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020-1025-50-000
WSsconsin Department of Commerce Safety and Building Division PRIVATE SEWAGE SYSTEM INSPECTION REPORT ATTACH TO PERMIT GENERAL INFORMATION ( Personal information you provide may be used for secondary purposes [Privacy Law, s.15.04 (1)(m)] M1►IGRIMM I.7_FYy:11l i1111A TANK INFORMATION TYPE MANUFACTURE r r CAPACITY Septic �t !!�� V 0o Dosing Aeration rl o la ,SZS TANK SETBAK INFORMATION TANK TO /L. r WELL BLDG. Vent to Air Intake Septic / G 1 t /7 1 i Dosing JROAD Aeration Holding PUMP/SIPHON INFORMATION Manufacturer Demand M Model umb r TDH It Fri on Los Sys m H d T Ft Force in Lent Di . to Well SOIL ABSORPTION SYSTEM '} 3 !L w TOWN OF HUDSON ELEVATION DATA STATION BS HI FS ELEV. Benchmark r Alt. BM Bldg. Sewer {—r St/Ht Inlet lo.o SUHt Outlet Dt Inlet Dt Bottom Header/Man. Co d r o� Dist. Pipe Bot. System i 13.,44 1 2 Final Grade 1-3 l(72 • Q St Cov 7oq 101,,,-D3 BEDITRENCH DIMENSIONS Width _3 f Lenp I No. Of Tren s PIT DIMENSIONS No. Of Pits Inside Dia. ILiquid Depth SETBACK INFORMATION SYSTEM TO BLDG WELL LAKEISTREAM LEACHING CHAMBER OR UNIT Manufactu Tye Of System: t7� � f /15' j 'T i I / .J C. t O7 Model Number quo L DISTRIBUTION SYSTEM HeaderIM nd Id 1y, 9 / t I Length Dia Distribution Papa s) Length Dia Spacing x Hole Size x Hole Spacing Vent to Air Intake SOIL COVER x Pressure Systems Only xx Mound Or At -Grade Systems Only Depth Over Bed/Trench Center i 2 - 3 Bedth rich Edges 1 7 1 � ((� TopsoilN of roc Seeded/Sodded xx Mulched � Yes Q No Yes COMMENTS: (Include code discrepencies, persons present, etc.) Inspection #1: Inspection #2: .L � Location: 957 BAKKEN RDD. I /�{- �j oYt 50UT 1 ►- 1.) Alt BM Description = r , 2.) Bldg sewer length = b ` \� r// i Jone - amount of cover = ��'j �4(,,, J �[ Plan revision Required? ❑ Yes No b �7 l Use other side for additional informati !O� G. SBD-6710 (R.3l97) Date Insepctor's ig ure "I 0 , Py AL. 4AP Butid oa ,� FR*I qs7 l�y�l�tiui, � lev: 99 sv L 9 8,00 .-f,Ava PVC Mlev, Ioo,o Irk „ - s i «I(auNV,Oki- r S' final bfwd` 75 t 3 r d�� 6 pr PUP 1► nre 14 Sa a-r/v�,CA45 3x9� Ott) d 3 clmN,%s P(n'Eaewt �(�$IIN COI IAS fdL Ste i I P j <- 4F. 'to P u Mp.4 4 I& H,ov-P j R-�plb(Rd W'jt', (()UO9101. E(ptre � rcim i,Ji��e>�, W'r� P�I�Lu�C Sys ;COPY _+ «zU ' ty and Buildings Division 5t. C IQy \ x ¢ MAY 01 W. 02 ashin'Ave_,P.O.Box 71ti2 Susie:ypee ilislibs(mbe�k:diabyCo.) Bison, Wl 6371)7--7162 A i St. Croix C Unty L S n eves cation SIMTamsarbm Nmber Tn accordance with SPS 38311R>. Wis. Atin. Cbie, ahsi�im r¢ Wis tia®1i the ,gigoprisAe grvernmenml unit �--- ' it �Nmd Pnm m obtammg a saaaay peaa� Not Appira000 forms for UMwntxf POWTS are snbnri W In the Deparunam of Safety sad ProkaimN Seals PeerovY ins main you provide may be nand for smodlry pfojectAdam Gf diFE z than mwflwg address) in accordance wild the ftivU Is. s. 15.04(I State _ _-- L ' nlnforaratioo—PlansPrintADIaformadon Property Owner's N' Sew parcel 9 -• -'' x n� UN � 2 EX Gas-IwS Property owner's Mailing AddrM ? k> f N 12 d A3 Property Lae can 's t3pVILLot V, Section Cat3'. 1 7;p C9& W;. s4 Phone Nixnber — 4bSoN �,, T;?9 N: R19`�or0a(.11OAq) IL Type of RMWiag (ehe k that all apply) Suhdiv¢ion Name ^ I ''TJ CS m Y v U ❑ I or 2 Family Dwelling— Number of Bedromts ..� Burt# ❑ Prrblirzoercial— Describe Use NA -1e • ❑ City of ❑ Sli Owned _ Desaihe Use ❑ Village of . fSM Number NTovoofbSl;a III. Type of Permit (Check one boa om line A. Complete)me B if appl" ble) A' ❑ New Syst® i i � Sys® ❑ Trea]mmVHoWmg Tack Replaameat Only ❑Other Modification to F.zismt6 System (Wlain) B- ❑ Permit Rere1a1 (❑ Permit Rcvaim Before ❑ Chaw of Plumbs ❑ Permit TOodr toNena Owner List Previous Permit Nmber and Ds paned of P0VVTS Cbeek aD that a ' in -Grand ❑ Axssuriaed hfGtm®d ❑ At -Grade ❑ Motxd>_ Zt m..f.W & eoil ❑ Mound< r� dsvimble soil ❑ Hold"ara Tank ❑ t11bc Den V DWenwNTreffbeent Area f jisilm tiior Dim F7or QpQ Dry Sda• D Da}peral Regmd (t cU 9(st) 0 S ��45() + 9T i. VL Tarok info Capacty iu G°"aTads ow Tatd cmna� 0 of unitsplotk Maonfemmr sLb'e a tg $ Neviaa� ri U n m tc 0 n. septic erHiMiss Tak �OOG Dosing Uambc VIL Rmpoavlality Statameat- 1, the aodersiped, assume respooeibiliq for tsliftiWDu o/ the POWIS Apra m tie atotehd plow Phonber's Name (print) MP/MPItS Nmber Basmrs PimsNmbor Sl 'mac u Ira_. 35) lAb3v� VE(L CountyqUepartinetiotU Apprnwed ❑ Dis� J�F�Dmft❑ Rrasm fa flonl ZDj11 of �Opwpo�eogvGaiven ,� EL SYSTTEEM�OWNER. I/Rrlsotttfor Disapproval 3�` ►� GA�Q 1. Septic tank, Qtfuent f1frr nnr d� V "'�'�}--- dispersal cell must DC serviced / maintained to tJ l 2 ^V 5 as per management plan provided by plumber. R a ft• t 2.AIl setback requirements must be maintained � ✓01/l ��CP as per applicable rae4kaii4" Wr Ar Oeaysm aaY ab+art_' 4a the Can �lr w�Jpvmim :11'tberbva (�fpfVVL "Lwr. SBD63981R 11/11) N, CONVENTIONAL COMPONENT DESIGN Resiclengal Apoication [NrWr &AM TM 1= OM_F Project Name: Owners Name: Owners Add ass: Legal Description: Township' ri'aw(3u County: .S�- C, 2 O Subdivision Name C (� V 6' p Lot Number. 1 Parcel )D Numtaer- OD 4� - 10 a - 5 0 DesignerlPgrmber- Date: Signature Pap 1 IFlidta OM lie Page 2 Plot Plan Page 3 System Siting 8 CmesSeayan I Pate 4 Firor Spacs Page 5 Rlauganattca InfarmaWn Page 6 managr rnent Man Page T SL Cron Cty S"fic Tank WarintensaM Form Page 8 Warranty Deed Page g CSM or Plat Aiashrrterrs: Sail Teel 8 Haase Plans 161 Lildarse Number - Phone Number ,...�� I • Deftned Pursuant to the In -Or u4 Soo gbswMian COMPo ant Manua ro; PDWTS Verson 20 Sa0.10706F(q p1A1). Pegs 1 Rjcy Tmi-,Zk r lev: 99.sv L '" 9 8.00 seroaYftc>; : Tr of 1L -_ )-Ayo PVc mlev: 100,0 r 3 dnw►,,r— o-- Iaunu S kiIauNVAIVi My 71� W oo� ,s' lz 75 �1 (pop 11 MQ :., 11 N s wtil �' •,,, !� �� a 3 c�b,�,6,ws P{n -yySfi� 10o PUm� �rtMGv�� n V"Ibc,ed � rccm l,Ji��e u h �v�t�Luk 5�S BAKken, IZono LeaeHng —0, Chamber aft 3--ft 4" ScrAdLde 40 PVC Vent Pipe With Vsnt Cap DO fl Rid Oracle 4. 9 9.s e 98 n � 5 system eevat ft CS.c Soil Ahaurnticu► `Bm sus Vim aa fi CharnberS Vent Or Obsermiton Pipe Travich 1 3 Manufac"mr .And Model _ -Ltv S' 1 I � K rt e A - Q kA EfSA Rating .� sq R per chamber Soo Application Rate • gpdtsq fi gpd Design Flow + > Soil Atp�pliceiion Rate 0 ' FISA = V J _ Chambers a rows of a 3 chambeFs each. Page of a r—R)t rs oa Fm�exiaean auaeraraaa fawaly& a PL-MFLTENHOUSIRG PN2TNO M42575 MAIEFUL HOUSING -PO WROPHBE OJBETBB$Y!G-Plc &SBOLL -HGPE u u ST. CROLX COUNTY SEPTIC TANK MA1N`rENANCE AGREEMENT AND OWNERSHIP CERTIFICATION FORM Owner/Buyer Mailing Address Property Address 7 -J' ( CA 1C "0 K 4 (Verification required from Planning & Zoning Department for new construction.) City/State o)J to I I Parcel Identification Number a S— i o CL LEGAL DESCRIPTION Property Location SE 14, 1� F— V< , Sec. 1 5 , T A N R I LW, Town of A N QSn r' Subdivision Plat: C S rh ti J 1 . I, PA a I 1 Lot # —1. Certified Survey Map # 331503 Volume �_, Page # 02 I:?- Warranty Deed # 8 32—.3 5D (before 2007)Voltmse , Page # Spec house 0 yes 0 no Lot lines idendfiable 0 ves 0 no SYSTEM KIINTENANCE AND OWNER CERTIFICATION Improper use and maintenance of your septic system could result in its premature failure to handle wastes. Proper maintenance consists of pumping out the septic tank every three years or sooner, if needed, by a licensed pumper. What you put into the system can affix the function of the septic tank as a treatment stage in the waste disposal system. Owner maintenance responsibilities are specified in §Comm. 83.52(1) and in Chapter 12 - SL (roux County Sanitary Ordinance. The property owner agrees to submit to S< Croix County Planning A Zoning Department a certification form, signed by the owner and by a master plumber, journeyman plumber, restricted plumber or a licensed pumper verifying that (1) the on -site wastewater disposal system is in proper operating condition and/or (2) after inspection and pumping (if necessary), the septic tank is Jew than 1/3 full of sludge. Uwe, the undersigned have read the above requirements and agree to maintain the private wwuge disposal system with the standards set forth, herein, as set by the Department of Commerce and the Department of Natural Resources, Stem of Wisconsin. Certification stating that you septic system has been maintained must be completed and returned to the St. Croix Comity Plarming & Zoning Department witbin 30 days of the three year expiration date. Usve certify that all statements on this form are true to the best of my/our knowledge. Uwe am/are the owner(s) of the property described above, by virtue of a warranty dad worded in Register of Dads Office. N mb of bed e6is S NATURE OF APP AIvT(S) AaU A ***Any information that is misrepresented may result in the sanitary permit being revoked by the Pluming & Zarting Depattmrnt �• Include with this appiieaton a recorded waaanty deed from the Register of Deeds Of 5ce and a copy of the artified survey map if reference is made in the warranty deed. . (REV. 09/0'n PaWT-5 0VMWS KNINJAl, & MANAGPIAENT Fn Ara owner K,bN dN Pmndt s C!A c Y it Number of Sedrorrrm 13 NA Number of Pabl)c Fso3dy crofts q QUA EesUt W Crow (average) U U Oas;gr, %. w (Peak), (Estimated x 1.5) j V 8m7 App[f.�an Rarw „ aidlioYJ SWdwd inttnerydEf'k" auaRy m"t*auersp• Fate, Oil & Greasa (FOG) 990 RVA 8 sebum oal Oyl gan Oemmd am,)5220 tAg/L DNA Torat Sstsperdad SaBda (I� �lF� r,1,7f °rairPa.�d cr—scant Qusl)ty Mon�ly average + R=hsmfcef 0-nam end (so0ef I s3O wWI Term Suapandad Saga (i M SSO MAIL ❑ NA Seca( CoBform (yetunatric MOM Cie waqmm Mir can Ef Ruam Panicle Sloe S In die. a NA O2ar. q N A •V=hme :?> ,W far da rae C VMSMVAMa}d IWW ,_q"_t . Papa _of — asp* Tarrk Caneany 0 UC � IANA 18sptto Tank Msauflraaerw 1 f x q NA Gf9 F%rf nu{aatitr� ) L� C7NA eFfluatxF&WMa" `,� Q NA Pcaap Tang Capeotry nNA Pump Tank h4>awtaoairar NA puffm dwr NA Pump AAadai --lbNA Preaeaane INA ❑ Senah:ravel Ffl:er M Pala filter f�acttafRcal Aaratlmt E [7 t�r3snd G O�im's G J:lsar. Biwgrml ✓^.ell(s) El NA 1jZlrrGround (grsvkyi © In-Graund (preasurfaadf ❑A uiC`eda q 0 i]lipt.tne q (dicier mr 13 MA Caw( Q NA Dow.. 0 NA eatarstaysea�c. - cn+aras �jaCE E9� j �pBCt aotldf$m of tadrlal At least onas Warr. 3 pownum 8 yam M NA Pump oat corem= of taakie) When mmt hind stodge and scum agaals a 00m W of"* Volume 13 NA InePear atpatsal ad(a) At least once every: c� � ) f = y®ta) Q NA Cleat afffustt fihar At lead once awry. "a Q NA Inspem Pump. Pump wrrvals &sheen At taact once every' p -)CrKA M-h lartert{s and presatrra test At least once averyt EPA �9J NA At feast ante every; camamCt ' MA 1 NA M�id?'SRAi� 13 inspwtons of %Rrwa me dA v,-Qm c025 steal! be ma:e by an ladhddual ale a the faBatvhg menses at a)tfmadom. IVIIMW Plumber• adasxr ft mDer %MaWd Sawa: MWiS InspaaW POWTS NPOIn ; SOM4'TWOft i3pwwr• Tot inspeasons must include a %;Iwd imse=rr of tine ;znkfs) to t6s r . any mlfkrg or broken hNvwita, 4WItiy any .^rwks or )sake, measure tha yoh.Rste of a melne l siwd2s and span and to duck for any beak up ar wmtNc of a!€frracrt an the ground surface. Ttla dLPersei 041s) stlaq Aa Vey fr�soaatad to check the orkrent favels in tha otwm 6arf gipa8 aid eta Oak for any pandtng of sFusm pm the gmto surfer:& The penfong of anent on the gmural s•,n sae may Indimirte a faft;l aandition and raqu'vas the )mmedlate naftistlen of the lacaf mVswy authodry. When the oomhined sacumufation of sludge and amm iR any tank equals anaa04rd %J or mum af the sank va)hma, the mah canmms of tie sfmll be removed by- a Stmage Senneitg Opersmr and ftposed of in aetammrs w}th chelm MR 113, Wisecnsir. Adminlaaaeve Carle. A!I other carvim. inciitft ltut Rat 101W to 2re ssra)oing of afr'tuer f nIz, mechen)cel cr pma=_ %mad sett pFn9rts: p,Mninmant units, art) any semIcbm at hmmlR of 512 morift shall he perfwmad by a templed PGVJ7s.k{atrtain�, A servka impart shelf " mvvfded rn the taoai rsgWstM a zrmy within 1 a days of comFladern of atfq mw4%8 ewm auw !apL Fag• -.- of ---- START UP AND OPERATION For new =istruoden, prior to use of the FOWTS check treaoireat tank(s) for the presence of Painting produtls or other chemicals that may impede the treatment process Andlor damage sae dispersal call(s), If high concmttFsdons are dateetsd have the contents of the Wilk(s) removed by a saptage servicing operator prlor TO ❑se. System, s%= up she'u not occur when soil conditions are frozen as the rMlttratve surface. During pourer cutagee Pumtp :enks may fill above normal highwater levels. Wow power is reamred the mama waetowoter will be discharged to The d isparsal eel(s) in one large dose, overloading the ceflis) and may result In the boaltup or sufaca d'dseiraroa of affluent. To avoid = sdtusden have the comarm of the pomp tank removed by a SoMlis Servicing Operator prior to restoring power to the a&luard purnp or oantect a Plumber or POWTS Maintainer to assist in manually operating the pump commis to restore rtorma) levels within the pump tank. Do not drive or park vehicles am tanks and dispersal cans. Do no, drive car park over, or otherwise disturb or compan , tha area within 15 last down slope of any moda,d or at -grade loll absorption was. Reduction or aleninatkm of the following from the weerewstar stream may improve the Performance and prolong the gfa of the POWTS: antibiotos, baby wipes; cigarette butts; condoms; cotton swabs; dacraasers dad J floss; diapers dWAf9=nM; fat; foundation drain (aump Pump) waM- fruit and vagsteble paslings; gasolina; grease; herhlcidas; molt scraps oil; pakMatg pmdu= pesticides; m6tmy rapkine; tampons; and water softener brine. ABANDONIMEIr When the POWTS fails andlor Is pentmamly taken out of service the fallowing steps shall 6a token to insure that the system is properly and safely AbWdoned in complance with chaps Comm SSM, Wisconsin Ackninisttafive Code: • Ail piping to talks and pia shall be disconnected and the abandoned pipe openings Sealed. • The corrnsrrs of all tanks and Pia sha.'r. beremoved end Properly dlspased of by a seP'taBe Servicing Operator. • After pump(ng, all ranks and Arts shall be excavated and removed or their covers rantrved and the void soaoe filled wnh soil, gravel or another Inert solid materiel - CONTINGENCY FLAN V the POWTS falls and cannot he repaired the :`allowing measures hs a been, or most be taken, tr provide a code compliant raplacemaM system: 17 A Suitable re;Iazmsrrt area has been evaluated and may be utilised for the krcaxl m of a re;ftarsoil aWropdon system. TF.e replacement Area should be protoctad from digasbarca errd compacdan and ftuid not he infringed upon by required setbacks from eX aNrrg and pmpesad strvctura: iot Pates end we;is, Failure to protect tide replacement arse Will result )n the needd for a new soil and site evaluation to establish a surteble replaremorrt area Reptsoement systems must comply Zah the rules in affect at That time, ❑ A suitable repiacarnem arcs is not -vallable due to setback and/or soil limitations. Ewing advances in POWTS tachwlogy a holding Tank nay be installed as a iast raaort to replace the falfad Fowli S. ❑ The site has roc: been avahratsd to identify a suitable replacamerr, ares. Limon failure of the POWTS a Rail and site evaluation roue: be parforrtad to loom a suitable replacemant area. If rm ropiacamaLt area is ava3iabla a balding tank may he installed as a last resort to roplacs the failed POWTS. ❑ Mound and st-grade sort absorrpGon systems may ba reconstructed 1:1 P!ana fo)lewlmg remwei of the blomet at the irrfi'rtratva surface. Pons ruadans of such system& must comply ufith the rules In dfact at that tuns. SEPTIC, PUMP AND OTHER TRFAT7fW TANKS MAY CONTAIN LETHAL. GASSM AND;OR WJFRCM 0XV419N. DO HOT ENTER A SEPTIC, PUMP OR OTHER TREAT NIENT TANK UNDER ANY CIRCUMSTANOM DEATH MAY RESUIT. RESCUE OF A PERSON FROM THE INTEMOR OF A TANK MAY M DL�ICULT OR IMPOSSIMF- AODI`[ORAL COMMENTS POW" INSTALLER POwIS ff4m king t; Noma 1 Lys Old yv�,n it(h Name Phone I ( ` - 11 4 - 0 I Prom SBrrAGB S;FOIN6 D1sERATDA. t.Drai_ a>=cdid.,a'reav y� Name Noma 5fi �.•ry (ilY Zt%N,11oS I Phone - , V �, EPhal'1 f J - 3 U- Y b P, b This document was ft td in ram with ehxpsr' Corm ea.72f21fblcr ifs: ark., and ea,-&sTh M a N, Ytl(cmndn Adm;tirsvadve Go*. ) A1 1) 1RECEIVED CS12016-2 38 Wisconsin Department of Safety and Professional Services loa-96 R Ba w'lly$ M� Page 1 of 3 Division of Industry Services IYOV 23 ZU1r SOIL EVALUATION REPOPT,. In accordance with SPS 385, Wis. Adm. Attach complete site plan on paper not less than 8 1/2 x 11 inches in size. Plan must include, but not limited to vertical and horizontal reference point (BM), direction and percent slope, Parcel I.D. scale or dimensions, north arrow, and location and distance to nearest road. 020-102-50-000 Ref#2451 Please print all information. Revte d by Date Personal information you provide may be used for secondary purposes (PrivacyLaw, s. 15.04 1 m . �Z � V Property Owner Property Location ❑ Brandon & Erika Schurtz Govt. Lot SE '/. NE '% S 15 T 29 R 19 E (or) W Property Owner's Mailing Address Lot # Block # Subd. Name or CSM# 957 Bakken Rd. 4 Na CSM V01. 1, P . 217 City State Zip Code Phone Number ❑ City ❑ Village ® Town Nearest Road Hudson WI 54016 17151222-4405 Hudson I McCutcheon - ❑ New Construction Use: ❑ Residential/ Number of bedrooms 3 Code derived design Flow rate 450 GPD ® Replacement ❑ Public or commercial - Describe: Paren�imatenal Facial Outwash Flood Plan elevation if applicable na ft. 9�4'AA, POW General comments and recommendations: Site suitable for In -ground TS with 0.5 0odls0lft. design loading rate. Suggested infiltrative surface to be approximatley 60' below existing grade at elevation = 99.59 & 98.00'. Existing dispersal cell infiltrative surface elevation = 105.07. Boring # u Boring'tPg 1 ^ dy\,P"'0 J ® Pit rround surface elev. 101.29 ft. Depth to limiting factor »>� in Soil Aoolication Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' `Eff#1 `Eff#2 1 0-20 10yr2/1 none sit 21gr mvfr ew 2fine 0.6 0.8 2 2D-36 10yr4/4 none sit 2%bk mvfr cw 2fm1c 0.6 0.8 3 36-52 7.5yr4/6 none Is Osg ml gw - 0.7 1.6 4 52-104 1Oyr4/6 none strat grs Osg ml - 0.7 1.6 2❑ Boring # ❑ Boring spit Ground surface elev. 107.59 ft. Depth to limiting factor>108" in. Soil Aooltcatton Rate Horizon Depth In. Dominant Color Munsell Redox Description Qu. Az. Cont. Color Texture Structure Gr. Sz. Sh. Consistence Boundary Roots GPD/Ft' •Eff#1 `Eff#2 1 0-11 10yr312 none sit 21gr mvfr ew 3fm2cf 0.6 0.8 2 11-26 10yr4/4 none at 2fsbk mvfr cw 2fm1c 0.6 1.0 3 26-38 7.5yr4/6 none gr ifs Dag ml cw 1fm 0.6 1.0 4 38-43 7.5yr4/6 none gr is Osg of cw tfm 0.7 1.6 5 43-54 1Oyr4/6 none str&at gr Osg dl gs - 0.7 16 6 54-108 1Oyr5/6 none gr a osg di fr - 1( - 0.7 1.6 ` Effluent #1 = SOD, > 30 s 220 m a SS > O s 150 /L nt #2 = BOD > 0 s 220 m /L and TSS > 31 s 150 m !L CST Name (Please Print) James K. Thompson Signa a S, CST Number 30021 Address 340 Paulson Lake Lane, Osceola, WI 54020.5413 Date Evaluation Conducted September 13, 2016 Telephone Number 715 248.7767 oo U-o33V tmu4/ 10) RVA'a dr!✓t wa y I � /Qeticknce Ex,%-% F 0.+IOsr rod C"Or ura+erCM °F A(ta✓,!y /wwdj�r c• r /aWn iai/¢✓a/ua { en1Y'4 46 Exl5s I, Yfide ¢/f✓. Fi'tndon I FnA�a 3tli��� sEyyaE/� S�c..,�Ts9A, O5�.ciokGyrJ6 bo'x, S °z °comet. ToP °f u2 -Ia. VO KI e. m wei Into, a !°c-1 = iaD.W.' h e4Wdr cl.kndc� V �v Po. 3 of,3