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Home My WebLink About0370 CLAMSHELL COVE ROAD - Health 370 Clamshell Cove ��a y Cotuit A = 001 - 00.1 4 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 370 CLAMSHELL COVE RD ' Property Address PENELOPE P FEUILLAN TRUST I .„ Owner Owner's Name I" information is required for COTU IT MA 7-8-15 TY° every page. City/Town State Zip Code Date of Inspection Inspection results must be submitted on this form. Inspection forms may not be altered-in any a9 way. Please see completeness checklist at the end of the form. Important: A. General Information When filling out forms on the computer,use 1. Inspector: r v only the tab key to move your DOUGLAS A BROWN cursor-do not Name of Inspector use the return key. D.A.BROWN INC Company Name VQ P.O. BOX 145 Company Address CENTERVILLE MA 02632 City/Town State Zip Code 508-420-4534 S14297 Telephone Number License Number B. Certification 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 system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority 7-8-15 Is s Signature Date The system inspector shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 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 DEP. The original should be sent to the system owner and.copies sent to the buyer, if applicable, and the approving authority. ****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. VIS t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal S tern•Page 1 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Cityrrown State Zip Code Date of Inspection B. Certification (cont.) Inspection Summary: Check A,B,C,D or E/always complete all of Section D A) System Passes: ® 1 have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: SYSTEM APPEARS TO BE ORIGINAL BUT THE PROPERTY IS USED VERY LITTLE SO EVERYTHING WAS FUNCTIONING PROPERLY AT TIME OF INSPECTION B) System Conditionally Passes: ❑ 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. Check the box for"yes", "no"or"not determined (Y, N, ND)for the following statements. If"not determined," please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ❑ Y ❑ N ❑ ND(Explain below): I t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 2 of 17 e Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) ❑ Pump Chamber pumps/alarms not operational. System will pass with Board of Health approval if pumps/alarms are repaired. B) System Conditionally Passes (cont.): ❑ Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken, settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): ❑ broken pipe(s) are replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): ❑ distribution box is leveled or replaced ❑ Y ❑ N ❑ ND (Explain below): ❑ The system required pumping more than 4 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 ❑ Y ❑ N ❑ ND (Explain below): ❑ obstruction is removed ❑ Y ❑ N ❑ ND (Explain below): 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. 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 public health, safety and the environment: ❑ 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 salt marsh t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 3 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments GM , 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) 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, safety and 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 SAS and the SAS is within a Zone 1 of a public water supply. ❑ The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. ❑ The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance: This system passes if the well water analysis, performed at a DEP certified laboratory, for fecal coliform bacteria indicates absent 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. 3. Other: 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 box above outlet invert due to an overloaded or clogged SAS or cesspool ❑ ® Liquid depth in cesspool is less than 6" below invert or available volume is less than Y2 day flow t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 4 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection B. Certification (cont.) Yes No ❑ ® 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. ❑ ® Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ❑ ® Any portion of a cesspool or privy is within a Zone 1 of a public well. ❑ ® Any portion of a cesspool or privy is within 50 feet of a private water supply well. ❑ ® 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 fecal coliform bacteria indicates absent 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 and chain of custody must be attached to this form.] ❑ ® The system is a cesspool serving a facility with a design flow of 2000gpd- 10,000gpd. ❑ ® The system fails. I 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 design flow of 10,000 gpd to 15,000 gpd. For large systems, you must indicate either"yes"or"no"to each of the following, in addition to the questions in Section D. Yes No ❑ ❑ the system is within 400 feet of a surface drinking water supply ❑ ❑ the system is within 200 feet of a tributary to a surface drinking water supply ❑ ❑ 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 If you have answered "yes"to any question in Section E the system is considered a significant threat, or answered"yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 5 of 17 ' Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M SvOy,'¢ 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is MA 7-8-15 required for COTUIT ' every page. City/Town State Zip Code Date of Inspection C. Checklist Check if the following have been done. You must indicate"yes"or"no"as to each of the following: Yes No ® ❑ Pumping information was provided by the owner, occupant, or Board of Health ❑ ® 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? ❑ ® Have large volumes of water been introduced to the system recently or as part of this inspection? ❑ ® Were as built plans of the system obtained and examined?(If they were not available note as N/A) ® ❑ 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: ❑ ® 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(5)] D. System Information Residential Flow Conditions: Number of bedrooms(design): 3 PITS Number of bedrooms(actual): 4per assessing DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 6 of 17 Commonwealth of Massachusetts . Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments �M 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Cityrrown State Zip Code Date of Inspection D. System Information Description: a septic tank d box and 3 leach pits were found and in working order at time of inspection I Number of current residents: 0 Does residence have a garbage grinder? ❑ Yes ❑ No Is laundry on a separate sewage system?(Include laundry system inspection ❑ Yes ❑ No information in this report.) Laundry system inspected? ❑ Yes ❑ No Seasonal use? ® Yes ❑ No Water meter readings, if available last 2 ears usage n.a 9 ( Y 9 (gPd))� Detail:. well water Sump pump? ❑ Yes ❑ No Last date of occupancy: Date Commercial/Industrial Flow Conditions: Type of Establishment: Design flow(based on 310 CMR 15.203): Gallons per day(gpd) Basis of design flow(seats/persons/sq.ft., etc.): Grease trap present? ❑ Yes ❑ No Industrial waste holding tank present? ❑ Yes ❑ No Non-sanitary waste discharged to the Title 5 system? ❑ Yes ❑ No Water meter readings, if available: t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 7 of 17 i_ r Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments °M 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Citylrown State Zip Code Date of Inspection D. System Information (cont.) Last date of occupancy/use: very sporadic use Date Other(describe below): General Information Pumping Records: Source of information: debarros septic pumps regular) Was system pumped as part of the inspection? ❑ Yes ® No 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)and a copy of latest inspection of the I/A system by system operator under contract ❑ Tight tank. Attach a copy of the DEP approval. ❑ Other(describe): t5ins•3/13 Tide 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 8 of 17 77 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments M 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Approximate age of all components, date installed (if known)and source of information: system appears to be original Were sewage odors detected when arriving at the site? ❑ Yes ® No Building Sewer(locate on site plan): Depth below grade: feet Material of construction: ❑cast iron ❑40 PVC ❑ other(explain): Distance from private water supply well or suction line: feet Comments(on condition of joints, venting, evidence of leakage, etc.): Septic Tank(locate on site plan): Depth below grade: 1 feet Material of construction: ® concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain) If tank is metal, list age: years Is age confirmed by a Certificate of Compliance?(attach a copy of certificate) ❑ Yes ❑ No Dimensions: 2000 gallon per care taker Sludge depth: light t5ins-3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 9 of 17 Commonwealth of Massachusetts a u Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments M , 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Septic Tank(cont.) Distance from top of sludge to bottom of outlet tee or baffle Scum thickness trace Distance from top of scum to top of outlet tee or baffle Distance from bottom of scum to bottom of outlet tee or baffle How were dimensions determined? Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): tank is on a regular pumping schedule by debarros septic looked fine at time of inspection Grease Trap(locate on site plan): Depth below grade: feet Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ 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 tee or baffle Date of last pumping: Date t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 10 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments GM , 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Tight or Holding Tank(tank must be pumped at time of inspection) (locate on site plan): Depth below grade: Material of construction: ❑ concrete ❑ metal ❑fiberglass ❑ polyethylene ❑ other(explain): Dimensions: Capacity: gallons Design Flow: gallons per day Alarm present: ❑ Yes ❑ No Alarm level: Alarm in working order: ❑ Yes ❑ No Date of last pumping: Date Comments(condition of alarm and float switches, etc.): *Attach copy of current pumping contract(required). Is copy attached? ❑ Yes ❑ No t5ins-3/13 Title 5 Official Inspection Forth:Subsurface Sewage Disposal System-Page 11 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments �M 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Distribution Box(if present must be opened) (locate on site plan): Depth of liquid level above outlet invert o" 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.): box has metal cover to grade and was functioning properly at time of inspection 3 outlet pipes and 1 inlet Pump Chamber(locate on site plan): Pumps in working order: ❑ Yes ❑ No* Alarms in working order: ❑ Yes ❑ No* Comments(note condition of pump chamber, condition of pumps and appurtenances, etc.): *If pumps or alarms are not in working order, system is a conditional pass. Soil Absorption System (SAS) (locate on site plan, excavation not required): If SAS not located, explain why: t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 12 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form -Not for Voluntary Assessments 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Cityfrown State Zip Code Date of Inspection D. System Information (cont.) Type: ® leaching pits number: 3 ❑ leaching chambers number: El leaching galleries number: ❑ leaching trenches number, length: ❑ leaching fields number, dimensions: CJI 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.): pits were viewed by camera and each had about 3 ft of water at time of inspection with no signs of hydraulic failure Cesspools (cesspool must be pumped as part of inspection) (locate on site plan): Number and configuration Depth—top of liquid to inlet invert Depth of solids layer Depth of scum layer Dimensions of cesspool Materials of construction Indication of groundwater inflow ❑ Yes ❑ No t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 13 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form _ Subsurface Sewage Disposal System Form -Not for Voluntary Assessments wM 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owners Name information is required for COTUIT MA 7-8-15 every page. CitylTown State Zip Code Date of Inspection D. System Information (cont.) Comments(note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Privy (locate on site plan): Materials of construction: Dimensions Depth of solids Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc..): t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 14 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form a Subsurface Sewage Disposal System Form -Not for Voluntary Assessments G1M se`'� 370 CLAMSHELL COVE RD Properly Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection D. System Information (cont.) Sketch Of Sewage Disposal System: Provide a view 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. Check one of the boxes below: ❑ hand-sketch in the area below ® drawing attached separately t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 15 of 17 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form-Not for Voluntary Assessments 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. Cityrrown State Zip Code Date of Inspection D. System Information (cont.) Site Exam: Check Slope ® Surface water ® Check cellar Shallow wells Estimated depth to high ground water: at least 5 feet Please indicate all methods used to determine the high ground water elevation: ❑ Obtained from system design plans on record If checked, date of design plan reviewed: Date ❑ 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) ❑ Accessed USGS database-explain: You must describe how you established the high ground water elevation: property sits much higher than surrounding water Before filing this Inspection Report, please see Report Completeness Checklist on next page. t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 16 of 17 5 Commonwealth of Massachusetts Title 5 Official Inspection Form Subsurface Sewage Disposal System Form - Not for Voluntary Assessments GM , 370 CLAMSHELL COVE RD Property Address PENELOPE P FEUILLAN TRUST Owner Owner's Name information is required for COTUIT MA 7-8-15 every page. City/Town State Zip Code Date of Inspection E. Report Completeness Checklist ® Inspection Summary: A, B, C, D, or E checked ® Inspection Summary D (System Failure Criteria Applicable to All Systems)completed ® System Information—Estimated depth to high groundwater ® Sketch of Sewage Disposal System either drawn on page 15 or attached in separate file t5ins•3/13 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 17 of 17 Official Website of The Town of Barnstable -Property Lookup Page 1 of 4 Select Language ♦i Assessing Division Property Lookup Results - 2015 367 Main Street,Hyannis,MA.02601 «BACK TO SEARCH<7 4AFint friendly Owner Information -Map/Block/lot:001 /601/ -Use Code: 1010 Owner Owner Name as of 1/l/15 PENELOPE P FEUILLAN TRUST Map/Block/Lot CIS MAPS PO BOX 55851 001 /001/ Property Address BOSTON,MA.02205-5851 370 CLAMSHELL COVE ROAD Co-Owner Name C/O BANK OF AMERICA TRUSTEE Multiple Owners Village:Cotuit Name: PENELOPE P FEUILLAN TRUST Town Sewer At Address:No Name: FEUILLAN,CHARLOTTE&BOA TRS GIS Zoning Value:RF Assessed Values 2015 -Map/Block/Lot:001 /001/ -Use Code: 1010 2015 Appraised Value 2015 Assessed Value Past Comparisons Building Value: $465.600 $465,600 Year Total Assessed Value Extra Features: $140,600 $140,600 2014-$4,661,700 2013-S 4,660,200 Outbuildings: $42,500 $42,500 2012-S 5,761,800 Land Value: $4,012,000 $4,012,000 2011 -$5,736,500 2010-$6,159,700 2009-$6,004,900 2015 Totals $4,660,700 $4,660,700 2008-$8,205,200 2007-$8,200,900 Tax Information 2015 -Map/Block/Lot:001 /001/ -Use Code: 1010 Taxes Cotuit FD Tax(Residential) $10,346.75 Community Preservation Act $1,300.34 Fiscal Year 2015 TAX RATES HERE Tax Town Tax(Residential) $43,344.51 $ 54,991.60 Sales History-Map/Block/Lot:001 J 001/ -Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: PENELOPE P FEUILLAN TRUST 2010-02-16 24370/283 $1 PHILBRICK,GEORGE&WADSWORTH 1974-01-24 1995/180 $0 PHILBRICK,GEORGEAJR&LAURETTEL1971-01-20 1497/485 $335500 Photos 001 / 001/ -Use Code: 1010 f Sketches-Map/Block/Lot:001 /001/ -Use Code: 1010 http://www.townofbamstable.us/Assessing/propertydisplayscreenl 5.asp?ap=0&searchparc... 5/16/2015 • ' Official Website of The Town of Barnstable -Property Lookup Page 2 of 4 -2z-- 4 1 r" 4 ooKK r4 W% -;- 6— 2 50WDK 1 A97 26" F0� MT 2 5 14Ag 4 26 9 41' 5 PTO 2 5 1 39 ��4pp 1 FZ41 GAR2 24 AsBuilt Card N/A Constructions Details-Map/Block/Lot:001 /001/ -Use Code: 1010 Building Details Land Building value $465,600 Bedrooms 4 Bedrooms USE CODE 1010 Replacement Cost $517,315 Bathrooms 3 +1 H Lot Size(Acres) 12 Model Residential Total Rooms 13 Appraised Value $4,012.000 Style Modern/Contemp Heat Fuel Gas Assessed Value $4,012,000 Grade Luxury Heat Type Hot Air Year Built 1973 AC Type Central Effective depreciation 10 Interior Floors Hardwood Stories 1 Story Interior Walls Drywall Living Area sq/ft 3,835 Exterior Walls Clapboard Gross Area sq/ft 10,323 Roof Structure Gable/Hip Roof Cover Wood Shingle Outbuildings&Extra Features-Map/Block/Lot: 001 / 001/ Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value SHED Shed ISO $2,300 $2,300 BFA2 Bsmt Fin-VG 1080 $46,200 $46,200 Partitioned FPL3 Fireplace 2 story 1 $4,500 $4,S00 FPO Ext FP Opening 2 $2,700 $2,700 FCP Carport-Flat roof 288 $3,400 $3,400 WDCK Wood Decking 1196 $25,200 $25,200 w/railings PATI Patio-Average 897 $4,400 $4,400 GEN Emergency Generator 1 $4,800 $4,800 FOP Open Porch-roof- 192 $10,000 $10,000 ceiling GAR Attached Garage 600 $22,700 $22,700 BMT Basement-Unfinished 3247 $53,500 $53,500 WDC Wood Deck w/o 56 $2,400 $2,400 railings FOPC Open Prch-roof, 12 $1,000 $1,000 ceiling Sketch Legend Property Sketch Legend L hq://www.townofbamstable.us/Assessing/Propertydisplayscreen l 5.asp?ap=0&searchparc... 5/16/2015 pF CERTIFICATE OF ANALYSIS Page. Barnstable County Health Laboratory ass�cKuS��'f Report Dated: 12/3/2004 Report Prepared For: Order No.: G0428724 Penelope Feuillan 3324 Newark St.NW Washington, DC 20008 Laboratory ID#: 0428724-01 Description: Water-Drinking Water Sample#: 28724 01 Sampling Location 370 Clamshell Cove Rd Cotuit MA Collected: 11/29/2004 Collected by: P.Feuillan Lot 1 Sy 1 Received: 11/29/2004 Routine ITEM RESULT UNITS RL MCL Method# Tested LAB: Inorganics Nitrate as Nitrogen BRL mg/L 0.1 10 EPA 300.0 11/29/2004 LAB: Metals Copper 0.58 mg/L 0.1 1.3 SM 311113 11/30/2004 Iron 0.49 mg/L 0.1 0.3 sM 3111B 11/30/2004 Sodium 8.9 mg/L 1.0 20 SM 311113 11/30/2004 LAB: Microbiology Total Coliform Absent P/A 0 Absent 307 11/29/2004 LAB: Physical Chemistry Conductance 96 umohs/cm 1 EPA 120.1 11/29/2004 pH 6.1 pH-units 0 EPA 150.1 11/29/2004 Based on the results of the parameters tested,the water is suitable for drinking,but may present aesthetic problems(taste, odor,staining)due to Copper and Iron. Approved By: � (La Director) DUPLICATE RL = Reporting Limit MCL=Maximum Contaminant Level Superior Court House, PO.Box 427, Barnstable, MA 02630 Ph: 508-375-6605 L 70 S 1 t,��oG� A -ooT 3 � S_ - - 71 a �1° 'A sp CERTIFICATE OP ANALYSIS Page: 1 of 1 �- Barnstable County Health Laboratory (M-MA009). sr Sti Report Prepared For: Report Dated: . 9/29/2015 David Rickel Order No.: G1590494 . 1761 Santuit Newtown Rd Cotuit, MA 02635 Laboratory ID#: 1590494-01 Description: Water-Drinking Water Sample#: Sample Location: 370 Clam Shell Rd. , Cotuit Collected: 09/24/2015 Collected by: DR Received: 09/24/2015 Routine ITEM RESULT UNITS RL MCL METHOD# ANALYST TESTED NOTE Nitrate as Nitrogen ND mg/L 0.10 10 EPA 300.0 LAP 9/24/2015 Copper 2.2 mg/L 0.10 1.3 SM 3111 B LAP 9/25/2015 Iron ND mg/L 0.10 0.3 SM 3111B LAP 9/25/2015 pH 6.4 PH AT 25C NA 6.5-8.5 SM 4500-H-13 DCB 9/24/2015 Sodium 45 mg/L 2.5 20 SM 3111 B LAP 9/25/2015 Total Coliform Absent P/A 0 0 SM 9223 RG 9/24/2015 Conductance 430 umohs/cm 2.0 EPA 120.1 DCB 9/24/2015 Sodium'level is above the maximum contaminant level. Those on a low sodium diet may wish to consult a physician. The water may present aesthetic problems(taste, odor, staining)due to Copper. Attached please find the laboratory certified parameter list. Approved By: (Lab Director) ND=None Detected RL = Reporting Limit MCL=Maximum Contaminant Level 3195 Main Street, PO. Box 427, Barnstable, MA 02630 Ph: 508-375-6605 U) -------------- m 0 m 0 0 z cn L— m m 10 m m c 0 z m a 0 m 0 0 z IMF 2zz! 2!! Mummus; H m P1114 I 5 11 ;01 0 -UHIME S. HMIAIIIIA& A I A. 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