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HomeMy WebLinkAboutRBPR-09-2016-24701.TIF ,z1v,,A .G THIS IS NOTA PERMIT Case # RBPR-09-2016-24701 LT ifilt CATAWBA COUNTY HEALTH DEPARTMENT 0 esai:" :0 r1r / PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES 1 2 s • 434M Resit en to t ui ring ' an t • sin in: New o .o 0 9 i Inn AUTH_CONST- NEW WELL .• l, a Contractor BLUTO BUILDERS (FRED GIGNAC), 17005 GREEN DOLPHIN LN, CORNELIUS NC 28031 C:7042028035 Owner JONATHAN SFIERMAN, 3800 GRANITE ST, TERRELL NC 28682 NAME TO APPEAR ON PERMIT JONATHAN SHERMAN SITE ADDRESS: 2029 BOLTON RD, CATAWBA NC 28609 PIN # 379104523197 • NAME of SUBDIVISION: Lot# 1 Section/Block PROPERTY SIZE: Square Feet Acres 5.560 DIRECTIONS: N ON W NC10 TO HUDSON CHAPEL RD EAST TO BOLTON RD SOUTH TO 2029 BOLTON RD GATE AT BALLS CREEK PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING 57X67 4 BEDROOM SINGLE FAMILY DWELLING SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is"YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 57X67 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO 139-ehapplicatlon 09/12/2016 10:48 Page 1 of4 `4• CATAWBA COUNTY Case# RBPR-09-2016-24701 „f' Public Health Department Subdivision Y Environmental Health Division PIN# 379104523197 "rE PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 g.2 NAME ON PERMIT: (JONATHAN SHERMAN),3800 GRANITE ST, TERRELL NC 28682 ( JONATHAN SHERMAN) Site Address: 2029 BOLTON RD, CATAWBA NC 28609 Property Size: Square Feet Acres 5.560 Directions: N ON W NC10 TO HUDSON CHAPEL RD EAST TO BOLTON RD SOUTH TO 2029 BOLTON RD GATE AT BALLS CREEK Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable; Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. Date: Signature of Applicant or Agent An Environmental Health Specialist will contact you within 5 working days of application date. If you need further information or assistance please call 828-466-7291 AREA1 100:11101 NIT !FEEN MpEJ��I� A s i2 (y �� �i� lt'9f l' MI f iIj Gk DATEIj u ` .)FEEhA'MOUNT�J l i � Iy �a� Well Permit& Inspection Fee 09/12/2016 5300.00 Authorization to Construct Fee (New/Expansion) 09/12/2016 5300.00 Fee nl��X111 11117...;OTAI,,,,,, �li111i119NNNllllhll4.I� i�llillUll ::11111111Fh ,�°11111111114.^.S6001oo;li� +1 A , ..�.I. Ium. Ira �n izi11lBNW➢H11111=1ii1ilial llEH r Nk}I IVEBP iO' ' i B11I11111111nt+ °it111i�JIlANa,. .....II-I FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehapplication 09/12/2016 10:48 Page 2 of 4 _Iy A •G THIS IS NOT A PERMIT Case # RBPR-09-2016-24701 � � ? CATAWBA COUNTY HEALTH DEPARTMENT 0 ' -Y" ' • '` .[] ®� PLAN REVIEW APPLICATION FOR ENVIRONMENTAL SERVICES ' „ten ,4r 1842 sM Residential Building Plan Review - Building New o n ao ; '4.ti IMPROVEMENT- AUTH CONST - NEW WELL i D U El. . Contractor BLUTO BUILDERS (FRED GIGNAC). 17005 GREEN DOLPHIN LN, CORNELIUS NC 28031 0:7042028035 Owner JONATHAN SHERMAN,3800 GRANITE ST,TERRELL NC 28682 NAME TO APPEAR ON PERMIT JONATHAN SHERMAN SITE ADDRESS: 2029 BOLTON RD, CATAWBA NC 28609 PIN # 379104523197 NAME of SUBDIVISION: Lot# Section/Block PROPERTY SIZE: Square Feet Acres 17.26 DIRECTIONS: N ON W NC10 TO HUDSON CHAPEL RD EAST TO BOLTON RD SOUTH TO 2029 BOLTON RD GATE AT BALLS CREEK PRIMARY CONTACT: Contractor SEWER TYPE: Septic Tank GALLONS PER DAY: 480 WATER SUPPLY: Private Well DESCRIBE WORK: BUILDING 57X67 4 BEDROOM SINGLE FAMILY DWELLING SITE INFORMATION Do any of the following apply to the property for which this application is applied? If the answer to any of the questions below is "YES", then supporting documentation is required: Does this site contain any jurisdictional wetlands? No Does this site contain any existing wastewater systems? No Is any of the wastewater going to be generated on the site other than domestic sewage? No Is the site subject to approval by any other public agency? Yes Are there any easements or right-of-ways on this property? No APPLICATION FOR: New Structure STRUCTURE TYPE: PRIMARY RESIDENCE ~� FACILITY TYPE: Single Family Residence OTHER DESCRIPTION: DESCRIPTION OF VACANT LOT EXISTING STRUCTURES ON SITE (IF ANY) DIM EXISTING STRUCTURE: NUMBER OF EXISTING BEDROOMS: #OF OCCUPANTS: PROPOSED CONSTRUCTION NEW STRUCTURE DIM:: 57X67 #OF NEW BEDROOMS:: 4 BASEMENT? No BASEMENT FIXTURES? No PLUMBING REQUIRED?Yes Desired system types (Improvement Permit or Authorization to Construct): ACCEPTED: ALTERNATIVE: CONVENTIONAL: OTHER: INNOVATIVE: ANY: YES Other described: APPLICATION FOR WELL CONSTRUCTION PROPOSED WELL TYPE: REPLACE WELL?: NO E9-ehapplication 09/12/2016 10:03 Page 1 of4 ,x ,A CATAWBA COUNTYCase RBPR-09-2016-24701 ft Public Health Department a*.1411'1,,` Subdivision c43"ii"®i 4 Environmental Health Division PIN# 379104523197 \ ' PO Box 389, 100-A Southwest Blvd,Newton.NC 28658 1�2 NAME ON PERMIT: (JONATHAN SHERMAN), 3800 GRANITE ST, TERRELL NC 28682 ( JONATHAN SHERMAN) Site Address: 2029 BOLTON RD. CATAWBA NC 28609 Property Size: Square Feet Acres 17.26 Directions: N ON W NC10 TO HUDSON CHAPEL RD EAST TO BOLTON RD SOUTH TO 2029 BOLTON RD GATE AT BALLS CREEK Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions.An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable;Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this application,site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site acce Bible so that a coa plaluation can be performed. Date: 9/41../020/6) Signature of Applicant or Agent JoQ,, V-9 An Environmental Health Specialist will contact you within 5 working days of applicA date. If you need further information or assistance please call 828-466-7291 AREA1 FEENAME • • • DATE FEE AMOUNT Well Permit & Inspection Fee 09/12/2016 $300.00 Authorization to Construct Fee (New/Expansion) 09/12/2016 5300.00 Fee TOTAL FEES 1. $600.00 FEES ARE NON-REFUNDABLE ONCE A SITE VISIT IS MADE OR WORK ON A PLAN REVIEW HAS COMMENCED SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) E9-ehappllcation 09/12/2016 10:03 - _ Page 2 of 4 • CATAWBA THIS IS NOT A PERMIT couHre CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page I Improvement Permit ❑ Authorization to Construct X. Septic Repair n Septic Malfunction ❑ Septic Expansion ❑ New Well PermittReplacement Well ❑ Well Abandonment❑ Well Repair ❑ Existing System Inspection (Pre-Approval Required) ❑ Application is for New ConstructionEl Existing Facility. Property Address )o A.9 Po4..1-6, pIyi Subdivision /J/4- f'/4(!4� j V 4 %JG 2 2/nod Lot# /e/4 Acres Section/Block/Phase Driving Directions to Property Al OA.) LA—) /JoPh't /d TG 4 /,FU D gr;AJ a 14*1'E/ P4D , / ,-AST to Re,tZ'oN / / 4-0,024 To r2oz_ 130' tontX47 i3.• _ 0_06 2 NAME TO APPEAR ON PERMIT? Owner ❑ Applicant ❑ Contractor Applicant Contact Information Name %-p19-fr..) Lo\is )( &- Address 7006 o IJV bt1-151-}i4 L.i. O RioEhjos, J✓C;. 7,743/ Phone Cell Phbne .-76q 2 int -429'S Owner Contact Information' - - Name LORIATM) .SHFkitk4— ) Address .Zb29 L3blcran! lab , cA,Th.ce 3A / NG 734,6 Phone Cell Phone 7a Ll/ 4/4,3•-&4'S Contractor Contact Information-7� 1j 07 Name � JK1LU i/ �ER Address / `7OD.5 6-1FFAJ o1--PH/tJ b� aoteAf /Jt)c •�1/Ci 7.283/ Phone 7011 g9;2% _T-2,44) 5 Cell Phone 76lt/ 2oL-gips b" y WHO WILL BE THE PRIMARY CONTACT? [ Owner ❑ Applicant ®,Contractor Description of Existing Structures� on Site \fiCk: . Galt /j # of Bedrooms *'r Q Structure Dimensions ,rj /X6,7t #of Occupants 7 Basement ❑ Yes xi No Basement Fixtures Q Yes i`No The Applicant shall notify the local health departnient upon submittal of this application if any of the following apply to the property in question. If the answer to any question is "yes", applicant must attach supporting documentation. El Yes Ky,No Does the site contain any jurisdictional wetlands? ® Yes allo Does the site contain any existing wastewater systems? Yes f•No Is any wastewater going to be generated on the site other than domestic sewage? es ANo Is the site subject to approval by any other public agency? g7 Yes tit.No Are there any easements or right of ways on this property? Describe Existing water supply in use [ Individual Well ❑ Community Well ❑ Semi-Public Well ❑ County/City/Township Water Line Is a public water supply available? ** ❑ Yes ,K No \ If applying for an Improvement Permit or Authorization to Construct, Please Indicate Desired System Type(s): �/ (systems can be ranked in order of your preference) ❑ Accepted ❑ Alternative Conventional ❑ Innovative ❑ Other )(Any CATAWBA THIS IS NOT A PERMIT coin.- CATAWBA COUNTY HEALTH DEPARTMENT Application for Environmental Services Page 2 Proposed Facility Type Primary Residence R_New Residence ❑ Addition to Residence #of New Bedrooms *j' Project Description Nett) / rjf! ` ' i,IkremJ 51/4-g �� Structure Dimensions 5 77. 67 / #of Occupants Basement ❑ Yes IX No Basement Fixtures ® Yes ONo E Accessory Structure(s) Describe # of New Bedrooms *t if applicable Structure Dimensions #of Occupants Accessory Dwelling ❑ Yes n No Plumbing ❑ Yes ❑ No Describe Plumbing Needed ❑ Multi-Family Residence#Units #Bedrooms per Unit*t Total# Bedrooms *t Structure Dimensions ❑ Food Service Specify Type #Seats Floor Space-Entire Food Service Facility (Sq Ft) #Employees per Shift #of Shifts Dining Area(Sq. Ft.) ❑ Business Specific Type of Business Retail Floor Space # of Employees per Shift # of Shifts ❑ Other Facility Type Specify If Church# of Seats Kitchen ❑ Yes ❑ No If Daycare Specify Occupancy Application for Well Construction/Abandonment/Repair • Proposed Well Type Olndividual Well ❑ Semi-Public Well ❑ Community Well Abandonment Type ❑ Drilled ❑ Bored ❑ Dug ❑ Unknown • Well Repair Requested ❑ Yes ❑ No Describe Calculated Design Flow, Commercial T Additional information may be required to determine design flow' from certain facilities. This value will be determined during consultation with on-site staff. *Any room that will be intended for sleeping at the time of construction or for future consideration should be noted as a bedroom and counted on all applications.The number of bedrooms will be confirmed by rooms identified on house plans as a bedroom at the time of building permit issuance. This may prevent the need for septic system size increase in the future. I. If structure is plumbed but no bedrooms, calculated design flow is required. ** If No,a well permit must be issued with the Authorization to Construct. SYSTEM REDESIGN AND/OR RETRIP WILL INCUR AN ADDITIONAL CHARGE (SEE FEE SCHEDULE) Improvement Permits issued as a result of this information are valid for 5 years or may be non-expiring under certain specified conditions. An Authorization to Construct issued by this department is valid for(5)five years from the date issued and is not transferable;Improvement Permits and Well Permits are transferrable. Permits may be revoked if the information on this applications, site plans or intended use changes for the proposed facility. I have read this application and certify that the information provided herein is true, complete and correct. Authorized county and state officials are granted right of entry to conduct necessary inspections to determine compliance with applicable laws and rules. I understand that I am solely responsible for the proper identification and labeling of all property lines and corners and making the site accessible so that a complete site evaluation can be performed. L r Signature of Owner or Agent •• _, Date Printed Name of Owner or Agent 1"— il1 L t�r .a z ia` $o 6z - R^' a ¢' o i d dy»� ,:o`!^,�„1j” ''%,,' ,A QOS—6 z �' w o a z a p _a Lf;C tt 4-i3 v.Lck, r U°o0 ; o g a uz w? oc" " 'ofi 0 6ez xo �o� "'-"'�C >z Fgo o aa imoma egiiiiiiiiw£ 8< ,_ 3 3 N5,2"46 Wzicc „ x il sbk- po: C G .. J up Oy 5 &aea �i� S > SB, #1831 60 R/W i - �3 BOLTON ROAD y _ -- 2 --_--.— 8 0536.48'E 282.61 00 3<' 182.413* _ --- -- 3 — �1 - q.(£ Co wg CC _ J o I - 'ooa i -c Q a o 1I r S u W o i a_ cn 0 w o e n z + U s Vi 36 U Z (7a O W , O + 0 N D © cD U 0 o Q, Q 01 O O O^ N m3 N X r' LI c (c;11 o u n ,� ,aa.3}' m O m - Loin ct (11 w 263 02' I N z W I .9s 9s9s J m U U + vi 0 0 Q o + F 0. U a' 0 Q p, 0 c CD M )0 I) ,6E"L6 in --- _ _ ,96"964 0j - z .SSC9 3.45,00.00 N Ni .5e:‘p. H 202}" 0o sr// Oa CL ,_ Q LEk]ea ?g O § U r z z ti a o W ww.ao w` am ., -A ¢ - z � =6-� O W 'LI y �Ln o � NEY 0 3Eos '• se )---r Catawba County Environmental Health • \\\\\ .\\ f • • l \1/44. i • • 0 a . o yy, z 611.70 p . 69 f • tiflilt\ + l, a' • 4 o en • W Un 2,o- A.p , • A cm ."9� s863 ,1/4„.........,...L....._ ......--•-1 Parcel: 379104523333, 2029 BOLTON RD 1 in=100ft CATAWBA, 28609 This map/report product was prepared from the Catawba County,NC Geospatial Information Services. Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct, indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. Copyright 2014 Catawba County NC 09/12/2016 Parcel Report Page 1 of 1 Parcel Report - Catawba County NC Parcel Information: Owner Information: Parcel ID: 379104523333 Owner: SHERMAN JONATHAN KELLY Parcel Address: 2029 BOLTON RD Owner2: SHERMAN ASHLEY RYAN City: CATAWBA, 28609 Address: 3800 GRANITE ST LRK(REID): 302200 Address2: Deed Book/Page: 3271/0041 City: TERRELL Subdivision: State/Zip: NC 28682-8001 Lots/Block: / Last Sale: $160,000 on 2014-12-23 School Information: School District: COUNTY Plat Book/Page: Elementary School: CATAWBA Legal: Middle School: MILL CREEK Calculated Acreage: 5.560 Tax Map: High School: BANDYS Township: CATAWBA School Map State Road #: 1831 TaxNalue Information: Tax Rates(pdf) Zoning Information: City Tax District: CATAWBA Zoning District: CATAWBA County Fire District: All in City Zoningl: R-1 Building(s) Value: $0 Zoning2: R-40 Land Value: $125,900 Zoning3: Assessed Total Value: $125,900 Zoning Overlay: Year Built/Remodeled: / Small Area: SHERRILLS FORD Current Tax Bill Split Zoning Districts: CATAWBA/COUNTY Zoning Agency Phone Numbers Miscellaneous: Firm Panel Date: Building Permits for this parcel. Firm Panel #: Building Details 2010 Census Block: 1003 WaterShed: WS-IV Protected Area 2010 Census Tract: 011503 Voter Precinct: P21 Agricultural District: Proximity Parcel Report Data Descriptions List all Owners Deed History Repop Assessment Report This map/report product was prepared from the Catawba County,NC Geospatial Information Services.Catawba County has made substantial efforts to ensure the accuracy of location and labeling information contained on this map or data on this report.Catawba County promotes and recommends the independent verification of any data contained on this map/report product by the user.The County of Catawba,its employees,agents,and personnel,disclaim,and shall not be held liable for any and all damages,loss or liability,whether direct,indirect or consequential which arises or may arise from this map/report product or the use thereof by any person or entity. ©2016, Catawba County Government, North Carolina. All rights rese�rvled. v L{ktem (4 C&l "cit. http://gis.catawbacountync.gov/nomap/parcel_report.php?key=379104523333&typ=P 9/12/2016 y1e' - •e CATAWBA COUNTY e❑: or..'-El Case# IMPV-01-2015-057300 iz- �.a'n 2 Public Health Department r•_ �� Subdivision - r 'a '' Environmental Health Division f` . ' r PIN# 379104523333 �r®� PO Box 389, 100-A Southwest Blvd,Newton,NC 28658 ��r��• LOT# 0:1 Or. �'�}; • NAME ON PERMIT: ALAN MCBRIDE, 3554 GOVERNORS ISLAND DR, DENVER NC 28037 Site Address: 2029 BOLTON RD, CATAWBA NC 28609 Property Size: Square Feet 994,910.40 Acres 22.84 • Directions: SHERRILL FORD RD, LEFT ON JOE JOHNSON, TURN RIGHT ON ISLAND FORD, LEFT ON BOLTON, ON LEFT AFTER BRIDGE Improvement Permit • Facility: Primary Residence - House Permit Category: New Septic Bedrooms 4 WATER SUPPLY: Private Well Basement? No Basement Plumbing? • INITIAL SYSTEM SPECIFICATIONS Permit Valid: Expires In Five Years:_X_ No Expiration: Projected Daily Flow 480 g.p.d Proposed Wastewater System: 25% REDUCTION Type: inc -OTHER NON-CONV TRENCH SYSTEMS Permit Conditions: `Do not grade, fill, or drive over any designated septic area other than what is required during the septic installation. REPAIR SYSTEM SPECIFICATIONS Repair System Required? Required Proposed Wastewater System: 25% REDUCTION Type: IIIG-OTHER NON-CONN TRENCH SYSTEMS Landscaping or other site alterations that potentially divert groundwater or surface water toward the septic system, or prevent proper drainage away from the septic system, including the direction of gutter flows or foundation drains, is not approved.and may result in failure to approve the initial system installation,or the suspension/revocation of existing permits. The issuance of this permit by the Health Department does not guarantee the issuance of other permits. It is the responsibility of the applicant/property owner to insure that all Catawba County Planning/Zoning and Building Inspections requirements are met. This Improvement Permit is subject to revocation if the site plan, plat or the intended use changes,or if site conditions are altered. The Improvement Permit is not affected by a change in ownership of the property. This permit was issued in compliance with the provisions of the North Carolina 'Laws and Rules for Sewage Treatment and Disposal Systems' (15A NCAC ISA.1900). Neither Catawba County nor the Environmental Health Specialist warrants that the septic tank system will continue to function satisfactorily for any given period of.time. Robbie Phelps 01/26/2015 AUTHORIZED STATE AGENT APPROVAL DATE Permit Expiration Date: 01/24/2020 No grading or construction activity is allowed in areas designated for system and repair without approval of the Health Department. • cliperniii 01/26/2015 16:24 Page 1 of3 01,707 . IN9\-pi-aoEs-0s7300 • )t. K'p p.') Dt'1veW0., Io' %zxv\ septic It&LS 44 f k uouSe, l SO 2- • • 407 e 3 v � j p, s OC, Nce. o- tit Protect M. Slaa, Propeitr Id a SOIUSITE EVALUATION (Aurdrr .. V r) li li`I� Oau Evelvaled 17 • 12.' )4 Nater or Ctmn' 30 fl0il•(t, . S he p a//I)1 Proposed Fa@ny: r,[ K Des!yn Flee? 4 h1) _ P4apad?Slee c?°I ,RLI A C wagon ce site aoa9 63 IlrI • — -- Sot DaaUmmEy' Y.m: Odas6Procwd rip: Sits LIAM:ln1 0.11 Roy- 0,4 anecedem Mmsturo- ' 'Ai Weather r)I?°f 'nflryli Win CIasslfIeadon: —. Py Warsr Supply. [ IP„ac 11Comrmuty f(I OFSro Well I ISpna9 I IOsar EvaLam'I MFVIo IWuNet Boring t,0 Rt I I Ca Trio of Wnswualm frq soya? I IIna ustrl?IProCaf 1IMItad P A 0 r SOIL MORPHOLOGY PROFILE FACTORS I iscp. him= Ptah Hulas Pa E PosWON Dap) Matrix EtSlope% (IN) Snws Tos urlew° CmNiAC, slence Inds CCM Mollies tAa,e HOFrss.g.�cse ) B LTM p- In S\10 SFL SOL, M SS15? _-0r GYaItoIlli L.1 19-gof lOY SP•K sa rR tc]SP elk sa f t4-, Q � I 90.4N I AI, • ) L. . iY r 1314— - V SOT S111k15 1144 r Q,j tm,Lt n_4 p•io C•sa_ 5L_ a ns nP J Par y , - 1 rnSBL el--SBel— Fk S 4s9 R-SrG I, a 9-30 I n SFIK Seel.- t—IZ SS IS P cJM SUS _ tar _ p�1 'O•rfw (Y\R S0.4-'i L n fS/nr L�Lsl�a + 0-13 tin SRM_ CL SS JSP R.Ar - i3-P5 (aJ K• S3 S 92-. s C se Sap f 3 ' ,1 1 _ a5-54 M R sap - Si_SL- FR fl�JhP NO ii O I 1 6 -le No GR SI— FR nslnP 3r . i1 L 3 o• 0`l PAR VT 5L Fi_ nslnV Mull O 5 AFI - - COMMENTS: T 16 rr —r 1`