Большой Акем

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Большой Акем flows into Песчаная , which it joins at N 51° 7′ 33″, E 85° 14′ 46″ at OSM node n2259714788, and there 187 km of total upstream flows in. load it's distributaries

Большой Акем has 2 tributaries.

• Шиверта, which joins it at N 51° 7′ 18″, E 85° 14′ 19″ at OSM node n2259715082, and 46 km of total upstream flows in.
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• (unnamed), which joins it at N 51° 8′ 39″, E 85° 10′ 4″ at OSM node n6548911285, and 2 km of total upstream flows in.
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