Loading...
HomeMy WebLinkAboutDEG2005-00037 - SWG Application / Design / As-Built - 1/21/2005 MASON COUNTY DEPARTMENT OF HEALTH SERVICES Official use onl D 426 W. CEDAR ♦ PO BOX 1666 ♦ SHELTON,WA 98584 PERMIT NUMBER N (360)421-9670, Ext. 352 swc N p ) 05 cD APPLICANT DATE n© I - - - ISSUE DATE y MAILING ADDRESS DAYTIME PHONE RECEIPT NUMBER O 1 CITY if STATE ZIP N I w S NEW SYSTEM OPERTY AQ ESS REPAIR SYSTEM C PTABLE 6 REPAIR ` NATURE SINGLE FAMILY �_ I I e I q '1L- OTHER Please describe < NAME OF 4SIGNER PHONE NUMBER "�- 1 NUMBER OF BEDROOMS PRIVATE WELL v 90 X 05 1 PUBLIC WATER SYSTEM LOT SIZE: ACRES FT x FT SYSTEM WFI# . on ffigjL 3 -f an LILIN SYSTEM NAME '+ SPECIFIC DIRECTIONS FOR LOCATING SITE 12Ft On Vdy)L-T-uW L-W�e �v F�JS� c I rat �, -f�- . 3 Official use only below this line I1Q� ' coRTMENTAL SOILS LOGS/COMMENTS/CONDITIONS ,v ` lr �►J ti RECEIVED AEuC E I VEnCD K� SOIL TEXTURE CODES UAN 2 12005 V =very G=gravelly S=sand L-Loam Si=silt C=clay E=extremely This application is for design approval only. 426 Wf CEDAR ST! An installation permit will be required to install the system. 1 • All systems require ongoing Operation and Maintenance as specified in Mason County Onsite Standards. • All onsite sewage systems must be designed by Licensed Onsite Wastewater Designer or Professional Engineer,unless prior approval is granted. • All onsite sewage systems must be installed by a Mason County Certified Installer,unless prior approval is granted. • Onsite sewage system design approval does not imply other building site approvals. • Any change from the specified use of the property or any site alteration affecting the system design may invalidate this permit. • This permit expires 3 years from the date of site review.Denial of this permit may be appealed to the Health Officer within 10 days of denial date. I� I CT SIG E DATE DE APPROVE BY DATE DESIGN EXPIRATION DATE If\ c�,k 3r os o� l 1,31 10 White Copy-Health Department Yellow Copy-Designer Pink Copy-Applicant MASON COUNTY DEPARTMENT OF HEALTH SERVICES 426 W. CEDAR ♦ PO BOX 1666 ♦ SHELTON, WA 98584 D (360)427-9670, Ext. 352 0 /SYSTEM INSTALLATION (1) ❑TANK REPLACEMENT ONLY(Attach Supplemental Tank Replacement Form) CERTIFIED INSTALLER Official use O I N ❑ HOMEOWNER a®05 OQ63 N PERMIT NO SWG Q INSTALLER NAME AND BUSINESS NAME Q 1 ^ � /' ` ` %�4 ��� ISSUE DATE U y MAILING ADDRESS W1 DAYTIME PHONE RECEIPT NUMBER 70 By n `3gjl� �ZIP �� . ���� FINAL INSPECTION `�/� CALL-IN DATE CITY STATE ZIP B/' ���2� INSPCTION DA EE TIME APPOINTMENT / PROPERTY ADDRESS ASBUILT ON SITE? O YES ONO 1 I co I hereby agree to comply with all requirements of the Mason County Department of Health Services Onsite Regulations and Standards. Upon completion of the work, the Health Z Department and the Designer shall be notified. All work shall be left open and uncovered until inspected. A completed asbuilt from the installer or designer must be provided at the time of C final inspection. The applicant has the right to appeal decisions of the Health Department. 3 This permit is valid for one year from the issue date or t e C expiration date of the septic design, which ever occurs fi t. SIGNATURE ALLER OWNER INSTALLER DATE i I IN Official use only below this line I" FINAL INSPECTION COMMENTS I W I� Ivy I© 10 Io to I\ IN TION PROVED BY DATE �f y u-7 White Copy-Health Department Yellow Copy-Installer Pink Copy-Applicant RECEIVED DESIGN FORM - PAGE ONE 2 1 205Pe jsn mY•.1989 A design will be reviewed when espies of each of the following items are submit W. CEDA ST. ComcoWiplotp ninoludhp all ric"acabb dRems ondc ad Idiot C�rou a fbn soutketch,MMO uud6nolud�ip 18111 s�ppli b own checklist -Al'#QN Permit Number: SWG 6f�) - ' L ,„-:3 Designer's Name: jeltf" d Designer's Phone#: S S S- 77 7-:1700 Applicant's Name: ToSeE CIepget Assessor's Parcel No.: 32- 134- - so- 0006,`L Mailing Address: P 0• (3o X 1`F2 8- (Twelvo-Dig t Number) TK nn WA e M1, WA 9 851/ Subdivision: city State Zip (NameMivisio"locidt.ot) DE51GT1 PARAMETERS Treatment Device Cl Glendon Biofilter O Sand Filter O Mound O Sand Lined Prainfield O Aerobic Unit-Make/Model: — O Disinfection Unit - Make/Model: �! Drainfield Type R( Pressure ) Bed O Drainrock 13 Gravity O Trench O Gravelles Chambers Septic Tank/Drainfield Specifications Laterals O Number of Bedrooms / Schedule/Class Daily Flow 4•SO / eod Length µ7 ft Septic Tank Capacity 12-00 gal Diameter 1.5 in Receiving Soil Type(1-6) 1 A Number _ `/, Receiving Soil Appl.Rate 1 . 60 La Separation Required Square Footage If$0 ft2 Orifices (rj Designed Square Footage `'i'S0 fi? Total Number of Orifices 9 6 r, Percent Reduction Taken 0 °° Diameter 3 Trench/Bed Width 10 Spacing 24 in Trench/Bed Length +9 ft Elevation Measurements Manifold � Schedule/Class Original Drainfield Area Slope 12 % Length 7.5 ft New Slope if Altered % Diameter 2 in Depth of Excavation from 2-3 �--� Preferred Manifold Configuration Used? )%Yes ❑No Original Grade "M"W). 9 6#s R,a ; Transport Pipe (DP}vnslopc) `SbhedulJClass � ft Designed Vertical Separation 36 l HiV n 1 - ter Z in Gravelless Chambers Required? ❑Yes �(No ❑( x Dosing and Pump Chamber Pump Required? OYes ❑No Number of Doses/Day 19 — gal Pump/Siphon Specifications Chamber�acity _ I zoo gal Difference in Elevation Between Pump Shutoff and Uppermost Pump Controls: or)E Time Meter(ckcie If required) Orifice: 5 ft If Timer Pump On Pump Off 3 � s. Uppermost Orifice is er, ❑Lower than Pump Shutoff Check the following components if they drain between doses: Capacity®Total Pressure Head: 56.64 gPM p,Laterals ❑Manifold ❑Transport Cakulated Total Pressure Head: l It (Attach Pump Curve) DESIGN FORM - PAGE TWO EGM aevisW April 24,1998 Scaled Plot Plan Scaled Layout Sketch Cross-Section:,Sketch Pj Test hole locations IE( Drainfield orientation and layout Referenced depth from original grade: Property lines P"Trench/bed dimensions and critical XPT�Septic tank lid and drainfield cover Existing and proposed wells within distances within layout depth 100 It of property lines A/D-Boxf'r'f'L"locations Critical distance measurements to cuts, Septic tank/pump chamber location Reference depth frosr original grade banks,and surface water Pf Observation port location and restrictive strata: Location and orientation of curtain Clean-out location e( Laterals,trench/W top and bottom drain and all absorption components )2( Manifold placement 0 Curtain drain collector Location and dimension of primary )'� Orifice placement & Sand augmentation system and reserve area � Lateral placement,with distances to )2( Buildings edge of bed Other cross-section detail: Direction of slope indicator PI Audiblelvisual alarm referenced 0' Observation ports!and clean-outs Waterlines �O� Scale of drawing shown on scale bar Roads/easements/driveways/ We t&hiound parking .Layout system. ..................... .... .......... ...... 0 Critical resource lands(if applicable) O Overall fill dimensitiirsM................. Eeuled cap depth t et nd edge tt£ . .......... North arrow and scale of drawing shown on scale bar e ............. ............. to .4 1 4. o: fill width CI Sidewallslope d:d +tUVW_, "wa Additional InforInation • Design staked out • Operation and Maintenance Notice Attached Cl Waiver(s)Attached ................... :APPROVAL The undersigned designer❑does,*as not waive the requirement to be notified by the installer of the installation and given 48 hours to perform a final inspection prior to cover: Signature of Designer Date The undersigned has reviewed this design on behalf of Mason County Department of Health Services and determined it to be in compliance with state and local on-site regular Environment6l Health Specialist Date Caution: DESIGN APPROVAL IS VALID ONLY UNDER THE FOLLOWING CONDITION: ✓ The design is stamped'Approved"by Mason County Department of Health Servi ✓ The On-site Sewage Permit has not expired,the Permit Expiration Date Is: in110.7 ✓ The system is installed by a certified Installer,unless prior authorization is obtained froth Mason County Department of Health Services. ✓ Drainfield site conditions have not been altered to adversely affect conditions of desigri proval 9ttS-NS (09£) auoyd su21143aQ X1111an-6 0 \D �" N N N N NI w � � I � � � � � � _ cn - I LO C C C U o m o 0 0 LO U U U U O O U O N N j N N ° z3 O Q M a- p 0 0 0 0 C C C C -0LL C 1 V � -0 (V - •- •- .- O O CO O M p N M O OI, O O O O d � ' O 0I O� 1 0' ' O O C4 00 [L I U v> V) CD MCN LO I i LO 10 CD U 9 Qm t V w I > O �` m d .� } D- 06 N O o T O ¢ LL 0 w ' c n_ ° It cq i) _O O °' N O N N O -0 -6 6 + U 0 w ' N O 3 U O m M > _ Q C O t C "0 U 0 c N K ¢ `�- c O a c O ( 0 S 3 D > so —0 U EO E N _ LL O O O O =Q UO O O OO O p` o o a a u c o "o o = p o o l U r) 0 m m 00 J - LO 0 Z D � c U 0 c c c c -, LL LL O O 9 U Q LL N 0 00 3 Q Q a o 0 0 0 o a s ¢ Ulu E o- o U -C o ° 0 N V > U U U U ti ~ N a) o o O N D D 0 o o w i i ) O C� (� O O i N O S1VOI3 3SO4 SSOI NOIIDIdJ MOIA 3dJ M(]dVH10 o — 10 0 v� C C C N U U N N \ N N 4) Q> N N N N N O O o 70 U Q U U U U U U U U L : • U U U ° C C C U C C C C C O O — U) - N Q p CD 00 O 0% O NO �t I� O O LO LO O N CD � N 'O CD (D CD I LOCO ,q ^ O0 N V LO M . N . N O, N 00 LO O V A 'I I N N V• CV I I a (D E ci o 00 (Dm m 0 `° a) U —¢0 I a c c O N O a. U a0 ¢ O O N 0 O a) _ N N c — .o •Q .Q 0 -o o Q o Q 0` -0iA a v 3 O N "' O o m 0 9 0 0 o 0 .0 -0 a) 0 0 c w x c p O Q m o c N a U N C a -C a N 0 N 2 Q 0 3 o `o_ -0 o -c ° 0 o c o ° t o O o p 0 aD O O O w 9 O = E N a Q c U N CL U O a) 0 D .� a) . a) ¢ O O a L O ``_� O p c O p ¢ E U 9 UU v O -c a) -a 0 c 0 N `p) _ a) O 0 _Z) Q' N �' O L ¢ N N w -0 C O m c O 0 Q ''m O O C 0 .o � r U r Z 0 N c O (D = N Z c �- a) Z U p_ f rn O E 0 0 E 0) E OtL E a) Q E o o a aQ aj (D o 0 0 o (D 0 q) 0 o ! Q o 0 a) m vs > O In > F- J = J Q J Z H fn = 0 In IL MOlA I IIOS (139 4NVS slvd3ivl idOdSNVdi 331JIdO I S)iNVl 0a a w CA O J 0 r U O > S O 0 0 CLn -"'a o o 0 LO Q w W 0 a0 0 N p^ •�• IS2to O N Z N N ~ O CO sy•., w o m i N r; o O 0 Q 0 - � U - - m 0 c ^ C vOi T - __ 0 O N Q O (V LU 0 > N O O w O 000 0 > T • • Z H T 1 - - - - -- - ILL Q GV3H DINVNAG ]ViOl 9VV9 Z9V (09E) auo4d su�TsaQ ��TILn� o N c N O 3 o c � 3 �yS4 tr :z o W o Z 6( a a u1:N _ R S W SO O� A \ /'5 —.02 13 a d \ � 1 aull /yiadold t l ' 88 O 0 N �° � o a L l _ _ _ L _ � ° � � °� Mom�_/'� - - M w m U P \ / W cz O F -a O - O - O O ^` N o N AIL '— o -0 W m m v o 10 N U 3 u o w ci o = E 4roH oW Wi 5 ; m ^' � /^— I , M .a. Oi a U m� C Q N � d 1 - 0 0 y l adAl lloS col Q Q o Y- ¢ (n J V) [" C peg pajuaw6ny 3 �l -PuoS .8V x O l S a PlayuloJ(l a 08V aul1 "doid .06 CCZCC�C R WQISAS ia4DM A4!uhwwo:) uoquul IPl ' suolj000l 0/d aajuMon6 jou soop u6lsa4 olldeS pooj a41 ssojoo Apadoid a4l jol awljalueo woo ,0C puo 'aullialuao aqt ycY as-jjo ,OZ sl Apadoid jog46lau poop jxau a4j JOl SAGIJow Aanjns janaMo4 'UmOu� lou sl ),VM-�O-IHOld anu4 auDI Moquloy G41 40 HIOIM a41 : 3jON OOLI -LLL (929) auO4d sub Isq A4 !1c) nC) 1 = 1 10 -2 w o O- N c•w o; '� o a s - o ,:o N Qo a w � v�bih �'(YLS N W y W -.. O_ C m } O U N C l a o `O ^ � � o ° o c °° �:U X N o om 3000 p N 'ao r maw — E w > N m -p 0 0 0 cU 0 � E N a0 o °wEvO � L 000 ° E ° °� zzz < ,� N w .'�-�^ - - W 0 3 Sc o -o CO > p o f a) "' - L - _ L z LL m m O O N O w - C Q 0 p p M O CN {= Z x C = e Q v' 00. O N COD a L N ° = W — L NJ P O W O C /// m9 Na� aJ OD a) N ooi3o v = oa a 9 al uLL uLL O U ��� O ° [r � cCC hu FZ- r � o V v OQe p � Q m J u N E> NZ ` ° ° a¢ cli >cc o� 0 E0 0 � 3: < N <n uoT_a°o 00 oE o� o E m c m o -a E ow a cp 2 w w Q ry U = 0 = v> W y c N N O 0 ° � a J mo N C N I L a ' ro > Q N c _ p 1YJ c > U E > W rm O °N' '� o ° o > m z o W 0oom o 0 � vo w 0 u c0 a N J C O Q _ m — ° U) CNE - 0 N -U # U �O p p pa x io � , O `y wL xY N ' - al I C O > E O C C ° C C in C p Cl u ' .. O ``' 0 0 c Q o o w u 0 — = a a> 0) 0) 0 m z - U 4 0 o O �1 =U or E p w c m = U o ao c It 0 = C S L � 0 0 O ( 0 w '^ C O O O dp ° � = '7 O w _ p L-iUt on — o � c „ m = O v o w o w = cm o 'o > t w = 0 :2 p x 0 w oWsj aa „ w a o o�� c y v - w o o : N U a ( 0 , = ady aan0 ssoa0 ca--fl u a E -w n 1 vm° 'o aOn x o N S d N > O N > `O ol o U T O p c Z O u O CAOr O O Q /' a U m _0 Q U ^o, yr EO H Q �- c 0 w O O OJ N r 1N L L n `<' 3 " 3 P O O N LL y Z N _ E > 0 O 0r= Tp 5 -6 wOO l �in •kU wvJip n > �d 60 ox >0 o .9 oEO � Q = � G — o .� o c c v c -U . - �n o w a= '- N - G 0 ,5 00 = CL N O X 11VM W 0>31S O(� °� BCD I �) v l O 0 LL (ainq �or�a 9VVS ZSV (09£) auo4d su�isaQ ��ti�n� p m a d)-d v O > I ao a OCR -' CL _—III—III—III_-11 g o 0 0 0 -OLI— Lo 0 0 —I I I W e \ \ III— h ov = // �� Wo U C � � � ° r —III m c u m w UR N Y°u o 6 (� O C) > c 'z p o ° oao xoa oo x t�: N Q _ C S cc N C < -0 Y O 'dj - � -0 - try u O _ 0 0 o � ac co 0M c 0 a � ~ r c LS M N O ? U Q O T U O Z N �� .O a p N m O o > c Z c9 3 < O CJ Z .-r a m W I,II_III_III_III—III _ � 0 0 0 _� , _ ¢ m IIIIII CO lrr o (D V > L00 '0 \\/r > O N 0 _ \�/r c ,co o 111111 N /// . a.o O v) 6 O \� -o `o _ \ a > lil o a n N y a = _ E °2 o W m o m N � III o 0 _ •�=i ik:rr- ,.: �` �:' .�ik'Rr�:a;+ YaF' -,a; e y�ie. .. \Y � N .o I 1I— Plo;luoW o.G I \ 1 y T _ III— N III—III—III—III—I 11 O 0 b Q 3 Uw3 JO -O O � � < Z Zwm O Q O co a> > '^ � o .= vUiUO0v3iw 'O wUZw Q n Z m h w 0 A w o c wg a Nmc� ga o 3 w J N � Z u CO I Z w o '- � ^ w = al U 'p C) c c U U a m O � Q U u m O �° U n H N < Od W J J U O O P CA < V 0 ram- O E-sIE_�IE w •• t:C9 VWU V] w O Z u a w w g u � zow 'uiv "6666^""W �- J � J E.W \�/ I III wC o o —I i I—III—III _ o z < < III-1 I I-1 I I- O < 0 0 a // 4 w t7 � O a m .\/ 0 J J ,A � ti w O O)(� Cl) c� c� < > J _ c� < OZ a: v 3 3 l-o sIoiayol uo4t almol sl PIOI!uoyy ���� aLIV� 9VVS ZSV (09£) auo4d su21saa Xliiunb no�'o C a • 0 iN bz N a � N �c O VD N Q O O C O QM� � 1 U O m D � Q CD U � � � Q U 4-� 0 76 co Q P .19 CD (E� K un O `�• z AD ° `✓� S=:o r W W Z V • W ° o N S N O CD 'C O 9PK-LBV (090eu04d C"J m v U o 3 >, m t i� c o � ° y c FF � c � C 0 C m >.— a- L n m '� m •�Ul 'C m U ° t °'. m •a m .��C�1•:� 2 ° t Z, 7 0 O a D U '° C Q o 0. L o T C • 5��' o:Z o >• C m m U a� m T C .- O) 7 •�' U m C .�J �C...•' 'C:C7 in c m �' m ° 'Yd E ClN aci o N =w m o my mo 00 C oT 03 p � o � m - w 11 - l U + > •° '° m ] C C � C m m .0 a m ty a • o l� u p m e a o ° '� ° v o v 3iy... w ° a� .� •� o w c '.`�avie in ul m w am o + aE u E ° � o c cv � o z (1) .R a CL CS N a U ja m m : p O O an d cO mo ° 0cl ° Ll � � Q � E � o � o G o E _ 90 Q. M m Z O aC � m t7 a m o aO � 1 N U T •E� cg O °p OL � � �c C ° � c 2m o0 0 °C° O � 5 /] � T O � ON Om ° ° x m of 0to + � E :4 ; m3 ou ' B o � ° _o and � m Zn � `m � u m t � m £ O c ma ° " > o+ o 'o vu w m Z . `m = 00 E O a U O �[ m m e L� m 0 m N m 0 ° ,,, O � O � p i OC C 'c p ap 00 ` U •pL N '� > C a m � L oo ° o m p ° sm m C: m3 Ono m ; Neu a E �� � ci3 umu .n ; � . $ o om o o � oC ° E ,a° 0 - m 0 mix g mn > +off 'v v •o -tc' m -u. oE' a) ° o oO1 90 m4) -' .gym >� g '° +O m 0 O m C U m C m "' t; O U 0 L 0 E _ L U 0 0 ° N m m c c ° o m N ° Z• � o m a � ° m — `- � � p =m` ° m o N O 0 U j m .0 m C _0 C p m C 0 — ..- U t = ° •.- o p � E ° °� o ac .°° r- a 'U C o o c 3 aa� 'rno FS � s U 3 •'� m fiii m C O U C p C Ql 0 �+ m p '� = •t C O ° — . _ '° .x 7 m 7 > E m m m E N m m �0 L C m 0 m Ot = m e c o n v a- E m E E a o rn m as E ma ' VU O � +ON 'GN ° � LC � 0 OO � E `�- ° � � o O .? O EL m � V Ej om Lai 0 = om m 0 .d (1) ou° o. 0 ° � m ° m2rn � Z ° go _ •p u £ .- c Eu m � of ` � � � 2m tc mo � E opd omT 00 om me m3 a°� c a0 aQ m ° = o o + c � mo Q a-U C30. CLC3 m O O oLL c0 0)l•- = O 0 Lm ,�" .-am pm m -0 ° c U O Ca m O) Uc O) ; N N 00 � 1 � m � _ ° N � �c c $ _am ° p ,c ° o o c > c m � 'a -p c m ` Ti u 2c am m ° � a� } a� vo ma � � on 0crn o `uv aa� y cmg + O L � -0 — Tn _ _ .° O ; -p m ] 'p — U O C m N coo C NO � O 0.0 O .19 'm00 pC vJ ,° 0 a Ca >- .�-" '00 mom m + m O °m 0 = nm ° C — _ '^ C � 001 m 'nN 't = . m0 ` •� »- 5 '° •- Oa m a L .n o ° o a m 2 ° m ° u c N rnl°G N m m ° E > > . Eo E co ` � o � Q. roc' E0 `oa �° 10 90 o.Q o -a onm lca � � u°�' u° Y o _ N Cm of mU me +00 e � a � Svc C $ u .M you° ump � Qo � 4 � ° coo mm ° pu ° ov oL � � � mm co ° °° 8 ° p m 3- �•- F � - a S .a � cJ v5� m 5 ¢ ° zpp �� pw>,, � � p�.�c� � ' `a c0 O. N N CV N N N lV th m L m C_ C m m c .: G1 .�' ui 4d m — •� O :°0 C m O C ..- N C O) f,S qC 01•p m Ol E-0 o � o a m V3 0) CL � o � E al a ma ° t ? -gym Q o �� am : ` 3 o f Cy o + 0 o m E m c ,d . ma c p c i' + 2 - f p U m •� m o 0 U m m > C :p 2 O 0 0 U p C m 01 0.�O O o 3o p .d km $ o� 3m a o � x .'> vo Y � m om �' 0 � - �7 c = a o 0 o 0 > c m o m y t > f = + m 00 0z mm °uo �i ° Cal ° n : wC ocmi co _ � $ o ° ,0Q o m ° c o t 'uE ° a '�} m 4 o c ° m ° ° 3 = m :p a ° o "- .�',� °j N .° m ` N 2 T T C 2 > m 0 'O O m •° ° D L 0 m C +- m £ ° v m o ao ° °+' o ' 0 ° ° $ 0 3 ° «' a 5 o ° rc � ° � m 'O .� m C :r= C an d U 7 O a 'U O •�-^ O C� L 13) w 00 �c 0 a '" p 'O o .5 O :� C O m m +• U a m '^ ,� O) m A OI co „ o m EE - Qc aU € ° a +°mo C) o woo° = oo6 � = �C m a0 £ i a E m E m ov ta ° ° � t ° $ cy o H a n N m mpp roc � a� ca oZ Via°' 'na cu N aE cQ H4 om m � � ° j ° o Gn Lmp ; � 0) mn Ua oc am Vm o ' Qo u3 m = ( m C/ 0 3 T +° °° :� '° 0 .� m Ol ° a0 O O C t g w C— O £ o 4) o 3 a m _a°l o m o m m m E � � � pQ ° o °�' mpg o o m U m � O C m b C O" m '° o m 7 "O V m ; O — S (12 U pC U ._ 07 o m OW �C OC Ole c � > Q `- U O)lll m m p mN U `G � u3 :l=a) aN E '0 .o OT o m a06 m 0_ ma E � caci £ o0 o Nw � a ° � � > Z (D `m m Sa m. � 0 c m p — ° N8 0 QEe lCc amu � O .o -6EDB cv O a C C C 0 O �Q O i 2j=vm izvop` _U C3 y0] z Nc /:C p J. O��`P'a 1FW_E�m>m C rY 2- IE c0Co_•L;m'o3O U ° 3m ° _ T0a o a) U) v o A 0O mO U m L L a c . . . > O E = m mma m c m . 0 s 0 E m m ° 0 00 LiE . E u a) f i 0 rn o m QO ° a � a w0E0 C 6 c N m ° ° � U c °= ° n c 84.+ N' U ° ° o o ° Q° za O0 m m m : ^ � "au€ c ex °m- . a l E a 2 apO av o oen m ° m O °° i C o ao0 0 � U 0 m mLmao � Ca �c 2 ' M E c m •° C u E ID " = I ol. - ` L1C o •2c o OomobL u o mm - o up pc o o ° ° _OC U E ° n co, g 0 oE op l ca 1 a m O o ° C o m C o a0 Oa E FM Q � `w Eo z E 3 oa ` 0F m T'FO*Rht1VE .,...y ..,..mac A;pplim* Jo ✓I Gam- E Pane 4 NTaL 3 H 32i Peank Nooba WJG 05 -110037 m hnmdbr S (pit CMKh2&c tam Subdivishm t E 3% cnhosu f • \.Ai:.r �.x[ a c. 1�`N�w.¢',` •c? "�s�a�i...-M�'z's' 'aw a�yn c' _ kH A Yes riiD# tD Corr a"m I. 5EPT Ic TA a A) >5 8 Ercm r B) - >508fiom�mds w&wwa K? ............................ — C) BIdB ivawb*A lc do=-m mRm 14%? ................. t) BWguhhctamIcbm2 ...................................... E) Dividiiswsfihda?_........_-.............................. 1� Rbmahwtwedfiwaccsdt__--..:...... ..........: — makam N. D--Bou ' A) Leveiadv'ilkwatsR ............................... ._ — B) spaadbwlevme ........................................... v -M. DRAOWMLD A) >I0 8 a hm hdkoi md>SSBm popectylRmT ............... B) >Iooaaamwdb=l .afiasvmeef7 .................... _.. — Q >l8g8oepal"val:lioevf ..........................._.... D, Laimlalstrdao± bopedY ........... B} Ckaiaiim them Maalum .................................. F) ST+ M dimaaaloasBsaame .0) o9elcbmm,pmpgdyamed; 4 .................... ID. Claa�a.e�aeaabemafmapat/sptava�P ....................... �- 4} Momade-Meabpesl? ........•... ......--••-._.- i- 5) � edaleee3catee®ecEioarsoEbsaadety ofmarBoMedalecttie>madi wm*dbyL&n ........... _ IV. W u ywt Q 4/A c 1. Srlr t jef A) Pampmate B) Chmewsho 14000ga>; ldi me (G�Crf Is ATICASI- E) Ha�ta£pmpotfbotiamafpampri®ba . '� -�, —_ - - I9 PkmPcbmnbwdmw-dovm gaHoeepsia� Romig10dTkwm [w oftfilEihefeVled) Fame t1@ t/ G) &NMI eiet �eec.(aidea o}3m�e� _� H) RieriaMalledB<scceea?_ ............ .... . .......... -....,. - -. _. �..4...... ..r:::,-.-„........<...... - .............�... . ..^.....,.. to .._._ _ -N O- DmiAeYt> � Q 'lteulbeddioari°°t _ /00 P. >7escf✓c-' I ar7l> B�Iroes �16W , ct wi�l�wt � F H ` Ei Eyble�tt+iioepa« A� 4 V` ioary. ; � hnvrli id O Ua�elai6e$>sMive sod rielwa 1 0,0 ro kKmWLdmkAddAck Q i�io�amoR DnwtJL*t - - E aa �.mp.o�s+b'd �a�sy>tif��rhmeda . �� n� •aa������� Ae �am$zapp�daee�c.�lr._ Ag Illill Mwdow - 7A- Iir1�1o�l�sp�ioEeide�E�g Q I i�t�dwl�Roos$aaAe RA�ed by IL som g Pb hol wso-. ae t��:wai�ad3 wvi FL Iit�m eadi�d�aaii�at aoenale��sELsjnt� psi.aa.��edappiomsl�. bal�lEafMa�(3a.�� °��seevlees. L