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HomeMy WebLinkAbout0116 FROST LANE - Health 116 FROST LANE Hyannis A = 289 - 003 TOWN OF BARNSTABLE LOCATION k(o FZ0C,r LA1 rC SEWAGE# ),0t5 -6 5 VILLAGE HYA JOJ S ASSESSOR'S MAP&PARCEL 2w9 Q0 . INSTALLER'S NAME&PHONE NO.00G,(4tnr= &.i i FAt' jS-9 U01 569-9 `7•1977 SEPTIC TANK CAPACITY (5 DO 'CZ04�&1I LEACHING FACILITY:(type)(A Sboam- (size) 1 a,9t'K,�2-s NO.OF BEDROOMS OWNER MAR4 04AS6WAll� PERMIT DATE: COMPLIANCE DATE: 3>aq @(5 Separation Distance Between the: Maximum Adjusted Groundwater Table to the Bottom of Leaching Facility &Jd o9� Feet Private Water Supply Well and Leaching Facility(If any wells exist on site or within 200 feet of leaching facility) O'A Feet Edge of Wetland and Leaching Facility(If any wetlands exist within 300 feet of leaching facility) • Feet FURNISHED BY- CA L-w i pr- G&2E9P U_ ® S A- 3 A 54 ' A-Y - ® N g-2 25.io` Q-3 25A 1+ No. d � Fee Uo THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS es 9pplitation for Disposal *pstem Construction 3pPrmit Application for a Permit to Construct( ) Repair A Upgrade( ) Abandon( ) Complete System ❑Individual Components Location Address or Lot No. (}�6�5_ Owner's Name,Address,�and Tel.No. Assessor's Map/Parcel i; 9 C� HY S j�v go- qw-" V4- 0Y0WAj F0-A Installer's Name,Address,and Tel.No. 5 e'1-4-11-98-77 Designer's Name,Address,and Tel.No.SC 8-4`7-1-5313 ewmoc- Liz- �5 e:'E: e�ss;Ft&4 Type of Building: 4- Dwelling No.of Bedrooms Lot Size sq.ft. Garbage Grinder( ) Other Type of Building R05-1 b6-*.M Rom- No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 3 e) gpd Design flow provided .3 q'R 7 gpd Plan Date 3 t-7 -A©i�; Number of sheets Revision Date Title � �� L0wiY 4\0)y Is Size of Septic Tank 1.50n CaAU k) Type of S.A.S.Lg_Q 6 1)Lf l PGr L -�--o-C Description of Soil AtEn, _5A6M (m as°�/r5(7 7(-A?,d Nature of Repairs or Alterations(Answer when applicable) l�5 ��l ��e� L$lJfp (C- 10 &2841 P-0 a TD (c1) 5oa CAw-A) Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of the afore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental Code and not to place the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signe Date Application Approved by Date Application Disapproved by Date for the following reasons Permit No. �_U (,�;-- 0 L/) Date Issued 3 No. d ~— �S s Fee THE COMMONWEALTH°OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS Zipplitation for Misposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(X Upgrade( ) Abandon( ) Complete System ` El individual Components Location Address or Lot No. I (p FRo:j(l 4 IC Owner's Name,Address, d Tel.No. Assessor's Map/Parcel a g 9 j d o 3 Hy IU I I tC) 13q9.4, Ni. OY�u>uc5pOlu Installer's Name,Address,and Tel.No. 5OS17 T7 Designer's N��amgg,�Address,and Tel.No. SO 8'4"77-53t 3 0*0eWlp& �5� LLG. ,;6AA5rA1��7�c.l14C� �Joiy,S _C.jG. (53 5-T" W, CAOS&Ft&-Z`�, S TD Type of Building: .,f- Dwelling No.of Bedrooms I'Lot Size 19, 157 sq.ft. Garbage Grinder( ) �T l(�-C.. No.of Persons Showers( Cafeteria(Other Type of Building R E$l ) Other Fixtures c, 7 Design Flow(min.required) 33(D I gpd Design flow provided ,3 48, 7 gpd Plan 'Date 3—o —Ao i Number of sheets rL Revision Date Title Size of Septic Tank 15()o (9:7,4(4, )0 Type of S.A.S. �X 50o ej¢.EsDiV " Description of Soil ��5 A-kjb co a, 1 Nature of Repairs or Alterations(Answer when applicable) l iJS , G(1 6J6-y) ('5'pp _, {.C(, fid S6PT -T"K— "Po NeyJ n- aK -M C9.) Soo cagLLok/ UAdhocr Ci44we6ts c iTE4 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 Board of Health. 2 !i Signe P Date 3`'r*�'O�o�7 C Application Approved by �• 1 Date —/S Application Disapproved by Date for the following reasons " Permit No. "Date Issued 3 -------------------------------------------------------------------"------------------------------------------------------------------- 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 �10,i7G'o'i (oC 4 at Mo �FRasT L Aug t4y.4u.5 has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No.a d I �rdated 3/,, Installer CA®? U J 1 DE C_kr7W�� &t C— Designer iE ll)&[N�([V(Sr Wajt1 'TPC. #bedrooms Approved des' ow .330 gpd The issuance of 's it h 11 noLbe construed as a guarantee that the system i nc io designe d Date Inspector V V / No. � o/_�-' (J q T Fee /G O THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION -BARNSTABLE,MASSACHUSETTS 33isposal *pstem Construction Vermit' Permission is hereby granted to Construct( ) Repair( Upgrade( ) Abandon( ) System located at E T`I ysGxlx�l$ 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. Provided:Constrru�tion must be completed within three years of the date of this permit. Q [� Date .S /,�/()� Approved by Town Of Barnstable -O;1"E a l e,gulatory Services 4 Richard V Seali, Interim Director BMtNSTABass. $tea. Public Realty Division 039• Thomas .N-Ickean, Director 200 Main StrOpt, Hyannis, MA 02601 n'r Fax: 508-790-6304 Na -mcc: 508-862-4644 i Installer & Desiajie�, Certification Fors Date: Z4=( ' S Sewage Permit-4 Ze Assessor's MapTarcel 28q--eo 3 De$igr e�: i' Installer, �,G�e ��td eel u5 daress; �;? SC� -� Address: /5 3 C�r���!�+�^e� .Sd— 04— gzQ '-l� r 3 - 2�'1 :i = r ��'S � was issued a permit to install a �JrJ� i (date) (installer) septi.c system at 4 l5-�" 'n�j k-�y`4"�ti r based on a design drawn by (address) f dated 7._� -- (designer) I certify that the septic system referenced above was installed substantially accoxcling to the design, which may include minor approved changes such as lateral relocation of the distribution 'box and/or septic tank, Step out (if required) was inspected and the soils were found satisfactory. I certify that the septic system referenced above was installed with major cha�sges (i.e. greater than :10' lateral relocation of the ;SAS or any vertical relocation of any component of the septic system) but in accordance h State & Local Regulations. Plan revision or certified as-built by designer to follow, trip out (if required) was inspected and the soils were found satisfactory, }oyl r ti�rry I certify that the system referenced above;;was constrtiin, �� k with the terms of the IAA approval letters (if applicable) w� civo- staller's S l `- (Designer's Signature). (Affix Designer's Stamp Here) FU SE RETURN TO I3ARi�iSTABLE P rI3LIC H1ALTH DIYISIt�I�I. Cl RTIFIClATE OF C0114PLIA7`lCE MUL :NOT BE ISS-IT.Ei�D UNT TIL BOTH I'Hi FORM AM) AS- BUILT CARD :ARE RECEIYED BY•TUM B' NSTA- LE PUBLIC HEM U,TFI DMSION, i:!S.'epic'•1)esianer Certification Form Rev 8-14-13.doc 'own of Barnstable P# Department of Regulatory Services Public Health Division Date i 5� MABS 200 Main Street,Hyannis MA 02601 rEb MA'I Date Scheduled Time Fee Pd._ 1 0b n Sail Suitability Assessment for S e Dgp l Performed By: Witnessed B 0Y LOCATION&GENERAL INFORMATION Location Address + (�, . LAO q tf pNN1CJOwner's Name MARK �SO M ,v�x f t �P ��nl Address PO 'e3C>Y- 4;t'1 W 14'4'P0RT Assessor's Map/Parcel: g 9 �� Engineer's Name ICm4P65IL46 NEW CONSTRUCTION REPAIR x Telephone# 562 —4-7-7 —Sl 7 Land Use X_e`z�. Cn �. Slopes(%) �- Surface Stones /jCl,11R Distances from: Open Water Body 7�1OCJ ft Possible WetArea754%1 %S� ft Drinking Water Well-? ft Drainage Way f ft Property Line 4"fit Other ft SKETCH:(Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands f'n proximity to holes) �rj i Parent material(geologic) C! i—vraS Depth to Bedrock Depth to Groundwater. Standing Water in Hole: /"f r".' Weeping ti'om Pit Face A.1/ Estimated Seasonal High Groundwater 77 t 3'7°''`d N,44 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 Adjuatment ft. Index Well# Readin Date: Index Well level Adj.factor AdJ,draundwater Level, s g PERCOLATION TEST Date, ... Mme Observation Hole# � Time at 9" n _._ Depth of Penc Time at 6" 2y start Pre-soak Time @ (-A t'\ Time(V-6") End Pre-soak Rate Min./Inch �'` Z ✓. Site Suitability Assessment: Site Passed- Site Palled: Additional Testing Needed(YIN) 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:\SEPTfCPERCFORM.DOC DEEP-OBSERVATION MOLE LOG Hole# Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones;Boulders. onsistency.%Gravel) 2 Z0 C— iv1 s N Z,S. �/r✓ DEEP OBSERVATION HOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsisten %Gravel) A. DEEP OBSERVATION HOLE LOG Dole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency.%O e DEEP OBSERVATION BOLE LOG Mole# Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. Consistency, Flood Insurance Rate Man: Above 500 year flood boundary No— Yes _____ Within 500 year boundary No Yes _ Within 100 year flood boundary No., Yes 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? _ If not,what is the depth of naturally occurring pervious material? Certification I certify that on _(�_ c o (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 training,expertise and experience described in 310 CMR 15.017. Signature �—— Date l ( Q:\SEPTiC\PERCFORM.DOC TOWN OF BARNSTABLE LOCATION 'z�"r "r s SEWAGE # f, VILLAGE HYAA16115 ASSESSOR'S MAP & LOT INSTALLER'S NAME&PHONE NO. SEPTIC TANK CAPACITY f LEACHING FACILITY: (type) (size) NO.OF BEDROOMS ff BUII.DER O OWNER e err '► PERMITDATE: COMPLIANCE DATE: Separation Distance Between the: Maximum Adjusted Groundwater Table and 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 byC h _ n 2 p f! ICY ' —99 ——EXISTING CONTOUR N M i� x 100.98 EXISTING SPOT GRADE Sterlin Rd x 103,80 BENCHMARK I w EXISTING WATER SERVICE princess A) G EXISTING GAS SERVICE LOCUS MAG.NAIL SET —$/-/ ygL—OVERHEAD WIRES w° _ EL.=104.77 TEST PIT _ a 104,66 1 - �OS T BENCHMARK 3 �1�4 56 LEGEND V L 104,E �pZ2t rr3erat �04.94 3 y 104.80 LAMP \ x 102.62 104,81r S 7 •1 , 1Q„ -1041,'` PK SET 3 131.990 -1 LOCUoMAP SCALE NOT 104.77 10 ,69 104,79 a x I 1036 `:: ° ' 9��r' �'o• GENERAL NOTES: 101.79 1. ALL CHANGES HEALTH TO PLAN THE DESIGN BENGINEER,AOVED BY THE LOCAL BOARD PROPOSED I 105,71 2. ALL WORK AND MATERIALS SHALL CONFORM TO THE REQUIREMENTS SEPTIC TANK ; �:.;:: ' 4 I / LOF OCAL THE RULES STATE AND ENVIRONMENTALREGULATIONS. ODE, TITLE V, AND ANY APPLICABLE ",`• •• 3. THE SEWAGE DISPOSAL SYSTEM SHALL NOT BE BACKFILLED PRIOR x 105,11 :Q. • ,. x 1�4.8 TO INSPECTION AND APPROVAL BY THE BOARD OF HEALTH AND THE ::...; .: : to N MBL 289-003 DESIGN ENGINEER. �� 21 o�EX/STING 19,157 tSF / 4• ANY CONDITIONS ENCOUNTERED DURING CONSTRUCTION DIFFERING 1 ,4:;60, ': / FROM THOSE SHOWN HEREON SHALL BE REPORTED TO THE DESIGN p� 1104,38 O �— p/HOUSE ENGINEER BEFORE CONSTRUCTION CONTINUES. �. p W Z/(/#1 16� / 5. ALL ELEVATIONS BASED ON ASSUMED DATUM. CO o N / O 104.82 T.O.F.=1O5.96f + ca a, 6. THE DESIGN ENGINEER IS NOT RESPONSIBLE FOR THE FAILURE OF 14' 1/ (o 0 THE CONTRACTOR OR OWNER TO NOTIFY THE LOCAL BOARD OF 11/ 4 HEALTH FOR PROPER INSPECTIONS DURING CONSTRUCTION. EXISTING CESSPOOL 0VERFL0W �� i / Q it o 7. WATER SUPPLY PROVIDED BY TOWN WATER SERVICE. PUMP, FILL WITH / x 10 4,6 7 J/ / •. 8. THERE ARE NO WELLS WITHIN 150' OF THE PROPOSED S.A.S. SAND & ABANDON 9. ALL AREAS CLEARED FOR CONSTRUCTION SHALL BE RESTORED AS ',. TP DECK / AGREED UPON BY OWNER AND CONTRACTOR OR AS OTHERWISE / x 103, /0 DIRECTED BY THE APPROVING AUTHORITIES. 99.53 ~�. / ( �J 10. IT SHALL BE THE RESPONSIBILITY OF THE CONTRACTOR TO VERIFY / 104 36 �A�p // THE LOCATION OF ALL UNDERGROUND UTILITIES, PRIOR TO BEGINNING TP-2 / / CONSTRUCTION. 0 ;•.:j / / 1 11. WHERE REQUIRED, CONTRACTOR SHALL REMOVE ALL UNSUITABLE SOILS IN THE AREA BENEATH AND FOR 5' ON ALL SIDES OF THE S.A.S. AND ,'• j� // I REPLACE WITH CLEAN SAND AS SPECIFIED IN 310 CMR 255(3). BRA 12. AREAS REQUIRING STRIPOUT OF UNSUITABLE MATERIALS SHALL BE 10/1.. 3 INSPECTED BY DESIGN ENGINEER PRIOR TO BACKFILL. 10h,34 / / FOR f / 13. THIS PLAN IS TO BE US CONSIDERED TO BEEAD PROPERTY SYSTEM PURPOSES ONLY AND 66 SURVEY. 104 X SHED / sa, e ; #8 102.01 / �'/ 14. THE ENGINEER IS NOT RESPONSIBLE FOR ANY UNDOCUMENTED SEPTIC 26 x 104�11 104,88 x 104, SYSTEM COMPONENTS NOT SHOWN ON THE PLAN � � �i °f Ma s 00 PROPOSED SEPTIC SYSTEM UPGRADE PLAN 158.48' PETER T. N 82� 3=30„ io3.o4 �� �0 116 FROST LANE, HYANNIS, MA M ENTEE W x S1 x 101.10 fl) o CIVIL "' / Prepared for: Capewide Enterprises, 153 Commercial St., Mashpee, MA 02649 No. 35109 97,71 Engineering by: SCALE DRAWN JOB. N0. OWNER OF RECORD 1"-20' P.T.M. 125-15 CASHMAN, MARY G Engineering Works, Inc. P.O.. BOX 422 n 12 West Crossfield Road, Forestdole, MA 02644 DATE CHECKED SHEET N0. (� WEST HYANNISPORT, MA 02672 (508) 477-5313 3/17/15 P.T.M. 1 Of 2 t; I EXISTING NOTE: TO PREVENT BREAKOUT, FINAL GRADE SEPTIC TANK SHALL NOT BE AT, OR BELOW, E'=102.0 HOUSE INSTALL RISERS & COVERS OVER INLET & FOR A DISTANCE OF 15' FROM THE EDGE �(11116) OUTLET AND SET TO 6" OF FINISH GRADE PROPOSED D-BOX OF THE PROPOSED S.A.S. T.0.F.=105.96E INSTALL RISER & COVER PROPOSED S.A.S. SET TO 6" OF GRADE INSTALL RISER & COVER OVER EACH CHAMBER AND T.O.F=105.96t SET TO 3" OF F.G. TO''SERVE AS INSPECTION PORT , F.G. EL.=104.6t F.G. EL.=104.5t F.G. EL.=104.4t F.G. EL.=104.4t ff MAINTAIN 2% SLOPE OVER S.A.S. DECK L = 17' 3'(max.) , L = 19' '0 c� N ® S=1% (MIN.) @ S=1% (MIN.) ® S=1%5(MIN.) �� �s� 4"SCH40 PVC 4"SCH40 PVC 4"SCH40 PVC 2" LAYER OF HEED T 1E •� DOUBLE WASHED STONE �o • 14" e" a®B$®®® (OR APPROVED FILTER FABRIC) INV.=102.25 48" LIQUID ®assess LA ---3/4" TO 1-1/2" DOUBLE LEVEL WASHED STONE t\ ADD INV.=101.77 PROPOSED _ 4' 5.2' 4' ,� �� �� INV.V 101050 0 EFFECTIVE WIDTH = 12.8' GAS BAFFLE INV.=102.00 3 OUTLETS PROPOSED SEPTIC TANK 9-500 GALLON LEACHING CHAMBERS SURROUNDED WITH STONE AS SHOWN SHED CONNECT TO EXISTING SUITABLE SEWER PIPE/S AT HOUSE, AT OR ABOVE, INV.=103.62t verif H-10 RATED TOP CONC. ELEV.=102.3± BREAKOUT ELEV.=102.00 SEPTIC LAYOUT NOTES: INV. ELEV.=101.50 aB®aa �aeaeaaaaaa 1) CONTRACTOR SHALL VERIFY ALL EXISTING PIPES & ssssssssaaa INVERTS EXITING HOUSE, PRIOR TO INSTALLATION. BOTTOM ELEV.= 99.50 2) SEPTIC TANK & D-BOX SHALL BE SET LEVEL AND �EFFE 2 x 8.5' = 17.0' 4'TRUE TO GRADE ON A MECHANICALLY COMPACTED 4' OF NATURALLY OCCURRING CTIVE LENGTH = 25.0' SIX INCH CRUSHED STONE BASE, AS SPECIFIED PERVIOUS MATERIAL IN 310 CMR 15.221(2). 5 (MIN.) ABOVE G.W. I E6QHING SYSTEM SECTION ®®®® 0 3) INSTALL INLET & OUTLET TEES AS REQUIRED. BOTTOM OF TEST PIT, EL.=94.2 4 ®®®®®® ® ®®®® 33" 4) GAS BAFFLE TO BE INSTALLED ON OUTLET TEE ®®®®®® ® ®®®® AS MANUFACTURED BY TUF-TITE, ZABEL OR EQUAL. N Z ®k3-®®®® ® ®®®® SEPTIC SYSTEM PROFILE 102" DESIGN CRITERIA SOIL LOG 4" KNOCKOUT NUMBER OF BEDROOMS: 3 BEDROOMS DATE: MARCH 17, 2015 (REF#14,646) 20" DIA. COVER SOIL EVALUATOR: PETER McENTEE PE(SE#1542) SOIL TEXTURAL CLASS: CLASS I (LOADING RATE=0.74 GPD/SF) WITNESS: DONNA MIORANDI R.S. HEALTH AGENT „ DESIGN PERCOLATION RATE: <2 MIN/IN ELEv. TP-1 DEPTH ELEV. TP-2 DEPTH 4" KNOCKOUT 4" KNOCKOUT 58 0 DAILY FLOW: 330 GPD 104.2 A 0„ 104.2 A 0„ DESIGN FLOW: 330 GPD SANDY LOAM SANDY LOAM 103.7 10YR 4/2 6" 103.6 10YR 4/2 7„ 4" KNOCKOUT GARBAGE GRINDER: NO-not allowed with design B B LEACHING AREA REQUIRED: (330 GPD) = 445.9 SF SANDY LOAM S ND 5OAM 25" .74 GPD/SF 500 GALLON CAPACITY, H-10 LOADING '02.2 10YR 5/6 24" '02.2 CHAMBERS PROPOSED SEPTIC TANK: 1500 GALLON CAPACITY C PERC C PROPOSED D-BOX: 1 INLET, 3 OUTLET (MINIMUM), H-10 RATED 30 /48 N.T.S. USE 2-500 GALLON LEACHING CHAMBERS IN SERIES MED. SAND MED. SAND PROPOSED SEPTIC SYSTEM UPGRADE PLAN SURROUNDED BY DOUBLE WASHED STONE ON ALL SIDES 2.5Y 6/6 2.5Y 6/6 116 FROST LANE, HYANNIS, MA SIDEWALL AREA: 2(12.8' + 25.0') X 2 = 151.2 S.F. BOTTOM AREA: 12.8' x 25.0' = 320.0 S.F. Prepared for: Capewide Enterprises, 153 Commercial St., Mashpee, MA 02649 TOTAL AREA:................ 471.2 S.F. Engineering by: SCALE DRAWN JOB. NO. 94.2 120' 94.2 120' P.T.M. 125-15 Engineering Works, Inc. 'N��'' DESIGN FLOW PROVIDED: 0.74 GPD/SF(471.2 SF) = 348.7 GPD PERC RATE <2 MIN/IN. "C" HORIZON 12 West Crossfield Road, Forestdale, MA 02644 DATE CHECKED SHEET NO. NO GROUNDWATER ENCOUNTERED (508) 477-5313 3/17/15 P.T.M. 2 Of 2