HomeMy WebLinkAbout0305 PLEASANT PINES AVE - Health 305 Pleasant Pines Ave -
Centerville
A= 214-057
SMEAD
No.2-153LOR
UPC 12534
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TOWN OF BARNSTABLE
LOCATION 305 SEWAGE#,tp/7$-L—
VILLAGE ASSESSOR'S MAP&PARCEL
INSTALLER'S NAME&PHONE NO. .1��[�S�► l2Jrr�\„�A T
SEPTIC TANK CAPACITY t°x St t iv
LEACHING FACILITY: (type) LL G c ,,n16VLS (size)
NO. OF BEDROOMS nj
OWNERA A rboirej
PERMIT DATE: Q S- l!y 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
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No. 410/ Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS Yes
9pplication for Bisposal *pstern Construction Permit
Application for a Permit to Construct( ) Repair(V1110upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Addressor Lot No. 3 5 pT 1//�&ct u wy 'P;N t-t-Art Owner's Name,Address,and Tel.No.
C_GN� r4=V
Assessor's Map/Parcel N2.4
Installer's Name,Address,and Tel. o. Designer's Name,Address,and Tel.No.
f0W�3 L r Gl'd 0 S 477 5-31
Type of Building:
Dwelling No.of Bedrooms - Lot Size 12.,7 3 sq.ft. Garbage Grinder( )
Other Type of Building rGs ic)cx�44-tcA No.of Persons 'L Showers( ) Cafeteria( )
Other Fixtures
Design Flow(min.required) 330 gpd Design flow provided 3 y gpd
Plan Date 3 i i e! Number of sheets 2 Revision Date
Title
Size of Septic Tank i5x i S Type of S.A.S. h c,•. b W y' 9 ioeje
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) i S t )�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 b is Board of Health.
i ed ® Date ji.
Application Approved by Date
Application Disapproved by Date
for the following reasons
Permit No. a Uff Date Issued
-- - x�Y _--___�_�__-- -__-_--_-_-------- -- ----------------------------------
No D/
Fee
THE COMMONWEALTH OF MASSACHUSETTS Entered in computer:
Yes
PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHUSETTS
01pplicatlon.for Misposal 6pstem Construction Vermit
Application for a Permit to Construct( )_. Repair(✓upgrade( ) Abandon( ) ❑Complete System ❑Individual Components
Location Address or Lot No. 3,o 5 Owner's Name,Address,and Tel.No.
C c�•.a-1 r � ��,P
Assessor's Map/Parcel
Installer's Name,Address,and Tel.No. Designer's Name,Address,and Tel.No.
7F>0�� lc � n �rUw .l rvc rrII r ff tJJvr lcS SOR 77-53 13
Type of Building:
Dwelling No.of Bedrooms 3 Lot Size 1-/21,78 sq.ft. Garbage Grinder( )
"'— Other Type of Building No.of Persons 2 Showers( ) Cafeteria( )
Other Fixtures
Design ign Flow(min.required) gpd Design flow provided gpd
,. Plan Date -/y Number of sheets Revision Date
Title
Size of Septic Tankd5-)c i c ir� Type of S.A.S. 5L < G C �,a,�. b v i< W�y ` n 6/O^,t
Description of Soil
Nature of Repairs or Alterations(Answer when applicable) 1 &)S;c,11 --c Z c
• 6 � c,�c�.-.✓ rr c�t.J G iV r .✓ �C -TS W i
- I
Date last inspected: j
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 b this Board of Health.
m 0
ig ed Date
vim...
Application Approved by ;'s .�" J. Date,
Application Disapproved by W a Date
V
for the following reasons
Y
Permit No.A i Date Issued .
THE COMMONWEALTH OF MASSACHUSETTS
BARNSTABLE,MASSACHUSETTS
Certificate of Compliance
THIS IS TO CERTIFY,that the On-site Sewage
Sewage Disposal system Constructed( ) Repaired Upgraded
Abandoned( )by �n") c, S A ^1 e t t w r^J 3K Ax
.at 't,n c " P e 5 t..,J Y P,Ai e has been constructed 4 acc e `
with the provisions of Title 5 and the for Disposal System Construction Permit No. (/� �' ed `
S
Installer \)I i6 A�fh, ni( Designer 4)e-,,.r Y'7'✓ /^/( /i✓. �i S
#bedrooms Approved desigh flb gpd
The issuance of this permit shall of be nstr d as a guarantee that the system will . as desi ned. Q
Date. � l�l Inspector
---------------------'
No. Fee
THE COMMONWEALTH OF MASSACHUSETTS
PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS
Misposal bpstem Construction permit
Permission is hereby granted to Construct( ) Repair( V< Upgrade( ) Abandon( )
System located at `3 0< P)e-a s 4- P1,1V r S A
and as described in the above Application for Disposal System Construction Permit. The applicant recognized his/her duty to comply with
Title 5 and the following local provisions or special conditions.
IA
Provided:Co lionm t b cmpleted within three years of the date of this permit.
Date Approved by
j
Town of Barnstable
Regulatory Services
Richard V. Scali, Interim Director
t AxlvSTAD E,
b Public Health Division
Thomas McKean,Director
200 Vain Street,Hyannis, MA 02601
Office: 508-862-4644 Fax: 508-790-6304
Installe-& Desi nep Certif atioan Form
Date: 9 J �I � SewagePerimit# Assessor's Map\Parcel
Designer: ki Installer:
Address: I?, W. Cmssn Address:
4
g LQ c�2c�y y C�e�., eanr, l Le ozL3 .
On g_ 5 ��� �r+ o1�✓L `vt( was issued a permit to install a
(date) (installer)
septic system at 3aS Sg {` �nW_j 'based on a design drawn by
(address)
:�,i7titcv��-e e n t= dated 31
(designer) '
I certify that the septic system referenced above was installed substantially according to
the-design, which may ipclude minor approved changes such as lateral relocation of the
Othbution box and/or septic tank. Strip out (if required).was inspected and the soils
were found satisfactory,
I :certify that the septic system referenced above was installed with major changes (i.e.
gzeater tha�i ib,'lateral.relocatioii of the.SAS;or any vertical relocation of any cor ponent
of the septic system) but in accordatce with State & Local Regulations. Plan revision or i
certified,as-bI iltI by designer to fgllbw, Strip out (if required) was inspected and the soils
were found satisfactory.
I certify that the system referenced above was constructed in complia%&Ayitth the terms of
the IAA approval letters (if applicable) i °rip,
6°CTE T
McENTLC
(Installez's Signature) g tCIVIL. i
s (Designer's.Signature) Designer'S e)
PI-FASE RETURN TO BARNSTABLE TUDL,IC HEALTH DWISION. CERTIFICATE
Off' COINIPLIANCE WML NOT. BEL ISSUED UNTIL BOTH THIS FORM AND AS-
BUILT CARD ARE.RECE D BY THE BARI TABLE PUBLIC HEALTH DIVISION.
THANK XOU
QASeptic\Designer Certification Form Rev 8-14-13.doe
k
Town of Barnstable P#
Department of Regulatory Services ! C
s Public Health Division DateNAM
Z7/
zoo win swWT44,
MA 02601
wa
Date Scheduled e Fee Pd. � —
s
So't Suita�bi i Assessment or'se'wa i osa G
Performed By: ' " Witnessed By:
OC TION&GENE , INFORMATION
Location Address Owner's Name AA
� Address -3;C3 �1ea.s a�v►- .Vtes A ..P
Assessor's Map/Paroel: 'U L) —' / Engineer's Name W(I* �7q 1�i/l I Lt
( 7
NEW CONSTRUCTION _ REPAIR Telephone# I C� 7` d'
Land Use fS� jf0.� Slopes(%)__ Surface Stones
Distances from Open Water Body 7'/Q�ft Possible Wet Area ?(Q' ft Drinking Water Well
i
Drainage Way /tf/ Property Line Z��}ft Other ft
.SKETCH:(Street name,dimensions of lot,exact locations h &per;tests,locate wetlands in proximity to holes)
ZE
Ze
�t 0%
Parent material(geologic) f S Depth to Bedrock rN� ,
Depth to Groundwater: Standing Water in Hole: tJ �� Weeping from Pit Face UQ,�^{ c
Estimated Seasonal High Groundwater L) �r r 6 tj.'/ttj `/ ���/} -(i k- t V--C t (L ?y a 14 S C
DETERMINATION FOR SEASONAL HIGH WATER TABLE
Method Used:
Depth Observed standing in obs,hole: in. Depth to soil mottles: in.
Depth to weeping from side of obs.hole: in. Groundwater Adjustment ft.
Index Well# Reading Date: Index Well level Adj.factor Adj.Groundwater Level_
PERCOLATION TEST Date Ttme
Observation VJ( I
Hole# Time at 9"
Depth of Perc Time at 6" y_
Start Pre-soak Time a(Q 6 Time(9"-6'1 U
End Pre-soak (?
Rate Min./Inch d
Site Suitability Assessment: Site Passed_X Site Failed Additional Testing Needed(YfN)
Original:Public Health Division Observation Hole Data To Be Completed on Back------
***If percolation test is to be conducted within 100'of wetland,you must first notify the
Barnstable Conservation Division at least one(1)week prior to beginning.
Q:\SEPTIC\PERCFORM.DOC
DEEP OBSERVATIONMOLE LOG Hole-#-�—
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders.
2 sistenc ° el
7L u
L o VIL411
DEEP OBSERVATION HOLE LOG Hole# _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders.
%
M• sa 2-SY� 1
t
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color _ Soil Other
Surface(in.) (USDA) (Mansell) Mottling (Structure,Stones,Boulders. --
Consistency.%Gravel)
rr,
DEEP OBSERVATION HOLE LOG Hole#
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Muosell) Mottling (Structure,Stones,Boulders.
Consistencv.° Oravell
Flood Insurance Rate Map:
Above 500 year flood boundary No— Yes
Within 500 year boundary No Yes_
Within 100 year flood boundary N/ Yes^ ..
Depth of Naturally Occurrine Pervious Material
Does at least four feet of naturally occurring pervto s material exist in all areas observed throughout the
area proposed for the soil absorption system? I CJ
If not,what is the depth of naturally occurring pervious material?
Certiftcatlon (�
I certify that on (date)I have passed the soil evaluator examination approved by the
Department of Environmental Protection and that the above analysis was performed by me consistent with
the required train pertise and experience described in 310 CMR 15.017./
Signature �J Date 71r
Q:\SEPTIC\PF-RCFORM.DOC
I
LEGEND N
x 100.98 EXISTING SPOT GRADE
-- 102 -- EXISTING CONTOUR LOCUS s.
- -O.fFW- - OVERHEAD WIRES sh°°k o d m
0 N
O �
W EXISTING WATER SERVICE Ave.
okeviewP`ne L 5
TEST PIT Drive oy°
m
BENCHMARK
Q\e
w
po1n1
1 jey w°y Wequaquet
eGK
Lake
N es�
a
O)
LOCUS MAP
NOT TO SCALE
BENCHMARK
BULKHEAD CORNER
EL.=46.30 (NGVD
x 39,5.8
�-4%92 �/ •6g. �L INSTALL A 40 MIL POLY LINER
�- 5i /� TOP OF LINER, EL.=40.5
BOTTOM OF LINER, EL.=38.0
x aJ8.29 ( x 43.08
' $ I
x 46.84 x 45.04 x aa.aa x 42,60 STRIPOUT BOUNDARY
..4,� \\\\ \\ \\ SEE NOTE 11-SHEET 2
/ \ \/ LOT 3 x 44.05 x 42.82
(' 45.61 \
/ x`aS�84 \ � 44.13 43.2
/ MBLU 214-57 ,� ��, '� � '`� Win,
x 45.81 42,738±S.F. ,,�' `� \ '• edge. ° ��'�
` ��- x�45.96 4 .74
`� 4 )61
/ 43.74 1'`� i'/ 30 44.74 .� 44.2
� x/ x 43. 4 0 ' x 1. 90 42.56
O 44.49 1 // 45.87
N aJ dTt / P�� IS►TNG /OQ o :�.
N x 44.3 43.66 i V, G^ 305) / 2
43.1s HOUSE..OF.-VA RI ES G� 4 `' h' '!
xPOR q g 45.6 �JCJ"' VENT �� 4.6 41b5
x44.12
_ F
•ti 43.21
1 S� x / 0 +
+3.93 O� 4b �P 44.61 i / 40.97
45.13CA
44.05
40.04 °
V: ,!.
x 420
ry�y ??�99 4. 0 ::i.•Df�F'.�•::'?;::. 42473 4 i x 4
45
:':4 :>1 ' .:'PjVEp'
45.37 < ;. pRIVEWA F.
x 46.00 43.39 Oj
\ 1 EXISTING LEACH FIELD
Z------, �) `'4.1.15 = Y::.-`.- ...'.,�f .• •. 39.66 TO BE PARTIALLY STRIPPED
x 44.73 /43.85 ,.`.w OUT & ABANDONED
A //41.75 40,33'
x 44.59// �' +'`� �� EXISTING SEPTIC TANK
�,et(`e TOP OF TANK, EL.=41.86
J y
/ - INV.(OUT) 40.53E
'Q
39.y� ' BOG
D
, \\Y BOG
� 41.43 x
i / rO:'`,' ed°'e gP� ____ s8:- B�G38.01 �F Mqs
N
BOG�O PETER T. G�
39.4 38.5 �'G� McENTEE
o !„
60.�5 &p- Y i E CIVIL
S 69.56, 1,
CRANBERRY No. 35109
18 E �� 5. BOG ; BOG op RfGI ZERE� Fc��
38.46 /
IM
I�T�
BOG OWNER OF RECORD
AAL
ONJA
T� 38.13 305 PEA NT P & SAVE.
l/��,! r j� CEN PLEASANT PINES 2
CENTERVILLE, MA 02632
PROPOSED SEPTIC SYSTEM UPGRADE PLAN
305 PLEASANT PINES AVE, CENTERVILLE, MA
Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632
Engineering by: SCALE DRAWN JOB. NO.
Engineering Works, Inc. 1 -30' P.T.M. 186-14
12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
(508) 477-5313 7/31/14 P.T.M. 1 Of 2
NOTE: TO PREVENT BREAKOUT, THE PROPOSED
FINISH GRADE SHALL NOT BE < EL: 40.3
FOR A DISTANCE OF 15' AROUND THE
PERIMETER OF THE S.A.S.
SEPTIC TANK PROPOSED D-BOX PROPOSED S.A.S.
INSTALL RISERS & COVERS OVER INLET & INSTALL RISER AND COVER INSTALL RISER & COVER OVER ONE CHAMBER(MIN.)
OUTLET AND SET TO 6" OF FINISH GRADE SET TO WITHIN 6" OF FINISH AND SET TO WITHIN 3" OF FINISH GRADE TO SERVE
T.O.F. GRADE AS AN INSPECTION MANHOLE.
• EXISTING F.G. EL.=45.3t /-•F.G. EL.=44.2t F.G. EL.=44.VENT
/ VENT
L = 38' L = 17'
S=1% (MIN.) p S=1% (MIN.)
4"SCH40 PVC 4"SCH40 PVC
s" 2" LAYER OF 1/8"
" s E3 O E2 TO 1/2 DOUBLE
14" 12" I I WASHED STONE
EXISITNG 48• LIQUID INV.=40.53t OR APPROVED FILTER FABRIC)
LEVEL EXISITNG PROPOSED INV.=39.98 4' 3' 4'
GAS BAFFLE 3/4"-1 1/2"
INV.=40.15 D-BOX EFFECTIVE WIDTH = 11' DOUBLE WASHED
H-10 RATED INV•=39.81 ONE
EXISTING SEPTIC TANK USE 5 LC-6 LEACHING CHAMBERS IN SERIES
WITH DOUBLE WASHED STONE-AL SIDES
NOTES:
H-20 RATED
1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPE TOP CONC. ELEV.=40.64
INVERTS, PRIOR TO INSTALLATION. - -- -.BREAKOUT
INV. ELEV.=39.81 EM E3 E3 O E3 EM® ELEV.=40.31
2) D-BOX SHALL BE SET LEVEL AND TRUE TO I ®®®®®®®
GRADE ON A MECHANICALLY COMPACTED SIX BOTTOM ELEV.=38.81
INCH CRUSHED STONE BASE, AS SPECIFIED IN 2' S x 6' = 30' 2'
310 CMR 15.221(2). 4' OF NATURALLY OCCURRING
3) INSTALL INLET & OUTLET TEES AS REQUIRED. PERVIOUS MATERIAL EFFECTIVE LENGTH = 34'
4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE 4' (MIN.) ABOVE G.W.
AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. NO G.W./BOTTOM OF TP-1, EL=34.3 - LEACHING SYSTEM SECTION
ESTABLISHED HIGH GROUNDWATER, EL. 34.8 (LAKE WEQUAQUET)
SEPTIC SYSTEM PROFILE
N.T.S.
GENERAL NOTES: SOIL LOG
1. ALL CHANGES TO THIS PLAN MUST BE APPROVED BY THE LOCAL
BOARD OF HEALTH AND THE DESIGN ENGINEER. DATE: JULY 23, 2014 (REF.# 14,443)
2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SOIL EVALUATOR: PETER MCENTEE PE, CSE
OF THE STATE ENVIRONMENTAL CODE, TITLE V, AND ANY APPLICABLE WITNESS: DONNA MIORANDI IRS, CSE
LOCAL RULES AND REGULATIONS, EXCEPT AS REQUESTED BELOW: TP- 1
-310 CMR 15.405(1)(b): Elev. Depth Elev. TP-2 Depth
1) A 6' variance, SAS to cellar wall, for a 14' setback. 44.3 0" 44.8 0"
2) A 2' variance to the maximum cover requirement of 3', for FILL FILL
no more than 5' of cover. S.A.S. is H-20 and vented. 41.1 A 36' 42.1 A 32"
3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR SANDY LOAM SANDY LOAM = __
- -- __ .TO-INSPECTION-AND APPROVAL BY-THE- BOARD OF-HEALTH AND THE 40.8 10YR 4/2 42' 10YR 4/2 � 38"
DESIGN ENGINEER. 41.6
4. ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING B SANDY LOAM B SANDY LOAM
FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN 10YR 5/8 1OYR 5/8
ENGINEER BEFORE CONSTRUCTION CONTINUES. 39.3 C1 60„ 39-3 C1 66"
5. ALL ELEVATIONS BASED ON NGVD. PERC'
60'/72"
6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF
THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF F-M SAND F-M SAND
HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. 10YR 5/3 10YR 5/3
7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE
8. THERE ARE NO ABUTTING WELLS WITHIN 100' OF THE PROPOSED S.A.S. 34.3 120" 34.8 120"
9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS PERC RATE = 3 MIN./INCH "C" HORIZON
AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE NO GROUNDWATER OBSERVED
DIRECTED BY THE APPROVING AUTHORITIES. ESTABLISHED HIGH GROUNDWATER, EL. 34.8 (LAKE WEQUAQUET)
10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY
THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING
CONSTRUCTION.
4 KNOCKOUT
11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS 2D DIX COVER
IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND I I
REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). _ m
12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 114C MOCKOUT r K711111I
INSPECTED BY HEALTH DEPARTMENT PRIOR TO BACKFILL. I I
13. THIS PLAN IS TO BE USED FOR SEPTIC SYSTEM PURPOSES ONLY AND I 4-laa MOT
----J
IS NOT TO BE CONSIDERED A PROPERTY LINE SURVEY.
I - I
72' 1
PLAN VIEW
DESIGN CRITERIA f ® ® ® ® ® ® ® 22• I ® ® ® I
I i
NUMBER OF BEDROOMS: 3 BEDROOMS M1/2ERT UODUU ® U
SOIL TEXTURAL CLASS: CLASS I I 72' '► �' 36^ 1
DESIGN PERCOLATION RATE: 3 MIN/IN
DAILY FLOW: 330 GPD SIDE VIEW END VIEW
DESIGN FLOW: 330 GPD
GARBAGE GRINDER: NO-AND NOT PERMITTED WITH THIS DESIGN WIGGIN LC-6, H-20 LOADING
LEACHING CHAMBER
EXISTING SEPTIC TANK: 1000 GALLON CAPACITY
LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF N.T.S.
.74 GPD/SF PROPOSED SEPTIC SYSTEM UPGRADE PLAN
USE 5 LC-6 LEACHING CHAMBERS IN SERIES
WITH DOUBLE WASHED STONE-ALL SIDES 305 PLEASANT PINES AVE, CENTERVILLE, MA
SIDEWALL AREA: (11.0' + 34.0') x 2 x 1' = 90.0 SF Prepared for: D. A. Brown, Inc., P.O. Box 145, Centerville, MA 02632
BOTTOM AREA: 11.0' x 34.0' = 374.0 SF Engineering by: SCALE DRAWN JOB. NO.
TOTAL AREA:........................................................... 464.0 SF Engineering Works, Inc. N.T.S. P.T.M. 186-14
12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET NO.
DESIGN FLOW PROVIDED: 0.74 GPD/SF(464.0 SF) = 343.3 GPD (508) 477-5313 7/31/14 P.T.M. 2 Of 2