HomeMy WebLinkAbout645433 006-1065-50-000 (2)WsconsNn Department of Cramorffrte PRIVATE SEWAGE SYSTEM
Safety and suddvog Dwmwn
INSPECTION REPORT
GENERAL INFORMATION (ATTACH TO PERMIT)
Persofiall rnformabon ycxk pr�ovAe may be u%ed for fw000dary pwPoses EP"vacy Law, s 15 04 INKmj
P,ermft lHd,det's Name ;e Township
Four Corners Farm LLC TOWN O,F CYLON
CST 8M EWv lnap RM E4 B'M DOSCI'Rp�*n
TANK INFORMATION ELEVATION DATA
TYPE /,,,=FACTUR?
CAIPA(,-,ITY STA110N B!
W7
IIIIIIIIIIIIIIIIIIIII
PUMPISIPHON INFORMATION
RPTION SYSTEM
S01 Ouffef
5-Inlel
DI Bottom
Header/Man
Dist, Pipe
BoG System
Final Grade
St Cover
M
I �KOIIWII
St. Croix
&W,1140(y Per"liit Nci
645433
Suce P�an 0 No
Parce@ 'Tax No
006-1065'-50-000
Sed*WTOwr/Rargo/Map No
2931A6,453
HI FS ELEV
q,
LAKEISTREAM LEACHING Manufach
CHAMBER OR
UNfT [m--o�
DISTRIBLIT ON SYSTEM
Headerl?Jandoldi ID
XJfte sue '010 spacvlg
PPZ� Length,___.. Ois a _ DO
SOIL COVER xPressure Systems Only xx Mound Or At -Grade Systems
Depth Ovee -T!,Pth Over XX Depth of xx Seadedll
0 r � �
eAWT rene an or renc Edges I OPWI,
r �es l No
nMfiAr-NT m i m 4, 4 V?X
if u,, - code iscrepences, persons present, etc.( Inspecuon #ii
x
ocatlor 2t 4 WY 63164 e,
I Alt BM IDescrlptlen
2 Bldg sewer length r
aniount of cover
31 4"n 103 �IAIQ 7t �d P 4-4 c
Plan revision Required? Yes No Q1 /2. 2
Use, other side for addifional Informalron,
M�
�o
MAE=
S 1301-67 10 (R 3(97)
&K W.IA6e45f
r
4A
2
ent of Safety
Depalltm
& Professional Service,s,
OCI 11, 2022 Industry.Servi Di io
pi X, �1110 L77
.P ,
colsia,*0 g�PNETjt!jAppli cation
In accordance with SPS 383 21(2), Wis. Adrn 'Code, submismon of this Form Whe appropriate governmental unit
iis required pnin to obtaining a sanitary penrul Note Application forms for state-owned ]POWTS are submitted to
the Department of Safety and Professional Service.% Personal information you provide may be used for secondary
1),
purposes in accordance ws, worth the Privacy Law, 15 04(l)(nif, Stats,
_
Property Ovvtier's Name
'FOUR CORNERS FARMS ILL
ProWrty Owner's Mailing Address
2173 CY RD H
City, Sure
DEER PARK Wit
01 1 or 2 Family Dwellit - Number of Bedr(x)ms
0 Pubbc/Commercud - Describe IJw
0 h Owned - Describe Use
A NevaIlk ral eplacenwSyrnsteyllm
InIfspowNwry 801
IVI Capacity
^ 44 Tank Inforination Gallons
160100M
-ttz,
Phone Number
Lot tl
Block 0
`SM Number
County
ST CROIX
Sanitary Perma Number (to be filled in by Cri
6 IS-1 3 �
Parcel #
006-1065-50-000
Govt Lot
S__E SE 9
31 R _16111"
Subdivisom Name
0 City of ................
CJ Village of
liz To. of CYLON
Other Modification to Fxisting System kxpbun) Additional pretreatment Unit ("plain)
El Other Type (explam)
El Z �frsdC D Mound lndividuap Site lks5gn
D Change of Number I n Tiari to New
T�,V-i Area Acquired (sif) Doqi Area Propomil 'Systern Elevation
;;l Afta Acquned ifd) 'INsp,
A
I's SIPre
PAUL R KOEHLER 000
Plumber's Address (Strect, City, State, Zip Code)
321 WISCONSIN DR NEW RICHMOND WWI
0 Disapproved n
0 O�
7tondlitho—ni 6-1: A�prov
SYS M OWNER
`,eptic tank, effluent filter and dispersal cell
must be serviced / maintained as per
ianagement plan provided by plumiber,
� setback requirements must be, maintain
MP/MPRS Number
225410
MH
J,
�g tk
r -Z
: -117
LIM
�12,y �7jj
w
L,L
rn)rr.
7tv
am,
J-67h
\,A
3 S
\_Ulj v4 50 --o" j 0
\,A
3 S
\_Ulj v4 50 --o" j 0
CONVENTIONAL COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name:
FOUR CORNERS FARMS
Owners Name,
DAVE GOODRICH
Owner's Address:
2173 COUNTY RD H
DEER PARK W1 540017
Legal Description:
SE 1/4 SEI/4 SEC 29T 31 N R 16W
Township:
CYLON
County:
SJ'CROIX
Subdivision Name:
Lot Number:
Parcel ID Number
006-1065-50-000
Page I Index and We
Page 2 Plot Plan
Page 3 System Sizing & Crosis-Sectilon
Page 4 Filter Specs
Page 5 Maintenance Information
Page 6 Management Plan
Page 7 St. Croix Cty Septic Tank Maintenance Form
Page 8 Warranty Deed
Page 9 CSIVI or Plot
111pilim!J, fillilillill�
'!!C�1!11��Clllii I ; r-1111111", #1 ziz' I I
Designer/Plumber: PAUL, R KOEHLER License Number: 225410
DaW 10/07/2022 Phone Number (715) 246-26,60:A
Signature
Designed pursuant to the in -Ground Soil Absorption Componerd Manual for POINTS Version 2.0 BD-10705-P (W01101),
Page 1
"IT
ME
0 LmN
I
40
47 CFO -T -piolwj
NJ- IPI
v4 5-1 -0"-k 0 D
SOIL ASSORPTION SYSTEM DETAIL I GRAVELLESS LEACHING UNIT Pagm�l of-i
3
No. of
3
ft Cell Width
80
t Call Lon
l
3
cl ft Coll Spa
8
Per Coll
24
Total No of 10
50
sq ft EJSA Per Celli
1200
sq ft Total EISA
GravelLeaching Unit Manufacturer EZ FLOW
travel less Leaching Unit Model:
Finished Grade fit
EZ 1203H - 10
Typical Cross Section
approved cap or vent
Soil kfill
in
�X X•
x
Gootextile Fabric
Infiltrative Surface
12 in
4irrrrrrrurrrrrrsrrr
L
-fl Limiting Factor
in
Slotted and Anchored Vent/
------
Observation Pipe vAth Cap
go *IN" poll's
Plumber/Designer Signature: ,Z
Uteri 225410 Date: OCT 7 2022
I
GRAVITY -DOSED
SEPTIC / PUMP TANK SPECIFICATIONS
1.1r1__. (No Scale)
11 4 . R—AA
'CAPACITIES @ 600 galfin
*Pumip Tank Liquid Level = 16,.12 in
Force Main Diameter = 2 in
Force Main Length 40 ft
0
[C] TO I Dose V 11 olurne (TDV) 80 gal/dose
L(< 0.2X desigin flow + forre main void volume)
�W
INSIDE BOTTOM'
ELEVATION = 8T9 ft
"T
A
Pump
weep
Hble
t__ Alarm
—On
—Off
:;oncirele
1340clk
Extend manhole dw as neoessa
y.
Appmved Locking Manhole
with Warning Label Altadvbd
(typi-1)
4" Min, at 2.0 ft above
E wablisbo d Flood Elevation
1) al ca c yoilly Quwk Disconnect
I a" Min,
(typi-0
A AWrDved Joints vAlh
Approved Pipe 3 1 onto
Solid Ground
(typica,l)
PUMP -OFF
ELEVATION 88,65 ft
r
3* Approved Radding Malod,,A Beneath Tank
Force Main Void Volume 5 gal
i
Vertical Lift = 525 ft
PUMP TANK:
Volume 600 gal
I
Manufacturer WIESER
Pump Manufacturer: GOULDS
Pump Model: EP04 YwTXw7V_.F
Controls/Alarm Manufacturer: SJ ROMBLIS
Nowns"w"Nown
Controls/Alarm Model* PS PATROL
Fjg@t switchgs containing ringrgury are prohibited.
Fledneat most comply V41h
SPS 316 and NEC 300
rproof
1
j ;ttlllen pox
SEPTIC TANK(Q.
Total Volume = - - ---------_ 2000 gal
Manufacturer(s):
jamull
Filter Manufacturer: POLYLOCK
Filter Model: 525
Force Main Diameter = 2 in
Force Main Length 40 ft
0
[C] TO I Dose V 11 olurne (TDV) 80 gal/dose
L(< 0.2X desigin flow + forre main void volume)
�W
INSIDE BOTTOM'
ELEVATION = 8T9 ft
"T
A
Pump
weep
Hble
t__ Alarm
—On
—Off
:;oncirele
1340clk
Extend manhole dw as neoessa
y.
Appmved Locking Manhole
with Warning Label Altadvbd
(typi-1)
4" Min, at 2.0 ft above
E wablisbo d Flood Elevation
1) al ca c yoilly Quwk Disconnect
I a" Min,
(typi-0
A AWrDved Joints vAlh
Approved Pipe 3 1 onto
Solid Ground
(typica,l)
PUMP -OFF
ELEVATION 88,65 ft
r
3* Approved Radding Malod,,A Beneath Tank
Force Main Void Volume 5 gal
i
Vertical Lift = 525 ft
PUMP TANK:
Volume 600 gal
I
Manufacturer WIESER
Pump Manufacturer: GOULDS
Pump Model: EP04 YwTXw7V_.F
Controls/Alarm Manufacturer: SJ ROMBLIS
Nowns"w"Nown
Controls/Alarm Model* PS PATROL
Fjg@t switchgs containing ringrgury are prohibited.
Fledneat most comply V41h
SPS 316 and NEC 300
rproof
1
j ;ttlllen pox
SEPTIC TANK(Q.
Total Volume = - - ---------_ 2000 gal
Manufacturer(s):
jamull
Filter Manufacturer: POLYLOCK
Filter Model: 525
I
Order
Number
H'
Vofts
Amps
Minimum
Circuit
Brooker
Phase
Float
Switch
style
Cord
Length
FDischargo
Connedion
I-... . —
Minimum
On LevA
r----- 1-11,11-1-1-1.111.1-1
um
Off Level
...........
Minimum
Basin
Diameter
..... ............ . .
Maximum
solids
Six:*
Shipping
Weight
Ilbskg
EP0411
Plug
No Switch
10,
Manual
mw,wal
20/91
IEP041 1 A
1
Piggyback
Wnde.Anqle
10,
12-
6'
.... ........
21/95,
L---
115
12
20
--
EP041 1 F
11uq�tch,/
No SW
20�,
Mancial
Manual
20 19.1
A.
. .......
I
. . .... . ...
EP041 1 AC
Piggyback /
20'
12-
6"
21 f 9,5
Pete Angle
EP0412
1
Plug /
No Switch
10,
1 h"
Manuall
tAarKdall
15'
1/4,
20/91
23,0
6
10
EP0412F
Hug
No Switch
20,
mdnual
Mamwl
20/9 1
EP051 IF
Plug
No Switch
20'
Manual
Manual
22�'I()
115
13
20
. ... ... .......
E 110511 AC
5
Piggyback /
Wide.Angie
20'
12"
6'
23/104
EP0512F
230
6.5
PlSMtch ug,
No
2'0'
Manual
Manual
22110
PAGE 3
:OX Inc
kknorafions in Nast, Dramage 4
Zabel' PL-55 Effluent Filter
& WooOwner ProdurrsV A DWAY4 0 PoWabex,
PL-525 Filter
The I'L-525 Filter is rated for 10,000 GPD (gallons per day) making it one, of the largest filters, in its class. It has
525 linear feet of 1/16" filtration slots. Like the Polylok PL-122, the Polylok PL-525 has an automatic shut-off ball
installed with every filter. When the filter is removed for cleaning, the ball will float up and temporarily shut off
the system so the effluent won't leave the tank.
Features
• Rated for 10,000 GPD (gallons per day),
• 525 linear feet of 1/16" filtration.
• Accepts 4" and 6" SCHI) 40 pipe.
• Built in ,as deflector,
• Automatic shut-off ball when filter is removed,
• Alarm accessibility.
• Accepts PVC extension handle,
PL-525 Installation:!
Ideal for residential and commercial waste flows up to
10,000 gallons per day (G PD)
1. Locate the outlet of the septic tank,
2. Remove, the tank cover and purnp tank if nec"sary,
3. (;Inc the filter housing to the 4" or 6" outlet pipe, If
the filter is not centered under the access opening use a
Polylok Lxtend & Lok or piece of pipe to center filter.
4. insert the PL-525 filter into its housing.
5, Replace and, secure the septic tank cover,
PL-525 Maintenance:
The'11,525 Effluent Filters will operate efficiently for
several years under nornial conditions before requiring
cleaning, It is recommended that the filter be cleaned
every time the tank is pumped, or at least every three
years. If the installed filter contains an optional alarm,
the owner will be notified by an alarm when the filter
needs servicing,,',-' 5ervicing should be (lone by, a certified
septic tank pumper or installer,
1. Locate the outlet of the septic tank,
2. Remove tank cover and purnp tank if necessary.
3. Do not use, plumbing when filter is removed,
4, Pull PL-525 cartridge out of'the .r.
Ho�se off filterover theseptic tankMake satire all
solids fall back into septic tank,
6. Insert the filter carffidpre back into the housing making
sure the filter is properly aligned and completely iriscruxi,
7. Replace and seure septic tank cover.
Outdoor Smaiffilter`k Alarm
Polylok, Zabel k Best filter% accept
the `ant artFflteOPswitch and alarin.
Alarm Switch
(Optional)
Accepts Y' PVC
Extension HAndle
Rated for
10,M)GPE)
525 Unear Ft.
of 1/ 16"
F -iltr-
ation $lots
MW
Certified to
NISFIANSI Standard 46
Gas E)efli:Kjor
Automatic
Shut -Off ball
U"xiend & Lok I �`
Easily instaUs
into existing tariks,
Polylok,, Inc. 3 Fairfield Blvd, Wallingford,, cr 06492 'Foil Free: 877.765.9565 Fax: 203,284.8514 www.polylok,coni
I
4' CAST —A —SEAL 4' CAST —A —SEAL
tr H11 CL
7:&
FILTER OR
BAFFLE
im
I
IL
_4
------ f
00
ko
m�
a h t I I musm���
DIMENSIONS:
WALL_ 2
BOTTOM: 3'
COVER: 6*
MANHOLE: 24" I.D. PRECAST CONCRETE RISER
HEIGHT. 66'
LENGTH: 12*-11*
WIDTH: 7-2*
BELOW INLET- 53*
LIQUID LEVEL- 48'
WEIGHT. 14,860 LBS.
INLET AND OUTLET-
4* CAST -A -SEAL BOOT OR EQUAL GASKET
INLET AND OUTLET BAFFLE AND FILTER:
WISCONSIN. SEE DETAIL #10
(OTHER STATES SEE CHART)
LIQUID CAPACITY. 27.66 GAL/IN (SEPTIC)
16.12 GAL/IN (PUMP)
LOADING DESIGN: 8'-0' UNSATURATED SOIL
TANK CAN BE USED AS:
SEPTIC/SEPTIC. SEPTIC/SIPHON,
OR SEPTIC/StPHON
COVER. MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN #10 (STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
REVIEWED BY
REVIEW DATE
iDRAWINGS SUBMITTED
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY' t
I
I
am
m
a
<,D
0
Ld
lNLET
lilt
a-
ol
a
WLP 1000— MR
GREASE INTERCEPTOR
TANK SPECIFICATIONS
4® CAST -A - SEAL DIMENSIONS-
WALL- 2 1/2'
BOTTOM: 3"
COVER: 5*
MANHOLE. 24" I.D. PRECAST CONCRETE RISER
HEIGHT. .53 1/4-
LENGTH: 8-8'
WIDTH: 7'-2"
BELOW INLET, *2'
LIQUID LEVEL.• 36'
WEIGHT. 6,790 LBS.
INLET AND OUTLET:
4' CAST -A -SEAL BOOT OR ECIUAL GASKET
INLET AND OUTLET BAFFLE:
AS SHOWN
LIQUID CAPACITY. 27.83 GAL AN
LOADING DESIGN: 8'-0" UNSATURATED SOIL
TANK CAN BE USED AS:
GREASE INTERCEPTOR
COVER: MIX DESIGN #8 (NO FIBER)
TANK: MIX DESIGN I (STRUCTURAL FIBER)
CUSTOMIZED TANKS:
FOR CUSTOM TANKS CONTACT WIESER CONCRETE
Zwl=
. 112Pw-u a! - Fm
W302M
!DRAWINGS SUBMITTEElf
FOR APPROVAL
APPROVED BY:
APPROVAL DATE:
PRODUCTS NEEDED BY:
RE
.9
SHEET NO.
OF
ST. SANITARY SYSTEM File
Office Use Only
OWNERSHIP/ADDRESS FORM cimw2l2o2l
Community Development Department will utilize this information to, provide the property owner with
information regarding operation and maintenance of your new or replacement sanitary system! This
information will be provided as part of our ongoing efforts to protect public heialth, your well, groundwater,
surface water, property values, and county resources. Once approved, this completed form and ecluicational
infoion will be sent to you by email, If you would like to view your issued sanitary permit online, you can
do so by using thie R=g-rjy_ELOt� �iqgd weblink,
It W1q 4
Mailing Address 2173 CTY RD H
City/State/Zip DEER PARK Wl 54007
Phone Number (required) 715-781-1500
Email Address (required)
Parcel Identification Number 006-10615-50-000
(found on the property tax bill)
MKION
Property Location SE 1/4 , SE 1/4 , Sec. 29 T 31 IN R 16
Subdivision Plat: q, 0 + —W, Town of CYLON
!!a4L!i . . . ........... . . ... . Lot#_.
Certifiedl Survey Map # Volume Paige #
Warranty Deed # 103C'!J�.Jbefore 2006)Volume Page #
Number of bedroon"i —5, 1
SP7 house 0 yes N no Lot lines identifiableNes 0 no
i I rai
.......... t for new comtruction
1-5-5--y—o- D
�rnmunity Deveiopment epa;4%
New �j-stern: Include with this form a r- -
SurveY MaPi if reference is mode in the worronty deed
Community Development Department — Land Use Division
715-386-4680 St. Croix County Government Center 715-24-425,0 Fax
!;.dd@5.Cg)yLgQy 1101 Carmichael Road, Hudson:, W1 540,16 WMICC&MY
°yw..
-�_7
7am""
rafE�' t�egle 1 Of 3
ional eEVALUATION REPORT
fn a�rdance vwith SPS 3 5, Ws. m. Code County
Attach corn eta st s than 8 112 x'11 Incfi s qnsize. Plan m BrvcllST� CRC)l�
st to nearest roaVert not Iced 40ll� poq 'BIj, d�lilan +,: Parccal q.C.
scage or dimersio s�r l iti5-.(fig ._._
Personal information you rovride matel a used fair %Arcommta rv apu o Gar"l�ww. 1 .tY d Date
g1j{rrrpg.
Property Owner Property Location n
FOUR CORNERS FARMS LLC Govt. Lot SE ,Y. SE S 29 T 31 N R 16 E (or) W
Properly Owner's Mailing Address Site Address or CSM and Lot it:
2'173 CTY RD H
.._ ........_. LP�horie
_ ... _.__._ City State, ;dip Nlumder ® City n Village ® Town ttearest Road
NEW '' RICHMOND N CYLCJN
New C (ruction Use:[] Resl fiat l Nurr b;of m�s _._.. design rate 1.2i f; PG
❑ Replacement ❑ Public or commercial _ Describe _._..._ .-..._.... Flood Plan elevation it applicable ff.
Parent material GLACIOFLUVIAL DEPOSITS GRAVELY OUITt/1lA,SH
Gene rail comments and recommendslions. w
1 Boring # 0 Boring
Pit Ground surface efev.97.Ep y
�. Depth to 4umnAkrsg factor 76ln, stew. .' ft,
__ _ Soil Application Rate
Horizon Depth Dominant Color Redox Clescription Tmexlure Structure Consistence Boundary Roots GPRfFt'
In. Munseill Gu. Az. Cont. Color Gr. Sz. Sh. Etf*1 "Effft2
MML 2F 7 1.6
S -1 , 7. vYR4/44 --__� ._
. ......,'L 2IC MFR...._.._, 1 wF6 1 tJ .......
B1 iS-311 7'.5 4/4 _ ____., __ F SG MFR CS 11 VF 1.0
C 1-35 7.5YR41 _..__ -..______.__ - SL 2 M SSK MIL CS _ - .5 1.0
-- -__ __�- SIL _...2 MSI3 MVF.R ....._. 6
C1
_�R _"
C2
YR �3 ---- __--��,__ FSG 0 F SG ML y; -:...
_..- Bo eadnde., rt .BQ _-_ 1Q__:_
._._......
OPR
2� Bwmq � yBoring
surface elev. ff. Depth to lrmrtrng factor in. (ell ff.
_ ...... Soil Application Rate
Horizon Depth Dominant Color Redlox l tescrtpbon Texture Structure Consistence Boundary Roots GPD/Ftr'
._
In, fwlunselq Ctu. AZ, Cont, Color Gr. Sz Sh. "Efl"ff1 "Eff*2
_,...
10Yfi 3/3 _ _ ___ .,___ .. LS OMSG ML CW 1.5
27 2? 10 `f R 41/6 .._
_ ._____ SL 2 M GR' MFR CS
E1 �34 7.5YR4/�i.ww_ ....._...�....�_�-____ .�_ ..._.._....__.w. ��.... ....._.._. �.�........w.___�.__ �_
SL 2 M S'K �MF CS 1�S2 10 YR4/5 .-��..____.,.___ G 0 I -SG I Cli"i/' 2 F 5
=B4-
_ _____ SG C F SC ML CVO 2 F 1.
7.5YR4/4 ____ _ SIL 2 ABK MFR 2 F 6
CST Name (Please Print) Signet CSTNumber
PAUL R KOEHLER _ � � 225410
ISC IPdSN rl DRIVE NEb'tt R'NCHMCIIV �e Evaluation Conducted
2ii22 T-.4e ho Number _
7'15-246-2660
Effluent #1 - BOD > 30s 220 m9k and T'SS > 30 5 150 mg.fL ' Effluent #2 - BOO, s 30 mg//L and T"SS s 30 mgJL
SBD-8330 (R03122)
Page 2 of 3
Boring
Pit Groundsurface elev,.W9 n, Depth to limiting factor, 96 in, / elev. 8 ft.
71
o
lin
Redox Descripi n �Qftq
Muin:sell
Ou. AL Cent. Color
10 YR 3/3
0 SG
C
d4-11 f (0,41
EBoring # C] Boring
1pdt Ground surface elev.tt. Depth to firniting factor._ —in,. / e1ev.—ft.
Sod Application Rate
ols GPDIFt2
—'Eff#1 F -Eft#2
E] Boring 0 E] Boring
Pit Ground surface elev.—ft, Depth to limiting factor in. / elev. ft,
MMm
— — — — — — — — — — — — Structure, foots Soil Application Rate
onzoiT�D�h GPD(Fe
I epI7�omin; Color Redo. Destrip6io. Texture Structure Unwstnce ] BoundaryT
nsellr, Sz Sh, 'It Qu. Az, Cont. Color Gr, Sz, Sh, In. M �n, QU , Cont.Corrt� Color
j -Eff#17-Eff#2
' Effluent #1 = BOD > 30 9 220 mg/L and TSS > 30,s 150 mg/L * Effluent #2 = BOO,, s 30 mg/L and TSS S 30 mg&
J
CPO
nis-
_Q
P
''q
c
i
s
�� W n!y Ati fit r,
r
efdv
4
v,
A - Z
ANI
10/1 BM22, 9:59:53 AM 1:4,514
Lot Tax Parcels SmoftW Overlay DMict 0 0.03 0.06 0.11 rri
EM _ L 5 . 75 0 0.04 0.09 0.17 km
Li
oKIL.
LAqL �o
r YL.m
SEC�_,T_To_LN,
AND/OI'LOT
op
ow as -air hka A a
NO.. 645�
qpaw-vww wn WW
JNr�r
Q A XTTT A DV DIUDAi
t
nu