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HomeMy WebLinkAbout0538 LUMBERT MILL ROAD - Health 538 Lumbert Mill Road Centerville A = 146 - 025 w S M E A D No.2-153LOR UPC 12534 smsad.com • Made In USA oY�°qk r fRBt!!S®NTFrSiRODUCfIIi SF� OF 1*SRFOVORAPA CERIIFlED SOURCYJG WWWSiiROGRAbLm 27 P(�r-e 1/ rUOYl 14r /I a 39 O-A w+rw I � . r 1-r' lam► Dom- kNf,-Cl Level ILK C.0kIT.-�\C mac* F-!M 04 ArT--- �� �- Xe 0�7 02- Jam- a � m u Fc�st Fioo� Co, 8eC vj Il�e MA o263X i I kk4 k" k tl. i' i 5�canc.I .� laor' , �. 1 j7 k 5 s 1042r7 t r - -- i P q L CATION /t S E W A. C PERMIT NO. VILLAGE �z e v, / INSTA LLER'S NAME. i A DRESS R I11LD�OR OWNER DATE PERMIT ISSUED DAT E COMPLIANCE ISSUED r s 9 00 o- e �+ Jqr P �.� '( /� A/-2 7 G7R THIW4 ... E COMMONWEALTH OF MASSACHUSETT T ~` OdeRD OF HEALTH /� Appliration for Disposal Works Gloat `union jhrmit Application is hereby made for a Permit to Construct ( joo)lor Repair ( ) an Individual Sewage Disposal System at: �_� rwA� J� U 130't JCL t ................ ............�. .M.. .._..----------...------------------. ---- •--•----------•�---�... ..... ...............----- Location dress or Lot o. .....� /�� J n.....1 ......��� s .............. .... ----------------- Ojwnn r� / Address c,�1�L._.._..�r1...��.. .. ..... .a................. .. .._w.._......... ........ Installer Address Type of-Building n Size Lot............................Sq. feet Dwelling—No. of Bedrooms............................................Expansion Attic fC} Garbage Grinder (AA0 4 Other—Type of Building No. of persons............................ Showers a YP g ---------------•---•-----... p ( ) — Cafeteria ( ) dOther fixtures .._......-•----•-------••----••--------------•-----•----•-•--•--------............-•---.---•-----••••--•--......_..._ W Design Flow......................................... gallons per person per day. Total daily flow._._.._........_...2.....................gallons. WSeptic Tank—Liquid capacitylallons Length................ Width......._........ Diameter................ Depth................ x Disposal Trench—No.................:... Width.................... Total Length.................... Total leaching area....................sq. ft. y Seepage Pit No..................... Diameter.................... Depth below inlet.................... Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing to ( r W Percolation Test Resul� Performed by__________ _ __�:_.____�.F��:C:� ....t._..._....___. Date......... 102 . _.. Test Pit No. 1...._...__ .minutes per inch Depth of Test Pit------ _....��Depth to ground water........A 44 Test Pit No. 2...!.io&minutes per inch Depth of Test Pit......�.�.. Depth to ground water........................ Ix O v...... -tw•-._-._.....�....... .+.�........i...:_..._..-�7. ..............^•._._....-_..-.-,. Description of SoiQ_____________ __... Vx `1 �, ----- c� .............�� ...............---•--•--- -•-•--•---------•-•-----•---------------------�3�....... ---••--- W 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'HTLE 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until a Certificate of Compliance has bee ss y the board`f health. Si ned. ;.ds *y the ® ---•--- ..... ate .._... Application Approved .. 4 ._ _. f�?�. �Q ' Date ......-•--- Application Disapproved for the following reasons_----__________________________--•--•---•----•......................................•--..._.. .-- ;4 --•.......................•--•-----•----•-•--------•------------•------•--------•-------....--•---------. _....: . Date Permit No ...... ------:-•------------------------------- Issued.......... .. � � ate -•-•---•-•---------....................... ............................................ Date .. PermitNo.--------•-••-------- ,r*'......................................................... issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS a, BOARD OF HEALTH ' 4i ...............................I.:.....OF............... ................................................................... Utt firate of Totpliattrr THIS IS TO CERTIFY That the nu vidual Sewage Disposal System constructed ( or Repaired ( ) byS.n ---••- --...... ...._._ •. . Insta r Al at «. > f.t ws+sar..... . ;4.......................... has been installed in accordance with the provisions of T fj of The State Sanitary Code as described in the application for Disposal Works Construction Permit N ,_--. _-_ e ` ______-___•. dated---.-- (�--.r ��__..... THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUE® AS A GUARANTEE THAT THE SYSTEh1;1AlILL FUNCTION SATISFACTORYz-:.— f. a DATE....::......................................................................... Inspector;...----------•-••-•------------:..............-----•--•-------............_......._ �• THE COMMONWEALTH OF MASSACHUSETTS BOARD HEALTH NO.........W- " ....OF......... "��r,frL.............................................. - ...... FEE---.......+� Disposal orkii fit #r w rutt# ""- Permission is hereby granted- ------ 10 ...... - --I-----------------........................................ to Construct or Repai :.`) Ind Se vo. S .... - .../ .............. St ee't Se as shown on the application for Disposal Works Construction P No. Dated.-___�� ......... "• ........ o r o Hea C .� } FORM 1255 HOBBS &. WARREN, INC.. PUBLISHERS F - '„� +'x�i`..,• P40...... rn•: � yyy� f�0 f�t.p .��• t�( ��L � . F>;s..... ....!................. - THE COMMONWEALTH'OF MASSACHUSETTS • °.,. . JOARD OF HEALTH • ;r e. ,� OF.......... 77, ,� rlir #i�an fn � u 1 S ark `Tnustrartion ramit Application is hereby made for a Permitrto 'Construct { 64 or Repair ( )' an Individual Sewage Disposal System at: ... .......................... -----.................................. Location- ddress or Lot ._.... wner Address d - ..........................••.. Installer Address UType of Building ,,y Size Lot----------------------------Sq. feet �-, Dwelling—No. of Bedrooms............................................Expansion Attic �j} Garbage_Grinder � Other—Type of Building No. of persons............................ Showers:. a YP g ---•--...-------•-•--------- P ( ) — Cafeteria ( ) ,., d Other fixtures ............. ........ .. --------------- -- W Design Flow.............................. .,gallons,.per person per day. Total daily flow...._....___......., gallons. WSeptic Tank—Liquid*capacity, allons Length.................Width................ Diameter................ Depth................ x Disposal Trench—.No....................:Width_:;................. Total Length.................... Total leaching area................._..sq. ft. 3 Seepage Pit No............:........ Diameter.......... ......... Depth below inlet..._................. Total leaching area...................sq. ft. Z Other Distribution box ( ) Dosing tank ] Percolation Test Results Performed by_._....____ .l K Date.. ..... a Test Pit No. 1.... minutes per inch Depth of Test Pit _ .._ Depth to ground water........ { Y Co. 44 Test Pit No. 2__._ .. minutes per°inch Depth of Test Pit..._... Depth to ground water........................ 0 l... �r .r.� �. - _ 0 Description of Soi -_._ - .. " V __..... ...................................... --- .....I._ Y..........F-4,0 . ...: . ........5 a...................................... --------------------------------------------------------- -••...... -.................... U Nature of Repairs orAlterations—Answer when applicable__i --------------------------------------------------------.----------....._.______.._...__. -------------------------------•--•---------------.....------------------------•---.....---------•-----.........-----------------------------------------------------------.......................... Agreement: The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with - the provisions of:IT�. E 5 of the State Sanitary Code— The undersigned further agrees not to place the system in operation until,a.Certificate of Compliance has bee s y the board pf health. ed. y' ate... Application Approved By...... :. 4..�' �{ Date Application Disapproved f o`r the following reasons------------------ ...... t rs t �I`�I WETLANDS PROTECTION ACT �--- ""— ffqy b� MASSACHUSETTS G. L. C. 131 s. 40 WETLANDS PROTECTION BY-LAW Ch. III Art. XXVIII Town of. Barnstable By-Laws NOTICE OF INTENT All parts of this form,. the attached Environmental Data Form and Article XXVIII Filing Form shall be completed under the pains and penalties of perjury. Incomplete filings may be rejected. DATE Sept. 22,1978 Town of Barnstable Conservation Commission 1. Notice is hereby given in accordance with the provisions of Massachusetts G.L. c. 131, s. 40, and Barnstable By-Law Ch. III Art. XXVIII that the proposed activity described herein is within the jurisdiction of TOWN OF BARNSTABLE, (Village) Centerville , at Lumbert Mill Road Street. Most recent recording at the Barnstable Registry of Deeds, Book Page Certificate (if registered) 73226 2. The land on which the work is proposed to be done is owne�.V BOX 166 NAME(s) Laurence W. Cash ADDRESS West Hyannis , Mass. 02672 3. The Applicant submitting this Notice is: NAME Laurence W. Cash ADDRESS TELEPHONE 775-3009 (Optional) The following person is hereby designated to represent the Applicant in matters arising hereunder: Thomas E. Kelley 346 Long Pond Drive Th NAME y PE/RLS ADDRESS South Yarmouth, Mass. 02664 TELEPHONE 398-3360 4. Plans describing and defining the work, included herewith and made a part hereof, are titled and dated: Site Plan in Barnstable (Centerville) Mass. for Laurence Cash, scale 1" - 201 , November 1 ,1977 Revised September 1978. 5. Identical material has been submitted by certified mail as follows : Original to Conservation Commission (Date) * Sept.27,1978 Main Street, Hyannis, Mass. 02601 �. Three copies to Department of Environmental Quality Engineering Southeast Regional _Office (Date) Sept.27,1978 Lakeville Hospital Lakeville, Mass. 02346 (for Coastal Projects only) send one` copy to: Commonwealth of Massachusett a Divisi fisheries Sandwich, Mass. 02563 (Date) Board of Health, Town of Barnstable ) Town Hall, Hyannis , Mass. (Date) c 6. Has' the required $25.00 filing fee, payable to the Town of Barnstable, been included with the submission to the Conservation Commission? y e s 7.• Has the Environmental Data Form been completed and submitted with each copy? yes 8. Has a locus map (8 1/2" x 11" copy of USGS topographic sheet with the site marked) been included with each copy? yes 9. (A) Have all obtainable permits, variances, and approvals required by local by-law been obtained? ; yes (B) If they have not been obtained, have they been applied for? If yes, include with this Notice of Intent any information which has been submitted with such applications which is necessary to describe .the effect of the proposed activity on the environment. 10. (A) Is the site of the proposed work subject to a wetland restriction order recorded pursuant to G.L. c. 131, s. 40A, or G.L. c. 130, s. 105, by the Department of Environmental Management? Yes No X - Do not know (B) Is the site of the proposed work in, or within 100 feet of: a coastal dune ; coastal bank ; coastal beach ; salt marsh ; land under the ocean a salt pond anadromous/catadromous fish run ; do not know ? 11. Signature(s) of^owner(s) of the land (if by agent or option holder, written authorization must be attached) N/A 12. What is the purpose of the proposed project? Single family dwelling house construction 13, Has there ever been an Order of Condition issued under Mass. G.L. c. 131 s. 40 for work at this site before? no If yes, list File Number (s) 14. I HEREBY CERTIFY UNDER THE PAINS AND PENALTIES .OF PERJURY THAT THE FOREGOING NOTICE OF INTENT AND ACCOMPANYING ENVIRONMENTAL DATA FORM ARE TRUE AND COMPLETE. 15. I HEREBY REQUEST THAT THE ATTACHED FILING BE ACCEPTED AS FULFILLING THE FILING REQUIREMENTS UNDER ARTICLE XXVIII OF THE TOWN OF BARNSTABLE BY-LAWS. Attached is a list of abutters to the subject property who have been notified, by certified mail (return receipt requested) , of the intention to alter' that site, in compliance with Section 7 of the By-Law. -1 Q Signature { e {.1 ('i�Y Ci ) `�� Date i q — 15.- Richard W. Griffith Trustee, RWG Trust, Blackberry Lane, Hyannis , Massachusetts 02601 (Sole abuttor as per tax records of 9/22/78) j WETLAND PROTECTION ACT ENVIRONMENTAL DATA FORM 1. All parts of this form are to be filled out by the applicant or his agent under the provisions of G.L. C. 131, S. 40. 2. Where a section is not relevant to the application in question, the words "Not Applicable' .should be entered on tilde appropriate line. NAME OF APPLICANT Laurence W. Cash ADDRESS OF APPLICANT P.O.Box 166, blest I17annis, Mass, 02672 MUNICIPALITIES WHERE ACTIVITY IS PROPOSED AND NOTICE IS FILED Lumbert Mill Road, Centerville, Barnstable, Mass. DESCRIPTION OF PROPERTY INVOLVED IN APPLICATION (including the dimensions of any existing build- ings, decks, marinas, existing cesspools) vacant land in its natural state, being lot #9, Land Court Plan 37432. DESCRIPTION OF MODIFICATIONS PROPOSED ON THE SITE, including grading, dredging, removal -of vegetation, etc. Construction of a single family dwelling and selective clearing adjacent thereto, foundation planting and all work appurtenant to the A. SOILS cons ruc ion of a we 1ng. 1. United States Department of Agriculture Soil Types (show on map) "3 - A 2. Permeability of soil on the site. (Dates of testing) 1 2 8 good. witnessed by Paul Mi3rray, "Board of Heal tb 3. Rate of Percolation of Water through the soil. (Dates of testing _ - 1/25/78 less than 2 minutes per inch " " n B. SUR-FACE WATERS 1. Distance of site from nearest surface water (date of measurement) proposed patio-30' from Abutting Lumbert Pond, proposed dwelling-45 ' from pond. I)ond 2. Sources of runoff eater Atmosphere (rain) 3. Rate of runoff from the site Minimal due to excellent ground absorption 4. Destination of runoff water Ground absorption 5. Chemical additives to runoff water on the site None C. GROUND COVER 1. Extent of existing impervious around cover on the site None 2. Extent of proposed impervious ground cover on the site. Minimal - estimate 5% 3. Extent of existing vegetation cover on the site. 100% 4. Extent of proposed vegetation cover on the site. 95% - estimate D. TOPOGRAPHY 1. Maximum existing elevation of site. 3R' 2. Minimum existing elevation of site. 24' 3. Maximum proposed elevation of site. + 4. Minim um proposed elevation of site. 5. Description of proposed change in topography Minimal - foundation grading to blend into Qx isti=g t�Qgraph,_ E. GROUND WATER 1. '_%Tlnlnliirh depth to water table on site (at time of filing) 2' 2. Maximifin depth to water table on site (at time of filing) 16' C ) 3. Seasonal maximum around water elevation. 23' (:) Lumbert -Pond, control l Pri elevation by f y ranberr F. WATER SUPPLY bog flooding. � 1. The source of the water to be provided to the site Dnmestic weld 2. The expected water requirements (g.p.d.) for the site 3. The uses to which water will be put llnmesti C G. SEWAGE DISPOSAL 1. Sewage disposal system (description and location on the site, of system) {both precast Domestic - 1-1000 gal. septic tank, 1-1000 gal, leach pit,see sketch 2. Expected content of the sewage effluents (human waste, pesticides, detergents, oils, heavy metals, other chemicals) Human waste 3. Expected daily volumes of sewage 220 gallons - maximum H. SOLID 'PASTE 1. Estimated quantity of solid waste to be developed at the site None 2. Method of disposal of solid waste N/A 3. Plans for recycling of solid waste N/A I. BOAT YARDS, DOCKS, MARINAS 1. Capaciitty of- marina (number of boats, running feet) 2. Description of docks and floats (site, dimensions) N/A 3. Description -of sewage- pumpout-facilities -(type: of waste_disposa.l) N/A 4. Description of fueling facilities and fuel storage tanks N/A 5. Description of fuel spill prevention measures and equipment N/A J. IMPACT OF PROPOSED ACTION APPLIED FOR 1. Effects on plant species (upland and marine) Miniminal if "of � 2. Effects on marine species (shellfish, fin fish) THOFAAS 9G O THOMAS None L E AR 3. Effects on drainage and runoff C3 None A ,� No.24 9 4. EffectsNone n siltation of surface waters O�FSS/pNAl�a6\� 4hp su�``lo a. Effects on gnound water quality None THOMAS E.KELLEY CO. 6. Effects on surface water quality ENGINEERS— None 346 LONG POND DRIVE K. ALTERNATIVES TO PROPOSED ACTION SOUTH 1. Describe alternatives to the requested action 02664 None 2. Describe the benefits of the requested action over the alternatives Use of existing residential lot with very minor changes of existing grades or vegetation. COTUIT QUADRANGLE MASSACHUSETTS—BARNSTABLE CO. 7.5 MINUTE SERIES (TOPOGRAPHIC) 70°22' -'-11' 25' 2.7 Mr. TO U.S. 6 900 000 FEET 1 ' 40" °© 0 ry `Hambli i Q'- ,� �"•-.= .�A / s�. i - \ J`u rli an --lf 4ivp Pond. a ,�J 0 u 3i ., _��ran eTrymu 4�o O-J. o :A\ 11 '� ° OL ns M sIl Cl O ©\ �fTy T' o ��1 ° d (t aso I\• i\ 8ii 1• �° �,.a o� C sa(u ,4 uJtbqIt ol Granbe '•->�taF�,t-� \ � � �_ J=-'O O 3 � .©. �p „ n (�<' •,..- �; jj � Q �� � :Kr''�`Q III U� d�-�� i (. �i �. '�; ��- L + • ,.� �. o �S. .o ,. o f� 240000 �`�� .r 'C ��• l ` • J ~� _ •'� S6 '.ao \ ��/ .'-r,�" FEET 110 ✓` 0 11 :� .o�• r� / O\M �. �`J�lIf © a, _ it Micah it Pond and Pinetco' 1// N tC7•f.: •�^f7 ADS'+-. L •�\ ��. II •� Io 310 • SfMarys �� - — /.•- Islano d 2 Isabella tery 2 " ° .de \;II ^�( 14 SCALE 1:24000 _ 7 - - - - — --. .. _. 1 MILE 1000 0 1000 2000 3000 4000 5000 6000 7000 FEET t 1 .5 0 1 AILOMETER j • 276 MILS _ \y`1 LS 0'47' 14MILS CONTOUR INTERVAL 10 FEET DATUM IS MEAN SEA LEVEL DEPTH CURVES AND SOUNDINGS IN FEET—DATUM IS MEAN LOW WATER SHORELINE SHOWN REPRESENTS THE.APPROXIMATE LINE°OF MEAN-NIGH WATER FM GRID AND 1961 MAGNETIC NORTH THE MEAN RANGE OF TIDE IS.APPROXIMATELY 9.5 FEET DECLINATION AT CENTER OF SHEET IN CAPE COO BAY AND 3:1 FEET:,IN NANTUCKET SOUND TOP OF FOUNDATION r s CONCRETE COVER' CONCRETE COVERS ., TnmrrJlr , "0 4"CAST IRON I - ° 12��MAX. � �` � ' 12"MAX. • PIPE (OR _ 4"ORANGEBURG(OR EQUIV.) • ITCH )— MIN. PIPE- MIN. - LEACH i • .PITCH I/4'�PER. PITCH I/4'PER.FT. PIT ` o � PRECAST N T • a LEACHING EL���O.O.. SEPTIC TANK �INV IS.E L. IN R pa w �? g.; PIT OR i INVERI�p Q GAL. INV�$T BOX I Ua Q. �•• .. e; EL33././:. SOD I NT W w 0: i is 3/4"�TO I I/2 o.o E EL e' �� WASHED w .�• STONE .. PROFI LE OF GROUND WATER TABLE SEWAGE DISPOSAL SYSTEM NO SCALE SOIL LOG t WITNESSED BY : DATE Agl'!A8 .... TIME.II'/�?i9.I1� 7 04.f„in0QQ !NY. . BOARD OF HEALTH TEST HOLE I TEST HOLE 2 �Ct9YNI�S. .k; �- l ENGINEER I ELEV. .��Z.•�T�. . . ELEV.,97Z". . . WwD LOAM DESIGN DATA : es bolt NUMBER OF BEDROOMS TWA HR¢O&iJ►nXQ f1�92�j6f�/Ash► . . . . . . . . . . . . . TOTAL ESTIMATED FLOW . GALLONS/DAY F)nJCD MBD. BOTTOM LEACHING AREA 7'8•S'0 . SO.FT. /PIT SAN :r. SANS SIDE LEACHING AREA . . . Sg•sb. SO.FT./ PIT -•' ( IOg GARBAGE DISPOSAL .��. . .(50% AREA INCREASE) 'imT piT.) ,�•„• •DCWSE Pkjezp TOTAL LEACHING AREA *:•: .. a PERCOLATION RATE �4?? MIN/INCH / LEACHING AREA PER PERCOLATION RATES. SQ.FT. .A(OWATER ENCOUNTERED NUMBER OF LEACHING PITS . Qit/ -�U�T�lTw!b 29" APPROVED . . . . . . . . . . . BOARD OF HEALTH - f�1/l vi�rl u!�I•. . . . . . . . . . . . . . . . . . . . . . . . . . DATE . . . . . . . . . . AGENT OR INSPECTOR OF MASTHOMAS ��� �� THOMAS E�KELLEY CO. • - ENGINEERS SURVEYORS 0.24260 346 LONG POND DRIVE 0 /STER PETITIONER Q•�x��/ SOUTH YARMOUTH,MASS:PETITIONER 1 . L v r-t v T Po r-]'P ' -8-- fit/. 1 oP r b 32 5 > ! + i o `ram" —23`1 Ice-) --�^^� i _'��� � ✓1,C�V � �r�r� 1 V. Mr,PoF i 3�6 o O /DaG G4G , v7(f. .—, t f. i fZ3e-55�-tJ,,7e5L / �00i ' t STo � U / FZ-El/. 7nnh�- cP. 'p, �F��� �� � � f c 6.,�'�D•�. . �9 N 48°- SEA- ��„�: a 374321 SHEET 2 OF 3 •• BR,B. o• � - � B.R.B. IN. /� sor, a o `ce�•\ �� _ t��• "vs`o \ �O� \ 00, 19 y � 23c�7 a.R.B. R3 i O /j O 4 6) ��•�••-'(, '4 TOE \ /B N /5000 �1 •e� s x �J f bo- \ �N h h h a al17 �? /50.00 �' ••� 9 r/IJ �'� �� 3` N33'-46•-38 E es6'9 1�1 / \ � '1l �_ ✓• � . p�v 4 Z9.�JZOa,pO'Zso 1yy II `/_ 6. �v'`o T ! a: 7C 1 pB 'ter X .�O J, ����� m\��. qs \�h c?0 •\ 2h$�`100.0 J- o p °jy k.e 2/5.00 Lt! ' 200.E 7 2/ ID205. Ii��l R.B. a j J . C4 •'l /r! - ui i � ,�a,ib•33..� i i c •n < A 3 s• larch°r Yd� of et $CO/e / in. = 200 ft. ' IS 0� ° Po 1 C3- ... -- - — — 22.8Z CnNTttiUR- WATER ELEV. (o 21/`(7 = 13,614" i = 0,31 Act -.24,,o Ca.,j7-ooR - L.C. PLAN 37�1-_- 2A = lo, st,�Zu t = p.Z5 rc. � .. _ ' A ( 3 ZS-->- k` , X\` `\ � �9 lk JcAI e AN BARN 5 TA B L E N T fZ-.R\I l L.1.._F.. y SCA,LE 1" = C�` t\.iovE-EmBER- PLP\N REFEkE-NCE � /j �T,AC?� .• o.�. yl r ' ,, l C. PLA\Fi . 37432 5HEE T 2 of 3 \ \ ` C3 \ �� f � fig`*' �' � �,,�T,�• -1'- � � ,�C�,o 1 f I � Cl a.• �. / JO 41 7 334 `T � a7 \ ,� i , AS w.a.c.L 25.qt n tr+Ci 35,94 25.12. T�P o f= dki L� •"° �y t,.; �1��t `" L V , { 3�3b (T \- , N 6 o' \,4 , D :7 a w: L•C PL 8 �� CS►�Ee ~�. \• _ . K,,,T �v T7 1`J FHn LEL�ev 3213 i