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HomeMy WebLinkAbout0117 CINDERELLA TERRACE - Health 117 Cinderella Terrace Marstons Mills _ A = 047 103 TOWN OF BARNSTABLE EL r. LOCA'I'IOI''/ 1 rI SEWAGE # rb VILLAGE Y'✓I. ) ).d I/ ASSESSOR'S MAP & LOT Qy —1D3 INSTALLER'S NAME&PHONE NO. bb SEPTIC TANK CAPACITY ZV LEACHING FACILITY: (type) — C- (size) NO. OF BEDROOMS :� ,1 BUILDER OR OWNER�-r PERMIT DATE: �i ^-ILl-6 a- COMPLIANCE DATE: 9-4a "6 Separation Distance Between the: ;a. 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 � _. i � � _ ` 1 L c,�c�erel�� I� W � � S Tear' � y/L���►� �� In S i/ �� I 7 ' . I g � � � � _ h i u No. ® Fee $5 0 THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: tj Yes PUBLIC HEALTH DIVISION -TOWN OF BARNSTABLE, MASSACHU S ZIppYication for Migooal *pgtern Con!trurtton Permit Do ) ea k Application for a Permit to Construct( )Repair( )0 Upgrade( )Abandon( ) ElComplete System ElIndividual Components Af "R Location Address or Lot No. o q7 —l 0 Owner's Name,Address and Tel.No. 1 Robert Archibald ' Ass1s1or'�ija�,�C�tella Terr. , Marstons S G Mills 4tl Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Dan Johnson P 0 Box 1089, Centerville 804 Main st. , Osterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Build. sidentia1 No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated daily flow gallons. Plan Date Number of sheets Revision Date Title Size of Septic Tank Type of S.A.S. Description of Soil me d c o a rs o sand Nature of Re airs or Alterations(Answer when applicable) Replace f ailed SAS with 2 drywells 25-L X 12 ' X 2'Vi. a _ !E� S 7 �- adz rN 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 Certifi- cate of Compliance has been iss d by this Bo d Health. Signed c. Date` Application Approved Date �2- Application Disapproved or a following reasons Permit No. 0_0 n'Z s x3v Date Issued V Fee No. o -/ f THE COMMONWEALTH OF MASSACHUSETTS Entered in computer: ' Yes k/,PUBLIC`HEALTH DIVISION -TOWN-OF BARNSTABLES MASSACHU S 01pprication for Migool *pztem Construction Permit Application for a Permit to Construct( . )Repair( X)Upgrade( )Abandon( ) ❑Complete System ❑Individual Components VIA Location Address or Lot No. Owner's Name,Address and Tel.No. - Aselr'r�rjo/gegella Terr. , Marstons Robert Archibald _ ysp millsec c6 Installer's Name,Address,and Tel.No. Designer's Name,Address and Tel.No. Wm. E. Robinson Septic Service Dan Johnson P O Box 1089, Centerville 804 Main st. , Osterville Type of Building: Dwelling No.of Bedrooms 3 Lot Size sq.ft. Garbage Grinder( ) Other Type of Buiht idential No.of Persons Showers( ) Cafeteria( ) Other Fixtures Design Flow 330 gallons per day. Calculated dai:Kflow gallons. Plan Date Number of sheets 1 Revision Date Title t Size of Septic Tank Type of S.A.S. 1 Description of Soil m,6(j_coarS=, sanc3 Nature of Repairs or Alterations(Answer when applicable) Replace failed SSS with 2 drywells 25'L X 12'11/X 2"9. AADLIG C-C-OSOL7-0 TA(Z b -W7 ,aF t1AS 11 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 Certifi- cate of Compliance has been iss ed by this Board,of Health. y c ` Signed ,, *ApplicationApproved Date 6Z-- "'Application Disapproved forte following reasons Permit No. Date Issued j THE COMMONWEALTH OF MASSACHUSETTS Archibald BARNSTABLE, MASSACHUSETTS Certificate of Compliance THIS IS TO CERTIFY, that the On-site Sewage Disposal System Constructed( )Repaired(X )Upgraded( ) Abandoned( )by Wm. E. Robinson septic service a? 17 Cinderella Terrace, Marstons Mills has been constructed in accordance with the provisions of Title 5 and the for Disposal System Construction Permit No. dated ' InstallerWm. E. Robinson Sr. Designer Dan John-,nn The issuance o thi`s permit shall not be construed as a guarantee that the syst tall tion as designed. Date D Inspector 4. 1 zmz,k 1 i No 2— 2_-S�) Fee $5 0 r THE COMMONWEALTH OF MASSACHUSETTS PUBLIC HEALTH DIVISION - BARNSTABLES MASSACHUSETTS Archibald lig�pooaf *pztem Construction Permit Permission is hereby granted to Construct( )Repair( X)Upgrade( )Abandon( ) Systemlocatedat 117 Cinderella Terrace, Marstons Mills and as described in the above Application for Disposal System Construction Permit. The applicant recognizes his/her duty to comply with Title 5 and the following local provisions or special conditions. Provided:Cons ction must be completed within three years of the date o this-pe� it. Date: �n Approved by r i f.. w TOWN OF BARNSTABLE �G LOCATION J 1/7 C 1 w4►:1L E 1I G l 02 SEWAGE 4-:Xrb X VILLAGE 1, Y;4, ) J3 ASSESSOR'S MAP & LOT Oy -/03 INSTALLER'S NAME&PHONE NO. 964 U SEPTIC TANK CAPACITY 10 d.o G✓4 LEACHING FACILITY: (type)��— �- (size) NO. OF BEDROOMS BUILDER OR OWNER CAI PERMTTDATE: ri —N-6 COMPLIANCE DATE: 9—A "b - 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 1 n c utdePellk I W`5�1 S Tear. 1 / n�0 r . V 4 T • n 5R5/ON NOTICE: This Form Is To Be Used'For the Repair Of Failed Septic Systems Only. PERCOLATION TEST AND SOIL EVALUATION EXEMPTION FORM I, t�A-•v i�L ,�, J��•Ysn^' hereby certify that the engineered plan signed by me dated 6 -7(a; concerning the property located at l��cino�2ecc.4.. fN"�,J ru meets all of the - following criteria: • This failed system is connected to a residential dwelling only. There are no commercial or business uses associated with the dwelling. • The soil is classified as CLASS I and the percolation hie is less than or equal to 5 minutes per inch. The applicant may use historical data to conclude this fact or may conduct preliminary tests at the site without a health agent present. • There is no increase in flow and/or change in use proposed • There are no variances requested or needed. • The bottom of the proposed leaching facility will not be located less than fourteen (14) feet above the maximum adjusted groundwater table elevation. (Adjust the �oundwater table using the Frimptor method when applicabler Please complete the Mowing- A) Top of Ground Surface Elevation (using GIS information) /o A B) G.W.Elevation Sf +adjustment for high G.W.B'1 4i` = 6 DIFFERENCE BETWEEN-A and B '{ o # ,/� �"i Z3� P /T P���n•~ca SIGNED : DATE: 617 %-X NOTICE Based upon the above information, a repair permit will be issued for bedrooms maximum. No additional bedrooms are authorized in the future-without engineered septic system plans. q:health folder:perce=p • t' f .� s ��• ''. �� �' 'L. .ash '�°" ^�"Ytz te' �/.1STll�l(� � � _ '�'Us+� W'� t SAS (At.,'r7ER gym . 7•pP of C�N�RdTF TH Z r iC- �. f�-99.b PA.7t Q. J� DGK . 1; bib EMI Sr/�� SEPTl4 TFi FFE=io9�5t Z Q 3 fQ° 17.9.41 LIN 1) bILECLA t z To RBJrTEitS F 1 i (�b � R1 �sem IG D dZ N LATr,N 9,X(O d" but S7'S LO CAT IGN SEWAGE PERMIT NO. v l l lkc E �. INSTA LLER'S NAME & ADDRESS r C 7- , B U I L D E R OR OWNER Uv DATE PERMIT ISSUED DATE COMPLIANCE ISSUED �� _ /� . 7F � - �, , . ,�/f,1,V// � , _ � .. � �� %a .. � � � � � �. � is � � � �� - 47 THE COMMONWEALTH OF MASSACHUSETTS 10.3 BOARD OF HEALTH Application is hereby'made for a Permit to Construct (x ) or Repair an Individual Sewage Disposal System at: Locatiou,-Address or Lqt No. Address P4 Septic Tlank 4 Liquid capacity ---- The undersigned agrees to install the aforedescribed Individual Sewage Disposal System in accordance with the provisions of Article XI of the State Sanitary ode—The tin�ddersigried if ther agrees not to place the system in ssu operation until a Certificate of Compliance has ed by t h Date Date -----'—'—'--------'---'--'—'— --''--'''---'----------'—'----'-- \ ~~` PermitNn........................................................ Issued........................................................ Date . THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH .........Town.. ............I.....OF......Barnstable Appliration -for BiBpoiitt1 Marks Cnomitrurtion Prrutit, Application is hereby'made for a Permit to Construct (x ) or Repair ( } an Individual Sewage Disposal System at: st4n�._MQ )-•--•-----•--------•-•--. Locatio Address or t Cinderella Builders. `�nC. Box 938, Sandwich: 1� �2563 -•--...-•-•------•••-••-•-•--•------ -' Owner Address (Jl Installer Address 2© 363 UType of Buildin 2 Size Lot---------------------------Sq. feet Dwelling—No. of Bedrooms----------------------------------------_---Expansion Attic ( ) Garbage Grinder ( o} p, Other—Type of Building ...................... ----- No. of persons---------------------------- Showers ( ) — Cafeteria ( ) A'' Other fixtures ...................................................... W Design Flow.............. ........................gallons per person per day. Total daily flow------- .........................gallons. WSeptic Tank 4 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 ttre:t.____.___._._.____sq. ft. Z Other Distribution box ( ) Dosing tan - ( ) 0/ �� ` - ` - z L - 7 7 Percolation Test Results Performed by...__ ._. :4,1_L, _:.rrn------------------------------- Date____----------_._---__.-_____---_._----- a Test Pit No. 1________________minutes per inch Depth X T est Pit.................... Depth to ground water........................ LT, Test Pit No. 2----------------minutesper inch Depth of Test.Pit.................... Depth to ground water........................ ------ . ............ ---------•------------•• /�...............: -_..._---•------------- -- D Description of Soil-----------i.-...^.-1. ( ` (d Su f�-vµ - ' �r -----------------�� �. ...... =�,.��'.�-= f�?�•. -W J x ----------------------------------------------------------------------------------- ----------------------------------------------------------------------------------------- -------------------------- V 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 Article XI 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 h'4rd o . Sig e c<f_iC/1_ i''✓ -------- --- fDate Application Approved By------- G �= f-1 !�-G -- ------------------------------------ Date 7 Application Disapproved for the following reasons______________________________________________________________ -.__ -------------- Date PermitNo......................................................... Issued........................................................ Date THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH . 1 .....OF.......Z.0�.. 1.. . — T.rdifiratr of Tilutphatt r THIS �TQE2ATIFY T at t Individual Sewage Disposal System constructed ( ) or Repaired ( ) by.... G ..................................... -•-------•-------•-•---••-•••-•••---..................................................... staIl er _I has been installed in accordance with the provisions of Ar ' e XI o he State Sanitary Code as described in the application for Disposal Works Construction Permit No.................� 7.1...._.._..._. dated--..�_'/_'.�.�7--.-____-_-__-------- THE ISSUANCE OF THIS CERTIFICATE SHALL NOT BE CONSTRUED AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORY._�j- pp-- P g ....................................... DATE - . _...--j---------------------•----------------•---- Inspector----I----......-••-••-•• THE COMMONWEALTH OF MASSACHUSETTS _ BOARD�F HEALTH 7 .........r ...........oF....... .. - ......... / No. % ..... FEE......l..s ui vofi 1 IU> •k Qlloy tr ti rr�tit Permission is hereby granted----- f ......... r l'' ----- --- -- -- - - to Constru t �or f ep ' ( ) an Ud ividuar Sewagp Disp sal stem Street 7 7 as shown on the application for Disposal Works Construction Per No__ ____________ _ Dated________..__.____.__.__..._...._......._... �J �u _ v /�` �� Board of He ----•••--• alfh� DATE • ` --- - --•-------------------------------------------------•-- ! FORM 1255 HOBBS & WARREN. INC.. PUBLISHERS ', a�C,- '• • .: .. d,eiu..`9' .G.YLaA.1ti '_.:.`•�.Arr.ua*s - f J � r j' � �...�.._t � L.,.t�•-.r� rl 4..:„r { r � . . f � .L id:� � F �; � _� �.�. � �F� f�1 :_�� i �'°�� t �� ,.. -t-tl--t� r—t -'- r' ♦ �. IY 1 t 1 ! , 1 , �'-t' } �i.r L i t h t {.. , } t�•• �-i--�} S � .'_ � r-�_.1 � :I { I- ;-' - _ i 1 i •i r ! ;.� a �i �� � I '��y_l__ � .�� ` '� t ��� ( +....._. ._.r-..ar_-•�--;. f , ;.' t..,.. }. .1 �I� r t,"e + ..., � 4 1'�1 .--1 I � � )...� } -4.., 4 �� + �'., ,` _. 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OF' t `,30 M G LC R MI IM M F _ N U OF H$ R oT E FIR ST ST aTwo Iy . 5 (W ATERTIGHTNESS,f EAT HT E G N SS e form FEET AND CONK ed B CONNECTED f D Eo 0 Da niel iel B.. Jo hnson s : Y on CON T S RUCTION ETC 2' _ EAC H CH DISTRIB UTION LI NE E I WITH SOLID S CH 40 PIPE Date: PVC E _ May 30 2002 : ,:a S 6' # Y Q O CH a 0 N 0 F 2.0 OU TLETS: o o M - O ECHAN(CAL o LYCR': ' TP UHD ' 1- E h 5E L IN 99.6 j a �:., `. t o ! 0 _ 0 s STONE 0E < 3! . { 4 DIA. _ ) St R .F ABLE LEVEL BASE 0 - 6 A F <: / �i1 ' .San d loam ;F Y ,. 6 - 18 w B ;B 1 , OYR5 8 ' Sandy / a d Y loam ry tN rE F 32 :B '7v /C 10YR4_ I 6 Loam I / sa nd LEACHING a. Y G DRY WELLS 500 JTT E � GALLONS 1 TI a S ET E • - f 32 132 C1° 2 - sand ., 5Y8 2 Med , / ium coarsle_ S . _ No b 1 ,. Observed 'END£SHWT _ CROSS SECTION N - 0 Observed r b ser e d Groundwater ' M00 u w E o n L. _d a - tee_ H '_--------._._ ! S OBEY PRECAST � _ -�. N BADE TO BE CONCRETE , _._..:�...� STABIL IZED O 9 9 , 7 / t3 _. PER COLATION TION: FINISHED �r----� t TEST.DATA ' S ED GRAD P .�(SLOE 02j 8E 0 rt I _ 0 ,# a n Ij l E _ 1 E _ . ss Da te: t e. May 3 1 i Q 2 2'442 N , L Y , tM ), N RL a Ti"s P of G ;< to oP : 10 N 0 1 E o Soi l Cl ass: LEA 5» Glass CHINE-DRY I 0.?4 G WELLS,2 , t , 0 0 14 t!2' DOUBLE TP t t 8'6' LX4 10' WX2't LE H . , WA E! 9 SH PEA STONE Dr y w E 1,C a y� S P _ _ c�`erc Rat < : e. a 2 M PI TP i { ) bV E A BALL l.E 1 �. ti. w N CH NG AR E _ E a t I2 K RE rD S a�' r S /a ,t 3 4 j 11/2'r i p0U _ ; , , 25 ,� c � BLE LX12'WX2'H _2't o WA I SHED STONE x Dec. „ 0* O . : _ n e6 o De th O � f Perc Test: P t . ,32 54 a rS 4 S[N f� f # � 9 9 S 8 C EDULE `ec o OF ELEVATION D ..-� S LEACHING DRY WE LL5 TO� COMPLY WITH THE ort3 8'6` NV Io In 1--. �s Inv. I E n Septic REQUIREMENTS F TtLTank: (existing) "--'—I 0 { ) 96. 5 ,9 , v 3t 0 CMR 15.252 In Out S fi e tic Tank (existing) P { st n ) 6 # 9 9 » 3 S I T/f f 1� t �'2E t Inv. I n Distribution Box �. oa t 96:23 N � G RNk E� f T : Inv. Out...... Distribution s ( Box ` t /01 5 I� FE �r t Inv. In D F ,...��, ,� �� r Wells ,< ro Y 9 6: 0 0 <. ! s . E l JTT B B E� ottom of Dr � Wells a - Y a C .,4 . a a N_ OTES Bot m to TP 1 . ( No Obs. . W ) � /EsxwT . 0 ) All construction l coon methods shal l conform to h LEGEND e Title V '{31{} CMR 15 an d the Barnstable Board of e H alth Re ulat�.ons Exis ting Contour - - _ 98 2. There ere are no known..:. rrva e °. P or::public _wells within : • P n IQQ feet . , 4b/ Q fe et r _ es ecta.vel a _._.. P r from the proposed leaching- area., ' Proposed Con Y osed leach�na P hour 9 P P 8 area. See plan for P location of ex ist�.n wel ls. C 3 ti � Test. P�.t .. , �--�T�zEES 5 S*cistin SAS� hS to 'be um we 9 ed and rem v e SQ� P P moved prior t M ins talling stale:li n the w e e . :: n le aching�.n 9 are a. G o i n,l g _ e . she d Fl oor Elevation e a i . � ton f � FFE R t I � e W .S 4 No chap es . r . . a e to be ,ma 5 g de in he ' Basement _ t field without the U e ent Floor Elevation approval vJ 1 , BFE PP bl _ of he Board of Health and he bt n t desi n :.e na3neer _ VJ . ' Water Line n ----- ----... w t t e W 5. ' Proposed leaching_ P area is not' :design v \_ r L 9 _ ed for use with .L T'� J\ rba _ disposal. •r,r r J Ga ._.�.. Q; q � V S L l ri e _..r,a.. N ... I � G .� gnrL� Ia o t" /� � o � C� T � E`er 6 on P o G trac ` � ,.•s c[� e contractor to notify f Di Safe 7 T- ._._ � 2 hours' �. �� `\ Eie Y_ prior to ttit � l�-I: N c. ,Tel & Cable .....:. P 1 E t E T &C, �tt�s , 4 T t, con struct�.or . 0 S t G 1 01 r L[® 1 S� tic C 'Pia 1 n .,r P not to be use _ r rE�s d a s a ro e r w o RB _ P line survey. T � P Y CALCULATIONS 3 13 _d, r, , v , j r r C.G'1 � r. t . i tY a � II 1 r OG S e S. Cla.a.. I a»7>; a ' �i h FIELDS_ a D 3 R . to RJ b b �. r . . r � '.:'PROP z r OS>✓D LEACHI NG AREA: o � _ g RD t r v 1 m t / a- - O r ,: t a r e A c 1 D f os a t r Wells : 2 �t -2 f.� t a ecc Y 5 L 'X i W 5' z x � x � S +�,� A P/R c Side .Area:f4 � � a GISF109.5 a p�J '. L LA C >9 S o�rJ .S S tf � a 0 a v 4 WDERN 2 ttGfi. +..�!c c:.:.. dry + ('� ry �*. tAt W ( `{ .�f.4. � t aatEn� r o- r e n wa w 3 Total e �s LA 2 'r- } r o ►- b 2 y O D Q I Y 331. 5 t ,1 o f ,- > • a z r�`fr, ! G + ,. , l a 4�S- L.� � s .. �- � x o ti •, ,. � � 4 v i F e # ! i 4• �(b Cp _ : o :...may A �, ti j woo° fq L ♦ pfN 0 S 14 <g ti �a tP ,tOY ! :. ✓,� t^ It h �'' N -. A TEk V r } fJr yn ,ME '"r �d f P Ao e 2 ` 4 Rp # AUA) t(T 1 �OSfY �6LE t r' yew # MOM , 10 Qor 03} Z OW FQ o : '(4*M Ayr U tlt F O C Po ? rt ar 'Y 1. s• ,r c O� AC Rc b .r y , 1 .RnL [.�°a » I P I EI( r D A. S - �9 <} vu ,t� o Lq4) PAP r � ��04 00 a > J P o L po yt0 N O Z cw TV a t Mo TJ ; r j r[u of kl I (r 6� • W 0 L� y tl. T �S.0 p 00 40 c . av o0 u.. F O f DR O, J f a c p x Z c �C R p d o ,» z l A n t 13 oc NEW TOW, � a o o' •. sZ 7s c �P - : 9g ! r as, t „ 9 _ 9 } SEwE,2 7 r ( I 4' ut AD J,,o B _— t 9 + 96,St 6,3r I 4,00 r t� , I . # ( 94 DiSrKrBv—it onl ,oa I � ul LLS E t ExI$7hv& do ,Z'N i 9 /aov �ACCo n/ f EP7't G rAtVk w o ZABEL F rcre- I cc �,KDaE(, �}•180[7� < �, g rn�st�4tcEA o "jtdgo 90 iMAtP� 4 a PY G rFE �� z Or E/TtC TANk, o s o �I p` rh TP-t Gr- 8�,b � T7� � 1/ cr [,r v.v ..vtn O a 0 S r N { SUBSURFACE E , .. ,t• h, SEWA GE eISPOSAIf SYSTEM 9 9' s• » ., a S GSM . 117 C.. >K a.nderell' a Terrace Marst ons Mill 1 �y r a r s P n e �t • APPROVED BY A P � r SCALE:'✓ _ R WN D A B� As Y Shown� h wn s� I .f., a ro 2 u E r / /���•! Daniel 8 Jo hnson DATE. n D', ,,. .8: Johnson d J n Q U 4 S ar. ed Robert Bart c� I�r hibald r ti ®P W .. - .. ti i ar.• 117 Cin derella. lla Terrace, Ma�- rstons�-.. �. is I . ftt t MA . a) / 1 Ix 0 0 F p � 7 a i �-o 0+ t of o Df 3 4 ,o S�0 r t O A• az C SE ' O P SEPTIC D s Q ESIGN INC. ix_ c soe 4 20 9 1 oa ,( ) DRAWINGNUMBER u t I y V _ l 6� ao 4 � ' . o in street,Y '` su ite 8 4starvi e I11 !�► 2 6 _ R0 55' J r . J 7a 4 _N l/ I