HomeMy WebLinkAbout1277 BUMPS RIVER ROAD - Health r 7-77 8vt?-s Rivet RJ
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`L;OCATJON� SEWAGE PERMIT NO.
VILLAGE _ J
P-e l -e y a,
INSTALLER'S //NAME i ADDRES
/T V C 7, 4
t U I L 0 E R OR OWNER
ftjA---
DATE PERMIT 1
SS Y E D
DATE COMPLIANCE ISSUED
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TOWN OF BARNSTABLE 1
LOCATION / 277
73k t, XSEWAGE
VILLAGE C45.t/%4z X P1 l e
ASSESSORS MAP 6z LOT`jf' cl7,;&"
INSTALLER'S NAME & PHONE NO.N/Lc,4j
SEPTIC TANK CAPACITY / S y S'T
LEACHING FACILITY:(type) 7,: �/%f (size)
4
NO. OF BEDROOMS PRIVATE WELL OR PUBLIC WATER/i
' BUILDER OR OWNER n
DATE PERMIT ISSUED:
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOAR® OF HEALTH
TOWN OF BARNSTABLE
App iration for Diipngttl Evrbi Ta mitrnrtinn lirrutit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage Disposal
System at:
Location-Address or Lot No.
......................—.........................................................................1 ------------------------•-----------•-- -----------------------••------------------•------------
Owner ��j� � M ...._Address
Installer Address
UType of Building Size Lot............................Sq. feet
., Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
aOther—Type
of Building -----_-_----•----__ ...... No. of persons____________________________ Showers ( ) — Cafeteria ( )
-CC Other fixtures ----------------------_-- .----------------------------------------- -------------- -------. ....................................................
W Design Flow--------------------------------------------gallons per person per day. Total daily flow..-:----------------------------------------gallons.
9 Septic Tank—Liquid capacitv------------gallons Length-_.----_-_-._- Width---------------- Diameter---------------- Depth................
Disposal Trench—No_ ____________________ Width____--.-__--_____- Total Length.------------------- Total leaching area....................sq. ft.
Seepage Pit No...................... Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed by......... --------------------------- .................................... Date........................................
Test Pit No. 1----------------minutes per Inch Depth of Test Pit-------------------- Depth to ground water........................
f14 Test Pit No. 2................minutes per inch Depth of Test Pit--._-_.----_-______- Depth to ground water........................
Ri .-------••--------------------------•---------•------------•-------•--------••-..................•..••.
0 Description of Soil............................................................................:..........................................`-- ---------------------------------.-----•------
"�
W
x •-•............ .......................•---••--••-----------------•... ------------------------------------- ------------------ ....................................................
U Nature of Repairs or Alterations—Answer when applicable.-_--- _.. .4-_�c_____1f/P.. .._7' ....7 L.�___._.."f -•-------
ui..i 1�-------E� ...........................................
c5 _..------------------- -------------------------------•••-•-••-••----•----•.....------.....
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code —The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued y th oard of h alth.
Signed - err - - ���... /
q..._
Dare
Application,Approved By ............0
Application Disapproved for the following reasons: . .......................... ..... ..................... ._.:-----------------------..----------------------------
...---------------------------------------------------------------------......------.--------------.._....._...__-----..... ....._.......................................................... ........................................
Date
Permit No. ..... —-------102.6 ---------------- Issued .. _.._...............
Dace
No.._ls=-- ...........
THE COMMONWEALTH OF MASSACHUSETTS
"'BOARD OF HEALTH
TOWN OF BARNSTABLE
Applirativit for Diripniul Workii C omitrurtiou ramit
Application is hereby made for a Permit to Construct ( ) or Repair ( an Individual Sewage'Disposal
System at:
...............................
Location tion-Address
or Lot No.
.......................•........................................................................... .....------------------•-•-•-•----••--•------•---••--•----••-••--•-----........................•..
Owner Address
• W �� � � �ic.f' y/,9..I,'ram � ----------------------------•-•--••-•------
Installer Address
UType of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms--------------------------------------------Expansion Attic ( ) Garbage Grinder ( )
14
P4 Other—Type of Building ............................ No. of persons---------------------------- Showers ( ) — Cafeteria ( )
Q' Other fixtures ------------------------------- - -
W Design Flow--------------------------------------------gallons per person per day. Total daily flow------------------------ ...................gallons.
WSeptic Tank—Liquid capacity..........--gallons Length---------------- Width..-..-.--------- Diameter---............. Depth................
x Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area....................sq. ft.
Seepage Pit No--------------------- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank
Percolation Test Results Performed by-----------------------------------••--•----•----•-•-•--•-------------•••• Date........................................
Test Pit No. 1................minutes per inch Depth of Test Pit.-_------._.._-.--. Depth to ground water......................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.-_....._.._..._--_. Depth to ground water........................
a .............C..............................................................................................................................
-----------------
ODescription of Soil........................................................................................................................................................................
x
U ,ir -'
W •----•----------------------------------------------------------- ------------------------------------------------------- --- f
U Natt re of Repairs or Alterations—Answer when applicable...._ F � . -.... zO_o SF -?T!_e___ �/
Gc!�-?-/�---....�a.�..._/Soc....S T.._....!9J /' ' � �'T��---------- ------------------------- --
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of TITLE 5 of the State Environmental Code—The undersigned further agrees not to place the
system in operation until a Certificate of Compliance has been issued by the-board of/fhhealth.
Signed`/gym' ''n -1....................... a-
Dace............."--ram.
Application.Approved By ............ .e _ -� ------- ----------...............................--- a...-..1...- -.cl.S:
Dace
Application Disapproved for the following reasons- -----------------------------------------------------------------------------------------------------------------------------
.... ................................................. . ................------------- ------------------------------------------------------- --------------------- -------.......--------------------------
Permit No. ��5- ----------tol--5—. Issued
Dare
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
TertifiratE of Grayliaare
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
<o rS ....
-----------------------------------------------------
by
.........._.._........_...............................�..�.....-........_.� lac I
at ........�.a2 7 7_---../�ur"....._S.-/ .I_61� 2 G �T ._--------------------------------------
has been installed in accordance with the provisions of TITLE 5 4 The State Environmental Code as described in
the application for Disposal Works Construction Permit No. ..._ ��'-..... .o�_J` .. ...... dated -----_.----------------------------------
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE
SYSTEM WILL FUNCTION SATISFACTORY.
DATE .............. Inspect 155z`�
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
TOWN OF BARNSTABLE
No......:5...... FEE.i 3...............
Di al jarkii Tomitrudivit "antit
Permission is hereby granted------------- "�IL G /-j
------------•---------------••-----•----------------------•......----------------------------•------•---....••---•---
to Construct ( ) or Repair Individual Sewage Disposal System
atNo............................. ..... ` `` -------- r G ----------------
Street q 2 _
as shown on the application for Disposal Works Construction Permit No.-196-AZ�L- Dated----- ----.�.�- /-.:5.....
_
--- - ------
of H B
��� t -•�oard
ealth
DATE. . �L �
............... .. d..... . ... ......................
FORM 36508 HOBBS 6 WARREN.INC..PUBLISHERS
ASSESSORS MAP NO: lea
No... PARCEL NO: _ U Ynic ...23.7.:
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
..........................................OF.....................---------._......--------------..---------------------------------
Appliratiou for Uiiivoiial Workii Tomitrur#ion ramit
Application is hereby made for a Permit to Construct ( ) or Repair an Individual Sewage Disposal
System at: , n ,
------.... •-•-------•••--•---------•.................... ..................................................................................................
ocation-Address or Lot No.
Owner ddress
W � 2c/�.---�D s✓,?-T------••-- �7,5/.3�� C'.�TE /L tom/�� •
Installer Address
d Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms___.. ......................................Expansion Attic ( ) Garbage Grinder ( )
aOther—Type of Building ____________________________ No. of persons............................ Showers ( ) — Cafeteria ( )
a' Other fixtures _______________________________ _ _
----------•-•--•----------------------------------------- ---------------•-----•--•-
W Design Flow............................................gallons per person per day. Total daily flow............................................gallons.
P4 Septic Tank—Liquid capacity------------gallon-s Length................ Width---------------- Diameter---------------- Depth----------------
Disposal Trench— \To. .................... Width.................... Total Length.................... Total leaching area.............._..-•-sq. ft.
Seepage Pit No--------------------- Diameter-------------------- Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
Percolation Test Results Performed bY.......................................................................... Date........................................
Test Pit No. I----------------minutes per inch Depth of Test Pit•___________________ Depth to ground water-------------------------
fT4 Test Pit No. 2................minutes per inch Depth of Test Pit-------------------- Depth to ground water______-__-______--_____.
9 -•----••-----•...............•-••-•-•----•••--.....--•-------•------••--•-••-••-•-••..........------.........................................................
0 Description of Soil.........................................................................................................................----------------------------------------------
x
U -----------------•----------•-------•--•••--•--•--------•••---•-••------•••-•-••-•--•---......-•-------•---------------•-------•---------•-....•----•--•-------------•-----••............-•--•---••---•
W
-------------------- ----------------------------------------------------------------------------------------
U Nature of Repairs or Alterations—Answer when applicable._____------r—P_____ __-____> � g�ti_f%.7_..3."S'r o.1:c
...-------•------•-----...-•--•----.....-•------•-••-•----------------------•-•-.........---.------•-•-•-•----------•-----------...-•----------------------...._....-•••----------•-••-••--••-----•----
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of i T T p `}of the State Sanitary Code— The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has beenissued by the board of 1 alt .
Signed!._/`; ._ --•- ---- -------- _...
Date
Application Approved BY ------•. -•---•......�-"•-�- ...
Date
Application Disapproved for the following reasons:---•••------••--••-----••-----------•---•--------------••--••----•--•----•--•---••--•-•----•--•---••-•......._..
•--------------------•-------------•----...--•----•----------------------••--------------•-•-----------------•---•--•--•••---•---•--------•----•-------------------------•-----••-•--••-•-•-•---•-------
Q Date
PermitNo..... .2' .................... Issued-.......................................................
Date
TOWN OF BARNSTABLE
LOCATION �'u. rc .f SEWAGE #p `o -
� I
VILLAG t?���� 0�-c-V) I(,!� ASSESSOR'S MAP 6z LOT�' ✓ �f�
INSTALLER'S NAME & PHONE NO. +�c�C�� �)�S r7 s
SEPTIC TANK CAPACITY J
LEACHING FACILITY:(type) �� 8'/ (size) �i
NO. OF BEDROOMS PRIVATE.WELL OR PUBLIC WATERA �c
BUILDER OR OWNER 122A 7 PG`� d
DATE PERMIT ISSUED: -
DATE COMPLIANCE ISSUED:
VARIANCE GRANTED: Yes No
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THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
_
c .,�,.....oF.........Ile a->.-z...........................................................
Tntifiratr of Gamphatirr
THIS IS TO CERTIFY, That the Individual Sewage Disposal System constructed ( ) or Repaired
(� Installer
at---.------�` ------ 3�...�.::. :r l......AA----------•-•--------------------------------------------------------------------------------------------------
has been installed in accordan with the provisions of TT"'�', 5 Qf� The State Sanitary Code as described in the
application for Disposal Works Construction Permit No.--— - _ o--�Q....... dated________________
THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT YHE
SYSTEM WILL FU CTION SATISFACTORY.
DATE......................Z`••...o;L1. •1---?----....---------.. Inspector.-----------......... ....D.........................................
THE COMMONWEALTH OF MASSACHUSETTS
• BOARD OF HEALTH
IVrO.-•fifr...(y[-�.Yt� FEE........................
Disposal Wore Tunns#rnrtuan antic
Permission is hereby granted........K'o ---------------
-
--------ewage Disposal System
Street sf
ass own on the application for Disposal Works Construction Perim No....._.......�. Dated..........................................
.......... .... -- --------- -----------------•----
DATE................................................................................
Board of Health
FORM 1255 HOBBS & WARREN, INC., PUBLISHERS
lea
N (� 7�, .^:.........
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
------.. ..----- ---- --...............OF...........................--•---.....
Appliration for Uigpn,aal IVork,i Tontrnrtiun Vamit
Application is hereby made for a Permit to Construct ( ) or Repair*' ' an Individual Sewage Disposal
System at: I ,
Y�..............
Location-Address or Lot No.
1........................................ ........ - -•---•--•-•---••--..........-•----....---................................-•----
Owner I Address
Installer Address
Type of Building Size Lot............................Sq. feet
Dwelling—No. of Bedrooms....-3................................Expansion Attic ( ) Garbage Grinder ( )
Pk Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q' Other fixtures .---•-•................••------. -
W Design Flow--------------------------------............gallons per person per day. Total daily flow............................................gallons.
04 Septic Tank—Liquid capacity............gallons Length................ Width................ Diameter---------------- Depth................
Disposal Trench—No. .................... Width.................... Total Length.................... Total leaching area.........-----------sq. ft.
Seepage Pit No----------------_-- Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
,� Percolation Test Results Performed by.................................. ............... Date........................................
M Test Pit No. 1_---------------minutes per inch Depth of Test Pit___.__._............ Depth to ground water.........................
44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground water........................
a -•----••--•-•-••-•-••-------•••--••-•••---•---••----••••.....................................................•---••-•---------•-•-...._....---•---•------•--
0 Description of Soil........................................................................................................................................................................
W
V ---------
•-------------
•--•----------------
•----------------------------------------
•-------------------
------------------------------------------------------------------------------------------
W
U Nature of Repairs or Alterations—Answer when applicable.......�_��-_.__�6v<., ...2.1_5...
�_o���
••--------------------------•---•--•-------•---------------•------------•------•---•-------•--------------------------------------------------------------.............................................
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions of'TLE 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by the board off healt iL.
Signefl�_ :15;::....... <✓ / --•- -- •....•-• ----•-----•----•-
D
Date
ApplicationApproved By.................................................................................................. ........................................
Date
Application Disapproved for the following reasons:---•-----•-•----••-•----------------•---•--------•-•-----•----•-•--------------•------•-....-•-••-------......
-----------•------------•--•----•--------------•--------------------------------•------------------
•-----•--------------------•------------•----------------------•-•--------------
Date
PermitNo.---- •----_-------------- Issued_.......................................................
Date
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THECOMMONWEALTH
F TS
!—iEALTf—I BOARD F
............OF....... ..RJ` d ................................
Appliration for Disposal Works Cfnns#rurtiun Frrutit
Application is hereby made for a Permit to Construct (X or Repair ( ) an Individual Sewage Disposal
System at: —( /;- � 7
................ ►.ps. �u _ !'�P.¢. S A. ....................................................................
•��. �Location:••••-res�v� •----.or Lot Lot No.
Owner Address
....... .. ..... -..
--•----------------------------------••---
Installer Address
Type of Building Size Lot.... `5:0Q0..Sq. feet
UDwelling—No. of Bedrooms................ .................... Attic �jb Garbage Grinder
pi Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Q, Other fixtures -----------------------------•----
W Design Flow............ .....................gallons per person per Jay. Total daily gow------- �v.. ?. .............gajlons.j
W Septic Tank—Liquid capacity`UV.kallons Length.-I.._.. Width--.10... Diameter................ Depth..
4.�(�,_.
x Disposal Trench—No. .................... Width.................... Total Length ... Total leaching area....................sq. ft.
Ze
Seepage Pit No.......1------------ Diameter.....V _..... Depth below inlet..... Total leaching area...P2_.'7.6-sq. ft.
Z Other Distribution box ( ) Dosing tank ( )
`-' Percolation Test Results Performed by_uu.E ►...... ......... l c ------_ Date...`
,aa Test Pit No. 1-_1 -_-minutes per inch Depth of est Pit.... __._._._.. Depth to ground water._-7,"Z.'.._..._..
Test Pit No. 2.4 minutes per inch Depth of Test Pit.__-eX........ Depth to ground water..C�A,I -IP'..�X
Q+' i----------z......... .. ...................................................... 4 /` , cl9
//♦ ...............................................
O Description of Soil.... �"-�------`� •-�-...��.�b�?.l-�........�'-� --�......................� fJLc� kx).e—k
- ----
W
U Nature 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 iIT .;.,. 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
operation until a Certificate of Compliance has been issued by Pe boardAf health.
Sigd.-•--- ....... ------------------ ---- ............................
Alte
Application Approved B .....sV... p. t� l�l�l`____ ..�
Date
Application Disapproved for the following reasons----------------------------••--•-----------------------•-----•---------------------------.. .....------......
-•-------------------------------•-----------------------------•-----•----------------....•..----•----------••-•---••---••---•---•--------•--......----•---•-•---•-•-•--•-----------•-----•--•----------
Date
PermitNo......................................................... Issued•.... .............
Date
Permit No.. -. Issued----------=-- - .
.......--•--------•-•-•- '
Date
THE COMMONWEALTH OF MASSACHUSETTS
BOARD OF HEALTH
.............o F........
Tutif ira laf Tomplianrr
THIS S TO. CERTIFY, That the Individual Sewage Disposal System constructed ( 'OKor Repaired ( )
bY-•-•-"--..... ..........................................................:................•---...................
Installer w yy
at.---�I-/ . --------- ---ld� -�----".- - yam"- -----�t --/ --�'«•/�'•----------------•---...-•------------
has been installed in ace dance wit he proves 9ris of TI j of the State Sanitary Coe as described in the
application for,Dis oral Works Construction Permit No_- ?--.-- ............. dated.-_..
THEIS56NCE*•OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A qUfRANTEE THAT THE
SYSTEM WILL 'FU CTIO ._�SATISMRY.
DATE Inspector •------• -----•------......•.....
4 THE COMMONWEALTH OF MASSACHUSETTS
rr BOARD�`OFI HEALTH
�2 ............ fit.....oF............ 6.a�.... ••-••-•----••..................No _........ <.. FEE...t ...............
Disposal ,irk. Tonstrudwn Vrrmit
Permission is here granted r-
to Const u t "o pair ( ) an Individual Sewage Disposal System
at No. x------- LG .
Street t
as shown on the application for isposal Works Construction Per No:. .: Dated_-
............ ..gr-.�
2.. .` ; of
DATE.... = •••-•-•--- ....-••••................. Healt ! .
FORM 1255' HOBBS & WARREN. INC., PUBLISHERS
rs
No..........:12t .. Fick .. ...............
THE COMMONWEALTH OF MASSACHUSETTS
r_--- BOARD"- F HEALTH
�u..........OF.......L fjoXj. 1.1�1 _.-...
Appliration for Ili-spas al Works Tnnstrnrtinn ami#
Application is hereby made for a Permit to Construct ( or Repair ( } an Individual Sewage pisposal
System at: y 7
•" '' •- Location-Aess `� or Lot No.
........... .. '. r Y�..1- df�/ -----............... ----•-.........--------...............----• ................................................
Owner Address
a - ;..............................................
.......................
M Installer Address
Type��aaof.Building Size Lot..._.S�_�.V�.Sq. feet
Dwelling—No. of Bedrooms................... ..................Expansion Attic (Q6 Garbage Grinder ( 1�0
Other—Type of Building ............................ No. of persons............................ Showers ( ) — Cafeteria ( )
Otherfixtures -----------------------••------•-•-•-------...--••-•--•-------.......-•-------•-----------•--._............--•-•-....----..........----......•..•----•
Design Flow...............��..' ................._._.gallons per person er day. Total daily 49w.............�J..3. ............gallons. ,
WSeptic Tank—Liquid capacity.A!U �allons Length..V�_�._.. Width..__�C�._ Diameter................ Depth....t4__4
x Disposal Trench—No..................... Width.................... Total Length................ Total leaching area....................sq. ft.
Seepage Pit No_________ __________ Diameter....... Depth below inlet....... ....... Total leaching area....?- Osq. ft.
Z Other Distribution box ( ) Dosing�' tank ( )
Percolation Test Results Performe&by...l�4J_.� L:..A��C���...... Date.....4.— . .....5?_-�_...
...
Test Pit No. 1.... - _.minutes per inch DeS,`o f test Pit......__....... Depth to ground water....?,.-..........
rZq Test Pit No. 2... a .minutes per inch Depth of Test Pit......t,-;t....... Depth to ground water.... l Z.-
Ut ...1.�...�.e/U.
Ave U�Description of Soil...... ------..4 -I ---4---- u3,5—otc------.]� --- -- -----.-- -- ---
------------------••----------_--•-----------•---------.••------=•-----------•-••------------------•----•-•-•--------------•----•---------------------------------------------U Nature of Repairs or Alterations—Answer when applicable....................................................................................... ......
.............................--------•--•-•--•--•----------------------------•-••..........--------------------•-••--•--••-------•-•-••-•------••--•--•--•----•-••--•••--••-•-•---..........---------
Agreement:
The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with
the provisions f TIT:.." 5 of the State Sanitary Code—The undersigned further agrees not to place the system in
4 operation untita Certificate of,Compliance liance has.been issued b t board heal h.
P � P Y t
Sign-d......... ...:
-
'- Date
--- -
' Application Approved By ....- : :e.
� ., ................ -
Application Disapproved;f or the following reasons:-----------•... ------•--•---•••••-•-----••••--•-•-•----•---••------•-----•------•-•••--•----------•--_..
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