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OSTDS NEW
PERMIT #: 56-SF-1754038 4n STATE OF FLORIDA APPLICATION #:AP 1285275 DEPARTMENT OF HEALTH DATE PAID: *� ON SITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: o SYSTEM RECEIPT #: DOCUMENT #:PR1059557 CONSTRUCTION PERMIT FOR: OSTDS New APPLICANT: Richard&Lesley Wilder PROPERTY ADDRESS: TBD Germany Canal Rd Port Saint Lucie, FL 34987 LOT: BLOCK: SUBDIVISION: [SECTION, TOWNSHIP, RANGE, PARCEL NUMBER] PROPERTY ID #: 3229-233-0002-000-2 [OR TAX ID NUMBER] SYSTEM MUST BE CONSTRUCTED IN ACCORDANCE WITH SPECIFICATIONS AND STANDARDS OF SECTION 381.0065, F.S. , AND CHAPTER 64E-6, F.A.C. DEPARTMENT APPROVAL OF SYSTEM DOES NOT GUARANTEE SATISFACTORY PERFORMANCE FOR ANY SPECIFIC PERIOD OF TIME. ANY CHANGE IN MATERIAL FACTS, WHICH SERVED AS A BASIS FOR ISSUANCE OF THIS PERMIT, REQUIRE THE APPLICANT TO MODIFY THE PERMIT APPLICATION. SUCH MODIFICATIONS MAY RESULT IN THIS PERMIT BEING MADE NULL AND VOID. ISSUANCE OF THIS PERMIT DOES NOT EXEMPT THE APPLICANT FROM COMPLIANCE WITH OTHER FEDERAL, STATE, OR LOCAL PERMITTING REQUIRED FOR DEVELOPMENT OF THIS PROPERTY. SYSTEM DESIGN AND SPECIFICATIONS T, [ 900 ] GALLONS / GPD SeDtic new CAPACITY A [ ] GALLONS / GPD N/A CAPACITY N [ ] GALLONS GREASE INTERCEPTOR CAPACITY [MAXIMUM CAPACITY SINGLE TANK:1250 GALLONS] K [ ] GALLONS DOSING TANK CAPACITY [ ]GALLONS @[ ]DOSES PER 24 HRS #Pumps [ j D [ 250 ] SQUARE FEET Drainfield new SYSTEM R [ ] SQUARE FEET N/A SYSTEM A TYPE SYSTEM: [ ] STANDARD [ ] FILLED [x] MOUND [ ] I CONFIGURATION: [x] TRENCH [ ] BED [ ] N F LOCATION OF BENCHMARK: top Of new well cap I ELEVATION OF PROPOSED SYSTEM SITE [ 12.001E INCHES FT ] [ ABOVE BELOW BENCHMARK/REFERENCE POINT E BOTTOM OF DRAINFIELD TO BE [ 11.001 [ INCHES FT ] [ABOVE BELOW BENCMORK/REFERENCE POINT L D FILL REQUIRED: [ 19.001 INCHES EXCAVATION REQUIRED: [ ] INCHES The system is sized for 2 bedrooms with a maximum occupancy of 4 persons(2 per bedroom),for a total estimated flow of O 200 gpd. T The licensed contractor installing the system is responsible for installing the minimum category of tank in accordance with H s.64E-6.013(3)(f), FAC. E R SPECIFICATIONS BY: Brian J Ingram TITLE: Environmental Specialist II APPROVED BY: ` Q �✓�'� TITLE: Environmental Specialist II St. Lucie CHD Brian J I ram DATE ISSUED: 04/27/2017 EXPIRATION DATE: 10/27/2018 DH 4016, 08/09 (Obsoletes all previous editions which may not be used) Incorporated: 64E-6.003, PAC ILL o£ 3 v 1.1.4 AP1285275 SE1032192 ' NOTICE OF RIGHTS A party whose substantial interest is affected by this order may petition for an administrative hearing pursuant to sections 120.569 and 120.57, Florida Statutes. Such proceedings are governed by Rule 28-106, Florida Administrative Code. A petition for administrative hearing must be in writing and must be received by the Agency Clerk for the Department, within twenty-one (21) days from the receipt of this order. The address of the Agency Clerk is 4052 Bald Cypress Way,'BIN A-02, Tallahassee, Florida 32399. The Agency Clerk's facsimile number is 850-413-8743. Mediation is not available as an alternative remedy. Your failure to submit a petition for hearing within 21 days from receipt of this order will constitute a waiver of your right to an administrative hearing, and this order shall become a 'final order'. Should this order become a final order, a party who is adversely affected by it is entitled to judicial review pursuant to Section 120.68, Florida Statutes. Review proceedings are governed by the Florida Rules of Appellate Procedure. Such proceedings may be commenced by filing one copy of a Notice of Appeal with the Agency Clerk of the Department of Health and a second copy, accompanied by the filing fees required by law, with the Court of Appeal in the appropriate District Court. The notice must be filed within 30 days of rendition of the final order. r ny St. Lucie County Health Department 5150 NW Milner Dr Port Saint Lucie, FL 34983 HEALTH PAYING ON: PERMIT#:56-SF-1754038 BILL ooc#:56-BID-3377065 CONSTRUCTION APPLICATION#:AP1285275 RECEIVED FROM: Richard Wilder AMOUNT PAID: $ 515.00 PAYMENT FORM: CREDIT CARD PAYMENT DATE: 04/10/2017 MAIL TO: Richard & Lesley Wilder FACILITY NAME : PROPERTY LOCATION: TBD Germany Canal Rd Port Saint Lucie, FL 34987 Lot: Block: Property ID: 3229-233-0002-000-2 EXPLANATION or DESCRIPTION: QUANTITY FEE -1 - OSTDS Construction Application and Plan Review,New 1 $ 100.00 123- OSTDS Construction Site Evaluation 1 $ 115.00 126-OSTDS Construction Permit(New or Mod, Amendment) 1 $ 55.00 127- OSTDS Construction System Inspection 1 $ 75.00 128-OSTDS Construction System Inspection Research Fee 1 $ 5.00 133-OSTDS Construction Reinspef-+inn 1 $ 50.00 -1 - Surcharge (All) —S (5'A C" 'I �' K) 1 $ 15.00 -1 -OSTDS New Permit Surcharge (° akeiz,4a") 1 $ 100.00 �2 6� C01,A1r U " L. s s G) RECEIVED BY: VanceMH �e L NO. 56-PID-3212703 c� STATE OF FLORIDA PERMIT NO. DEPARTMENT OF IiEALTH DATE PAID: p ONSITE SEWAGE TREATMENT AND DISPOSAL FEE PAID: SYSTEM RECEIPT #: APPLICATION FOR CONSTRUCTION PERMIT APP ICATION FOR: [ ] New System [ ] Existing System [ ] Holding Tank [ ] Innovative ] Repair [ ] �Abandonment [ ] Temporary/ ( [ ] APPLICANT: AGENT: TELEPHONE: MAILING ADDRESS ���'1 C, � i\� '� ,�ti C .�L��l � TO BE COMPLETED BY APPLICANT OR APPLICANT'S AUTHORIZED AGENT. SYSTEMS MUST BE CONSTRUCTED BY A PERSON LICENSED PURSUANT TO 489.105(3) (m) OR 489.552, FLORIDA STATUTES. IT IS THE APPLICANT'S RESPONSIBILITY TO PROVIDE DOCUMENTATION OF THE DATE THE LOT WAS CREATED OR PLATTED (MM/DD/YY) IF REQUESTING CONSIDERATION OF STATUTORY GRANDFATHER PROVISIONS. aaaaaan=bea.oveea.a==e=aavaaaca===aae==e=ae=ee==aaaaaec=-a_________===c�==cce=aa==as===ca PROPERTY INFORMATION LOT: BLOCK: SUBDIVISION: PLATTED: PROPERTY ID #: �� �-33 -'O QZ--0 NING: � " i/M OR EQUIVALENT: [ Y / N ) PROPERTY SIZE: ACRES WATER SUPPLY: [ -] PRIVATE PUBLIC [ ]<=2000GPD I ]>2000GPD IS SEWER AVAILABLE AS PER 381.0065, FS? [ Y /® DISTANCE TO SEWER: FT PROPERTY ADDRESS: 'T6 D ce vv e0-4n 2 DIRECTIONS TO PROPERTY: BUILDING INFORMATION [YZ RESIDENTIAL [ ] COMMERCIAL Unit Type of No, of Building Commercial/institutional System Design No Establishment Bedrooms Area Sqft Table 1, Chapter 64E-6, PAC 1 Lm2d(c,Larr ? 119 0 2 3 4 I ] Floor/Equi meennttDDrains °[ ]] Other (Specify) SIGNATURE:� ��! �C� G DATE: DR 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated 64E-6.001, FAC Page 1 of 4 "k STATE OF FLORIDA APPLICATION # AP1285275 DEPARTMENT OF HEALTH PERMIT # 56-SF-1754038 s ONSITE SEWAGE TREATMENT AND DISPOSAL SYSTEM DOCUMENT # SE1032192 SITE EVALUATION AND SYSTEM SPECIFICATION APPLICANT: Richard&Lesley Wilder CONTRACTOR / AGENT: Richard Wilder LOT: BLOCK: SUBDIVISION: ID#: 3229-233-0002-000-2 TO BE COMPLETED BY ENGINEER, HEALTH DEPARTMENT EMPLOYEE, OR OTHER QUALIFIED PERSON. ENGINEERS MUST PROVIDE REGISTRATION NUMBER AND SIGN AND SEAL EACH PAGE OF SUBMITTAL. COMPLETE ALL ITEMS. PROPERTY SIZE CONFORMS TO SITE PLAN: [X]YES [ ]NO NET USABLE AREA AVAILABLE: 5.56 ACRES TOTAL ESTIMATED SEWAGE FLOW: 200 GALLONS PER DAY [ RESIDENCES-TABLEI / OTHER-TABLE 2 ] AUTHORIZED SEWAGE FLOW: 8340.01 GALLONS PER DAY [ 1500 GPD/ACRE I OR 2500 GPD/ACRE ] UNOBSTRUCTED AREA AVAILABLE: 2000.00 SQFT , UNOBSTRUCTED AREA REQUIRED: 375.00 SQFT BENCHMARK/REFERENCE POINT LOCATION: top Of new Well Cap ELEVATION OF PROPOSED SYSTEM SITE 12.00 [ INCHES / FT l [ ABOVE / BELOW ] BENCHMARK/REFERENCE POINT THE MINIMUM SETBACK WHICH CAN BE MAINTAINED FROM THE PROPOSED SYSTEM TO THE FOLLOWING FEATURES SURFACE WATER: 100 FT DITCHES/SWALES: FT NORMALLY WET: [ ]YES [X]NO WELLS: PUBLIC: FT LIMITED USE: FT PRIVATE: 80 FT NON-POTABLE: FT BUILDING FOUNDATIONS: 5 FT PROPERTY LINES: 500 FT POTABLE WATER LINES: 40 FT SITE SUBJECT TO FREQUENT FLOODING? [ ]YES [X]NO 10 YEAR FLOODING? [ ]YES [X]NO] 10 YEAR FLOOD ELEVATION FOR SITE: FT [ MSL / NGVD ] SITE ELEVATION: FT [ MSL / NGVD SOIL PROFILE INFORMATION SITE 1 SOIL PROFILE INFORMATION SITE 2 USDA SOIL SERIES:Unkown USDA SOIL SERIES:Unkown Munsell#/Color Texture Depth Munsell#/Color Texture Depth 1 OYR 4/2 Fill-Fine Sand 0 To 13 1 OYR 4/2 Fill-Fine Sand 0 To 13 1 OYR 2/2 Fine Sand 13 To 20 1 OYR 3/2 Fine Sand 13 To 20 1 OYR 5/2 Loamy Fine Sand 20 To 35 1 OYR 5/2 Fine Sand 20 To 35 1 OYR 5/8 CMN/PRM RF 24 To 55 1 OYR 5/8 CMN/PRM RF 23 To 52 1 OYR 6/2 Loamy Fine Sand 35 To 45 1 OYR 6/2 Loamy Fine Sand 35 To 45 1 OYR 7/2 Loamy Fine Sand 45 To 58 1 OYR 7/2 Loamy Fine Sand 45 To 58 1OYR 5/1 Loamy Sand 58 To 65 10YR 5/1 Loamy Sand 58 To 67 1 OY 5/1 Loamy Sand 65 To 72 1 OY 6/1 Loamy Sand 67 To 72 N 8/ Very Coarse Sand 65 To 72 OBSERVED WATER TABLE: 69.00 INCHES [ ABOVE / BELOW ] EXISTING GRADE TYPE: [ PERCHED / APPARENT ] ESTIMATED WET SEASON WATER TABLE ELEVATION: 23 INCHES [ ABOVE / BELOW ] EXISTING GRADE HIGH WATER TABLE VEGETATION: [ ]YES [X]NO MOTTLING: [X]YES [ ]NO DEPTH: 23.00 INCHES SOIL TEXTURE/LOADING RATE FOR SYSTEM SIZING: Fine Sand/0.80 DEPTH OF EXCAVATION: INCHES DRAINFIELD CONFIGURATION: [X] TRENCH [ ] BED [ ] OTHER (SPECIFY) REMARKS/ADDITIONAL CRITERIA WSWT determined using USDA WSS and soil borings. 10YR5/8 cmn prom RFs>2%starting In 10YR5/2 matrix @ 24"in SB1 and 23"In SB2. SB1 12"below BM.SB213"below BM. SITE EVALUATED BY: / — DATE: 04/26/2017 Ingram,Bryn(Title:Environmental Specialist II)(ENVIRONMENTAL HEALTH) DH 4015, 08/09 (Obsoletes previous editions which may not be used) Incorporated: 64E-6.001, FAC Page 3 of 4 AP1286275 EID1754038 v1.0.2 ?roperty Card Page 1 of 5 -51-175YD39 Michelle Franklin, CFA--Saint Lucie County Property Appraiser--All rights reserved. Property Identification Site Address:GERMANY Parcel ID:3229-233-0002- Account#: 154792 Sec/Town/Range: CANAL RD 000-2 29/36S/38E Map ID:32/29X Zoning:AG-5 Use Type:6000 Jurisdiction:Saint Lucie County Ownership Legal Description Matthew Lyle Wynne LLC 29 36 38 THAT PART OF SEC MPDAF:FROM SW COR OF 8000 S US Hwy 1 Ste 402 SEC RUN N 89 59 54 E ALG S LI OF SEC 100 FT TO E RD Port St Lucie,FL 34982 R/W LI OF GERMANY CANAL RD,TH N 0100 20 W ALG RD R/W LI 2310.58 FT TO POB;TH CONT N 01 00 20 W 584.94 FT,TH N 89 59 40 E 790.37 FT,TH S 0100 20 E 598.78 FT,TH S 89 59 54 W 790 FT TO E RD R/W LI OF GERMANY CANAL RD AND POB-LESS S 292.47 FT-(5.56 AC)(OR 2385-181:2869-1741) Current Values Historical Values 3-year Just/Market: $55,600 Assessed: $1,529 Year Just/Market Assessed Exemptions Taxable Exemptions: $0 Taxable: $1,529 2016 $55,600 $1,529 $0 $1,529 2015 $55,600 $1,529 $0 $1,529 2014 $55,600 $1,529 $0 $1,529 Sale History Date Book/Page Sale Code Deed Grantor Price 08-09-2007 2869/1741 XX02 SP Matthew Lyle Wynne II LLC, $309,600 10-04-2005 2385/0181 XX01 WD Matthew Lyle Wynne LLC, $100 02-17-2004 1904/1362 XX02 WD Carlton(EST),Walter L $1,500,000 Primary Building Information Finished Area of this building:0 SF Gross Area of this building:0 SF Exterior Data View: Roof Cover: Roof Structure: Building Type: Year Built:N/A Frame: Grade: Effective Year:.2014 Primary Wall: Story Height: No.Units:0 Secondary Wall: Interior Data Bedrooms:0 A/C%:0% Electric: Primary Int Wall: Full Baths:0 Heated%:N/A% Heat Type: Avg Hgt/Floor:0 Half Baths:0 Sprinkled%:0% Heat Fuel: Primary Floors: Total Areas Finished/Under Air 0 (SF): 3 - Gross Area(SF): 0 NO* Land Size(acres): 5.56 Land Size(SF): 242,194 Total Building Count: 1 Special Features and Yard Items Type Qty Units Year Bit This information is believed to be correct at this time but it is subject to change and is not warranted. ©Copyright 2017 Saint Lucie County Property Appraiser.All rights reserved. ttp://www.pasic.org/RECard/ 4/10/2017 - STATE OF FLORIDA PERMIT APPLICATION TO'CONSTRUCT, SE J'T5W03? REPAIR,MODIFY,OR ABANDON A WELL Permit No. �y°pttka`I�E 0Southwest� Florida Unique ID r G PLEASE FILL OUTALLAPPLICQBLEFIELDS O Northwest ('Denotes Required Fields Where Applicable) Permit Stipulations Required(Soo Attached) 1 ❑St.-Johns'River a ` e Florida vitewaterv+aucontmaorlsrospons)b/rforcamplaring outh x :• � this form and forwarding the petmU ipplfcabon to the 62-524 Quad No, Delineation'No. O Suwannee River appropdafo dalbgafod authonry where appticablo,. oOrriv[rw El DEP CUP/WUPApplication No- ------ []Delegated Authority(if Applicable) r, %Gha�cl :(�►jt�e-r �1� 5U 1kir se, Jar �� �L 3 14s, I2.5:?$ISZ�Co OF"er,..L'egal.Nernadf.Corporation 'Address: 'City 'State `ZIP 'Telephone Number 'Well'Locallon=vAddressi Road ame or'Ntlmber,.City 'Parcel'ID No PIN)'orAltemate,Key_(Circle One, Lot Block Unit a. 2 . 3�' 38& ST Ul4-G C Check if G2-524: Yes�3 No Sec��U nor.' nd�.Grant •Township 'Range 'County Subdivision` — s:. ii ivi 11��ggt`ns li/2-4� `17z-��,g-t�cr�rs G IB=fcww-krs� vim r�.Car1, 'Watec Well C_o ctor 'License Number ("-Telephone Number E-mail Address r 6., Z`iF S£ ,V?:4K • -1, fr�acL fort 'diJatersWellfCoiitractor.'s•Address cityState . ZIP 'T ype of Work:`_✓Construction _Repair`Modification_Abandonment St,•Number of•Rroposed Wells I:cason for Rope'r,lAodifkation,orAb d D 9 'SpecilyIntended Use(s)'of Well(s): D stic Landscape Irrigation _Agricultural Irrigation Site Investigation Bottled Water supply RecreationAreaarrigatlon _Livestock `Monitoring Nursery.J'rrigation Test A _PubIlc.Weter Supply(Limited Use/DOH) �Commercibilindustrial —Earth-Coupled Geothermal APR 2 7 2011 17 Public:WBterSupply;(Coifimunity-or Non-Community/DEP.)=Golf Gourso Irrigation _HVAC Supply ='Class':pinJecllori 'HVAC Return claim V.In)eotionv_Rocharge—Commercial/Industrial Dispbsai_Aquifer Storage and Recovery_Drainage FIP1 Remedtatiori _Recovery _Air Sparge _Other(Dacrnitro) /IR In St I_ticttk-Co (try LTH _-O(h;i:(ooiciibo) oto:WI ailitypes of wetln are permitted by a given permitting authority) 4l)'Distancedrom'Sepdc'System If s200'k42A f-'l A Facility Description 12.Estimated'9tar('Date 13115stimeted WeIIDepthfl •Estimated-Casing Deptht. 'Primary Casing Diameter in. Open Hole: From _ Ta ft. S 14:.EsGmated`,Scre'en interva'I:From � To— R. 15,'Pilmary Casing Material: ' Black Steel T Galvanized _ _PVC _Stainless Steel Not,Eased O,Iher 1&.Secondary,Casing:. Telescope Casing Liner Surface Casing Diameter in. iT Secondary,Casing,Mateiial: Black Steel Galvanized PVC Stainless Steel Other 18:'Meth6d;ofC664tru6tlon,.Repair,.orAbandonmenC Auger 27fCableTool Jetted Rotary Sonic Comliinatiori(Two or,More Methods) Hand Driven(Wel[Point,Sand Point) Hydraulic Point(Direct'Push) •�'�Horlio......rlllin� Flugged'by Approve dMethod _Other potervio) 19:Proposed'OrouUng'•Iritervai for the Primary,Secondary,and Additional Casing: From" Ti SeM'MateriallBentonite ' Neat Cement Other ) From; '. To:'• Seal Material(; Bontonits : Neat Cement Other ) From To Seal Nlaterlal( B'antonile Neat Cement Other ) From..' ' To Seal Material( Benlonite Neat Cement Other ) 20.Indicate"totDlni mlier oP existing w`elis on silo 4' List number of existing unused wells on site 21'Is ihis weii t r;any existing well or-watenvtlhdrawal on the owner's contiguous properly covered under a Consumpt(ve/Water Usa.Permit.(CUP/WUP) or,CLIP1,MFAppilcation? Yes _'10 No If yes,complete the following:CUP/WUP No. District Well ID No. ,22:.,Latitude. Longitude `23`c`0ata;0blalnedFr6m: GPS Map Survey Datum: NAD 27 NAD 83 WGS 84 I haply CilrLry hatlwfdieapyuilh the yDk7►4 hi4a'o1T,U.40,Fbd"MmirWmif"Cedj,wWd tut owakr Ice�yNWl Mlhe f/Niar ariho prapady,tUl NDlnrwmaaan pravaedeaeeurau.Dntl WtlaAi ax�to grry iae pndtafarGSaarmtlisip�prnfL Yradap;has Bean aipu rA.ehrsNaprrorbwmxn;.emenlgr,ar 11m sot kcal uiUvAl.Wevrwlion provided rovide ro ma ml& nd DWIIhilo ifW dea W.'WnMek l.m wxiiuWbn.:l,Ludai wirry Nri 011 YdarnaLllr plaWtetl llVb apDrge0r111 arrna:v.mtl nut r:i oGrD'ir ms Ypuarete asst&L a oo.Wamatbn Droddedu arp;rata cnl llurthaio 6ilimud Na vmd nr O.eL iacas+e oDpmalicm agar h'dvd.abt er,L�c 1povemmenls,Y.ppr:W...l o;7nelo DrovNe avt7 ra�poo7ai61tel DiaLL^d Ytlora.OhnvanseMa Ual�trtp perocrncl or WtwllD or ealipiWdMhorNDr.'acc raoiDbron repoAV we D:slAclwiUJn 7adarti,illir,[CmDkaai-orW wn:Wcron,wpai,rnarTraain,a Ulha wca tYa Nrmp,U;.a centWcton,rcpiir,rne3riwCen,ar:Sardwnanl aulhgrsad Ey rNr permit nSu,douroaNav7ud{adhy Na'brrma,iraa permsri+pYalkrL rakh M oeeus ML —71 'Sign ure of;.0 ntMctcr , !License No. -Signature of•Owner,, go rAnt 'Data e . ..` (/ .. Approval'Grallod By Issue Oato /'�/�I (F_itpiration Dale ld ZJ�7 HydrologIiiApprovat u:ah Fee Recelvad S Recelpt No. Check No. THIS PERMIT,IS NOT VAUD UNTIL PROPERLY SIGNED.BYAN'AUTHORIZED.OFFICER,OR REPRESENTATIVE OF THE WMD OR`DELEGATEDAUT T PERMIT SHALGBE AVAILABLE AT THE WELL SITE DURING AU:.CONSTRUCTION,AEPAIR,MODIFICATIOM OR ABANDONMENTACTNITIES.• 0 P Y I I e I � N 3 FDOH in St. Lucie County Environmental Health $Site Plan Approved for Construction jupersedes All Previous Site Plans for DS#56,51-1-7S1fo29 &Well #6LE36(9 R ie er: 8 � z Z I a d W a� I I h N 89°59'5V'E a• a5 �• �oyt FND5/8'IR } N 89°59'5V'E 5 .01 NO ID ON lop Im� w of 10'0/5 lol ~ I ' LUNG 14b DRIVE �g 31 ti s o� � I I N ST Z Q I I I I m c 28.0' �`3 ti try oyt I t �� 1°�� SINGLE FAMAY SOUTH cZ qa' I b I 13 o MODULAR HOUSE LOT g I i i g m R (VACAI izu Il z I I rfgy�. tiy? I ti0•I I I _ ImpI-RI PROPOSED 0 o r- WELL I II tia ti3�50'0 10 tia! tia° N 89°45 FND 5/e°IR 5 89°59 ryp4� ti9 NO ID ON 4'HW/F END 1b d ffi l (POO I 110'0/5 5 0.50'E 39.0' UNF 0 FILE COPY