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TOWN OF BARNSTABLE SUBDIVISION RULES AND REGULATIONS
FORM D N
APPLICATION FOR MODIFICATION OR RECISION OF DEFINITI P1*
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Date: M Alu 4
Subdivision # :
6
To the Planning Board in the Town of Barnstable:
The undersigned authorized applicant(s) or owner(s) of all the
land shown on the accompanying approved Definitive Subdivision
plan located and described as follows:
Plan # Title: NA-1) — A4044CICArIM 0+ ,4,t1 e aoL-
RN9,4c[A&T r 0,rVg&j d oc-t 10 1 q&5
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Plan Date: f4a,(-44 ta. tnicoj
Date of Planning Board Approval: 'Not], l� I q(cg
Assessor's Map and Parcel Number(s) : A-P z A PzrL I Cf
Zoning: Area: LOS&O Number of Lots: I-
Drawn By: T)o Ley, Cd-Ap- ae4-i,We
hereby submits this Application for a Modification or
Recision of an Approved Definitive Subdivision Plan.
The Mod' tion is described as follows: 61)1%�Sme
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If a proposed Modification will result in changes to the
Definitive Plan, the plan submission requirements for a
Definitive Plan shall be followed and a Form C Checklist must
also be completed and attached.
List all lots which have been conveyed:
Attach a list of lot owners and their addresses.
Attach a list of all abutters and their addresses as they
appear on the most recent tax list.
List all mortgage holders of the land:
owners affected b
Permission of the own Y any change to the
subdivision plan and of the mortgage holders must be obtained.
To the best of my knowledge the information submitted herewith is
complete and accurate.
Telephone
Signature of Owner Address Tele P
Signature of Owner Address Telephone
Signature of Tele j n j��
Authorized Applicant �� 3
Applicant's Authorization:
Received by Town Clerk:
Date: Time: Fee:
Signature:
Please make check payable to the Town of Barnstable.
Received by Board of'Health:
Date: Time:
Signature:
�pF 1HE Tp
Town of Barnstable
Planning Board
BARNSTABLE, + e9
& a 230 South Street;Hyannis, Massachusetts 02601 /�,�
9�j 1 39. (508) 790-6290 Fax (508) 790-6- {,
ArFO MA'S a 114,
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• REFERRAL FORM y�oao psrgB 1y9 J
DATE: March 27; 1997 r ��
TO: FIRE DISTRICT T y�
WATER DISTRICT
CONSERVATION COMMISSION
COMMONWEALTH ELECTR
BOARD OF. MALTH
ENGINEERING
FROM: BARNSTABLE PLANNMG BOARD OFFICE
RE: SUBDIVISION 120 Fred Dewey
PLAN ENTITLEn• Cotuit
PLAN DATED:
March 12, 1997
PLAN LOCATION; Old Post Road & Main Street
PLAN ENGrNEER:
Down Cape Engineering
22
PARCEL: 19
ACRE—AGE:
ONTNG: RF
NUMBER OF LOTS: 1
DATE SUBMITT1aD; March 14, 1997
PRELIMINARY. * DEFINITIVE OPEN SPACE
The above captioned subdivision plan has been submitted to
the Planning Board. A public hearing or action has been
scheduled- for enkL� z.
. please forward an
recommendations or co to the Planning Board office
before• this date.
*Please note this is a Modfication of a previously approved subdivision plan, to
shorten a portion of it :,, v— Dewey Lane.
i
4 TOWN OF BARNSTABLE
` CF TH E T0�
OFFICE OF
! DAH39TSDL 3 BOARD OF HEALTH
� IIAt0. pj
�O i639• �� 367 MAIN STREET
MaY k HYANNIS, MASS.02601
April 15, 1997
Steven Shuman RE: Definitive plan of land in Cotuit
Chairman, Planning Board Petitioner: Fred W. Dewey
Barnstable Town Hall Assessor's Map 22, Parcel 19
Hyannis, Ma 02601 Engineer: Down Cape Engineering, Inc.
Date: March 12, 1997
Dear Mr. Shuman:
The Board of Health has reviewed this Definitive subdivision plan in Cotuit makes the
following recommendations:
The developer must provide public water to each and every lot in this subdivision.
Public water lines and all connections must meet specifications and/or rules and regulations
of the local water department.
Each septic system shall be located within the prescribed boundaries of each individual
lot.
All septic systems shall be located as most distant as possible from the wetlands within
each lot. The developer shall have recorded on the deed that variances from Title 5,
Minimum Requirements for the Subsurface Disposal of Sanitary Sewage, or the Town of
Barnstable Health Regulations whichever is more stringent, will not be granted on any
lot in this subdivision.
A percolation test must be 'made on each lot at leaching site, before a Disposal Works
Construction Permit will be issued. Maximum groundwater elevations must be determined
by using data available from the United States Geological Survey - Probable High
Groundwater Levels on Cape Cod_,_Mass. Each proposed septic system must conform strictly
to 310 CMR 15.00, the State Environmental Code, Title 5, and Town of Barnstable Rules
and Regulations.
Any lawn area created must be covered by at least four (4) inches of loam.
All tree stumps, brush and building debris removed when clearing lots or roads must be
disposed of at a licensed solid waste disposal facility. Chipping brush and tree stumps
is an acceptable alternative. Burial on site is prohibited.
The applicant must receive an Order of Conditions from the Conservation Commission,
if applicable.
II
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Prior to Board of Health approval of each building permit, the sewage system and water
supply must conform to 310 CMR 15.00, the State Environmental Code, Title 5, or Town
Health Regulations, whichever is more stringent.
Very truly yours,
san G. Ra", .S.
Chairman
Brian R. Grady, R.S.
Ralp A Mur y,
BOA F EALTH
TOWN BARNSTABLE
SGR/bcs
Copy: Fred V. Dewey
Town Clerk
Down Cape Engineering, Inc.
Health Department
Cotuit Fire District
Conservation Commission
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