Loading...
HomeMy WebLinkAbout032-1006-60-000 (2)s.r.ryand e iuim oason mmr.m PRIVATE SEWAGE SYSTEM Cooney $I. CIOIX INSPECTION REPORT unwrmerv° 624994 GENERAL INFORMATION (ATTACH TO PERMIT) Use Red mrve n eghu �wllllml GXa1Rana ORIp°i.,rx°a^1eur TOWN OF SOMERSET 032-100660-000 eM ex. law ini� e.nm.nyw $M'i N p��e} 03.31.19.38A TANK INFORMATON ELEVATION DATA dwwm �wimffvlM=m■m=�i mw;1aW m►�www€mt ■�w.�w �wwww■ BEENTRUNCH a SETBACKLL 'Tbxol viv�am dlo.v° PI'd5oz BLW 'w SZ B$' — sR UNIT SYSTEM Unease, x y I, �e�� N sense dw L ' SOIL COVER I Pr,,lum sw sOnll Is Maw" Or M-01.11 Swims 011r Wpe o� ��.y-4-51 wdacaa Lwa.>12Tocamoll COMMENTS: Imeua.mmElwepande¢.pedompnwm e¢I ln.p.d I Imepeumnas Lecallen 515 POLKoT CROIX 1P,O ^v1L1.1V1 kvI;4& �d TO USC jzN �Yn 1 IPI18M Oocnpllan-EX.j}, VG Cw+r l� 1K `Nn� �Iwvrv�iy �d 31......kfm,,r-fXi5Ay,5 �,Vfi(/JN Do UMcA-UW f aeoere0,M°I eeeie...mlormll,n to �i eaoc7,p lA elsll dandle.Use cal 45 Canal ,srrr...xsrrok®*ay�nl },�y 21VRWa }en�w R.o Gable, 16 2020 M.awl m mmv-i SEP �5 zN9g .Co. pplication F 4 engine "ad, AAma,, 03.31. 19- p r f4 7 �.11aw s wsYo .Y4—.RIV arnwemm.v(m:tnil pan apply) sme r — Bal ❑anN JW w—maaeti Ili �tt.n. a Ooni-i: 345199 %e753(` w.rn+sue-�c r LAmpkl,w sm® aaaT.vvs.x) �o n.r�vldadar..val•®ceey i ooe.vmrrma�csw®mml.a ov.,,,v.®.w ovnnal pwarramprw - rv.dFICYARnis.wc.. .. e, kadha, w 1 w®+ oy�om...z.ma V. 4Muw saa unll In wq+mGalin, 9 aPbAnn M Aw s si .W $7Taal �. a m7�5LZ1n rOne. �.�.I, ego PI �Z6 1 vs -a y e w: o nnil `5W anal jy (o Z 7si ;��1R1-•.�/� ac..axlWNER 1+. /� �/ t JM1I�NYI4 c.{.k�pt�2�✓ oC / '. VSpyb II QF15H y� seve Ia k I nne.and I Eli 6i m l'I -1owK mm- ameA I} 1'Ivwiat M,�SS- Ger11 ansel, ..am. aspov aI,mee< wti.v -1-m pro.ge/Y .5)(qc Meg ow as pUappl cable m0eo, sleaise(a1✓lp ez AYM Cover Page Shaun Bxd Net Plumbing Inc 1432 120mh St New Richmond Wi 54017 715-246-4516 DateS@2/20 Owner Gary Bahr Jr Location NW1/4 NW 1/4 S 3 T31 N,R 19W 515 Polk/St Croix Road Somerset Manuals Used In -grouts absorboon system (version 2 0) Page# 1. Cover Page 2-3. Plom Plan 4 ChamberC s action 5-7. Mamma Conti ioncy Plan 8. Existing tank for Smgnatur ❑eans n mbar #226900 System PLOT PLAN PROJECT Cary BRINS ADDRESS 515 Polk St Cmu Road Saneart VA 54025 Mae 114 MN 1/45 3 /T 31 SIR 19 W TOWN SOTBBet COUNTY ST CROIX sysUM ELEVATION 096/0954' below grade 9/15/20 4 DATE BEDROOM CONVENTIONAL X%"N CONVENTIONAL LIFT HOLDING TANK MOUND _ SEPTIC TANK SIZE 1260 LIFT TANK SIZE DOSE TANK SIZE: HOLDING TANK SIZE LOAD RATE T ABSORPTION AREA 691 N of chambers 44 I, BENCHMARK V R.P. Top of nail In disk Had ASSUME ELEVATION 100' Filter LIfCDme Filter ❑BOREHOLE 'WELL •H.R.P. X aS CanGITOM1 Scale = 1/4" = 10' See attached drawing! jng nt Qu1ck4 Standard 1-eachmg Chamber wM 200 f2 of Area pwr of end caps Gmt at System Elevation 34' All piping shall he ASTM SOR 3 V34, within 10' of tank, piping shall Be ASTM F991 yunn sis P..fFS(Cer � S.ws6 wt s%, s o<ae.y s ve' i � ja/ r 40 J Cross Section of Infiltrator Quick 4 Leaching Chamber Typical crass section for 2 of 2 cells Quick 4 Standard leaching Chamber with 20.0 ft2 of Area per Chamber To be >t' above grade 5 6f A2 pair of end plates Finish grade elavafion Typical installation \ 96 T' V°m Grade y Vern 3 �/30/34 Septic Tank 3 5' LnnB I 6 5'Iu^8 I grade at System Elevation i GfHde d[SyB@m EIevHllOa Spacing 5' 2-3% 90' Celle Same on other end Observation to iaNent At end of cell A B 22 chambers per cell System elevations A_89.6' B 89 5' Private Onsite Wastewater Treatment System Management Plan Septic Tank And Gravity In -Ground Soil Absorption Component Pursuant to Comm 83,54 Ws. Adm Cade each Pnvate Onside Wastewater Treatment System (POWRS) shalt Indude info ruction and procedures for mamtening the system within the Parameters of Comm 83 and 64, and the conditions of approval by the department, agent, or governmental unit. The approved plans and permits for system are on file at the county zoning or health dependent. This management plan complies; wan Comm 83 54, Wis. Add Code, am ale In -Grouts Soil Absorption Component Manual for Private Onside Wastewater Treatment Systems SBD- 10567-P (R.6/99) Table 1: System Deal n Specifications Sanitary Permit Number .f/ Number of Bedrooms Design Fim - Peak ) Estimated Flow - Ave pd Septic Tank ply al) an t% Sail conversed Type of Wastewater Dorneatic Table 2: Sell Absummalon ComooneM - Llmaa of Reliable Dependence SenC� SOII Abeo lion Can antDesl nFbw-Peek dMaximum Influent Panicle Size (in1/8 Maxmium SOD 22f1 Maximum TSS( ) red it Table 3: Maintenance Schedule Septic Tank I Inspect and/or service once every 3 8M Outlet Filter I Inspect once a year and clean at least once evenr 3 years Soil Absomhon Com orient Ins ct once every 3 ears Septic Tank The septc lank shall he maintained by an individual minded! to service septic tanks under s 28148. Stab. The contents of the septic rink shall be disposed of In accordance with NR 113, Wis Adm. Code (Serviong Septic or Holding Tanks, Pumping Chambers, Grease Interceptors, Seepage Beds, Seepage Pas, Seepage Trenches. Pries, or Portable Restrooms) The operating corMi an of the septic eM outlet finer shall be assessed at least nice every 3 years by Inspection uOd fills all be leaned as necessary to ensure proper operatwn The filter nnridgs be removed unless prowslons are made to retain soltls in the lank Nat may slough on Bb filler when removed fdm ile endwvm. If the NI01`11V I'ANIIMAIMUNAN(TAtIRIUWRN'1' ANU 1 (1WNIMPIP(THTINCA'1'IUN PURM I N1NmW n,l,m.m I, (VwypxWW IVJuuml MVPWm9ry A ]wW,y INry)nlmn pv mxwumnmJml --�2. xCai.7 __(,c� 1'Nuul 1pm(i11JWm1 NumLm _o3Z_/02(�6Q'oIJIZ Pw,INvV I ANbblynAn.O.AA Adfil Ew,. 3_. T 31 Nn W. Tom JI Sc�a�f cse <a.Nn.a sYmr nf.ap_. _q(Ia-1 S6_,___ _ _ vc,loup ._ __....I+wp 3697 Wvmeb lYvepp.-_._.Iu[10055_ Siva. Wum Ym Iwlliw NImtlM1EI. m SYCPLMM 1NTEN N(`EA 1 (WNRR('RRT IA'P1ON In(n�,n m..w u.mnwue.,Ynm mlx„ a:.,vnww4llmaN lil le rvmmum m�Fue,e I.iwl. w..0 Pmp. XII p1Y,1(lba Iff JY KP,b' IYII vVryYJnm Ww. m' III typI( bY.11... of kou Y✓u WimN u4n nm ,,,rvn. nln,nwn wJ.a. nAq mitim'+wW wculxoo. m..w, �mwmnnn....e.[n.niw a 0['mna, Itu'i01 .o1 wliv,.rw, m u [aa iennly �w*�e., �"w Ib rvAw4 aim grt+N uMotlry \ Um CMury Plwwy .A inn Ill LSvSI I wulluuon enn1 ul,d by me 1. till P v Wv,d+, hwvpv pl lyl ylw Yml bnmm ... u,x uul puupw M fy b{ Jugp nw a4.'Wnmul.nmmw fel,,,%w Wmuw mueJbwl 1101 PI SAWuuIWIIIIY,u�,l P,,,y I (itnwuu.ry). l "I'll Soft it " It fwl mnvyly ..,.n J. III"�w�na„w�, we Woo. a, ww�.ww W. u.m n...n. Jw,m),I'.. wW Wn Nl6 Mwwu m, b)' d. pp,bmn W gnm,x.vv nnl Wo Ilerymnml,S WmJ Nmwaa S.n of WSbI l¢ •l.ilic uu,mly W.I1\m lryWO M1011 iO," amMll, olln ony,lrml m,lmw iWW. by Gvill CmwlY YlwuyR Gru,V tlnlwvenl wNunSJ lib SO n(Jle Wme Jn,.ul moan tlnw wcry thy, .Il.n,"IyOS,v by Wu R.w.n aa. u we....I wmnu,v bm.l�ym INa.u,M m, Dxm41Y11e Iaal'Ab �Isa�Ma.M,K erm��m(((or. wn.yn..Jmww.l w x.a.m mow omm Nu b J(EedmJ A DP APP CANTS) DATE ...AnY UMoxtltm Jul Y mlwT,rmi wY,wll iu Namol>ry fmW[Mmi MMeIbY W PI.mN b IDmV INque�b •• IxLb IS Wil blAlutim. NumpbJM EvmINPMYm otGeL (VM W.w9Ym16im411W.^`eYeT if imamw nrk ie Jn bermvb Nd (RNV.JMN) POWTS OWNER'$ MANUAL B MANAGEMENT PUN pwe_a_ YYa4qul benaeN�axaye W rSe[ W tlert tCXEOW SepticrBM c,patlly I oNA iepX,TUYr XbnNetlmer om EIIIueM FiXx ManuM1dunr UNA Emumr FNer MWel 0NA P Try C pxyy IN Pump➢nX MXnNw1m Pump MenuRtlurer TNA Pump MOM NM 0 San6MaNreI F%,r 0FNIAfter o M.rAp4yAaetlp ovwMa o MNnl.mon ❑err ow cage) ore amen fgrm+Nl 0lm6wM(pplollbvJl o Ar. o b tl oomradw oanx over oNA —ar O NA cz o M BFMp Cyent 8ery1q Frequency Nupaaaardlbn damsel Al mass am away. "i0" `l IYeYr„X a yNen) DM Pump MtcnbnLedhnXb) Wlws mmdrree sludge and svn egwY pa.mad(X)Of Wt NMw 0NA Iriegc(tlNperW wY(e) At side taw every omxM)6) a`) )MeeYnum 3 MM) 0NA :rrwMwnla NrMoa w.y oeu mNxct pump. wrT mnYde 6 earn At MNamsaini omxdXpi o_ 0NA FIuaF 4lwW sq peeve° NN NWela'mmry oKe arts ❑� Law N k�tdns °eery OnveXls) oNA war o Na NNNTENANCE INByR on Inapecma a wee W map.mW al. wu ee m.ae W an nmmdwl among dne a am rwowerq Ilmne x umbwrN. Mcdar Plum. MUlx Plwnar aeelAbe Sew', POVRS Inspector PAS ve mares, See age swnmq Opx@! rsk Yyeyare m.rp ,:deep a ravel Inspectlm of Me renklo to di 0, mlu!ng or ar tedwam laentiy any, u,ulm or IwW, mewls Me velum°a smamtl sludge and dam and N deM for any bi up or ponema Or Wuem on Me ground surlBre. Time, Widened uu(s) eX& he nauadN lnaoeaM to pradA the Wfluem 4rNe In Irk cbamXnn pipes I'd to cxrk for dry pending of eMwm On the pwrtl waded Re MMing M elPuxd W IM grpay lowly® tray hware a Idea wNIW: a-0 regune M'nnnMhla rnoefiulbn of the area +NlamrY audvdh. .Mel IN oMrtved a¢waldron M edWge eM down in any tank puss on4Nnd ()d or rMa W the of udume. Ts YNn presents a !toe bM " de mndw] by a SOM98 Saidi Operelx aM claw°° of In acmrGrm with pMges ON 113. Wisconsin pdnddeb,Xw Codes Ad deft stir. moueeq W nq ImMe m Me among of e9Wxt Nme nwuw:W m PraewrvBd mrWerp. PaEeYrwv LL+M. Wary ni IfNnamed, a 912 mdrdXn, sip b Prrarried dY aaNrred POMRS XNmtainer li earyb descent aM1bll to pmrlded to the local regYlebry eYlMnry y}lar 10 days of corrp!elpn of any 9BMm event START up ANO DPFR mm Wv awaai bbl Fw rrr mwmYLm. Pmr m we vw .s /e NSW umm) 1'M mvM1BGT'A tleYrbO laee tlb vnl/b a Na mq M1+.'•Ee MVadMe PnO. unyq iwrwW ny • ryeP uMUq WY•br pavm ur. fiyu•m mnw LMMoxv wNenaa aeSYwu onhmrlmeb lnO.tlw •ulo. wpvN tln mes w•m+dr wLM Du1K %w.r w4Ye. YN Wil nW 1>`ne Nm.11YY1nWr IewY. M)vi Pyr • dMWrt mMwpM m a aaaW WP) a o-e rW sae, mwbvYlY eNamlU •m Ilry nail mee e•ens v cabs avers elAw. n•ro v �ar4m~i HnYr P.WIS Y vhr m M�IY "nprr�•+M wenYq M�pn�m�a m � � IM+ anm v<w•rowY Do nd hM mphMMnv+w urJ+vd aPe.elmb O°nq tiro Or ak tw,tlMenue OYWNIX mmP4 Pewwmn IS YelWnempvavrymwmwagrnY iletlerytlm w. R•wWcn w.Naamn a me MYrhq nwn EM e'eelmler M.e my Ieyeaa BN PNWrrara ®'° wawN a IYe ae. rnvrs emmaW: aM Wa: Well• ewc mmam:, mlmn aeA, atlawe; atllm no.; meve•: eaba.a. be uaawn tiara leurm wW) weir, MA eM vepemW G inW9mmhm: Olnee: Ml UdOF mW euiP: maabWu: a', P"N VrMna°. d W Ma.e: •r W y aNNr.: nmpari: ens uPmr wI W r Nme. ABI.NDONYRJet Nrmn me PONl6 M. vNw b MrmaWNYY IeFen M arNn Ra MMNN •mp mull M mken m Imun NmM SrSum b pW°M w eeiNr m.Narea m arNiau.wYr awW caaaRaT. v.,.mrwn Aemiiroeua cove. • NI PWrq m uNa aM W Yatl N a'avnsfel erN Y• tlnUwW Pp urmY'Jm°a. m•wnnu or wl'arb WyudWl Ee lame'MNOrrowMaWw.adaye Eea.v. Swaw Oar•V • AbW^Pe9.LWuawe@wiEeeO.YmCN �amYa wOY wns•rwlOaaMme aN as llYe wM ••.. vm.IX.mmalmn.oM remW. cwnxoacr PLM n a Powrs mr .n mr.a a waa.e m. mwm �a I... �, w raw a eNM. m wwAae . as mare rrolMMe.ym.n. o A uYbYe I .a. w eeea MIa.W aM meT m wm.a mr iN m mm a.,.Pban.n nd a.anean ermsn. •TM�emw av .mwawomaa 4awt mWu e Aalw, .a .mralme. Ha ���memr can d•mV MCrw�eslYrv2in, WYrW •rtl wY•. Fel•fflmwasYN nao^rM �•N m•n4PN M erex edl•nE•N MluetlanmwM1mbe..WlmY•nWvrrsn era. RepYceTNMMYrrn swm aM n iwI Wn � A YLOm rgiaa.rial era b M evelbms aw rn ••rErk e^Sra uY 1YnNe0Ue. BBnM Variae N NNI61etlrNWY e srm s•i ray Es mNb1 v BIW marl ro repwa me tiW PDWI6. MWnlab l-ubWreaarenl erne I�^u111�edvneM va�u MiedeaIrmaVeWY meYWYWIMu ravlw rrYm Pe Yb] PqV r$. ❑ EMinE � m9rwb rJ Yu° Fam eYMenu meY E• rmeNbu' m dry lam•Irq ianul m Ns Ymrtl a eY NNYIM wrlu. RrOumY9ue druN eyMrn rivY amdYwaa nW n •IIM ltlW Ibre. .•WARMNO.> SE ,R AND OTHER TRFATIFIIT T"" WY GMRMI1fi141 WS6E8 MM IHSUF lrt O.IVOEN. MNOT INTER A Sm ,P MOMER TREATAIMT TANK UNDER MY UROUNTMCFd. DEATH WY W LT.R MOeA PERSMI FRM THE INTEg10R W A TAM(WT BE OF MT Oft IYPo9RISlE. 1OMTMMAL mamE;H16 _ PryNyS INSTALLER POWIS YAINI(IIXER WIIOF SIRNUIq WEMTOR OYPE9 LOCLL REWLATORY AUTHC PWI• ��,��. � y�T amn. O/ '2R/Y '//Q�� H•rawa••aaacnmanwrN ire 3m.EOXeM'NaNln •N Yla1r1. It1.lT.Way.MdlMCm 31, cholk counw ZONING O FOR OTI GICERTIFICATION STAT$MBNT FFSCE ZATION Thin 3 OF AN EXISTING SSpfIC TAN% r C s to c fy that I have Ning the _es y f^sPected the septic tank / presently nvn".V/ A/ y section re�re located T3 N• the and Peon in. I certifyW' Town of baffles to be in good n,and that I have found functioning properly, condition, end it appears to be last time serviced;-*ip,�� �1rd flow back occur pr^a, absorption f -. Yes No APproximate val lame o ( f no. skip next 1me) r length of time: .'opacity: /'<-0 / 0 gallons _ my rm to r, Const"Cticn: prefab Concrete steel Me nufactnre (If known): ///`-/{Ar- �—other Aqe of Tan f known ) 6,yeQ�s— (Sig re) Le..di (Nam¢) pla se p int z'J - � \ (License �—__'—._ ['arm to be Completed by 11 tensed plumber Statutes) or Licensed OlsposCe (Na 113 Cotle) (5.145.06, Wiscosin wiscon nsin Admanistuatrve Plumber (applying for adultery permit) Certification: [` accepting the above statement r¢ edition, I ceitaPy that the tank to he r^g eoxistin cc form to the requirements of ION( 9 sePtic Wank in Pe on opeutlet beet P mY knoveled9e 11 C��•p Daf W1s. Adm. Cade ( xcept far Nart�� signet �/^� "'�FOepB1°"'"a SOIL AND SITE EVALUATION ewwaas.�wy.,e 4ER'v PaEr_a_ wnn bmw,marmw imm c cwwnal..bma�rz i timnw�o. wm'.Ivgnamiu �ab.w M 1 d an+mmw, xue waimenrane.mm umx.wlwewn re l� .o.r yA APPUCRNTINFORMATION -Y1MM pMf E11H w . flrn,sn' U )q� ary ..ww..�„ r+b�.ra�w.re - M •aid b " G A lNN,IMS 3 T. NF E �n4vN IEiigM s / 6i411Y,i.v C9Y y- b / LIH SM1b � }la Wa Rpne Nvnnrr ❑ W $'w.ca.e.aw� ub u_ w/nree.aEa.m. •mnb.ugbYuo caasamw a.Nllw(����+ ^- Paamwme6+en lmlrew��nrE, 4aan°' Yvtl�.EVan° •e.wwm.ba �wrelbe 5 n°'2S2wm, n: ablw b.oey rere�e.a vPs+P.mam° Pao-nnmeMMlMlnelbn arvley rlmM(e) �' M1u rNarrpnNpenewwmvml .waaw.i aaaN.x.mwowmw✓/�' f,�...u� f"i'itti e2 Verem mn�ana �L(�]� itr9prin tlsebi.Y�Ytl[M 'N/N- SMWa4ryYn . u.abu.arr.r� Sis ❑u Wub RLs Ou M6wb Rmsue ❑u $m ❑u b (Is SLU ❑Y E Gl.0 �Yq 0 IXpin b mMq 7Mn 6.y WII ®®` ©©©m ©®sm®' �JI/I'��0rm��P qw. ®M;"M IM mr��MMMAWM��� Mmm . A'r2A�li�1�9J!r��JFJ!1)Jrr�m��, 09d��1J�l11.EMM m rim MA cimr�7 Lti �l.�11�� M G"7>lm"M ►�1 �����trr��� wo�—������i Soil Test Plot Plan _ Project Name Hobby Farms Inc She 1rd Address P.O. Box 716 Hudson WI 54016 CSTM N226900 Lot 1 Subdivision -- Bate 5/24/99 NW 114NW 11433 T 31 N/R19 W Township Somerset rJ Boring Q Well PL Property Line County ST. CROIX BM or VRP Assume Elevation 100 ft. Top of Nail with Orange Ribbon in Oak Tree System Elevation 898/89.6 'RRPSame as Benchmark Alt. BM give of Power Pate @1012 PRNATE SEWAGE SYSTEM Tmmh St. CmM sa.xomrwrxlucvmxm rery Ymauta-M u.Wn - INSPECTION REPORT °m"Xx` 395197 GENERALINFORMATION (ATTACH TO PERT Xmx. xmrew Wvwrlmxxyla., r 16.a IIXmq 04 Vll TwmNp XHanluF im Xe Jemn Somxwl Townal on-1006-0Od00 uTe{ol.zo 59v.��� I=Is.es I `ol lz TANK INFORMATION ELEVATION DATA _ iVGE µWUFACRPER GP TY STPTIpI as HI FB EIEV zo Septic sffd,260 man 2S all 10ff. W p At BM Z. 86 Blp Sww /1.0 964s' 4s. HoaSN _ am /1 TANK SETSAONINFOR mlo.m .UI 994y r TPNNTO Ph WELLLL BILG mYI 0.WD Bl lnlel s.p5o nc,n > 751 31' Imm _ tupowUm . 949 A.x4bn MSL FIX ! a XNexp ea exmm 61 PUMPISPHON INFORMATION' 2,2 ol23r GPM sr Town IINe1 W TON L Fp onLm syMm Heee TOH, FI Porm Le'gIt _ mvnu SOIL ABSORPRON SYSTEM ltc U6 L.. L..-l._ mY%'� wX us 4A 93Rf� SVBTEM TO h BLBB WELL W(PSTXEMI x s ;,�Jy PMPL y-fo lWll X. V. )$Er OISTRIBNTION SYSTEM r SS wl ;Swrwe Lmm rY" LNo Luapen• 515 Fdk9 CNN, Xw//`�e San^m W 5bS5 Nw IM NN IN 3 V31M RING INLM I'-rmarr¢ru+'.'aa^ I IAI BM Dealt-Tbe •4{BW.�A4'6w i 1BppxexlvpN= Ialmxr= /yLi,,' rurr werlml .IY" 6Yw _ /I '"ry"/p C(lj uxanw.Ip.aaSelmrml mlpnm .Aw I tl �i" S804715m..5Nn S+fery W Bminip+Olrum <^np _ MLW Wshuwm Ave. p.O Po' 11a isconsin 3,.�m W 33M-710 Desaflmenl Of Cpmmefce - Sadtary Permit Application *3 15-11 m m mmm Wndeo®v. we um c.a=.wmw mmm.mmr�w.Kk 0cnml uw.Wm m huM la ,Pi Iav +15. 1 yin pye l.O N.mY, 3. APPBaB.0 l.fametlm-Pkve PIVI.W IWwmetlm vrtmv vmr. amer. °10p"b'mO0" i U 19 8 <Ib. am Lp CWe , Lee Ym[N G9kfar„ - IW1,®m® p.Trye a BWldb¢ IrLmB W W.l eppbl OCib � Rllmawmpr P.wuW-mmee,aemrt.m Ovm.ae D WWIUCwmertW -DssN. Vw $1' ❑Sss Orml Nmrtv (1 3 K9itt a4 J�f m. T]Kaf eumir: lock mb ,,,Paasee W. A ImmEaW meme ln. m,wW m4. C®q+e I:eB V eMa+a.1 IBNem 3DR6YP® Ymua 60 A64E.cm pee�m a,k .Y T OAy, O+¢Im.W B. ❑mnaa.ao,r pmm. n.•w+ar u..e w,W,xmm Iv.'IyPeMft+mb. ICTeeY YI WW ePP1Y1G,mYeMp sEwebtlelemW ue) u u �nm-rw.u:.m �.cw.W a�O dmm 0 sin ruo-. vO camm..l wane =0vmwnm+ma,mm +10 N.pm3T.W e30mp.pm ai0dmw u0 nuawa. uO.wwpl. rwm.woW ❑ 0 V. IAm 3Wmmubo• mlw fw. laW Bww.w I,aw.w Sau Aenee+em e.rtaw.n wu h+m^al.mlo. CwleMe rbl,m Pwvmm aylan, m.r�xwl wmnwei ➢eroum / Wlao. Mw4aart, CItcled>mna �� 9d plink OTW� e.Ww awskwx.Wmam _ - pwwomm VLL Pity B,alemeol- 4 as, sees, Im WWWImaW PoWR.b•.m , �+mNN NmLe Mv3eY. +a WR mNmIv r ua,m.csma cln. m, uul %M. Ca tMe vmw.<Use O cu.yvm.m m LWM M1m i. lu,mfea du Yrwm 1ww NmSipmun Mo SumW wain¢, ❑ e,rt Peel 0..we�ee.wmAa.m+e 22f. d„„;w,„. J 1 y Cm of Appror f.+UW pmN, / �,� Ou C.S. i1 o if-F�4.a�RW+ruwB.vf ., a_.-- —(t Fmep&... _ �") SBD-6398 (R 05101) �j9c/O AaW24E.34 I" HN'xds % SJUnv e' sis P/kS!C�s.K � �...e.-si wr rYaas m ©— ip'c✓ i1,4Y2NE�{. �pyy ryµN 5 'Ja..a! � �1' -s✓eis A� .f P.N..P.,4 ftie�a "k` pOswJ s ,yyr.e � 4i.rnn .l�Goys/