HomeMy WebLinkAbout231-1047-70-055m^'°'amm°2°
PRIVATE SEWAGE SYSTEM
St. Croix
yhrye.De
g i4
INSPECTION REPORT
ury Perm No
62d990
GENERAL INFORMATION
(ATTACH TO PERMIT(
PW10 No
,a raurtwwprerynw.y L°v r SN I,Nmll
OR
P.wl Tern
Amber Boll7w
Ethan S A
CITY OF GLENWOOD DITV
GL
231104770-055
R, BIeEw
6MEl..
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27 30 15.75AL
TANKINFORMATION
ELEVATION DATA
TYPE
MANUFACTURER
OAPRCT'
STATION
E$
HI
FE
ELEV
Seeded
BenchmeM1
DmmB
Alt BM
Bldg Besse
Holding
SVW hat
TANK SETBACK INFORMATION
SWIt OUBI
TANK TO
Pn
WE
luui
Im
g
model
0.m gH,,edAklen
D'I Pw
Hal
But SAW,
PUMPISIPKON INFORMATION
lGm.
wadid ,a,
amend
GIRM
at Cal
,an
el Bemhe,
iDH
LIN FOtllm Lwa
Belem Heap
TDH Ft
Fortemei P
D1sLdsOI
SOIL YI ION SYSIBAR
INFORMATIOR
UR)I NItlU(ION IlI LM
pletO
SOIL COVER
Dl0
Demo.
wo °r as �m we
5OUTAA, w°I.,
h Em.
o .w . Ho i. Yes
COMMENTS (Instal mEe Encepennea Yml present, etc) Ineeemon 01 Inspection p2
1011 165 SURREY ROG TRL
t)M BM Ds,,Vl-
2)BOB wr Wgrh-
Use All Add fee al l
S m:_I.n kt
a
Sanitary Permit Applimic
I... hmmlils._n w Fna tu.u:mnr /l wm/[S ark. <reu u...
.dwna.�.�.0 E�s✓+yaw.. /3�R. �.c�. l-�6NE � �,/�/.o»-le_-a5S
.o ber at re..�. LiS'tL)
McNenwrr. (�_ S1751 _ G/] B[S. 91/7 �� 3o N. x�":�:j
crr La
w
s rro-a<ve,m,rce.t.Ws... w. d, me,. i:ykdm.aiypiaw�
IV, erofPONT6f �ueWCvmvo CleekW wle
❑xm.AeeM M ❑mwnae ewnmw ❑WPYe ONWa y d i ®iuwM.vin .rwuvdvrl
my and . 937
vi r.du r
�o /e
W-1
rk
a.w malom.sixservlmaied ov p lm M
esosrm...cem.moi.so�wm:c or P'.�m�r, e...�.usl
s pe, aPoi�rWia PC 2O, .a.in Rs"s)$dl
4/mzo.
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BfFP"8 A.a SPJ 383 Yf ((f9.<RJ.vrr
sat
WVIS1VY OPINDUSlRY SERVICES
C 'tl'a
snasat1
ma_exa. an
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;A
Orleans,wnR-r .wY..aise
Tiny E•.a- mo em>
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Iran Chna -Sft.
CONDITIONAL APPROVAL
PLAN APPROVAL EXPIRES'00$R-14-26
Man Reeler': PWTS08300191 e{'
JOHN PLLKL
N629e sears HOWOr, 25
Doped W15g16
SITE: EMan BoeoMh
16< suety R:Ag9 Too]
Torn of GLENW'OOD CITY
St Come County
Total Amount: $250 00
FOR
Conditionally
APPROVED
DEPT. OF SAFETY AND PROFESSIONAL
SERVICES
DIVISION OF INDUSTRY SERVICES
DAMN �.5gusights
SEE CORRESPONDENCE
Mound Complaint Manuel -Ver 20, SBD-10691 -P
(VOPol,R 10,12)
Prtsswe Dlsmbuaom Component Manuel - Vie E o.
SBTI W06P Ib 01.01, R 1016)
Nicholas" 600GPO
smooth.... R,m,wd
The submittal described chose has been Uhwwcd for ronfm CC With applicable Wisconsin Atlmwmeuve Codes
onJWlawnsin Sche The sobmnlul has been CONDITIONALLY APPROVED TMnays¢rI
constructed and located to accelerate with the enelosM approved plans and with any component mmualts)
mfammed abase Thco ate darned! m Cabaptm 10101(IOA Wum uaoe6ltlWn.a responsible for mmphanw
with all code requirements m•
No person may rn6age m or woh nt plumbing m me smm wlew hoi to do so by the Depamnmt pas 145 on
The following ewdmam shall be met unions ,,mi or installation and poor wwmpoi or OR,
• Any Oil preset. learn red saomo shall M cut short and mnoved prior m tilling Me surface for mryllaumto
Parent mateng under me dupeml urea
• Prior to mmtrvons, of the dispersal arct check eke moisture content al the sod m e dcplb of 8 inches
hmcemg and c,mpawog of waroil wJlm,ltm Burns the m611n snpamty Of the soil Pmpaml
an be JaermmcJ by II a col sample'cetween the hands If IT rolls into a IA. inch woe,
the are 11 ttnn wv w Pica" II n 11 "ohl s ode pnpvwwn an proceed If the site Is too wet to prepare Jo not
proceed unnl is dries
R D OammmdM to ew as shoo os pn,hlo wd acmuse SrounJ tnser prior to tilling the accord mudrte for
the dispersal min
Remove and maintain woody s,praloo on or near the dispeml impr t to inanimate mot mllmuon iota
hire Japersal cells
• AL•edv'he abXef rvnen mmpvmm•P ten M] J]
Electrical connmllonuhall Comply rush Spy 316300 and NEC 300
• all A lultur shrll confirm to SPS Table JXUOJ and WS Tattle 384 30 A
. bell holding sewers beyond 30 feet per ASS 38E]0(I f(c)
A mpy of the approaed plans stenfiununs ,it the letter droll be omxoe cuing mm"I mn and open in
impxlon ber authorized rep ... mubees of the Ismarl which may mAude local mspectom All permlw
required be the smte or the Iccal munrttwlny shall be obumed mono commencement of
cownucticNinWWtrorv'emunn
In armwg An uppm..I the Dn man a1 ndl lry hem us mwc the "gill w mymn Jwube. or all should
emWmons anu making themm m, ry farCMe comptmn¢ As per scow wen101 13(11, nothing in Nu mow
shall rchce she denaner of the rtspamllydny for &S1gmng 1 Safe holding d".mre or campol
Incomes mnrmnng tmscommmu drnm may be made to me I the mwphwe numlr bawd below. or At Oe Wdrtvs
on due l"whead
The above left accurately shall you'll, a sopy of this labor and! We POWT$ munaemmt plan 1, the omen and any
others oho urc msfamrbh AS she maallonml moment w mmnlnmoss oI the POWTS
Sincerely
7 ,w f1lise:w4
Travis Wagner
POINTS Wastewater 5peda0lt, Divislan of Industry 5emas
1E01I)SCI )15
Pri % atc Onsite A4 astc-,catcr - I -t eatment Svstcm
Conaiy
DEPT.
OF SAFETY AND PROFESSIONAL
IICI , a,ni1.>.
o .1.. doc
SERVICES
DIVISION
OF INDUSTRY SERVICES
•.,
'"" "- -- ...
SEECORRESPONDENCE
Wh,•unrn, tr,,.n.
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.,w.
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e.
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nin
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+m w.oY st a B
,..- eae.,pi fr nr rrs ++r e'gi{ff�
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.1 .f a �rar f
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ffe: •orf/orU p
+r.rn /.,TjI/
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+f./. d0i , r
410
pb • .�
' 449 tii E
•7 ..•.� .f Sri
ns.'i.or'Zr 3t 'n/v 4°
J
�Jnny.m..s s)i-,,.�.roq
f• rvY o"TIT, • +fl}
nr•+ PZ6 -�
rN�7i o�
p /, % ft
R j,S ft
ft
G =_ ft
Bft
A _a ft
B . 7S ft
/L.9 ft
a . 71 ft
R /].3 ft
L 9.4 ft
w . 31.1 ft
CRO ECTN)N OF MOUND
Page 3 Of -I- -
EACCESSBOx
GEOTExTBE FABRIC COVERING_ N \ DSTMBI LA711AL11LZm z 40 PJC DAM)
ASTM C"SANO FILL H _ L]tPfe110 VPM1 El = gyp ft
T..
3/TO? BOIL_ T/'- OT' -IG System El=eft
F
1 �I r/ /r 'v G ConOur El=
,. OAtu M.RI
' %SLE FORCEMAINR'✓S aO aRC Oi045)
' OIBTRx1OTIONCELL= B n._Lf=4� K IW2- 'NNnre•BI
No RWvI,Id G .
PLAN VIEW OF MOUND
OMernfon dPo TS=
7.] J
B-
tox
E A
fo
M / W IRB • cm
/L.91 Ixrn.EBnBSN)
ox=WthA I&BOX
WP PVYM Bow
BOMar= JY9 Rx 7S n=,MC�fN
i�
iIBB.
MN1m
.fpnbnoM NS n
1n
In ,�,
7r w
VM
cpml
�F
:r 15110M 100b
If
Mn Rexl.9n• LOO • C
OGO v
PIPE LATERAL LAVQUT OF MOUND
IE^o Mel Wun fill el
ROLE axAMOTER - 151L_ ,
IA �1 Ixn ao PVC NAHIFOc NDs i//+ ,,see,
FORCE MAIN c
qw Dm E(
e 71 fc '"s
ft
Is
Y J _ fc 1
J
Page _'_/_of 9
IlXES LOCATED cV NLY
ON EOTTON OP PIPE
All NumC of Pobf=__4Pd._, E°'R= SO Holes
H0WsM1ssRNx31LMenb= 4FEI (3fl6)ticksx066aPm/(NI6')Hde- _$GPM = SYSTEMFLOW MTE
PIPEVOLUME- /YY R."aft(IONO[00E9ae z/J= Sx5- ((ISGAL= MINIMUM DOSE VOLUME
PIPE INVENT ELEVATION i/_3 _0
Pape S of
CON6INATION1 SEnIC"E TANK CROSSSECnQN
ry sys lqT T09'!1€1
GNAOE
/
se,,O� leaves
F1EcmICunews
I
III
BVRDINGSEWEN
� m aM
/ rdTo.Wverme.laT
J NCPON My
.warmw
r aesm Nilrp
WMasnsar[
J
FORCE
WIN
OPTIONS
83 e err.
WPM
uxaaa[aa aarraaEsmuceeFArxrPrw pmrxoa
�zaar..m. m�.w�swain�Arz+
Tank MumuMdurer. A)/ftea _(C_n.r fTr Day yygarcayer"bw(DINT) scm GPO
SWWFumP sae /lra/7SO mlMe NumOerNcalry tloa9s S.3(/MlA.
Alem Meruleuurerc SIf /Ne.r4s _
Mis n:_/<3 gyq-�Zal
del NumGp iNJK ./[feat /
seapn TYM /;AT pal. a w- 7/)./ we
('bra tlax �e4ane xMune o(OiW maYU
Emuant Pump Menure[ber 2a[[•fa POSE-AIJK CAAACRIES'
modal Nurrwar: _. _/51 - Rei above alarm 3e.5m YY/]/]
gal col
Mrr¢mum Cieenerpe Rupee J3 _epM alarm rom abovW� e on elm= 3S.2 pal(G)
ON01[%nmeuummem�.4r In- /14.7 gal (a)
VeXrcPIIM (pump aRblebrel rrnedl.. lad IT Onalumatankbottwn g _n- /19 gal (A)
System head (distal preevue 9. f x t 3 M 3..3 R
DOSE TANK 01110E349oN]
Fare. RINVI Pea - It Length /JS in wmm 84 in
Torvl OWramv Hal TOX) 7Y65 It ONIe1M1egMf/d Gesmakeen L/]
tlp
Y26 SL1S3
i
•11
I ' '
�Lela ...
"Shell mh a.mm h e..riP,,, ,�x..a•Tw. a•a
vamuai mdbJ5 rn ad a.wpw, a gOtNILP
beside,
Di I,Ne nets.. ne aaaxamua
SO Labs o i Snon
c,eainhi
Ted
FMLAA
Pa WEI'+bqSpel quohilonrep
"SIR7.3
Em—l�
rid
II
Ods
—
2,3
KISS
SuflvphWeM1.m rwnamaxmne.e,,.=u.w.
RISSOOHAll
Vbdmlebyd,VheyAlWh ceer uLVa.
6LPii�J'
TOTAODYNwMICNEnn,EEOW /�� G or 4
PER MINlRE
EFFLUENT MDDEWQERINel
ra`_t
Model 151
E
9�Z
Models 1521153
s pNn4ale4gmy by tl:Los
NPoIa« ,006 W bMYS Lobe, I'd peep
NWL nDnmnTSweJNS
Pexoh,; the abutstDDIinemaxe by aea.re npbpee Lna'
by d PVC pil
rnYlomm4
um AdIlp@wabi dit"Ji apylouom
xOR1WIrvrzIll
Yl.�nvn m.
Fu,uxal WMR ea rY@w wkb Mb ae fvN M 0e M1,011hil L91T'Pnn
a fmPM+Mxlawr re wrgnvrm+w
Model 151
E
9�Z
Models 1521153
s pNn4ale4gmy by tl:Los
NPoIa« ,006 W bMYS Lobe, I'd peep
NWL nDnmnTSweJNS
Pexoh,; the abutstDDIinemaxe by aea.re npbpee Lna'
by d PVC pil
rnYlomm4
um AdIlp@wabi dit"Ji apylouom
xOR1WIrvrzIll
Yl.�nvn m.
Fu,uxal WMR ea rY@w wkb Mb ae fvN M 0e M1,011hil L91T'Pnn
a fmPM+Mxlawr re wrgnvrm+w
Page L of 9
POwI'30 WNER'S MANJRL AND hfANAGBMLNT PLAN
bg1mJEMumlWig(0 NA)
MAN Swge
BgNnn�ul apa sdm"(Flal
s. Taco esest,d(BDpp
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TmI SlgngM sai6)iS51
s)so m W.
MUImmn Emuem Pvmcic Sue NB inN dvmne
Damsel
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aICCFk,mAMewd 3uxon Ne,uev(w 5egieT@-SaBAbrvm,w�Syaanl Publu1m96 (Q WII@Mnwll
O'EZ FlwryiM Da, Co flat MMual. Vviue I
O SBFlm, Mountl Cmnµnml Memml'na 6rzMN]
OSBD-IOB54p(py¢)'gpOnQ GOmPnmm MxwNOsngprtyurt Dumbmw,i Vmim10
❑ $BO-1070NNo Olml)'In Gmund Sotl AIND'P^Jn Compmenl Manwl" Vmion3 0
$SBD- IOW I-P (N D1ND"Mxwd Cnmlw�mnt DlenxoPGxrsioc E 0
� SBO-1065Ap (R 6S3)'ptlpnne GTvnn Dispw'al Cmnpmlem Mmva"
O(SBO-ION6-P(Nglgll'Pmaum pamFuum Compurcnt Marmxl"Versmnlll
� ONer
AINit Elra AT ry I.I, BYAN
Sm E &NA EMEN1'
AbN _pun AN° m'mu4 Lvm uvme W ]3 mar, ON
@— � IAI'm _�G1 enmlv_ 3 MINA
I¢Li IF}, III AN, MPost Nm1 IUN `)tv
theDv[1re ache mf EV IIOp[d[IM LO A.-SN`Lq 311d/gtdam 1 'llemnm I- the Plegrte Of mI0J11[
Ineaonmv n'1M1e`I oss,re ov,tl ev et ry nut age mdiryem^mlllmn, ur am it o amedcla ease
n m<mglDx w. mt .x"'"'s - ,. a. s.,m a,1.l etxm a.xeaeoa modlam. ...m
The pmpot mmm K MSPW nabl or tits opamlow and gmlly[e( Fe wsslex e c 11 offal , I.v(onn mJ Imw 1 IF tp "ross�:S and ruDmlau orAmlirtd mpt Tt. Vu I is on
B Due xmS svW Wpllm rtpeiral lnAx Muv. ny� m�emavolumeyALm"a"
hEnmw,v ae 1<lmmll o(mrt a PlienNamed
d os led (nmLLJann-I'Ihmd be duMugm mn Vmmd �1 �ationess, an l UNar
Include owns, veve. Am lfohl me es xilerc.e �wmme. Nx¢. 1 ole en
e amsoad m b000s, e,...Ir.eou.e.,aw.1e.,N,,,. uc soml<(/meI=....1 p_.—. o im..=saahla,oun 11a< be s�`mrseed . esmliysvl,e F ap.e.g dlapomN nny saw low Mesa
and
ry„am. o _mb, _
deal) 11 0 aweb; Afield nm min rM1e system CAemlug, uyl oa pNml PmdI"M�/ ���J n(mentamlit nyam¢ M¢
mlibwn,s.wbm,.41,.m to nol4=OW1cJmm,Farnlml ma¢B2Y Na somaslydma Ien Mtn ut Mamyoau.
wrnm poa,-r5 and amlmninm=ro11,
,age 8 of 9
drmkmgva,sw Irply Meimml II,blot study fil spends nY Iradryw neo„gnow Ne work Avoid •emtlun Nimvo
all Aauntmmpormu. Cmmpaurvn O(wwtrvuledlmerul rrnrrmeYxux rr wlrxzeup
1.T10NS A MAINTENANCE Full M INc by h rdrmvmk Im
cnrfceewmM bu Muv.-plumbu Re5mne0 Yewer POWISMunurvrme�ar, Sapuge5mumg Opvralm llrcnh nrrcMd
Fenny Mir m Kpnuw, mroet.bn, Tain, 4,11 an
dial
nIf ' kr Laalsalrr.tm libels tt ldhill e o wmbmMnund ie m,l arm and enrt rI A p bunny or PnI'd nfnm tam by the
In P nerd rear FI ale shot
tenmmnnr and as m,mp. and Fern, A man M pmarnry ewa der nryLIM npawrrs.
Vale, InnnXwcbe. rn dmmev droll be ¢wrtd won cf� rrve lor'nmq Amen inbexmObetalorvnaulnmrstl mnry d,cunks
Whim thecmbme Wawl and sea,, any Fork edl111310, a of he uvk voWm, Ines uol rbe
Link ffiNl btu ndnby a Seprol Scry ng Opc and �disposed of in yr 0....wM Cb NR III a + ends
slM Wa snmmg....Iranv,, row hImvtled.1, 0,,[,, I a km ,if Lonmmel a I I IF Im wtl iubol to be Fmv"rdm Ylo
I he an letrnrmf.l an. anddeaai etude, any nrnnnnsured eDlW aenvNing to anumm" IFINKILIT enrr. snlw
bri Final III' Ilene n.11 ant
nr Ann P resII alrody be nete¢ury ar Mime frvpamr undone bran.tared m tire
9Teamr atdd he 111,16 In a ni ford, I, ma mare dean « arn
m is rrmnelry e l day, Opoaane nordomrennn r rmala M cvne=,vte oil wry Persian, wdn lot
,II e-.smarted Lb.ed..n .p1r:1La.agemmrm dwebrnenr:a.rFIFIR
ABANDONMENT. W hd dt PDWTS pll Aden n perarml turn Ow DI mrvru rbe 11111-ing urn. still be ukm m anima rNt
may nmed in.n and I'll riunpls, "": rY SPS]g3 ILL Rucdmw Admrn. Cray
m All Fluids rlurbah Land pr¢ III ducvmevm Lord rM nNndaned PIP'npmrrrga rorad
ine nommn mall Many and mar smll be Mill ad ProRdr 4"pu of by n SINal SwrtW(Fell
I by loss. sold and banki In derr doors abovend and One void apwe Filled with .nd,
a CONTINGEPI NC Y ANA dw Pa WTS Ialrand wnnr no rcri II¢ fnllnwmg mrnwez navt been on mpR M ukm in brood,sandso
apWoenraa Is".Ca a suavda oluaxwun are' Joe barn ewgma d and Any by all ruI fir We luwmn of rrylenemem All eluopd mnrysmn TT'
InI I... r xa abwdd M 1 ""Id fmw mmONmva and ornnnnmv anhand nor oubFrgvd open by ten d rerbwkr
rnry and pmpn.ed,Ful tut boas am ems Vandra to mmnn me aplucmao amr,ad... rtuall Rept¢amenr
°" apaevrram
a nnPaul FILa2 Aado. ILI arnallk aa.' III lrmrwdnw Bral env Mi PDWTS raamerogyI
,. nnmyl row mel.lar.n win m.
nmoa.R rank°I..y 11 aI�nm 111 i„aa11,an'n,wl o a rbandm low IS
9-I mmfra audit a,addurrymn arts. eyed satiate ar he PDWTS amn end a,, evalrmn•am
et
11 m�nhle nlsor-H In rare I r an Inlw.ndwc rot...... bIc I Inrdngrm may M installed us a nm
been, to
ride Frlcd PDWTS
If Mount I'd It gnde sod ahwry ey lc ntd in IDIWxmg ran vzl of go b ormaur me mdivavac
aamx r RIIIuarwdrmen Al emav,Amur nine Ale. Itellaatat FMuma
�A SEPTIC PIMP. AND OTHER TREATMhIT TLevS llll CaNTU LITFLU GAll N]FOR lNSVAICIECT
O%YpESVIT NESCrl A PtPSDA ORO ORIT N ITIMRopA♦ANKMAy BKDIILFIR bI.r OR aMCURIS Po91RLLC f.S DF.AiII
KFAV
PIIWTS INSS LLER IOWTSSTAIINTAIN R
Kann jq/lN ✓F F /'/f-•Il/IYf rh ma - [ K s'e<_NI
Iallone 7J L]]-_Says L nu ]/PF6R l
RK"4 _ - 4oPP. ( yea)= A RO
- A � C on+.+ r
Em- Name i%fuouadf
- ylbo�_ >S3e y(m _
stallation Instructions
for the GF10 Filter
Maintenance of the GFIO Filter
If lI'rn
WARNING: the liquid the tank rs above the top of the
OA
®
filter, pump the tank prior to removing the Met cartridge.
awl r.u.e rwa F,'�WWIO%A
CAUTION; USE RU BEER GLOVE5 WH EN HANDLING FILRERSI
k.
....
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err.: mo,...
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ftk«b„�
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ah.:
m....rhdmdeamc
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f:�:"dk`Mm'a„'Mk
BEST
%i BEST
an
s. ..rn..pnr...erkr,e..
/ nawaocv
exisdng Syse
f existing system.
�..:.�4w.^w.rr., r.rrr.�ax�„rr.
A010.b Ros:
n..m.l„r,
u+a, �ws �a s+a..ev^a�asm. nwxa3
SOIL EVALUATION REPoRT
uNRPS]SS,NkAd, =RO
vngeb ruMm Wnmmlaaewe in III IX
Neva. fm mm
�M PaiWiY_
vwaeemrem rcM oW%ruMim�er
5
kea McRSimemmim Rwa^aIW Mb
'ou mesa mi
RRwbomee n�ryImWnm ❑
ET1nX60MBERAI'eUgG( Gµ LppISIV 48E%SZI TO N R IS Ep+W
R.w.mo,...goWRAaere..
Ruar
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rar ERI^e R,.,RRI
av ®❑vr. ❑Te.e ...,.. a.a
MC IE WI Sc reizleaseln
c�Exvuw aAwevwocfra
_
®N...ramuso.� u.a❑RemaemvreWmae.a�om.�cw e...la�aergerno
E""°s 0 ` c mne.nbs a. Wan uoa ewi4amm,ae'
om
m„
R.m ao^OI,RRR,RR,�^wr
�
Rmu
oERw
mm
_
vw
£Im
Rx
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