HomeMy WebLinkAbout2011 - SSTS i • f7 �� l
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Koch's Soil Testing
Box 81
Loretto, Minn. 55357
Tel 763-479-2637
John Adams Report ^��
p 9/22/2011
Tel; 612-293-9438
Job Site; 4550 Wolver ton Place, Maple Plain ( Orono ) Minn.
Work done; Compliance inspection of the present drain field.
Type of system installed ; Mound system installed 5/5/1988
Size of mound system ; 50 ft. wide by 100 ft. long ( Ave. Size )
Size of Rock Bed; 10 ft. wide by 50 ft. long—500 sq.ft. (4-bedroom home)
Amount of sand under the rock bed— 1 ft.
Size of septic tanks 2-1000 gallon sealed tanks
Size of pump tank 1-1000 gallon sealed tank
Two soil borings were done along the same land contour that the mound system was
installed on to determine the type of soil profile that existed, where the mound was placed
on.
Soil boring# 1 indicated mottled soil at 24 inches ( 2.0 ft. )
Soil boring# 2 indicated mottled soil at 27 inches (2.2 ft.) See Soil boring logs.
Mottled soil is consider the high seasonal saturation level that exist during the wet
seasons (fall and spring)
With,,the 1 ft. of sand under the rock and mottled soil level at 2.0 ft. the require 3 foot
separation from the bottom of the rock bed to mottled soil level is satisfied.
However when the tanks (2-1000 gallon septic tanks & 1-1000 gallon pump tank)
were inspected it was discover that they all were full'into the risers which
indicates that they are over there capacity. Therefore they require immediate pumping
before they backup into the house or bleed out onto the surface.
With the above situation this system is consider to be a potential health threat and must
be corrected immediately . by pumping these tanks ( all three tanks ).
Only after the tanks are pump the tanks can be accurate inspected as to the condition of
the baffles.
Also when the pump was plugged in, the pump did not work and there was not any
electric at the pump outlet. This could mean that the pump by not working causes the
circuit breakage to go to the off position, or there is a problem with the electricity to the
pump outlet.
Therefore this system is consider to be A HEALTH THREAT AND MUST BE
CORRECTED IMMEDIAT LY.
ettjt ec,e) . ill Pc iq /4
Minnesota Pollution Compliance Inspection dorm
• ,• !•' Control Agency
520 Lafayette Road North Existing Subsurface Sewage Treatment Systems (SSTS) i
-- St.Paul,MN 55155-4194 11
19 311 I $ a 33 t Do 6 For Local Tracking Purposes — —'
Parcel number.
System status: ❑ Compliant 0 Noncompliant
(based un all cuii pliance requirements)
Summary Form
•
Property Information _ (1 — --
Property owner nante(s): `�E L T c IZ,_ -:J`h�` A DA r1�5 "Ta & ed 2_ z4 -9Y-3S
Property address: _LA550 ,1pl, IZY f�`"
t,,� kJ;/ e a ui A /11APIE w/1i -_-OAol
Property owners address (if different):
County: 44�.'t,N ._ _ Property owner phone Permitting authority: �.,t`f�t/ o F Ql�iti G
Date system constructed:.IS/ 19 le Reason for inspection: !_,5 c LI`t v'et
System Description 1 ,
- Brief system description: fl o ND S I5li/a- $ 3- 1 000coaCT Z.5(44_ I•- jn 714rjK
Local permit number: Number of bedrooms: I Design flow rate: Go G ' f<Q •
Is the system:
In Shoreland area? 0 Yes ® No in Wellhead Protection Area? ❑ Yes ki No
An U.S. Environmental Protection System serving a Minnesota Department
Agency (EPA) Class V Injection Well?0 Yes LK No of Heath (MDH) licensed facility? ❑ Yes [4 No
•
Compliance Status(Based on slate requirements - auaiuonal local requirements may also apply.)
Bas d on information gathered and reported on aft: :nea bourns, the compliance status of this system is (check one):
❑ Certificate of Compliance-valid until (3 years irorn cute of report): _
At Notice of Noncompliance-For Noncompliant systeti : • _
The reason for noncompliance is: 14/J/r5 A.;‘-':. _,€,) p i,Jfnp,i _y Er i L ) r)-% t 7U/W P T_,t:)e_i)t 1 -
This noncompliant system is classified as (check one below):
I Imminent threat to public health& safety 0 Failing to protect ground water 0 Not in compliance with operating permit
Certification (Completed form must be submitted to the local unit of government within 15 days.)
' /hereby certify that all the necessary information has been gathered to determine the compliance status of this system. No
. determination of tuturo system performance has been nor can be made due to unknown conditions during system construction,
posy use of the system, inadequ t aintenance, or future water usage. 1 �/ '
• Name: tri/ 1 t.-I )q . rte' Certification number:-rt / / L.
Business license name and number: (/ l_ _'_3___ So % L j5 /! 9i3 ._-- c
Name of local u overnment: (�. / G!f' 0 .(i/(-1 G
/ x1�_ c, Date: .2/ '7,V'7,VLC'
Si:d nature: d
•
Required Attachments Inspcctur Complete: This Inspection Report is pages long.
•
Check compliance forms attached: 0 Hydraulic Penonnace Tank Integrity LgSoil Separation
0 Operating Parrnt =our: tai
applicable) 14,Syslem drawing/As-built drawing 0 An esscssnientny
local requirements that are different from wnat is ie:quuuu oil Ii,,:.
• town &Soil Boring Logs 0 Abandonment form (if appropriate) ❑ Other information(list):
Upgrade Requirements (derived from Minn. Slat. § 115.55)An imminent threat to pectic health and safety(ITPHS)must De upgraded,repriced or
its use discontinued within tan months of receipt or this notice or within a snorter period it required by local ordinance.It the system is failing to protect ground
.later,the system must be upgraded,replaced,or its use disconununu wrmin me time required Dy local ordinance.I1 an existing system is not tailing as oarincd,Ii
law,and has at least two feel of design soil separation, then the system need not De upgraded,repaired,replaced,or its use discontinued,notwitnstanorng aril
tool ordinance That is more strict. This provision does not apply to systems in shoreland areas, Wellhead Protection Areas,or those used in connection with rood,
beverage.and lodging establishments as defined in law.
• wq-h'wists4.31 Compliance Inspection Form for Exisriny STS
' Parcel number: 3 ) I )Scy 33/ 00 0 5 System status: ❑ Compliant gt Noncompliant
(as determined by this form)
Hydraulic Performance and Other Compliance -
Compliance Issue #1 of 4
IL-LaiZO If Reu:>or. uuservation. C--...L ....1 /w5
Date of ubsc-rvation:
-I his form expires upon next inspection or in mice yeu I s. wnichever occurs first.
Compliance questions/criteria: (Required) Verification Method': (Optional)
(Ctmck the appropliate box) (Check the appropriate box)
Does the system discharge sewage to the ❑ Yes (3 No ® Searched for surface outlet .
1 -groune_su face? - - — 0 Performed hydraulic test
Dues the system discharge sewage to drain ❑ Yes ® No ® Searched for seeping in yard
tile or surface waters? -__
I-,Does pre system cause sewage backup NYes ❑ No -E. Checked for backup in home
IMO dwelling or establishment? ❑ Excessive ponding in soil systemiD-boxes
Do other situations exist that have the kl Yes ❑ No Homeowner testimony
potential to immediately and adversely Examined for surging in tank
impact or threaten public health or safety
-I�lectrica-,_unsafe covers,etc)? • -____-__ ❑ "Black soil" above soil dispersarsystern
Any"yes' answer indicates that the system is rnr imminent System requires"emergency" pumping
rnreat to public health and safety.
.___-.__-_ ❑ Performed dye test
Does the system pose a threat to ground 1 `IIS Yes ❑ No ❑ Other0 Ai;4. 7µNr (S /4(LG_ tj►tel
water for any conditions deemed non- i
,totec,tive as determined by the ins ector? i ECt) 1 l)l \atn'r
1. P-- � A- --
"Yes"indicates that the system is failing to protect ��v MP 1 • S N''` �` . �"C ^-_--
ground water. If"yes", describe the conditionroted: •No standard protocol exists. This list is not exhaustive,
{� • __ ___ _ in sequential order, nor dpes it indicate which' - - combinations are necessary to make this determination.
Certification .
This forni is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be
completed by an inspector. Completed form must be submitted to the local unit of government within 15 days.
Property owner name(s): k.A Oh it)D 6 i s- CiZFH i.r>i2) -Ai
_ -----
z. To T&4eE) g74/4.4-.--p ,4-1A)� �l1A) (afZo„Jo)Property address: S � G �t 2_ ) fro
Property owner's address (if different): 640---01C173-4-
•
,_1 , _ (-
County: k �C"" , Phone: V(0 fir_
--- -- Gf2 - 2-c - ti,-f
1 hereby certify that 1 personally nlrade the ()User iuc,ur,s, interpretations, and conclusions reported on this bourn unci mal :ney clre
coirect.
"_,,,/Z - •
Name: I Cj ; c(_1-1 Certification number: /4/ 2 7
Business license name and number: �
1 t �5 so 'L.. T 57Iw9 1/ /93 --- or
Nanru of localf overnme� Kc: �—
nnt: C._,/ r` c' F Q/ (s1vo --- --
Signature: " L ^" l ...--- •Date: �"2 a/ ZG 0 --- —
•
wywwists4-31 Compliance Inspection Form for Existing SSI S
d/1/UJ ,
•
•
• :Parcel number: 3 /1/ $ 3 3 /00G 5 System status: ❑ Compliant ®,Noncompliant
(as determined by this form)
Tank integrity and Safety Compliance
Cclnpllance Issue #2 of 4
Date of observation: -2, Zi• C/ i;e :;u iv .,Uservation: 5 El._k,i ttii
This roan expires on (three years):
Compliance questions/criteria: (Required) Verification Method": (Optional)
the appr9pniale box) (Check the appropriate box)
Does the system consist of a seepage pit', D Yes t o ® Probed tank bottom
_cesspool, drywell, or leaching pit? —�
❑ Observed low liquid level
Do any sewage tank(s)leak below their ❑ Yes LK No
designod operating depth? 54 Examined construction records
P "If yes, identity which sewage ❑ Examined empty (pumped) tank
f tank leaks.
-- ------- ---- - -- - ❑ Probed outside tank for"black soil"
Any "yes"answer indicates that the system is failing to protect ❑
ground water. Pressure/vacuum check
❑ Other:
• ' Seepage pits meeting 7080.2550 may be compliant if allowed
in ordinance by local permitting authority.
"No standard protocol exists. This list is nut exhaustive, in
sequential order, nor does it indicate which combinations
are necessary to make this determination.
Sarty Check
1. Are any maintenance hole covers damaged, crackea, ur appeared to be structurally unsound? ❑ Yes' No
2. vVere all maintenance hole covers replaced in a seem u manner (e.g., all screws replaced)? Q Yes D No'
•
3. Was secbnuary access restraint present (safety pan• sewna cover, or safety netting)-highly recommended. ❑ Yes l No
4. Was any other safety%health issue present? $J Yes' %I Nu
i:xplain: AZ-4 3 Moks Af.L C‘V Ll. Atop NE. ED I rn 1 FD' 4-T t ---p u t>1
*System is an imminent threat to public health and safety.
Certification
This twin is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance
• Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be
completed by an inspector,maintainer, or service provider. Completed form must be submitted to the local unit of government within
15 days.
tt,
Property uwner name(s): (.„.) J_ ivy; -Ei)-&TOR:R:
Property address: ?� G fly (moi v u �C/N�F ��/�j��E P.< i, hJ (J/ os.G� /41`V
Property owner's address(if different): 7��
County: 6/UN- _ --- -- -- Phone: 0 • •
it/ 2 Vey - 9t/ 3`K-
f nuneby cellar tat I personally made the observations, rt;rorpretations, and conclusicins reported on this form and that thwy o,v
COrr,:Ct
Nanta: dais-
Certification number: / -7 -2-?
Dusiness license name and number: c.(' N' 'S Sc:-/G- "roc" 5 7/4-47 / /- j r
N,,ine of local unit v nment: C1'./7 r ' t cvevw,-,
Signature: c/-!: a c ,L _ -- - Date: V2,' 'e-c:f/
wq-wwists4-3I Compliance Inspection Form for Extsrinj SSTS
•
. , Paloel number: 3 a I v a 33 too c_,5 System status: INCompliant 0 Noncompliant
(as determined by this form)
•Sod Separation Compliance and Other Compliance
Compliance Issue #3 of 4 ,
q
Date of observation: '7 1st/—45:,/1 Reasut ! f ousetvation: r 144-1
This intunnulton on this form does not expire -j/ '2_4/•-zoi si
Compliance questions/criteria: (Required) Verification Method": (Optional)
(Check the appopriate box) _-_-- (Check the appropriate box)
For systems built prior to April 1, 1996, and not
[ii Conducted soil observation(s) (attach boring logs)
located in Shoreland or Wellhead Protection
0 Two previous verifications (attach boring logs)
Area or not serving a food,beverage or —
lodging establishment: 0 Other: Mr)e' ti i) Rs kis i�.i�21 �_
Does the system have at least a two-foot . I,�A cc- V 1'�rpt (Z 1 ci< ,at l�
vertical separation distance from periodically s f�1 n�A� _ ti
saturated suit or bedrock? �, ' Yes 0 No / `11�7`'4`For non-performance systems built April 1,
1990, or later or for non-performance systems Soil observation does not expire. Previous observations
located in and or Wellhead Protection by two independent parties are sufficient, unless site
Areas or serving a food, beverage or lodging conditions have been altered.
establishment:
Does the system have a three-foot vertical
separation distance from periodically saturated
soil or bedrock?' `(,•s ❑ No
. i —
For reduced separation distance systems (i.e.,
-perturmance"systems under old 7080.0179 or . ' May be reduced by up to 15 percent a aua.•,e;: iii tucai
Type IV or V system under new 7080.2350 or ordinance.
7080.2400): "No standard protocol exists. This list is not eAnaustive,
Does the system meet the designed vertical in sequential order, nor does it indicate which
separation distan from periodically saturated combinations are necessary to make this
soil or bedrock?' ❑ Yes (] No determination.
Any"no"answer indicates that the system is failing to protect
ground water.
•
Certification
This form is to be completed and attached to the Summary Form of the Minnesota Pollution Control Agency's (MPCA) Compliance
Inspection Form for Existing Subsurface Sewage Treatment Systems. Observations, interpretations, and conclusions must be
completed by an inspector or designer. Completed torn must be submitted to the local unit of government within 15 days
Property owner name(s): A-o -pi' 5 (------ E-1-/ Tc r� ) i v n_ ) �/
Property address: 5 S.c.) Wai; ✓E/Z / c,1,, - 4e_lE /7�f/C /'(/ �S) CC//2ct-Lic) A/ iii
owner's address(if different): —
County=�:/v/) — — Phone: CO
(ct . --Z _ 9 -31
I hereby certify that I personally made the observations, interpretations, and conclusions reported on this form and tnat tray are
correct. �( �/
Business license name and number: 7( C�
Name: O �� / vq ' ` (.: Certification number: / -----------
_y C 67/.5G�
J � / E57/ �c� 3 or
k / ! --- --
Name of local unit of g rn ent. C / T t. / —
0 ,C' Date: RI-3,-Z-7ZP // ----
Signature: •tl ----
wrt-wwists4-3l Compliance Inspection Form for Exi;rins SSTS
-ii,/o
.
Si-,- -•
I .
U of MN Onsite Sewage "Treatment Program Soil Boring Lou
Client/Address: �� h N AtiA, �4 . .egal Description/(;I'S: Date: -- . . _._ .�
e—/(55 , 0,,ca,E S.,;0,v�"PkA c e �( �" 2 0 !
Soil Parent I1\Iaterial(s). I it Oul\t•ash I,acustrinett.: Alluvium Loess Organic Matter Redruck(circle all that apply)
• Landscape Position: Summit Shoulder Cack/Side Slat Foot Slope Toe Slope — — ---
(circle one) —
Vegetation: GRA5.S Soil Survey Map Unit(s): / 1
Slope (c/�): /��� -1
Weather conditions/lime of Day: e (/E/Le.,4 57 —- "iN.,
---------__ --- Slope Shape: Li—
•
Depth(in) texture Matrix Mottle Redox Saturate(! Soil — _ --
-
Indicator(s) I Structure 1
Color(s) Color(s) Kind(s)
,�—��, �/ — -- - (see back) Shape Grade
___ _ Consistcncc
Cr 'y c(11)CCIIIr:1np11S Model ` Fri-hi••.
Depletions ltl,.ikv ---
til,•n+_
t/ �e ��\ ensn,at,i Minn
0 -- f LCA ' •Y \ `cr(//Zi/j Gleyed
I „;i I.�Ircmill I inu
— _ Massive Rigid
Q�/ F ons
Granular weak I ,Nr<i
Concentrations
Iah
i3kuµ,AJ Moderate +I.
j Pr isn+atui
jq_ C- 4(iA •5 V 5/� GleyedSmgk.Grain I.u,,:t.
I ♦hirut'I\ Vim
/ Mass,vi le 119(1
n ,\�cah I n„<i
(OnC
Z���-"' 4�R CnlraltUns flat, \l tI rali I ri:,hli
Depletions ) i ttt"it,`
( 2w5 Y��� p tilrnn_ ..u,+
�, - 1'nsm:U,i
Gleyed
Inn a.
�� C� , y f0 - �` tn+glc G,a,,, 1 vtrcmelt Firm
��I:,s"+r I(c,J
(3 ) ray sig ---- — 1 tall — — ---
1 Concentrations M4+Jrrale 1 riahk
) Depletions Itlrxt t Strong -
Prism:11w I
Gleyed Single Gram I iw+se I Mtrin+ih Firm
Massive Ki:•itl_
-
(+ranula, \\•t::t: I.,N,se
Concentrations P1al, M,+Jtr:,1c I,;:,blr
De letions Itl`N;t;`
P Prssmattc Stroll!! Firm
Gleyed single Grain I.unsi I.wonil, Firm
-----ri — ...f Mass,ve I(i�iJ
Grarndar \\e:,l. 1 --
L nu<c
Concentrations Platy Motler:,tt' I nahli
Depletions mod.) titmnc
I'rsmat,i 1 irn+
Greyed I singI( + Loose 1.xUimih I um
Massrte.eauI(i;•i 1
Comments: 7atfigace s 7 ` 1 �i�Gj �(�
'Spe„0,71f"Yf' 1!`°70"" -'pfd,,. ` .f,,,g, ,ak'xMRR.1R2 roi.�i3 �`..!, . :- .'M'.'Fr L!!'.t e' ..t4•�e� AW �: 'p el'i :>.,;...c-.-. . ',std 'Js•: *-, P",% e' a5 r.,
'U of MN Onnsitt Sewage 1 re i(n elnt v a`=ram of Bo • :� C � ` ,,•qi
f.
,4.. ♦ r,- 4.,‘,.....„,,,,p4,..:; •h Ix ._��. y+;:.. i •/,...: .l ti Log r t .ty� cti -:--...."4(4*
y.K '.
1 ' �..r ,y .,., : S r +t '' ...;«h :i ,,...-„,4-w.,,:,,-;,-..,_.:: e Y, „..1.,,....-a. -. i' j -'-::--.',..: '.1'. .:'.--'
i 7 ii " '
ClicatU Address:
Z� N A� kc, 2s, ,egal Description/( PS: "_
45Sc (4,o( t ogv ;,. Date:
m/4"44' 414-/A'l Mme, .Ce r' o, r/20Na� rZ �'D�l
Z. Soil!'t+rcnl t►1:Ur17a1 c
l ) iljj Outwasll I.ncuslrinea Alluvium Loess Om:uticMatter ; Bedrock ------
�`(cirde oil(lint p� lv) '' .j`'.: .:7
• Landscape Position: Summit . Shoulder. N I3ack/Si(Ic SI foot Slope Toe Slope
(circle one)
Vegetation: 0/24 :Soil Survey Map Unit(s): Slope(%): It�f
•. - Weather conditions/rime`af Day: 407/ElLe.A.ST'-.3/,
Slope Shape: •LL •
Saturate(!Soil
Depth(in) Texture Matrix Mottle Redox Indicator(s) 1 ••
Structure l
• Color(s) - Color(s) Kind(s) (see back) Shape _ Grade
p _ Consistence
-.-3/4-1Q./
[ t jn (/ Granular T\Vial; L1 ,.. l
�J^�•v`. ConcentraVis 1:,1. _I--� 1
i r / �I!,Jcralc
C��y Depletions tttl,il Str„n
t Finn
Gleyed fir*•k(.
lavil r� tJ 1.\ircntilt Iirm
1 Massiac Rigid
(:ranulae 11K ISC
- oUU� \
`�6--)7 Concentrations �-Leal_ Ma*tkralc Friable
t/ 73 � `'� j
Depletions lil/.ckv iron_
Pri:natk �' Firm
I7 _-Z-Z_ C-hMy Gleyed \utglc(:ram 1`K'se Rigid id eh Firm
Maxsi7c IGgul
_ (:ranular
''11 E \\1:11 Look'
v�� (-Concentrations PIA!,
i. .' M/Ktcratc I ri /
Fjl�w _ �`�/ �// _ Depletint1S 111oek. Inln_
et / `�t ./'� _ /
Prismatic LI'11711
22 3 C Pt y b //_ , I� /Q Gleyed 5 ` ' Sn ( I.IM 1�l' I'\Ifl'llh l\ I In11
7 r�J C' ti0 7 / 5 Q v a(ka/11
Max<Ise� kiiiJ
C 3 II`(��J (:ranul:N \\e:ik I IMI
•
J Concentrations Platy Mllderlte Priahk
Depletions MockSlnnlg =
Finn
Prisnata
lin
Gleyed gkCeam I-itpse 1:Nwin l� (Inn
Max<ive kir<
(:ranutal �\cal; I.innv
i Concentrations flat`' MlKkrate Priahk
Depletions Bloat,. Strong Pinel
Prislrcnlc
•
Gleyed SingleCrain 1.iwsse I:\ireii11:II:inti
Z. Massive Itigid
(:ranular \\'c:ll
1.111..«
Concentrations • Plan Moderate I:riahk
Depletions mock. Strong
Prismatic Finn
Glcycd Single Grain Loos,: I itrentch I:'
�n & n assite
Rigid
•
Comments: / 0 l Ot s c ) ,, ,/e ” cage4 �aJ.j t ' •
. Y � � •
i
.•:.•..-..'
:..^ SEPTIC SYSTEM INVENTORY
Q
PID: 3111823310005
4 • ress: 4550 Wolverton Place
";,• ,dame: James L.Harstad
•;;.!A,�� _Address: 4550 Wolverton P( Maple Plain MN ' 55359
• g Type: residence Installer:
of Permit: 5/5/88 Ingleside Engr.
Type: mound BRs Designed for: 4
Lap?: No Shoreland?:
EPTIC COMPLIANCE INSPECTION
Report Date:
.•tea. , W. Expires:
r •& ,,r• pliant?: Report in Street File?:
I
= 4 Site Address: 4550 Wolverton Place
SPECIAL NOTES I
'is;`` .06/02/08 2008 Septic Maintenance Report Letter Sent •
..:03/16/09 2009 Septic Maintenance Report Letter Sent
yc
1_,
TI . ,. -
- tend( precast concrete Capacity: 1000, 1000, 1000 Tank Filter:
'II':.a RAINFIELD '
Area; 83'43 Soil Boring: no DF Ht above Wt: 3
,N;7**'-':,‘,,,,,'
` ELL DATA
4
' Fgtbacks-Well-Tank' 90 Well-DF: 140 Report in File?: Depth: 160
t.
art„ , I,,`:`. INSPECTION RECORD PUMPOUT RECORD
.1 ', Description Date Gallons
‘., installation 08/02/05
•
h ...--':;-;1.-t.
• 121:-,,,4. no surfacing
r. no surfacing-pump tanks
• no surfacing-pump tanks,fix elec.box
r• code system-pump tanks,fix elec box
no surfacing,pump tanks I
' 0C '' no surfacing,pump tanks(3 yr)
r t Pump tanks
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Soli Testing
Box 81
Lorelco, c�tinn . 55357
i'":..77r0 ( 'AO VI 1\) CC961i) .
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;, , 193/ 1929
�+ ; och M. P. C.A. Cert . II
Robert A. K
- .4A-1f