HomeMy WebLinkAboutPitkin.EH.246514102001 (2017)Pitkin County Environmental Health Department
Onsite Wastewater Treatment System (OWTS) USE PERMIT
Permit for Continued Use of an Existing OWTS
76 Service Center Road, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5077
www.aspenpitkin.com/EHNR
Parcel ID #: 2465-141-02-001
OWTS Use Permit #: 0079.2017.POWU
Date Issued: 11/22/17
Issued By: Kurt Dahl
Expiration Date: 11/22/18
Owner(s): Ray and Nancy Paschal
Property Address: 29 Plum St
Legal Description: Lot 1 Orchard Estates
Licensed Inspector: Carla Ostberg
Inspection Date(s): 11/08/2017
SYSTEM INFORMATION
Components Type Capacity/Size
Primary Treatment Unit Concrete two compartment septic
tank w/ effluent filter
1250 gallons
Secondary Treatment Unit
Absorption Area (2) Rock and Pipe soil treatment
beds
10’ X 50’ and 12’ x 52’
1124 ft2 total
Other System Components Bull Run Valve
OWTS Use Status:
In use at the time of the inspection. Not in use at the time of the inspection.*
*If the OWTS was not in use at the time of the inspection, it is recommended that the system be re-evaluated when it is in use for a more accurate
evaluation of the system.
System Records:
Permit #: 92010 Date of Issuance: 05/11/1992 Date of Final Approval: 05/14/1992
# of Bedrooms or fixtures served by OWTS: Four Bedrooms. However, the system was designed to serve three
bedrooms. This bedroom discrepancy shall be addressed when the house is remodeled or the septic system
repaired/amended.
Operational Status: The inspector indicates the system is not in failure and appears to be functioning properly at the
time of inspection.
Inspector Recommendations: Clean effluent filter annually
Department Recommendations: Annual maintenance.
Issuance of this OWTS Use Permit is based solely on the conditions observed and reported by the inspector to the Department on the date of the inspection(s) and
on Department records at the time of permitting. The issuance of this permit does not constitute a guarantee, warranty, or representation by the Department
that the system will operate properly or will not fail or that the system will not be subject to future enforcement action to correct non-compliant conditions.
Estimated capacity of the system has been listed on the permit and we recommend that you monitor and/or meter water use to prevent overuse and possible
failure.
Pitkin County Environmental Health Department
f I' K ll N Onsite Wastewater Treatment System (OWTS)
USE PERMIT APPLICATION
Co UNTO,
76 Service Center Rd
<< '> Aspen, CO 81611
http://pitkincounty. com1248NVa stewater-Treatment
Application for Continued Use of an Existing OWTS
Parcel ID# (available from the Pitkin County
Assessor's Office
2645 141 02 001
970-920-5160orat http://pitkinassessor.org/assessor/search.asp
Purpose of Use Permit:
PROPERTY TRANSACTION
REMODEL/
Property Address:
29 Plum Street
Lot:
Block:
Filing:
Subdivision:
1
Orchard Estates
Residences:
Other
# of Bedrooms:
4
fixturesluses:
Property Owner(s)':
Ray and Nancy Paschal
Email Address:
rfpaschal@yahoo.com
Owner's Mailing Address:
City, State, Zip:
Home Phone:
Business Phone:
'Contact information must be provided for the owner signing this application.
Primary Contact Person/Applicant (if not owner):
Jared Walters
Company:
Contact/Applicant Mailing Address:
City, State, Zip:
Cell Phone: (970)
456-3395
Business Phone:
Fax Number.
Email Address:
ljcwalters7@gmail.com
Indicate Preferred Method of Payment
Check I ■ Credit/Debit Cash
Licensed Systems Inspector. Phone Number: Email Address: Fax Number.
Carla Ostberg
(970) 309-5259
jcwalters7@gmail.com
Mailing Address: Ci State Zip:
33 Four Wheel Drive Road
lCarbondale
IGO
181623
PLEASE READ BEFORE SIGNING:
I certify that the above inforrnatlon Is complete and accurate and that I have provided complete and accurate information in all of the documents
Included In my application package. I acknowledge that this department may revoke any permit I am issued if my application is found to contain any
inaccurate, false, or misleading information.
A
Owner Signature (Required):
1
112&&&
/3" kip
I
Date:I
I
Applicant Signature:
aria OS
erg Digitally signed by Carla Ostberg
Date:
11/10/17
Date: 2017.11.10 18:15:22 -07'00'
Please allow 3-5 business days for processing of Use Permits. Save Fcrm
Clear Form Pt �tlFom`��
FQ bF9(QEUSE0k4X___
Received by EH Staff: Fee & Receipt #:
Date:
Effective Date 1/12/2017
Case: 17-11660-MER Doc#:6 Filed:03/05/17 Entered:03/05/17 16:26:17 Pagel of 3
Debtor 1 Nancy G. Paschal
Debtor 2
(Spouse, if fling)
First Name Middle Name Last Name
Ray F. Paschal
First Name Middle Name Last Name
United States Bankruptcy Court District of Colorado
Case number: 17-11660-MER
Social Security number or ITIN xxx-xx-5155
EIN 20-2657139
Social Security number or ITIN xxx-xx-6927
EIN 20-2657139
Date case filed for chapter 7 3/5117
Official Form 309A (For Individuals or Joint Debtors)
Notice of Chapter 7 Bankruptcy Case -- No Proof of Claim Deadline 12/15
For the debtors listed above, a case has been filed under chapter 7 of the Bankruptcy Code. An order for relief has
been entered.
This notice has important information about the case for creditors, debtors, and trustees, including information about
the meeting of creditors and deadlines. Read both pages carefully.
The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not
take action to collect debts from the debtors or the debtors' property. For example, while the stay is in effect, creditors cannot
sue, garnish wages, assert a deficiency, repossess property, or otherwise try to collect from the debtors. Creditors cannot
demand repayment from debtors by mail, phone, or otherwise. Creditors who violate the stay can be required to pay actual and
punitive damages and attorney's fees. Under certain circumstances, the stay may be limited to 30 days or not exist at all,
although debtors can ask the court to extend or impose a stay.
The debtors are seeking a discharge. Creditors who assert that the debtors are not entitled to a discharge of any debts or who
want to have a particular debt excepted from discharge may be required to file a complaint in the bankruptcy clerk's office within
the deadlines specified in this notice. (See line 9 for more information.)
To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk's office at
the address listed below or through PACER (Public Access to Court Electronic Records at www. ap cer.goy).
The staff of the bankruptcy clerk's office cannot give legal advice.
To help creditors correctly identify debtors, debtors submit full Social Security or Individual Taxpayer Identification
Numbers, which may appear on a version of this notice. However, the full numbers must not appear on any document
filed with the court.
Do not file this notice with any proof of claim or other filing in the case. Do not include more than the last four digits of
a Social Security or Individual Taxpayer Identification Number In any document, including attachments, that you file
with the court.
About Debtor 1:
About Debtor 2: .
1.
Debtor's full name
Nancy G. Paschal
Ray F. Paschal
2.
All other names used in the
dba Caldera Construction, Inc, dba Paschal Designs
dba Caldera Construction, Inc, dba Paschal
last 8 years
Designs
3.
Address
29 Palm Street
29 Palm Street
Basalt, CO 81621
Basalt, CO 81621
4.
Debtor's attorney
John D. LaSalle
Contact phone 970-925-6633
Name and address
166 Juniper Trail
Carbonale, CO 81623
5.
Bankruptcy trustee
Jared Walters
Contact phone 970-456-3395
Name and address
PO Box 804
Eagle, CO 81631
For more Information, sea page 2 >
Official Form 309A (For Individuals or Joint Debtors) Notice of Chapter 7 Bankruptcy Case -- No Proof of Claim Deadline COB#769
b309a 7cna page 1
Owner's Name:
Address:
Parcel Number:
Inspection Date:
Pitkin County Systems Inspector License Number:
QUESTIONS FOR PROPERTY OWNER PRIOR TO INSPECTION:
Is the home currently occupied?YES NO
If NO, how long has the home been vacant?
How many bedrooms are in the home?
RECORDS:
Were system records available from Pitkin County?YES NO
If YES:Permit number: ___________
Date of Final Approval: _________
# of bedrooms permitted: ___________
Was an as-built drawing available?YES NO
Is the as-built drawing accurate? YES NO
If NO:
SITE CONDITIONS:
Proper grading, no evidence of erosion?PASS FAIL
Improper vegetative cover?NO YES
Evidence of compaction such as heavy machinery or livestock?NO YES
Improper discharges such as straight pipes?PASS FAIL
Evidence of high ground water?NO YES
Snow cover present?NO YES
Any question marked FAIL will require correction before an OWTS Use permit is issued.
If secondary treatment is used, who is the
maintenance provider?
Complete a drawing of the system on last page of this form as accurately as
possible.
Email:
Inspector's Name:
Business Name:
A copy of this inspection report will be remitted to Pitkin County Environmental Health Department by
the Licensed Systems Inspector within 60 days of the inspection regardless of whether the system
passes or fails.
Onsite Wastewater Treatment Systems (OWTS) Use
Permit Inspection Form
Inspection form for continued use of an existing OWTS
Website:
Pitkin County Environmental Health Department
76 Service Center Rd, Aspen, CO 81611
Phone: 970-920-5070 Fax: 970-920-5374
Phone Number
Page 1
TANK:
Tank capacity gallons gallons gallons
Tank material
# of compartments
Date of last pumping
Lids/risers in good condition
Risers to grade
Riser height
Riser condition/watertightness
Inlet sanitary T/baffle
Outlet sanitary T/baffle
Effluent filter (if part of design)
Condition of tank material
Tank was pumped for inspection
If YES, list the pumping company
If NO, when was the last pumping
Scum level (1st compartment)inches inches inches
Sludge level (1st compartment)inches inches inches
Scum level (2nd compartment)inches inches inches
Sludge level (2nd compartment)inches inches inches
Backflow (if pumped)
Midtank baffle
Watertightness
PUMPS/DOSING SIPHONS:
Is a pump or dosing siphon present?YES NO
If YES, is the pump/dosing siphon functioning properly?PASS FAIL
Does the pump/wiring/dosing siphon appear to be in good condition?PASS FAIL
Is the high water alarm working, both visible and audible?PASS FAIL
SECONDARY TREATMENT:
Is a secondary treatment unit present?YES NO UNKNOWN
If YES, does the unit appear to be in good working condition?YES NO
Does the owner have a current maintenance contract for the unit?YES NO UNKNOWN
Maintenance Provider:_______________________________________Phone:________________________
ABSORBTION AREA:
Effluent surfacing?PASS FAIL
Evidence of past surfacing?NO YES
Surface dampness?NO YES
Excessive odors?NO YES
Field location verified by observation ports or probing:Ports Probing
Liquid in observation port?NO YES
If YES, record depth:inches
Distribution Box or ADV part of original design?YES NO UNKNOWN
If YES, is it accessible from grade?YES NO
Is it level and in good condition?PASS FAIL
If there is no maintenance contract, a contract must be in place prior to occupancy of the home. A
copy of the contract must be submitted to Pitkin County Environmental Health Department.
Tank 1 Tank 2 Tank 3
Page 2
Any problems with the system that were not addressed in the inspection checklist?
Please list any recommendations for the continued use of the system:
Were any repairs done as a result of this inspection?NO YES
If YES, please describe the repairs.
Licensed Systems Inspector Signature:
Additional Notes:
To the best of my knowledge and training, the information collected in this inspection is accurate as of
__________________, 20____.
Clearly label any pictures and attach them to this form.
Page 3
CBO Inc.
33 Four Wheel Drive Road
Carbondale, CO 81623
cell) 970-309-5259 office) 970-704-0484
carla.ostberg@gmail.com
November 10, 2017
Jared Walters
jcwalters7@gmail.com
Onsite Wastewater Treatment System (OWTS) Use Permit Inspection
29 Plum Street
Pitkin County, Colorado
Jared,
As requested, CBO Inc. performed an Onsite W astewater Treatment System (OWTS) Use Permit
inspection at 29 Plum Street, Basalt, Colorado on November 8, 2017. The legal description of the 1.0-
acre property is Lot 1, Orchard Estates.
The permit and record drawing were provided by Pitkin County Environmental Health Department (Parcel
ID #2465-141-02-001). The subject OWTS consists of one 1250-gallon, two-compartment concrete
septic tank. Effluent gravity flows to a 10’ x 50’ pipe and gravel soil treatment area (STA) that runs north
to south and an additional 12’ x 52’ pipe and gravel STA that runs east and west, connected by a Bull
Run Valve. The system was sized to accommodate 3 bedrooms. The permit received final approval
on May 14, 1992. This permit was a repair to the original OWTS documented as Permit Number 720098.
The septic tank is located to the north of the residence. A clean out is located between the house and
the septic tank. The lids to the septic tank were accessible from grade at the time of our inspection. The
property owner reported work was done on the sewer line between the house and the septic tank by
Colorado Excavating. The original line may have been cast iron given the age of the original system from
1972.
Both an inlet tee and outlet tee were present in the septic tank. An effluent filter was installed on the
outlet tee of the septic tank. This filter must be cleaned annually, or as needed. The levels in the septic
tank were normal at the time of our inspection. The septic tank was pumped after our inspection by
Altitude Septic. Effluent gravity flows to a Bull Run Valve that is accessible from grade and has a tool for
rotation. We recommend rotating the STAs annually and keeping a record of the rotation.
We walked the approximate area of the STAs and no inspection ports were present, so we do not know
the exact location of either STA. There was no evidence of surface saturation or failure over either STA
at the time of our inspection. This evaluation is not a guarantee of future system performance. This
inspection is good for one year.
Recommendations:
• Clean effluent filter annually, or as needed.
• Rotate STAs annually and keep a record of the rotation.
This report and a completed OWTS Use Permit Application must be submitted to the Pitkin County
Environmental Health Department. Applications may be submitted to Pitkin County Environmental Health
Department electronically. The following are links to the required OWTS Use Permit Application and
Checklist.
Application: http://www.pitkincounty.com/DocumentCenter/Home/View/621
Application Checklist: http://www.pitkincounty.com/DocumentCenter/Home/View/620
All questions regarding permit submission can be directed to Pitkin County Environmental Health
Department, 970-920-5070.
Disclaimer: This inspection is intended only as an evaluation of the present condition of the OWTS
based upon what was observed and the Licensed Inspector’s expertise in onsite wastewater technology.
The Inspector has not been retained to warrant or guarantee the proper functioning of the system for any
period of time in the future. Because of numerous factors which may affect the operation of an OWTS,
as well as the inability of the Inspector to supervise or monitor the use or maintenance of this OWTS, this
report shall not be construed as a warranty by the Inspector that the system will function properly for any
particular prospective buyer, and the Inspector disclaims any warranty, either expressed or implied,
arising from the inspection of the OWTS or this report. The evaluation does not ascertain the impact the
system is having on groundwater.
Please call with questions.
Sincerely,
Carla Ostberg, MPH, REHS
NAWT Certified Inspector
Certification # 11044ITC Exp. April 2018
Clean out near foundation View of septic tank lids and valve
Valve inside valve (inlet and outlets clearly labeled)
Inlet tee Outlet tee with effluent filter
View of approximate STAs
29 Plum Street
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ASPEN+PITKIN
ENVIRL,NMENTAL HEALTH DEPAR-a sVIENT
INDIVIDUAL SEWAGE DISPOSAL PERMIT NO. q 2 I�
TYPE OF PERMIT: �/
( )Initial Construction ( )Emergancy Use W Repair Work,(Piavioua Permit 1�.3 ( i7[lterat[on of an existing system,
or installation / � (Previous Permit 1 }
( )Lire Permit as a result of Sala ( )Othori
ISSUED TO: DATE OF ISSUE.
Owner- /c Home Phone r 0d Business Phone ?2Q r'2-0O
Mailing
Address
Agent N Phone
Mailing
Address
Sewage Disposal System Work to be performed by
This permit valid only for premises location by the following iegal deveriptiont / / I 0R( ��i✓ {{% r �r + -
LOT SIZE c2[ N71'1" s,PPL, ,, - dQj V 1 SI�rIJafL•C AVERAr.E PERcoLATIo4 Mi£ �" �/+ 1-5
This Individual Sewage Disposal Permit is granted with regard to the following uses J s tr "''�-C
Nwabcr oft Dodreoms 3 Lofts O Garbage Disposals / Dishwashers�L Clothes Hashars
CALCULATED AVERAGE DAILY BASTE LOAD q 5 0 GALLONS.
THE NATURE OF THE SYSTEM INCLUDED UNDER THIS PERMIT:
tpe of Tank or Treatment Units J �� lq�K ` I- rrAJC� Tarkcapacity _Gallon `
:t.had of Final Disposals Absorptioq- hrea �lQd Square Feet Minimum
W/ � i4 LT�i�'/��Tl C,c
_scription (including brand na", if any) of other cquipsrent or appurtnanteas
:trier Conditions or Spceificationss ,/
SSE t3��S G�l�fl %� %�i fir�fUC' i%�L170 I-OAD
a--1 1 r
STAGES REQUIRING INSPECTION BY THE HEALTH DEPARTMENT:
( )Eiefore Excavation ( )Upon cor..pletion of excavation and prior to plstement of gravel X
aef t:e covystem f ering disc fiid
ibuti n
(Prior to backfill of any component [ )Other, Specifyi _
Plans and specifications or the proposed sewage disposal system have been reviewed end are considered satisfactory. Pernission
ins hereby granted to tte, owner or his agent to pertnrr+ the work indicated above in accordance with the Pitkin County Individual.
Sewa;a Disposal Re-ntlations in cff�ct on the date of issue. In addition to general provisions set north an the reverse hcr•-of,
this Permit it sutject to the following additional terns and conditions: _
Aspen/Pitkin I_nvironmentn[
APPROVED FOR ISSUE BY -t' (title} Health Officer
The alrnve in:Sividual sevarya disposal syntea installed by S.T. Chas been ia:-apected !or use by A reprrsenLative of the A51:en Pit in 'nvironr nia }iCa th Dcp.srtfne,tt. Th.! u�nur ss�urwa ail
rvs(sonslbility in case of failure or inadequacy of
ties scwat)c disposal system. Completa as -built Graving attached.
DATE 0" FINAL I 3 P T N J' 2--
Aspen/Pitkin Environmental
BY TITLE Health Officer
1) 130 South Galenrj Street Aspen, Colorado 61611 303/980-5070
ASPEN#PITKIN
ENVIRONMENTAL HEALTH DEPARTMENT
APPLICATION FOR AN INDIVIDUAL SEWAGE DISPOSAL -PERMIT
-1�6 6o
Name of OWNER r_1,eeG�'i6.'PHONE q�7-39d� Cx
Address of OWNER J ,¢s�E�. Lip , ?Z6 /� --
Name of APPLICANT S4M,�5 PHONE
fERMXT YO 8£t DoPicked Up I )Mailed tot TYPE OF P£RMITs ( )New installation ( )Repair
( )Owner ( )Applicant [ )Emergency use ( )Alteration NOT due to failure
torATION OF PROPOSED SYSTEMS
Legal Description
Subdivision Size of Lot acres
SAt Block Tiling
IYPE'CF STRUCTURE: O Single Family Dwelling ( )Others Do you plan any further additions to the
residence9 ( )YES M NO
to. of bedrooms_ No. of Lofts No. of Garbage Disposals �._ )to: of Automatic Dishwashers
Ito. of Automatic Clothes Washers i
RATER SUPPLYS GfiMM , ( )Private wall, Depth 16v / + ov ( TPublic, Name of System
j )Spring
( )Stream or Creek
TYPPS OF INDIVIDUAL SENATE DISPOSAL SYSTEM PROPOSt:Di
Septic Tank/Absorption Field ( )Aeration Plant/Absorption Field ( )Composting Toilet ( )Incineration Toilet ( )!Sound
(')Recycling. potable use ( )Recycling, other use ( )Vault Privy ( )other%
The initial site inspection must be arranged with the Aspen/Pitkin Environmental Health Department (925-2020. 0:30-9:30 a.m.)
before a permit can be issued. The individual sewage disposal permit must be issued before a building permit can be obtainod.
rIttAL INSPECTION APPROVAL MUST HE GIVEN BY THE ASPEN/PITKIH ENVIRONMENTAL HEALTH DEPARTMENT PRIOR TO 13ACKPII. ING ANY PORTION
OF THE SYSTEM.
Application for an individual sewage disposal permit is hereby submitted. The undersigned acknowledges that the above information
Is true and that false information will invalidate the application and any subsequent permit.
Signature of Applicant _ ,c DATE / �—
MISS application becomes. invalid 12 months from the above date.)
NOTE: PLOT PLAN must be filed with this application.
Please locate the following items by measured distances:
1. Property lines and dimensions.
2. Proposed and existing water wells on subject property and
adjacent property.
3. Domestic water service lines.
4. Proposed and existing buildings, driveways, and other
structures.
S. Streams, lakes, ponds, irrigation ditches, and other water
courses.
6. Proposed and existing individual sewage systems on subject
property. ,
SUBMIT A REVISED PLOT PLAN PRIOR TO CONSTRUCTION IF INSTALLATION IS TO
BE CHANGED FROM ORIGINAL PLAN.-
-the undersigned hereby acknowledges receipt of this individual sewage disposal permit application and a pe rini£t /iy+p�in the amour.
of S 0 S Cr_ Receipt Number Date Fee Received 5 _ l7'" 9 � by
Administrative Officer
13o south Galena Street Aspen, Colorado 81611 303/9e0-607G
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PERMIT NUMBER
Owner Chuck Vermayen
0 TKIN COUNTY HEALTH DEPARTMENT 2
RECEIPT NUMBER
Owner's Mailing Address Box 724 Basalt, Co. 81621
Contractor owner
Address
Systems Contractor's Name owner
Address
Legal Description Lot 1 Unit One Orchard Estates Emma Co.
Lot Size 267f t. x 162f t.
Number of Bedrooms 3
Type of Individual Sewage Disposal System
Phone # 927 3065
Phone #
Type of Building by Use Single Family Residence
Type of Water Supply Subdivision well
Septic — Se-EPAGc &D
Type of Soil or Soil Classification River bed (CLAY LOAM --o L'088LZS To STAND * GPRJEL)
Proximal Location of Bedrock
120 ft.
Proximal Location of Ground Water Table 50 ft.
Owner's Signature Date Oct. 30, 1975
PLOT PLAN:
-YO r
w
L
�-,i
Percolation Test Data Minutes per inch
Minimum, Recommended Absor�tion System Size �/�S .FT /0 50�SEEPACC N EC
-* 1 D BE INSTALLED C ,TN E�CO LFVEL AWjP SU Cc o. CkceyVD
Minimum Recommended Tank Size 000 6Aami5 — 7-L1J0 d,4/gP1W7MCNTS 4.1
Permit application valid one year from Date. Application to beco permit and final only
after lower portion is completed and signed by the Sanitarian. RETAIN THIS FORM AT THE
CONSTRUCITON SITE.
Date Sanitarian
(D awing of system on back)
Ll r�
. _ r
O C61VO CTE �SC PTIO- — AAik-
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4
PITKIN COUNTY ENVIRONMENTAL HEALTH
Feld Test Data Sheet on Percolation Test
PROPERTY 01474ER PHONE
MAILING ADDRESS
LEGAL DESCRIPTION OF FROPERTY
LOCATION OF TEST HOLES
Three (3) test holes required per system
Vest Hole Depths (21+" minimum)
Diameter of Test Holes
Water Remaining after 24 hour soak —
■ 1
MAN
Percolation Rate Each Hole
A-verage Rate
Comments
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Legal Description: Lot Orchard Estates Unit One;, P it ki n..; �'du n-ty'' 'C 0 16 d
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I hereby certify that on P,46 0'\ Zae
parcel of land described hereon.f 2 1 j . 7 R survey was perf ormed by me on the
'A , - ; WO _story'frame house was found to be on
said parcel asshown on this plat. All easements, enccca,chments and rights-cf-Way
in evidence or known to me are shown. This survey is true and correct to the
best ofy
By:
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se 1999 SCALE47 A44
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