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179 Partridge Lnermittee' t, DAVP,&jTnvironmental COUNTY HEALTH DEPARTMENT Name: ,I ►" '>'. t�% :- � '� I Health Section PROPERTY INFORMATION P.O. Box 848 Directions to property: a J Atli Mocksville, NC 27028 Subdivision Name: Phone #: 336-751-8760 Section: AUTHORIZATION FOR N WASTEWATER Tax Office PIN:# e 0 AUTHORIZATION NO: i— " A SYSTEM CONSTRUCTION Lot: i Road Name: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building. Permits. (In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) **NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. IALIST /'r DATE ISS ED / RESIDENTIAL SPECIFICATION: BUILDING TYPEb0$EDROOMS # BATHS # OCCUPANTS GARBAGE DISPOSAL: Yes or No COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE . # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or"No F�}ST._ so LOT SIZ)~ "�F-YPE WATER SUPPLYy� DESIGN WASTEWATER FLOW (GPD)�� NEW SITE REPAIR SITE of . ,, r, r SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANK GAL. TRENCH WIDTH ROCK DEPTH i -LINEAR FT. -� OTHER%�✓��N REQUIRED SITE MODIFICATIONS/CONDITIONS: IMPROVEMENT PERMIT LAYOUT 4�T�1 ti 0r,31-0 b)0tjw kc) c� �Sb Alb "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM . BETWEEN 8:30 - 9:30 A.M. OR 1:00 - 1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (336)751-8760. OPERATION PERMIT i SYSTEM INSTALLED BY: 061A�- per 'g-) Srrtr:�, A -r- i t,��-Tt-u-.l X20 4 AUTHORIZATION NO. OPERATION PERMIT Y:J/"DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT E rST5tDESCRIBEE ABOV EEN INSTALLED IN COMPLIANCE WITH ARTICLE I 1 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 02/02 (Revised) F Permittees + -- DAV E COUNTY HEALTH DEPARTMENT Q/ 1islame: �'� 7=° �` tCr`t.. �f I -V7),1!/_" !-Environmental Health Section PROPERTY INFORMATION + P.O. Box 848" ections to property: l -t w d . fir)'" 1 Mocksville, NC 27028 r Subdivision Name: �� ff 7,) Phone #: 336-751-8760 >l '11•. 1 i ( t =�, ..;1 tSection: Lot: AUTHORIZATION FOR WASTEWATER Tax Office PIN:#_ SYSTEM CONSTRUCTION AUTHORIZATION NO: A . Road Name: 'e 'Zip: **NOTE** This Authorization for Wastewater System Construction MUST BE ISSUED by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits. (In compliance with Article I 1 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) ,*1**NOTICE*** THIS AUTHORIZATION FOR WASTEWATER CONSTRUCTION IS VALID FOR A PERIOD OF FIVE YEARS. `ENVIRONMENTAL HEALTH SPECIALIST; DATE ISSUED s RESIDENTIAL SPECIFICATION: BUILDING TYPE i—`"#,'#Xl EDROOMS TTS, # BATHS l # OCCUPANTS GARBAGE DISPOSAL: Yes or No c ; J COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes or No LOT SIZt' L ULTYPE WATER SUPPLY WL -LL DESIGN WASTEWATER FLOW (GPD) ' ' "= NEW SITE REPAIR SITE t ,+ T SYSTEM SPECIFICATIONS: TANK SIZE GAL. PUMP TANyrK GAL. TRENCH WIDTH- ROCK DEPTH _ LINEAR FT. OTHER_; I- �Vj A 4 i ,, rJ IJ� \/ - L' LAJL-L L. - REQUIRED SITE MODIFICATIONS/CONDITIONS:t" IMPROVEMENT P9RMIT LAYOUT ,G. �.X.- r:.... .v,....v a...... -N, 1 V t� �� rr "CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALT41JEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEE98:30 - 9:30 A.M. OR 1:00 - 1:30 P.M., ON THE DAY OF INSTALLATION. TELEPHONE #.IS (336)7.51=.$760. y. OPERATION PERMIT SYSTEM INSTALLED BY: v qec.J rj Ur T f' 2?Zt� A AUTHORIZATION NO. OPERATION PERMIT Y: % � DATE: "THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE S ST DRIB ESCED ABOVEH CEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 01102 (Revised) c. a O VIE COUNTY HEALTH DEPARTMENT Environmental Health Section PO Box 848/210 Hospital Street Mocksville, NC 27028 Phone: (336)751-8760 JUN 2 6 2000 ffVV! iON1"EJV i C,1 VIE C�Uh1F F ``ON-SITE WASTEWATER CERTIFICATION FOR DWELLING One) REPLACEMENT ❑ REMODELING ❑ RECONNECTION ❑ W1 Mailing Address: /a d Phone Number: 3 G 7 fl �/ - 6 0 2/ (Home) �q , � t'° . f -7 e )0_4 L/', ork) 12 �A.✓G{ tie 1,7 16 t Detailed Directions To Site: S f� , �,► J T Ti d I /%i I t o� r Dn/ // PO �Cc fL" T or- rr X e,2,(o.v0 %l d �r.1 t Or T! ,l 4 1'ey D � �C .C,,. .�,•-�7 /G /�O Property Address: 12 7_,/!rL f ry O C /&!/ qAZ C t SVG Z % a Z Please Fill In The Following Information About The Existing Dwelling. Name System Installed Under: Qp Ch 1��Q,�I,C z Type Of Dwelling: MAI Date System Installed(Month/Day/Year):/J� �i Number Of Bedrooms:Number Of People: Is The Dwelling Currently Vacant? Yes R No ❑ If Yes, For How Long? Af .1 Any Known Problems? Yes ❑ No V If Yes, Explain: Please Fill In The Following Information About The New Dwelling. Type Of Dwelling: Z24 Al ./c/006UIVNumber Of Bedrooms: -1 Number Of People: J Requested B _ /'�� tr��.� ,i�►..r�lr //...ae_J Date Requested: 6ZI.- (Signature) /r- /; / ! f/r �l g -Z For Environmental Health Office Use Only Approved ❑ Disapproved ❑ Comments: Environmental Health �:o 2-04 4'? 4'? A-9it ., / `1i 3 7-0 cWLAe&� sL? a rLr;k_,,_ I*The signing of this form by the Environmental Health Staff is in no way intended, nor should be taken as a P-uarantee(extended or limited) that the on-site wastewater system will function vroverly for anv given period of time. o� Payment: Cash ❑ Check ❑ Money Order ❑ # Amount: $ Paid By: Received By: p t ' Account #: �� Invoice #: �1 0 `7 tir,[.r� --�----_..._ '__.-_�_- _ ^ • . '""�.: ,�, . :��:�! � . , - _ " . � .J . > �� `: . � �M � � � � r. ;a� �:� � i. � �� ,�� ♦,� j\{ +�1� ?'�� 4� r � t� � �, �''�---+.� � t � � Y 7 ` '1 • •� � r� . �r'� �� :..) � �t"' u�/, � , . � / si , � ,�� , . , •, �ll� � � �� Davie County Health Department .✓•• ENVIRONMENTAL HEALTH SECTION P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) U16A ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits.*** AUTHORIZATION NUMBER NAME fr ; /' /, S -�i �/ i ! DATE /�I �/ ��sy'S "vn s i ` d.. NAME ON IMPROVEMENT PERMIT (If different than above) SITE LOCATION COMMENTS/CONDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM . ***NOTICE*** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIROOMAL HEALTH SPECIALIST DATE/ ! DCHD 10/95 IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT al ry 4 AUTHORIZATION N0. OPERATION PERMIT BY 2:1 DATE 5j/A **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS', BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. 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'�=` �� ti a ' a � `� €�� ' �' � � _ �o' '�a 9 ,, �.s ,.� � � "�; N ; � .,5 �� _j845 , . ~� � �.s.._ 5R��"�'f�i��"C3�i�R£� �` ' �" e A�3 � +�„ �, � } � �'� �<, �" �� 4d7� �� ,,,�� a�+� �� ;,� �� I ��.� - � �Y�� ;� 222'I ��, °�� ' {9.67A}x : ,, � - � �: � �_ y � '� � g � �_ ;� � �i2a" ��` � p �.a �� I , -. �.�� , � ��, � � � , � �, _ � � � �`� �(�'wE.�; � � g �" � .�. .,,Q„-K - � s'=., � � � , , � .' � a 3 . � � - � " ,��`, �a`- � :� , , .- ti , � � �;� ,. � . �.�'� ��,. �.�, .. s �OE�h ..:�°l.u.w.V+ ..sc�2wk , . � '�' �I X Davie County Health Department ENVIRONMENTAL HEALTH SECTION U)A A ' P.O. Box 665 Mocksville, N.C. 27028 AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION"'�'� (Issued in compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems) ***This Authorization For Wastewater System Construction must be issued by the Davie County Environmental Health Section prior to issuance of any Building Permits. This Form/Authorization Number should be presented to the Davie County Building Inspections Office when applying for Building Permits.*** AUTHORIZATION NUMBER NAME / �( �7iJt!� L 1 DATE /ri%�/ ��lS� © NAME ON IMPROVEMENT PERMIT (If different than above) / SITE LOCATION 40,111.11— 4 /1 >; /�Ai �-��iNl' /�I�P �i�y COMMENTS/CGNDITIONS ON AUTHORIZATION TO CONSTRUCT WASTEWATER SYSTEM ** NOTICE** THIS AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION IS VALID FOR A PERIOD OF FIVE (5) YEARS. ENVIRONMENTAL HEALTH SPECIALIST DATE DCHD 10/95 11 IMPROVEMENT PERMIT DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT **NOTE** This improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) NAME PROPERTY ADDRESS l� !�`�r' I d!a e �i� . • - DATE Z_,2, 1 I LOCATIONS �- %// P SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE # BEDROOMS c+ # BATHS _Z_ M OCCUPANTS /� GARBAGE DISPOSAL: Yes6o COMMERCIAL SPECIFICATION: FACILITY TYPE # PEOPLE # PEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE TYPE WATER SUPPLY /ter,1// DESIGN WASTEWATER FLOW (GPD) NEW SITE _LZ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE AOtl GAL. PUMP TANK GAL. TRENCH WIDTH rL ROCK DEPTH X9 LINEAR FT. e,;?90 OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PLANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY w h . 4-t-� u AUTHORIZATION NO. OPERATION PERMIT BY �DATE Yk4 **THE ISSUANCE OF THIS OPERATION PERMIT SHALL INDICATE THAT TAN= SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1900 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. DCHD 10/95 f N a'. IMPROVEMENT QERMIT DAVIE COUNTY HEALTH DEPARTMENT IMPROVEMENT PERMIT and OPERATION PERMIT iti G • �fF de 4 - **NOTE** This -improvement permit DOES NOT authorize the construction or installation of a septic tank system or any wastewater system. AN AUTHORIZATION FOR WASTEWATER SYSTEM CONSTRUCTION must be obtained from this Department prior to the construction/installation of a system or the issuance of a building permit. (In compliance with Article 11 of G.S. Chapter 130A, Wastewater Systems, Section .1900 Sewage Treatment and Disposal Systems) :7i o, -1n06 NAME �.'✓ f'''/� Sifs'7:' /.f �� PROPERTY ADDRESS Yel r`� 1 `C`' I ' �� y► - DATEi;%= LOCATION SUBDIVISION NAME LOT NUMBER SEC./BLOCK NUMBER RESIDENTAL SPECIFICATION: BUILDING TYPE %i # BEDROOMS # BATHS 1� N OCCUPANTS GARBAGE DISPOSAL. Yes/96f COMMERCIAL SPECIFICATION: FACILITY TYPEPE# OPLE ,tTEOPLE/SHIFT # SEATS INDUSTRIAL WASTE: Yes/No LOT SIZE ��d;f' TYPE WATER SUPPLY / DESIGN WASTEWATER FLOW (GPD) ,tib ' NEW SITE _LZ REPAIR SITE SYSTEM SPECIFICATIONS: TANK SIZE i'^ GAL. PUMP TANK ' GAL. TRENCH WIDTH ROCK DEPTH Z LINEAR FT. OTHER REQUIRED SITE MODIFICATIONS/CONDITIONS: ***THIS PERMIT IS SUBJECT TO REVOCATION IF SITE PIANS OR THE INTENDED USE CHANGE. YOUR WASTERWATER SYSTEM CONTRACTOR MUST SEE THIS PERMIT BEFORE INSTALLING THE SYSTEM. IMPROVEMENT PERMIT; BY **CONTACT A REPRESENTATIVE OF THE DAVIE COUNTY HEALTH DEPARTMENT FOR FINAL INSPECTION OF THIS SYSTEM BETWEEN 8:30-9:30 A.M. OR 1:00-1:30 P.M. ON THE DAY OF INSTALLATION. TELEPHONE # IS (704) 634-8760. OPERATION PERMIT SYSTEM INSTALLED BY AUTHORIZATION N0. , OPERATION PERMIT BY✓..�� DATE **THE ISSUANCE OF THIS ORATION PERMIT SHALL INDICATE THAT THE SYSTEM DESCRIBED ABOVE HAS BEEN INSTALLED IN COMPLIANCE WITH ARTICLE 11 OF G.S. CHAPTER 130A, SECTION .1�0 "SEWAGE TREATMENT AND DISPOSAL SYSTEMS", BUT SHALL IN NO WAY BE TAKEN AS A GUARANTEE THAT THE SYSTEM WILL FUNCTION SATISFACTORILY FOR ANY GIVEN PERIOD OF TIME. ijurw IU/V—) a APPLICATION FOR SITE EVALUATION/IMPROVEMENTS Davie County Health Department Environmental Health Section P. O. Box 665 Mocksville, NC 27028 1. Application/Permit Requested By •��—� Mailing Address Home Phone 9-29- lo/1% v // sZSU.�C .(�C�%70/2 Business Phone—. tp�� 2. Name on Permit if Different than Above 3. Application for: ❑ GenWgyaI Evaluation 4. System to Serve: ❑ House ❑ Business ❑ Industry 5. If house, mobile home: Subdivision No. of People J No. of Bedrooms 2 No. of Bathrooms Dwelling Dimensions Septic Tank Installation Permit /Mobile Home ❑ Other 6. If business, industry, place of public assembly, other: Specify type No. of People Served No. of Commodes No. of Lavatories No. of Sinks No. of Urinals No. of Water Coolers No. of Showers Water Usage Figures ❑ Place of Public Assembly ❑ Unknown Section Lot # ❑ Basement/Plumbing ❑ BB semenUNo Plumbing CT Washing Machine ❑ Dishwasher ❑ Garbage Disposal 7. Type of water supply: ❑ Public 2/private ❑ Community C, 8. Property Dimensions b a ciud Sewage Disposal Contractor 9. Do you anticipate additions/expansion of the facility this sytem is intended to serve? ❑ Yes No If yes, what type? I 'NOTE: Improvements Permits shall be valid for a period of 5 years from date issued. Improvements Permits are subject to revocation, if site plans or the intended use change. Effective October 1, 1989. PROPERTY INFORMATION REQUIRED: Directions to Property: /5 8 �o ��d/cHc/ �✓ �dIolid Tax Office PIN # 5862-2<0 •C156L Road Name 11 rAr-,Io% e Z11 Box # (if available) OA /6'( >C"it:y J�'� c r— u 17 This is to certify that the information provided is correct to the best of my knowledge, and I understand I am responsible for all charges incurred from this application. 1Z 9S ZZ d�� DATE SANATURE CONSENT FOR SITE EVALJAATION TO BE DONE ON ABOVE DESCRIBED PROPERTY MUST CHECK ONE: 1. 1 OWN the property. ❑ 2. 1 DO NOT OWN the property. If you checked Box #2, the rest of this form MUST be completed by the owner or a person authorized by.the owner: I hereby give consent to the authorized representative o ie Cog y He Ith epartment to enter upon above described property located in Davie County and owned by to conduct all testing procedures as necessary to determine said site's suitability tof a ground absorption sewage treatment and disposal system. DATE SIGNATURE DCHD (1193) DAVIE COUNTY HEALTH DEPARTMENT ' Environmental Health Section Soil/Site Evaluation NAME �71✓/ Z° N ADDRESS � PROPOSED FACIILTY lam!` A DATE EVALUATED IQIJ 9S/ PROPERTY SIZE LOCATION OF SITE Water Supply: On -Site Well _ Community. Public Evaluation By: Auger Boring Pit Cut FACTORS 1 2 3 4 Landscape position .Z- Sloe Z "' HORIZON I DEPTH Texture group Consistence Structure Mineralogy HORIZON II DEPTH Texture group A/ C - Consistence 1411 --It r Structure bA -e Mineralogy - HORIZON III DEPTH Texture group Consistence Structure Mineralogy HORIZON IV DEPTH Texture group Consistence Structure Mineralogy SOIL WETNESS RESTRICTIVE HORIZON SAPROLITE CLASSIFICATION S LONG-TERM ACCEPTANCE RATE SITE CLASSIFICATION: EVALUATED BY: A6 LONG-TERM ACCEPTANCE RATE: �� OTHER(S) PRESENT: REMARKS: LEGEND Landscape Position R -Ridge S -Shoulder L -Linear slope FS -Foot slope N -Nose slope CC -Concave slope CV -Convex slope T -Terrace FP -Flood plain H -Head slope Texture S -Sand LS -Loamy sand SL -Sandy loam L -Loam SI -Silt SICL-Silty ;lay loam SIL -Silty loam CL -Clay loam SCL-Sandy clay loam SC -Sandy clay SIC -Silty clay C -Clay CONSISTENCE Moist VFR- V+ ---y friable FR -Friable FI -Firm VFI-Very firm EFI-Extremely firm Wet NS -Non sticky SS -Slightly sticky S -Sticky VS -Very Sticky NP -Non plastic SP -Slightly plastic P -Plastic VP -Very plastic Structure ,3C --Single grain M -Massive CR -Crumb GR -Granular ABK-Angular blocky SBK-Subangular blocky PL -Platy PR -Prismatic Mineralogy 1:1, 2:1, Mixed Notes Horizon depth - In inches Depth of fill - In inches Restrictive horizon - Thickness and inches from land surface Saprolite - S(suitable), U(unsuitable) Soil wetness - Inches from land surface to free watef or inches from land surface to soil colors with chroma 2 or less Classification - S(suitable), PS(provisionally suitable), U(unsuitable) LTAR - Long-term acceptance rate - gal/day/ft2 DCHD(01-901 ■��\��■��0�� r� ��0�■ ■��■��■��■��■�/��■A��n�� ■��■ ■■�e��■��■��■��■�■ ��■��■ ■��■��■��/��/�� ■■��■��\��■��■��\��■��■ ■��■��■�■��■��■■��■ ■��H�� ■�� ..........................................C....■... ............. ■��■��■��■��s��_ ��■ ■��■��■ N��■��■�� ■�\��■ ■��■��■��/��/�� ...........................C..............■..■.�... _...._........ ........................... ................... ■.■. .■.. ........ ■��/��A�� N �� /�� ■��■■��■��■��■ ��■ ■ ■ ■�■ ��■� ■■ ■■��■��■�■��_ ��_�■��■�■��n�i�� ■��■��■��■��■� ��■■��■�� ■��■��u�� ■��■■��■■��■��■��■�� ■�■�N��■��■��■ ■��■��■��■��N�� ■ �■�� ■■ ■��i��i��o�� ■��■■�� ■�■■ �■�� ■�■� ■��■��■��=■■��i��■��=��u= ��_�_�� ■�� ■�� ■ ■ �� ■��■��■�� u� �� _ ■��n��■��\��M��N■��■�■�■�� ■��■��■■�� ■ �� N��■�� ■��l��■N��N��\�\�� /�� .........................................■..■..■ .. ■..�....■.� ■��o��N��■��■��H� ■ �� ■ ................................................. �.._.........0 ■��■��■��■■••••'��•�� iiiiiu �i�iii�iC=iiiiiii ■�l��H�■��l1l��\��A��i��■��■�11� ■��■��f/��'/��N�� ..............�.�.........,........ .......■....'C��.......�.......� ■iii��iiiii�iiiii�i�iiiiii�iiiiiiiiiiiii��iiiiiii��n�■ =iiiiii ■��w��,��.■....� ��■� ■ i ��n��■�■�_ iiiii�iiiiiiiiiiii�iiiii�iiiii�ii=�■i ■ i��ii�� ii�=iiii� ■��■��■�� "ii��_ �iiiiii�iiiiii�iiiiii�i�� . ■��N��■��v�� ■��/��■��M��■ �� ■ �� ■ ■��■��■��u��■��u�C�1o�� u �� \��vn��%�� u��vu�u�N��u�� Q �� N�Nn� �� ■��■�� u��/�� ■ �N�� ............................�;.... . . ......a3 ■��■��■��■�� ■�� ■ N �� n��■ ��n�� ■ ■ �■�� ■��■��v�� ■ ■ �v�\�� ■��■v��vN��/� ■ u��u� ■��u��■��pn�� N� ■�� ...:... �".C�......�:...�._:::.:. = N ...■....�: ...■..■ . ■■■... ■.. ..........0......................C. . . ... ..... ��N ��N� ■��■v��■��/�� ■ ■ ■ ��u�� ■��■��■��■��■�� u��H��\u u ■ ��N�� ..:C:: �:"::C ::::::C::::::::: . ..:::_:�::::::. .�.... .. :=...�i. .............. .. . _. ................ .... ..�:.......C...........i�..C:= C..... ................. ............................... ... ....................... ..................... ................ .._....................... .....................�................�.......................... .................................................................. ..........................................■...■................... ........................... ............ ......................... .... ................................. _.......■.■............. . .�..............................�....:5........................_. 1.............................. ...... ......................... ..... .............................. . ........................ 136 136 (101) 255 INDE w w °D (1 .04A) 4 217 9561 w .,�° 5 w m 84 122 206 i c� N - O7 3163 N 260 � O