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0022 WESTON CIRCLE - Health
22 WESTON CIRCLE, HYANNTS A= LISPS•TRACKING# �. � First-Class Mail Postage&Fees Paid E Perms No.G-10 9590 9402 k§'416123 1782 ;79 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Sen - O � Town of Barnstable Health Department 200 Main�Street Hyannis, MA 02601 i . 3 r a.;i t F�. -•i�i iiel i•S :I. :ai�= •Iiei �I.3�Ii:rli'�:;i:}Ir *, 1 RR 1 ®Complete items 1,2,and 3. A. Sig e is Print your name and address on the reverse Agent so that we can return the card to you. X i"Adqressee ® Attach this card to the back of the mailpiece, B. eived b (Printed Name) C at of a ivery or on the front if space permits. i t7(LCLW-z.— 1. Article Addressed to: D. Is delivery address different from.item 1? es I �) If YES,enter delivery address below: ❑No ('4'c ��� � i� v)v55 3. Service Type ❑Priority Mail Express® I II I DI�I�I IDII IQI I II II (III IIIII I I I III ❑Adult Signature ❑Registered Mail TM ❑ R Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery 9590 9402 1933 6123 1782 79 ❑Certified Mail Restricted Delivery ❑Return Receipt for ❑Collect on Delivery Merchandise _9--Artir_IA-M imhar./Transfer from servira._1ahe11__ __._.__ ...❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTM 7 015 1730 0001 4990 3202 lsured Mail °Signature Confirmation live ation asured Mail Restricted Delivery Delivery ver$500) PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt NAME OF OFFENDER� D A D ��� r�1 o TOWN OF ADDRESS OFOFFENDER % 10 Dnn BARNSTABLE CITY;STATE ZIP CODE. ���v' pIFT 1q,_ MV OPERATOR LICENSE NUMBEF) MV/MB REGISTRATION NUMBER Qw OFFENSE o eAN\STARLE, • 1• IL MASS. 05C-nO-41O. 5d?5 C� �ctiQ�.-�.cr f1 W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION Z LU NOTICE OF 411ZO (A.M./ . )ON -� 20 j� ;t� G• �- VIOLATION SIGNAL `NFOI1GPE ENFO CNGOEPT �`� BADGE NO. N ST�� o OF TOWN I BY ACKNOWLEDGE RECEIPT OF CITATION XLU ORDINANCE Unable to obtain not re of ttender. ►a— Ig n THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ Date mailed Ltu OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD.TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL of DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. N REGULATION (1)you may elect to pay the above fine,either by appearlinngg In person b or etween g8`.30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W (Hy))annis,hMA 02601,WITHIN Cis TWENTY-ONE(200 Main 21)yDAY this matter Ina noncriminalSS OF HEroceedingDyATE OFou yTIHIS NOTICE money order or postal note to Barnstable Clerk,P.O.Box 2430, a BARNSTABLE DIVISIONou desire to ,COURT COMPOUND, MAIN STREET,'BARNSTABLE,do so by 02630,Attn:21 D Noncriminal uest to RICT Hearinga d encloRT se a copy FIRST of this citation for a hearing. (3)If you fall to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you.- ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclosa payment in the amount of$ Signature NAME OF OFFENDER iM'✓r' B A„n n 8 1 5 Q 0 TOWN OF ADDRESS OF OFFENDER •/4 ' BARNSTABLE CITY,STATE ZIP CODE., �tHE► MV OPERATOR LICENSE NUMBER) MV/MB REGISTRATION NUMBER OFFENSE MASS. )6>G i• i :iV -"�� ". \. y\ A 'r" 1 W rEe ► - - O W TIME AND DATE OF VIOLATION', LOCATION OF VIOLATION W NOTICE OF t( LF (A.M. �DN20 0SIGNA�T,(1& ORCIRG PE 0 - ENFO C NG DEFT. BADGE NO - w VIOLATION *✓� � c .. i�t,✓". c OF TOWN I,�{- EBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain signat re of ffender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S . Date mailed ` Lw OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)'WILL OPERATE AS A FINAL a. REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w �, LU (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601 or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OFjTHIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you mayy do so by making written request to DISTRICT COURT'DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay arty fine determined at the hearing to be due,criminal complaint may be issued against you. i ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose p y+e'`fi7°in he amount of$ Signature NAME OF OFFENDER BAR 815 0 9 � TOWN OF ADDRESS OFOFFE DER � BARNSTABLE CITY,SSTTATEEE,,ZIP CODE. - MVl MB REGISTRATION RUMBER OFFENSE 5 Q� t�CJ NAN ASR.I.E. S. Life) a ��� �n r l �IA55. {� Y a 16�9• -O W TIME AND DATE OF VIOLATION LOCATION OF VIOLATIO j lZ NOTICE OF aA.M.i 0.)ON 20 SIGNA��i 9fjEN RSON E CING D BADGE N0. VIOLATION C c� o OF TOWN IeEB;( CKNOWLEDGE RECEIPT OF CITATION X iORDINANCE e to obtain si nature of offender. ►a— THE NONCRIMINAL FINE FOR THIS OFFENSE IS S W Date mailed— � W OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. U.I REGULATION (1)you mey elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monde y through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02801,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, (Hy11annis,MA 02601,WITHIN TWENTY-ONE(21)DAYSS OFTHEggDyyAooTE OFyyTHIS NOTICE. requesta f32ARIf NSTABLE DIVISIONou desire to ,COURT COMPOUND,MAIN STREET,BARNSTAB E do so by 02830WAttn�21 D Noncriminal RHearings d enclose a copy of this Maecitation for a hearing. (3)If you fall to pay the above offense or to request a hearing within 21 days,or If you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offenser charged,and enclose'payment In Me amount of$ Signature - NAME OF OFFENDER, BAR V 1 5 0 9 TOWN OF ADORESS.OFOFFE DER , VIC, BARNSTABLE clrr,sTA1�EZIP C�OIDE. �, I pII INGE►G,_ MV/MB REGISTRATION NUMBER -' -1•R. OFFENSE Ty) .!/�� ,p .. +�,�j� �. NANMA SN1.6. ` V G C,� Lg a d' O 7, ( f '\w/ �rG"LJ�/wad. LJ r ' CL W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION, �n Z ' NOTICE Of ` . A.M./ :)ON G ""; 20 . .C, } SIGNATyAE-OP7ENFOR P RSON EN OHCING DEP. "� BADGE N0. ui VIOLATION f. - C t V' ti OF TOWN I o h�E BY ACKNOWLEDGE RECEIPT OF CITATION X Wa ORDINANCE Onatile to'obtain Signature of offe�ld r: —( THE NONCRIMINAL FINE FOR THIS OFFENSE.IS S Date mailed w OR YOU HAVE THE FOLLOWING:ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION,(2)WILL-OPERATE AS'A FINAL a DISPOSITION WITH NO'.RESULTING CRIMINAL RECORD. u,I REGULATION N (1)You may,elect to pay the above fine,either by appearing in Orion between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidaye exceppted, y� before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601;or by mailing a check,money order or posts note to Barnstable Clerk,Pl, Box 2430, Hyannis,MA 02601,WITHIN TWENTY-0NE(21)DAYS OF THE DATE OF THIS NOTICE. a ((2)1 If you desire to contest this matter in a noncriminal proceeding,'you mey do so by making written request to DISTRICT COURT DEPARTMENT,FIRST 9ARNSTABLE DIVISION;COURT COMPOUND,MAIN STREET,BARNS TABLE;MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to,pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined,at the hearing.to be due,criminal complaint may be Issued against you. . ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose peymedt lit tfi'e amount of$ [ Signature NAME OF OFFENDER ;r.. , BAR 815 0 8 TOWN OF ADDRESS OF OFF N , BARNSTABLE CITY,STAT ODE. dFI MVIMB REGISTRATION NUMBER OFFENSE BAN ASA E.p o C M� V Spy S �to W MASS. V Y `1/ ` CL 4 O W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION W NOTICE OF = a (AA./ F&ON "Z16 20 SIGNATUR FOR G E N ENFO ING DEP - BADGE NO. N VIOLATION " OF TOWNUJ I H E ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE Unable to obtain 'gnatur of_of er. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S OR Date mailed w YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. U.1 Cn REGULATION , YDu ma elect to a the above fine,either b a earing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,le al holidays excepted, Q before:The Barnstable Clerk,200 Main Street,Hyannis,MA 0201,or by mailing a check,money.order or postal note to Bamstble Clark,P.O.Box p430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. Ii (2 Lyou desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BINSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNS'ABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER -� A .81508 . , ' ♦IY H TOWN OF ADDRES`S�0Fn OFF Ng! - BARNSTABLE CITY,STATE CODE + p�FIW►p,- - - MVIMB REGISTRATION NUMBER NAX\SI ABLE. : OFFENSE - .gASS Uj d r 16JA'�O S C r O Uj TIME AND DATE OF VIOLATION �! LOCATION OF VIOLATION + W NOTICE OF (f=. (A.M.i R . ON � SIGNATURWPENFOR GOERS N - - ENFOfl ING DEPT . .BADGE NO ` W r VIOLATION ° - y :OF TOWN I,HFREBY.ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE WI-nable to-obtain s'gnatur..of often er. ' THE NONCRIMINAL FINE FOR THIS OFFENSE S Date malted LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION'(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION kn . (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE.- a �2)If you desire to contest this matter in a noncriminal proceeding;'you.may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNS ABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a dopy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing.to be due;criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to'the offense charged;and enclose p yment Ynttie amount of$ Signature NAME OF OFFENDER BAR 81507 TOWN OF ADDRESS OFOFtn S BARNSTABLE CITY.STATE CODE /1 ��� pIF� ►q,_ !� MVIMB REGISTRATION NUMBER OFFENSE / RARVNI'ARI.E. MASS. LJ �a19• �e ►Eo Nu+� o � w TIME AND DATE OF VIOLA N LOCATION 0 VIOLATION ' W NOTICE OF �TV (A.M./ . .) y—�5 20 19g �— SIGNATU�OF EN'FORC G PE N EN NG OEPT �, L BADGE N0. N VIOLATION r 0 OF TOWN l ERY AC K WI EDGE RECEIPT OF CITATION X LU ORDINANCE Unable to obtain si natur f o{ der. Date mailed —1 6 THE NONCRIMINAL FINE FOR THIS OFFENSE IS S J&D W OR W YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. Uj REGULATION (,)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, —I Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,'you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNSVABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑+HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDERy„� q .BA :8 507 TOWN OF ADDRESS OF-OFFE ER A s (� . BARNSTABLE CITY,STATE„y.CODE .,'-�y�,,. - dplNEap� _ MVIMB REGISTRATION NUMBER F OFFENSE /'� r`' 4p.��' r /' ('j�'�/ ... - - NAR\IANLF..q _105 \. q4 k. "q 1 V*u sr� - 4 ' - I C�17 W \PASS 01 Uj { .r0 > E TIME AND D TE,OF.YIOLA N' . �.) rr LDCATIO 0 VIOLATIONUj Z NOTICE OF (A.M.I ) —i" 20 t$ SIGNAT �,BF�ENFORCp1G PE N - ENFOQtNG DEPL _ ` BADGE NO. - - W VIOLATION OF TOWN ,� W I HfREI3Y ACK WLEDGE RECEIPT OF CITATION X a 3 'ORDINANCE Unable to obtain si natur. f o6 der. Fa- 7 w THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed - W OR W. YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL "°- 't DISPOSITION WITH NO RESULTING CRIMINAL RECORD.. _ y REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holldaya excepted, w before:The Barnstable Clerk,200 Main Street;Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, � Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE., a (2)If you desire to contest,this matter in a noncriminal proceeding,yyou may do so by making written request to DISTRICT COURT DEPARTMENT;FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNS ABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation fora hearing. t (3)If you fail to pay theabove offense or to request a hearing'within 21 days,or If you fail`to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I-HEREBY ELECT the first option above,confess to.the.offense.charged,and enclose payment ia`the amount of$ Signature NAME OF OFFENDER TOWN OF ADDRESS OF OFFENDER ,. BARNSTABLE CITY,sTATE,zIP MV/MB REGISTRATION NUMBER OFFENSE �1 NAH 1Nb.4RLR.p.' V� Qt�/�)— 10. 5®� �W�/V�A^'�`� W CL �fD MKt� • O W u � TIME AND DATE OF VIOLATION j LOCATION OF VIO ATIONLU n Z NOTICE OF : 3 (A.M./ . .)ON — a`{ 20 1W �-¢— VIOLATION SIGNAT GGn I PEgSgN a ENFORCIN DEPT, T BADGE NO. S4e/G L:) OF TOWN ~ I HACKNOWLEDGE RECEIPT OF CITATION X KUnabyle ACK ORDINANCE to obtai signa off rider. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S '� Date mailed w OR' YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO,RESULTING CRIMINAL RECORD. LU REGULATION may elect to pay the above f ne,either by appearing in person b or beetween mailing8:30 A.M.and 4:00 P..M.,Monday through Friday,legal holidays excepted, Q Hyannis MA02601 LU (WITH N TWENTY-ONE t, jIDAYS MAOF THEDATE OF THIS a ohs&,,,money order or postal note to Barnstable Clerk,P.O.B 2430, ((2CL ))If you desire to contest this matter In a noncriminal proceedin ,you may do so by making written reeqquest to DISTRICT COURT DEPARTMENT,FIRST 6ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or 0 you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment In the amount of$ Signature /{ (�*y ink NAME OF OFFENDERBAR i.�/0 TOWN OF ADDRESS OF OFFENNDE� BARNSTABLE CITY,STATE;ZIP E pf ►qy� MVI MB REGISTRATION NUMBER ' OFFENSE r e �y1/ t�/)/yy ��J ¢, Q NAN IIANI E. ` �V �w.:�� ���p, � ��M+�f.� I 't" f .!' /V•r,•'Y W .6}q, LU > TIME AND DATE OF VIOLATION, '� " LOCATION OF VIO TION . W NOTICE OF ' 7-b` ca.M.i f ir.)oN R.,a�.. 20 :.:. �. .x:. J . SIGNAT�,aEd1kENHFO I G PE N, � ENFORCING DEPT. . BADGE N0. - LU- VIOLATION , . f . � o �• OF TOWN - F I— HE4EBY ACKNOWLEDGERECEIPT OF CITATION X LU ORDLNANCEUnable to obtai Big ur of off nder. , � -� THE NONCRIMINAL FINE FOR THIS,OFFENSE IS i OR Date mailed w YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF'THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE'AS A FINAL a DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. w t REGULATION a (1)You may elect4o pay the above fine,either by appearing In person between 8:30 A M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, < before;The LU Bar ark,200 Main Street,-Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P. ..Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. ' a (2)If you desire to contest this matter in a noncriminal proceedt'ng,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAI STREET BARNSTABLE,MA 02630,Attnk 21 D Noncriminal Hearings and enclose a.00p'of this citation foe a hearing. (3)If you tail to pay the above.offense or to request a hearing within 21 days,or if you fail to appear*for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you:. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment trh4 amount of$ 'i Signature. NAME OF OFFENDER BAR 81505 4.0 TOWN OF ADDRESS OF OFFS DFJi BARNSTABLE clTr,sraTE,z COD(EV` e �� r �tNE tq,. 7 MV/MB REGISTRATION NUMBER HNIA .Q. OFFENSE ,J` q10 . ( ) JV�E ! NAX%IA.%XI.E. SIB( api• 0 • ' W lfA5S. � � � CJ rED AMA �,.1. IC Uj > TIME AND DATE OF VIOLATION 1 LOCATION OF VIOLATION t W NOTICE OF (A.M./ N "a3 20 �� g- C...�e. QQ SIGNATU EN RCIN ;SON ENFO BADGE NO. LV VIOLATION G DEPT. (/ ti OF TOWN I HEREBY AC OWLEOGE RECEIPT OF CITATION X a ORDINANCE 11 Unable to obtain signature of off n er. THE NONCRIMINAL FINE FOR THIS OFFENSE IS i � Date mailed ,. W OR YOU HAVE THE FOLLOWI G ALTERNATIVES WITH REGARD.TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)'WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N REGULATION (1)You may elect to pay the above fine,either by appeadng in person between 8:30 A.M.and 4:00 RM.,Monday through Friday,legal holiday8 excepted, QQ before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, J (Hy)annis,MA 02601,WITHIN TWENTKONE(21)DAYS this matter In a noncriminal OF THEgDYAM OeFyTHIS NOTICE.d sire to making q a BARNS TABLE DIVISION,COURT COMPOUND,MAINS REET,�BARNSTAB E,Jo so by 02630,Attn: 1 D Noncriminal RH arings and nclossee e�of th s I citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or H you fail to appear for the hearing or to pay any fine determined it the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of III Signature NAME OF OFFENDER BAR 8,15, 05 TOWN'.OF ADDRESS 0 OFFE D i BARNSTABLE CITY,STATE,Z CODE a' MVIMB REGISTRATION NUMBER ti xARCL Nl tss A...T OFFENSE..f A.,�.1.�'?� 4�V ... � `. ... - ! �.. LLJ NABS - 4i V C. > - C TIME A D PATE OF VIOLATION LOCATION OF VIOLATION W 0 NOTICE,OF , -W (A.M.t. '),oN 20.1% , QQ SIBNAO�EN RCIN SON' ENFO NGDEPT, I BADGE.NO. W i` UIOL'ATION ` j� ��✓ rn OF TOWN I HEREBY AC NOWLEDGE RECEIPT OF CITATION1 a t' ORDINANCE O Unable to obtain signature of of ender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed LU Uj OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD,TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD: N REGU LATION (1)You may sled to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holideye.excepted, before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601;or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, (Hy))annis,MA 02601,WITHIN TWENTY-ONE(21)DAYiminalS OF THEggDyyATE OFyyTHIS NOTICE. request a UNSTABLE DIVISION,COURT COMPOou desire to contest this matter In a UND,MAINrSTRE9,,`BARNSTABLE,so bMA 02890WAttn�21D NoncrlminalRICT Hearinge and enclose a copURT y of thise citation for hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. 0 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in fhb amount of S Signature NAME OF OFFENDER . 7 : BAR 81504 TOWN OF ADDRESS OF OFFENDE;,,., ,. BARNSTABLE CITY,STATE,ZIP ODE. ��� CFr OIE►DyF, MV/MB REGISTRATION NUMBER OFFENSE l r IIARMASS. F.,A _0 C hp— q16 e s c� to .639 V o CL 16}9. �4 ED MKk� j,/ • O r W TIME AN DATE OF VIOLATION LOCATION OF L ION Z NOTICE OF r`/0 (A. / ON q 20 1� - J VIOLATION SIGNag=NFORCI N ENF RCING DEPT `� BADGE N0. UJI 0 OCn F TOWN t- I H EBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain 'gna a of o der. THE NONCRIMINAL FINE FOR THIS OFFENSE IS $ 0R Date mailed rLU YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)'WILL OPERATE AS A FINAL L DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. W REGULATION U) (1)You may elef to pay the above fine,either by appearing in person between 6:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, LLJ before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or posts note to Barnstable Clerk,P.O.Box 430, a (Hy)annis,MA 02601,WITHIN TWENTY-ONE(21)DAYSS OF THE gDATE OFyTHIS NOTICE. this matter in a noncriminal BA FIRST RNSTABLire to E DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,Jo so by 02630,,Attn:written request N ncriminalRHea Hearings d encloICT COURT se aEcopy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or 0 you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT me fiiSt option above,confess to the offense charged,and enclose payment in thg amount of$ I Signature I NAME OF OFFENDER. TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE.ZIP ODE, YJ ro ifrT ►qy MV%MB REGISTRATION NUMBER ti I _ OFFENSE NAX MA SXI.r:g` �b J '�'. N1�.. So S t�- C.1A , � �/,y��/[�}(J�4 � � LJ Cl- ED MAC ^- 0 IJJ TIME AND DATE OF VIOLATION LOCATION OFt@L IIDN NOTICE OF w SIGNA ,OF€NFORCI N o p`� "�. ENF RCING DEPT. a BADGE NO. E VIOLATION .� ` ..' � ol— a OF TOWN I H�REBY.ACKNOWLEDGE RECEIPT OF CITATION X' a ORDINANCE �'Unable to Obtain 'gnat re of nder. THE NONCRIMINAL FINE FOR THIS OFFENSE 1S S Date mailed w. rE M0R YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. i tW REGULATION ( y pay Y pp p g y e p W t 1)You ma elect to a the above fine,either b appearing in person between 8:30 A:M.and 4:00 P M.,Monday through Friday,le al holida s ex6e ted,. a before:The Barnstable Clerk,200 Main Street,Hyannis,M 02601,or by mailingg'•a check,money order or posta note to Barnstable Clerk;P. .Box 2430, Hyannis'MA:02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS'NOTICE. ¢ t2)If you desire to contest this matter in a noncriminal di ,you may-do so by making written request to DISTRICT COURT DEPARTMENT;FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNS ABLE,MA 02630,Attn:21 D Noncriminal Hearings•and enclose a copy of this citation for hearing. (3)If you fail o pay the above offense or to request a hearing within 21 days,or if you fail to appear for hearing or to pay any fine determined at the q hearing to be due;criminal complaint may be issued against you. ❑ I HEREBY ELECT the flrst,option above,confess to the offense charged,and enclose payment In fhbamount of$' Signature NAME OF OFFENDER BAR 81503 . TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP C E ®� �pf INE►pw MV/MB REGISTRATION NUMBER HANMASS. .F.A OFFENSE io 5 C� 90. �� .� p W tfG ltT/ s,639 CD TIME AND DATE OF VIOLATION LOCATION OF VIOLATION LLI NOTICE OF a ( . i P.M ON 20toaa- SIGNANF IN�N ENFO C G DEPT BADGE N0. LU .VIOLATION c7 o OF TOWN I HBY AC NOWLEDGE RECEIPT OF CITATION XLU ORDINANCE �T��aBle to obtain Signature of of nder. ►a— _� THE NONCRIMINAL FINE FOR THIS OFFENSE IS S �®O Date mailed Iw OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays exceppted, Lai before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET ARNS ABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑1%HEREBY ELECT the first option above,confess to the offense charged,and enclose p?yment in the amount of$ Signature NAME OF OFFENDER B A n 8150 1" Hn TOWN OF ADDRESS OF OFFENDER" - - - E BARNSTABLE CITY,STATE,ZIP FOIE►per MV/MB REGISTRATION NUMBER . OFFENSE ,/y� 1f ��'qy // "�"`.��y■j r ♦__ _ - 1 IfAXNNIA 1ASS. ' 1S/,.. R ✓ W"--�r�_ �'K+F - - - W CD TIME AND DATE OF VIOLAT10% _:. -4 LOCATION O VIOLATION _ W NOTICE Of :3 a ( / P.M ON 20 t ' a + VIOLATION Si E�0F4ENFA INGW�fi$pN ENFO CI GOEPT BADGE NO. N J; OF TOWN HEREBY// `'�fS o r AC .NOWLEDGE RECEIPT OF CITATION X a I ' ORDINANCE [ Unable to obtain Ignature of Of der. F- THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date mailed --t��t. w OR. I YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)'WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAG.RECORD. W REGULATION j (1)You may elect to pay the above fine,either by appearingg m person between 8:30 A.M.and.4:00 P.M.,Monday through Friday,legal holidayys exceppted, uu before:The Barnstable Clerk,200 Main Street,Hyannis,MR 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O,.Box 2430, J (Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE ggDATE OFyyTHIS NOTICE. a ou desire to this matter in a iminal oceed' written ICT OURT FIRST } BARN STABLE DIVISION,COURT COMPOUNrD,MAINrSTREIE BARNSTABLE;by 02630,Attn:2 request Noncriminal RHearings d enclose a copy of this y citation fora hearing., . (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint,may be Issued against,you. 0 I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment m the,amount of$ Signature NAME OF OFFENDER �� n BAR 8 2 5 0` TOWN OF ADDRESS OF OFFENDER. �� BARNSTABLE 'I",STATE, CODE. , d^ �tME► _ - MVIMB REGISTRATION NUMBER OFFENSE NAN\STANU:• - !O ✓CD'�IL IU � � d �j?\ �i'. r/ f�' W J W TIME AND DATE OF VIOLATION LOCATION OF VIOL 10 W NOTICE OF o i . . oN zo �'�' VIOLATION SIGNATLB6BPfNFO P ON ENFOR INGDE ( BADGE NO. ul G `v c, 0 OF TOWN ~ I H BY NOWLEDGE RECEIPT OF CITATION X ii ORDINANCE Unable to obtain signal of o f der. THE NONCRIMINAL FINE FOR THIS OFFENSE IS = (� OR Date mailed W YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N REGULATION (1)You may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Honday through Friday,legal holidays excepted, w before:;:Beal Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 430, —1 Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a 2 If you desire to contest this matter in a noncriminal proceeding,yyou mayy do so by making written reqquest to DISTRICT COURT DEPARTMENT,FIRST RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02830,Attu:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER p 81502 TOWN OF ADDRESS OF OFFENDER. f'A - _ „ BARNSTABLE CITY,STATE; CODE 1b 1 C t �tME Tp� MV/MB REGISTRATION NUMBER OFFENSE - •. - T NARNSIARLE.MA LJ LLJ ' TIME AND DATE OF VIOLATION J r 20 �!Y' LOCATION OFJ VIOL 10 Z. W NOTICE OF :3 0; * •.i,_.,y�.l oN E. `'U[ 't7T Ai'+ i VIOLATION SIGNATllAE�OF'ENFO I PE ON ENFORCINGDE b� f BADGE NO. N G 1 o OF TOWN � _ .. '. I HPREBY A-KNOWLEDGE RECEIPT OF CITATION X. ORDINANCE ®`Unable to obtain signatur, of o fe der.` THE NONCRIMINAL FINE FOR THIS OFFENSE IS III Date mailed } w W ' OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w REGULATION' a (1)You may elect to pay the above fine,either by ppearing In person between 8:30 A.M.and 4:�0 P.M.,Monde through Friday,legal holidays excepted, w before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,mono order or osta note to Bamstable Clerk,P. :Box 430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a (2)If you desire to contest this matter in a noncriminal proceeding,yyou may.do so by making written request to DISTRICT COURT DEPARTMENT,FIRST Rau DIVISION,COURT COMPOUND,MAIN STREET,BARNS ABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation fora hearing.' (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to'be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first*option above,confess to the offense charged,and enclose pRyment in the amount of$ 'Signature, ' f �r*� NAME OF OFFENDER T i ho � tj -e� BAR 81 V 01 TOWN OF ADDRESS OF OFFENDER 1 C ' BARNSTAt3LE CITY,STATE,ZIP S OT-e�V`p�� (0 ,5 5 OFFENSE a��l�/� ] /q' ,,, /y� y�r."� IIANgASSflIJ:.g! 9 V C• `— 4{O r S o 3 l�� � v/ / V W t6yq' ` a ltoleK+� O W TIME AND DA E OF VIOLATION LOCATION OF VIOLATION W NOTICE OF '3' (A.M./ . .)ON q- 1 201 ;L aa SIGN�yIREeF ENFO RE N ENi CING DE BADGE N0. N VIOLATION 0 OF TOWN ~ I H BY CKNOWLEDGE RECEIPT OF CITATION X nW, ORDINANCE Unable t0 obtain signature o f ender. THE NONCRIMINAL FINE FOR THIS OFFENSE IS 3 C� Date mailed — tw OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. N REGULATION (1)You may elect to pay the above fine,either by appearing In person between 810 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted.before:The Bamstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, (Hy)annis,MA 02601,WITHIN TWENTY-ONE(21)DAYiminalS OF THEgDyATE OFyTHIS NOTICE.g req a BARNSTABLE DIVISION,COURT COMPOUN this matter In a D,MAINrS�TREET,BARNSTABLE MA 02830 AttnL21 D Nonc�min DISTRICT er�M enclose a copy ofRthle citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment In the amount of$ Signature NAME OF OFFENDER ,n r �A n ®�5 O/y, TOWN.OF ADDRESS.OF OFFENDER �'l 11 „,n ©., J!r BARNS TABLE ABLE CITY,STATE,ZIP CODE `�+ pig ► - - MVIMB REGISTRATION NUMBER $ OFFENSE p/[y p� {ter d/p NAN IASSe1.Y..p' V I~A, �l t V. J t�, 3 ` -D � ��„� �' w tEOy► y - O W TIME AND,DATE OF VIOLATION - LOCATION OF VIOLATION Z NOTICE OF :3� (A;M./ P�Y4)'oN "`„t 1 20.'t SIGN41URE+OF ENFO Clot PER ,N r= ENFO CING DEPT. BADGE NO.. VIOLATION s ;, .2- aec. � ,'OF TOWN o. I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X : a ORDINANCEL LJ unable to obtain signature o f ender. THE NONCRIMINAL FINE FOR THIS'OFFENSE 19 3 CFO Date'fnailed �� � tr w OR I YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS,MATTER.EITHER OPTION(1)OR OPTION'(2).WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD w . REGULATION (1)You may elect to pay the above fine,.elther.by appearing In person between 8`:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, yaj before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by malling a check,money.order or postal.note to Barnstable Clerk,P.O.Box 2430, 3k Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a ((2 If you desire to contest this matter In a noncriminal proceeding,yyou mayy do so by making written request to DISTRICT COURT DEPARTMENT FIRST 9�RNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABOLE,MA 02830,Attni 21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fall to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER or ^ BAR 81510 TOWN OF ADDRESS OF OFFENDER VY ° BARNSTABLE gTY,6SE4<jO E fj 01 bC Crr IKE►pk, MV/MB REGISTRATION NUMBER OFFENSE •j) t NANN �MASS. IL lilt J W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION W ' NOTICE OF = 4) (AXM PQ ON �(-�� 20 l�. � ? ���— �,.,��R-- j SIGNA ENFORCING PE$ON ENFOR BADGE N0. L!J VIOLATION ✓ Cl) O� C NG DEPT. OF TOWN .� ?Una' ACKNOWLEDGE RECEIPT OF CITATION X a ' ORDINANCE 0 Unable to obtain signat re of offender. C THE NONCRIMINAL FINE FOR THIS OFFENSE IS a Date mailed Ww OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. y y REGULATION (1)You may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Mondayy through Friday,legal holidays exceppted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal.,note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. n. (2)If you desire to contest this matter Ina noncriminal proceeding,you mey do so by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request,a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME 01,111114111 ..w••, BAR 81509 .r TOWN OF ADDRESS OFOFF ER �/{ c BARNSTABLE CITY,sgT�j CODE. �tME► MVIMB REGISTRATION NUMBER NAN IA Sa1.E.$ OFFENSEC Y1 l�. •? ` '/ r K.. r� W W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION '"'^ W NOTICE OF ``(fib (q,M.i 0.)ON 20 �� � � J SIGNAZ,VR&OF E SON EN "CINO OEPT BADGE NO. W VIOLATION �° N 0 OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE sable to obtain signature of offe d T. r�l THE NONCRIMINAL FINE FOR THIS OFFENSE IS S CV Date mailed �" w OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. ILw REGULATION (1)You The may elect to pay the above fine,either by appearing In person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, W before: Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, (Hy)annis,MA 02601,WITHIN TWENTY-ONE(21)DAYiminal S OF THE ggDATE OFyTHIS NOTICE. requesta BARN STABLE DIVISIONou desire to ,COURT COMPOUN this matter in a rD,MAIN r RE9,,�BARNSTABLE, making 02830,Attn: D Noncriminal Hearingsand enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the off ense.charged,and enclose payment in the amount of E Signature I� NAME OF OFFENDER „w.. --]BAR 81508 I � TpOpWN O/�Fp ADDRES7 FFENOER �i� BARNSTABLE CITY,STATE,Z ODE-7 !}/t _" - � pf tNE►qy, MV/MB REGISTRATION NUMBER BAR INSIA A sai.F..$ OFFENSE � ` 1 4 d 1.21 I(f w ,639 ►ED IMF —j w TIME AND DATE OF VIOLATION - LOCATION OF VIOLATION Z NOTICE OF t 1= a (A.M./ P I s)ON 20 ,, SIG NFOR ICGG-g���}N ENFORCING DEPT BADGE N0. N VIOLATION /U of OF TOWN I H RRf Y- CKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain s'gnatur of oflender. } 11 THE NONCRIMINAL FINE FOR THIS OFFENSE IS. S Date mailed �;+" _ tw wtoo R YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NO RESULTING CRIMINAL RECORD. N .REGULATION (1)You The may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, w before: Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a �2)If you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET BARNSTABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDEfl - N B p R 81507 TOWN OF ADDRESS O�FENpER � ,, (,� . BARNSTABLE CITY,sTA" TE'Zy CODE J�C♦�'' ©i li .5 p4 T�►qy, {i✓`I/"T A MV/MBB REGISTRATION NUMBER r p OFFENSE � /� �pj �`) - I tr/j�+,�`' IfA i6}q P1.F:e0 f V 1. T'^'. I V • � ��I��I/�V�'"�►Mf �rFD MPS► �'. . .' _ O r .t LLJ TIME AND DATE OF VIOLA ION g a LOCATION OF VIOLATIORN a. NOTICE OF ld-10 (A.M./ h)ON �' ��. 20 �$ ',r�-e� I�Af"�/i• t SIGNATUR�OFFENFORCING PERSON ENFO),iO1NG DEPT. .BADGE NO: LLJ VIOLATION ?A.. li C OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X CL ORDINANCE unable to obtain si( r nau( f ofegHe(� THE NONCRIMINAL FINE FOR THIS OFFENSE IS- DateS Icrq DR mailed w YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD. w c (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays excepted, < LLJ before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or byy mailing a check,money order or postal note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. 2 (2)If you desire to contest this matter in a noncriminal proceeding,you may do so.by making written request to DISTRICT COURT DEPARTMENT,FIRST BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNS TABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing'within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑I,.HEREBY.ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER ,,..� t BAR 81506 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CO pf tME►p MV/MB REGISTRATION NUMBER r OFFENSE ��•� +/�j {��/1/p} �yryr 2 NAN to Sal F,p.` V r+► /L 1 t ♦ o/'o w/ 'F 1 YW'1M"W`w'�YI�I .,TAti:A• 7 W fED IAIN • OJ W TIME AND DATE OF VIOLATION LOCATION OF VIOLATION • W NOTICE OF L): 3a (A.M.i PEA:)ON 20a. C.t, �... C •Q.s.- v VIOLATION SIGNATt�J�. FENMFO INGPE�.SON6 C ENFORCIN DEPT. � BADGE NO. N r' o I HEERERY ACKNOWLEDGE RECEIPT OF CITATION X At CL OF TOWN ��11ffJJww /t ORDINANCE CY Unable to obtai signat re of off rider. ,a— ` ,,. ��-1 THE NONCRIMINAL FINE FOR THIS OFFENSE IS a !tom Date mailed tw 11 YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL DISPOSITION WITH NOAESULTING CRIMINAL RECORD. N REGULATION , You ma elect to a the above fine,either b a earing in" rson between 8i30 A.M.and 4:00 P.M.,Monday through Friday,legal holidays exceppted, Uj s before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstble Clerk,P.O.Box 2430, (Hy))annis,MA 02601,WITHIN TWENTY-ONE(21)DAYiminal S OF THEggDyyAooTE OFyyTHIS NOTICE. writte qq If NSTABLE DIVISION,COURT COMPOUNou desire to contest this matter in a rD,MAIN rSTREP,,�BARNSTABE do so MA 02630 A0 21D Noncriminal Heari at to DISTRICT ngs d encoURT se a copy of this FIRST citation for hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or N you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. �^ ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER �,,,,,,, , „B A 81 5 O 5_ TOWN OF ADDRESS 0FFE DEjI CRY/ BARNSTABLE CITY,STATE,ZIP CODE. 4 �tME►p,_ - MV/MB REGISTRATION NUMBER xAsN.MAar.r:. OFFENSE �L1A/IJL"�,.r /W. i `"�\i-""' �✓ a MMM MASS. � I! Uj TIME AND DATE OF VIOLATION - Y LOCATION OF VIOLATION E Z Uj NOTICE OF `.V10 (A.M.i `,)•QN ,- 20 �— :"4f ` SIGNATU-E.OFnEN RCIN��+SON ENFO C NG DEPT. BADGE N0. Z5 VIOLATION i7• I `3t v� O 4 OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X a s ORDINANCE 11 Unable to obtain signature of of er._ ►Q— Date mailed jten THE NONCRIMINAL FINE FOR THIS OFFENSE IS a W LLJ OR YOU HAVE THE FOLLOWING LTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL RECORD. W REGULATION (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M. Monday through Friday,legal holidays excepted, y� k before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by malling a check,money.order or postal note to Barnstable Clerk,P.O.Box 43 : a (Hy))annis,MA 02601,WITHIN TWENTY-ONE(21)DAY this matter in a noncriminalSS OF THE ggDyyATE beeFyyTHIS NOTICE. q r BARN STABLE DIVISIONou desire to ,COURT COMPOUND,MAINr REET,BARNSTABLE,do so by 02630,Attn:2 written 1 D Noncriminal uest to RICT Hearings d enclose a copURT y FIRST of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be Issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment In the amount of$ Signature 1 - NAME OF OFFENDER .,..... BAR 81504 TOWN OF ADDRESS OF OFFENDER _-7c - BARNSTABLE CITY,STATE,ZIP CODE - tNE tp� - - MV/MB REGISTRATION NUMBER OFFENSE - �I x ASSai.e. S C K IL q II6 . So 2, Cb ' fi w 1 i679 ►�� pry * ry ,.. LU ''nw-•v`Ywr1 � ,( LU TIME AND DATE OF VIOLATION r LOCATION OFLATION - W � NOTICE OF Lf:4?3 (A.M / .Ma ON tw 20 ? ? VIOLATION SIGNATU�FOF.EN FOR CIN6t% ON - - ENFORCINGDEPL BADGE NO. N O OF TOWN I HEREBY ACKNOWLEDGE RECEIPT OF CITATION X LLJ a ORDINANCE Unable to obtain sgnature of offender. ►a- THE NONCRIMINAL FINE FOR THIS OFFENSE IS S W OR Date mailed W YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a "' DISPOSITION WITH NO RESULTING CRIMINAL RECORD. LL+ REGULATION a (1)You may elect to pay the above fine,either by�ppearing in person between 8:30 A.M.and 4:�0 P.M.,Monday through Friday,legal holidays excepted, W before:The Barnstable Clerk,200 Main Street,H annis,MA 02601,or by mailing a check,mono order or osts note to Barnstable Clerk,P.O.Box 2430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. a UNSTABLE you desire to contest this matter in a noncriminal proceeding,you may do so by making written request to DISTRICT COURT.DEPARTMENT,FIRST If DIVISION,COURT COMPOUND,MAIN STREET,yARNSYABLE,MA 02630,Attn:21D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER„ - BAR 81503 TOWN OF ADDRESS OF OFFENDER BARNSTABLE CITY,STATE,ZIP CODE dFINE►c� _ MV/MB REGISTRATION NUMBER OFFENSE NAN\S1AR1.6.� 1t! \r �+'n ��V ✓ �•- %�YV� W MASS. CL r CD LLI TIME AND DATE OF VIOLATION , LOCATION OF VIOLATION ,,nn W . NOTICE OF y: d (AM) P.m P.M..y,UN 20 3;- t v+•-'�.� SIGNAT f.OF ENFO CING•PERSON ENFOflCI.G DEPT.�p BADGE NO. N VIOLATION �.'w� " ,�{� (✓� V OF TOWN o a I HEP BY AC NOWLEDGE RECEIPT OF CITATION X ORDINANCE 121,4LInable to obtain signature of off nder. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S �� Date.mailed * ! W VR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2).WILL OPERATE AS A FINAL a DISPOSITION WITH NO RESULTING CRIMINAL,RECORD. Lu REGULATION a LLI (1)You may elect to pay the above fine,either by appearing m person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal holldays excepted, < before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money order or postal note to Barnstable Clerk;P.O.Box p430, Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. IZ ` ((2)If you desire to contest this matter in a noncriminal proceeding you may do so by making written request to DISTRICT COURT-DEPARTMENT FIRST 9 UNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,yARNSYABLE,MA 02630,Attn:21 D Noncriminal Hearings and enclose a copy of this citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ I,:HEREBY,ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER ,pr, a Dnn D A n 81502 TOWN OF ADDRESS OF OFFENDER + BARNSTABLE CITY,STA AT=,,�Z P CODE .O f tj� 6 X(v� � INE►qy ' MV/MB REGISTRATION NUMBER OFFENS0S C r 0 /Jy) J LJ p, LLI TIME AND DATE OF VIOLATION LOCATION OF VIOLA 10 W NOTICE OF c#: o .(,A-M./ ,P* ON 20 �. "�'�., QQ AT OPENFOR I G PE ON ING DEPT BADGE NO. SIGN ENFOR W j VIOLATION rn c O,.F TOWN I H.4BY,ACKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain signatur of O fe der. < THE NONCRIMINAL FINE FOR THIS OFFENSE I'S W_ Date mailed Is LU OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD.TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL a REGULATION DISPOSITION WITH NO.RESULTING CRIMINAL RECORD. y (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P..M.,Monday through Friday,legal holidays exceppted, W before:The Barnstable Clerk,200 Main Street,Hyannis,MA 02601,or by mailing a check,money.order or postal note to Barnstable Clerk,P.O.Box 2430, (Hyannis,MA 02601,WITHIN TWENTY-0NE(21)DAYS OF THE oceedlggDyyATE Oa8FyyTHIS NOTICE. requestwritten d B2�RNSTABLE DIVISou desire to ION,COURT COMPOUNtest this matter In a rD,MAIN iminal rSTREET,'BARNSTABLE,d so by 02630 Attn:21 D Noncriminal Hearingsand enclose a copy of this s citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or If you fail to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint may be issued against you. ❑ 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of$ Signature NAME OF OFFENDER ' p. D A D 8 1 5©1 TOWN O/►Fp ADDRESS OF OFFENDER + BARNSTABLE CITY,STATE,ZIP CODE �tNE► MV/MB REGISTRATION NUMBER OFFENSE {Y I/� /� {.r (/ • HAN\%IABLF.. ' o� C•(! '.f, L,1 V f .:7 Q 1. _ CL TIME AND DATE OF VIOLATION LOCATION OF VIOLATION W NOTICE OF, LI:Sr) (A.M./ .)ON_`t' 20 sue-eZ �i J ]t t SIGNVRE=OF ENFO IN RE ON ENF CING DE ' ""— BADGE N0. N VIOLATION. ; ! V' 0 OF TOWN I HEF(E/BY CKNOWLEDGE RECEIPT OF CITATION X a ORDINANCE Unable to obtain signature o offender. ,. THE NONCRIMINAL-FINE FOR THIS OFFENSE IS 3 � _, Date mailed 6 1 u.r ;OR YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINALr a REGULATION DISPOSITION WITH NO RESULTING CRIMINAL RECORD;: In (1)You may elect to pay the above fine,either by appearing in person between 8:30 A.M.and 4:00 P.M.,Monday through Friday,legal'holideys excepted before:The Bamstable Clerk,200 Main Street,Hyannis,MA 02801,or by mailing a check money.order or postal note to Barnstable Clerk,:P,O.Box 2430, J (Hyannis,MA 02601,WITHIN TWENTY-ONE(21)DAY this matter Ina noncriminalS OF THE roceedlDATEOF THISNOTICE.gg eeqq 4 B1RNSTABLE desire,ou V SI to ON COURT COMPOUND,MA19 STREET BARNST BLE,MAma02630 Attn:21 D Noncrimiest to nal Hearings d enclose a copRICT COURT y FIRST of this citation for a hearing. (3)If you fail to pay the above offense or to request'a hearing within 21 days,or If you fall to appear for the hearing or to pay any fine determined at the hearing to be due,criminal complaint maybe Issued against you. ® 1 HEREBY ELECT the first option above,confess to the offense charged,and enclose payment in the amount of S Signature Certified Mail#7015 1730 0001 4990 3202 y�tTti Town of Barnstable Regulatory Services + BARNSrABM MASS. Richard Scali, Director i679 ♦� Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 March 29, 2018 Timothy Meagher 776 Main Street Osterville, MA 02655 NOTICE TO ABATE VIOLATIONS OF 105 CMR 410.000, STATE SANITARY CODE II—MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION The property owned by you located at 22 Weston Circle, Hyannis, MA was inspected on March 29, 2018 by Timothy O'Connell, R.S., Health Inspector for the Town of Barnstable. This inspection was conducted on the basis of the yearly Rental Registration in accordance with chapter 170 of the Town of Barnstable Code. The following violations of the State Sanitary Code were observed: 105 CMR 410.503 _(D)—Protective Railings and Walls. Observed front stairway leading to the dweltyng was missing handrail and guard rail with balusters on the left side of stairs. You are directed to correct the violations listed above within fourteen (14) days of your receipt of.this notice by placing a guardrail and balusters on the open side of the stairs leading into dwelling. You may request a hearing before the Board of Health if written petition requesting same is received within ten (10) days after the date the order is served. Non-compliance will result in a fine of$100.00 per violation. Each day's failure to comply with an order shall constitute a separate violation. Should you. have any questions regarding the above violations, please contact the Town Health Division and ask to speak with the inspector who performed the inspection. RDER OF BOARD OF HEALTH c ean, R.S., C Director of Public Health Town of Barnstable QAOrder letters\Housing violations\Rental ordinance\3-29-18.doc TOWN OF BARNSTABLE BOARD OF HEALTH ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date3 �e� — ' Time: In Out Owner �"� Tenant Address '� Address IF Compliance Remarks or Regulation# Yes NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities 6. Heating Facilities 7. Lighting and Electrical Facilities 8. Ventilation 9. Installation and Maintenance of Facilities 10. Curtailment of Service 11. Space and Use 12. Exits 13.Installation and Maintenance of Structural Elements 14. Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal of Occupants; Demolition Number of Bedrooms Number of Vehicles A wed (max) Number of Persons Allowed (max) . Person(s) Interviewed Inspector If Public Building such as Store or Hotel/Motel specify here TOWN OF BARNSTABLE BOARD OF HEALTH �i ARTICLE II: MINIMUM STANDARDS FOR HUMAN HABITATION Date 3 °�� r ,U ^ Time: In Out t Owner Tenant „ Address -776 Dvt - Address Compliance Remarks or Regulation# Yes ,--NO Recommendations 2. Kitchen Facilities 3. Bathroom Facilities 4. Water Supply 5. Hot Water Facilities /l 6. Heating Facilities 7. Lighting and Electrical Facilities ✓ ' f , 8. Ventilation 9. Installation and Maintenance of Facilities '. 10. Curtailment of Service 11. Space and Use F 12. Exits "✓ `� 2c'ys- � `"-} � �'' 13. Installation and Maintenance of Structural Elements 14.-Insects and Rodents 15. Garbage and Rubbish Storage and Disposal 16. Sewage Disposal 17. Temporary Housing 18. Driveway Width 19. Number of Tenants Observed PART II 37. Placarding of Condemned Dwelling; Removal.'of Gocupanfts; Demolition Number of Bedrooms.1,001 Number of Vehicles Allowed (max) Number of Persons Allowed (max) Person(s) Interviewed Inspector IfPub3lic Building such as Store or Hotel/Motel specify here } TOWN OF BARNSTABLE LOCATION r ,P SEWAGE 42®0 7-3 S VILLAGE y ASSESSOR'S MAP&PARCEL X)IA cr7 INSTALLERS NAME&PHONE NO. A A /% G-a^SST ,s—o V 2 7 13 SEPTIC TANK CAPACITY r 0 LEACHING FACILITY:(typeo) (size)�SNO.OF BEDROOMS OWNER t 2 ��.t 9 PERMIT DATE: A A , COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 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 d a � Its 1 � o 4 ^� � C 0 Z (IS o a � p n No. . a007- -�5-)— 'f Fee too THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Yes Rpplicatton for Wgpogal 4&p5temc Con5trurtton Vermtt Application for a Permit to Construct O Repair(,Upgrade{ ) Abandon O ❑Complete System ❑Individual Components Location Address or Lot No. / Own s Name,Addres ,and Tel.No. ZZ &V,i I-10a/ C,is e/e y�a✓�✓ , s 4r1r2 � Assessor's Map/Parcel Installer'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(min,required) 336 gpd Design flow provided 3 gpd Plan Date Number of sheets, Revision Date Title Size of Septic Tank &_ r / l C, V Type of S.A.S. 3OcS O Jeoi0po'tCi /�-J2 jq7® ,ZJ Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certificate of Compliance has been issued by this Bctard of Health. Signed Date Application Approved b Date -0 Application Disapproved by: :,Date --�'•forsthe�following::reasons Permit No. 9-00 T Date Issued No.. - a 1) Fee (bo Entered in computer: THE COMMONWEALTH OF MASSACHUSETTS l it PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSA"6HUSETTS Yes Application for Wgpaat qPp!9tem Con5truction Permit Application for a Permit to Construct O Repair(upgrade O Abandon O El Complete System El Individual Components'' Location Address or Lot No. Owner's Name,Address,and Tel.No. roc r i Assessor's Map/Parcel Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. �-a7 _22Y 13,<2 OF Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder Other Type of Building No.of Persons Showers CafJeria Other Fixtures Design Flow(min.required) gpd Design flow provided 3 A- 4 ' gpd' Plan Date Number of sheets Revisi6n Date Title Size of Septic Tank t Y I j- 0 0 a —Type of S.A.S. .30-5- (9 Description of Soil 4b. Nature of Repairs or Alterations(Answer when applicable) 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 pr�&visions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed I ��AA Date A�4� Date Application Approved b � y Application Disapproved by: Date for the following reasons Permit No. Date Issued THE COMMONWEALTH OF MASSACHUSETTS -BARNSTABLE. MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed Repaired Upgraded Abandoned by at <7'0 (_ .-ItL el has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. 35Z dated Installer '11L Q_ Designer /)L942 /? -C Al'I'll? Z_X96?_ #bedrooms Approved design"flow 3 gpd y—) The issuance of this peyfnit shall not-be construed as a guarantee that the system wn,lfu ction as design d. Date "IQ Inspector �r / i�d ,�l ?� .y/L.J ,� 7 — . - ————————— - ———————————— • No. !,72 001 Fee THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION-BARNSTABLE, MASSACHUSETTS J willh5poal �p!gtem Cow9truction Permit Permission is hereby granted to Construct Repair, _,�Upgrade Abandon System located at WZ 15'7-6 Al l, 2- and as described in the above Application for Disposal System Construction Permit.The app recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. t f it Provided: Construction must be completed within three years of the date of er4mit. Date Approved by Town of Barnstable Regulatory Services Thomas F. Geiler, Director BABDISIABIZ 9�p?MAS& '��� Public Health Division Fn� Thomas McKean, Director _ 200 Main Street,Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer_& Designer Certification Form Date: Q2.2-0 `09 Sewage Permit# Assessor's Map\Parcel Designer: ik"Iel4ox Installer: 1 J71/ 1-. �i� w CS , Address: Ro, Pox q�s t Address: On (date) (installer) was issued a permit to install a septic system at Q,1 (APP-S ZF" J C`2-6(-C based on a design drawn by (address) (' dated (designer) I certify that the septic system referenced above was installed substantially Acirding f& ; the design, which may include minor approved changes such as lateral relocation ort03 = distribution bos andior septic tank. w ;E N ; I certify that the septic system referenced above was installed with major ch_ar�ges (i.e. ,:eater than 10' lateral relocation of the SAS or anv vertical relocation of any . ponen , of the septic system) but in accordance with State & Local Regulations. Plan revision orF certified as-built by designer to follow. n �\�� OF ygsl9cy t�t ` � � DA R M. (Installer's Signature) No. 1 0 SiE�O 1 S01Th?, b'L• �_,O Designer's Signature) (Affix Designer's Stamp Here) PLEASE RETURN TO BArTABLEBLIC HEALTH DIVISION CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORNI AND AS-BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION THANK YOU Q: Health/SepticlDesiener Certification Form 3-26-41doc Feb 20 08 04: 54p p- 1 Town of Barnstable Re<xulatory Services ro - Thomas F. Geiler, Director €9.hILVL7fA®l.E.) Public Health Division Thomas McKean, Director 200 Main Street, Hyannis, ,viA 026ol Oi'riec: 508-862-464..4 !-'ax: 508-79(1-6 0 4 Installer & Desivner Certification Form -- Assessor's M apll arcel— Dc;4i r•eer: �.- �G'� �'"�d Installer- ,A d P,)ox � .-- b�.�7 On _ Wy Is issued a permit to install a (date) (installer) ,;cptic System at STb IJ C(�P-� based on a design drawn, by (address) _ 6.. dared _ — - (aesi�rnur) 1 c,.rtif` that the S: Ptic S stern --- Y 1 Y` referenced above was itlstalted suhsrtntially accordin+_>. lu 111c de;i;n, which rrttty incitulc minor. ;ippr,.)veef chan!,cs such a:i lateral reluc:uie;rt of rile distribute)n buzz anal/or septic lank. — f certify r.hat the sepFic System relerencCd above was installed with major chances (i.e. ;,cater than 1 Q' lateral relocation of the SAS or any vet-ical -elucatic�sj of,arty component of'the Septic system) but in accordance with State & Local Rc,.,ttlations. Plan revision or certified as-built by designer, to to w. OF M4 s�9�y o R lTnstaller's Sitynatt.lr No. 1 0 Y SftTAR\P� _._..✓ Dcsr(vrier's Signature) - (�ltliz Designer 's Starnp Hertz) uY_9,:r►tiF; I2F�"1'IlI2N i'O B \ . 1'AI31,F, PUBLIC HI:ALTlI nry15[(>N. CERTIFICATE c>r• %VII,1.. NO'f Blo-ISSUE[) UNTII, a0'1'!1 THIS FORM AND AS-13U11."1' CARD ARE R-,I (-'EIVI-:D BY THE BAR-N5I'M3LF PUBLIC IIR;\1 Ttl 1)IVIti!()N. '1"li:\NK YOU. � �?: 11r:,4rh/Scpr,C/DCs,gncr Certiricariu,l�urtn 3-26-(kC'doc f No. sZl .._ A� J Fee / THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ✓/ Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE., MASSACHUSETTS 01pplication for MigogaY *patent Cotvarurtion permit Application fora to Construct( )Repair(_ Upgrade( )Abandon( ) O Complete System )?4tdividual Components Location Address or Lot No. '`" � Owner's Name,Address and Tel.No. Assessor's Map/Parcel 27 I S Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. 0r e(.1-0 C Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil Nature of Repairs or Alterations(Answer when applicable) 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 h�sstte�-l� Boaz Signed Date a"� Application Approved by Date =1 ?2 DC9 Application Disapproved for t follo g reasons Permit No. aed&', l ��� Date Issued _ ..,..� .r•. "° +�-� _ �.-.,.,q,.,y..'-ts�, - _ -- •.'.f '��' y. •..-J mot' �r v..... ="R.__„��., .� _ ...,. ��—.:°•y"'`. ..:i,". No. _ - _.,, A__ Fee THE COMMONWEALTOF MASSACHUSETTS Entered in computer: H. -- Yes PUBLIC HEALTH DIVISION -TOWN OF_BARNSTABLE., MASSACHUSETTS 01pplication for �Dioosaf *pztem Construction Permit Application for aemt to Construct Repair rade Abandon El Complete System dividual Components Location Addred or of o. Owner's Name,Address and Tel.No. Assessor's Map/Parcel _ \ ¢ V cc y*�s-t`,.r—t2. (} Installer's Name,Address,and Tel.No. rw Designer's Name,Address and Tel.No. r C_ r Type of Building: Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description,of Soil Nature of Repairs or Alterations(Answer when applicable) 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 Certify- ` -,cate of Compliance has bb issued b this BoardSf. Waitht--- Signed I Dated -� Application Approved by Date _ Application Disapproved fort oll g reasons '' '� 'y Permit No. a 2 Date Issued THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY,that the On-site Sewage Disposal System Constructed( )Repaired(Upgraded( ) Abandoned( )by at has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Pe it No. dated Installer Designer The issuance of this permit shall not be construed as a guarantee that the system will function as deigned. G, ``j r Date '`� / / �f.- G t ' I!.�-,r'"� Inspector � �:.,n .n't � ,!, 1 A�•: 'il,rl,t/1 i �.. I —————————————.—————————————————————————— No. ��r Fees THE-COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLE., MASSACHUSETTS Miopool *ps�tem Congtruction hermit Permission is hereby granted to Construct( )Repair( )Upgrade( )Abandon( ) System located at , «. 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 this permit. Date: _���ro Approved by P 1 Date: Jan. 12, 2017 To: Building File 1� From: R. Anderson, Chief Zoning Officer Locus: 22 Weston Circle, Hyannis Re: Complaint— hair salon in lower level of SF home Conditions: Sunny, mild temperature, Ground still wet from melting snow & rain in the early morning Property is a SF Cape with a garage under and what appears to be a finished area in the front. The blinds are consistently drawn. We left David's business card in the lower door on a prior date. Grounds are well kept and manicured. On 1/12/17, a woman contacted David and agreed to let us in on this date. We arrived at 3PM and were admitted to the dwelling via the front door. The house was very tidy & clean. The occupant was advised to provide a railing on the left side of the door as there is a considerable drop to grade from the door stoop. It was obvious that at one time the companion railing was in place. The occupant agreed to contact the owner to replace the railing ASAP. Subsequently, we were escorted downstairs to the lower level. We found that the right side of the stairs contained numerous black velvet necklace displays complete with jewelry sets (necklaces/earrings) on the window sill (which served as a makeshift counter). The left side of the room contained a built-in display feature containing bejeweled flip-flops. The occupants explained they have a lot of friends in the Brazilian community over to visit. His female counterpart sells flip-flops and jewelry to the guests. It is likely that a retail use may be the source of the complaint (and not a hairdresser as noted originally). The occupants were advised to sell the items on line, at other locations (flea market) or host jewelry parties at someone else's home. The male resident translated on our behalf and all parties acknowledged that they understood and would cooperate. AsBuilt Page 1 of 1 F-- /// TOWN OF BARNSTABLE LOCATION 12 -r fa,v A SEWAGE o0 2—3-s�'A VII LAGE y A Nf� S ASSESSOR'S MAP&PARCELX)/ .a'2 INSTALLERS NAME&PHONE NO. j4 R'Al 61,%t i o.F SEPTIC TANK CAPACITY LEACHING FACILITY;(type(3)3o�d1,✓r i�T4A7+2(size 5 NO.OF BEDROOMS OWNER / z . 2 9 PERMIT DATE: A J ZO COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 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 f4VVr O Q o�S�auA7/o.N �`j'x )PO42T �Cl_ 11 L3C q. dal'= 37. 5� � 1�n? http://issgl2/intranet/propdata/prebuilt.aspx?mappar=271186&seq=2 6/15/2017 1 ' Town of B sta:ble P# Department of Regulatory Services 0 , CAML Pu Ife blic alth Division Date i ibs� �s 200 Main Street Hyannis MA 02601 Date Scheduled / D ,.Time Fee Pd. �'oz Sui ability Assessment for Sewage Daspo gal Performed B • � Witnessed By LOCATION & GENERAL INFORMATION Lora:ion Address'.�� W&STO&I �l E Owner's Name -PFT >� S o - y y z V_evvw R. �S ►rl Y��IS Address r Assessor's Map/Parcel: / l I Engineer's Name � � C n rn NEW CONSTRUI ION REPAIR Telephone# � 51 en'{ ( Slopes(ga) l t) ' Surface Stones NOP7 Q Land Use Distances from: Open Water Body,> �&8 k Possible W.et Area Z S�ft Drinking Water Well Drainage Way ft Property Line r ft Other ft SKETCH:($treet name,dimensiods of lot exact locations of tf,t holes&perc tests,locate wetlands in proximity to holes) S I � A TE0 07'l 4`07 ..i A. - parent material(gedlogic) `�C I ��" s h Depth to Bedrock ' . I Depth to Groundwater- Standing Water in Hole: i "` Weeping from Plt Face n Estimated Seasonal'lligh Groundwater 11���� � DtT- ER v1IN TION FOR SEASO�vAL HI.GE�WATER TAELE Method Used: --�-- ± Depth dbaerved standing in obs.hole: in. Depth to soil mottles: Depth toiweeping from side of obs.hole i it1. .Groundwater AdJugtment tt L Index Well# Reading Date index Well level .. Adj.fadtor,,,._,s. AtQ.f)rnundwnter Level.,,e . PERCOLATION.TES' Date /3 Time / 0 Observation 2 , Hole# Time at 9 \� 7 \\ Depth of Perc Time at b" S ,� _ Start Pre-soak Time.C 13 I Time(9 -6n) End Pre-soak 1 I31 i �. i PA Rate MinJlnch c. Site Suitability Assosment: Site Passed._ Site Failed:. Additional Testing Needed(YM) OriginaPublic Health Division Observation Hole Data To Be Completed on Back l . --- ***If percola#6n test is to be conducted within 100' of wetland,,-You must first notify the Barnstable 6 servation Division at least one(1)wedk prior to beginning- - S DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other .Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsis enc %Gravel LoA, 0 /b. pc lal i AGSf tvLP �rt c-Ue �.S IptLap,�N , r-aAvtc_r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsistenc %Gra el it q Al y 22 /3 2' Ml>:�l�rl j 2. �/ �xn'e rah✓l�,r DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ons istency. o Gravel DEEP OBSERVATION HOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. nsisten ra i Flood Insurance Rate Map: Above 500 year flood boundary No— Yes Within 500 year boundary No )( Yes t Within 100 year flood boundary No Yes i Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist.in all areas observed throughout the area proposed for the soil absorption system? _ P S --_ i If not,what is the depth of naturally occurring pe ious material? J Certification I certify that on 0 (date)I have passed the soil evaluator examination approved by the Departm f Environmental Protection and that the above analysis was performed by me consistent with the required tra' i expertise a d experience described in 3,10 CMR 15.017 Signature Date Q:\SEPTICVERCFORM.DOC h a COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION ONE WINTER STREET,BOSTON MA 02108 (617)292-6500 TRUDY CORE Secretary ARGEO PAUL CELLUCCI Governor DAVID B.STRL'HS SUBSURFACE SEWAGE DISPOSAL SYSTEM WSPECTION FORM Comnuss:oner PART A / CERTIFICATION Property address.oZ)- ve5to, C �-e_ Nsmte of ownari-e,Pi�l: r ��I��o,✓►��5 f 4r4n rS' 10,1 00260/ Address of Owner:d-a- WP 4-0,-7 T Date of Inspection: 3_IA- 00 � Name of Inspe tor:(Please P*W M01Ir O am a DEP a�pr system inspector ptwsuartt to Section 15.340 of Title 51310 CMR 15.000) Company Narme: eAV-Z — ']�GC _� D N MaBing Address: PO sox is of-- was f�.M /19�► oar . Teisphoere Numtber:(SU�+J �,5�,-- �I 7G 9 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 Conditionally Passes Needs Further Evaluation By the Local Approving Authority Fails ` Irtspector's Signature: Data: _?` 12--62 The System Inspector shal submit a copy of this Inspection report to the Approving Authority(Board of Health or DEP)whNn 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 ow p Y mar shall submit the report to the appropriate regional office of the Department 9K-nvironmental Protection. The original should'be sent to-Vw system owner and copies sent to the buyer, If applicable, and the approving authority. NOTES AND COMMENTS / I—Coo pv)e'tls av^2, WO✓ I)�inS �IrO�OQ✓�I1� P �e � v7 J f�e_eA� 1 rye Q��s�?oo revised 9/2/96 P age 1 or n 1; Pnmed on Rec.w.)ed Paw, SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CFATF"TION laud) o2oZ wes � Crr /150014rj Property Address: ��11 Owner: Tie n e)-iee, lam+i1 r A h f Dace of kUP000en: 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 16.303 exist. Any failure criteria not evaluated are Indicated below. COMMENTS: B TEM 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. indicate yes, no, or not determined(Y, N, or NO). Describe basis of determination in all instances. If "not determined", explain why not. _ 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 exfiitration,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. _ Sewage backup or breakout or high statle water level observed in the distribution box is due to broken or obstructed pipets) or due to a broken, settled or uneven distribution box. The system will pass i spection If(with approval of the Board of Health). �0 �jG�Glj-u� • /l�V Lei �s� broken pipets)ore replaced obstruction Is removed COW)� 01 0LoiDSe C11407 v �~ distribution box is levelled or replaced _ The system required pumping-mom than fourifines a yeardue to broken er vbstrocted pipe(s). The a►slem wi(tTfflff" inspection If iwith approval of the Board of Health): broken pipets)are replaced obstruction Is removed :eVised 9/2/98 Page 2orn SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) oPertYAddreas. l✓_ 25� ,� C i ^ C44 i 410 ©.(�0 / Owner: 1j15�HrlifCr Will icr#" s Date of Inspection: ,_7—lak-00 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 W ACCORDANCE WITH 310 CMR 15.303 01(b)THAT THE SYSTE IS NOT FUNCTIONING IN A MANNER WHICH.WILL.PROTECT THE PUBLIC HEALTH AND SAFETY AND THE ENWBONMEKL 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 I: FUNCTIONING IN A MANNER THAT PROTECTS THE PUBLIC HEALT44 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 tl 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 (approximation not vaNd). 3) OTHER revised 9/2/98 Page 3of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property A7dd�es rs: Z-1 �,/e,5 v`7 `�I r ! GNYI/f 4%� ©v f7 Owner: ,/6NN1Tei^ �✓��'IGN7! Date of Inspection: J l�C O0 D. SYSTEM FAILS: You,must indicate either "Yes" or "No" to each of the following: 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 _ `✓� Backup of"wage into leciliv"r-s"tent component* on overloaded or�clagged SAS-at cesspool. �-- V 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 1/2 day flow. Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipels). Number of times pumped_. Any portion of the Soil Absorption System, cesspool or privy is below the high groundwater elevation. _ Any portion of a 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 I 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. If the well has been analyzed to be acceptable, attach copy of well water analysis for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. 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 the system is within 400 feet of a surface drinking water supply the system is-within 200 feet af�t+il +tary�o a eurfaoa drinking wate►.supply _ . __ _ the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone 11 of a public water supply well) The owner or operator of any such system shall upgrade the system in accordance with 310 CMR 15.304(21. Please consult the local regional office of the Department for further information. revised 9, 2/98 Page 4or11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B 1 / CHECKLIST J Property Address: V'X Ve5 `�I `� 41�aNv1rf //lGr 0A60 Owner: V evinr r (�/���IG✓'71 Date of Inspection: Check if the following have been done: You must indicate either "Yes" or "No" as to each of the following: No Pumping information was provided by the owner, occupant, or Board of Health. 1f _ None of the system compoaents.haw&men pumpadWoratJoest two%ve"s a&the system hasbaaoasceiriog aws=at.flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. _ As built plans have been obtained and examined. Note if they are not available with NIA. The facility or dwelling was inspected for signs of sewage back-up. _ The system does not receive non-sanitary or industrial waste flow. V The site was inspected for signs of breakout. ]L� _ All system components, excluding the Soil Absorption System, have been located on the site. _ 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: _ Existing information. For example, Plan at B.O.H. Determined in the field (if any of the failure criteria related to Part C is at issue, approximation of distance is unacceptable) 115.302(3)(b)) The facility owner(and.occupaws.if differeW from-owner)..waraproW d.wilh infottnationon thw__T_r, wjnaintanaoa--f Subsurface Disposal Systems. revised 9/2/98 PagccofII SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: h Owner: 7-e N H,-/eo- �l�I f� ✓1� Date of Inspection: .j'Id, — 00 FLOW CONDITIONS RESIDENTIAL: Design flow: JIL9 g.p.d./bedroom. Number of bedrooms(design): Number of bedrooms(actual):_3 Total DESIGN flow 3>O Number of current residents: Z Garbage grinder(yes or no): VO Laundry(separate system) (yes or nol: � If yes, separate inspection required Laundry system inspected ,(yels or� Seasonal use(yes or not:�''� Water meter readings,if available(last two year's usage(gpd): Sump Pump(yes or no):_& Last date of occupancy: -U-06 COMMERCIAL/INDUSTRIAL: Type of establishment: Design flow: qpd ( Based on 15.203) Basis of design flow Grease trap present: (yes or no)_ Industrial Waste Holding Tank present: (yes or no)— Non-sanitary waste discharged to the Title 5 system: (yes or no)_ Water meter readings,if available: _ Last date of occupancy: OTHER:(Describe! Last date of occupancy:_ GENERAL INFORMATION PUMPING RECORDS and source of information: P��s 0 Gi/'LT 16 t✓` System pumped as part of inspection: (yes or no) If yes, volume pumped: gallons Reason for pumping: TYPE 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) I/A Technology etc.Attach copy of up to date operation and maintenance contract Tight Tank Copy of DEP Approval Other 99 qq �Q APPROXIMATE AGE of all components, date installed{if known)-and source Of4Mer"ation: Sewage odors detected when arriving.at the site: (yes or no)/!v revised 9/2/98 Page 6of II SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: I�G r1 N 1.( /'!Gl t?' �©I . Owner: a ✓1 r T C r [All (0)v"t s Date of Inspactiion: -7- o BUILDING SEWER: (Locate on site plan) �t Depth below grade: Material of construction: Xast iron 40 PVC_other(explain) Distance from private water supply well or suction line Diameter_lo Comments: (condition of joints, venting, evidence of leakage,-etc.) SEPTIC TANK:_ (locate on site plan) J Depth below grade: Material of construction:_concrete_metal_Fiberglass _Polyethylene_other(explain) If tank is metal,list age_ Js.age.confrrmed by Certificate of Compliance_(Yes/No) Dimensions: Sludge depth: Distance from top �sludge dge to bottom of outlet tee or baffler _. Scum thickness: 90 j Distance from top of scum to top of outlet tee or baffle-.— Distance from bottom of scum to bott of outlet tee or affle:� How dimensions were determined: 40m . c'evic f, Comments: (recommendation for pumping, condition of inlet and outlet tees or-baffles, depth of liquid level iq relation to outlet invaC -structural-integrity, evidence of leakage, etc.) ��� tJ��'��p�S i 4 Gro,Je /(�'�n L rat em N►! -v (N✓h i!I B fl GREASE TRAP: (locate on site plan) Depth below grade:_ 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: 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.) revised 9/2/98 Page 7of11 SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATIO (continued) Property Address: , Owner: .Te of I.tce.� w, 1 I a el f Date of inspection: 3- ld- o o TIGHT OR HOLDING TANK: (Tank must be pumped prior to, or at time of, inspection) (locate on site plan) Depth below grade:_ Material of construction:_concrete_metal_Fiberglass_Polyethylene_otherlezplain) Dimensions: Capacity: gallons Design flow: gallons/day Alarm present Alarm level: Alarm in working order:Yes_ No_ Date of previous pumping: Comments: (condition of inlet tee, condition of alarm and float switches,etc.) DISTRIBUTION BOX:_ (locate on site plan)Depth of liquid level above outlet invert: to/'W � Comments: ,! (note if level and distribution is equ a id ce of solids carryover, evidence ppfl leakage into or out of oz, etc.).L—o c r.t 'O i urn V C ^.0 /YO L✓B✓ev- v ✓1_ r Q � PUMP CHAMBER:_ (locate on site plan) Pumps in working order:(Yes or No) Alarms in workina order(Yes or No) Comments: (note condition of pump chamber, condition of pumps and appurtenances,etc.) revised 9/2/96 Page 8of11 r SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Prope►W Address: dU- INe54.-, �;;� 901 61,14 X-, 0 A go 7 Owner: J eejgj+P.,. Date of Inspection: -t�-0 0 SOIL ABSORPTION SYSTEM(SAS):_ (locate on site plan, if possible;excavation not required,location may be approximated by non-intrusive methods) If not located,explain: Type: leaching pits, number: I leaching chambers, number:_ leaching galleries,number:_ leaching trenches,number, length: leaching fields, number,dimensions: overflow cesspool,number:_ Alternative system: Name of Technology: Comments: (note condition o soil, signs o hydraulic failure, le el of pondin damp soil,con ¢ion of/vegettti nn,, etc.) S V J1h to CiGIItI�WQi• Q�, l "' �C�� . J 'v Ke C �� Al O /J t r. i/1 G O/� ✓tin SU l • CESSPOOLS:_ (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(cesspool must be pumped as part of inspection) 0 Comments: (note condition of soil, signs of hydraulic failure,level of pending,condition ef.vegetation, etc.) PRIVY:_ 1locate on site plan) Materjels of construction: Dimensions: Depth of solids: Comments: (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation;etc.) revised 9/2/98 Page 9of11 J / SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C / SYSTEM INFORMATION(continued) h CISG�hIS /ply Property Address:, Ives _ ) Owner: Te✓th,74r., I�✓1/llc-,o7f Date of Inspection: 3- (d, -� 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) ,-3 revised 9/2/98 Page loorn ° SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(corttinued) Property Address: Owner: ��61 rl r /'1- �✓f��if GZ�'7 s Date of lnslibc6m: .3- /A. 0'0 NRCS Report name Soil Type_ Typical depth to groundwater USGS Date oe visited Observation Wells checked Groundwater depth: Shallow Moderate Deep SITE EXAM Slope Surface water Check Cellar Shallow wells Estimated Depth to Groundwater 16 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 I�Checked local excavators, installers r/ Used USGS Data Describe how you established the High Groundwater Elevation. (Must be completed) �7L � �0�✓ G�'c. Ceo ol re m 7—v►ie- — G revised 9/2/98 Page it or it j LOCATION SEWAGE PERMIT NO. d% 7 _— _—_ 3- 7 PILL GE IN l 'S NAME i ADDRESS BUILDER OR OWNER DATE PERMIT ISSUED DAT E C. O " P.LIANCE ISSUED ZZ �e�� r d ha „V C ,..11 No... ....... Fps.. ..............W THE COMMONWEALTH OF MASSACHUSETTS BOAR® OF HEALTH J ...........Town.................O F............ a.rns tabl e----------------........._...----._........... Appiiratilan for Uispaaai Works Tnnitrnrtinn Vrrm.it Application is hereby made for a Permit to Construct (X) or Repair ( ) an Individual Sewage Disposal System at: , ..........Lo t l.....................A6-`.......�ii<r.% .--•---•- ----------------------- X1]Cl'.�,�a MA..._..... ................. - ocat' n-Add s or I.ot No. Capricorn lea'�tyirust 76,E Falmouth Road...Hyanns.,.•_•••._.••-__ , - - •- - w Steve Lebel Owner Address Installer Address Type of Building Size Lot............................Sq. feet Dwelling—No. of Bedrooms..........3..............................Expansion Attic ( ) Garbage Grinder ( ) pa, Other—Type of Building _ranch....._..... No. of persons............................ Showers ( 2) — Cafeteria ( ) P., Other fixtures ......................................... - - ..-- w Design Flow.............55.........._..........___gallons per persor�,pie day. Total daily flow............. 3Q...................... WSeptic Tank—Liquid capacitl000_gallons Length ...'_ ...._. Width................ Diameter................ Depth__7_=.8'0_.. x Disposal Trench—1No. .................... Width .................. Total Length.................... Total leaching area.....................sq. ft. Seepage Pit No----- Diameter.___..__.___.__..... Depth below inlet.._.6.._....__..__ Total leaching area.....266....sq. ft. Z Other Distribution box ( ) Dosing tank ( ) Percolation Test Results Performed b EI,dredge.—Enginear Date.. mp- mal............. Test Pit No. 1�._2' ..minutes per inch Depth of Test Pit-----_ .!....... Depth to ground water.Ina e....encoUnteE— N A minutes per inch Depth of Test Pit_N..:A.......... Depth to round water....-. .a-_----____. e f=, Test Pit No. 2.... P P P g O Description of Soil....-------•----•9... .....------2_0=..&....topBaii..•------•--------•-•-•-••-------------------------------•-------..........------ 10.......medium..Y.-ellpw__sand W ----•----•-------------------------•---•-'---10•--------•1-�--------med..._white...sanci%traces Q Yel�x�o v .ter.__at 12' UNature of Repairs or Alterations—Answer when applicable............................................................... -••--------••-•---•--------•----------------------------------•--••--------------------•-•--•--.......--••--......---------------...-----•----_...........-----......---------...................•----- Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of SITI-2 5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliancebas been is ed b the boa d of health. 1gne. = 3 ApplicationApproved By...... .....W .........---...--••-----------------------------------•--.................------ ... ---- Date Application Disapproved f t following reasons!................................................................................................................ -•.......-•---•-----•--------•-•--••....................•---------------------•-•---•-------------..--•--........---------•••--------------••--......•--•••....:----.................................... Date PermitNo......................................................... Issued...................................................... Date ` 7, r j FEa. k ' THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH ' ..-----.....T..own..................OF..........Be,rns.ta.ble............................................... App tratiou for Disposal Works Tuttstrurtion ramit `Application is hereby made for a Permit to Construct (X ) or Repair ( ) an Individual Sewage Disposal System at: �- .........7.to tti_ .._. ... :fir r..;.=....------------- -• .... �I I $r 1V(�1............................................ i Location-Address or Lot No. .. lmu.._�rtst th• . Owner - a ..Roadr_.. Lyann3s.................. Address a Steve Lebel Installer Address d Type of Building Size Lot............................Sq. feet Dwelling-No. of Bedrooms..........3--------------------------------Expansion Attic ( ) Garbage Grinder ( ) Other—Type of Building X2MCh............. No. of persons............................ Showers (2 ) — Cafeteria ( ) QOther fixtures --------------------------------------•--------------------•-------------••-•---•-•-•----•-••--•------....--•-----•-------.._.....---.........- Desi Flow..........................................gallons per person per day. Total daily flow------.-_--_.. w � 55 g P P P Y Y 3.30---•-•---------••------gallons. WSeptic Tank—Liquid capacitjAQQ...gallons Length8.:_.6______._ Width4...10.".. Diameter................ Depth.-_'�_.B_..__._ x Disposal Trench—No..................... Width.................... Total Length-------............. Total leaching area....................sq. ft. Seepage Pit No._A............... Diameter...6..._..._..... Depth below inlet..6!............ Total leaching area.... 66___ sq. ft. z Other Distribution box ( ) Dosing tank ( ) t. '-' Percolation Test Results Performed by----Eldred a---En lneerin Date.lI. 2. -41---------------- a Test Pit No., ---minutes per inch Depth of Test Pit._t2k.!......... Depth to ground_N waternone...BnCOunte - PLO Test Pit No. 2_ �A.._..minutes per inch Depth of Test PitN/A----_---_-- Depth to ground water-__ A_._.___._... er a ......................................................... { ODescription of Soil................C- ....,a... !---......102M__4...U:D9Gl1.................................................................................. s U --------•----- ...........................2. 1D....----medium.--yrel.law...sand----------------------------------------------------------------------- - ----------------------------------------`----10-=---- 1.2' med, white sanc tra bed a ' g. . vel�r�a wa#e at 12 U Nature of Repairs or Alterations—Answer when applicable............................................................................................... t ----------------------=------------------------------------•---•--------------------••-•-----•--••-•----•----------------------------•--------------•--------------------------------•------------ Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of TTI.-• -5 of the State Sanitary Code—The undersigned further agrees not to place the system in operation until a Certificate of Compliance h _ ee, issued by the board of health. r /i ApplicationApproved By....- =---•----------••...........................•------------...........•-------•- ....................................... Date Application Disapproved for e) .lowing reasons------------------------------•-------------------------•------------------------•---------------------•-•------ ...---------•--.....................................................•-------------------------`.......................................... Date PermitNo.......................................................- Issued....................................................... Date THE COMMONWEALTH OF MASSACHUSETTS d BOARD OF HEALTH ..........Town..............OF..........Bam s-t ble.......................................... Tatifiratre of 101uutpliuurr THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed (X ) or Repaired ( ) by......... -teve---Label--------------------------------------------------------------------------------------------------------------------------------------------- ............. r / _ Installer at..........L -4©. _. �----/ �/1 �S_ s�--- - <......................................... t� --------- has been installed in accordance with the provisions of TIi'Ii e€ ;Le State Sanitary Codd a chin the application for Disposal Works Construction Permit No................:........:............... dated---------------:_ ............................. e THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTR D AS A GUARANTEE THAT THE SYSTEM W L NCTION SATISFACTORY. DATE..-,,?..a../..X�-...---•................•----------•---•----•---•---.._.. Inspector-- ` THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH 7 .....To .........................OF...........Ba stab-lo---------•--------...........-----........ No........................ wn FEE........................ Disposal Vorkv Tutts#r uau rrutit Permission is hereby granted.........Steve---LerbL*l-..-__._-----._ .. to Construct ) or Repair ( ).an Individual Sewage Disposal System at No. LQ _.� r�._ .r.. �_: �_1_ .....-------------------- "" Street ' g, .. " .. as shown on the application for Disposal Works Construction Permit No-----_. ..................................------_ .... ...................................................... e� B rd of Health DATEG ..... � -••--•-•----------•--••--- FORM 1255 HOBBS & WARREN, INC., PUBLISHERS - - Iao, w rc)Ti4 s .P. f i Of MHO' 1 c4t. 90 r 42 o.29874 0 G. 8T y0 SUkk R��' E Aj iM IL 01- 2 0.4 a' 15,E �C � �rJ ��4 LoT & i Cn E.L CD . SPOT ELEVATION ®x® �aFr�ry S C�ERTI+FIED F Lt�`�" PL14P1 EXISTING _... ..� EXISTING CONTOUR --- 0 ---- /a A' m LD '� FINISHED SPOT ELEVATIOON �RSE N /`//f* /f�'.' /S FINISHED CONTOUR No.10951�4 ;v 1 N ,I APPROVED , BOARD OF HEALTH °Q DATE AGENT SCALE, / 3o DATI= � : '2 d.DREDCE ENGINEERING Ca n7v CLIENT 2""" 1 CERTIFY THAT THE PROPOSED EOISTERE REGISTff JOB. NO.�r z`.� S BUILDING SHOWN ON THIS PL AN CIVIL LAND CONFORMS TO THE ZONING LAWS ENGINEER SURVEYOR -------� OF BARNSTe>18 E , S3. 712 MAIN STREET. CH. BY H Y A PJ N IS, MASS. - 2. 4qAE 82SHEET� OF R G. LAND SURVEYOR a NOTE /F EITHER THE SEPTIC 7-,4,V/< OR 20 FT. M/N. %Ef{CN/iYG P/T ARE MORE 7-/J q.A/ /2"BELoj&V i /O PT• M/N• rRAOE� A 24'O/.4METE�' CONCRETE COi/ER SHALL gE aROUGNT To 4�TA OZ.6-+IN EXTRA CO/VCRL'TE 9'PYC P/PF tIEAVy CAST /RO/Y COVER SNAL [L DE USED EL= 98. o COVERS PITCH. IF/N OR/VEyNAy =;' 2 J MGM. G'ONC.eL TE _:d 1 G AOE COVER . C L EA iV .SA N.D 4• _ 2�LAYER 4"CAST ""•" /R01V P/PE GAL. o v o OF 118 -J18 TGX MI Al P/ D/ST, o• i • • a • • e •4 t WASHEO S7T0NE SEPTIC TANK BOX o • " e B • • • • • a :•• ••' ♦ b EFFECT/VC . � • • • OFPTt/ • e • • ; v o WAStI,FO STONE 470 -7 8 i a. . • o • • • • • • • Atp ••v PRECAST SEEPAGE 1,VVCA r ELEYA7-1ajvS PI T Ctt/�•9G/?� � �` �-c� a • •' r • • • • • • • � w o ?!T OR EQU/V• /NYERT"AT EU/LDING 9 5.O FT. `94.o T !O FT. OIAM. �C(SEE TABL/LAT)OAv) lM SEP LET TIC .T. N 4K F . OUTLET SEPTI C TANK 9 3- B. FT. INLET OlSTRIBI/T/ON BOX 3:Co FT GROUND. W,4TEi•C TALE :. SECT/ON.OF' OUTLETD/STIZ/®UT/ON BQX 13. 4 F7► `INLET L.EACHIMG .10-/7' 92,5. FT .SEWAGE ACVJ/PO SSA L .SV.S r&," - LEACHIlVa P/T Ti�B�I��A?`!DM SCALE %4~ _ =O~ . DIMENSION A G FT D,asla,v CR/TAfd/A D/.a.Flvs/ow a FT• wu�+>'8ER OFb4EVRoOMS 3 D/MENNSION G `l FT. �/l' GAR6A6Z o/SPOSAI.uNI r .SOIL 7,057 TaTAt ezrrimATE0 FLOW 33 U G.4I..IVAY SOIL TEST #/ SOIL rEST02 r NUMBER OF LEACNl/VG PITS_ I-ELL'•K I r"ELFY, GATE Gl:'' SOIL. TEST Z,// 7/��-2 { S/DE LL'ACH/NG PER P/TSC� R7. RESULTS H/IT/VESSED BY</IZ C- J/9 co�3 O. t 90TTOM L164CNING PER PIT .7 SQ. F7" L v c PCRCOLA7-/0N /LATE Af/ L��S'S MINy'/NCH TOTAL LEACH/NG A/@EA Z.b SQ. FT. — Sv S rL PEleCOLAT/9/YR.A7Z iC s}tts MIN.�INCII RESERVE 4EACNIN6 AREA �' SQ. FT. - / O KE7F Sot L rE s, r-A' P - t 5 4-7 r J\ of MgsJ� to'- iz_.' f7 cn tU .�'ORSE N� EVDG/✓GG a No.10951 0 1Ja c,,���E 51.DRED49E ENCrI NAERINCY CO,J YC- �, �QygygK�p� �ocCCISTE�� E:L '7U ( 7/2 1►1A/N sr. , f/YANNIS. MASS, SURS FSS�GNALEt IVO GROC/N�7 kV.4TER ENC0U1VTLreEo CL/ENT:FRsw-co Pq-rE iIT Q GROUND yvATE.Q AT ELE6/ SHEET?-OF `2_. LEGEND OF M sD, s PROPOSED CONTOUR E y� p SODA� Az PROPOSED SPOT GRADE DR o o 3 d 40 No '140 "' --98 -- EXISTING CONTOUR c c, 600 ,�j + 96.52 EXISTING SPOT GRADE LA - NGI AR W EXISTING WATER SERVICE 800 Q l TEST PIT o oQ 14 A' 3 y - _60 = PATH v v ---_ - 59 32S o Nc 3 ft LOCUS MAP N.T.S. 60—{ LOT 7 — t i GENERAL NOTES: \ f� ° AREA = 11677 sf / ice. _ / 1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL I I BOARD OF HEALTH AND THE DESIGN ENGINEER. T 1 ° I �} �� appro.9�s �rVf 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE \ �5. ° I ,58 WESTON LOCAL RULES AND REGULATIONS. 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE DESIGN ENGINEER..,e 1 i r C I R C C 4. ANY CO DITIONSENCOUNTERED DURING CONSTRUCTION DIFFERING �c TH-2 I O \/ �, 4 FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN I -3 i _ ENGINEER BEFORE CONSTRUCTION CONTINUES. 6 0�\ i \\ O _ 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. 9 — i \'• \\ /� I 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF \ �� THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 1 t9 Z , ,S HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. �' 6 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. \ \ Fp 8. ALL AREAS DISTURBED DURING CONSTRUCTION SHALL BE RESTORED TO A CONDITION AGREED UPON BETWEEN OWNER AND CONTRACTOR. 9. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING X CONSTRUCTION. 56 10. EXISTING LEACH PIT TO BE PUMPED, CRUSHED AND REMOVED \\ I \\ Q P \\ i i " 11. 48 HOUR NOTICE FOR ENGINEER CERTIFICATION BENCH MARK \\ 1 \ I \\\ \\i i 12 THIS PLAN IS AND IS NOT TOOBE CONSIDERED A P BE USED FOR TROPEIC RTYE LINE U RPOSES ONLY SURVEY. \ \ WHITE PAINT SPOT � ,. \ \\ \\ I i\\ i 13. NO PRIVATE WELLS WITHIN 150 FT. OF PROPOSED LEACHING ELEVATION = 57. 95 59 54 14. BARNSTABLE GIS DATUM \ \ \ \ tl \ \\ \\ \ \ \ 15. ALL PIPING TO BE 4" SCH 40 0 1/8"/FT (UNLESS SPECIFIED OTHERWISE) 16. THE DESIGN OF THIS SYSTEM DOES NOT ALLOW 52 a FOR THE USE OF A GARBAGE GRINDER 17. NO WETLANDS WITHIN 100 FT. OF PROPOSED LEACHING Existing Leach Pit (See Note 10) 52 PLA N `54 SCALE: 1 in `= 20 ft \\ S6 20 0 20 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 40 22 WESTON CIRCLE, HYAN IS, MA `S8 0 10 20 Prepared for: Arch Constructiori� SURVEY REFERENCE: \ i! MAP.' 271 Engineering by: Surveying by: SCALE DRAWN DATE \: LOT. 187 DARRENM.MEYER,R.S. rco—Tech hhvirommeatsl CERTIFIED PLOT PLAN BY JOHN ELLIS, RLS LCA#.•157568 PO Box 981 L (508) 364-0894 1 =20' DMM 12/28/06 DATED: JANUARY 5, 1983 EASrsavowrcH MA 02537 REV. DATE CHECKED SHEET NO. 508-3622922 07/14/07 DMM 1 Of 2 ELEV. TOP FOUNDATION (Existing) 59.52 A�F.G.EL: 58.0 F.G.EL• 58.0 F.G. EL: 59.0 FINISH GRADE= 59.5-59.0 MAINTAIN 2% MIN SLOPE OVER LEACHING AREA COVERS TO WITHIN 6 OF GRADE s" INSPECTION PORT W/IN 6" OF FINISH GRADE L .A 6„ 4„ SCH 40 PVC } t > L = 5' �� o 0 0 0 0 0 0 0 0 0 0 0 10"I S= 1� MIN. (MIN.) TEE'S ARE TO BE 14" ( ) 6 0 S= 17. (MIN.) A _ 4" SCH 40 PVC fl" INV.56.34 INV.55.95 r (. INV.55.75 ° ° ° ° EXISTING OUTLET GASJ PROPOSED DB-3 0 0 0 0 0 0 0 0 0 0 0 o BAFFLE H-106 DISTRIBUTION BOX Agar 25' INV. 56.59 EXISTING 1000 GALLON SEPTIC TANK NOTES: 1) CONTRACTOR SHALL VERIFY ALLY, EXISTING PIPE INVERTS PRIOR TO CONSTRUCTION ntr>ar r 9" MIN. 2) D-BOX SHALL BE SET LEVEL AND TRUE TO PER TITLE 5 GRADE ON A MECHANICALL COMPACTED SIX Of MAS`S9 INCH CRUSHED STONE BASE, AS SPECIFIED IN BREAKOUT EL = 56.20 3� y 310 CMR 15.221(2) INV. ELEV.=55.70 o D R 3) REPLACE EXISTING 1,000 GALLON SEPTIC TANK WITH 1500 GALLON SEPTIC TANK24" " eoumE.wuwm 0 "' IF FAILED, DAMAGED, OR UNDERSIZED. wave 30.5INI�ERT SEPTIC SYSTEM PROFILE 4) INSTALL INLET & OUTLET TEES AS REQUIRED BOTTOM EL= 53.70 - I C/STEM (-48„ 50» 8» �NI TAR�P� SEPARATION 5.50 FT. I. 146" I INFILTRATOR 3050 SPECIFICATIONS BOTTOM OF TH-1 EL: 48.2 SOIL ABSORPTION SYSTEM (SECTION SOIL LOGS DESIGN CRITERIA NUMBER OF BEDROOMS: 3 BEDROOMM DATE: JULY 13, 2007 SOIL TEXTURAL CLASS: CLASS 1 (0.74 GPD/SF) SOIL EVALUATOR: DARREN MEYER, R.S., CSE DESIGN PERCOLATION RATE: <2 MIN/IN DAILY FLOW: 110 G.P.D. HEALTH AGENT ° WITNESS: DONNA MIORANDI DESIGN FLOW: 30 G.P.D. GARBAGE GRINDER: NO (not designed for garbage grinder) INLET END Elev. TH-1 Depth r Elev. TH-2 Depth SEPTIC TANK: 330 gpd x 2 = 660 gpd USE EXIST. 1,000 GALLON SEPTIC TANK (OPEN) 59.3 A 0" 59.2 A 0" (330) = 445.94 S.F. LOAMY SAND LOAMY SAND LEACHING AREA REQUIRED: 1OYR 3/2 10YR 3/2 .74 4.5"DIA ACCESS PORT FOR INSPECTION. 58.72 B 7" 58.53 a 8" USE THREE (3) INFILTRATOR 3050 UNITS WITH 4 FT. STONE LOAMY SAND LOAMY ON THE SIDES & 1.3 FT. STONE ON ENDS: 25' L x 12.16' W x 2'D 10YR 5/4 10YR 5//44 BOTTOM AREA: 25 x 12.16 = 304 SF 57.22 Cl 25" 57.37 Cl 22" SIDE AREA: (25 + 12.16) X 2 X 2 = 148.64 SF } TOTAL SQUARE FEET PROVIDED = 452.6 vs. 445.94 REQ'D " 0 " " 0 " " " DESIGN FLOW PROVIDED: 0.74(452.6 S.F.) = 334.95 G.P.D. vs. 330 G.P.D. req'd " Y " a o .PERC 0 55.20 F PROPOSED SEPTIC SYSTEM UPGRADE PLAN MED. SAND MED. SAND INFILTRATOR 3050 2.5Y 7/4 2.5Y 7/4 22 WESTON CIRCLE, HYANNIS, MA Prepared for: Arch Construction NOMINAL.. CHAMBER SPECIFICATIONS Engineering by: Surveying by: SCALE DRAWN JOB. N0. 49.3 120" 48.2 132" DARRENM.MEYER,R.S. Soo-Tech EnvhwnmenW N.T.S. DMM SIZE (W •x` H -X L) 51 X 30 X 85.4 PO BOX961 (508) 364-0894 WEIGHT,, 80.0 LBS. PERC RATE <2 MIN/IN. ("C" HORIZON) PERC RATE <2 MIN/IN. ("C" HORIZON) F�asrsANDwicH MA02537 DATE CHECKED SHEET NO. NO GROUNDWATER OBSERVED NO GROUNDWATER OBSERVED 508-352-2922 07/14/07 DMM 2 Of 2