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HomeMy WebLinkAbout52 Hawk Ln - 247106302019INDIVIDUAL SEWAGE DISP SAL SYSTEM P RMIT
EAGLE COUNTY ENVIRONMENTAL HEALTH DIVISION
P.O. Box 179 - 500 Broadway • Eagle, CO 81631
Telephone: (970) 328-8755
COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. REPAIR PERMIT NO. 1720-97 BP NO. N/A
ORIGINAL PERMIT # 990-90
OWNER: DAVID BRUCE CAMPBELL PHONE: (507) 234-6631
MAILING ADDRESS: 1938 425TH AVE., JANESVILLE, MN 56048
APPLICANT: SAME PHONE:
SYSTEM LOCATION: 0052 HAWKS LANE, BASALT, CO TAX PARCEL NO. 2471-063-02-019
LICENSED INSTALLER: FRYING PAN CONSTRUCTION JIM HOLTON LICENSE NO. 51-97
DESIGN ENGINEER: PHONE NO.
EXISTING SYSTEM CONSISTS OF: 1000 GALLON SEPTIC TANK 720 SQUARE FEET OF BED ABSORPTION AREA VIA INFILTRATORS.
INSTALLATION HEREBY GRANTED FOR THE FOLLOWING:
844 SQUARE FEET OF TRENCH ABSORPTION AREA VIA 27 STANDARD INFILTRATOR UNITS AS REQUESTED BY OWNER.
SPECIAL REQUIREMENTS: INSTALL A DIVERSION VALVE AFTER THE TANK TO ALTERNATE FLOW FROM ONE FIELD TO THE OTHER, AND
TO ALLOW EXISTING FIELD TO RECOVER FROM FAILURE. REPLACE ANY DAMAGED INFILTRATOR UNITS IN THE EXISTING FIELD. IN-
STALL NEW FIELD IN SERIAL DISTRIBUTION. IN TRENCHES WITH INSPECTION PORTS AT THE END OF EACH TRENCH. MAINTAIN ALL AP-
PLICABLE SETBACKS. CALL THE COUNTY FOR FINAL INSPECTION PRIOR TO BACK -FILLING ANY PART OF THE INSTALLATION, OR WITH
ANY QUESTIONS.
ENVIRONMENTAL HEALTH APPROVAL: DATE: AUGUST 8 1997
CONDITIONS:
1. ALL INSTALLATIONS MUST COMPLY WITH ALL REQUIREMENTS OF THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS,
ADOPTED PURSUANT TO AUTHORITY GRANTED IN 25-10-104, 1973, AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRUCTURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND BUILDING
REQUIREMENTS, CONNECTION TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND BUILDING DEPARTMENTS
SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT BOTH LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. CHAPTER IV, SECTION 4.03.29 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM TO
BE LICENSED.
FINAL APPROVAL OF SYSTEM (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMPLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM REGULATIONS UNTIL
THE SYSTEM IS APPROVED PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET (VIA )
INSTALLED TANK: GALLONS IS LOCATED DEGREES AND FEET FROM
COMMENTS:
ANY ITEM NOT MEETING REQUIREMENTS WILL BE CORRECTED BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN
WORK IS COMPLETED.
ENVIRONMENTAL HEALTH APPROVAL DATE:
(Site Plan MUST be attached)
ISDS Permit
APPLICATION FOR INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. O. BOX 179
EAGLE, CO 81631 -
328-8755/927-3823 (El Jebel)
* PERMIT APPLICATION FEE $150.00 PERCOLATION TEST FEE $200.00
* *
* MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER"
PROPERTY OWNER:
MAILING ADDRESS:
APPLICnNT/ C^NTACT PERSON.* s�Ililc-� PHONE • (S07) 2-311- 66,31
MAILING ADDRESS:
LICENSED ISDS CONTRACTOR: LLi/!7 �7(]�iZ77/)/ PHONE: (9773 ) 379-3027
COMPANY/DBA: �anld AAA Panlsr/?Wr/'aA/ADDRESS:
0725 1VC1#0C1iN Ln/ 69sw r 91621
***************************************************************************
PERMIT APPLICATION IS FOR: ( ) New Installation ( ) Alteration (k Repair
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Building Permit #
Legal Description:
( i f known)
Subdivision: /4t 0/S/WCS Filing:ZBlock: Lot
No. /I/
Tax Parcel Number:, 4/ % / -Q 3 -Q Z - 0 / 9 Lot Size: _ 6'
Street Address: 004�? #R(41K MIA- BA ,o9-u- 161f l'o 81,621
***************************************************************************
BUILDING TYPE: (Check applicable category)
( Residential/Single Family
( ) Residential/Multi-Family*
( ) Commercial/Industrial*
TYPE OF WATER SUPPLY:
Well ( )
( ) Public Name
(Check applicable category)
Spring ( ) Surface
of Supplier:
Number
Number
Number
Type _
of Bedrooms
of Bedrooms
*These systems require design by a negistered Professional Engineer-?
SIGNATURE: Date: _7-d�4 9/
TO BE COMPLETED BY THE COUNTY
AMOUNT PAID: RECEIPT #:
CHFCK ;�:
DATE: _
CASHIER:
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE: November 5, 1997
TO: Zamora Excavating
FROM: Environmental Health Division
Eagle County Building
P.O. Box 179
500 Broadway
Eagle, Colorado 81631-0179 -
RE: Reissuance of Individual Sewage Disposal System Repair Permit No. 1720-97,
Tax Parcel #2471-063-02-019. Property Location: 0052 Hawk Lane, Basalt, CO.,
Campbell residence.
Enclosed -is your ISDS Repair Permit No. 1720-97. It is valid for 120 days. The enclosed copy
of the permit must be posted at the installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call our office well in advance for the
final inspection.
Due to weather constraints all permits issued before November 14, 1997 must be completed
by December 1. 1997 for final inspection.
Also enclosed is the ISDS Final Inspection` Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Enclosure: ISDS Final Inspection Completeness Form
Community Development Department
(970) 328-8730
Fax: (970) 328-7185
TDD: (970) 328-8797
EAGLE COUNTY, COLORADO
DATE:' August 8, 1997
TO: Frying Pan Construction
Eagle County Building
P.O. Box 179
500 Broadway
Eagle. Colorado 81631-017 9
FROM: Environmental Health Division
RE: Issuance of Individual Sewage Disposal System Repair Permit No. 1720-97, Tax
Parcel #2471-063-02-019. Property Location: 0052 Hawk Lane, Basalt, CO.,
Campbell residence.
Enclosed is your ISDS Repair Permit No. 1720-97. It is valid for 120 days. The enclosed copy
of the permit must be posted at the installation site. Any changes in plans or specifications
invalidates the permit unless otherwise approved. Please call our office well in advance for the
final inspection.
Also enclosed is the ISDS Final Inspection Completeness Form. The items on this form need
to be completed before you call for your final inspection. Also, please note any special conditions
which may have been placed on the permit. If all items are not completed, a reinspection fee
of $42.50 must be paid before a reinspection is made. Your building permit CO will not be
issued until final approval has been given for the ISDS Permit.
Permit specifications are minimum requirements only, and should be brought to the property
owner's attention.
This permit does not indicate conformance with other Eagle County requirements.
If you have any questions, please feel free to contact the Environmental Health Division at 328-
8755.
cc: files
Enclosure: ISDS Final Inspection Completeness Form
ISDS Permit # 111?e) /
Tank is �, M gal
Date-2 l3 s
ISDS Final Inspection_
Completeness Form
Tank Material
Tank is located
ft. and
degrees
from
.J \
(permanent landmark)
Tank is located
ft. and
degrees
from
(permenentlandmark)
0�
Tank set level.
Tank
lids within
8" of finished grade.
Size of field
ft2
units
lineal ft.
Technology 4 / iti S C - 3Ic
Cleanout is installed in between tank and house (+ 1/100ft) . ;ri54de wa.XL_
There is a "T" that goes down 14 inches in the inlet and
outlet of the tank.
Inlet and outlet is sealed with tar tape, rubber gasket etc.
Tank has two compartments with the larger compartment closest to the
house.
Measure distance and relative direction to field. J5 f- . [n-gj
_L Depth of field J? ft.
Soil interface raked.
Inspection portals at the end of each trench. tvaa G6c& /-0
Proper distance to setbacks.
vl Chambers properly installed as per manufacturers specifications.
(Chambers latched, end plates properly installed, rocks removed from
trenches, etc.) kelki l i +,2 �reuG1 h l-ff-A
I1 Type of pipe used for building s&Wer line 5P43-S , leach field LP -
IV Other
Inspection meets requirements.
Copy form to installer's file if recommendations for improvement were
suggested.
ACTION TAKEN:
Setbacks
Well Potable House Property Lake Dry Tank Drain
Water Lines line Stream Gulch
Field
100
25
20
10
50
25
10
10
Tank
50
10
5
10
50
10
*
10
CALCULATED ev DATE
CHECKED BY DATE
imm Agais 074,71 !- Cx!'PAME TOU r.EE!4*22:-!M
990-90 TxPrcl# i/GU—y/ laxif Z4/1—U0J—UZ—U1V
Lot#14, Filing 2 CAMPBELL
JOB `NAME. — Lot 14,Blk 2,Reudi Shores II Ruedi Shores Subdivision
Floyd Hoogeboom/Bruce Campbell 0052 Hawk Lane
aoe No, AV
OB LOCATION
BILL TO
DATE STARTED
DATE COMPLETED
DATE BILLED
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JOB CO SUMMARY
TOTAL SELLING PRICE
TOTAL MATERIAL
TOTAL LABOR
INSURANCE
SALES TAX
MISC. COSTS
TOTAL JOB COST
GROSS PROFIT
LESS OVERHEAD COSTS
% OF SELLING PRICE
NET PROFIT
.JOB FOLDER Product.278 j�® NEW ENGLAND BUSINESS SERVICE, INC., GROTON, MA 01471
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(612-) 281- 0698
INDIVIDUAL SEWAGE DISPOSAL SYSTEM PERMIT
EAGLE COUNTY DEPARTMENT OF ENVIRONMENTAL HEALTH
P.O. Box 179 - 550 Broadway • Eagle, Colorado 81631,
Telephone: 328-7311 or 949-5257 or 927-3823
YELLOW COPY OF PERMIT MUST BE POSTED AT INSTALLATION SITE. PERMIT NO. 9 9O
Please call for final inspection before covering any portion of installed system.
OWNER.Floyd Hoogeboom & Bruce Campbell PHONE: 927-4564
MAILING ADDRESS: P.O. Box 17 Merideth, CO 81642 719-495-3966
AGENT: Floyd Hoogeboom & Bruce Campbell
PHONE:
SYSTEM LOCATION:
LICENSED INSTALLER: LICENSE NO.
DESIGN ENGINEER OFSYSTEM,
INSTALLATION IS HEREBY GRANTED FOR THE FOLLOWING:
1000 GALLON SEPTIC TANK OR GALLON AERATED TREATMENT UNIT.
DISPERSAL AREA REQUIREMENTS:
680 SQUARE FEET OF SEEPAGE BED 523 SQUARE FEET OF TRENCH BOTTOM. 180 f t. of SB2 per owners reques
SPECIAL REQUIREMENTS: Inspection portals In system.
ENVIRONMENTAL HEALTH OFFICER: DATE:
CONDITIONS:
1. ALL INSTALLATION UST COMPLY WITH ALL REOU PEEME THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL SYSTEM
REGULATIONS, ADOPTED PURSUANT TO AUTHORIT TED IN 25-10.104, C.R.S. 197$ AS AMENDED.
2. THIS PERMIT IS VALID ONLY FOR CONNECTION TO STRU TURES WHICH HAVE FULLY COMPLIED WITH COUNTY ZONING AND
BUILDING REQUIREMENTS. CONNECTION TO OR USE WITH ANY DWELLING OR STRUCTURE NOT APPROVED BY THE ZONING AND
BUILDING DEPARTMENTS SHALL AUTOMATICALLY BE A VIOLATION OF A REQUIREMENT OF THE PERMIT AND CAUSE FOR BOTH
LEGAL ACTION AND REVOCATION OF THE PERMIT.
3. SECTION /it, 3.21 REQUIRES ANY PERSON WHO CONSTRUCTS, ALTERS OR INSTALLS AN INDIVIDUAL SEWAGE DISPOSAL SYSTEM
TO BE LICENSED ACCORDING TO THE REGULATIONS,
FINAL APPROVAL OF SYSTEM: (TO BE COMPLETED BY INSPECTOR):
NO SYSTEM SHALL BE DEEMED TO BE IN COMLIANCE WITH THE EAGLE COUNTY INDIVIDUAL SEWAGE DISPOSAL.SYSTEM REGULATIONS UNTIL THE SYSTEM IS APPROVED
PRIOR TO COVERING ANY PORTION OF THE SYSTEM.
INSTALLED ABSORPTION OR DISPERSAL AREA: SQUARE FEET.
INSTALLED SEPTIC TANK: GALLONS DEGREES FEET
SEPTIC TANK CLEANOUT TO WITHIN 8" OF FINAL GRADE, OR:
PROPER MATERIALS ANDASSEMBLY YES NO
COMPLIANCE WITH COUNTYISTATE REGULATION REQUIREMENTS: YES NO
ANY ITEM CHECKED NO REQUIRES CORRECTION BEFORE FINAL APPROVAL OF SYSTEM IS MADE. ARRANGE A RE -INSPECTION WHEN WORK IS COMPLETED.
COMMENTS:
ENVIRONMENTAL HEALTH OFFICER: DATE:
ENVIRONMENTAL HEALTH OFFICER: DATE:
(RE -INSPECTION IF NECESSARY)
RETAIN WITH RECEIPT RECORDS PERMIT
APPLICANT/AGENT:
OWNER:
AMOUNT PAID: RECEIPT #: CHECK #: CASHIER:
A PLICATION FOR INDIVIDUAL SEWAGE DISPOSAL_ SYSTEM PERMIT
949-5257 Vail
ENVIRONMENTAL HEALTH OFFICE - EAGLE COUNTY
P. 0. BOX 179
EAGLE, COLORADO 81631
328-7311 Eagle
Number: 15�? /
927-3823 Basalt
PERMIT APPLICATION FEE $150.00 � PERCOLATION TEST FEE S125.00
NAME OF OWNER: r1 1y N ©0 boa ®o" &X&W e_L
MAILING ADDRESS: � 0, 30Y 17 1? jf10lTh� C�©• PHONE: !22-7
d �f
2
NAME OF APPLICANT (If different from owner): e17S' - 3!j!6
ADDRESS: PHONE:
DESIGN ENGINEER OF SYSTEM (If applicable):
ADDRESS:
PERSON RESPONSIBLE FOR INSTALLATION OF SYSTEM:
LICENSED INSTALLER: ( ) YES ( ;�'NO
ADDRESS: Cd W tj r—K
PHONE:
PHONE:
PERMIT APPLICATION IS FOR: (NEW INSTALLATION ( ) ALTERATION ( ) REPAIR
LOCATION OF PROPOSED INDIVIDUAL SEWAGE DISPOSAL SYSTEM:
Physical Address:
Parcel Number: l,0 14 Lot Size
Legal Description: 4o7-
.n ee,a NT�I
BUILDING OR_ -SERVICE TYPE (Check applicable
Residential - Single Family
( ) Residential - Duplex
( ) Residential - Triplex
NUMBER OF PERSONS:
category):
( ) Residential - Fourplex
( ) Commercial (Type)
NUMBER OF BEDROOMS.
WASTE TYPES Check applicable categories):
Commercial or Institutional ( Li Dwelling
Non -Domestic Wastes ( ) Transient Use
( ) Garbage Disposal (—I Dishwasher
(� Automatic Washer ( ) Spa Tub
( ) Other (Specify):
TYPE OF INDIVIDUAL SEWAGE DISPOSAL SYSTEM PROPOSED:
Septic Tank Composting Toilet ( ) Incineration Toilet
( ) Vault Privy ( ) Greywater ( ) Chemical Toilet
( ) Pit Privy ( ) Aeration Plant ( ) Recycling, Portable Use
( ) Other ( ) Recycling, Other Use
WILL EFFLUENT BE DISCHARGED DIRECTLY INTO WATERS OF THE STATE: ( ) YES ( ) NO
IS SYSTEM DESIGNED FOR LESS THAN 2,000 GALLONS PER DAY: YES ( ) NO
WATER CONSERVATION PLAN: ( ) YES ( ) NO
NOTE: The Environmental Health Office may reduce the required absorption area upon
approval of an adequate water conservation plan.
SOURCE AND TYPE OF WATER SUPPLY: ( ) Well ( ) Spring ( ) Creek/Stream
Give depth of all wells within 200 feet of system:
If suppfed by co nit y water, give name of supplier: Ruc-pi :!g
SIGNATURE: DATE:
INFORMATION BELOW TO BE FILLED OUT BY ENVIRONMENTAL HEALTH OFFICER:
GROUND CONDITIONS: Percent ground slope 10
Depth to Bedrock (Per 8` profile hole) _,7 �'
'
Depth to Groundwater table 7 g !
S 01PERw LA T 10N TEST RE UL 1 S : to Minutes per i nch i n Ho i e #1
yLa�
to Minutes per inch in Hole #2
c 0 Minutes per inch in Hole #3
FINAL DISPOSAL BY:
Bed or
( ) Above Ground Dispersal
( ) Under Ground Dispersal
( ) Other
AMOUNT PAID: RECEIPT
Pit ( ) Evapotranspiration
( ) Sand Filter
( ) Wastewater Pond
NUMBER
NOTE: SITE PLAN MUST BE ATTACHED TO APPLICATION.
MAKE ALL REMITTANCE PAYABLE TO: "EAGLE COUNTY TREASURER".
(Environmental Health Dept. - Rev. 4/88)
DATE:
Date:rj-1C) --jU
EAGLE COUNTY
551 Broadway
Eagle, Colorado 81631
(303) 328 7311
Re: Issuance of Individual Sewage Disposal System Permit No.1.90
-- Enclosed is your ISDS Permit No. ' 90 This copy of the
permit must be posted on the installation site. You must
call our office for final inspection before covering any
portion of the installed system. If you have any questions,
please feel free to contact us at the following numbers for
your calling area: Vail/Avon 9.49-5257; Basalt/El Jebel
927-3823; Eagle area 328-8730.
Sincerely,
Raym2W P. Mer
Envi onmental
xc: ISDS file
cer
Board of -County Commissioners
Assessor
Clerk and Recorder
Sheriff
Treasurer
P.O. Box 850
P.O. Box 449
P.O. Box 537
P.O. Box 359
P.O. Box 479
Eagle, Colorado 81631
Eagle, Colorado 81631
_ Eagle, Colorado 81631
Eagle, Colorado 81631
Eagle, Colorado 81631
MEMORANDUM
Date: \ October 11, 1990
To: VBruce Campbell, ISDS Permit #990
From: Roger Hosea, Asst. Environmental Health Officer
Re: Installed System
The ISDS installed at 0052 McLaughlin in Reudi Shores is
adequate for a three bedroom residence only. The septic tank
has a 1000 gallon capacity which is acceptable for a three
bedroom residence, the amount of leach field is however,
adequate for a four -bedroom residence. The septic tank
required for a four bedroom residence is 1250 gallons. In
the present condition, the system is approved as a three
bedroom residence.
!re lir✓✓ � d ds
Pi/l,'% 7 jiia� /fG / GfG a 60'rrec41' ai141�
'0'j "Ov �`IP iil�lclGr
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40 /Z�s
D 2
ISDS a # 339Y
1�
/G
PERCOLATION TEST
EAGLE COUNTY ENVIRONMENTAL HEALTH DEPT.
OWNER: 6j l-yee e'4--w26,0,I
LEGAL DESCRIPTION: God--jV �f1/l' Z i?1s��%e'
MAILING ADDRESS: Pa eon` 17 My,4 C)
TYPE OF DWELLING: 2�1, /Gt, r NUMBER OF BEDROOMS_
TEST HOLES PRE-SOAKED: YES NO
TTMR waTRD nRPTH TMe T.TFc nr rZIT.T_ Dnrnr MDT OnTT DD(1s-TT V
1
2
3
1
2
3
1
2
3
1
2
0,
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i 'I
I 31Vf
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�
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Z17
2,2.
31
ne
17' Cie
Vq
Time to drop last inch
PERC RATE: (i5,e Aug er MINIMUM SEPTIC TANK SIZE: 00- 0
MINIMUM LEACH FIELD SIZE:
COMMENTS: �ym'` r`dl 571/Sy'�»'!. 1g!%
d S 1 Z j_2e ✓
PERC TEST DONE BY:
Envifonmental Health Officer
rev. 6/90ks
DATE: 7`10' rd
ROUTE FORM
EAGLE COUNTY ENVIRONMENTAL HEALTH OFFICE
ot &tI ( It -14�0001'c
g �15
OName
D to Pouted � Application No.
Locati n
Please review the attached Individual Sewage Disposal System Permit Application and
return it with this completed form the the Environmental Health Office.
PLANNING: Complies with - YES NO REVIEWED BY DATE
Subdivision Regulations:
Zoning Regulations:
Recommend Approval:
COMMENTS:
BUILDING: Complies with -
Building Permit Applied For:
Buildina Permit Issued:
Recommend Approval:
COMMENTS:
ENGINEER: Complies with -
Roads:
Grading:
Drainage:
Recommend Approval:
COMMENTS:
ENVIRONMENTAL HEALTH: Complies with -
Floodplain Permit Necessary:
I.S.D.S. Regs. Compliance:
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
YES NO REVIEWED BY DATE
q0
Recommend Approval:
COMMENTS: Le i z/',14 , `
EAGLE:COUNTY°
BUILDING DIVISION
P: O: Box 179
Phone: 328-731
GATE:
TIME
APPROVED
❑ DISAPPROVED REINSPECT
Upon the Following Corrections:
DATE: TIME:
ez-
INSPECTOR
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