HomeMy WebLinkAboutPermit Building 1979-11-28
TRS, TLAS-1)3-iJj4>'~.:2 1f:/GO()
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4:bdivision :,r:; / IJ.:L/if ..J/ J?.AJ-V..R.._
Lot /t; B lo~k ~ .
Job Locatiodt~:g.II~i~-6 ~jJ J-u
Written Directions
S.1. #//l-79-cfd-.--:2.
SITE FEASIBI L1TY REPORT FOR SUBSURFACE AND ALTERNATIVE SEWAGE DISPOSAL (pfl(P -if lid /
APPLICANT'S NAME AND ADDRESS fknaMfJ.ih./71~ IL/b;ld. fII~j(k. .~ 9/}t!77 Phonp 71iP-d:;f~
OWNER'SNAMEANDADDRESSjJ&"p""".V.IJt.fl/OQ)J-lV~i)) IG9U~ t:>>. ~ C/7t./77 Phone 7d7-t./7'/7'
Mail report to ( ) Applicant () Owner ( ) Prefer to pick up. Call /J1/JU.f.J , (owner, etc.) when ready.
1ii.\\UCTURES NOW ON THE PROPERTY.~ C u~J.tit 1
.)) . 610 !3:)n6U2;! 11Jn!} J,,~F'J nl n,f~i()~l ~1I3f12 Jloqa: afffi ;U1U~U-:;\ nJI1Z9c ,\ not2lvIU \UN:~' "ietqc,(1;.J HAU
PROPOSED USE OFf26PE'RTY6.~.' r. mit~..~. " _f 10 ailit no anoh;)r:o~ emiif1uQm \lot ni ~a"lnu .1~U1JanOO ot lim.1SQ.
~.no'''' ~~ ,;:.;qt ]io:qs' nOlJ5UiB\)"3 ZIOJ S2~ f1:)I:1.v nJ .fHf11r'q 6 iO 9.3nSU8'ZJ t:(jlriOlq blUOw rt:)Inw 1snnnm vnr;
, .. .)> , .. Z'''t,--bouaai l1oq~, oo'teuI6"~ VOf> 51fbil6vni tor' ",... ...."r.-~- ,"" '__"',juT "-.. ~-- lIun bO'VI...'2
WATER SUPPLY . 'c'J .., WITHIN ONE'MILE'OF 'THECI'fY'OF JU
, . . .nOlj~S2 21clj
I herebv certify that the above statements are true and accurate, and that I have the following legal interest in ,the property: owner of record;
_ contract purchaseri1qtW bflpotemiaI'6uye~;tn3mnCr~iilt1;{orr< ljent?qzfurther:>i:ertify tii'at((iflnotttliefowrief)1Ir:a-mfa\lthofi;,e'd to act for the owner of
record, and that said owner is awa'r'€,'ana '3ppro'v~s~iifftl1i~'Ja~ii:inY215 OQ~ib ~>i3~.J~ mil '/(/1 2noJ7~i1iotlq1 :36~3. .jiml~q gr,iblhl() 5 lot
TEST HOLES READY /./--;,lJ,~ ",'?J}[f1,os HO twm nGIZIVlbdua"" QnlnQI~Sigfiature/.S',/A~ ,;.fa !/t:2/?l~atP /1-5'- 7 <J' ,
. ~ ., . ~ ". .'
(NO)
* * "* * * * * * * * * '* * * * * * * * * * * * * * * * OFF ICE USE ON L Y BELOW THIS LINE * * * * * ';;-*--;" *~-; .;..; ~..:; '-;'"'* * * * * * * * * * * *
SITE: ~ M.E ETS STATEcS:fAN8A:8 E>SI91~JD,0ES!N('ljfrM~if'S:rA..liE,Si1'A D~88S:JJ,:J l;:9u~2n9: ~bifs.t ~ !!nivi;,I.:!AJlf!liU~~;'S,OMPLlANCE
"1/U6 ~ ~)I'~frdiwtdctA.d~\'J'I:'i:;" .," ,.... .q~{< 'U"~:,Zoning: ""."""kfhT./h,,-nf!
(' ""'fl ....J.. ""0 J:... ~u.~i. tl{\1^,'),v/_{JBif9f;;Wnav111i.~t23"/1. 'iU',~ ~ts~ j' j-- 'hl~..,.. ~,!2 baoq .ib : k','ue2 ,aOdll,'~dVs' .!IRf.~",)( I d-.5
rfV'r Vf"'" ~I,. V/lf.. VWlAA() l.oV'-<. ..t;( t ,'::l rI y.; t ~ Acreage orrtl..ot Ize_.
,,', '~ ~~..nHr 1& ~ . r J'Il?! ~It 11<r, Oi!Ji;fhcZ,0" '\JIJ" U':' 06 J 19010 ano:nsq 11 (
JX/Ufl1.1.uu.~ ,ct... 375 p?A-'~' Partitioning # (
av a. W1((k/lWl~ t/ ~ c1Y)I(, tJ... . ~ Parcel # ,
~~~ h:w heevt ~rfJ-~~t;" ~ ' .
THI PRE I ~EMJ'Rlf ((~ E SU~~ S IS. E OF A FUTURE BUILDING PERMIT. ANY PLANS OR EXPENDI,
TU~ ~E~iE ~~~'PORT ARE AT YOUR OWN RISK. IF SITE IS APPROVED/EE REVERSE SIDE.
1:-'#I7/-- V}'J, (rtJl.olM.AAIIJ ' ?,(i) 1ir::::t!:fLI1/? ~~. //-'2-R-7Q.
, AUTHORIZED SIGNATURE DATE AUTHORIZED SIGNATURE DATE //
Division of Water Pollution Control Permit Processing Section . .
LANE COUNTY DEPARTMENT OF ENVIRONMENTAL MANAGEMENT 125 EAST 8TH AVENUE..EUGENE, OREGON 97401 687-4061
C55-32
(TOTAL)
) Completed
) Pending
... '.:/;.'?'
..
A'
"t' 0 L E
PROFILE.
CSI#
~
':(
" .
# 1,;"1: E:S T
" , ~ 1
'PERCHED WATER', 1 '
Predicted """'1
Observed /
Date r.".'\ /
# 2
T EST
7q~gZ7
~i~1
'(). O~ E
PROFILE
PREDICTED WATER
inl
in.
Inch
36 _
~L
J/e br
I
/
/ >,1
WJb~\ljyr., t.'"
SATURA;rED, "Z~, rjdMj ds:.~ \ I
Predicted 7,+ r.lLihA{
dbserved ~~~~ , in
Date \" y\1,hl,'1
'. \ 'I " '\"" ~
. 'rvt>M1.J1;es'd-!1u.,. %0"11"
~t.'fwo b?MOl { .
~strictive Layer J'in
f
[mpervious Layer / in
Mott 1 ing (Hfl~ sf n.H:I, h.;.(j;.... olin
'-7ba.~ ';t'Zi,l2..1 '\ (. ,
. "- II I f,.""-
II'! tJ& r>";,'CA
SLOPE hA~ % '
Predicted
Observed
Dat~.:t'\
in.
Inch
in.
~\S;,"
\i#'~ '.
:J!;\\
.~:~
j'~
SATURATED ZONE
_' ,s rj ,
'j . . . 1'2. I \: br
~ '\' ,', " .~ 110.
..\ , '..)1_ I
, L
12 -
J~
..,,- .,..
"
Predicted i'X+
Observed rl/lVll!...
Date \s1\I,rJ ,q
'~~I~:~ '7'" ;)
Res'trictive1"La.yer -A'n,
- -~.' \
Impervious Layer . in,
Mottling f\<<'f\~ -h l"l in,
in,
.24 -
',1
7.;.7
2./
24 - L
-~ -'
; ':"~
in.
"
36 -
-----...
46 -
48 -
"
SLOPE
hmJ
%
60 -
"30
~
1
60 '
7t;h~~""" L '1' II}
SItE DOES \~\I20.~S~~OT D\MEETr,,\1IN}'1YM STANDARDS.
\'
ADMINISTRATIVE RULES REOUIRE A MINIMUM,.DEPTH OF:
"<IV;- -hwCvt'i
7 3 ~1:'ClYk b, -f/r;l.,\
~',.... .
D 36 inches to an imp\rmeable layer
,; l' J; _
'\' (;]". 30 'i;tCh~E7~,,~to:'a:E;:~~ric.~~ive"'ti~Ye'r
v "rcl \'. \: ~\ ~ t ~, .::~ i::'-r
" .)~'\ 60 JI!",1.hes to a permanent water table
ON XQ!lli PROPERTY THE DEPTH
l:!M. :
. -,'. ::
,. .
~ J
inches
..." 'I' _",
D
.2f.i- inches to a temporarily perched water
I
( .i - 1 ...~ _" ,,'
.. '\" ,
\ t;:;~_.. _ r"
(...:~: '.1)
table
inches
inches
.
OTHER REASONS FOR DENIAL .',!\
) ,I-., ) ~\
.
\ \......
'-
\ "
,
-" ,
I' .
)..7""
t".. ...
inches,> ,
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PLOT PLAN" '~L L.t..J, \-1.rl,',.;,..ll:t-'..I-l-,jLL.:J ,.;. ... '1'" ~I.J..LLI I'~...Lttl "1"':~1_~~1 ,.~' I' t"!-'lj_I-'~
. I 'U +) j I I I I ' , f J ,fi ), f I 'I/~J I ,~""', f~ III '.~"- I.,)
Strea:- --Lit:.i+t-; I :'I--'fTIn-"-I'f -f 'i:..:;Ji","H : ,]Ji-J: :; :11 ,-;'lI";'T~J"; J:'i;'1
.' '1'" t , I' , 'I' 't'I'" f.LJ 1"'!""'f'!I't-
. ~ -, r"~ 1- -r'-- J -r"7-LI:t 1,- -- j:tr -- ; 1- ! r~' - _IJ.;.: .~;. It---;
.' ., ~"'l-+Ht: T+ G '1- -f1-}J; !-- H Tj....'l' ~ 1'=::1'1 1:;'#:-=: 1 !1 -1-'r-I-1111!1'i'XI'; I; \ +J,J.,,-
Dra~nage or -,; ,'; ['11'\"1.-"- ;I~ jT', r I ' c:-'.,'r-cl' l.r~-'''''I'I r '~L. - r ,r-;--rl+t- ",>
pond' . .::j:' rT" "1'-'1';- ~-r,-I- _, 1--1' III !Tr" 'I-II 1'11:1 r '1 '1'":''1-,
. .' .,L,.J..I J ,.1.. ..;..I ['...1..1 --::I-A'.L..L.J.:. l-' ..' III II' -:1'-tiL .;-:::t1-1-H+.jJ-j ~,.,...t.Pt ,,:,!- ,I
,..."............ 'I'M f+t m' I ~. I, ' + I' ! : 111 . '+1 '
'. .t:!llrfi.~l-'T 'l=- 't-r-~-~'1- " --1':"1 ~j~--,I-::',+ -:-+=I=f-1-ri-h " I' I
Road ~ -, '--too it.till I - - ... - ~ - d I l::hi ' I . ,-' j- , ,I ' j.:.LC + -
I-+-1--L-r--~' -L I) -I" ~- -- ; 'I 11---j"4 I rt-- ! I i-
-.--,--:,' +-h-~:::-L::.; .t.l..!.:.J'!.lJ~-="~~~r ,'-,~ r t+='~-:-iJi'I+-:: ,tt-;~:
Test Hole C8>.::.t.:.b I ' t [-;-1 ILj' I!. 1_..1:: l I 11'111' '_.J ; I I' I I I.l_u 'HI
III' I' I:' II ': I 'J . I I I II T!I " ." II '
o 1'li+r.J+T/...J ' t-1::.rl', . _L_II I-'_l-::++: IIJ--r-l-H-._I,:..tl
~roSlope -II-HI I ..:11",_1'111 1\-\.++1 i-i..I.I!...1 ,l ,_,\+',l:i~_,+:iD
L] ILL + ,ttj+ --' j _l +t I I Ii t 'I I :, i I I U I , I
, . jl+;-:t I"';'" t -+ t"~'T'-'I"-'-I' h' _L : II '- -+ ,'k- -::t1 ,'I I -I- - -..lid'
Cu t Bank'\. J I':l'l.~'\~:tl~ ~! -+ I 1i= Ii LI! H i i 'r'~: ~ -; ..L, J.. -'I~: I, rtL! ! !- if,:r: I ::
", ;,; I-L, Ltl' -l'1 :ti >.",,+ j.. ] ~H ,- .I.. . u' H- ,...-LlLrl,!.l...j ~- I--L 'II" J
1- I I I I I I I I I II ti I I I' I ,I i Ii, I r 'I I I I I !
Fence .:'r--i-rf~llj-; +T"; i I-~-l r: J--Ut'i"H': -j : 1T'+1::'::':':+'j I' I ,~J II i ,+I-i
.K-X-)f --1 ' :,l, I !, -.I-. +J,_ I +1f-+ -1'-'- 'l-I-I'[j' f. -" : i " ,-tT +1 +Hi
~ . r-" 1'1-1- 1,1-", + - ,- 'f "__,...I.. , I L +. I
;-j I '11. I -+l-~.., -t ,,'+: ,1,.--1. l...,rtl-I i; I: I :+,-"1 :; II;: I:
i It- 1+ L "':1 w. i. -1-'-, 'T' 1 l~ - ,',uI, "+1 ~-H' ,.' ,,1': _:.::: -=I V.l' ..1+1
T :r"IZ::i....l-I.I,r-...--+I.'".['r:-I~j' ~,__U' -+-l1..j~I'L_1 -'1'H=n1 I
-H--, H"J r ++ -~ l , ~ ,_ _l-~..1 , j-, H \ U I ,\ ,\ \ ~ \ \ Ll_, , 1 l 1 I J I, l! 1
~.-;:> ;<\
I. D. ,
- DEPARTnENT OF ENVIRDNI~ENTAL I1ANAGEMENT
PSB, 125 EAST 8TH AVENUE
EUGENE, OREGON 97401
u~~t~~~~~ .
Job Address /0 rO )i.<Jtz,h at!, 7) a..:,/ r= S"'(l;~~E i~
;::::r~i~~n~,~fft!~!l~;*tij!:u,~'S'- 03 - 07-.- 3-~\tj /.to~Q~kt '3
Application for ::5 t;:'~+,'(. rr,.),~ k 'PL'i(\.'Il~'...'r - ..s '/";/;./ ~~~
Structures now on the property tJO/J,;:" (II'<""'.A/~ Lv.;. I '
;~rwIlQ!l!!l!i!ltmIq!!iiirai!~ftj@l! &1 i~~j~!\!!JA1i Ol~!l.l1!il~1#ltiJ!i {I ib!<!@tl;iilHIl () flN!il!!JE!
Affidavit: I, UOhJr\Lik.. ?l)j.~t.J1?O[.SS!~J , hereby certify that.'this information is true and accurate.
(IiJ~;j$!li!!P;tI!Jla .
If this application ;s for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County Code Chapter 10 (zoning) and for no other pur~ose. I have the following legal interest in the property:
owner of record; contract purchaser; lessee; ~ holder of an exclusive option to purchase;
duly authori~ed to act for ~he ownes. who is knowledgea~le of t~~s afplicatio~.
Signature/Address iLV.In-~Q& P.()(~'.c~,.~ If,::'.?. H~\r-~tl'_TJfIA/.~, S Iyr-m. (zio) 1. 7'-177
Telephone l'ib ":2.:l.\';6 or C. K~,-'HI 0 Date
When permi tis ready notify.: Jjg Appl i cant CI Owner CI Contractor . />.t: IJf ma i1 ".... &1 phone,
Owner E~l",.; ii, /./: L.oPo:-b'?A"-"\ i5"C,& j./"",c:'."..Uu:,."pq'fflo) 'il'-j 77 Phone '<J'-j7- ('17L/Q
Contractor (ZiD) Phone
Contractor's OSR#
Plumbing by
SI test holes ready
DU NUT WRITE BELUW THIS LINE
# of employees :tt~fh~KMr~;
!$1i$:~:i: 0 Existing, BP #
/1- '7-7 q 0 Proposed, 51 #
If Cormnercial:
Residential:
!f:'e&~
COde'
oeia;,rnt1oii
'fir~tfj:;~~
~:~j
Valuation
Fee
o
4Z , ~r<>"...v~- J /
/ .
,AA----! /...</7 A ') /YY7.A--1V./I,
Total Valuation: $
,Bljimlliriir.tl.x,~UAA~: at $
ig;;;~t/;i:t~l:i!!!P!1ii;! at $
/J
~.
$
$
$
$
$
each $
each $
o lM~~~.:I,!Ji Q/
I~ldll d 37p
- ''''.''''-'~--:l , _ _ _
Received bv ~
Subtotal
$
$
$
$
$ /dlt'J,t'J-t:J
Existing _
4% State surcharge
Plans check fee
, Change of OccuRancy
Water Supply
Proposed
Year Installed
~~
TOTAL
PERMIT PROCESSING
Minimum setbacks:
Zone~ "Part. #
1, front' . 1., side
Parcel #.' Parcel Size tt.7X' /:2S
; into ; rear
Comments
To be typed on permit
..1.J-r: {{,f/- 7 q ~ LIS;)",
.~~it1
Date
//- S--7CJ
CP&I Type
"To be typed on permi t
Group
Fire Zone
Use Classification
By
Date
Phone
For plans information call (area inspector)
. Directions to site
C/ SIFO
OGJl-l-
~PC
C/ Planning
C/ Publ ic Works
CI Elevation CI nla
CI Address
/~/ Facility Permit
C/ Environmental Health
Plans to: CP&I set(s)
WPC ----- set(s)
Date
Required
Hold Slip
to PCC
Date
Completed
Date to '
PCC
;",
"
,.<
"
,<
. .
't'.
FOR INFORr~TION about progress of , your applicatloncall:
C74-171
Permit Control~Center
,
68~.HELP (687.4357)
., ~~
"
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{~U
\
^
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Jt;, If) IIAfJ.hofl. 1)f1.;JF:
Township, Range, Section, Tax Lot I tl - 0.... - 0"7--
Subdivisionj .,:"', Lb'El1"\-. UIl...t'hJI:-
I.,; I k
Appl ication_for :5 IECl-f;, T.a",
J/" \
Structures now on the property IVOIJ~
Proposed use of property: ~L Residential
,~
te p ARTrlE'r~T'i:6r:'t;~: [~ONi'lE n~Al~.;ffAtJK8E';lE NT
'-' PSS, 125 EAST 8TH AVENUE
EUGEI'E, OREGON 97401
..
,;(i;
,=
"
Job Address
City S<Of1.;IJO..(:; E ~
:.-?- - /,~O (;> ,
Lot " Block 3. ..
'P~ - ...S:./'i1~ J!.."-JL1./-V/Y~~
(VACAI.A ~+) ,
() Industrial
,
Appl ication # .
LC-7~ - 8'9.;;L
Assigned Numbers
..
>'j
,
I
r
"
II
'......... .
'j
I
(I COlMlercial
.......
.~ :.1-
. hereby certify that this information is true and accurate:
(I Publ ic
'Dn IJ AL.rl. l' ,VArJ f,ofJ<;,E1J
(please print)
If this application ;s for an agricultural building it will be used for purposes allowed by the State Building Code and
Lane County .Code Chapter 10 (zoning) and for no other purpose. I have the following legal interest in the property:
owner of record; contract purchaser; lessee; ')( holder of an exclusive option to purchase;
duly authoriZ~?\ to a~~ for the owner.. who is knowledgeable of this application~
Signature/Address ~ p,()^--~ Ih2':J. IIA,J,()I-7J~, .5na.({JJ. (zio) Q7'1,7
I'
Telephone t'fb-2-:l.'i<:(" or "1<.'=>-'+110 Date
When pennit is ready notify: 1.,5/, Appl icant , (I O,mer () Contractor 4: /';,/, mail ~ 1]1: phone
Owner EJIr-ol 11, J.J: U...,boA...,l 15"1\< 14..A.b""-7J.........~f'(zip) 't7'-1 77 Phone "1~7- l,74fj
(zip) Phone
I,
Affidavit:
'.
. ~
Contractor
Contractor's OSR#
Plumbing by
If Commercial: # of stories
Residential: # of bedrooms
51 test holes
00 NOT WRITE BELOW
# of employees
THIS LINE
# of
50S:
Descr;otion
Sq. Ft. or
# of Sites
units.
() Existing,
(I Proposed,
Unit
Cost
BP #
SI #
ready
1/- 9-'J'Q
Fee
Code
Valuation
Fee
TOTAL
$ ~.,'
$
$
$
$
each $
each $
$
$
$
$
$ /.;J (). t7-O
()
./
)......,.6' I?/'..,.. ~5: -n...,4 -'")
,7
/
A
Total Valuation: $
Plumbing fixtures at $
Sewer/water conn,. at $
Subtotal
o Cash
C/~Clieck #
Reee i ved bv
377'
..4..-u~
~u'/
Water Supply
Proposed
Year Installed
Exis'ting
4% State surcharge
Plans check fee
Change of 9ccupancy
PERMIT PROCESSING
Zone 1? fl-r /)iJf:,'~art. #
\, front . . , ; \, side
Parcel #
Parcel Size 6 tJ)( 1:2.s-
Minimum setbacks:
int, rear'
Comments
^.
: ~"i ~" .\,:
, l,~".~, .
,/} ,
r/~ ...#/A->A
By A.I .I L1..B~ .
Date //-,0-- 7q
To be typed on permit J] -(~ tI f/ -'7'q:.. L./S;;J..,
WATER POLLUTION CONTROL
Installation speCifications:
"~ ~ :':/:"~'l'~ ' ,:
9~~1:.'"tan'ki'
ft.' of drainfjeldi max. depth pf trenches:
To be typed on permit
~:;
Telephone
By
Date
Directions to site
~
:~
(/ SIFO
i-I CP&I,
-.:. /'
!'.I,.-WPC
. /~/ Planning
/~/ Public Works
/~/ Elevation I~I n/a
{) Address
(:/ Facility Permit
/~! Envi ronmen ta 1 Hea Hh
Plans to: CP&I
WPC
set(s)
set(s )~,
Date
Required
Hold 51 ip
to PCC
Date
Completed
oa te to
PCC
(
~ "
. . .; :.l,~~:~, Ii '\ .
:':":~.' .;::" :
'.
FOR INFORi."\ATION about, pro9,:,ess.of your application call,:
Permi~ Control Center
687-HELP (687-4357)
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TRS, TL /,f'-c/ g-?):;2 -3-2 -'/5zJt? Job Location (Address) 16/0 (.(~c)1L .DIU...',." S;'['~,-C.JJ
Permit If 71-'X?7- For 10"" R/'b<;PVI.> Permit It For
"'1 ..-PIli a n>l Permit II For . Permit II For
, ,,~ .D_...~~, . - :4 Permit II For Permit II For
!J'~ ..~ ,~~ I' ~t-1o~ '~J,.,o, f.r jj.~ . 'l/ ~-i~~~""~
~'~.~ ~\:.r; . l\lJl<Li",J-1 h ~p-"'t~~~'~'1~ 'j
J . \ ~ "r <C- I<t. I 'C. . I'., ,LJ..
1 -~. fi1~1 ,lrfri-rl~Ti~;I'11 Ilt~tF f1: I:~'
~ ~-mJ-~' d I"-:-I'~: :.f'.'[ 1: : JzfJ: U : I U i I I I I 1}j7 }fJ-- tl~,1 ,I \i~
~~=I~ '~=:+-4.11 1~-t'l I I I I ~~. I! . I I I I I ,'l//V/itc--~ =:fr---Jil~'
~'-- l'r -=i, I I l I I' I I I I - 'il' / I .r~ I' \ +' ~
., gJ 3-' ,.,-\;r'--"(lIl/ull I' __i_1 __I / I~ 1 - - '~~Jf-)"::'
-~ ' '" I 1 I I ..:r I ""... " ,,1" ~ 1- -- 1 ~ 4i
~--k~.~1- ~'-.!o!1 I i i' ~dl' I ,1 LLl.\ ~ . I--~~I ___._~ -1--II,iI~Y _ .._--- "I, )~! ~
- I ~\;J j -"1-, ~ Rd:'--t' - .;:,1- t T'r' I-I~>: I' ~ I '-
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