HomeMy WebLinkAboutSewageSTATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMEI
SYSTEM
CONSTRUCTION PERMIT
CONSTRUCTION PERMIT FOR: OSTDSNew `
APPLICANT: (WJHFL,LLC)
PROPERTY ADDRESS: 7004 Penny Ln Fort Pi!
LOT: 9 BLOCK: 109
PROPERTY ID #: 1301-611-0187-000-7
SYSTEM MUST BE CONSTRUCTED IN
381.0065, F.S., AND CHAPTER 64E-6,
SATISFACTORY PERFORMANCE FOR ANY
WHICH SERVED AS A BASIS FOR ISSU
PERMIT APPLICATION. SUCH MODIFICAT
ISSUANCE OF THIS PERMIT DOES NOT
STATE, OR LOCAL PERMITTING REQUIRED FOR
SYSTEM DESIGN AND SPECIFICATIONS
T [ 1,050 ] GALLONS / GPD S
A [ ] GALLONS / GPD
N [ ] GALLONS GREASE INTERCEPTOR C.
K [ ] GALLONS DOSING TANK CAPACITY
D [ 667 ] SQUARE FEET Drainfield
R [ ) SQUARE FEET N/A
A TYPE SYSTEM: [ ] STANDARD [ ]
I CONFIGURATION: [ ] TRENCH [X] F
N
F LOCATION OF BENCHMARK: Site BM near SE p
I ELEVATION OF PROPOSED SYSTEM SITE
E BOTTOM OF DRAINFIELD TO BE
L
D FILL REQUIRED: 118.00] INCHES
0
T
H
E
R
t
DIS
M�V&U61/L
PERMIT #: 56-SF-2216050
�j 8(;PPLICATION #: AP 1609184
�� ��J DATE PAID:
FEE PAID:
RECEIPT #:
DOCUMENT #: PR1497652
J L
, F 34951
SUBDIVISION: Lakewood Park
[SECTION, TOWNSHIP, RANGE, PARCEL NUMBER]
[OR TAX ID NUMBER]
R91MCE WI H SPECIFICATIONS AND STANDARDS OF SECTION
�. DEP TMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE
FI PERIOD OF TI ANY CHANGE IN MATERIAL FACTS,
F THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE
Y RESU T IN THIS PERMIT BEING MADE NULL AND VOID.
:MPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL,
'+I
MENT OF HIS PROP RTY.
tic new CAPA�ITY
N/b CAPACITY
A ITY (MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS]
[ ] ALLONS [ ]DOSES PER 24 HRS #Pumps [ ]
SYSTEM
f SYSTE
LL ED [XI MOUND [ ]
)ei,ty corner at ifl.21.02
18�00 ] [ INCH S FT ]
181.00 ] [ INCH S FT ]
LOVE BELOW] BENCHMARK/REFERENCE POINT
LOVE BELOW]BENCHMARK/REFERENCE POINT
24.00 ] INCHES
The system is sized for 4 bedrooms with a maximum
c
ccupancy of
3 persons (2
per bedroom), for a total estimated flow of.
400 gpd.
SPECIFICATIONS BY: Ian Pj Moore
APPROVED BY:
DATE ISSUED: 01/08/2021
DR 4016, 08/09 (Obsoletes all previous
Incorporated: 64E-6.003, FAC
v a.i.a
TITLE: EHP 17-2072
Environmental
St. Lucie CHD
EXPIRATION DATE: 07/10/2022
which may not be used)
Page 1 of`"�
1 P1 n(; 92. as 5ESi55a73
A party whose substantial interest is affected by this order
administrative hearing pursuant to sectio s 120.569 an 120.57, 1
proceedings are governed by Rule 28-105, Florida Adm nistrative
administrative hearing must be in writing nd must be rE ceived by
Department, within twenty-one (21) days from the recei t of this o
Agency Clerk is 4052 Bald Cypress Way, BIN A-02, Tallahassee,
Clerk's facsimile number is 850-413-874 3 .
iay petition for an
)rids Statutes. Such
ode. A petition for
ie Agency Clerk for the
er. The address of the
orida 32399. The Agency
Mediation is not available as an alter ative remedy.
Your failure to submit a petition foIr h laring withi 21 days rom receipt of this order will
constitute a waiver of your right to an admini trative hearing, and t is order shall become a 'final
order.
Should this order become a final order, a party who is advi
to judicial review pursuant to Section 120,68,�Florida St tutes. Re
governed by the Florida Rules of Appella{e P ocedure. 3uchproc
by filing one copy of a Notice of Appeal v ith the Agency Clerk of tl
second copy, accompanied by the filing fees equired b law, with
appropriate District Court. The notice rn Ist b filed with�n 30 days
rsely affected by it is entitled
view proceedings are
.edings may be commenced
e Department of Health and a
he Court of Appeal in the
of rendition of the final order.
i
St. Lucie
FORA 5150 NWMilner
HEALTH
County
Health
Dr
Dep
Port Saint
rtment
Lucie, FL 34983
'AY _ ING ON: #: 56 SF-2216050 BILL roc
RECEIVED FROM:
A Reliable Treasure Coast
'AYMENT FORM: CHECK 9507
#
56-BID-51
2573
CONSTRUCTION APPLICATION #: AP1609184
I
Si6rvices
MOUNT PAID: $ 430.00
AYMENT DATE: 12/23/2020
1
MAIL TO: (WJHFL, LLC)
f
t
:ACILITY NAME:
I
'ROPERTY LOCATION:
7004 Penny Ln
Fort Pierce, FL 34951
9
Lot:
Block:
109
Property ID: 1301-611-0187-000-7
RI
TION:
EXPLANATION or DES
QUANTITY FEE
1 $ 5.00
128 - OSTDS Construction System Inspection
esE
arch Fee
-1 - Surcharge (All)
1 $ 45.00
-1 - OSTDS New Permit Surcharge
1 $ 100.00
-1 - OSTDS Construction Application and Plan
Revi
w,New
1 $ 100.00
126 - OSTDS Construction Permit (New or Mod
A
endment)
1 $ 55.00
127 - OSTDS Construction System Inspection
1 $ 75.00
133 - OSTDS Construction Reinspection
1 $ 50.00
RECEIVED BY: WhighamJL
1
AUDIT CONTROL
NO. 56-PID-4835391
i
I
STATE OF FLORIDA
DEPARTMENT OF HEAL
ONSITE SEWAGE TREA
H
ME
T AND
DISPOSAL
PERMIT NO. SE—;Altooso
DATE PAID: Zs
FEE PAID:
.� SYSTEM
cop
RECEIPT # :
Nei' APPLICATION FOR CO
ST
UCTION
PERMIT
PPLICATION FOR:
[✓] New System [ ] Existing
[ ] Repair [ ] Abandonment
System
[ ] H
[ ] Temporary
ldin Tank
g I ] Innovative
[ ]
APPLICANT: WJHFL LLC
AGENT: Reliable Treasure Coast Services Indian Ri
er S
Ptic
TELEPHONE: 772-562-4242
MAILING ADDRESS: P.O. Box 1116, Vero Beach�L
2961
TO BE COMPLETED BY APPLICANT OR APPLI
BY A PERSON LICENSED PURSUANT TO 489*0�TIS
APPLICANT'S RESPONSIBILITY TO PROVIDEDCUMENTATION
PLATTED (MM/DD/YY) IF REQUESTING CON
ID
AUT
(3)(m)
RATION OF
ORIZED AGENT.
R 489.55�,
OF THE
STATUTIPRY
SYSTEMS MIIST BE CONSTRIICTED
FLORIDA STATUTES. IT IS THE
DATE THE LOT WAS CREATED OR
GRANDFATHER PROVISIONS.
PROPERTY INFORMATION
LOT: 9 BLOCK: 109 SUBDIVISION
LAKEWOOD
PARK�Unit
9 PLATTED: Pre-72
PROPERTY ID #: 1301-611-0187-000-7
PROPERTY SIZE: 0.27 ACRES WATER SURP
ZON
Y: [ ✓]
NG: RS�4
RIVATE
I M
T / OR EQUIVALENT: [ NO � ]
I
PUBLIC [ ]<=2000GPD [ 1>2000GPD
IS SEWER AVAILABLE AS PER 381.0065, FS?
[ No 0
DISTANCE TO SEWER: N/A FT
PROPERTY ADDRESS: 7004 PENNY LN FORT PIER
E, FL 3495
f
DIRECTIONS TO PROPERTY:
I
BUILDING INFORMATION [✓] RESID
NTIAL
[
] COMMERCIAL
Unit Type of No. of
No Establishment Bedrooms
Buildin
Area S
Comme
t Table
cial/Institutional System Design
1 Chapter 64E-6 FAC
1 Single Family 4
1650
2
3
4
th
I ] Floor/Equi a rains [ ]
r (Specify)
SIGNATURE:
DAME : 12-17-20
DH 4015, 08/09 (Obsoletes previous ed
Incorporated 64E-6.001, FAC
ti
ns whic
may not
be used)
Page 1 of 4
La
rt+E
STATE OF FLORIDA
DEPARTMENT OF HEALTH
ONSITE SEWAGE TREATMENT
SITE EVALUATION AND SYS
APPLICANT • WJHFL LLC
LOT: 9 BLOCK: 109 SUBDIVISION:
PROPERTY ID # : 1301-611-0187-000-7
�
AND DI
EM SPE
POSAL
IFICATIONS
AGEN
WOOD PARK
PERMIT # . ZC
SYSTEM
: Reliable
e able Treasure Coast Services Indian River Septic
Unit 9
LAKE
[Tax
ID Num
er Ell
TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT
MUST PROVIDE REGISTRATION NUMBER AND S1GN
EMP
AND SEAL
OYEE,OR
EACH PAGE
OTHER QUALIFIED PERSON. ENGINEERS
OF SUBMITTAL. COMPLETE ALL ITEMS.
PROPERTY SIZE CONFORMS TO SITE PLAN: [✓jj]
TOTAL ESTIMATED SEWAGE FLOW: 400
AUTHORIZED SEWAGE FLOW: 405
UNOBSTRUCTED AREA AVAILABLE: 750
BENCHMARK/REFERENCE POINT LOCATION: Site
ELEVATION OF PROPOSED SYSTEM SITE IS181
THE MINIMUM SETBACK WHICH CAN BE MAINT
SURFACE WATER: N/A FT DITCHES/
WELLS: PUBLIC : N/A FT LIMITED USE
BUILDING FOUNDATIONS:5 FT
SITE SUBJECT TO FREQUENT FLOODING: [ ]
10 YEAR FLOOD ELEVATION FOR SITE:
SOIL PROFILE INFORMATION SITE 1
j
S [ ]
( GALLONS
I GALLONS
1 SQFT
I ear South ef
90 NET
PER DAY
PER DAY
UNOBSTRUCTED
st property
USABLE AREA AVAILABLE: .27 ACRES
[RESIDENCES -TABLET m]
[ 1500 GPD/ACRE El]
AREA REQUIRED: 750 SQFT
corner at EL: 21.02
j
BM
INI
MIT
I 1 [INCHES
D FROM THE
WALES:N/A
FT
LI
[✓] NO
FT MS
I
I
I
I
j
E]] [A
PROPO
OVE 0NOHMMARR%REFERENCE POINT
] `lBE
ED SYSTEM TO THE FOLLOWING FEATURES
FT NORMALLY WET? [ ] YES [✓] NO
E : 94 FT NON -POTABLE: N/A FT
FT POTABLE WATER LINES:57 FT
10 YEAR FLOODING? [ ] YES IV] NO
SITE ELEVATION: FT MSL/NGVD
FILE INFORMATION SITE 2
PRIV
S:12
/NGVD
SOIL PR
PROPERTY
YES
MUNSELL #/COLOR TEXTURE DEPTH
1 OYR 4/1 S 0 TO
IOYR 511 S 24 TO
1 OYR 2/1 Spodic 30 TO
IOYR 3/6 FS 38 TO
10YR 5/4 FS 43 TO
Refusal A 56 TO
TO
TO
TO
USDA SOIL SERIES: Eaugallie FS Like
3 0
MUNSELL
#/COLOR TEXTURE DEPTH
S 0 TO 34
S 26 TO 34
Soodic 34 TO 40
FS 40 TO 47
FS 47 TO 59
Refusal (a, 59 TO
TO
TO
TO
IL SERIES : Eauaallie FS Like
1 OYR 4/1
30
I OYR 511
38
1OYR 2/1
43
10YR 3/6
56
10YR 5/4
]
USDA S
OBSERVED WATER TABLE:39 INCHES [BELOW
ESTIMATED WET SEASON WATER TABLE ELEVATiON:24
HIGH WATER TABLE VEGETATION: [ ] YES [�]
SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING:Sand/.8
DRAINFIELD CONFIGURATION: [✓] TRENCH
REMARKS/ADDITIONAL CRITERIA: SHS determined
due to saturation in both sites. ]
i [
by
]'] EXIST
INCHES
MOTTLING:
NG GRADE. TYPE: [APPARENT Ell
[.BELOW Ell EXISTING GRADE
[✓] YES [ ] NO DEPTH:24 INCHES
DEPTH OF EXCAVATION:40 INCHES
(SPECIFY)
in a IOYR 4/1 matrix at 24 inches in site 1. Refusal
NO
BED
10% 10YR
[ ] OTHER
511 strippin
I
BM: 37 S1: 2'1 S2: 2'1
I
SITE EVALUATED BY: Ian Moore C.E.H.P. 19-2072
DH 4015, 08/09 (Obsoletes previous editions which
DATE: 12/17/20
ted: 64E-6.001, FAC Page 3 of 4
may
f
4
� �
not be us
I
d) Incorpor
r:_:':WRVEY-:-'
CONSULTANTS/
J 1 1,
SITE
LEGAL DESCRIPTION
LOT 9 BLOCK 109 0 15 30
LAKEWOOD PARK, UNIT 9
AS RECORDED IN PLAT BOOK it PAGES 27D 1 INCH = 30 FEET
PUBLIC RECORDS OF SAINT LUCIE COUNTY, FLORIDA.
LOT 19
IMPROVED
-- FIR 5/8"
W 'l
N �
CIO
yti
CO -
LOT 8 X
FFE- 23.47'
LOT 18
FFE-24.79'
8•89029'27"E(M),"" 90.24'(M)
S89°56'20"E(P),° 90.00'(P)
Do'
i
�
o
o
�Ce)
ryry. O
D
ry
X M
M ,.
15.00'
Df<^;11�1i I�LD
_�._.. .........
89.72'(M)
FIR 5/8" 90.00'(P) SIR 5/8"
"LB 7.&
-- V,
12X17" CMP,
-{ S8
LOT 17
IMPROVED
0
X�1
5/8"
7821"
10.)e' P.U.D.E.
' — — — — —
X",.
— — — — _ _ _
PROPOSED WELL
/
s
M c' LOT 9
BLOCK 109
o' 'rl CONC / 36.6T
4
ry��� aox
'Cy)
co
0 ;
LOT 10
VACANT
J
o o
C
BLOCK 109
PROPOSED
CO!_,
1-STORY
RESIDENCE. 4
Ul FFE: XX.XxI\I' �'
a
-C)
y Ox
�03.7`o I
20.3' ri 14.3'
C� CO
+11 CONC SW
U f. 9! (O G;;L o
Lq o rr,r_ I
U
L
-z _.._..... - --- --.._...9
n UU
750 SQFT
16.0' tiUNOBSTRUCTED AREA ;;
SIR 58"
FIR /
A
31 6'20" (P&M),,q' 90.00'(P) t
-
90.00'(P&M)
-0�89.72'(M)
FND NAIL BM � 55.0' R/W (P) ;, FND NAIL BM
ELV=20.81' „ ° ST. LUCIE AVENU5,' ✓(P)_ 'y ELV=21.02' -
PENNY LANE
WELLS OUT OF RANGE
MODEL: LOT SIZE:
= PROPOSED DRAINAGE
1650-B LG / 11,700 SQFT
ARROW
BOUNDARY SURVEY CERTIFIED TO: PROPERTY ADDRESS:
Y4
x�� = GROUND ELEVATION
CENTURY COMPLETE 7004 PENNY LANE
23.4 =PROPOSED ELEVATION
FORT PIERCE, FL
= PROPOSED CORRUGATED
METAL PIPE
LEGEND & ABBREVIATIONS
k SURVEYOR'S NOTES
I HEREBY CERTIFY THAT THIS SURVEY IS
PSM = PROFESSIONAL SURVEYOR &
1. BASIS OF BEARING - THE SOUTHERLY LINE OF, LOT 9 BLOCK 109, LAKEWOOD
TRUE AND CORRECT TO THE BEST OF
MY KNOWLEDGE, AND THAT THIS SURVEY
MAPPER
LB = LCENSED BUSINESS
PARK, UNIT 9, AS RECORDED IN PLAT BOOK 11 PAGES 27D PUBLIC RECORDS OF
SAINT LUCIE COUNTY, FLORIDA, AS BEING S89-56-20"E AS A PLAT.
MEETS THE STANDARDS OF PRACTICE AS
LS = LICENSED SURVEYOR
REQUIRED BY CHAPTER 5J-17 FLORIDA
FND = FOUND
2. DATE OF FIELD SURVEY: 10/8/2020.
BOARD OF LAND SURVEYORS PURSUANT
SET = SET "LB 7821"
TO SECTION 472.027 FLORIDA STATUTES.
IRC = IRON ROD & CAP
3. ADDITIONS OR DELETIONS TO SURVEY MAPS OR REPORTS BY OTHER THAN THE
N/D =NAIL &DISK
PARTY ORPARTIES IS PROHIBITED WITHOUT WRITTEN CONSENT OF THE
CMON= CONCRETE MONUMENT
SIGNING
DIN = DRIVEWAY
SW = SIDEWALK
4. PROPERTY LINES SHOULD NOT BE ESTABLISHED USING FENCE OR BUILDING TIES.
EC CONCRETE
EP = PAVEMENT
5. NO UNDERGROUND INSTALLATIONS OR IMPROVEMENTS, INCLUDING BUT NOT
=
R/W RIGHT-OF-WAY
LIMITED TO, BURIED UTILITIES, FOUNDATIONS AND FOOTERS WERE LOCATED.
COV = COVERED
11c = AIR CONDITIONER (3.5'x3.5' PAD)
6. BASED UPON MY REVIEW OF THE "FLOOD INSURANCE RATE MAP" OF SAINT LUCIE
COUNTY, FLORIDA, COMMUNITY PANEL NO.1211100070J, EFFECTIVE DATE 2/16/2012,
D.E. = DRAINAGE EASEMENT
"X",
U.E. = UTILITY EASEMENT
THIS PROPERTY IS LOCATED WITHIN FLOOD ZONE DEFINED AS AREAS
WBF = WOOD BOARD FENCE
DETERMINED TO BE OUTSIDE OF THE 0.2% ANNUAL CHANCE FLOODPLAIN.
CLF CHAIN LINK FENCE
WVF = WHITE VINYL FENCE
7. NO INSTRUMENTS OF RECORD REFLECTING OWNERSHIP OR ENCUMBRANCES WERE
PROVIDED, EXCEPT AS NOTED, NOR DID THIS SURVEYOR ABSTRACT THESE LANDS.
(P) = PLAT
M MEASURED
8. SURVEY FILE NUMBER: 20-10-007
gefN W HOLLOWA , P.S.M. LS 6676
® = WATER METER
9. ELEVATIONS SHOWN HEREON ARE BASED ON THE NORTH AMERICAN VERTICAL
H&H SURVEY CONSULTANTS, LLC LB 7821
® = CABLE RISER
DATUM OF 1988 (NAVD88), AND MORE SPECIFICALLY TO THE FLORIDA PERMANENT
® = TELEPHONE RISER
REFERENCE NETWORK (FPRN) CONTINUOUSLY OPERATING REFERENCE STATIONS
NOT VAUD NITHOUT THE SIGNATURE AND THE ORIGINAL
® = ELECTRIC RISER
(CORS) FLFR, FLFD & STEW.
RAISED SEAL OF A FLORIDA LICENSED SURVEYOR
c0� = POWER POLE I
I
DATE OF SURVEY: October 14, 2020
131 W Broadway, Suite 1001, Oviedo, FL 32765 www.hnhsurvey.com 407.542.4977
I
WALL LEGEND
FULL HEIGITB'CA.U. WALL
FULL HEIGHT
M MOO STUD PARTITION
FULL HEIGHT
SIOPNHT
2XWOODSTUDPARTRON
AS NOTED ONPLA,d'HDR HT.
STONEVENEER
BNCKVENEER
— — — — — —
1 ROD ISH,ELF
STUD WALL BELOW
NOTE, EOERORWALLS FRAMEDAT 16' D.C.NTEROR NON.
HEIGHT AND STUD SIZE ASNOTED
BEARING WALLS FRAMED AT 24'O.C.REFTOSTRUCTURALSHEETS
PLAN NOTES
1. VERIFY ROUGH OPENING DIMENSIONS FOR ALL WINDOWS &DOORS.
Z PROVIDE SAFETY GLAZING WITHIN 24'FROMDOT PER FLORIDABUILDINGCODER3GB.41
3. PROVIDE SAFETYGLAi1NGATBATHISHOWER PER FLORIDA BUILDING CODE R3064S
4. NON BEARING INTERIOR FRAME WALLS SHALL BE FRAMED 9WOOD ORLETALSTUDS.SPACING
SHALL NOT EXCEED24' O.C.(NON BEARING WALLS ONLI
S. PRONE DEADWOOD NARICFDROVERHEADGARAGEDOOR HARDWARE
6. WHERE DRYWALL CEILING ISAPPLIED TOTRUSSES@24'O.C,USEITDRYWAROR117SAG
RESISTANT PER SEC.70231
7. THE GARAGE SHALL BE SEPARATED FROhITHERESIDENCE IATTIC BYNOT LESS THAN 1Tf
GYPSUM BOARD APPLIED TO THE GARAGE SIDE GARAGES BENEATH HABITABLE ROOMS SHALL
BE SEPARATED WITH NOT LESS THAN STTYPE x GYPSUM BOARD OR EQUIVALENT. WHERE
THE SEPARATION LS A ROORCEILING ASSEMBLY. THE STRUCTURE SUPPORTING THE
SEPARATION SHALL ALSO BE PROTECTED BY NOT LESS THAN tTGYPSUM BOARD OR
EQUIVALENT.
& INSTALL 13? THICK SOLID WOOD DOOR BETWEEN LIVING & GARAGE PER FLORIDA BUILDING
CODE R30Z1 S
9. ALL WINDOWS INSTALLED 77 A30VE GRADE MUST COMPLY WITH R6122 MIN. 2411.1. HEIGHT OR
PROVIDED WITH AN APPROVED WINDOW FALL PREVENTION DEVICE.
10. PROVIDE FIRE BLOCIONG PER SECTION R302.11
11. PROVIDE CRAFT STOPPING PER SECTION 16O12
-4..
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Na(Lai4uil ndgloumbalveTiu&9
appfadto Ile g ag:4d:
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Of epdni
Stm&151suppatiglbrA9ass 14
Not bst1alYrirO;pp b3l
zxdLot Sepriuo-4ed7ythswton
IseT v3Mm
298 DOOR WITOP & BOTTOM LOWERED
DOOR SQUARE FOOTAGE
16S1SOFT.
DOORSTYLES&RAtS
•7.05SOFT.
LOUVERSIM'xT-Tx6S
•1.02SOFT.
NETOPENAIRROW
HOSOFT.
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114°: V TAT 22" X 34- LAYOUT
l 118": V-0" AT 11n X 17° LAYOUT
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COLUMN
1111►IIII1II1
CENTURY
MORE HOME • LESS MONEY
3091 GOVERNORS LAKE DR.
SUITE 300
NORCROSS, GA 30071
PHONE: 336-282-3606
W1H,lLC®2010
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PLAN # / ORIENTATION
1612 BLK / LH
SERIES NAME:
DIAMOND
PLAN NAME:
3911650
LAST REVISION
2.02
SHEET #
GRPZ 1.2