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HomeMy WebLinkAbout0181 NORTH STREET - Health 181,,North Street +� Hyannis ' A 308 - 075,-O�- I i a a 0 i 8 r f 1 ;r Massachusetts Department of Environmental Protection1100173219 Bureau of Waste Prevention —Air Quality Decal Number Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 Imports"`: A. FacilityLocation When filling out forms on the WILLIAMS STREET CORP. computer,use only the tab key 1.Name of Facility to move your $ 8 ORTH ST. cursor-do not use the return 2.Street Address key. JHYANNIS MA 3.City 4.State 5.Zip Code 5089903030 6.Telephone Number INSTRUCTIONS B. Project Cancelled 1. This form is only available for ❑Check here if this project is/was cancelled. online filing of project date revisions. 2. Enter project decal number. C. Project Dates 3. Validate that the 3/16/2013 3/16/2013 the project location is correct 1.Ori inal Start Date mm/dd/ 2.Original End Date mm/dd/ for the entered decal. 3.Latest Revised Start Date mm/dd/ ( yyyy) 4.Latest Revised End Date(mm/dd/yyyy) - 4. Enter your new project dates. 5. Certify your notification. D. Revised Project Dates Submit date changes.. 3/23/2013 3/23/2013 1.Revised Start Date(mm/dd/yyyy) 2.Revised End Date Date(mm/dd/yyyy) w E. Other Project Revisions _L Z, F. Revision History EDEP: 03/07/201311:45:53 AM OTHERPROREV: ADDRESS CORRECTION A-2,FACILITY LOCATION ADDRESS IS 181 NORTH ST. (NOT 1818 MAIN ST.) anf06pdrn.doc-rev.2/5/04 z Massachusetts Department of Environmental Protection 1100173219 Bureau of Waste Prevention —Air Quality Decal"umber Project Revision Notification LI For Asbestos Notification ANF-001 and AQ 06 G. Certification The undersigned hereby states, under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to the best of his/her knowledge and belief. PAUL ILACQUA Ipaulilacqua 1. Name Authorized Signature PRESIDENT 3/16/2013 2. Position/Title 3. Date mm/dd/ AMR CO 1 15082245500 4. Representina 5. Telephone 929 STATE RD 6. Address PLYMOUTH 102360 7. City/Town 8. Zip Code anf06pdrn.doc•rev.2/5/04 Massachusetts Department of Environmental Protection: 100173219 Decal NumberBureau of Waste Prevention —Air Quality}; Project Revision Notification ..._. _.._..._._.... For Asbestos Notification ANF-001 and AQ 06 Important: A. FacilityLocation When filling out forms on the computer,use WILLIAMS STREET CORP. only the tab key 1.Name of Facility to move your 1818 NORTH ST. cursor-do not 2.Street Address use the return key. HYANNIS MA 3.City 4.State 5.Zip Code 5089903030 6.Telephone Number iNSTRUCTIONs B. Project.Cancelled 1. This form is only available for Check here if this project is/was cancelled. online filing of project date revisions. 2. Enter project decal number. C. Project Dates 3. Validate that the 3/16/2013 3/16/2013 the project location is correct 1.Ori inal Start Date mm/dd/ 2.Original End Date mm/dd/ for the entered decal. °3.Latest Revised Start Date mm/dd/ 4..`Enter your new ( yyYY) 4.Latest Revised End Date(mm/dd/yyyy) project dates. 5. Certify your notification. D. Revised Project Dates Submit date changes.- 1.Revised Start Date(mm/dd/yyyy) 2.Revised End Date Date(mm/dd/yyyy) E. Other Project Revisions ADDRESS CORRECTION A-2,FACILITY LOCATION ADDRESS IS 181 NORTH ST. (NOT 1818 MAIN ST.) F. Revision History anf06pdrn.doc•rev.2/5/04 LIMassachusetts Department of Environmental Protection 100173219 Bureau of Waste Prevention —Air Quality Decal Number Project Revision Notification For Asbestos Notification ANF-001 and AQ 06 G. Certification The undersigned hereby states, under the penalties of perjury,that he/she has read the Commonwealth of Massachusetts regulations for the Removal, Containment or Encapsulation of Asbestos,453 CMR 6.00 and 310 CMR 7.15,and that the information contained in this notification is true and correct to.the best of his/her knowledge and belief. PAUL ILACOUA Ipaulilacqua 1. Name Authorized Signature PRESIDENT 3!7/2013 2. Position/Title 3. Date mm/dd/ AMR CO 1 15082245500 4. Representing 5. Telephone 929 STATE RD _ 6. Address IPLYMOUTH 02360 7. City/Town 8. Zip Code anf06pdrn.doc•rev.2/5/04 -ASBESTOS MAN 1(hMOVAL, (1.0. 1NC. .. 929 State Road, Plymouth, MA 02360 phone 508.224.5500 Fax 508-224-8883 License No,AC00042 Mr, Thomas McKean Barnstable Health Department 200 Main Street Hyannis, MA 02601 Dear Mr. McKean: e are noti 'ng you about an asbestos removal job to be done Ddlcls at /�l r-f�, . The start up date is]3/)�&/ and the end date is Enclosed please-find a copy of the Asbestos Notification Form (ANF-001 `✓ sA for your files. ) If you have any questions, please contact us at (508) 224-5500. Sincerely, Paul Ilacqua C> < Enc: ANF-001 form ' µ> -A - 01 -Q � Commonwealth of Massachusetts ■ 100173219 Asbestos Notification Form ANF-001 Decal Number Important:When filling out A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied only the tab key residence of four units or less? ❑Yes ❑✓ No to move your (-- cursor-do not b. Provide blanket decal number if applicable: use the return Blanket Decal Number key. 2. Facility Location: Q0 , WILLIAMS STREET CORP. 11818 NORTH ST. a.Name of Facilit b.Street Address - � HYANNIS MA 02601`� 15089903030 c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: 1.All sections of this RETAIL ROOF form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room completed in order to comply with 4. Is the facility occupied? ❑✓ Yes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of occupational ASBESTOS MAN REMOVAL 929 STATE ROAD Safety(DOS) a.Name b.Address notification PLYMOUTH1 15082245500 requirements of 453 CMR 6.12 c.City/Town d.Zip Code e.Telephone Number AC000342 e: f.DOS License Number 9• Contract Type: ❑Written ❑Verbal h.Facility Contact Person i.Contact Person's Title PAUL A ILACQUA AS050350 6' a.Name of On-Site Su ervisor/Foreman b.Supervisor/Foreman DOS Certification Number N/A 7' a.Name of Project Monitor b.Project Monitor DOS Certification Number N/A _ $' a.Name of Asbestos Analytical Lab b.Asbestos Analytical Lab DOS Certification Number �— 9. 3/16/2013 3/16/2013 �oa.Project Start Date mm/ddl b.End Date mm/ddl �0 8AM-2PM I 18AM-2PM �N c.Work hours Mon-Fri. d.Work hours Sat-Sun. —o 10. a. What type of project is this? 10 ❑ Demolition [—✓1 Renovation ❑ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: o ❑Glove bag ❑ Encapsulation o ❑ Enclosure ❑ Disposal only =u_ ❑Cleanup ✓❑Other, specify: TRANSITE REMOVAL �Z ❑ Full containment b.Describe �Q 12. is the job being conducted: ❑ Indoors? ❑✓ Outdoors? t ■ anf001ap.doc•10/02 Asbestos Notification Form-Page 1 of 3■ L71� Commonwealth of Massachusetts ■ 1100173219 Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials (ACM)to be removed, enclosed, or encapsulated: _ 10 —� — 1 32 a.Total pipes or ducts(linear ft) b. I otal other surfaces square ) c.Boiler,breaching,duct,tank d.Insulating cement C= surface coatings Lin.ft. Sq.ft. (Linn.ft.. ) Sq.ft. e.Corrugated or layered paper C---� f.Trowel/Spraver coatings pipe insulation Lin.ft. Sq.ft. Lin.ft. Sq.ft. g.Spray-on fireproofing = h.Transite board,wall board 32 Lin.ft. Sq.ft. Lin.ft. (�q. i.Cloths,woven fabrics l� L j.Other,please specify: Lin S� Lin.ft. S .ft. k.Thermal,solid core pipe insulation Lin.ft. Sq.ft. I.Specify 14. Describe the decontamination system(s)to be used: COVER GROUNF OUT 10 FEET FROM STRUCTURE WITH 6 MIL POLY 15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR 6.14(2) (g): WET DOWN ASBESTOS AND DOUBLE BAG USING 6 MIL MARKED AND LABELED BAGS 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: a.Name of DEP Official b.Title c.Date(mm/dd/ )of Authorization d.DEP Waiver# e.Name of DOS Official f.DOS Official Title N g.Date(mm/dd/yyyy)of Authorization h.DOS Waiver# �0 17. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A—F apply to this project? ®Yes No B. Facility Description �N RETAIL �o 1. Current or prior use of facility: �o 2. Is the facility owner-occupied residential with 4 units or less? ❑Yes 21 No WILLIAMS STREET CORP. 100 N.FRONT STREET 3' a.Facility Owner Name b.Address �0 NEW BEDFORD 00�274 5089903030 o c.City/Town d.Zip Code e.Telephone Number(area code and extension) - 4' Z a.Name of Facility Owner's On-Site Manager b.On-Site Manager Address � �Q c.City/Town d.Zip Code e.Telephone Number(area code and extension) . ■ anf001 ap.doc•10/02 Asbestos Notification Form•Page 2 of 3■ l ti Commonwealth of Massachusetts 100173219 Asbestos Notification Form ANF-001 Decal Number -- .... B. Facility Description (cont.) 5' a.Name of General Contractor b.Address c.City/Town d.Zi2 Code e.Tone Number area code and�1__� f.Contractor's Worker's Comp.Insurer q.Policy Number hW Exp.Date mm/ddmmd//� 6. What is the size of this facility? 8000 2 a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site(if necessary): ASBESTOS MAN REMOVAL CO 929 STATE RD Note:Transfer a.Name of Transporter b.Address Stations must JPLYMOUTH 77 02360 1 15082245500 comply with the c.City/Town d.Zip Code e.Telephone Number Solid Waste Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site: Regulations 310 CMR 19.000 JJOB ROLLOFF POB 6037 a.Name of Transporter b.Address ICHELSEA 62150 16173871495 c.City/Town d.Zip Code e.Telephone Number 3. a.Refuse Transfer Station and Owner ( b.Address l c.City/Town d.Zip Code e.Telephone Number 4. ITURNKEY LANDFILL(WASTE MGT NH) I I � I a.Final Dis osaI Site Location Name b.Final Disposal Site Location Owner's Name 7 ROCHESTER NECK ROAD IROCHESTER c.Final Disposal Site Address d.City/Town [NH _ --�—� 63839 I COe.State f.Zip Code g.Telephone Number �O D. Certification �N The undersigned hereby states, under the JPAUL ILACQUA I JPAUL ILACQUA �O penalties of perjury,that he/she has read the a.Name b.Authorized Signature �o Commonwealth of Massachusetts regulations 1PRESIDENT 1 1313/2013 � for the Removal, Containment or c.Position/Title _ d.Date(mm/dd/yyyy) Encapsulation of Asbestos,453 CMR 6.00 and 5082245500 JAMR CO 310 CMR 7.15, and that the information contained in this notification is true and correct e.Telephone Number f.Representing o to the best of his/her knowledge and belief. 929 STATE RD o q.Address i emu. PLYMOUTH - � 02360 h.City/Town i.Zip Code �Z �Q Asbestos Notification Form•Pa e 3 of 3 � anf001 ap.doc•10/02 g I R ST e y • f 0 > E1SJ3l� '1'QS yIE1\' 131.1!() �1J� (�.O ITC. %' �.302 ?� State. Road, Plymouth, MA 02 6 Phone 508-224-5500 Fax 508-224-8883 License No,AC00342 1S �b Mr. Thomas McKean / Barnstable Health Department 200 Main Street Hyannis, MA 02601 Dear Mr. McKean: We are notifying you about an asbestos removal job to be done at f l�lI A/Cr-th ,4, The start up date is ./ . oh and the end date is >> Enclosed please find a copy of the Asbestos Notification Form (ANF-001) for.your files. 'If You have any questions, please contact us at (508) 224-5500. R Sincerely, Paul Ilacqua Enc: ANF-001 form I �t.. Commonwealth of Massachusetts _ .., 100118656 rt Asbestos Notification Form ANF-001 Decal Number Important:When filling out A. Asbestos Abatement Description forms on the computer,use 1. a. Is this facility fee exempt-city, town, district, municipal housing authority, owner-occupied only the tab key residence of four units or less? ❑Yes ✓❑No to move your cursor-do not b. Provide blanket decal number if applicable: use the return Blanket Decal Number key. 2. Facility Location: WILLIAMS STREET CORP. 1818 NORTH ST a.Name of Facility ,_ b.Street Address HYANNIS �— MA� 02601 5089903030 c.City/Town d.State e.Zip Code f.Telephone Number INSTRUCTIONS 3. Worksite Location: (-- 1.All sections of thi RETAIL form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room completed in order to comply with 4. Is the facility occupied? d Yes ❑No DEP notification requirements of 310 CMR 7.15 5. Asbestos Contractor: and the Division of Occupational ASBESTOS MAN REMOVAL 929 STATE ROAD Safety(DOS) a.Name b.Address pLYMOUTH notification `---� requirements of 453 PLY 02360 5082245500 CMR 6.12 c.CIt /Town d.Zi� e.Telephone Number AC000342 T.DOS License Number g. Contract Type: ❑Written [✓]\/erbal h.Facilit Contact Person i.Contact Person's Title 6' PAUL A ILACQUA AS050350 a.Name of On-Site Su ervisor/Foreman __II?.. rer b.Su ervisor/Foreman DOS Certification Number N/A 7. a.Name of Project Monitor b.Project Monitor DOS Certification Number N/A ®� $' a.Name of Asbestos Anal Lab b.Asbestos Analytical Lab DOS Certification Number t/2011 1/8/2011 �0 9' ro ect Start Date mm/dd/ b.E nd Date mm/dd/ -� 0 LAM-3PM 7AM-3PM �N c.Work hours Mon-Fri. d.Work hours Sat-Sun. o 10. a. What type of project is this? —o ❑ Demolition ❑✓ Renovation ❑ Repair ❑ Other, please specify: b.Describe 11. a. Check abatement procedures: o ❑Glove bag El Encapsulation O ❑ Enclosure n Disposal only _ 'u ❑ Cleanup ❑✓ Other, specify: TRANSITE REMOVAL '--� ❑ Full containment b.Describe Q 12. Is the job being conducted: ❑Indoors? ❑✓ Outdoors? anf001ap.doc• 0/02 Asbestos Notification Form•Page 1 of 3 I - l r r. Commonwealth of Massachusetts A 100118656 " t Asbestos Notification Form ANF-001 Decal Number A. Asbestos Abatement Description (cont.) 13. Total amount of each type of Asbestos Containing Materials (ACM)to be removed, enclosed, or enca suI ted: o 96 a. ota pipes or ducts inear it ;To;talsu aces square c.Boiler,breaching,duct,tank surface coatings Lin ft: SL ft—I d. Insulating cement Lin.ft. e.Corrugated or layered paper I pipe insulation Lint ft —I Sq.ft. f.Trowel/Sprayer coatings Lin.ft. Sq.ft. g.Spray-on fireproofing �— h.Transite board,wall board 96 Lin SgL.________J �q�__.--- i.Cloths,woven fabrics �;= �� t.Other,please specify:SLin.ft. S .ft. k.Thermal,solid core pipeinsulation Li ft I.Specify 14. Describe the decontamination system(s)to be used: COVERGROUND OUT 10 FEET FROM STRUCTURE WITH 6 MIL POLY 15. Describe the containerization/disposal methods to comply with 310 CMR.7.15 and 453 CMR 6.14(2) (g): WET DOWN AND DOUBLE BAG ASBESTOS USING 6 MIL MARKED AND LABELED BAGS 16. For Emergency Asbestos Operations, the DEP and DOS officials who evaluated the emergency: aa.Name DEP O icial L.._, -- —__ b.Title c.Date mm/dd/ —~ e ( y y of Authorization d.DEP Waiver# e�Na�me of DOS Official 1'.DOS Official Title N g.Date(rrm/dd/yyyy)of Authorization h.DOS Waiver# ^^ � ®o 17. Do prevailing wage rates as per M.G.L. c. 149, §26, 27 or 27A—F apply to this project? ❑Yes ✓Q No B. Facility Description N o 1. Current or prior use of facility: RETAIL� `� _ 2. Is the facility owner-occupied residential with 4 units or less? ®Yes ❑✓ No 3 EWILLIAMS STREET CORP 100 N.FRONT ST a.Facility Owner Name _ b.Address ° NEW BEDFORD E ^1 02740T-�� 508990-3030 �v o c.City/Town d.'7;D Code e.Telephone Number area code and extension .��LL 4. a.Name.of Facility Owner's On-Site Manager b.On-Site Man a er Address Q c.City/Town _—. E d Zip Code e.Telephone Number(area code and extension) ® anf001 ap.doc• 0/02 Asbestos Notification Form•Page 2 of 3■ :{ Commonwealth of Massachusetts 73 ' 100118656 `I Asbestos Notification Form AN F-001 Decal Number B. Facility Description (cont.) 5. E a.Name of General Contractor b.Address l c.Cit !Town __ d.Zi Code e.Telephone Number area code and extension__ f.Contractor's Worker's Comp. Insurer t80'O olic Number h.Exp..Date(mm/dd/y6. What is the size of this facility? 0 i`_._____.__ Y a.Square Feet b.Number of floors C. Asbestos Transportation and Disposal 1. Transporter of asbestos-containing material from site to temporary storage site (if necessary): ASBESTOS MAN REMOVAL CO 1929 STATE RD Note:Transfer a.Name of Transporter b.Address Stations must PLYMOUTH 102360 5082245500 Solid Waste comply with the c.City/Town d.Zip Code e.Telephone Number Division 2, Transporter of asbestos-containing waste material from removal/temporary ora site to final disposal site: Regulations 310 9 p ry p CMR 19.000 JOB ROLLOFF I POB 6037 a.Name of Transporter b.Address CHELSEA 102150 5082245500 c.City/Town d.Zip Code e.Telephone Number 3. __ a.Refuse Transfer Station and Owner ( b.Address c.Ci�n _ d.Zip Code e.Tele hone Number 4. TURNKEY LANDFILL (WASTE MGT NH) T � a.Final Dis osal Site Location Name b.Final Disposal Site Location Owner's Name 7 ROCHESTER NECK ROAD ROCHESTER c.Final Disposal Site Addre___ ss d.C wn �. LNH 03839 F oCY) e.State f.Zip Code g.Telephone Number 0 .tee. D. Certification N The undersigned hereby states, under the IPAUL ILACQUA JPAUL ILACQUA �O penalties of perjury,that he/she has read the a.Name _ b.Authorized Si nature —o Commonwealth of Massachusetts regulations PRESIDENT 12/24/2010 for the Removal, Containment or C.Position/Title d.Date mm/dd/yyyy) __ Encapsulation of Asbestos,453 CMR 6.00 and _ 310 CMR 7.15,and that the information 5082245500 AMR CO —�-o contained in this notification is true and correct e.Tele hone Number f.Re resentin �a to the best of his/her knowledge and belief. 1929 STATE RD O .Address U. PLYMOUTH 02150_ � -_Z h.Cityrrown i.Zip Code 'Q ® anf001ap.doc• 0/02 Asbestos Notification Form•Page 3 of 3 c"'"- .r..may,# .v„�*+�vD.+'►M+�•.�.N+Mgt,.e+..ti.—.v...^A:-inn-�4..€�'^7"p".'.,..r:'TP.`{^"p ,y' ,..,' :ne µ-.+.;.!_^?�e-{�.d+x"�.7_r TOWN OF BARNSTABLE BAR-W NO 369 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Ro� D St ,,,) 5�4rr Address of Offender 19� !liar l' s4lt 'j MV/MB Reg.# Village/State/Zip 14/7,A, 119 Business Name �„�p1 �� ,.f �;,.�.,"� �"�rr � ,,� ��• am/.pm . on 3 200 Business Address M,AA, i / Signature of Enforcing Officer Village/State/Zip Location of Offense 411 Ah)r / Pr b J U 4 1-� `'� / / 1 p i Enfo"rdcir�ng /Dept/Division/ Offense t.11.6., i�WI) t 7�F 1A (�r .1), /il+/' 6 �'� 1l,(� ,!er t 1,r-' 7 44. AJ, 1 (.�k�d C '('4d'0 I&P Facts P1f4'4f C k'r, 0°!) 1)r �P." �"/f. a 'e"r,r, t� 4tv/� f � a �,: t� {` '5 � = A /1�1144 4 17(k1dr, T�4 k L/t,;I/ This will serve only as a warning. At thi/s time no legal action/has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. —T5�7,";`t±ax^.�' . ` TOWN OF BARNSTABLE BAR-w r Ordinance or Regulation ' WARNING NOTICE Name of-offender/Manager ,(,� (� gr ,,, 494rr Address of Offender MV/MB Reg.# Village/State/Zip Al AI s" f y' .`:} i / Business Name am pm , on f / 20i Business Address � � `,��;t .��,; �-�;r*�� ����,�✓,n � j ' ie,, zA. .f - Sjgnature of Enforcing Officer Village/State/Zip ' , e Location of Offense a Enforcing ;Dhpt/Division a � � r "Offense t�04. sutra r 114 !r 0. �� t F r ( ,r� 1 .a r7 s Crc 'r< w v s'r -rn"`�J f r':.• .G rs er Facts _ y , , r r 6 j« . . p� 7 j :i✓h.i *iy',• r -'',!.. ' t•., / a This will serve only as a warning. At thils time no legal action/ has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. Q*-�r;,-r+lr rp-rr -n_ -. ..�,..4.-r`rh"r;""�'r^M-sm�..r�;rr.s•t� -..+s.'yey+n.*Exh'.rr"'rvy'w""^ '�,.*ar'S!a '�""M'"�ri+iRt7•n'e+^ru.ar.+..•"r"�+-rtr-^.m«+rvs .',.s�.,^"'A,K,.'�y,�,q„+ -�«4M'.,.. , 4+'r-"fip ^""`� TOWN OF BARNSTABLE BAR—W ® 3691 Ordinance or Regulation WARNING NOTICE Name of Offender/Manager Br)bf D .f(a. l _.S,�rn Address of Offender i�or „` n /'ee MV/MB Reg.# Village/State/Zip ,04A, J, 61;40/ - . ���Business Name d�DI � �S r�. .�i- � �f �ti,�'/ am/pm j on 20U Business Address Ahd S`- rr ,'J c ow/• Ps SV'gKattire of Enforcing Officer Village/State/Zip t Location of Offense Enforcing ept/Divis/ion Of f ens e. TO-& &Xllrja� � o 47 t GUL/, _Au Ah 1.. ©ArI cfi m .00 Facts r�( u ✓ �� �e u t x�U �' e ✓,Ne r r �. � r,'1 -e 6e a dL'1V)DJ f 1d Cf w('(1 sv i,, A,0, h -'c ek n �l v, This will serve only as a warning. At thi/s time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by.-the Town. WHITE-OFFENDER CANARY. -ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT.,