HomeMy WebLinkAbout0189 LINCOLN ROAD - Health L-189 LINCO.OU
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Bk 33190 Pg175 #43261
08-21-2020 @ 02 : 58p
GRANT OF TITLE V BEDROOM COUNTDEED RESTRICTION
This Grant of Title 5 Bedroom Count Deed Restriction is made as of this
day of A%&%4�r ,20�o ,by ISRAEL.SILVA SOARES AND ELIAZETTE RAMOS
SOARES(collectively known as"Grantor'), of 189 Lincoln Road,Hyannis,MA 02601,
pursuant to M.G.L.c.21A, §13 and 310 CMR 15.000(collectively, "Title 5").
WITNESSETH
WHEREAS,Grantor,being the owner(s) in fee simple of that certain parcel of
land located in Barnstable(Hyannis), Barnstable County,Massachusetts, with the
buildings and improvements thereon]mown as 189 Lincoln Road,Hyannis,MA 02601,
pursuant to a deed recorded with Barnstable County Registry of Deeds in Boo_k 32872,
Page 265,said parcel(s) of land being more particularly described as follows:
LOT 2 in Plan Book 306,Page 16
Map 270,Parcel 179
WHEREAS,Grantor desires to restrict the number of bedrooms,as the term
bedroom is defined at 310 CMR 15.002('Bedroom!),through the granting of this Title 5
Bedroom Count Deed Restriction; ,
NOW,THEREFORE,Grantor does hereby GRANT to the Town of Barnstable of
Barnstable County,Massachusetts,and acting by and through its Board of Health("Local
Approving Authority"),for nominal and non-monetary consideration,the sufficiency and
receipt of which are hereby acknowledged,with QUITCLAIM COVENANT'S,a TITLE
5 BEDROOM COUNT DEED RESTRICTION("Restriction')in,on,upon;through,
over and under the Property.
Said Restriction operates to restrict the Property as follows:
1. Restriction. Grantor hereby restricts the totalnumber of Bedrooms in, on,upon,
through,over and under the Property to Three(3 Bedrooms,such that at no time
shall there exist more than Three(31 Bedrooms in,on,upon,through,over and
under said Property.
2. Severability. Grantor hereby agrees that,in the event that a court or othertribunal
determines that any provision of this instrument is invalid or unenforceable:
(i) That such provision shall be deemed automatically modified to conform to the
requirements for validity and enforceability as determined by such court or
tribunal;or
(ii)That any such provision, by its nature,cannot be so modified,shall be deemed
deleted from this instrument as though it had never been included herein.
i
Bk 33190 Pg176 #43261
In either case,the remaining provisions of this instrument shall remain in full
force and effect.
3. Enforcement. Grantor expressly acknowledges that a violation of the terms of
this Restriction could result in the following:
(i) upon determination by a court of competent jurisdiction, in the issuance of
criminal and civil penalties, and/or equitable remedies, including,but not
limited to,injunctive relief, such injunctive relief could include the issuance
of an order to modify or remove any improvements constructed upon the
Property in violation of the terms of this Restriction; and
(ii) in the initiation of an enforcement action and/or assessment of penalties by the
Local Approving Authority and/or the Massachusetts Department of
Environmental Protection,a duly constituted agency with a principal office
located at One Winter Street,Boston,MA 02108(DEPI to enforce the terms
of this Restriction pursuant to Title 5;M.G.L.c.111, §§2C,17, 31, 122, 123,
125, 127A-0,inclusive, and 129; and M.G.L c.83, §11.
4. Provisions to Run with the Land. The rights,liabilities, agreements and
obligations created under this Restriction shall run with the Property and any
portion thereof for the term of this Restriction. Grantor hereby covenants for their
selves and their executors,administrators, heirs, successors and assigns, to stand
seized and to hold title to the Property and any portion thereof subject to this
Restriction.
The rights granted to the Local.Approving Authority,its successors and assigns,
do not provide,however,that a violation of this Restriction shall result in a
forfeiture or reversion of Grantor's title to the Property.
5. Concurrence Presumed. It is agreed that:
(i) Grantor and all parties claiming by,through,or under Grantor agree to and
shall be subject to the provisions of this Restriction;and
(ii)Grantor and all parties claiming by,through,or under Grantor,and their
respective agents,contractors,sub-contractors and employees, agree that the
Restriction herein established shall be adhered to and shall not be violated,
and that their respective interests in the Property shall be subject to the
provisions herein set forth.
6. Incomoration into Deeds,Mortraaes, Leases,and Instruments of Transfer.
Grantor hereby agrees to incorporate this Restriction,in full or by reference,into
all deeds,easements,mortgages, leases, licenses, occupancy agreements or any
other instrument of transfer by which an interest and/or a right to use the Property,
or any portion thereof,is conveyed.
Bk 33190 Pg177 #43261
7. Recordation. Grantor shall record and/or register this Restriction with the
appropriate Registry of Deeds and/or Land Registration Office within 30 days of
receiving the approved Restriction from the Local Approving Authority. Grantor
shall file with the Local Approving Authority and the DEP a certified Registry
copy of this Restriction as recorded and/or registered within 30 days of its date of
recordation and/or registration.
8. Amendment and Release. This Restriction may be amended only upon the
approval and acceptance of such amendment by the Local Approving Authority.
Release of this Restriction shall be granted by the Local Approving Authority
upon(i)Grantor's request of such release; and(ii)the Property being connected to
a municipal sewer system and the septic system serving the Property being
abandoned in accordance with 310 CMR 15.354. Any such amendment or release
shall be recorded and/or registered with the appropriate Registry of Deeds and/or
Land Registration Office and a certified Registry copy of said amendment or
release shall be filed with the Local Approving Authority and the DEP within 30
days of its date of recordation and/or registration.
9. Term This Restriction shall run in perpetuity and is intended to conform to
M.G.L.c.184,§26,as amended.
10.Rights Reserved. This Restriction is granted to the Local Approving Authority.
It is expressly agreed that acceptance of this Restriction by the Local Approving
Authority shall not operate to bar,diminish, or in any way affect any legal or
equitable,right of the Local Approving Authority or of DEP to issue any future
order with respect to the Property or in any way affect any other claim, action,
suit,cause of action,or demand which the Local Approving Authority or DEP
may have with respect thereto. Nor shall acceptance of the Restriction serve to
impose any obligations, liabilities, or any other duties upon the Local Approving
Authority.
11.Effective Date. This Restriction shall become effective upon its recordation
and/or registration with the appropriate Registry of Deeds and/or Land
Registration Office.
z
Y� Bk 33190 Pg178 #43261
WITNESS the execution hereof under seal this i b day of ht*usf,2020.
Qllsmelz�_Sitva Snares `._• Eliaze a Ramos Soares
COMMONWEALTH OF MASSACHUSETTS
Cdunty:f*0JC'*tC A'utChl- lb .20 7a
,r, �t,�A'LAzE RJR! �k�.IcY
On this It day of Sufi . 2020,before me, the undersigned notary public,
personally appearedTsWa-siw* Say ,tun a' as aforesaid,proved to me through
satisfactory evidence identification, which was p4j%X.r t"Mf , to be the
person whose name is signed on the preceding or attached document,and acknowledged
to me that he/she signed it voluntarily for its stated purpose.
F. E,q
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a A My commission expires:
O,L1.rgRy Poe...O� •`�
it 100
JOHN F. MEADE, REGISTER
BARNSTABLE COUNTY REGISTRY OF DEEDS
RECEIVED 6 RECORDED ELECTRONICALLY
• �+ *Nn of Barnstable • Health Inspector
FZ r Regulatory Services Office Hours
g 3' 8:30—9:30
Thomas F.Geiler,Director 3:30—4:30
BMWSTABLE. * Public Health Division
9 MASS.
$
�,oTE 039. A Thomas McKean,Director
200 Main Street,Hyannis,MA 02601
Office: 508-862-4644 Fax: 508-790-6304
iw-
"�� ZEST PROG ,AM APPf IMNT ffSEPTIC�QUEST!ONNAI
Date:March 28,2011
r -
1. General Information: Size of Property: 0.23 Acre
Address: 189 Lincoln Road Hyannis,MA 02601 Map 270 Parcel 179
Name: Israel Silva Soares and Eliazete Ramos Soares Phone#:
a
2a. How many bedrooms exist at your property n ?3
2b. Are you planning to add any bedrooms?NO If yes,how many? 0
p f
2c. How many bedrooms total are proposed at this property(including the amnesty unit)?3 { li n d I"h e t�G
be fiwch z bc&mcm 1+ fia r,r,
c -4 1126rno
2d.Please include a copy of the floor plans for the entire property. Neatly use a straight-edge. Show all existing rooms in the
home and the proposed amnesty apartment. Provide width measurements of any open doorways. Please label each room
clearly.
3. Is the dwelling connected to public sewer? NO
If the dwelling is connected to public"sewer,skip:questions"#4 through#.9 below:
4. Location of dwelling is INSIDE or OUTSIDE a Saltwater Estuary Protection Zone?
5 . Location of dwelling is INSIDE a Zone of Contribution to public supply wells? WP
6. Is the dwelling connected to an PUBLIC WATER?
7. Is a disposal works construction permit on file? YES _ 1
8. If yes,how many bedrooms were approved according to this permit? 3 Bedrooms.
9. Were any building permits obtained for construction of additional bedrooms? YES or NO
10. Is there an engineered septic system plan on file at the Health Division? YES or NO
t
11. Has the septic system been inspected by a DEP certified inspector within the last two years? YES or NO
-------------------------------------------------------------------------------------------------------------------
FOR OFFICE USE ONLY
The Public Health Divis'on objection to b drooms at this property.
Special Conditions:
A Al r Sl%�// be- r6m oasf
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Signed Date: 12,
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LOCATION l �' `� -�"`'e SEWAGE # �
VILLAGE - ASSESSOR'S,MAP & LOTS 7L— /
INSTALLER'S N &PHONE NO.
SEPTIC TANK CAPACITY i
LEACHING FACII.ITY: (type) ✓� (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE: M —1 3 g
Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility C' Feet
Private Water Supply Well and Leaching Facility (If any wells exist
ti Feet
on site or within 200 feet of leaching facility)
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) Feet
Furnished by
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No. `�— �i Fee
.THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
0[pprication for Di5po5ai *p5tem Construction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) ❑Complete System ❑Individual Components
Locati/on�d�ess oyLot h1`^o. n Owner's Name,Address and Tel.No.5Assess/�or'ss((Map/ParcLel
U
Installer's I4me,Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable
�. (c
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions o itle of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue by this o d of'�th
Signed Date
Application Approved by Date �n=1zlo, _�$I
Application Disapproved for Ve following reasons
Permit No. - Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY„that the On-site Sewage Disposal System Constructed( )Repaired (X)Upgraded( )
Abandoned( )by CERTIFY,)
&,
at Yi _ has been constructed in accordance
with the p �rovis ons f 'de 5 and.lhe for Disposal Sy stem Cons tion Permit No. dated
Installer f v'� at Designer
The,issuanc of.this,permit shall not be construed as a guarantee that the system will function as designed.,
Date (`? .- Inspector
---------------------------------------
No. _ n Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
1igpoga1 *potem Congtruction Permit
Permission is hereby grand o Co struct( ) epair( �Up ade( )Abandon( )
System located at / v Ltd /1✓ a
and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
N
lV 'covided:Construction must be completed within three years of the date of this permit.
_Approved by
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TOWN OF BARNSTABLE
LOCATI SEWAGE #
VILLAGE ASSESSOR'S,MAP& LOT226
INSTALLER'S NAJE&PHONE NO.
SEPTIC TANK CAPACITY f
LEACHING FACIL=: (type) (size)
NO.OF BEDROOMS
BUILDER OR OWNER
PERMTTDATE: COMPLIANCE DATE:
II Separation Distance Between the:
Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility (' — Feet
Private Water Supply Well and Leaching Facility (If any wells exist
on site or within 2.00 feet of leaching facility) Feet
Edge of Wetland and Leaching Facility(If any wetlands exist
within 300 feet of leaching facility) 3"'°'r Feet
Furnished by
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No. `.q— Fee i —
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE,, MASSACHUSETTS
Zippfication for Migpozar *pOtem Con0truction Permit
Application for a Permit to Construct( )Repair( )Upgrade( )Abandon( ) 11 Complete System O Individual Components
Locatio �ss oLy..L�ot IYo. n Owner's Name,Address and Tel.No. �
Assessor's
Map/ParcelMP
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Installer'sme,Address,and Tel.No. Designer's Name,Address and Tel.No.
P 1 ?
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Type of Building:
Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( )
Other Type of Building No.of Persons Showers( ) Cafeteria( )
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable
0-0
,4
Date last inspected:
Agreement:
The undersigned agrees to ensue the construction and maintenance of the afore described on-site sewage disposal system
in accordance with the provisions o t itle _of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue by this o d of
Signed / r Date���/��^all`�F
Application Approved by Date n-•1'k- rif
Application Disapproved for kefollowing reasons
Permit No. Date Issued
A-1 X\
No. Fee k-5
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS
ZIpplication for Miqooal *p!ftem Cow5truction Permit
Application for a Permit to Construct Repair Upgrade Abandon El Complete System 11 Individual Components
14catioVess Lot No Owner's Name,Address and Tel.No.
4
Assessor's Map/Parcel
Installer S Address,and Tel.No. Designer's Name,Address and Tel.No.
Type of Building:
Dwelling No.of Bedrooms Lot Size sq. ft. Garbage Grinder
Other Type of Building No.of Persons Showers Cafeteria(
Other Fixtures
Design Flow gallons per day. Calculated daily flow gallons.
Plan Date Number of sheets Revision Date
Title
Size of Septic Tank Type of S.A.S.
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) dAl 4�VX 7
A/
V
Date last inspected:
Agreement:
The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system,
in accordance with the provisions o itle of the Environmental Code and not to place the system in operation until a Certifi-
cate of Compliance has been issue ebythis Bo dof i- 7
Signed Date.
Application Approved by 54e.�_s Date ./n-A_�L- ail
Application Disapproved for Ve following reasons
Permit No.
7 9! I/Z2 q!& Date Issued
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE, MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,�hat the On-site Sewage Disposal System Constructed Repaired Y)Upgraded Abandoned( )by 'J F -1
at g has been constructed in accordance
with the provisions Tie 5 and the for Disposal System Constru/tion Permit No. n,-g�j?��_dated
Installer U A -0 -+-'.� Designer
The issuance/of thi ern-tit shall not be construed as a guarantee that the systq will function as designed.
p -m
Date Inspector
———————---------------------------Fee
- - - -
No. ?�- —/,!a s__
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS
Mi5pog;al *p!gtem Construction Permit
Permission is hereby granted o Construct,( )Yepair Uppade Abandon
System located at U Z
-Ire and as described in the above Application for Disposal System Construction Permit.The applicant recognizes his/her duty to
comply with Title 5 and the following local provisions or special conditions.
tP'rovided:Construction must be completed within three years of the date of this verrmt.
Date: Approved by
S
I
1019/97
NOTICE: This Form Is To Be UsedFor the Repair Of Failed
Septic Systems Only:
CERTIFICATION OF SKETCH AND APPLICATION FOR A
DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT
ENGINEERED PLANS) ,
a
I, hereby certify that the application for disposal works
construction permit signed by me dated 16 concerning the
property located at 6� �C�X meets all of the
following criteria:
• There are no wetlands located within 100 feet of the proposed leaching facility
• There are no private wells within 150 feet of the proposed septic system
• There is no increase in flow and/or change in use proposed
• There are no variances requested or needed.
• If the proposed leaching facility will be located within 250 feet of any wetlands, the bottom of the
proposed leaching facility will=be located less than fourteen (14) feet above the maximum adjusted
groundwater table elevation.
Please complete the following:
A)Top of Ground Elevation (according to the Engineering Division G.I.S. map)
B)Observed Groundwater Table Elevation (according to Health Division well map)30
SIGNED : DATE: 16
LICENSED SEPTIC SYSTEM INSTALLER IN THE TOWN OF BARNSTABLE NUMBER
(Attach a sketch plan of the proposed system.Also if the licensed installer posesses a certified plot plan,
this plan should be submitted].
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Bk 33190 Pg175 #43261
08-21-2020 @ 02 : 58p
GRANT OF TITLE V BEDROOM COUNTDEED RESTRICTION
This Grant of Title 5 Bedroom Count Deed Restriction is made as of this
day of A%*v r .20w ,by ISRAEL,SILVA SOARES AND ELIAZETTE RAMOS
SOARES(collectively known as"Grantor'), of 189 Lincoln Road,Hyannis,MA 02601,
pursuant to M.G.L.c.21A, §13 and 310 CMR 15.000(collectively, "Title 51).
WITNESSETH
WHEREAS,Grantor,being the owner(s) in fee simple of that certain parcel of
land located in Barnstable (Hyannis),Barnstable County,Massachusetts, with the
buildings and improvements thereon known as 189 Lincoln Road,Hyannis,MA 02601,
pursuant to a deed recorded with Barnstable County Registry of Deeds in Book 32872,
Paee 265,said parcel(s) of land being more particularly described as follows:
LOT 2 in Plan Book 306,Page 16
Map 270,Parcel 179
WHEREAS,Grantor desires to restrict the number of bedroom,as the term
bedroom is defined at 310 CMR 15.002("Bedroom"),through the granting of this Title 5
Bedroom Count Deed Restriction;
NOW,THEREFORE,Grantor does hereby GRANT to the Town of Barnstable of
Barnstable County,Massachusetts,and acting by and through its Board of Health("Local
Approving Authority"),for nominal and non-monetary consideration,the sufficiency and _
receipt of which are hereby acknowledged,with QUITCLAIM COVENANTS,a TITLE
5 BEDROOM COUNT DEED RESTRICTION("Restriction')in,on,upon;through,
over and under the Property.
Said Restriction operates to restrict the Property as follows:
1. Restriction. Grantor hereby restricts the total-number of Bedrooms in, on,upon,
through,over and under the Property to Three 3 Bedrooms,such that at no time
shall there exist more than Three(31 Bedrooms in,on,upon,through,over and
under said Property.
2. Severab' ' _ Grantor hereby agrees that,in the event that a court.or other tribunal
determines that any provision of this instrument is invalid or unenforceable:
(i) That such provision shall be deemed automatically modified to conform to the
requirements forvalidity and enforceability as determined by such court or
tribunal;or
(n)That any such provision, by its nature,cannot be so modified,shall be deemed
deleted from this instrument as though it had never been included herein.
Bk 33190 Pg176 #43261
In either case,the remaining provisions of this instrument shall remain in full
force and effect.
3. Enforcement. Grantor expressly acknowledges that a violation of the terms of
this Restriction could result in the following:
(i) upon determination by a court of competent jurisdiction, in the issuance of
criminal and civil penalties, and/or equitable remedies, including,but not
limited to,injunctive relief, such injunctive relief could include the issuance
of an order to modify or remove any improvements constructed upon the
Property in violation of the terns of this Restriction;and
(ii) in the initiation of an enforcement action and/or assessment of penalties by the
Local Approving Authority and/or the Massachusetts Department of
Environmental Protection,a duly constituted agency with a principal office
located at One Winter Street,Boston,MA 02108(DEP),to enforce the terms
of this Restriction pursuant to Title 5;M.G.L.c.111, §§2C,17, 31, 122, 123,
125, 127A-0,inclusive, and 129; and M.G.L c. 83, §11.
4. Provisions to Run with the Land. The rights,liabilities, agreements and
obligations created under this Restriction shall run with the Property and any
portion thereof for the term of this Restriction. Grantor hereby covenants for their
selves and their executors,administrators, heirs, successors and assigns, to stand
seized and to hold title to the Property and any portion thereof subject to this
Restriction.
The rights granted to the Local.Approving Authority,its successors and assigns,
do not provide,however,that a violation of this Restriction shall result in a
forfeiture or reversion of Grantor's title to the Property.
5. Concurrence Presumed. It is agreed that:
(i) Grantor and all parties claiming by,through,or under Grantor agree to and
shall be subject to the provisions of this Restriction; and
(H) Grantor and all parties claiming by,through,or under Grantor,and their
respective agents,contractors,sub-contractors and employees, agree that the
Restriction herein established shall be adhered to and shall not be violated,
and that their respective interests in the Property shall be subject to the
provisions herein set forth.
6. Inco oration into Deeds Mona es Leases and Instruments of Transfer.
Grantor hereby agrees to incorporate this Restriction,in full or by reference,into
all deeds,easements,mortgages, leases, licenses, occupancy agreements or any
other instrument of transfer by which an interest and/or a right to use the Property,
or any portion thereof,is conveyed.
Bk 33190 Pg177 #43261
7. Recordation. Grantor shall record and/or register this Restriction with the
appropriate Registry of Deeds and/or Land Registration Office within 30 days of
receiving the approved Restriction from the Local Approving Authority. Grantor
shall file with the Local Approving Authority and the DEP a certified Registry
copy of this Restriction as recorded and/or registered within 30 days of its date of
recordation and/or registration.
8. Amendment and Release. This Restriction may be amended only upon the
approval and acceptance of such amendment by the Local Approving Authority.
Release of this Restriction shall be granted by the Local Approving Authority
upon(i)Grantor's request of such release; and(ii)the Property being connected to
a municipal sewer system and the septic system serving the Property being
abandoned in accordance with 310 CUR 15.354. Any such amendment or release
shall be recorded and/or registered with the appropriate Registry of Deeds and/or
Land Registration Office and a certified Registry copy of said amendment or
release shall be filed with the Local Approving Authority and the DEP within 30
days of its date of recordation and/or registration.
9. Term. This Restriction shall run in perpetuity and is intended to conform to
M.G.L.c.184,§26,as amended.
10.fthts Reserved. This Restriction is granted to the Local Approving Authority.
It is expressly agreed that acceptance of this Restriction by the Local Approving
Authority shall not operate to bar,diminish, or in any way affect any legal or
equitable.right of the Local Approving Authority or of DEP to issue any future_
order with respect to the Property or in any way affect any other claim, action,
suit,cause of action,or demand which the Local Approving Authority or DEP
may have with respect thereto. Nor shall acceptance of the Restriction serve to
impose any obligations, liabilities, or any other duties upon the Local Approving
Authority.
11.Eff tive Date. This Restriction shall become effective upon its recordation
and/or registration with the appropriate Registry of Deeds and/or Land
Registration Office.
z
Bk 33190 Pg178 #43261
C
WITNESS the execution hereof under seal this lb dayof 44�sl-,2020.
Israel Silva Soarer Eliazetfe Ramos Soarer
COMMONWEALTH OF MASSACHUSETTS
County:W$.CT#W A-Vrcbr tb ,20 U
On this It day of AWut , 2020,before me, the undersigned notary public,
personally appeared'2c tA-siwt 5or*&t Ms* A' as aforesaid,proved to me through
satisfactory evidence identification, which was nY1lbG.`r w4or , to be the
person whose name is signed on the preceding or attached document,and acknowledged
to me that he/she signed it voluntarily for its stated purpose.
ap No blic:
a a My commission expires:
O 02i-0
��
uuuual0
JOHN F. MEADE, REGISTER
BARNSTABLE COUNTY REGISTRY OF DEEDS
RECEIVED 6 RECORDED ELECTRONICALLY
4 rek TOWN OF BARNSTABLE
LOCATION r.G'r SEWAGE # ® L.3®g
VILLAGE ASSESSOR'S MAP & LOT,27O'�7`J
INSTALLER'S NAME 8i PHONE NO. ,Tak1 A t94110 j�a l of yS-
SEPTIC TANK CAPACITY
LEACHING FACILITY:(type) (size) to/00
NO. OF BEDROOMS cal PRIVATE WELL OR PUBLIC WATER
BUILDER OR OWNER 6;/1 01ppo{
DATE PERMIT ISSUED: 5 ' >S_9 1
DATE COMPLIANCE ISSUED: —//-
VARIANCE GRANTED: Yes L-�No
i
�
1 �Q�
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f F
Fss�
No..--- .._...... ............_............
_
THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
Q.. .<1.................OF...... " ..............................................
Applirtation for Dispati al Works Tomitrurtion Vrrmit
Application is hereby made for a Permit to Construct (6-100,0-r Repair ( ) an Individual Sewage Disposal
System at: _ Z
................_-.... 01.... - .. -•----...............------------� ......---•--._.._..._..__.....------..----
.._.. ..-- .
Location-Address o- r Lot No
C� �. w.� .... L._l�_ .1. ..... .V1....................................
Owner I, l�/ a Add ss
............. -................................•••......._� � �' ....................�f---�/l 0. rS4 l--i►sf-----------------
----------------•--
Installer Address _
Type of Building Size Lot.........Gs. •••-_._-Sq. feet
U Dwelling—No. of Bedrooms._._x....................................Expansion Attic ( ) Garbage Grinder ( )
............... No. of ersons..........................._ Showers — Cafeteria
Other—Type of Building _____________ p ( ) ( )
P� Other fixtures .....-•-•--......---•-........ .
W Design Flow................................ ._..gallons per person per day. Total daily flow.._4Z�...............................gallons.
P ,e.9
; Septic Tank—Liquid capacity/ .gallons Length_,. Width..�-�®_-. Diameter- Depth__`7./ _-
W Disposal Trench—No..................... Width.................... Total Length.................... Total leaching area--------------------sq. ft.
x
Seepage Pit No.--_______`._.-__-- Diameter-------- Depth below inlet....;K_.s�..... Total leaching area.2�.....sq. ft.
Z Other Distribution box ( ✓I' Dosing tank ( ) _
~' Percolation Test Results Performed ............................. Date.....
al Test Pit No. I LEff Z_minutes per inch Depth of Test Pit..../. .._....... Depth to ground water___ "_____________
(� Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water--__•-_____-_---._--___.
P+ --------•--------------------------•------------------------.. .............------------. ..._......................-•••-•......................•.....
xDescription of Soil...7l! __-.�r�s ............�'J1, .Pl-- � L' .....................................................
V ---••--•--•-------------•----•-------•-••--•-•-----••-•-----------•--------------•--------------------....-----------------•-------•-------------------•-------------•-----•---•--..._...---•••......••.
....................................................----------------•-.............---•--•------•----------------.._........._....------•--------....------•---------•---------------.............--••-
V Nature of Repairs or Alterations—Answer when applicable.........................:......................................................................
..•-••-•••••---•-•----••----•--••-•..------•----••-••---•••---•---------------•---------_-------•••--•-•---•-••••--•-••-••-•••-•-•-••--•-•••••••-•-••--.•-••--•--•••••••••••-•--------•----•----.--•-•-
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with '
the provisions of TT I L a ; of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been ' ued y the board health.
Signed. ........
Date
Application Approved By.......... -.- ••----
Date
Application Disapproved for the f ollo i reasons-------------•---.....•...._.....------------------. ---------•-•----------------------------------............_
----------•----------------••-•--------------------------------...--------.....---•--------•-----........•••---------......-•••-•-•-----•-•••---•-•--•••-•----•-•-••••-•••----•-----•--•••--•••----.....
Date
PermitNo................................................... ---- Issued.......................................................
Date
ALL CAPE ENGINEERING
REGISTERED ENGINEERS AND
LAND SURVEYORS
49 HARBOR ROAD
HYANNIS, MA 02601
TES: (617) 778-0058
&wA I1, 1988
Slown o j- 1.,c✓c,v tab.Ee
13a.,-,md'ab& l ocoin oj- Ideatth.
I'lain St,.aet
1.1 ycuu-w1., M. 02601
1?£: totd. 24,jr81 avid;$Ll.,�
'pinco'bi. 7?oad 0 v.f,and e� 3a i ue
kgcu, t i.�.,
SeptZc &f,dtee4.1-wwe been -i.ndtal bed cccoacG� to ptani by th 6 C'o,ry.)any.
Acr'dad 91, Ke"jwq, P.C.
-72
-76
r
No......
�T _...... Fps..............
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
------ . ..............OF....................................
App iration for Ui_gpas al Works Tontrndion 1hrmit
Application is hereby made for a Permit to Construct ( ) or Repair ( ) an Individual Sewage Disposal
System at
............ - .............................................................. ................................... .................................
Location-Address or Lot No.
..................." . .........................---;�-� ...................... ..........--......................................................................................
Owner i Address
-------------(�..... ........................................�-zn�-°�--\--•. --...---.-- ---.--•---------------..---'-.---'--------.
� Installer Address
UType of Building Size Lot...... ....................Sq. feet
Dwelling—No. of Bedrooms.._.Z....................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
p-1 Other fixtures ---------------------------•------ ----- -
W Design Flow...............................�--_gallons per person per day. Total daily flow--- >d... ._....-_....__...........gallons.
WSeptic Tank—Liquid capacityl4�:>!1..gallons Length...-'._4L Width..4_.Zd:`.. Diameter.... -____
x Disposal Trench—No_____________________ Width.................... Total Length__••-•-_---•-.--•-•_ Total leaching area--------------------sq. ft.
Seepage Pit No---------- _....._.. Diameter........ Depth below inlet... ...... Total leaching area.Z_i:=�__._..sq. ft.
Z Other Distribution box ( /) Dosing tank ( ) _
Percolation Test Results Performed by._l�-_4 .%-=/''__:_ _!'.............................. Date-----�•..... .t.
a Test Pit No. •--minutes per inch Depth of Test Pit---s�=.......... Depth to ground water...................
fi Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a •••--•-•••----------------•-•--------••--•-•-•----•-•-•...........-'---..........--""-----'------"-•---•--......_...--'............•----------•......•....
xDescription of Soil �` `=................................`= = � �J'- �r/� '��s 'yt%-L'
U ..............................................................................._........................................................................................................................
W
UNature of Repairs or Alterations—Answer when applicable------•-----------------------------•-•---.----_---__--_-_-_-_-_--_-__-_-__-_-___•---________-.
• ----------------------------------------------'•-•--
Agreement:
The undersigned agrees to install the afor edescribed Individual Sewage Disposal System in accordance with
the provisions of i_��.
p 5 of the State Sanitary Code— The undersigned furtl er agrees not to place the system in
operation until a Certificate of Compliance has been ' ued y the board Qf health.
F
Signed---L:X- �
-----•---••-•-'•--•--------•-----•-- 3 v.......- v
Application Approved By......... --•-•-•. � D te�-�
Date
Application Disapproved for the f ollo i g reasons-------------•-------------------...---------•-----------------•--------------------------------------....._..._
----------------------
•............
---------
•----------------------------------------
.------------
-----------------------------------------------------------------------------------------------
Date
PermitNo................................................::I...... Issued.......................................................
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.. ,1.W.\�............OF........?�„ `' - `.......................................
CUr cif irFa#le of Tomph anrr
THIS I CERTIF Tat Indivldual.,Sewrzge Dispo 1 System constructed ( ) or Repaired ( }
b .................. •.-• -•••-•-- -"�----- ` min _ ......................
------
_ Installer
•-• --•--
has been installed in accordance with the provisions of T``l-)ii : ofC he State Sanitary Code as described in the
application for Disposal Works Construction Permit No..1�...._._ ..._ ............... dated---------�.--'?-_-�:_:.------- .........
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT YHE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE---•-----•'•--•'----------------------------•--......................-•'-------- Inspector....................................................................................
�o THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
-g
NO .... ................. FEE........................
Disposal IV rka ns ion �eranit
Permission is hereby granted............ ---•-• --------- l�s� �1 (= .............................................
to Cons1ru�ct•_•-( Lor Repair .( ) an Individual S .w A> PO SystFln
at
Street (7 4l a�/
as shown on the application for Disposal Works Construction Permit No................... Date .........................................
Board of Health
DATE I.L9. _ ? .....................................
FORM 1255 HOBBS & WARREN. INC., PUBLISHERS Fle41
A
Y Pot 85 Xot 84 �yo' "`/o wel,L to be 't ptaced``w�%t/?�,town wat,4it
-6 '�C �1 pit �ii.7�
J/I .tone 100;
SO / P.
- 301 �VDd �..� -13 rp®4.4 p {_
I 1000 Pot, 2 i
r ( cyst 10,.6 5 3'1.? ............
tot
ro
� I ^ DPOPCOsE J� N _
^' Sc&1.e
bate 11-10-87
3 0.
C i qtt C'cyp e
{ 2G' ;�'� M I { 9 Ratbo% load
1G.z Q I n I I Ngagni, ha. 02601
.(inco.l k road ;
i5•S 14.9
Jown 50: tv de j {..
Ato� to No Scate
1000 G S 9m Pit
1 9.4
Stow belijn _.
No. b ed-too&4 2
No Gctba4e di..Cat. -to-tat tow 220 c. )d Sketch ,r;"tan o� .(Wand tin /Jyav aA, Ma. ! �
:� rr Se�i.ns tot 2 c� Shawn on a ptan tecoade.' in i
Capac r ty So ��,d i3a�,7.�.tab Ce �cq bk. 306 pq�...16
ttwa-t i o" a,, e based on wateh �Ound O'n tot' 73 ( .
Otande t Ja iwe, and a4ws ted.
to Ac�evit---1� Z�-I3ocicd-o .
9e4t fiat #P-3267
1C4io td
No wa teh enco uvr to ted
Peicc. tz" Vir44 2 min p e,
i4 4 QT, gUpER -
V15F ....
.
+PIG ENGINEER MU Fy w �JRITIN _
'.FSlGN TION AND CER IN S1TRlc.
.-,TALLA r STALLED
►N
To PLAN.
OVV
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MILNENo.32400
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