HomeMy WebLinkAbout020-1053-60-350sae"uaauq mw..a "° PRIVATE SEWAGE SYSTEM=Sc1 Orol%INSPECTION REPORT GENERAL INFORMATION (ATTACH TO PEPMT)17800manlPn.q ur,n0I ..(�Vow TOWN OF HUDSON 60-350.o .Io. 0..gw } TN-01
TANK INFORMATION ELEVATION DATA
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SIDnAMBIRRLNI
SYSTEM PLOT
PLAN
Prged Name Hareaarveshme °e"oli'lOw e5w olum^ N
FepC PCEnn a PoAftwp ""low nlalebmb�
ut amol ABB Pa. MpMeh I P3rM Stmol
Bmomwtm
rramaMI."
euu aw
Till" 3"no r a Sat m5
Sale 1'•BO
BillQmillaw,po
m 120
W4wgrmworw �Y
MMwMaW 1
/ ♦BMt
M)
9 w4
/ ]e65' EZ Flow TTwncJiMIm EI=45
/ Tf h5 E3 Flow TnnC.El=Ba 5'
dr // siApp
ploy eE zxs4oe
Pipe mP \� \�
yppo�e 9B
BM3
® u[1(
Fabling Lon
moms Low FlVV
Pilling Ld
January 2, 2020
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES 20R-01 OT
Plan Review: PWfS 012W W29-C
CpAPPRO.OVEDVED
APPROVED
JOHN NMIT!
Dial OF EARETY AND nnoresslolut esxw¢z
616150'"Avenue
616150
Oa muvvaysuncas
Somerset W154025
SIEF:
p pp
CLLL l� La.rk.
per w ppQ
Rarvestlme Outreach Church Inc.
491 Lane
St Croix County
Town of Hudson
SE X - SE X - 520-T29N - R19W
M
Description In -Ground Soil Absorption Component Manual,
Public Conventional serving a school with SBD-10]05-P(N.01/01, R10/12)
up to 21 students and 2 Floor drains- no
meals -450 GPI) -New Construction 1W
to Lmlting factor - Effluent Filter
Maintenancerequired
The submittal described above has been reviewed for conformance with applicable Wisconsin
Administrative Codes and Wsconsn Statutes The submittal has been CONDITIONALLY APPROVED. This
system is to be contracted and located in accordance with the enclosed approved plans and with any
component manualks) referenced above The owner, as defined in chapter 10101(10), Wisconsin
Statutes, is responemle for compliance with a0 code requirements
No Person may engage In or work at plumbing In the state unless licensed to do so by the
Department per s 14506, suits.
The following conditions shall be met during construction or Installation and poor to occupancy or use
RemllWers
This system is designed to serve only the uses Indicated on the plan and only domestic
wastewater. If the use of The building changes, new approvals seal need to be done and additional
components may need to be Installed. The Departmmt or NMMI Resources must be rurnaatee
regarding the treatment and disposal of all non -domestic waves, including those combined with
domestic wastes.
This approval does not include plan reNewM for terenl plumbing sMems that may be requited
forthaprolect.
• A sanitary permit must be obtained from the county where this proteins located in accordance
with the requirements of add 145,19, Wis. Stall.
Inspection of the private sewage system installation is required Arrangements for inspection shall
be made with the designated county official in accordance with the provisions of SEC.
M.mUfldl, Wis. seats.
• Astate approved effluent filter is required Maintenance Information must be given to the owner
of tank explaining that periodic cleaning of she filter isiegmred.
A opir of the approved Plans, sprourficadminsn this letter shall but, on she during construction an
en to Inspection by authorized representatives of the Department, which may iinclude local
indomburs
Owner Responsibilities
• The current owepy and each subsequent owner, shall receive a coof this liner ownersdallalso
receive a copy of the appropriate operation and maintenance manuals) and be responsible for
ensuring that FONTS is operated and maintained In accordance with this chapter and the approved
management plan under s. S)tiM.Wlft.
• In the event this soil absorption system or any of its compound parts malfunctions so as w venea
health hazard, the groperry owner must follow the contingency plan as described In the approved
plans
• The owner is responsible for submitting a maintenance verification report acceptable to the county
for maintenance tracking purposes Reports shall be submitted at ntervals appropriate for the
components) utilized in the POWIS
In granting thus approval the Division of Industry norces reserves the right to require changes or
acidnions should conditions arise making them necessary for wtle compliance As per state scats
]m lz(z), nothing in this review shall relieve the designer of the respork ibrory for designing a safe
building, structure, or component
Inquiries concerning this correspondence may be made to me at the telephone number listed below, or
at the address on this letterhead
The above left addressee shall provide a copy of this letter and the POWTS management plan tome
owner and am abets who are responsble for the installation, operation or maintenance Nthe POWrs,
Sincerely,
CP.C& %E'6lLLk[
CeCe (Elizabeth) Rudnlckl
Wastewater Spenalint/POWTS Plan Rewewes, Division of Industry Services
(09)40031116
ehmbe h�wisco,¢m gov
CONVENTIONAL COMPONENT DESIGN
INDEX AND TITLE PAGE
Project Name Ha0vestime 450GPD Septic System
Owners Name
Hamstime Outreach Church Inc
Owners Address
498 jacall lane
Hudson, war 5a016
Legal Description
SE1/4, SE1/4,$20, T2911, R19W
Township
Hudson
Courts St
SUMiwsion Name NA
Lot Number y[ Block Number
Parcel I Number 020-105105r3660350
CONO2TIONALLP
Plan Transaction No APPROVED
EER Of AND PROFESSIORM. WRNRS
OM 51O4 OF INDUSTRY SERAGI S
Page 1 lntler and title
Paget Gallons Per Day Calculations /Efts
Page Plot Plan L 1L
Page Sector Tank Specifications ME CORIASKYRDENCE
Pages ENIuem Nller Information
Page System king &Cross Section
Page] EZ Flow Information
Page Management and mntmgency plan
Page SepR'ank Maintenance Agreement
Page 10 Warranty Deed
Page Il CSM W PUI
Attacbmeml Sad Evaluation Report
Attachment I Bustling Plan
Designer John Same" hcnese Number All 2237W
Date 12/12/2019 Phone NumMr 215-2E0-fai
signature
In Ground SOJ Absorption Component Manual VemOn 2 0 SBD-10205 P IN 01/0l1
Page I
Gallons per Day Calculation
FOR
Harrestime Outreach Church Accessory
SchoollMeeting Building
The Building will be designed to accommodate 1 classroom of 12
students/classroom, meeting less than daih and norm a lh for only a
couple of hours. Only residential strength wastewater will enter the
septic system.
I Classroom of 12 students (no mea Is) x 150 gullnns/day= 150gpd
2 Floor Drains x 25 gallons/Jay = 50gry1
Future Growth 100gpd
Estimated N astew ater Flow = 3110gpd
Design N'asteuater Flow 300gpd X 1.5 = 4Sogpd
Septic Tank Capacih'
450gpd X 2.088 = 939.6 Gallons
Paget
SYSTEM PLOT PLAN
ProJeci Name. Harvesbme °°"°"°a' '°°°°N
PMMsum,_ w.."o... halm�am a.a
om�soar a . soi.r•m
in
WK
sires c.a.aLmnay
/
/ A
•BMi
/ ` \
TI ]945
T23� FZ iM Trwa Ei rHS
B3M A
A
App ed
96
Pipe / z^n aroe Av
�Iwaa�wous ��
m .u+
plop"', Vaal
P cw.-A SEAL
ufl ljc
s�
— wn(
PUMP
PAD
WLP1OOO-MR
TANK SPECIFICATIONS
WALL 21n-
BOiIg1 SEPTC ]'
COWER4-
MANHOLE ]C' 1 D PRECAST CONMET: RISER
NEWT iIAT CEKR SS r/A' OD.
WIDEN BY OD
BELOW WET A]' 00
uwlD LL.EL x'
WIGHT 6.7WLES
INLET AND OUTLET
CAST -A -SEAL WOOL ON EWK
CASKET. CAST -A -SEAL LOOT OR EQUAL
INLET µ0 OUTLET BAFTLE AND FILTER
"WON(OTHER9SATATES YE WK )
ueum CAPACITY nu G AN
HOLDING TANK
OUTLET N(LE RLIGGED
ACTUAL CAPAPTY 1.085 GALLONS
LaNM44 DESNA 6 0SAT ATEE SOL
TANK LAW BE USED ASI
SEEK/ HOLDING/ POOP W SIPHON
`µSIRUCT " ""E T � 4HID �IPAL FIRER,
CUSToNAm zTAWS
aSTW TAWS CONTACT WESER CONCR
FOR APPROVAL
D wlwo 91. —
I _�
PI ±,; 11(luenl l ltler
Ill.51s IOu,
The rt £5 viler is rated I, T 10ORKI lRo w+mein
I, I are I making it n„, It the
Iarpnt tell.
IF iu aav It a,
125 Fruit, lat IF I/ I, he he mma, aon I •k, nu runhd
vlJl roe Pay Wu rLSV
h.va,, MduM
1, dd _.qI IFII
aalld,A I IF ry lno-r When lh,.flee,aF,rvrv.e
Lrdaanln. the han IF In that
.... I
IF mi,ur had ,it
the., han IF, Mt I VI,.nl IFaw t 1, air the onA
LI" I,
I,tl, till,all u•u III
'G
—rom„' a
FSN tu. IF) ilk) (,rnlgannm he r hin
-,
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--
nroua,l)n
• In IIlkAt fee tenT w IIII' III
V eptl r uJ Ir It I InN all
Pith In gn, Jopn ill
• Alternate, ehw .it ram e. It,, ult,, i,,reu,wIt
• alarm uFelt
• ,alert, pa ..mnmmn hanm,
. eI1F1 Uu l Ill 1,
Ideal Inr.... dermal and wmmen ul ..Na. tlnx, up u•
In1NMl grilum I,, Ja, fhVI I
I Watr File nutl, I nt the v ptu LnJ
_ HelnFit e if" little Feel et and pump mink •1 nnomn
v Glue the ftllrr hmrsmet IF Fh„J'urI FAI,I fnpe 11
the lap, t .....,meld nnd,. the e..Vital nA,•mF are a
pnlvIll. I trend IF I eA o, pnvc rt INIP m war a hln,
Mal the Jet i-1, idNnntn IN IF
i R. r1A, and u, Me the IF pm, tad. •net
I he p1-55 Lfmuent FOIu, lull elvrate I I11. "th I,n
atale nJuw ed um J l u u, Ill n, n9mn,p
,amnµ It n IF nmineml,J that IhI. Felt 1n., 1, are
ry File the IMF,, Vaulted! Ike n' r at letter l einn.
tIthe l MelleJ 1Ner,vn inn, an u[I time...
beer, , et ee11 ht n.•ill, d m a, alarm It IN 1, de tier
IyN, ran lung e, n n mr,6,u Ill b Jmu h, .r, Find, J
a.putlank Met, r nr ul llr.r
11..ate the enrol nt me n.pn, lank
Remo,a laid ...... .n,l pu ti p to n k a mrn,,n
i oe not are Ill a II M Ilit n mina a I'M"I111
Jpnf1III q � I n l row ge l,n mire h„n,myt
s It", nu title,,,,., he It pu, leek Make,,,1 ,1
InhJ, tall bulk It, „pill all,
n letter IN mm.nadndihill k mu, IN rem,np.nukmg
lar.mehW, IF pmp.n, Ahruell.Ivl. rmpiril Iu.mJ
IF plat,. and IF, an ,.le, lank..,,iI
110,W0
dl
u
tall, 111
1®Mimi "
�
li. he, nnro,lJ m,A Wa11n1Wetd Cl PU921l1111111 xn 7ee true I, 1113'm he 11 nw rytlglrerue
r'u
IN -GROUND GRAVITY DISPERSAL AREA
Uniform Elevation Trenches with EZ1203HP Bundles
3-ft Trench (down -sizing credit)
_awl YY—� 1_l
7 TYPICAL TRENCH
CROSS SECTION VIEW
(NO Scale)
BnNm Elm IRI, 9450 X '
INumap PmrNe minimum I
aeparalwn EBMeen VeMMe.
TYPICAL TRENCH
PLAN VIEW
Wleser Concrete
s.y nryuvinq.l:
Fnmm aalx: eN..nwn.w
Pohbk
M . 524
OBSERVATION. PIPE DETAIL
(NO Scale)-0
....� �O
porkInled ungRst
,;,IPo; X
m"UIMH
dYpini)
---
>--------m65
X
W
INSTALL PER TRENCH'
Bundle
0
(N AAI4
6 1M b,Am@ 50 R EISA:uN1=3�
fl
'Ma ReI m, Sysnm. IT)
A
5
InxW arwenlmmanulaludax¢.wIW
♦ 5X bundles @25N EI5WunV 25
fl.
='Emned EISA pw beM-35
III
Repuim lnXllWpn Ala=643 fl' DISVibNI0n Me111Cd'
s2
Wenches= Proposed TOW EISA=65) ft' branched owurftlE
RESET
Installation Instructions for
EZyr,yr Systems in Wisconsin
wsconvn petu.n a Seler, and Bull
Coast. n ewe, the merciful and or pans fen this
amount and determined it rob .n Carl w,h rnapler..
Comm e] r.ro.gn 64 wn, r.,, n Ad, n rwe and Chii
'45 and yi Po,,rw 51e1 .A'.k,^meet he ded
local reaonnone
The opposed p,Wach are 1'X13H 13.1r bonne, who ape in
ante, baste 15 w le ou'll a- or 12031 In,3-1R' WMk•
R ape n of wMk in 5 w 10 Mrin,
A angle ape bundle contain, a lour into pedmated pig or
aundN by EPS agglec le and a held tor wiN di
ehylene eedmg A, im, og pishwe WM, ,rnw, =a9q-rgerr
hen- .hUroum marl I
All for 1p tHaeteE
• Ertl Bundle,
• rate,, aetchtte r am,
• EZN„, Indent 4pe Coull
• Per ow Trader and hk,
• Burdens,
Inahmt nlnabu
'h 'nslmOiens 1e, "ha n„Llabm o1 -of Pool are g.v
Mn. h, p at rMS'tr ^TaYe1.^ wM -
of seared ^meptr, 1, BS oaprl`84 al .. AdP
"'.,fame code aM main" 145 and 1 W Vy,,, m Star
-
ules as well as Me loos' filth department, cwrtl design
ml
1 Aftnrv< be add Mdry fix the h..anmmer rreI
rmAgaratm, nth I-tout,n the LIPw Band so leRc
01 m , o oaml Nye Ittubon of IrecM1e: any Inc Br
1,mefry,fse,We *e tan, vies red holder In, s t
wb f m, handle beam Nn, e LNpe ,ad.
la'rr of aye n.^d'<.
III pasty. Vnpw :nypmg pro p,wr to nlxug
c bunapsmtM1etr ch(t,)Ramcy anypla,bebag5n$e
Lervt hall I,stem, shared
3 -n.; aeir m s1 ha., d-Diann ,w Har meet. r,
Omrementsofa Come 84 a9(6)gf) WAbm CWc
retaled directly on iW of the produc Job a berm
down ado the spec or Pepmdi to apontatha er
n-dr, from Me ooHwn ar wmucr
4 Of metalled r a Ali Me old be eq to
a sale of,fine, Tb.a not only. .law
tad. our alto p,wae, border bad Cc 3.papyafln
Adorning, cmee'e
aEVow-
........................................
5 ilia Pnao-pbm Anna SpI nnessan •w a grrcn v@ 9WI
be sired based on minimum beet smaye, now IGPI end
Me Perneme y for tlR ate If Rwn donna .%met Me
FISA among inn be uzeb n W., Doan, mJlmg m a 40%
, Anal eanleM
6 Rare Press mnolets, n me FINw eonfgmal ere
needed byno r yearn III,pur for the parr
Ia, add "Ie tin o, perle.mosl hall contaning read
are Iomend nth Ib er all an mama ry< ca(Ie•. AM
yedn ry ag9,ryace MN Wale, Ma ma, be rpaex
,lob de LviM a9aatA Ibe of" aggrai only of
deal and on 'Of Of any sidof you'll iW
The she of "I G[O e/b^d<r Andurm a III al per -
now
andaggrtyle The
,alb[ s n,ebmr to aml tat in 4,
m Thenata i
,fan mace sure he he GFO„asin the adjacent
n alie ns
In malatl sell the fabric mrwned m Me atlfocmt ry1m-
de, berac barabYvg
6 +he =zro, aanaec SeArm,,halo ad eia In a
b.a fill map dri 1bR moss and Ling the
bean botil Or,Mutl 11mr conlow of mcground
,urfec xmm� (uniform feats) Win
A de
adlwm�q 'C Anon gnrdrrd auddes par ma to end
wIre.bt ,rde de,eµm aye . (MMyeed
yet Ap
t u.I nry than. qperabom+m per wain open
9 The banes tied Mall be g,aam wan final wafer yet rmt
pond Badnll should be deal w ,Haled normal Ny
afw rmbetw'10el re"o,
'1 F]9cw fP%beetle= are 9e.de and can no r curen
trench,, a, may be necessary b lead been bmldneb,
mhe,up, bJm
FPs arterial le , are e ,na^ ware, merefo,e H mgLt
be egentM ma na,urad n comes ante, year tend m
pese Unfair,as emdiw to four Out o, ground wn
ndar bcew, Field real na shb»n nbeeye,
not na n all a,radar m,, y9um' Myo a minimum
e 6' o Ml,rvrr a. e-mrr.nnyd be mono lath e
1f03M-GEO
none, wmw
Y
Pi
ST. ('ROIK ('OUPrFY
SEPTI( TANK MAMTPNANCE AGREEMENT
AND
OW NFRSHIP CERTIEICATI(Ni FORM
Ownc,Rnyc. Harvestime Outreach Church Inc.
MaJrng Atm<.a 498 Jacobs Lane, Hudson, WI 54016
Properly Addmef. 498 Jacobs Lane
Ovnhevn,n nnmml Ind, Plann,ng A>umN lot,amM l fw Inw dm mom,1
clty)crnm Hudson, Wl Panel StrmlEaaoml eumEer 020-1053-60-350
LEGAL D
Prollwny l.uwmn SE„ SE ..,ar. 20,T 29NR 19W. Town of Hudson
Subdivision Purl ,Lela 12
cerDDed Surrey Map N volume Page o
Wernnry Deedto (before 2w"Wolumc .Page
SM, h",e l3tuMn, fly bwr d<nlmeNn 0 YmOw
I mpn,pn and ded mnmerox'e or Ym npn shntam could rmu.un IS Prtmlun fnlum In MMle+ann Pmler
voted, of PMM.N&MI ow xpm uN e,ery (nee 7<an u uwr, naNr'0, M.I,.nrd Wngn. P'yl vMryl,mo
III musPN IIndu the fun flM repo un4u n,hx nd,gn,ul ay ,m,mervwr
m,rymub,hlrts v<aP<n0<d m }SPS 185 5211) I'd m tMgv lE-S, Gnu tuunq Swore ON„nnm
Tba poem dead, aermm alum„ W M frvv Cwnry Plmmne A L,,1.9 kpmevm, emY -ado I'm v8M by,h
Iftunu and by mwu Plomha, lWm<ymen lumnb<, m u<1W pWmao, It L M M pumear wnfP181M„ 1) Ih an s4
n drp,ul ",fl' an m pmpr y,d,amM wadn,m, m1w(E1 aflu wyaum aM Fort Id moapry). and moon<wan u
less then 19I1I drthan,
wv, 0e undemign" have Ind Pe ahon rrywnearaw and ape+ w numum the m.... uc 8 d,mnn sun,n with the
uanLrdl m ban hen", a, m by In, Ipunment If SIM AM Pmbuvwl bran and tM IMnmenmf %MIM Reuumea
n of K em,mn Cemfxa a lb, Iw noun ew won, rynNr urn .'m M<dmpleud am rmaml"IH S. tmu
Cwnp Monona A )onm8lkpm aIaNm ne Jays It th< II,me YIN em,"uon dntv
CoUN Mt all sunmmta,n tend
P/n olhl®dlmynu LerNNR I',n amare J,e ouewru, nflk
pmpny ou, Md hdw' by v,r"n dl. nwwlr d�M rm,rdM,n ReB,M W IkMa WW
lvnweer oflradawnn, 4509P1. J
SIGN V I RI OF APPLICANT(S) DATE
Pny,nli,mmmm IMI n M111TIncmM may nwh,n In, weary fammd M,y nvniad by IM rima"tA I 'IN Ikpumnat.
IMIW, nde bo ape"mamna rrtmJM wnanp den from bI, Rryuw of Dune off" aM a wpy If uanllM'e vy mp J
,If ..MC n mwk m 0<wanam, &MI
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Page 8
PAGE 4 OF 4
In -ground Gravity Management Plan
TIM Owner of this m-gmund gravity system Small be responsible per tie Wersaii pparai at mamtmYCe pUMwdI 10
repmrements of SPS 392d8c%Vw AOmm Cede Purswnt'o SPS 33 U (2) Wow Added Cede inn System "it
me considered a human health nazam if not maintained In accordance with this approved management plan
Fernstrom all mfpecdon and maintenance amirries shall be performed by a rpbbrM POINTS Maintwnar In
aordance with SPS 383 52131 k isc All Code
Mealmum Dispersal Area Ooemtlno Limits
Oeslgn Flow. 450 goal SON5220ill TSSS15UmgL1. FOO530mgL'
Ineeakpi Cr acklMl INSPECT EVERY 3 YEARS
., typeotux
age ofS etem
mecerare whoa tie opens use completes etcl
er.calmmwmloc 1, a success makers watv,es roam etc)
mMnalfgque(,e leaks breaks ell etc)
aeuas m fdua ll anaerobic treatment tanxrs) and any diameter sopm ncasl (1 e dlien0ubon) mop Eases)
capital Or impfgr use I, a e+teedmg cal owAdmws prMlbted atlw0ea etc 1
extent of IK^1rg m distribution cell Way to dwrg
dealing regulations . if applicable n a pump mryamg May scorch fetonsS etc )
Skeptical compmems-If applicable U e. w) ring, co necbons switches controls timers, alarms, etc 1
Meta on eases or lateral cablescablesbugging(backbone lateral dest9 preasrm- compare to deegn epenneaeom
:Weed dreconew Of small Or S wage Dasx.up Into gtuCLie WV
Maintenance Checklist MAINTAIN EVERY S YEARS Ion when necessary)
Septic and dose rental small oe penpM by a cMIM1M septa2e farmong Operator Icomakeb cracker $ 281 48 Wn
Slats wren the volume of wilds In We bnMp oxe s onstnted (ip) me Wall volume 0 the t 451a
as rtyured by Ideal oroiirl Pwdweof COntenls Shall do Pursuant to NR 113. Wiw Aomm Clyde
d Effluent all l shall he inspected Wary 3 yeen and shall but owed when neO qlO member any
Accumulated Wads aCCordng to manufacturer s specifications A sanding par fall sways be power tern 12
months
System maintenance n ft still be au"iftW W Me pool al government and an aueMnuwlM
SPS 3R5S WNc All Cells Metal any canponam 411ume or maHuntlbn to
NamedIndlwdualorconpany Schmitt& Sons Excavating, Inc plxne 715-760-0486
Local government are St Croix County Community Developement p. 715-3864680
Local government unit address 1101 Carmichael Road. Hudson zip 54016
Any Machine pan of this system shall be Isyl fixedo dmea purswm to SP338351(1) Signed woman
Cy
cle Real or enhancement of baled malfunctioning malfun,ng components small comply with SPS 383 Yl Mmin Chase
No Poldi br chemical cc physical research of the P01i way be used unkas approved by the d dmentm
accordance with SPS3 Who Admm Code
ConNrlaency PMn
In the seem that any fared treatment cwnument Of POWs cannot be repaired It shall be replaced Pursuant 10
a plan submitted t0 the anprwnxe agency for renew and a0prwalA failedInfirouna dlWF al temporal may be
abandmed are industrial by a W]emmplying material compoMm In a ore-0MermlMd any of suitable was
System Abandonment
If use Or has Sol Is discontinued a She be abanconelm accedence with SPS 383 33 at OEmm Cattle
Page
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Name
Himme ne Oolre¢h Chumh, Wc.
Thomas J Scams, CST 227429
Address
498 J¢oM lane
586 Valley Many Teel
CW, Stale, 21p
Hadnon WI 5016
Statement W154025
Phone 715.i§'0.19i0 A
Ab]mee
498 James lane
/4f
PID
020,105}60.320
Dan /1`/C'+ob/[t
Labal DmGlpdon
SE V4 SE 114 S20 T29N R19W
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