WI0500297_GEO THERMAL_20101014

Permit Number
Program Category
Ground Water
Permit Type
Wl0500297 / Central Flies: APS_ SWP_
10/14/10
Permit Tracking Slip
Status
Active
Project Type
New Project
Injection Water Only GSHP Well System (5QW)
Version
1.00
Permit Classification
Individual
Primary Reviewer
michael. rogers
Coastal SW Rule
Permitted Flow
Facilit
Facility Name
Paul T Poole Jr. SFR
Location Address
5520 Watkins Rd
Wendell
Owner
Owner Name
Paul
Dates/Events
NC 27591
T Poole
Orig Issue
10/14/10
App Received Draft Initiated
10/06/10
Re g ulated Activities
Heat Pump Injection
Private residence, sing l e family
Outfall NULL
Waterbody Name
Scheduled
Issuance
Permit Contact Affiliation
Betty Poole
5520 Watkins Rd
Wendell
Major/Minor
Minor
Region
Raleigh
County
Wake
Facility Contact Affiliation
Owner Type
· Individual
Owner Affiliation
Paul T. Poole Jr.
5520 Watkins Rd
Wendell
NC
NC
Public Notice Issue
10/14/10
Effective
10/14/10
27591
27591
Expiration
Stream Index Number Current Class Subbasin
GA
MCDEMR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue
Governor
Paul T. Poole Jr.
5520 Watkins Rd.
Wendell , NC 27591
Coleen H. Sullins
Director
10/14 /2010
Subject: Acknowledgement oflntent to Construct Type 5QW Injection Well System
Permit No. W10500297
5520 Watkins Rd.
Wendell, NC 27591
Dear Mr. Poole:
Dee Freeman
Secretary
On 10/06/2010 , the Aquifer Protection Section (APS) received notification of your intent to construct a closed-loop water-on].
geothermal injection well system for the operation of a ground-source heat pump located at the address referenced above. An
individual permit is not required for the construction and operation of this type of geothermal injection well system as long as the
following conditions are met:
I . The injection well system contains only potable water,
2. The injection well system is constructed in accordance with well construction standards specified in North
Carolina Administrative Code Title 15A Section 2C Subchapter .0213, and
3. The required notification form and associated maps have been completely and accurately submitted.
Failure to comply with all of these conditions constitutes a violation of the North Carolina Well Construction Act and North Carolina
Administrative Code Title 15A Section 2C Subchapter .021 l(u)(2). Additionally, you should contact the Wake County Health
Department as they may have additional requirements for this type of system. Noncompliance with applicable state, county, or
municipal rules and regulations may result in the assessment of civil penalties.
Please contact Mike Rogers at [phone] orMichael.Roe.ersfamcdenr.e-ov if you have any questions .
. ~~,-~CC)
cc: Raleigh Regional Office -APS
APS Central Files -Permit No. Wl0500:!9 i
Wake County Health Dept.
fo,Delrr~
Supervisor
Harry Letchworth (NW Poole Well Co., P.O. Box 1958, Wendell, NC 27591)
Weather Master, Inc., 305 Village Dr., Knightdale, NC 27545
AQUIFE R PROT ECTI ON .SE CTI ON
1636 Ma il Service Center, Raleig h, North Caroli na 27698-163 6
Location: 2728 Capital Bou le va rd, Ral ei gh, Nort h Carol ina 27604
Pho ne: 919-7 33-322 1 I FAX 1: 919-715 -05 88; FAX 2: 919-7 15-6048 I Custom er Se rvi ce: 1-877-623-6748
inte rn et: www.ncwa terq uality .org
An Equal Opportunity I Affirmative Action Employer
N~1¥.th Carolina
~Vnturalllf
WICf5Ln81
NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED-LOOP GEOTHERMAL
WATER-ONLY INJECTION WELL SYSTEM
TYPE SOW WELL (S)
In Accordance With the Provisions ofNCAC Title 15A 02C.0200
Print or type the required information and mail to address on the back page.
DATE: ScJ7 T: 13 , 20~
Well Type Confirmation: Does the proposed system circulate potable water only (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
closed-loo p)?
Yes ✓c ontinue completing this form.
No ___ Do Not complete this form. Complete other UIC application forms for installing
either a 5A7 well (Qllim_-loop well injecting potable water into the aquifer) or a 5QM well (closed-
loop well containing additives such as R-22, ethanol, or other antifreeze or corrosion inhibitors).
A. PROPERTY OWNER(S)/APPLICANT(S)
List each Property Owner listed on property deed (if owned by a business or government agency, state name of
entity and a representative w/authority for signature): Ptl 1.L-4 T P t'J o LE" :J?t.
(1) Mailing Address: . 5""5:.2... o ld ft: Tl<. IN .r &O,
(2)
City: WCAL Oe'LL State:~ Zip Code:~ zs='i / County: WA~ C
~/Office Tele No.: "l l 'i ,,2.. ' ' 11 ' '1 Cell No.: 21 t:f 8 /D ,22-:. I 'i
Email Address: ereo~L4'(9. Website:
1-/PT Jn,IJ)L, • C.,.DIH,.
Physical Address of Well Site (if different than above): ______________ _
City: _________ State: __ Zip Code: ______ County: _____ _
Home/Office Tele No.: Cell No.: --------------==:....o....:.:::..:..:..._ __________ _
B. AUT80RIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name: _____________________________ _
Contact Person: EMAIL Address: ·~----------------===~=='-------------
Address: ---------------------------------
City: _________ State: __ Zip Code: ______ County: _______ _
Office Tele No.: Cell No.:
Website Address of Company, if any: ______________ =c_E_IVED / DENR / DWQ
.... qU! E'r Prntf"rtiori Secti0n
GPU/UIC SQW Notification of Intent Form (Revised 8/2008) OCT 06 2010 Page 1
C. WELL DRILLER INFORMATION
AA() Poop Ala/ ea,
Company Name:
Well Driller Contractor's Name: —el n' G j -�vA-de-, j
NC Contractor Certification No.: f. 3 13 (-C)
Contact Person: Mg R R L �. f �l� l� 6 A, EMAIL Address: � ---
Address: 3 '1 jo) j (Al am . 1�. , p O BON 19�g
City: GJ-e'ti'de. �iG Zip Code: 2-73 County: f ed
Office Tele No,: 9 2 6. ; ?ZZ tell No.: 9I(F- .5.* 2
D. BEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: WEA rt.! 7 IZ{ 1 /V 6-
Contact Person:
Address: .3 c) S Y,L.L. /9 era- Q!Z .
EMAIL Address:
City: KAII6r 14 TD►9LE ip Code; )1J . ' County:
Office Tele No.: ,46 1-1--/3 Cell No.:
E. STATUS OF APPLICANT
Private:
State:
Federal: Commercial:
Municipal: Native American Lands:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
%t
C. WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: 0 C. t
Number of borings:
a
Approximate depth of each boring (feet): 6 a
(2) Type of tubing to be used (copper, PVC, etc): r
(3) Well casing. Is the wells) cased? (check either (a.) Yes or (b.) No below)
(a) Yes if yes, then provide casing information below
Type: galvanized steel black steel plastic other (specify)
Casing depth: From to 3 0 feet (reference to land surface)
Casing extends to above ground inches
(b) No
(4) Grout Info (material surrounding well casing and/or piping): I
(a) Grout type: Neat Cement Bentonite Other (specify) 71I -e
(b) Grout placement: Pumping Pressure Other
(c) Grout depth of tubing (reference to land surface): from 0 to y b (feet)
If well has casing, indicate grout depth: from to (feet)
GPU/U1.0 SQW Notification of Intent Form (Revised 8/200S) Page 2

H. INJECTION -RELATED EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
L LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
(1)
Include a Site Map (can be drawn) showing: buildings, property lines, surface water bodies, potential
sources of groundwater contamination and the orientation of and distances between the proposed well(s) and
any existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 200 feet of
the geothermal heat pump well system. Label all features clearly and include a north arrow.
(2) The Site Map must show the subject property in relation to the surrounding area by using at least two fixed
reference points such as roads, streams, and/or highway intersections.
J. CERTIFICATION
Note: This Permit Application must be signed by each person appearing on the
recorded legal property deed.
"I hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and complete.
I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with the approved specifications and conditions of the Permit."
Signature of Property Owner/Applic:t
7#ttL Ti Ti j POOL IC ;. v> it_
Print or Type Full Name and title
Signature perty Owner/Applicant
& - 1/
Print or Type*F'ull Name and title
Signature of Authorized. Agent, if any
Print or Type Full Name and title
Please return two copies of the completed Application package to:
North Carolina DENR-DWQ
Aquifer Protection Section-UTC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPU/UIC 5QW Noiircalion of intent Form (Revised 8/2008) Page 3

MECHANICAL EQUIPMENT SALES, INC.
5025 Euclid Road
Virginia Beach VA 23452
Phone: [phone] FAX: [phone]
%IW TrrG7I0ge-4.51 C V C R�1i (PAri� T
DATE: OCTOBER 1, 2010
TO: MR. PAUL POOLE
FROM: ED FUTCH, CERTIFIED IGSHPA TRAINER AND INSTALLER
SUM: DESCRIPTION OF RECOMMENDED CLOSED LOOP SYSTEM DESIGN
The following is recommended for your closed loop system for the 2 ton and 5 ton geothermal
units in your house:
Three minimum 6 inch diameter vertical bore holes, each 375 feet deep, 20 feet apart and
each bore hole having two HDPE one inch pipe vertical loops for a total of six 1 inch vertical
loops in the three boreholes to maximize thermal transfer and minimize borehole depth. Each
loop should be a minimum of 385 feet one way or 770 feet total so as to provide 10 foot pigtails
for parallel flow hook up to the supply and return pipe header. Each header (supply and return to
the house should have 5 tees as follows from start to end: one 1-1/4 X 1 X 1, two 1-114 X 1-1/4
X 1, one 1-1/2 x 1-1/4 reducer and two 1-1/2 X 1-1/2 X 1. Six inch pieces of pipe should be
between the tees. The supply and return should be 1-112 inch pipe minimum up to 100 feet in
length and 2 inch if longer. A purge station should be built outside with a meter box cover so as
to provide access for charging the system with water and purging out the air. Purging station
consists of two sets of ball valves, (one for supply and one for return) each set having three l -112
inch ball valves, one 1-1/2 inch Tee and three 1-1/2 x 3 inch nipples, all brass.
Piping in the house should continue with HDPE piping and be insulated to prevent
condensate formation. Heat pumps must be piped in parallel and the pump station should be two
UPS26-116F Grundfos pumps piped in series with a six inch nipple between them if put
together. Elbows on piping should be kept to an absolute minimum.
ALL PIPING MUST BE HIGH DENSITY POLYETHYLENE (I-IDPE) WITH A
MINIMUM CELL CLASSIFICATION OF PE355434C OR PE345434C WHEN TESTED
UNDER ASTM3350 AND ALL FITTINGS UNDERGROUND FUSED WITH THE
EXCEPTION OF THE PURGE STATION. ALL THREADED JOINTS MUST HAVE
REFRIGERATION GRADE JOINT SEALER (COMMONLY KNOWN AS LEAKLOCK) OR
EQUIVALENT. NO EXCEPTIONS!
Ed Futch

NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
NOTIFICATION OF INTENT TO CONSTRUCT A CLOSED-LOOP GEOTHERMAL
WATER-ONLY INJECTION WELL SYSTEM
TYPE SOW WELL CS)
In Accordance With the Provisions ofNCAC Title I 5A 02C.0200
Print or type the required information and mail to address on the back page.
DATE: Se:P,: / 3 • 20...L.£
Well Type Confirmation: Does the proposed system circulate potable water only (no additives) in
continuous piping that completely isolates the fluid from the environment (i.e.
closed-loop)?
Yes ~ontinue completing this form.
No ___ Do Not complete this form. Complete other UIC application forms for installing
either a SA 7 well ( open-loop welJ injecting potable water into the aquifer) or a SQM well ( cJosed-
loop well containing additives such as R-22. ethanol, or other antifreeze or corrosion inhibitors).
A. PROPERTY OWNER(S)/APPLICANT(S)
List each Property Owner listed on property deed (if owned by a business or government agency, state name of
entity and a representative w/authority for signature): 1'41 Uh T p e> o LE ~
(1) Mailing Address: , S:'-2:.:L o lA-2 # TJ<. IN f l<-0.
City: WC/l.t V.l!!!!!:"L L State:~ Zip Code: ;2, 7.!i=9 I County: WA /<. C
~e/Office Tele No.: 1 l 'j ,2.. 6 b I.~ I. 1 Cell No.: 2 11 8 /D ,22: I 'i
Email Address: erPoe,&.£<!9 Website:
H~ T J#l~ J L,,, • C...D JH.,
(2) Physical Address of Well Site (if different than above): ______________ _
City: _________ State: __ Zip Code: ______ County: ____ _
Home/Office Tele No.: ----------------=Cc..=e=ll=N--'--'o=.=----= __________ _
B. AUTHORIZED AGENT OF OWNER, IF ANY (if the Permit Applicant does not own the subject property,
attach a letter from the property owner authorizing Agent to install and operate UIC well)
Company Name: ______________________________ _
ContactPerson~: ______________ E=MA==IL=-=-A=d=d=re=s=s·~· __________ _
Address: ________________________________ _
City: _________ State: __ Zip Code: ______ County: _______ _
Office Tele No.: Cell No.:
Website Address of Company, if any: ___________ ------'-_--~J-1..NR I DWQ
AquifE ~tion Section
GPU/UIC 5QW Notification of Intent Form (Revised 8/2008) OCT 06 2010 Page 1
C. WELL DRILLER INFORMATION
CompanyName: Af W P"o /e w~1t Ci, ,
Well Driller Contractor's Name: ~n,.~_!, 401ve,,.5 -~-~----~-------------
NC Contractor Certification No.:
Contact Person: H-,(J I? Ry L-_.e;_l: __ 1_£--.-.w-0-M------,t,,=---. _E_MA_IL_A_d_~-s-s: ____________ _
Address: 35"oo t?o)-e:,t. (/.i /e, 1<.& 1 P o f3 cp<, · /95 g
City: W..eu l!et/ ZipCode: 2-,zs County: ~w~~~1;e,~·~------
0fficeTeleNo.: 9/f .... J...G61.9 ZZ.><:eUNo.: 91'1-!6 j ·S'ls' V
D. HEAT PUMP CONTRACTOR INFORMATION (if different than driller)
Company Name: WEA TM Ell hlAJ Tell I N~ I
ContactPerson~: ______________ E=MA==IL~A=d=dres~s~=-----------
Address: 3 t> S: t/1 LL ~ Ge" /2tl.
City: KN/ GH T()nt-E Zip Code: _l 7 C+s: County: -J...=.!~A.;....s..l.c=E~-------
0ffice TeJe No.: 'j/'l ~6'~ #IS-CellNo.: ________ _
E. STATUS OF APPLICANT
Private: /
State:
Federal:
Municipal: __
Commercial:
Native American Lands:
F. INJECTION PROCEDURE (briefly describe how the injection well(s) will be used)
P U}
I
G. WELL CONSTRUCTION DATA
(1) Proposed date to be constructed: __ O_G__..._f ____ Number of borings: ____ _ ,,
Approximate depth of each boring (feet):_._....,½'"""'t>aa....=O ___ _
(2) Type of tubing to be used (copper, PVC, etc): --~Llc_0 __________ _
(3) Well casing. Is the well(s) cased? (check either (a.) Yes ru: (b.) No below)
(a) Yes ,---if yes, then provide casing information below
Type: /galvanized steel __ black steel__plastic __ other (specify)
Casing depth: From -J to } {) feet (reference to land surface)
Casing extends to above ground ___ inches
(b) No (/
(4) Grout Info (material surrounding well casing and/or piping):
(a) Grout type: Neat Cement__ Bentonite
(b) Grout placement: Pumping V Pressure
Other (specify) 1i-t-~ J1t,, .e... Jt
I
Other
(c) Grout depth of tubing (reference to land surface): from D to if Ob (feet)
If well has casing, indicate grout depth: from ___ to ____ (feet)
GPU/UIC SQW Notification of Intent Form (Revised 8/2008) Page2
MECHANICAL EQUIPMENT SALES, INC_
5025 Euclid Road
Virginia Beach, VA 23452
Phone: [phone] FAX: [phone]
--R6-e--41T'O P
DATE: OCTOBER 1, 2010
TO: MR PAUL POOLE
FROM: ED FUTCH, CERTIFIED IGSHPA TRAINER AND INSTALLER
SUBJ: DESCRIPTION OF RECOMMENDED CLOSED LOOP SYSTEM DESIGN
The following is recommended for your closed loop system for the 2 ton and 5 ton geothermal
units in your house:
Three minimum 6 inch diameter vertical bore holes, each 375 feet deep, 20 feet apart and
each bore hole having two HDPE one inch pipe vertical loops for a total of six 1 inch vertical
loops in the three boreholes to maximize thermal transfer and minimize borehole depth. Each
loop should be a minimum of 385 feet one way or 770 feet total so as to provide 10 foot pigtails
for parallel flow hook up to the supply and return pipe header. Each header (supply and return to
the house should have 5 tees as follows from start to end: one 1-1/4 X 1 X 1, two 1-1/4 X 1-1/4
X 1, one 1-1/2 x 1-114 reducer and two 1-112 X 1-1/2 X 1. Six inch pieces of pipe should be
between the tees_ The supply and return should be 1-1/2 inch pipe minimum up to 100 feet in
length and 2 inch if longer. A purge station should be built outside with a meter box cover so as
to provide access for charging the system with water and purging out the air. Purging station
consists of two sets of ball valves, (one for supply and one for return) each set having threel-112
inch ball valves, one 1-112 inch Tee and three 1-1/2 x 3 inch nipples, all brass.
Piping in the house should continue with HDPE piping and be insulated to prevent
condensate formation. Heat pumps must be piped in parallel and the pump station should be two
UPS26-116F Grundfos pumps piped in series with a six inch nipple between them if put
together. Elbows on piping should be kept to an absolute minimum.
ALL PIPING MUST BE HIGH DENSITY POLYETHYLENE (HOPE) WITH A
MINIMUM CELL CLASSIFICATION OF PE355434C OR PE345434C WHEN TESTED
UNDER ASTM3350 AND ALL FITTINGS UNDERGROUND FUSED WITH THE
EXCEPTION OF THE PURGE STATION. ALL THREADED JOINTS MUST HAVE
REFRIGERATION GRADE JOINT SEALER (COMMONLY KNOWN AS LEAKLOCK) OR
EQUIVALENT. NO EXCEPTIONS!
Ed Futch

H. INJECTION --RELATED EQUIPMENT
Attach a diagram showing the engineering layout or proposed modification of the injection equipment and exterior
piping/tubing associated with the injection operation. The manufacturer's brochure may provide supplementary
information.
I. LOCATION OF WELL(S)
Attach two copies of maps showing the following information:
(1)
(2)
Include a Site Map (can be drawn) showing: buildings, property lines, surface water bodies, potential
sources of groundwater contamination and the orientation of and distances between the proposed well(s) and
any existing well(s) or waste disposal facilities such as septic tanks or drain fields located within 200 feet of
the geothermal heat pump well system. Label all features clearly and include a north arrow,
The Site Map must show the subject property in relation to the surrounding area by using at least two fixed
reference points such as roads, streams, and/or highway intersections.
J. CERTIFICATION
Note: This Permit Application must be signed by each person appearing on the
recorded legal property deed.
"1 hereby certify, under penalty of law, that I have personally examined and am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and complete.
I am aware that there are significant penalties, including the possibility of fines and imprisonment, for submitting
false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the injection well and
all related appurtenances in accordance with the approved specifications and conditions of the Permit"
� . C
Signature of Property Owner/Appli 7nt
14-la_ -'I T rj pL
Print or Type Full Name and title
Signature
roperty Owner/Applicant
e 1/ijzicl
Print or Type Full Name and title
Signature of Authorized Agent, if any
Print or Type Full Name and title
Please return two copies of the completed Application package to:
North Carolina DENR-DWQ
Aquifer Protection Section-UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone [phone]
GPUIUIC 5QW Notification of intent Furm (Revised 8/2008) Page 3

NewhedS4`1s 3 5)
upicirr 1.47W 4
CORIRCL
CORNER
r
I certify that the location of planned or el:I tang'
structure(s) are accurately shown.. I' understand
failure to locate structures in accordance with this .
plot plan rri'ay require' the relocation •-of
structure sl, regardless degree of completion. I
hereby Sfrant permission to Municipal/County
RaoresdtativeS the right of entry to make'
goal+ rations or inspections upon this property.
Signature of Owner or Authors Againc
1� —2_0 02
Ex.
Ex,
x•
.DR3
L:
LoT
N.
N.
F q %
f
POND
—i 5a45'
F
od0249;
D-os.7oi 5
BAY MEAL, PE#Me.Pki.CiPgRTY
DB 2913.- PG. 460
F3p
1 siuty IA • r o1e by, cites }F
i erf *to*ac'rt:-:b
tl t,t•t4;'i}st) the' ''1 'i tintC 'Acf istorraol
om Wcke •£ 1 r.tli /furies to : k 1*. ' A
- ce i1 y that c l t H i 04d '*'faZ•G -4 tequ t e r#.t*.., a, MI" '
!r3
t-r,
rvCd7 e.aS
;6:41C: 0 3
v,siE04 Ue�- �a
#ktf./
etNe
1,
er56
to ee
LG�P2 C4
-
1 err,
Not
GROSS ACHE)
MEBL
Rear 30
_ Ccrne;
•
.,,
4.0 Sc. a to ►`� i U V r
aCi
4064, w'w ' GROSS '�
TAkwit 7a9l�,PG,to'$8CRT
f 5/7 a LL /3‘

certify that the location of pfanried .or existrr,?J •
structure'is) are accurately shown., 1' understand
failure to locate structures in accordance with this
plot plan nfay require' the relocation .•of
structurgfa), regardless degree of completion. I
hereby rant permission to Municipal/County
Fleprese tatives the right of entry to make •
avali!ations or inspections upon this property.
D-o3.706
signature of Owner or Authorise .4 • y2_12 5
Ex.
1.b-r
V 07) "wiles / -
v+ ...ze,km::,, f. QS1v. , £ -
CONTROL
CORNER
—C .,ti
4a / \. 4,0 /
Foto
00 401•2#9
--� ...1..
BILLY PE#-PTY
DB 2913, PG. 4
ti
TRACT SA
l.az8 FO$S ACRES
0.066 RAI ACRE
1.662 NET ACRES
F
a"
vaia
• M
k_...._� ;.-
--t;_- X. 7)-9/?&c... 1 / ,I
1'
1-4� d''
d
oc ii r Perm_ 3 %:-f e r fi�:ips. afi C '.01
z IN* t a a~ i � } t �t e - #�41� �. :, 4614 to alui
' _ITOpt .•Wak4-.£0-4,4-..11i taif. aorta tat ; ef. t_
ar : s is .4 e):.
al", arch II' et•�.ti�]�.�'
fcer* t air t 1Qad; -hazgrd �equ f i e t*.-.0e> m.
a CC 'Et earns , , 8
Ew d . Secy.
eVISED
tti,/ \
09. •
terse GROSS ACRE) \
` ft
.4)d
Date
Use
D1 BL
.3° Rear . 30
,Cerarer
5FP wet(
sca [e � (DO t
P
'• —43
•
tt.5.1• Miss -Amp)
- .44$114"74ACITOT. :DORMS ACR!
:
1.1"t"rr °MERTZ PR0FERrf
De 7495,P0.,..fig
PA Poo '
C�—u._ 7! l 8 i-c? i
LI ?f ' . G 1 3G47