HomeMy WebLinkAbout008-174-03-0101-SAN-2024-033 _ Department of Safety c°""ty �
Sawyer �'
_ � � = &Professional Services, �
- . S = Sanitary Pertnit Nucuber(to be filled in by Co.
�,f,` r= Industry Services Division
����'K .��` �(�� � � ��. �
1
S�Ita� PeY,mit AnnliCatl�n State Transaction Number �'
rr PWTS-022400259-C
In accordance with SPS 38321(2),Wis.Adm.Code,submission of this form to the appropriate govemmental unit W
is required prior to obtaining a sanitary permit.Note:Application forms for state-owned POWTS are submi[ted to Project Address(if difterent than mailing address'�
the DeparUnent of Satety and Professional Services.Personal information yo�provide may be used for secondary
purposes in accordance with the Privacy Law,s 15.04(1)(m),Stau. 1355N Sunset Beach Dr.
I.Appiication Inform9tion—Please Print All Information
Property Owner's Name Parcel#
Gregory Peper 008174030100
Property Owner's Mailing Address Property Location
6000 Adams Rd.
Govt.Lot
City,State Zip Code Phone Number
Fitchburg WI 53575 '/., 'h, Section »
II. e of Building(check all that apply) Lot# T 37 N R 9 E or W
lor2FamilyDwelling—NumberofBedrooms 3 �gt2 SubdivisionName
Block# Sunset Beach
❑Public/Commercial—DescribeUse
❑City of _
❑State Owned—Describe Use CSM Number �Vil ge of =
own of �gewater
III.Type of POWTS Permit:(Check either"New"or"Replacement"and other applicable on line A. Check one box on line B.Complete line C i
a licable.
A.
❑New S�stem Replacement System ❑Other Modification to Existing System(explain) ❑Additional PreVeatment Un1t(explain)
B' ❑ Holding Tank ❑In-Ground ❑ At-Grade ound ❑ Individual Site Desi
gn ❑ Other Type(explam)
(conventional)
C• ❑ Renewal Before ❑Revision ❑ Change of Plumber ist Previous Permit Number and Date Issue
❑ Transfer to New Owner
Expiration ��71� � � ,([� + �, 7
IV.DispersallTreatment Area and Tank Information:
Design Flow(gpd) Design Soil Applica[ion Rate(gpd/s� Dispersal Area Required(sn Dispersal Area Proposed(s� System Elevation
450 �p 450 450 99 g
Capaciry in Total #of Manufacturer
Tank Information Gallons Gallons Units � � v � �
New Tanks E�cisting Tanks � o :; 2 � y� `c'�
a U v� H cn w C7 0.
Sepric or Holding Tank ���fl 1600 ] Wieser X
Dosing Chamber 60�
V.Responsibility Statement-I,the undersigoed,assume responsibiliry for installation of the POWTS shown on the attached plaos.
Plumber's Name(Print) Plumber's Signat e //n MP/MPRS Number Business Phone Number
Rick Brown L- /(/�,� 231251 419-0739
b
Plumber's Address(Street,City,State,7.ip
Code)
PO Box 637 Spooner WI 54801
VI.Co ty/Department Use Only
� ppt ved ❑Disapproved Permit Fee Date Issued Issuing Agent Signature
��"� ❑Owner Given Reason for Denial $ �w'� �l� 1 �"`� �",�'tZ'�'�'i-�t��-�,�2,�p_
Conditions of Approval/Reasons for Disapproval �
!'� � � D �
�� ; � 3��{ �`-� _ _ �
�w ���l ����- : .�.�: �_-
� .��
.�hk� S�.!3� MAR 0 1 2024
�r'(— �Y — (� �� �'��� sAw�r�R counrr�r
tW 'MlNtSTRATJOM
Attach to complete plans for the system and submit to the County only on paper not lesa[hen 8 1!2 x I1 inches in size
SBD-6398(R.03/22) NO R�Fl1NDS AFTER
1SSUE OF PERMIT
-i� `3��
.:, 1_pARl11/.�.��
Wisconsin Department of Safety and Professional Scrvices � � '�,� Phone: 608-266-21 12
Division of Industry Services �` � �% Web: hrtp i/dsp,.��i���_v
4822 Madeson Yards Way ` � �$ ��� Email: �.'<,i�;�i.consin�:���
PO Box 7302 Y � p= jJ�
ivtad;son, wi 53�0� 2a �_ `� Tony Evers, Governor
AR�,F, �,�� Dan Nereth, Secretary
Zs.sion.�
February 27, 2024
CUST ID NO.: 231251 identification Numbers
RICK BROWN Plan Review No.: PWTS-022400259-C
PO BOX 637 Application No.: DIS-022404916
SPOONER, WI 54801 Site ID No.: SiT-i26527
Please refer to all identification numbers in each
correspondence with the Department.
CONDITIONAL APPROVAL
J
PLAN APPROVAL EXPIRES: 02/27/2026 %�EssioNn�
� v�s!c>� � ��� s�r;�;�c��s
MUNICIPALITY:
TOWN OF EDGEWATER
SAWYER COUNTY
SITE• � �.F ��,�:z.:�.,�,
PEPER
1355N SUNSET BEACH DR.
BIRCHWOOD, WI 54817
FOR:
Design Wastewater Flow Value: 450 Mound Component Manual - Version Z.1 (May 2022-2027)
Bedrooms: 3 Pressure Dish-ibution Component Manual - Version 2.1
Limiting Factor(s): 24 Inches (May 2022-2027)
Maintenance Required: Effluent Filter
SITE REQUIREMENTS
• A full size copy of the approved plans, specifications, and this letter shall be on-site during construction and open to inspection
by authorized representatives of the Department, which may include local inspectors. A Department electronic stamp and
signature shall be on the plans which are used at the job site for construction.
The following conditions shall be met during construction or installation and prior to occupancy or use:
• A sanitary permit must be obtained from the county where this project is located in accordance with the requirements of Sec.
145.19, Wis. Stats.
• Prior to the construction of the dispersal area, check the moisture content of the soil to a depth of 8 inches. Proper soil
moisture content can be determined by rolling a soil sample between the hands. If it rolls into a '/<-inch wire, the site is too
wet to prepare. If it crumbles, site preparation can proceed. If the site is too wet to prepare, do not proceed until it dries.
• Inspection of the private sewage system installation is required. Anangements for inspection shall be made with the
designated county official in accordance with the provisions of Sec. I45.20(2)(d), Wis. Stats.
• A state-approved effluent filter is required. Maintenance information must be given to the owner of the tank explaining that
periodic cleaning of the filter is required.
• All piping shall conform to SPS Table 384.30-3 and SPS Table 384.30-5
• Insulate building sewer beyond 30 feet per SPS 38230 (11)(c)
• Well setbacks to meet chs. NR 811 & 812
• Tank Installation to follow all manufacturer's recommendations.
• Verify property line(s) prior to installation.
• Pump Floats to be set and verified per the approved plan.
OWNER RESPONSIBILITIES
• The current owner,and each subsequent owner,shall receive a copy of this letter including instructions relating to proper use
and maintenance of the system. Owners shall receive a copy of the appropriate operation and maintenance manual and/or
owner's manual for the POWTS described in this approval and Wis.Admin.Code 6 SPS 383.54(1).
• In the event this soil absorption system or any of its component parts malfunctions so as to create a health hazard,the property
owner must foliow the contingency plan as described in the approved plans.
The submittal described above has been reviewed far conformance with applicable Wisconsin Administrative Codes and Wisconsin
Statutes. The submittal has been CONDITIONALLY APPROVED. This system is to be constructed and located in accordance with
the enciosed approved plans and with any component manual(s)referenced above. The owner,as defined in chapter l01 Al(10),
Wisconsin Statutes,is responsible for compliance with all code requirements.
No person may engage in ar work at plumbing in the state unless licensed to do so by the Department per s.145.06,stats.
All permits required by the state or the local municipality shall be obtained prior to commencement of
construction/installation/operation.
In granting this approval,the Division of Industry Services reserves the right to require changes or additions,should conditions arise
making them necessary for code compliance. As per state stats 101.12(2),nothing in this review shall relieve the designer of the
responsibility for designing a safe building,structure,or component. The Division does not take responsibility for the design or
construction of the reviewed items.
Inquiries concerning this correspondence may be made to me at the contact information listed below,or at the address on this
letterhead.
Sincerely, Fee Required:$250.00
Fee Received: $250.00
��2� ���� Balance Due: $0.00
Refund Ex ected:$0.00
Katie Petzel
Division of Industry Services
Phone:608-574-1 I 89
Email:katie.petzel@wisconsin.gov
MOUND AND PRESSURE DISTRIBUTION COMPONENT DESIGN
Residential Application
INDEX AND TITLE PAGE
Project Name: Peper
Owners Name: Gregory Peper
Owners Address: 6000 Adams Rd.
Fitchburg WI 53575
Legal Description: Sec 17 Town 37 Range 09W
Township: Edgewater
Counry: Sawyer
Subdivision Name:
Lot Number. 1&2 Block Number: 3
Parcel I.D.Number: 8174030100
Plan Transaction No.:
Page 1 Index and title
Page 2 Data entry
r'ROVE page 3 Mound drewings
. ....�,���IY AND PF.:
seawces Page 4 Lateral and dose tank
,�visioN oF i sTav sek,- Page 5 System maintenance specifications
Page 6 Management and contingency plan
Page 7 Pump curve and specifications
Page 8 Site Plan
Designer: Rick Brown License Number: 231251
Date: 12/30/23 Phone Number: 419-0739
Signature:�' �/'�--�
Designed Pursuent o the
Mound Componenl Manual fa POWTS Version 2.� ��j'�i 2-��) „and both
SSWMP PublicaUon 9.8 Design of Pressure Distributlon Nelworks(or ST-SAS(01/81)a�d
Pressure DisVibu6on Component Manual Ver.2,� (�..—y J pZ2-2�, )
Version 7.0(R.11/12) Page 1 of 8
Mound and Pressu�e Distribution Component Design
Design Worksheel
Slte Infortnatbn
(R or C) r Residential or Commerclai Oesign Nole: Send fill(D)wkulal"ans assume a
300.00 Estimated Wastewater Fbw(gpd) Tabb 383-443 in-situ wil treatment for
1.50 Peaking Factor(e.g. 1.5= 150°h) ������rorm or<_�;r,�ne:.
450.00 Design Flow(gpd)
7.00 Site Slope(°kj
98.50 Contour Line Eleva[ion(ft)
2�.00 Oepth to Limiting Factor(in)
0.60 In-situ Soil AppliwGon Rate(gpd/ft)
Distributbn Cell Information
60.00 Dispersal Cell LengM Along Contour(ft) = 7.50 Cell Width(ft)
1.00 Dispersal Celi Design Loading Rate(gpd/ft�)
1 Influent Wastewater Quality(1 or 2) Are the laterels the highest mt
in the distribution r��
Pressure Disribution Infortnation neMrork7 Enter Y or N
(C or E) e Center or End Manifold
3.75 Lateral Spacing(ft) If N above, enter the elevation ft
2 Number of Laterals of the highest point.
0.188 Orifice Diameter(in)
2.75 Estimated Orifice Spacing(ft)= 10.23 fl�/orifice
2.00 Forcemain Diameter(in)
150.00 Forcemain Length(ft) Does the forcemain drain back7 DY
80.00 Pump Tank Elevation(ft) Enter Y or N
325 System Head(ft)x 1.3 24.47 Facemain Drainback(gal)
19.17 Vertical Lift(ft) 5376 5x Void Volume(gal)
2.70 Friction Loss(ft) 78.23 Minimum Dose Volume(gal)
0.00 In-line Filter Loss(ft) 28.84 System Demand(gpm)
25.12 Total Dynamic Head(ft)
Latenl Diametar Selection Manifold Diameter Selection
in. dia. tions choice in.dia. o tions choice
0.75 125 x
1.00 1.50 x x
1.25 2.00
1.50 z : 3.00
2.00 x
3.00 z
Gallondlneh Glculator(optionaq
Troafinent Tank In(ormation Total Tank Capacily(gal)
1000.00 Se tic Tank Capxity(gal) ToWI Working Lpuid Depth(in)
�Wieser_ Manufacturer gaUin(enter result i�cell 849)
Dose Tank Iniormadon Efflusnt Fllbr In(ortnatlon
600.00 Dose Tank Capaciry(gal) Po lock Filter Manufacturer
11.82 Dose Tank Volume(gal/in) PL-525 Filter Model Number
tWeiser _ �Manu/acturer
Project: Peper Page 2 of 8
Mound Plan and Cross Section Views
— —?
v�--10 f � J
: � Obaervadon Pipe _�
K 5
:,.;.�'.>:.,i:}?:...:.;::�i�:�ii
A
;�.i�`:':::�i':'i;`:.::'•.�...rt
W . : . I.�. —�
B
. . .�. . . . . . . . . . . . ......'.'.'.'.'.'.'.'.'.'.'�'.'.'�'.'.'...'.'.'.'.'.'.'.'.'.'.'. I
:':i$I�.�.�.'.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�.�i i:�i.�.�.�i.�.�.�.�.�.�.�.�.�.�.�i.�.�i.�
-� �-
1
�
Mound Component Dimensions
A 7.SO R E 12.90 in H 1.00 ft K 8.49 ft
B 60.00 ft F 9.50 in i 7.32 ft L 76.98 ft
D 12.00 in G 0.50 ft J 6.67 ft W 21.49 ft
450.00 (ft�) Dispersal Cell Area 889.18 (ft�)Basal Area Available
7.50 (gpd/ft) Linear Loading Rate 6.00 (ft) 1N0 B Obs. Pipe Placement
Mound Cross Sectio� View
Aggregate Dispersal Area
Finished Grade 10129 (ft) —� z G � * H
, .,.;.::;,.:�;:: 1
1 F „'Dispersa�Cen/" 100.00 (ft)Lateral
99.50 (ft)�` — `: ` . invert
DisPersal Cell []i : � t
Elevatron �
�� > ��, u��� �,�� �,; ���:
� ✓l//�llll ltll� �d � � f �
t1 2, ��������L � �
� ��iiJi!l�lll�?�1���.�i<���`� ., . � J. �� �S�'i� :5�.'S��`.��"��� ��
i �iiJiJlt � li:a� . .
98.50 (ft)Contour Elevation
1.0 %Site Slope
Geotextile Fabric Cover
Shadfny Key y $ t— Disparsal Cell See Wteral details on
t�� Topsoil CaP o� 1.5 ft ..; .�::: . . . . . . . . . . . . Page 4 iw number.size.
2� Subsoil Cap �a Q:;:;:�`;:'/i�"''`�;';";`';%;:;' � and apacing ot laterels.
ASTM C33 Sand " � Laterals are equairy
y � `r.'cii;�;%`[i�.`::�:�i;:;�}:;�:i:'
8 0 Tilled Layer � S 0 ft ;�.5?Yviwi La�eral :::.:•: F spaced Gom me
� � �9f�� v p � � distribution celCs
� :::;;;ri'::`.:%::;;:�{:.:;2;;r:;:....��. centehine in the
�----A -� dishibution cell(AzB).
P�al� P�� Page 3 of 8
1 End Connection Lateral Layout Diagrom
x« seent o�yr •.Turn-uPrallv�Iwofoi��nwlpup J
<—-- P
MIKwYsreidw+kY IFx—�I ��sbWdon�MDa�omdlMlMr+1 S
�WM!sGaoeO
Fpcv maY�comaclfon Wa tw p cross�o matlluN N J�n pdM.
LeRerels dfacemein Sch 10 PVC per SPS Tede 381.30b
Number of Laterals 2 Orifice Diameter 0.188 in
Lateral Diameter 1.50 in Orifice Spaci�g(X) 2.79 ft
Lateral Length(P) 58.59 ft Orifices per Lateral 22
Lateral Spacing(S) 3.75 ft Orifice Density 10.23 fl�/orifice
Lateral Flow Rate 14.42 gpm ManNold Length 3.75 ft
System Fbw Rate 28.84 gpm Manifold Diameter 1.50 in
Total Dynamic Head 25.12 ft Forcemain Vebcity 2.94 (Usec
Dose Tank Information �����,�����ming
taDel and bckirg device and
� sea�ed warertqnt
Ekctrical as per NEC 300 atW '
SPS 376.300 WAC �4 in.min.
Disconnect �_
�
Tank canPonenl is Properly vente0 - %= �— Attemate autle[
location
Forcemafn diameter
Weiser Manufacturer � 2 in.
Ca c 600.00 Gallons
Volume 11.82 gaUnch A
Weep hok or antb
Dimension Inches Gallons B si�hon device
A 32.14 379.93
B 2.00 23.64 C r~�ekva�on(ft)
C 6.62 78.23 � 80.83
D 10.00 11820 p
Tofal 50.76 600.00
�Dou Gnk ekvation(R)
3"Bedding un er tank. 80.00
Alarm Manuafacturer SJE Note: Switches
Alarm Model Number HW 101 coniaining mercury
may not be used in
Pump Manufacturer Goulds this system.
Pump Model Number PE51
Pump Must Deliver 28.84 gpm at 25.12 ft TDH
Project: Peper Page 4 of 8
Mound Svstem Maintenance and Ooention Soecifications
Service Providers Name Rick Brown Phone 419-0739
POWTS Regulator's Name S er Coun Zonin Phone 634-8286
System Flow and Losd Panmetera
Design Flow-Peak 450 gpd Maximum Influent Particle Size 1/8 in
EsGmated Fbw-Average 300 gpd Maximum BOD5 220 mg/L
Septic Tank Capacity 1000 gal Maximum TSS 150 mg/L
Soil Absorption Component Size 450 fl Maximum FOG 30 mg/L
Type of Wastewater pomesdc Maximum Fecal Colrform >10E4 ciu/100 mL
Service Freauancv
Septic and Pump Tank Ins ect and/or service once eve 3 ears
Etfluenl Fitter Should ins ect and clean at least once eve 3 ears
Pump and Controls Test once eve 3 ears
Alarm Should test monthl
Pressure System Laterals should be flushed and ressure tested eve 1.5 ears
Mound Ins t for din and see e once eve 3 ears
Other
Miscellaneous Construction and Materials Standards
1. Observatlon pipes are slotted and materials conform to Tabie SPS 384.30-1, have a watertight cap,
and are secured in as shown in the mound wmponent manual.
2. Dispersal cell aggregate conforms to SPS 384.30(6)(i),Wis.Adm. Code.
3. FUI gravity and pressure piping materials conform to the requfrements in SPS 384, Wis.Adm. Code.
4. Tiilage of ihe basal area is accomptished with a mold board or chisei pbw.
5. The mound struc[ure and other disturbed areas will be seeded and mulched to prevent soil erosion
and help reduce 6ost penetra6on.
Laterol Tum-up Detail
Finished ............. ........ .....
Grade �
6-8" Diameter Lawn -� Threaded Cleanout
Sprinkler Valve Box Plug or Ball Valve
DisUibution
�i Long Sweep 90 or Two
45 uegree Bends Same
Diameter as Lateral
Project: Peper Page 5 of 8
1
PAGE60F6
Mound Management Plan
IMPORTANT:
The ov�mer of this mound system shall be responsible ta Ns perpetual operalion and maiMenance pursuant to
requirements of SPS 3fl2-384,Wisc.Admin.Code. Pursuant to SPS 383.52(2),Wisc.Admin.Code,this system stiall be
considered a human health hazard if not maintained in accordance with this apprwed managemm[plan. Furthertnae,
all inspection and maintenance activities shall be peRortned by a registered POWf3 MaMtainer in accordance with SPS
383.52(3),Wisc.Admin. Code.
Maximum Discersal Area Ooeratinfl Limits:
Design Fbw= 450 9�� BODS S 220 mgL''; TSS 5150 mgL"'; FOG 5 30 mgL"'
Inspection Checklist INSPECT EVERY 3 YEARS
o type o(use
o age of system
o nuisance fadors(i.e. odors,user complaints, efc.)
o mechanical malfunction(i.e.,pumps,valves,switches,tloats,etc.)
o matenal fatigue(i.e.,leaks, breaks,corrosion,etc.)
o solids vdume in anaerobic treatrnent tank(s)and any distribution appurtenance(s)(i.e.,distribution/drop boxes)
o neglect or improper use(i.e.,exceeding design capacides,prohibited adivities, etc.)
o exteM of ponding in disVibuaon cell prior to dosing
o dosing irregularities(i.e.,pump ro-cyding,float switch settings,etc.)
o electrical components(i.e.,wiring,connections,switches, contrds,timers,alarms,etc.)
o dis[ribution lateral or lateral o�ce plugging (measure lateral distal pressure-compare to design specification)
o wrface discharge of effluent or sewage back-up into structure served
Maintenance Checklist MAINTAIN EVERY 3 YEARS(or when necessary)
o Sentic and dose tanklal shall be pumped by a ceAfied septage servicing operatw licensed under s.281.48 W is. ,
gtats.when the volume of solids in the Wnk(s)exceeds onothird(1/3)the liquid volume of the tank(s)a
as required by Iocal ordinance. Disposal oT contents shall be pursuant to NR 113,Wiu.Admin.Code.
o Effluent filter(sl shall be inspected every 3 years and shall be deaned when necessary to remrne any
accumulated solids according to manufadureYs specifications. A servidng period will always be greater than 12
months.
o Distribution laterals shall be flushed once every 3 years or when neceuary.
System maintenance reports ahall be submiked to the proper loeal govemment unk in accordance with
SPS 383.55 Wisc.Admin.Code. Report any component failure or maHundion to: _
Name of individual or campany: Ken WaY S@NIC2S php�e_ 7�5-2�-7767
��i yo�,e„w„e„t„�t: Sawyer County Zoning P�fB: 715-634-8288
��i�,����ryi a�,�: 10610 Main St. #49 Hayward WI ZiP: 54843
My detective part ot this system shall be repaired,replaced,or removed pursuant to SPS 383.51 (t),Wisc.Admin.
Code. Repair or replacement of failed or malfunctioning components shall comply with SPS 383,Wisc.Admin.Cade.
No produd fa chemical or physical rastoration of ihe POWTS may be used unless approved by Me department in
accordance with SPS 384,Wisc.Admin.Code.
Condnaencv Plan
In the event that any failed VeaVnent component oi ft�is POWTS cannot be repaired,ft shall be replaced pursuant to
a plan submitted to tF�e appropriate agency fa ieview and approval. A failed mound dispersal component may be
re-consVucted within the originally approved area after removal o(all failed components.
Svstem Abandonment
If use of this POVYfS is discontinued, k shall be abandoned In eccordence with SPS 383.33,Wisc.Admin.Code.
GOULDS PUMPS
Residential Water Systems
��unoNs Mm�
spedaty desig„ed for che fo�o�w;ny uses: Ge�era�:
• Mound Systems • Single phase
• EifluenVDosing Systems ' �H�
• low Pressare Rpe Systems • 115 and 230 volts
• Basement Draining • Buih-in d�ermal overload protection with automatic reset.
• Heavy Duty Sump/ • Class 6 insulation.
peY,�a���y • Oil-filled design.
• High strength carbon steel shaft.
SPEORCAT10N5 PE31 Motor.
��_��: • 33 HQ 3000 RPM
• Discharge: t Y,'NFT • 115 wf[s
• Temperature: 104°f (40°C) maximum, corrtinuous when ' Shaded pole design
tuAy submerged. PE41 AAotor:
• Solids handkrg: '/4" ma�umum sphere. • .40 HF 3400 RPM
• Automatic models indude a float switch. • 115 and 230 vohs
• Manual models available. • PSC design
• Pumping range: see perfom►ance ctw�t or curve. PE51 Motor.
p�� �mP: • .50 HP 3400 RPM
• Ma�dmum capadry: 53 GPM • 115 and 230 vottz
• Ma�dmam head: 25'TDH • PSC design
PE41 Pump:
• Ma�dmum capadty: 61 GPM AGENCY USTINGS
• Ma�omum head: 29'TDH
PE51 Pump: �� �
• Ma�dmum�padty: 70 GPM
• Ma�dmum head: 37'TDH c us
Tested to UL 778 and
CSA 22.2108 Standards
By Cai�adian Standa�ds Assooation
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c"ECK°°x"s""°`c''e�. pAGE 2 OF
�SOIL EVALUATION Sca1e�1"`'" SYSTEM
° �O '� � PLOT PLAN
SITE MAP �
PROJEC7NAME: �,on� �o' °Es�cNct°'"r 1`� �
Greg Peper AMcfi 0eaqn 11aw W WNions/a�oN D�
vaoJECT�oo�+ess: 1355N Sunsat Bsac�Dr.BNd�wood W I � Pipe MabAal I ASTM Steiderd Rabbs 3B4.3P3 3 38C.3Q5)
N gN�rys.wr. 4 /
gySymEaL$ BMEWIrm: �� FT FarmMYn: 2 I
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