-L. `� Ld-f lO ,aated /{ 2`I 97 ,
The plan of land for the lot is recorded at the Bamstable County Registry of Dee s in Plan
Book Page or Land Court Plan 3�o G 4 �
4. 1'he engineered septic plan has been prepazed by �T j Q^^ E� �0.r✓i v�� -�vi� �S ,
and dated A-✓�-�/ Z�, 2 d /S
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5. Boazd of Health approval date
6. The number of bedrooms is restricted to Z
7. Owner Name: S-f e�o(� e vi /T• /�N 0.5 N v S
Address: y 1�7�0 rfe Pov�cl 12pA c
Gt/. �a.fw�o�Y�� �i f� OZG �3
The required information supplied to this departrnent for the application of a Title V Deed
Restriction is conect as shown above.
APPlicant���i:��,��� Date � ,✓LL�,% 20/S—
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