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0002 LAKEWOOD DRIVE - Health
L ikewoo i Drive , Centerville P A = 212 023 2/ 2, 3 TROY WILLIAMS 1- 3 SEPTIC INSPECTIONS Certified by MA Department of Environmental Protection (508) 385-1300 19 Hummel Drive South Dennis, MA 02660 COMMONWEALTH OF MASSACHUSETTS � EXECUTIVE, OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE s OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESS TE1q- S SUBSURFACE SEWAGE DISPOSAL SYSTEM FOR PARTA M/ °\ 1 CERTIFICATION To 00 _2 Propert. oP Address: 2 Lakewood Drive,a.k.a. 384 Annable Point Road 'Sc� Centerville,MA Owner's Name: Eric Sorensen �FATTgB�� Owner's Addres►.. 2 Lakewood Drive Centerville, MA 02632 Date of Inspection: October 16,2002 \vv� Name of Inspector: Troy M. Williams O Company Name: Troy Williams Septic Inspections Mailing Address: 19 Hummel Drive South Dennis,MA 02660 Telephone Number: (5d8)385-1300 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The svtem Passes Conditionally- Panes Needs Further Evaluation b) the Local Approving Authinit) Fails Inspector's Signature: 'S. per_ Tate: w /i6/a z The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of I lealth or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design (low of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes and Comments Although system meets the minimum requirements set forth by the Massachusetts Department of Environmental Protection,certification is not to be construed as a guarantee of future working condition of system,piping or components. This inspection represents the conditions of the system on the Date of Inspection noted above. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 nape I r Page 2 of I 1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL.SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of Inspection: Eric W. Sorensen October 16,2002 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: I have not found any information which indicates that any of the failure criteria described in 310 CNIR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or mores stem components as Y described in P the"Conditional d to be replacd or repaired. The system, upon completion of the replacement or repair,asapproved by on n oard of Health,e will pass. Answer yes. no or not determined(Y,N,ND)in the___ for the following sta meats. If"not determined"please explain. The septic tank is metal and over 20 years old* or the septic t - (whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank fai a is imminent. System will pass inspection if the existing taut:is replaced with a complying septic tank as appro d by the Board of Health. •A metal septic tank will pass inspection if it is structurally und,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is availa ND explain: Observation of sewage backup or bre out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,sett or uneven distribution box.System will pass inspection if(with approval of Board of Health): roken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The syst required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspecti if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of I 1 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA. Date of(nspectiun: Eric W. Sorensen October 16,2002 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. L System hill pass unless Board of Health determines in accordance with.310 CMR 15.303 (b)that the system is not functioning in a manner which will protect public health,safety and the vironment: _ Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a sal arsh 2. System will fail unless the Board of Health (and Public W er Supplier,if any)determines that the system is functioning in a manner that protects the public alth,safety and environment: _ The system has a septic tank and soil absorpti system(SAS)and the SAS is within 100 feet of a surface %%ater supply or tributary to a surface w, r supply. _ The system has a septic tank and S and the SAS is within a Zone I of a public water supply. The system has a septic tank d SAS and the SAS is within 50 feet of a private water supply well. — The system has a septi ank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply we *, Method used to determine distance "This system p es if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and stile organic compounds indicates that the well is free from pollution from that facility and the prese a of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failur riteria are triggered.A copy of the analysis must be attached to this form. 3. Other: t 3 r Page 4 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOL UNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 2 Lakewood Drive Centerville,MA Owner: Eric W. Sorensen Date of Inspection: October 16,2002 D. System Failure Criteria applicable to all systems: You must indicate"yes"or"no"to each of the following for all inspections: Yes No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool _ Static liquid level in the distribution boa above outlet invert due to an overloaded or clogged SAS or cesspool hLm Liquid depth in cesspool is less than 6"below invert or available volume is less than%day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any portion of the SAS,cesspool or privy is below high ground water elevation. &Li Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. , y,�4 Any portion of a cesspool or privy is within a Zone 1 of a public well. AdA Any portion of a cesspool or privy is within 50 feet of a private water supply well. N/A Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. (This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.) NU (Yes/No)The system fails. 1 have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303. therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a d gn flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the crite ' above) yes no _ the system is within 400 feet of a surface drinkin ater supply _ the system is within 200 feet of a tributary a surface drinking water supply _ the system is located in a nitrogen s itive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone Il of a public water supply ell If you have answered"yes"to any stion in Section E the system is considered a significant threat,or answered "yes"ip Section D above the for system has failed.The owner or operator of any large system considered a significant tt�;at under Sectio or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304.The system owner ould contact the appropriate regional office of the Department. 4 Page 5 of I I OFFICIAL INSPECTION FORM —NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of Inspection: Eric W. Sorensen October 16,2002 Check if the following have been done.You must indicate yes"or"no"as to each of the following Yes No h,:;: i;ing information was provided by the owner. occupant, or Board oft lealti, __.. -,Z Were any of the system components pumped out in the previous two weeks Has the system received normal flows in the previous two week period'? Z Have large volumes of water been introduced to the system recently or as part of this inspection? -Z _ Were as built plans of the system obtained and examined?(If they were not available note as N/A) -,Z _ Was the facility or dwelling inspected for signs of sewage back up? ' ✓ _ Was the site inspected for signs of break out ? _✓ _ Were all system components,excluding the SAS, located on site Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees, material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? ✓ __ Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System(SAS)on.the site has been determined based on: Yes no ✓ _ Existing information. For example,a plan at the Board of Health. _✓_ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)] r 5 Page 6 of 1 I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of inspection: Eric W. Sorensen October 16,20g2LOW CONDITIONS RESIDENTIAL Number of bedrooms(design):_ Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): yo Number of current residents: d _ Does residence have a garbage grinder(yes or no):Ye-s (N^+ rr- �.hwu,�� Is Iaundn on a separate sewage system(yes or no): ,vo [if ves separate inspection required) Laundry system inspected(yes or no): ,v/� Seasonal use: (yes or no): Water meter readings, if available(last 2 years usage(gpd)): _61 - 71/4 004.) , S Ou : g 3,ao a ..uo., s Sump pump(yes or no): Last date of occupancy: ;'-d. COMMERCIAL/INDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): ___gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no):_ Industrial waste holding tank present(yes or no):_ Non-sanitary waste discharged to the 7 Title 5 system es or no):_ Water meter readings, if available: _ Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: p ,,,,_,� s; ` n .ML__.h_ .F,,� �+,+.z u..J.n c✓. Was system pumped as part of the inspection(yes or no): ,vo If yes,volume pumped: gallons-- How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM Septic tank,distribution box,soil absorption system _Single cesspool _Overflow cesspool _Privy _Shared system(yes or no)(if yes,attach previous inspection records, if any) _Innovative/Alternative technology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) _Tight tank _Attach a copy of the DEP approval _Other(describe):. Approximate age of all components. date installed(if known)and source of information: 1�s 4uu�Jl /o /�7 /yY y C, 6 1f Were sewage odors detected when arriving at the site(yes or no):vovo tlq��e 6 ': Page 7 of I I OFFICIA INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of Inspection: Eric W. Sorensen October 16,2002 BUILDING SEWER(locate on site plan) Depth belu�r grade: /8"f Materials of construction: _cast iron _Z40 PVC___other(explain): Distancr fron, private water supply well or suction line: ,y/,q Comments(on condition of joints,,venting,evidence o► leakage,etc.): _F S t,_...k SEPTIC TANK: ,/(locate on site plan) Depth below grade: c2 ' rIs'r re- Material of construction: concrete_metal_fiberglass_polyethylene —other(explain) If tank is metal list age:_ Is age confirmed by a Certificate of Compliance(yes or no)* (attach a copy of certificate) Dimensions: �_s 'ac to. sc 4 v Sludge depth: 2- Distance from top of sludge to bottom of outlet tee or baffle: 2 '16 G Scum thickness: Distance from top of scum to top of outlet tee or bafllr: _4 Distance from bottom of scum to bottom of outlet tee or baffle: /3„ How were dimensions determined: R'-of /.f- _q'. Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): h-!. [.� W�.vl.l.'. s,.C O��.c�/✓ /l�D c✓:1.�..�_,.. /� �`��L._�-z o r J`c^LJ—��Jfljs,./. W ca/d "I V✓i. �•. Wtlr tit.. .n C IN.a_��-✓ /Lila� t/N �HA�IM � 4�U a .h � /- �NV ✓"IA !`Y�'/Su..i 1,F h.t,. caa.✓S'� �>>. .l•� �.Jlvr�I a> f� 6�uc./1ll(- Aaf- 'I�� y )Ioc K-ca�a j iti �w 74 TV✓� '/�LaL C.JJ 1� V'-c ✓.ra SNp�L.a.� 4K' I.�wt) GREASE TRAP:_(locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_fiberglass_po thylene_other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet to r baffle: Date of last pumping: Comments(on pumping recommendations, ' and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of le e,etc.): 7 Page 8 of I 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of Inspection: Eric W. Sorensen October 16,2002 TIGHT or HOLDING TANK: (tank must be pumped at time of ection)(locate on site plan) Depth below grade: Material of construction: concrete metal fibergla _polyethylene other(explain): Dimensions: Capacity: gallons Design Flom. gallons/day Alarm present(yes or no): Alarm level: Alarm in working or r(yes or no): Date of last pumping: Comments(condition of alarm and t switches, etc.): DISTRIBUTION BOX:_j/ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover; any evidence of leakage into or out of box,etc.): 1.-6U1• .s �c.Jt /1 c�rct4r PUMP CHAMBER: (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): Comments(note condition of pump chamber,corOtZionof pumps and appurtenances,etc.): 8 Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of Inspection: Eric W. Sorensen October 16,2002 SOIL ABSORPTION SYSTEM(SAS): (locate on site plan,excavation not required) If SAS not located explain why Type leaching pits. number:_ leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: _ overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure, level of ponding,damp soil,condition of vegetation, etc.): /lfu „" T c L �- 1 CESSPOOLS: (cesspool must Zfailure, tion)(1 to on site plan) Number and configuration: Depth—top of liquid to inlet invert: Depth of solids layer: Depth of scum lay er: _ Dimensions of cesspool: Materials of construction:Indication of groundwater inflow(yesComments(note condition of soil,sigl of ponding,condition of vegetation,etc.): Iz PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic ilure, level of ponding,condition of vegetation,etc.): 9 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM .PART C SYSTEM INFORMATION(continued) Property Address: 2 Lakewood Drive Centerville,MA Owner: Eric W. Sorensen Date of Inspection: October 16,2002 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. i_ Q . 311 ' Sal 7".� Page 11 of 1 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of inspection: Eric W. Sorensen October 16,2002 SITE EXAM Slope Surface water Check cellar ✓ Shallow wells Estimated depth to ground water R feet Adjusted high ground water elevation ' _feet Please indicate(check)all methods used to determine the high ground %%ater elevation: Obtained from system design plans on record- If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of health-explain: _If_;11 r—A.,,, Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: �,,,� You must describe how you established the high ground water elevation: 73 4.-..AA . 3y.c 33.6 This report has been prepared and the system inspected as of the date of inspection. This report is not a warranty or guarantee that the system wile,itrndion properly In the future. There have beef`no warranties or guarantees,either expressed,written or i(ilQlied,,relating to the system,the inspection andfpr this report. I I "., WINOF ARNSTABLE LOCATION / Ad ' SEWAGE # � VILLAGE— / ASSESSORS MAP& LOT 22�—Y� �" ft/� r� �s INSTALLER'S NAME&PHONE NO. 2416 C—e4lZe C",-afie 1 C'CycP/-/ SEPTIC TANK CAPACITY %S��✓® f LEACHING FACILITY: (ty (size) NO,OF BEDROOMS_ BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist within.300 feet of leaching facility) Feet Furnished by P -' l TOWN OF BARNSTABLE �4&4-r � LOCATION SEWAGE # VILLAGE ASSESSOR'S MAP & SEPTIC TANK CAPACITY LEACHING FACILITY:(type) t (size) NO. OF BEDROOMS PRIVATE WELL OR UBLIC WATER BUILDER OR qWNER Can ham, A c _ V A.-_,,tI A N.CZ-G.w-kNXl�n--Y_es No 0 ' i \ TOWN OF BAMSTABLE -- -— — LOCATION .�1�v A�- 4{ RcI SEWAGE # VILLAGE ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. 2!4.6 T�iJ e S4a I is SEPTIC TANK CAPACITY LEACHING FACILITY: (type) /'-,y 17r. of7L*T/L5� (size) NO.OF BEDROOMS ; BUILDER OR OWNER PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and Bottom of Leaching Facility Feet ...... ._.Private Water Supply Well and Leaching Facility (If any wells exist on site or within 200 feet of leaching facility) Feet Edge of Wetland and Leaching Facility(If any wetlands exist �. within 300 feet of leaching facility) Feet Furnished by i T 76-�' !/ �/• . 1. L � � •.. I C. 1 � y I No. 9 — `l® 1— Fee c� THE COMMONWEA1=TH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Application for Diopood *pgtem Construction Permit Application for a Perr t to Construct( )Repair( )Upgrade( )Abandon( ) Womplete System ❑Individual Components Location Address or Lot No. k Owner's Name,Address and Tel.No. Assessor's Map/Parcel III #4l G V__ Installl'eeAr''��s,,Name,Address,and Tel.No. Designer's Name,Address and Tel.No. c�' Calls 57TS 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 q-,-A_0 gallons per day. Calculated daily flow ��1� gallons. Plan Date Number of sheets Revision Date Title _ f � � Size of Septic Tank SeI�C�� Type of S.A.S. 4S Y" t DcC-t-r Description of Soil 0 S�Wlp Nature of Repairs or Iterations(Answer when applicable) �d� 5� � ��K- 01 ST c_e HO c � w 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 of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has bee ' e t . ned Date Application Approved by Date ��— Application Disapproved for the following reasons Permit No. '�� Date Issued ' �j _ r . H Q j Fee No. — �M f 4 HE OMMOItIXE;AOh l OF MASSACHUSETTS Entered in computer: ✓ Yes - PUBLIC HEALT DIVISION -TO OF BARNSTABLE., MASSACHUSETTS ,. ZIppYication for Migomt *pgtem Construction Permit Application for a Perm}t to Construct( )Repair( )Upgrade-'��)Abandon( ) CAComplete System ❑Individual Components Location Address or Lot No.`% }� N Owner's Name,Address and Tel.No. Assessor's Map/Parcel �.. P�—® G r 1\'l C Installeer''s Name,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 `'4 (� gallons per day. Calculated daily flow y�!Cl gallons. Plan Date Number of sheets Revision Date Title _ Size of Septic Tank _ Type of S.A.S. 1A c C� Description of Soil .Nature of Repairs or Alterations(Answer when applicable) l A- N,, 4 Date last inspected: 1 Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certifi- cate of Compliance has been' ued-ley-t#i e z•, , gn�,r.-- s'a Date D- ' Application Approved by d , Date -Z - Application Disapproved for the following reasons Permit No. ' 70 3 Date Issued / - 2 I THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of (Compliance THIS IS TO CERTIFY,that the-On-site Sewage Disposal System Constructed(r—)Repaired( )Upgraded Abandoned( )by } A4 r at beecstccted in accordance with the provisions of Title 5 and the for Disposal Sys em Construction Permit No. 9 7 `dated /U- 2 S= y q Installer Designer The issuance of this e t all n e construed as a guarantee that the!—My'tmll function as/eesigne:9 Date Inspector /1 i --------------------------------------- 99 No. 703 Fee J`! THE COMMONWEALTH'OF MASSACHUSETTS �. PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS mi5 pour 6pgtem Congtruction Permit Permission is hereby granted to Construct( )Repair( )Upgrade( Abandon( ) System located at o 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. Provided:Construction must be completed within three years of the date of thi ermit. Date: �0 Z Approved by �s. a. 116/99 NOTICE: This Form Is To Be Used For the Repair Of Failed Septic Systems Only. - CERTIFICATION OF SKETCH AND APPLICATION FOR A DISPOSAL WORKS CONSTRUCTION PERMIT (WITHOUT DESIGNED PLANS) I, d hereby certify that the application for disposal works construction permit signed by me dated /(j a S concerning the property located at lujo— Q—po a Vt-T `cam meets all of the following criteria: VThe failed system is connected to a residential dwelling only. There are no commercial or business L mouses associated with the dwelling. / The soil is classified as CLASS I and the percolation rate is less than or equal to 5 minutes per inch. There are no wetlands within 100 feet of the proposed septic system 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. The bottom of the proposed leaching facility will not be located less than five feet above the ma.,dmum adjusted groundwater table elevation. (Adjust the groundwater table using the Frimptor ethod when applicable] • If the S.A.S. will be located with 250 feet of any vegetated`wetlands, the bottom of the proposed leaching facility will not be located less than fourteen(14)feet above the maximum adjusted groundwater table elevation, Please complete the following: A) Top of Ground Surface Elevation(using GIS information) 7d# B) G.W.Elevation 7,?ZS`O+the MAX. High G.W. Adjustment 3 C= 3 DIFFERENCE BETWEEN A and B SIGNED : DATE: J� (Sketch proposed plan of system on back]. q:health folder.cent -T �� �' a 0 d � - q/rug/FM t- e .......... � „ s .. / / hlw� ... ,..,, //�� •`' / x // r ''�� sg�' � .fir« t�wf��, Nr y Actin in Next'Pry Brawseut Nita D ta1 0 Wteslpc + r� =r !rerne 4 QUer Chef.rs.e e. l°�e Year pe Bill, NateslSC Rill Nam a Ph: ii 2RR3 RE-R 25371 2113554 ;� 50RENSEN, ER�I�C �S� � �UZANNE C Parcel ID 212-023 AK 4J000 DRIVE fy ' Prop Loc 2 LAKE�lOOD IVE DR CEt�TERUIL.I.E, ,.a �. Int Date Billed AbtlAdj Pmtsj redits Interest Unpaid bat ... �:. ....:: ...... 1 11l21IR2 984 17 ...... '2 105lli2/o 4R'4.17 . 1ti :Rtl .t1p 984 A1? Fees/Pen: .©© ©R .Iili 4f© Totals: 1, G8.3b ,©ti pQ iQ1,4bR 3 ....c...,. ... [TAN1 Daner: StIRNSN, ERIC Ix S Due 14/1t�l2pq 98 17 Per Diem �• � Int Paid .AQ r 9 �st�rt ' 1ra� � �u "ra Ito 2�Am Docume Window axb�gsV A,,® COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAI AFFAIRS John Grad DEPARTMENT OF ENVIRONMENTAL PROTECTION DEP Title V Septic Inspector ONE WINTER STREET BOSTON MA 02108(617)292-3500 P.O.Box 2119 TeaTicket,Ma. (508)564-6813 TRUDY COXE Secretary ARGEO PAUL CELLUCCI DAVID B.STRUHS Govemor Commissioner n 1 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION V�2a q j Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 b4�' Name of Owner MRS.MICK Address of Owner: SAME o Date of Inspection: 10/6199 - Name of Inspector:(Please Print)JOHN GRACI S 1 am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000) � p�. 1999 Company Name: n/a �NTF Mailing Address: n/a Telephone Number: n/a e V� CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on-site sewage disposal systems.The system: _ Passes The inpection is based on criteria defined in Title V Conditionally Passe code 310 CMR 15.303.My findings are of how the system Is _ Needs FurthjEvaon By the Local Approving Authority performing at the time of the Inspection.My Inspection does X Fails not Imply any warranty or guarantee of the longgevity of the septic system and any of its components useful life. Inspector's Signature: Date:10/8199 The System Inspector shalcopy of this inspection report to the Approving Authority(Board of Health or DEP)within thirty(30)days of completing this inspection.If the system is a shared system or has a design flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the Department of Environmental Protection.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. NOTES AND COMMENTS THE SYSTEM FAILS TITLE V INSPECTION.THE OVERFLOW CESSPOOL IS FULL OVER PIPE,THERE WAS NO EFFECTIVE LEACHING LEFT AT THE TIME OF THE INSPECTION. revised 9/2/98 Page 1 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 INSPECTION SUMMARY: Check A, B, C, or D: A. SYSTEM PASSES: I have not found any information which indicates that any of the failure conditions described in 310 CMR 15.303 exist.Any failure criteria not evaluated are indicated below. COMMENTS: n/a B. SYSTEM CONDITIONALLY PASSES: n1a One or more system components as described in the"Conditional Pass"section need to be replaced or repaired.The.system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Indicate yes,no,or not determined(Y,N,or ND).Describe basis of determination in all instances.If"not determined",explain why not. nla The septic tank is metal,unless the owner or operator has provided the system inspector with a copy of a Certificate of Compliance(attached)indicating that the tank was installed within twenty(20)years prior to the date of the inspection;or the septic tank,whether or not metal,is cracked,structurally unsound,shows substantial infiltration or exfiltration,or tank failure is imminent.The system will pass inspection if the existing septic tank is replaced with a complying septic tank as approved by the Board of Health. n(a Sewage backup or breakout or high static water level observed in the distribution box is due to broken or obstructed pipe(s) or due to a broken,settled or uneven distribution box.The system will pass inspection if(with approval of the Board of Health). broken pipe(s)are replaced obstruction is removed _ distribution box is levelled or replaced nta The system required pumping more than four times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed revised 9/2198 Page 2 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 C. FURTHER EVALUATION IS REQUIRED BY THE BOARD OF HEALTH: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect the public health,safety and the environment. 1) SYSTEM WILL PASS UNLESS BOARD OF HEALTH DETERMINES IN ACCORDANCE WITH 310 CMR 15.303(1)(b)THAT THE SYSTEM IS NOT FUNCTIONING IN A MANNER WHICH WILL PROTECT ThE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: Cesspool or privy is within 50 feet of surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh. 2) SYSTEM WILL FAIL UNLESS THE BOARD OF HEALTH(AND PUBLIC WATER SUPPLIER.IF ANY)DETERMINES THAT THE SYSTEM IS FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALTH AND SAFETY AND THE ENVIRONMENT: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and soil absorption system and the SAS is within a Zone I of a public water supply well. The system has a septic tank and soil absorption system and the SAS is within 50 feet of a private water supply well, The system has a septic tank and soil absorption system and the SAS is less than 100 feet but 50 feet or more from a private water supply well,unless a well water analysis for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,Method used to determine distance nla_(approximation not valid). 3) OTHER Wa revised 9/2/98 Page 3 of 11 I SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 384 ANABEL POINT C ENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 D. SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: X I have determined that one or more of the following failure conditions exist as described in 310 CMR 15.303.The basis for this determination is identified below.The Board of Health should be contacted to determine what will be necessary to correct the failure. Yes No X Backup of sewage into facility or system component due to an overloaded or clogged SAS or cesspool. X Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool. X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool. X Liquid depth in cesspool is less than 6"below Invert or available volume is less than 1/2 day flow, X Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped Wa. X Any portion of the Soil Absorption System,cesspool or privy is below the high groundwater elevation. X Any portion of a cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone I of a public well. X Any portion of a cesspool or privy is within 50 feet of a private water supply well, X Any portion of a cesspool or privy is less-than 100 feet b ut greater than no acceptable water analysis.If the well has been analyzed to be acceptable, ttach copy of 50 ell water analysis foreet from a privateter col forpml bacter awelll,volatile organic mpo nds ty, ammonia nitrogen and nitrate nitrogen. X The liquid level in the SAS is over the invert pipe,is in Hydraulic Failure. E. LARGE SYSTEM FAILS: You must indicate either"Yes"or"No"to each of the following: The following criteria apply to large systems in addition to the criteria above: The system serves a facility with a design flow of 10,000 gpd or greater(Large System)and the system is a significant threat to public health and safety and the environment because one or more of the following conditions exist: Yes No X the system is within 400 feet of a surface drinking water supply X the system is within 200 feet of a tributary to a surface drinking water supply X the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.30412).Please consult the local regional office of the Department for further information. revised 9/2/98 Page 4 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 Check if the following have been done:You must indicate either"Yes"or"No"as to each of the following: Yes No X Pumping information was provided by the owner,occupant,or Board of Health. X None of the system components have been pumped for at least two weeks and-the system has been receiving normal flow rates during that period.Large volumes of water have not been introduced into the system recently or as part of this inspection. X As built plans have been obtained and examined.Note if they are not available with N/A, X The facility or dwelling was inspected for signs of sewage back-up. X The system does not receive non-sanitary or industrial waste flow. X The site was inspected for signs of breakout, X All system components,excluding the Soil Absorption System,have been located on the site. X The septic tank manholes were uncovered,opened,and the interior of the septic tank was inspected for condition of baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge,depth of scum.The size and location of the Soil Absorption System on the site has been determined based on: X Existing information,For example,Plan at B4O,H, X Determined in the field(if any of the failure criteria related to Part C is at issue,approximation PP of distance is unacceptable) [1 5.302(3)(b)] X The facility owner(and occupants,if different from owner)were provided with information on the proper maintenance of SubSurface Disposal Systems. revised 9/2/98 Page 5 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6199 RESID_ E_NDAL: FLOW CONDITIONS Design flow:_M g.p.d./bedroom Number of bedrooms(design): _ Number of bedrooms(actual):I Total DESIGN flow: = Number of current residents:2 Garbage grinder(yes or no):NQ Laundry(separate system)(yes or no): NQ If yes,separate inspection required Laundry system inspected(yes or no):_NQ Seasonal use(yes or no):M Water meter readings,if available(last two year's usage(gpd): nta Sump Pump(yes or no): NQ Last date of occupancy: n/a COMM R IA /IND STRIA Type of establishment: n(a Design flow: n&gpd(Based on 15.203) Basis of design flow: n& Grease trap present:(yes or no):M Industrial Waste Holding Tank present:(yes or no): NQ Non-sanitary waste discharged to the Title 5 system:(yes or no):NO Water meter readings.if available:n& Last date of occupancy: n& OTHER: (Describe) n[a Last date of occupancy: IVA GENERAL INFORMATION PUMPING RECORDS and source of information: System pumped as part of inspection:(yes or no):NQ If yes,volume pumped nta_ gallons Reason for pumping: n1a TYPE OF SYSTEM X Septic tank/distribution boxisoil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no)(if yes.attach previous inspection records,if any) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other: nta APPROXIMATE AGE of all components,date installed(if known)and source of information: THE SYSTEM IS 30+YEARS Ol n ` Sewage odors detected when arriving at the site:(yes or no): NQ I revised 9/2/98 Page 6 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 BUILDING SEWER: (Locate on site plan) Depth below grade: X Material of construction:_ cast iron _40 PVC X other(explain) Distance from private water supply well or suction line: TOWN Diameter: Wa Comments: (condition of joints,venting,evidence of leakage,etc.) n(a SEPTIC TANK: X (locate on site plan) Depth below grade: V Material of construction:X concrete_ metal— Fiberglass _ Polyethylene _ other(explain) nLd If tank is metal,list age Is age confirmed by Certificate of Compliance(Yes/No): NyQ Wa Dimensions: 6'X6'B OCK Sludge depth: 1: Distance from top of sludge to bottom of outlet tee or baffle: Scum thickness:-Q Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: n& How dimensions were determined: en A.9 RM Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) SYSTEM FAI 4 rFtSPOOL IS FUI L LEAGH PIT 1 F AND PA T Th FFF�(`TIVE DEPTH OF t Fnr`u� it GREASE TRAP: (locate on site plan) Depth below grade: Material of construction:_concrete_ metal— Fiberglass _ Polyethylene_other(explain) n/a Dimensions: nta Scum thickness: Wa Distance from top of scum to top of outlet tee or baffle:jVa Distance from bottom of scum to bottom of outlet tee or baffle Wa Date of last pumping: n/a Comments: (recommendation for pumping,condition of inlet and outlet tees or baffles,depth of liquid level in relation to outlet invert,structural integrity,evidence of leakage, etc.) nLa revised 9/2/98 Page 7 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:1016/99 TIGHT OR HOLDING TANK: NO (Tank must be pumped prior to,or at time of,inspection) (locate on site plan) Depth belgw grade: n& Material of construction:_ concrete_ metal Fiberglass _Polyethylene_ other(explain) n/A Dimensions: Wa Capacity: n/a gallons Design flow: n& gallons/day Alarm present: NQ Alarm level:illa- Alarm in working order:Yes_No_ NQ Date of previous pumping: n& Comments: (condition of inlet tee,condition of alarm and float switches,etc.) n& DISTRIBUTION BOX: _ (locate on site plan) Depth of liquid level above outlet invert:n& Comments: (note if level and distribution is equal,evidence of solids carryover,evidence of leakage into or out of box,etc.) Wa PUMP CHAMBER: NQ (locate on site plan) Pumps in working order:(Yes or No): NO Alarms in working order(Yes or No): NQ Comments: (note condition of pump chamber,condition of pumps and appurtenances.etc.) n/a revised 9/2/98 Page 8 of 11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:110/6/99 SOIL ABSORPTION SYSTEM(SAS): X (locate on site plan,if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain:, n/a Type: leaching pits,number: n/a leaching chambers,number: j/a leaching galleries,number: -n/a leaching trenches,number,length: Wa leaching fields,number,dimensions: n/a overflow cesspool,number: 6'XB'BLOCK CESSPOOL Alternative system: n/a Name of Technology: -/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation,etc.) THE OVERFLOW CFSSPOQ1 IS PAST THE EFFECTIVE DEPTH OF LEACHINGE THERE WAS NO ISABLE LEACHINGLEFT AT THE TIME OF THE INSPECTION. CESSPOOLS: _ (locate on site plan) Number and configuration: n/a Depth-top of liquid to inlet invert: n/a Depth of solids layer: Wit Depth of scum layer. n/a Dimensions of cesspool: n/a Materials of construction: n/a Indication of groundwater: Wa inflow(cesspool must be pumped as part of inspection)ji& Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wit PRIVY: _ (locate on site plan) Materials of construction:it& Dimensions:n& Depth of solids: n/a Comments: (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation,etc.) Wit revised 9/2/98 Page 9 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent reference landmarks or benchmarks locate all wells within 100'(Locate where public water supply comes into house) n/a A g pick AA a$ a�6 3S revised 9/2/98 Page 10 of 11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 384 ANABEL POINT CENTERVILLE MAP 242-PAR 023 Owner: MRS.MICK Date of Inspection:10/6/99 NRCSReportname: nLa Soil Type: nLa Typical depth to groundwater: ilia USGS Date website visited: nLa Observation Wells checked: MQ Groundwater depth:Shallow _ Moderate _ Deep _ SITE EXAM _ Slope _ Surface water _ Check Cellar _ Shallow wells Estimated Depth to Groundwater 12 Feet Please indicate all the methods used to determine High Groundwater Elevation: _ Obtained from Design Plans on record _ Observed Site(Abutting property,observation hole,basement sump etc.) _ Determined from local conditions _ Checked with local Board of health _ Checked FEMA Maps _ Checked pumping records _ Checked local excavators,installers X Used USGS Data Describe how you established the High Groundwater Elevation.(Must be completed) USGS MAPS AND CHART revised 9/2/98 Page 11 of 11 age I 1 of I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 2 Lakewood Drive Owner: Centerville,MA Date of inspection: Eric W. Sorensen October 16,2002 SITE EXAM Slope Surface water Check cellar ✓ Shallow wells Estimated depth to ground water ,feet Adjusted high ground water elevation — _feet Please indicate(check)all methods used to determine the high ground %%ater elevation: Obtained from system design plans on record- If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators, installers-(attach documentation) A� ccessed USGS database-explain: You must describe how you established the high ground water elevation: _ C / _1.�./r,..i-�✓ CwT�pt :'= .�.::.�._._�-L �O 1.J L?,-.✓�.0_ N!� � �....�1'—S�J� wu k._. 4 J �__/:z.e.r_�-.� �a "�i,� 1�• ,a l„�4 I—v ,e 33 6 This report has been prepared and the system inspected as of the date of inspection. This report is not a warranty or guarantee that the system wq function properly in the future. There have been':no warranties or guarantees, either expressed,written or I plied,.relating to the system,the inspection arldl,r this report. 11 Town of Barnstable Assessors Division Page 1 of 2 a. Your Location : Home : Town Departments : Administrative Services : Assessors Division :TMore About _ <<Back-Forward>> Wednesday, October Search Web site Town artments Assessors Division- More About •All Departments •Town Council +Town Manager •Administrative Services Click on a Parcel ID number to view details for that parcel. • Regulatory Services Parcel ID Property Location Owner Name •Community Services 212023 2 LAKEWOOD DRIVE SORENSEN, &SUZANNE i • Public Works + Police Department d Town Information •All Information •A endas •Annual Report •Committees • Election Information • Employment • FAQ's Forms and •Applications • Hearing Schedules • News/Press Links +Operating Budget •Ordinances •Property Assessments • Regulations •Town Charter +Town Calendar •Town Maps Contact Town Hall Town Hall 367 Main Street Hyannis, MA 02601 Phone 508-862-4000 E-mail Contact Town Hall http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative Services/Fina... 10/16/2002 Town of Barnstable Assessors Division Page 1 of 3 try 2a4 S< /i/ '`sa`` � 10 Z✓—f ,b,.a.„uE . § MASS, ST Your Location : Nome : Town Departments : Administrative Services : Assessors Division Property Results <<Back- Forward>> Wednesday, October 16, 2002 Assessors Division- Property Results Data is based on Fiscal Year 2002 Assessor's Fiscal Year 2002 Assessed Values database and is provided for information Tax Information purposes only. Sales History Land and Building Description <<Search Again Construction Details Out Buildings& Extra Features Building Sketch 2 LAKEWOOD DRIVE Map/ Parcel/Parcel Extension: Mailing Address: 212/023/ SORENSEN, ERIC W& SUZANNE C Owner of Record: SORENSEN, ERIC W& SUZANNE C 2 LAKEWOOD DRIVE Property Location: CENTERVILLE, MA 02632 2 LAKEWOOD DRIVE Parcel ID:212023 r . Fiscal Year 2002 Assessed Values ^Top Appraised Value Assessed Value Building Value: $ 133,800 $ 133,800 Extra Features: $2,700 $2,700 Outbuildings: $ 700 $ 700 Land Value: $ 38,200 $ 38,200 Totals: $ 175,400 $ 175,400 Tax Information ^Top Town Tax $ 1,624.20 Tax Rates(per$1,000 of valuation) C.O.M.M. FD Tax $242.05 Town 9.26 Fire District Rates Land Bank Tax $48.73 Barnstable 2.61 C.O.M.M 1.38 Cotu it 1.69 Total: $ 1,914.98 Hyannis 2.54 W. Barn. 1.54 Total does not include special assessments— Other Rates http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative Services/Fina... 10/16/2002 Town of Barnstable Assessors Division Page 2 of 3 Land Bank 3%of Town Tax Due to rounding differences these values are approximate. v � Sales HistoryTo Owner: Sale Date: Book/Page: Sale Price: MICK, LORNA M 9/15/1988 6461/ 194 $ 145,000 OBRIEN, THOMAS & MARGARET C 2675/28 $ 0 SORENSEN, ERIC W& SUZANNE C 5/30/2000 13037/ 145 $257,500 Land and Building Description ^Top Land Building Lot Size (Acres): 0.59 Year Built: 1971 Appraised Value:$ 38,200 Living Area: 2042 Assessed Value: $ 38,200 Replacement Cost: $ 142,357 Depreciation: 16 Building Value: $ 133,800 Construction Details ^Top Style: Modern/Contemp Interior Walls: Drywall Model: Residential . Interior Floors: HardwoodVinyl/Asphalt Grade: Average Grade Heat Fuel: Gas Stories: 1 Story Heat Type: Hot Air Exterior Walls Wood on Sheath AC Type: None Roof Structure: Gable/Hip Bedrooms: 3 Bedrooms Roof Cover: Asph/F GIs/Cmp Bathrooms: 2 Bathrooms Total Rooms: 5 Rooms Outbuildings& Extra Features ^Top Code Description Units/SQ FT Appraised Value Assessed Value SHED Shed 96 $ 700 $ 700 BFA Bsmt Fin-Aver 216 $ 2,700 $2,700 Building Sketch ^Top i http://www.town.bamstable.ma.us/ComeOnIn/Departments/Administrative Services/Fina... 10/16/2002 Town of Barnstable Assessors Division Page 3 of 3 "M' Sketch Legend BAS First Floor, Living Area FST Utility Area (Finished Interior) UAT Attic Area (Unfinished) BMT Basement Area (Unfinished) FTS Third Story Living Area (Finished) UHS Half Story (Unfinished) CAN Canopy FUS Second Story Living Area (Finished) UST -Utility Area (Unfinished) FAT Attic Area (Finished) GAR Garage UTQ Three Quarters Story (Unl FCP Carport GRN Greenhouse UUA Unfinished Utility Attic FEP Enclosed Porch PTO Patio UUS Full Upper 2nd Story (Unfi FHS Half Story (Finished) SFB Semi Finished Living Area WDK Wood Deck FOP Open or Screened in Porch TQS Three Quarters Story (Finished) k . 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