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HomeMy WebLinkAbout0006 BLUEBERRY LANE - Health 6 BLUEBERRY LANE Marstons Mills A = 102 — 124 7 TOWN OF BARNSTABLE LOCATION��'� L U L(3 PRA V LW, SEWAGE# ,20 IS-- 1.2 VILLAGE 4�Uf9 S`f Dij 2 A LkIiSESSOR'S MAP&PARCEL 0 Z- INSTALLER'S NAME&PHONE NO. q�b n�y G �i e r SEPTIC TANK CAPACITY .4� LEACHING FACILITY: (type) a L., l cy TM—C- I (size) 3 NO. OF BEDROOMS 3 OWNER L \ AIT /" PERMIT DATE: 7 COMPLIANCE DATE: `7 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 c N � � o � e p o 1.�6Q �-- 3�•---" �z � r32 A3ZL 4 a.5 e • No. 01' Fee THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: Yes PUBLIC HEALTH DIVISION - TOWN OF BARNSTABLE, MASSACHUSETTS 2ppliLAtIon for Disposal 6pstem Construction Permit Application for a Permit to Construct( ) Repair(Upgrade( ) Abandon( ) �4omplete System ❑Individual Components Location Address or Lot No.(0 N Ue ,:m(y Owner's Name,Address,and Tel.No. -Ma tt&jVjS 114 t I !S C� l tV� �• �vw dy S Assessor's Map/Parcel c61 el Tl)vi. lw a44,i cS Installer' Name,Addres d Tel.No. Designer's Name,Address and Tel No. (2ae ,m Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.8. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 355 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank q-0 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 ore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental ode and not to pl e the system in operation until a Certificate of Compliance has been issued by this Board of Health. Signed Date Application Approved by Date Q4�7�/ (�/> Application Disapproved Date for the following reasons Permit No. 7b Date Issued _ ��� No. Fee THE COMMONWEALTH OF MASSACHUSETTS' Entered in compute ,y 'PUBLIC HEALTH DIVISION -.TOWN OF BARNSTABLE, MASSACHUSETTS Yes 'ApphiAtlon for ]Disposal 6pstPm Construction Verlult Application for a Permit to Construct( ') Repair(/f Upgrade( ) Abandon( ) e�complete System ❑Individual Components Location Address or Lot No. UG b f-( Owner's Name,Address,and Tel.No. rr�aV_ s r�� t �i 5 �1 �i��+ �. S 11lei �L/LS Assessor's Map/Parcel a ► �( G(G/ 7G wr /�6t >�/ a/W S Installer' Name,Addres ,and Tel.No. Designer's Name,Address,and Tel.No. Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Building No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow(min.required) 330 gpd Design flow provided 355 gpd Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil � e t Nature of Repairs or Alterations(Answer when applicable) a E Date last inspected: Agreement: The undersigned agrees to ensure the construction and maintenance of thWe fore described on-site sewage disposal system in accordance with the provisions of Title 5 of the Environmental ode and not to pl the system in operation until a Certificate of a Compliance has been issued by this Board of Health. f Signed Date Application Approved by r Date Application Disapproved Date for the following reasons w Permit No.7n 1 C /Z­4 Date Issued 5 ? Zp/ --------------------------------------------------------------------------------------------------------------------------------------- THE COMMONWEALTH OF MASSACHUSETTS BARNSTABLE,MASSACHUSETTS Certificate of Compliance THIS IS TO FCTIFY,that the On- ' Sewage Disposal system Constructed( ) Repaired(✓� Upgraded( ) 4 Abandoned( )by 1-4.11 k at `Dt y has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No7015—/2-1 dated T Installer Designer #bedrooms 3 Approved design flow _3S 0 gpd The issuance of this)permit shall not be construed as a guarantee that the system wi fun An as desi ed. Date "�— Inspector _ No. �t(5 �Z 7Z Fee ��00 oo ____ THE COMMONWEALTH OF MASSACHUSETTS 4 PUBLIC HEALTH DIVISION-BARNSTABLE,MASSACHUSETTS Misposal 6pstem Construction hermit Permission is herel jtdto Con tract( ) Repair( �) Upgrade( ) Abandon( ) System located at Ni /� 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:Construction must be completed within three years of the date of this permi Date /4��/� Approved by Town of Barnstable Regulatory Services r + Richard V. Scali, Interim Director r 9ARMABLE, r Public Health Division i0jeo Mr►�'' Thomas McKean, Director 200 Main Street, Hyannis, MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer&Designer Certification Form i Date: S LaH�IS Sewage Permit# Z Assessor's Map\Parcel OoZ R x Designer: Installer: Address: �• ��x 1 S t" Address: `7 Mash , k-�A o_a(,dAq Ll 4 A 04f) M �L On SA/,20/6- c, F.S was issued a permit to install a (date) (i taller) septic system at jnQ ,S`1 f``k\\5 based on a design drawn by (a ss) c-, dated qc)6\ 5 (designer) —tx— I certify that the septic system referenced above was installed substantially according to the design, which may include minor approved changes such as lateral relocation of the distribution 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. greater than 1.0' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State & Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. 1 I certify that the system referenced above was constructed in compliance with the terms of the I\A approval letters(if applicable) . , .j K,. cn ht.s.p .�r J 4 (Installer's Sig e) Q 5, ( esigner's Signature) (Affix bcaigW �f=ip Here) PLEASE RETURN TO BARNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF COMPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK YOU. Q:\Septic\Designer Certification Form Rev 5-14-13.doc Town of Barnstable IKE r Regulatory Services Richard V. Scali, Interim Director snxxsTaaLE, , MASS. Public Health Division i63q• �� A�f1639 Thomas McKean, Director 200 Main Street, Hyannis,MA 02601 Office: 508-862-4644 Fax: 508-790-6304 Installer & Designer Certification Form a Date: tT Sewage Permit# -/a Assessor's Map\Parcel / ®—7-- � y Designer: COe,,AE�-3 Installer: Address: � x 1 Ito Address: On was issued a permit to install a (date) (i aller) septic system at (-Q P-d`•M\5 based on a design drawn by i (a ss) �a aye rA� dated -A 5 C;�U\5 - (designer) - . I. certify that the septic systern referenced above was installed substantially according to the design, which nay include minor approved changes such as lateral relocation of the distribution 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. greater than 10' lateral relocation of the SAS or any vertical relocation of any component of the septic system) but in accordance with State &Local Regulations. Plan revision or certified as-built by designer to follow. Strip out(if required) was inspected and the soils were found satisfactory. L erti , that e system referenced above was constructed in compliance with the terms �. .the \A ap val letters (if applicable) (I. stale s ignature) ( esigner's Sig nature) (Affix Designer's Stamp Here) PLEASE RETURN TO BA.RNSTABLE PUBLIC HEALTH DIVISION. CERTIFICATE OF CONIPLIANCE WILL NOT BE ISSUED UNTIL BOTH THIS FORM AND AS- BUILT CARD ARE RECEIVED BY THE BARNSTABLE PUBLIC HEALTH DIVISION. THANK VOU. 1 Q:ASepticvDesigner Certification Firm Rev 8-14-13.doe R a / 8 �9 � - _ - i i Town of Barnstable P;'k Department of Regulatory Services �! ° Public Health Division sUnrtsreern 8 Date MAPS 4 '�1 re19. �a� 200 Main Street,Hyannis MA 02601 j0rfo MAT t :s. Date Scheduled— _ _ Time 'Fee Pd. � � � �o� �/02 D Soil Suitability Assessment for Sew'a 's �, a a Performed By! C Witnessed By: LOCATION& GENERAL INFORMATION g Location Address / e Owner's Name Address `S Assessor's Map/Parcel: L)x I� at Engineer's Name C q,%9_"E'rJ S"Pf fy NEW CONSTRUCTION REPAIRTelephone# 50(5•-c�,q �{0j Land Use Slopes(96) _ Surface Stones Distances from: Open Water Body_ ft Possible Wet Area ft Drinking Water Well _ ft Drainage Way_ ft Property Line ft Other ft SKETICH:(Street name,dimensions of lot,exact locations of test holes&pere tests,locate wetlands fn proximity to holes) P' Parent material(geologic) `V%SZWC^J� tt De th l4 Bedroeit Depth to Groundwater. Standing Water in Hole: 61 XA 0Qj - Weeping if•om Pit Face_.._IVOtlk ®bORR Estimated Seasonal High Groundwater y�A DETERMINATION FOR SEASONAL IfIGHVA,TER TABLE Method Used: _ l Depth Observed standing in abs.hole: In, Depth to soil mottles: Ilt, Depth to weeping from side of obs.hole: in, Groundwater Adjuntment ft. Index Well# Reading Date: Index Well lever_ _ Adj,tttetor, m r A4J,drnuttdwater Level _ PEIRCOLATION TEST Date _._ � 'nme Observation Hole# Tinto at 9" � Depth of Pere Time at G" �•�� s _ Start Pre-soak Time @ � Time(9"-6") M1f� r End We-soak ��_ Rate Min./Inch L a;t"1Pl Site Suitability Assessment: Site Passel Site Failed: Additional Testing Needed(Y/N) Original: Public Health Division Observation Hole Data To Be Completed on Back----y---- ***If percolation test is to be conducted within 100' of wetland,you must first notify the. Barnstable Conseirvation Division at least one (1) week prior to beginning. Q:\SEPTICW9RCFORM.D0C DEEP-OESERVATION BOLE LOG Mole#�f Depth from Soil Horizon Soil Texture .Soil Color Soil Other Surface(in.) (USDA) (Munsell) Mottling (Stnucture,Stones,Boulders. onsht( -eency,%`'O-ravell L t 0 i e-3 `t'e C�vs 1� cam- , 1 DEEP 013SERVATION HOLE LOG Vole# Q _ Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(in-) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. ConsiNtency,ck ra A' 6L t uY e 3)a, n/tn -30 3 o- HP cs 4S9z) DEEP OBSERVATION]BOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color t: Soil Other Surface(in.) (USDA)• (Munsell) Mottling (Structure,Stones,Boulders. Consistency,%Gravel) VEEP OBSERVATION DOLE LOG Hole# Depth from Soil Horizon Soil Texture Soil Color soil Other Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulders. onsi ten i Flood Insurance Rate Map: Above 500 year flood boundary No— Yes"_._____ Within 500 year boundary No Yes Within 100 year flood boundary No,_,V 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 _(date)I have passed the soil evaluator examination approved by the Department of Pnvtr n nt r ectio and that the above analysis was performed by me consistent with . the required training xp tise d ex er once described in 10 CMR 15.017. Signature Date Q:\SLPTiC�PERCFORM.DOC f � GENERAL NOTES " ! 0 1. Contractor is responsible for Digsafe notification, Verification of Utilities r + and protection of all underground utilities and pipes. cg s ( 2. The septic tank on j distri ution box shall be set level on 6„ of 3/4 —1 1/2" stone. se Blueberry Ln > I l 3. Backfill should be clean sand or gravel with no stones over 3 in size. s 4_ PROJECT BENCH MARK K 4. This system is subject to inspection during installation TOP OF FOUNDATION I by Carmen E. Shay — Environmental Services, Inc. ELEV. = 100.00 (Assumed) D� 5. The contractor shall install this system in accordance w CO Ito /0J with Title V of the Massachusetts state code, the approved plan r. M .S 87D 00' 00" F-. /ice and Local Regulations. O / 6. If, during installation the contractor encounters any "5r I O 100.00, / / W soil conditions or site conditions that are different from those shown on the soil log or in our design / O installation must halt & immediate notification be 3 BR HOUSE FLOOR SCHEMATIC o I / j O made to Carmen E. Shay — Environmental Services, Inc. 7. No vehicle or heavy machinery shall drive over the (Description Provided By Owner Om by I ! / septic system unless noted as H-20 septic components. Bedroom 0O b`J I / LOT #109 A 8. Install Tuf—Tite gas baffles or equals on all outlet tee ends. Living Bath I q 9. All Distribution Lines shall be 4" diameter Schedule 40 NSF PVC pipes. g _ T�,000 Square Feet +/— Room / 10. All solid piping, tees & fittings shall be 4" diameter = ASPHALT I EXIST./ / {{ Schedule 40 NSF PVC pipes with water tight joints. Kitchen CL I DRIVEWAY GARAGIt / / s 11. Municipal Water is Connected to ALL OF The Residence and Abutting Dining o o O / Room o o / 1 Properties Within 150 Feet. 1 st FLOOR D � I ' THE PROPERTY LINES ARE APPROXIMATE AND (;01 i cc COMPILED FROM THE SURVEY PLAN BY NEW ENGLAND LAND SURVEY I 1 I #6 TEST HOLE #1 d: ENTITLED: "Certified Plot Plan of 6 BLUEBERRY LANE MARSTONS MILLS, MA" 40 MIL POLYETHYLENE LINER i M I ; ELEV.= 92.00 ? DATED NOVEMBER 13, 2014 FROM ELEV. 97.00 to 93.00 AND , EXISTING AND IS NOT INTENDED TO BE A SURVEY PLOT PLAN TO EXTEND 10 FEET PAST SEPTIC TANK I INSPECTION 3 BEDROOM IT SHOULD BE USED FOR NO PURPOSE OTHER THAN AND 10 FEET PAST SAS PORT ROUSE THE SEPTIC SYSTEM INSTALLATION. I 4 AND CORNER OF HOUSE AS SHOWN I ! EXISTING CESSPOOL TO BE PUMPED OUT AND FILLED IN PLACE t NOTE: ANY STRIPPED OUT SOIL CONTAINING LEACHATE / 0 3 I 6.5' Deck De'k � 1 FROM THE EXISTING CESSPOOL/LEACH PIT TO BE DISPOSED \ OF AS PER BOARD OF HEALTH SPECIFICATIONS. Foundationce- 1 b00 G LON P L P LA N 32' �EPTIC ANK> OT EST HOE #2 ,• O O 233 FA- ILED OF PROPOSED SEPTIC SYSTEM UPGRADE WATER LINE TO BE RELOCATE ELEV.= 98.00 CESSPOOL ' PREPARED FOR AS SHOWN , : I SPECTION \\ RT�P CYNTHIA SUMMERS i AT ADO .� BOX z, 1 g2,62' 6 BLUEBERRY LANE \ L \ �`500, 27' 40" E D�/ ASSESSORS MAP 102, PARCEL 124 861) � MAR STO N S MILLS MA PREPARED BY. — WAY) ft ri fit- 00 , ���' '�I RIGHT OF l \ D A,� T U w 96� (40 FOOT RI �l blrs11 d E. �ll� �,.�`'�Y ENVIRONMENTAL SERVICES, INC. tN c ' OVER THE COUNTER VARIANCES REQUESTED: 0 20 40 50 ��, ,,7TFw- f P.O. Box 1576 N TF, MASHPEE MA 02649 rp 1. REQUEST A LOCAL UPGRADE APPROVAL TO Put SAS I � TEL/FAX : 508-294-7498 16.5 FEET FROM A FOUNDATION. A 40 MIL LINER HAS BEEN PROVIDED. " "' AJ SCALE: 1"=20' SCALE: 1"=20' DRAWN BY: CES DATE: APRIL 5, 2015 PROJECT#6 Bluenerry FILENAME: 68lueberry.DWG SHEET 1 OF 2 t+ fl *NOTE: ALL PIPES ARE TO BE 4" SCHEDULE 40 P.V.C. ; t INLET TEE TO BE INSTALLED IN D-BOX �--10' min. from Grade over Septic Tank — 99.00 Schedule 40 PVC I, Existing Foundation I house to septic tank Provide Risers if necessary LEACH TRENCHES CROSS—SECTION (2 TOTALS 0-BOX cover must must have riser and be to bring Septic tank Covers TOP OF FOUNDATION = ELEV. 100.00 P within 6" of finished grade within 6 in. of finished grade Finish Grade = Elev 98.00 Grade over D-Box -88.00 4'PVC(CAPPED)INSPECTIOPI PORT TO BE 4'PVC(CAPPED) INSPECTION PORT TO BE INSTALLED-AND TO BE WITHIN I 3'OF GRADE INSTALLED AND TO BE WITHIN 3" OF GRADE S ® 0.02 DIST. BOX S-.00 f Top Of System ELEV. 95.00 S-O'wade 10'APART S-W wide •, ... S=O.Ot or Greater Sm0.01 or Greater 12'. NEW a"Perforated P.V.C. 2'-1/B'—t/2" Washed Stone or pm d Filter Fob EX[ST. PIPE / 0 1500 GAL. 10, FROM EXIST. FOUNDATION 24' Invert Elev. 94.34 I 2'of 1/e"—t/2' 1 ; _ , , ;.. :.::: _.......... ... ... N SEPTIC TANK n IR 15' 3/4•-t>}'Waahad stone 4 weehed Pea stone u4i Bottom of Leach Fac ' v= 93.84 °i °�' °�' °�' rn 32' I or Approved vsw Fabrk x 4 CONCRETE FULL + H—tOGas Battle II II 8 Note: All leach lines to beycapped of ends w/PVC caps. V PROVIDED / / �' > Bottom of Test Hole 2 Elev.=86.00 n n Y Iv'1 6 in.of 3 4"-t i 2" m m m _ - `�'IY Q a 4"-t t 'waeMd s compacted stone 'c 'c v LEA 2H TOTAL) N�L S / t o stone _ _ `1 U� Z 5 / C \ F rl 'perforated Sal 40 P.V.G 6 In.of 3/4"-1 1/2' O r�Ph` dC NOT TO SCALE compacted stone. NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE �. l�r ` ��. 1 2 FOOT EFFECTIVE DEPTH FOR LEA011NG TT UCH NOTE: ALL COMPONENTS MUST HAVE RISERS TO WITHIN 6" BELOW GRADE SYSTEM PROFILE Not to Scale d e.��(_ I �. '716J( 3-24'DIAM. ACCESS MANHOLES TYPICAL 1500 GALLON SEPTIC TAN PERCOLATION TEST NOTE D—Box Sides must be 2' thick min. ALL OUTLET PIPES FROM THE NOT TO SCALE DISTRIBUTION Box SHALL BE .. .,• •..i s a.•..�•.; '::• ••::«._....a:�.t,;••:. SET LEVEL FOR AT LEAST 2 FT. 12" CONCRETE COVER Date of Percolation Test: December 8, 2014 10 (H-10 LOADING Test Performed Byy. CARMEN E. SHAY, R.S., C.S.E. KNOCK KNOCKOUTS ETqT. ,ET- uResults Witnessed By:DONNA MIORANDI (Barnstable BOH) INLET EXCAVATOR: Shay Env. Svcs. — �s" onET12' INLET INLET `/ `�/ ou T Percolation Rate: Less Than 2 MPI ® 30"THE ACCESS COVERS FOR THE SEPTIC TANK,DISTRIBUTION BOX AND LEACHING COMPONENT Test Hole Test Hole 4" - SCH. ,�., µ -- SHALL BE RAISED TO WITHIN 6" OF 1�s" ••^ '�' �'�`+�''""''`� FINISHED GRADE. No. 1 No. 2 PLAN SECTION CROSS—SECTION STEEL REINFORCED PRECAST CONCRETE INSTALL TUF-TITE GAS BAFFLES OR EQUALS DEPTH SOILS ELEV. DEPTH SOILS ELEV. PLAN VIEW ON ALL OUTLET TEE ENDS 0 92.00 0 98.00 3 HOLE H-10 DISTRIBUTION BOX 3-24"REMOVABLELoam Loa COVERS Sandy Sandy - m 10 YR 3/2 10 YR 3/2 3 mM. clearance '� 91.50 0"— 6" 't'p 97.50 INLET 8'min.T_l2 min. Inlet to outlet e.mF 1e� 1fp}—IIttET Loamy Loamy P LOT P LAf INIE Ul ufi—revel oUTtET —tt— Sand Sand 8' '" _10'min• e� t4• ` _ .�. U �`s, —7. 6"— 30" 'D B"/6 89.50 6"— 30" 10 �'/6 95.50 OF PROPOSED SEPTIC SYSTEM UPGRADE 4'-0" min. 0.soft :• uasld depth FILL& Med. PREPARED FOR UNSUITABLE MATERIAL •; 25 Y 7 60 7/4 C T SUMMERS S IT TE IA S YN HIA 10._0. g _B" 30"-120" Ct 80.00 30"-144" Ct B 0 AT CROSS SECTION END—SECTION G BLUEBERRY LANE i ASSESSORS MAP 102, PARCEL 124 MARSTONS MILLS, MA n Desi Calculations Number of Bedrooms: 3 Equivalent to 330 Gal. Day 330 Gal. Day per Title V g Garbage Grinder: No OF;�+ PREPARED BY: Leaching Capacity Proposed: 330 Gal./Day Minimum (Min. Per Title V) N qbs� u/� Y Septic Tank : - 2 x330 Gal./Day = 660 USE NEW 1,500 GAL. Septic Tank. : �RNE 717 j�►e Sl 11"a l A 1E 1 !/ lj Perc #1 E SOIL ABSORPTION AREA: Using percolation rate of <2 min./inch Depth to Perc: 40 to 58" 'IA =I: ENVIRONMENTAL SERVICES Proposed Leaching Trench Dimensions: 2 TRENCHES TOTAL-3' Wide by 32' Lon by 2' Depth Perc Rate= 2 MPI 1 Rq Ii Groundwater Not Observed l No. 18 !. P.O. BOX 1576 Bottom Area: 0.74 ai s . ft. x 192 s ft. = 142.08 gallons No Observed ESHWT in either Test Hole �� g / q q' g -;, � MASHPEE MA 02649 Sidewall Area: 0.74 gal./sq. ft. x 288 sq. ft. = 213.12 gallons ADJUSTED H2O Elev. = None ' Providing: = 355.20 gallons TEL/FAX 508-294-7498 Use: 2 TRENCHES - 32'L by 3'W x 2'D EACH SCALE: N/A SHEET 2 DRAWN BY: CES DATE: APRIL 5, 2015 PROJECT#6 Bluenerry FILENAME: 6Blueberry.DWG SHEET 2 OF 2