HomeMy WebLinkAboutNCDOT - 70437ACAMA / 1:9'6REDGE & FILL
PERMIT
9f,NERAL
w ❑Modification OComplete Reissue ElPartial Reissue
Na 70437 A B 0 D
Previous permit #
Date previous permit issued '
As authorized by the State of North Carolina, Department of Environmental Quality 0 `7 �% 2 30 0
and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC ules attacged.
NApplicant Name C 19 OT- Project Location: County C'X✓ 1}e
Address r• •1 15oX ' 5-4-7 Street Address/ StateLRoad/ Lot #(s)
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City State ZIP ar F�►jfflXidHF
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Phone # E-Mail J
17
Authorized Agent
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Lv�/A C&!� ❑ PTS Phone # (_) ) ' l River Basin
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AEC(s): Adj. Wtr. Body /4'
o Pws: �'- �t
Closest Maj. Wtr. Body
ORW: yes / (5 PNA yes / na
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Type of Project/ Activity
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Pier (r
Fixed
Floati
Finge
Groin
Bulkh,
Basin
Boat
Boat
Beac
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Shor
SAV
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A building permit may be required by: �a r �� J ^^�7 ❑ See note on back regarding River Basin rules.
( Note Local Planning jurisdiction) j - c �_ / �� � �✓ Yl�yV-)-c
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Notes/ Special] Conditions J. /sync - t 1
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Agent or A plicant rinted Name
Signature Vere ompliance statement on back of permit
Application Fee(s)
..� erA'�n LezIn-t-
PermitOffi s P infect ame
Signature
J'?)-1F
Check# Issuing Date
,Y—JJ-d-V
Expiration Date
NC Division. of Coastal Mgt. Application Computer Sheet, Page 3 of 4)
Applicant 6, 70.A437
Date:
Describe below the HABITAT disturbances for the'application. All values should match the name, and units of measurement
found in your Habitat code sheet.
Habitat Name
DISTURB TYPE
Choose One
TOTAL $4. Ft
(Applied for.
Disturbande total
includes any
anticipated
restoration or
temp im. pacts)
FINAL Sq. Ft
(Anticipated final
disturbance.
Excludes any
restoration
andlor temp
impact amount_
TOTAL Feet
(APPY600t.
Disturbance
total includes
any anticipated
restoration or
temp impacts)
FINAL Feet
(Anticipated final
disturbance,
Excludes any
restoration and/or
temp impact
amount
Dredge ErFill 11 Both rl -Other 0
1 `7
Dredge ' Fill 0 Both E3 00er 0
Dredge L� Fill CT -Both [Other E3
J.
C
Dredge El Fill 0 Both D Other 0
Dredge F1 Fill El Both El Other [J
Dredge [3 Fill [3 Both [I Other 0
Dredge 0 Fill E3 Both 13 Other 13
Dredge El Fill ❑ Both Ej Other 0
Dredge 13 Fill 0 Both [3 Other 0
Dredge [I Fill [I Both [I Other [3
Dredge 13 Fill D Both 0 Other D
Dredge 0. Fill [3 Both Ej Other (:1
Dredge 13 Fill El Both 0 Other El
Dredge 13 Fill [I Both El Other [3
Dredge [I Fill [3 Both [3 Other [I
252-808-2808 1-888ARCOAST :: www4mccoastalmanagement.n revised: 02115110
IN E"
APPLICATION for
Maier Development Permit
(last revised 12/27/06)
North Carolina DIVISION OF COASTAL MANAGEMENT
1. Primary Applicant/ Landowner Information
Business Name
Department Of Transportation
Project Name (if applicable)
SR 1155 Pipe Replacement WBS#:
2B.201611
Applicant 1: First Name
Jay
MI
B
Last Name
Johnson
Applicant 2: First Name
MI
Last Name
If additional applicants, please attach an additional page(s) with names listed.
Mailing Address
PO Box
1587
City
Greenville
State
NC
ZIP
27835 1587
Country
USA
Phone No.
252 - 439
- 2821 ext.
FAX No.
252 - 830 - 3341
Street Address (if different from above)
City
State
ZIP
Email
jbjohnson@ncdot.gov
2. Agent(Contractor Information
Business Name
Agent/ Contractor 1: First Name
MI
Last Name
Agent/ Contractor 2: First Name
MI
Last Name
Mailing Address
PO Box
City
State
ZIP
Phone No. 1
ext.
Phone No. 2
ext.
FAX No.
Contractor #
Street Address (if different from above)
City
State
ZIP
Email
<Form continues on back>
RECEIVED
252-808-2808 .= 1-888-4RCOAST .. www.-Re:coastalmanagement.net
DCM-MHD CITY
Form DCM MP-1 (Page 2 of 4)
APPLICATION for
Major Development Pen -nit
3. Project Location
County (can be multiple)
Street Address
State Rd. #
Carteret
SR 1155 700' north of SR 1154
1155
Subdivision Name
City
State
Zip
N/A
Newport
NC
28570 -
Phone No.
Lot No.(s) (if many, attach additional page with list)
N/A - - ext.
N/A, ,
a. In which NC river basin is the project located?
b. Name of body of water nearest to proposed project
White Oak
Alligator Creek
ody identified in (b) above, natural or manmade?
d. Name the closest major water body to the proposed project site.
Manmade ❑Unknown
Fproposed
Newport River
ork within city limits or planning jurisdiction?
f. If applicable, list the planning jurisdiction or city limit the proposed
No
work falls within.
N/A
4. Site Description
a. Total length of shoreline on the tract (ft.)
b. Size of entire tract (sq.ft.)
20'
N/A
c. Size of individual lot(s)
d. Approximate elevation of tract above NHW (normal high water) or
N/A, I I
NWL (normal water level)
(If many lot sizes, please attach additional page with a list)
3' ❑NHW or NNWL
e. Vegetation on tract
Maintained grasses and coastal wetlands
f. Man-made features and uses now on tract
Asphalt road
g. Identify and describe the existing land uses adjacent to the proposed project site.
Coastal marsh and residences
h. How does local government zone the tract?
I. Is the proposed project consistent with the applicable zoning?
N/A
(Attach zoning compliance certificate, if applicable)
❑Yes ❑No NNA
j. Is the proposed activity part of an urban waterfront redevelopment proposal? []Yes NNo
k. Hasa professional archaeological assessment been done for the tract? If yes, attach a copy. ❑Yes ❑No NNA
If yes, by whom?
I. Is the proposed project located in a National Registered Historic District or does it involve a ❑Yes ❑No NNA
National Register listed or eligible property?
<Form continues on next page>
252-808-2808 .. 1-888-4RCOAST ,. www.nccoastaimanagement.net
Form DCM MP-1 (Page 3 of 4)
APPLICATION for
Major Development Permit
m. (i) Are there wetlands on the site?
(ii) Are there coastal wetlands on the site?
®Yes ❑No
(iii) If yes to either (i) or (ii) above, has a delineation been conducted? ®Yes ❑No
(Attach documentation, if available)
n. Describe existing wastewater treatment facilities.
N/A
o. Describe existing drinking water supply source.
N/A
p. Describe existing storm water management or treatment systems.
N/A
5. Activities and Impacts
a. Will the project be for commercial, public, or private use? ❑Commercial ®Public/Government
❑Private/Community
b. Give a brief description of purpose, use, and daily operations of the project when complete.
The existing 56' long 72" corrugated metal pipe is failing and will be replaced by 2 44' long 60" corrugated aluminum alloy
pipes. The proposed pipes will keep the roadway from collapsing, thus preventing injury and death.
c. Describe the proposed construction methodology, types of construction equipment to be used during construction, the number of each type
of equipment and where it is to be stored.
Typical roadway construction equipment will be used, including but not limited to tracked excavators, dump trucks, flat bed
trucks, back hoes and boom trucks.
d. List all development activities you propose.
Pipe replacement
e. Are the proposed activities maintenance of an existing project, new work, or both? Maintenance
f. What is the approximate total disturbed land area resulting from the proposed project? 1695 ®Sq.Ft or ❑Acres
g. Will the proposed project encroach on any public easement, public accessway or other area ❑Yes ®No ❑NA
that the public has established use of?
h. Describe location and type of existing and proposed discharges to waters of the state.
N/A
i. Will wastewater or stormwater be discharged into a wetland? ❑Yes ®No ❑NA
If yes, will this discharged water be of the same salinity as the receiving water? ❑Yes ®No ❑NA
j. Is there any mitigation proposed? ❑Yes ®No ❑NA
If yes, attach a mitigation proposal.
<Form continues on back>
RECEIVED
252-808-2808 .. 1-888-4RCOAST .. www.nccoastalmanagement 16 ZM
DCM-MHD CITY
Form DCM MPA (Page 4 of 4)
APPLICATION for
Major Development Permit
6. Additional Information
In addition to this completed application form, (MP-1) the following items below, if applicable, must be submitted in order for the application
package to be complete. Items (a) — (0 are always applicable to any major development application. Please consult the application
instruction booklet on how to properly prepare the required items below.
a. A project narrative.
b. An accurate, dated work plat (including plan view and cross -sectional drawings) drawn to scale. Please give the present status of the
proposed project. Is any portion already complete? If previously authorized work, clearly indicate on maps, plats, drawings to distinguish
between work completed and proposed.
reThce
A sitEorlocation map that is sufficiently detailed to guide agency personnel unfamiliar with the area to the site.
A odeed (with state application only) or other instrument under which the applicant claims title to the affected properties.
appropriate application fee. Check or money order made payable to DENR.
f. A list of the names and complete addresses of the adjacent waterfront (riparian) landowners and signed return receipts as proof that such
owners have received a copy of the application and plats by certified mail. Such landowners must be advised that they have 30 days in
which to submit comments on the proposed project to the Division of Coastal Management.
Name See addendum for adjacent waterfront landowners Phone No.
Address
Name Phone No.
Address
Name Phone No.
Address
g. A list of previous state or federal permits issued for work on the project tract. Include permit numbers, permittee, and issuing dates.
h. Signed consultant or agent authorization form, if applicable.
i. Wetland delineation, if necessary.
j. A signed AEC hazard notice for projects in oceanfront and inlet areas. (Must be signed by property owner)
k. A statement of compliance with the N.C. Environmental Policy Act (N.C.G.S. 113A 1-10), if necessary. If the project involves expenditure
of public funds or use of public lands, attach a statement documenting compliance with the North Carolina Environmental Policy Act.
7. Certification and Permission to Enter on Land
I understand that any permit issued in response to this application will allow only the development described in the application.
The project will be subject to the conditions and restrictions contained in the permit.
I certify that I am authorized to grant, and do in fact grant permission to representatives of state and federal review agencies to
enter on the aforementioned lands in connection with evaluating information related to this permit application and follow-up
monitoring of the project.
I further certify that the information provided in this application is truthful to the best of my knowledge.
Date July 25, 2018
Print Name Jay B Johnson
Signature
Please indicate application attachments pertaining to your proposed project.
®DCM MP-2 Excavation and Fill Information ®DCM MP-5 Bridges and Culverts
❑DCM MP-3 Upland Development
❑DCM MP-4 Structures Information
252-808-2808 .. 1-888-4RCOAST r ww. ccu ta8eearYegemeast.neQ
Addendum to 6f Adjacent Waterfront Owners
Name: Stacy W Jones etux
Address: 3228 Monte Dr
Monroe NC 28110
Name: Jeffrey A Hollowell etux
Address: 1565 Highway 24
Newport NC 28570
Name: Stevenson Lee Weeks Sr
Address: P.O. Box 360
Beaufort NC 28516
Name: SEC*URE Inc
Address: P.O. Box 25907
Raleigh NC 27611
IECEIVED
AUG 16 2018
,M-MHD CITY
Form DCM MP-2
EXCAVATION and FILL
(Except for bridges and culverts)
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
Describe below the purpose of proposed excavation and/or fill activities. All values should be given in feet.
Other
Access
Rock
(excluding
Channel
Canal
Boat Basin
Boat Ramp
Rock Groin
Breakwater
shoreline
(NLW or
stabilization
NWL)
Length
Width
Avg. Existing
NA
NA
Depth
Final Project
NA
NA
Depth
1. EXCAVATION
®This section not applicable
a. Amount of material to be excavated from below NHW or NWL in
b. Type of material to be excavated.
cubic yards.
c. (i) Does the area to be excavated include coastal wetlands/marsh
d. High -ground excavation in cubic yards.
(CW), submerged aquatic vegetation (SAV), shell bottom (SB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the excavation in these areas:
2. DISPOSAL OF EXCAVATED MATERIAL
®This section not applicable
a. Location of disposal area.
b. Dimensions of disposal area.
c. (i) Do you claim title to disposal area?
d. (i) Will a disposal area be available for future maintenance?
❑Yes [-]No DNA
❑Yes [-]No DNA
(ii) If no, attach a letter granting permission from the owner.
(ii) If yes, where?
(i) Does the disposal area include any coastal wetlands/marsh
(CW), submerged aquatic vegetation (SAV), shell bottom (SIB),
or other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of disposal in these areas:
(i) Does the disposal include any area in the water?
❑Yes ❑No DNA
(ii) If yes, how much water area is affected?
---^sNE®
AEG 16 2o�a
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net
Form DCM MP-2 (Excavation and Fill, Page 2 of 2)
3. SHORELINE STABILIZATION ❑This section not applicable
(if development is a wood groin, use MP-4 — Structures)
a. Type of shoreline stabilization: b. Length: 12'. 12'
❑Bulkhead ®Riprap ❑Breakwater/Sill ❑Other:
Width: 2'
c. Average distance waterward of NHW or NWL: 2.5' d. Maximum distance waterward of NNW or NWL: 3'
e. Type of stabilization material:
Granite Riprap
g. Number of square feet of fill to be placed below water level.
Bulkhead backfill Riprap 45
Breakwater/Sill Other
i. Source of fill material.
f. (i) Has there been shoreline erosion during preceding 12
months?
❑Yes ❑No ®NA
(ii) If yes, state amount of erosion and source of erosion amount
information.
h. Type of fill material.
Sand
4. OTHER FILL ACTIVITIES ®This section not applicable
(Excluding Shoreline Stabilization)
a. (i) Will fill material be brought to the site? ❑Yes ❑No ❑NA b. (i) Will fill material be olaced in coastal wetlandslmarsh ICM
If yes,
(ii) Amount of material to be placed in the water
(iii) Dimensions of fill area
(iv) Purpose of fill
submerged aquatic vegetation (SAV), shell bottom (SB), or
other wetlands (WL)? If any boxes are checked, provide the
number of square feet affected.
❑CW ❑SAV ❑SB
OWL ❑None
(ii) Describe the purpose of the fill in these areas:
5. GENERAL
a. How will excavated or fill material be kept on site and erosion b. What type of construction equipment will be used (e.g., dragline,
controlled? backhoe, or hydraulic dredge)?
NCDOT BMP's Typical road construction equipment
c. (i) Will navigational aids be required as a result of the project?
❑Yes ❑No ®NA
(ii) If yes, explain what type and how they will be implemented.
July 25, 2018
Date
SR 1155 Pipe Replacement WBS#: 2B.201611
Project Name
d. (i) Will wetlands be crossed in transporting equipment to project
site? ❑Yes ®No ❑NA
(ii) If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
Jay B Johnson
Applicant Name
Applicant fl
252-808-2808 :: 1-888-4RCOAST : www.nccoostaimanagement.net revised 12126106
Form DCM MP-5
BRIDGES and CULVERTS
Attach this form to Joint Application for CAMA Major Permit, Form DCM MP-1. Be sure to complete all other sections of the Joint
Application that relate to this proposed project. Please include all supplemental information.
1. BRIDGES ®This section not applicable
a. Is the proposed bridge:
❑Commercial ❑Public/Government ❑Private/Community
c. Type of bridge (construction material):
e. (i) Will proposed bridge replace an existing bridge? ❑Yes ❑No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge:
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
g. Length of proposed bridge:
i. Will the proposed bridge affect existing water flow? ❑Yes ❑No
If yes, explain:
k. Navigation clearance underneath proposed bridge:
m. Will the proposed bridge cross wetlands containing no navigable
waters? ❑Yes ❑No
If yes, explain:
b. Water body to be crossed by bridge:
d. Water depth at the proposed crossing at NLW or NWL:
f. (i) Will proposed bridge replace an existing culvert? ❑Yes ❑No
If yes,
(ii) Length of existing culvert:
(iii) Width of existing culvert:
(iv) Height of the top of the existing culvert above the NHW or
NWL:
(v) Will all, or a part of, the existing culvert be removed?
(Explain)
h. Width of proposed bridge:
j. Will the proposed bridge affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ❑No
If yes, explain:
I. Have you contacted the U.S. Coast Guard concerning their
approval? ❑Yes [-]No
If yes, explain:
n. Height of proposed bridge above wetlands:
2. CULVERTS ❑This section not applicable
a. Number of culverts proposed: 2 b. Water body in which the culvert is to be placed:
Alligator Creek
< Form continues on back>
252-808-2808 :: 1-888-4RCOAST :: www.necoastalmanagement.net
AUG 16 2018
J" M.1A RIDi(Kr/26/06
y - (Bridges and Culverts, Page 2 of )
c. Type of culvert (construction material):
Aluminum
d. (i) Will proposed culvert replace an existing bridge? e. (i) Will proposed culvert replace an existing culvert?
❑Yes ®No ®Yes []No
If yes,
(ii) Length of existing bridge:
(iii) Width of existing bridge:
(iv) Navigation clearance underneath existing bridge: _
(v) Will all, or a part of, the existing bridge be removed?
(Explain)
f. Length of proposed culvert: 2 44'
h. Height of the top of the proposed culvert above the NHW or NWL.
.5'
j. Will the proposed culvert affect navigation by reducing or
increasing the existing navigable opening? ❑Yes ®No
If yes, explain:
If yes,
(ii) Length of existing culvert(s): 56'
(iii) Width of existing culvert(s): 72"
(iv) Height of the top of the existing culvert above the NHW or
NWL:.5'
(v) Will all, or a part of, the existing culvert be removed?
(Explain) All of the existing culvert will be removed
g. Width of proposed culvert: 2 60"
i. Depth of culvert to be buried below existing bottom contour.
1'
k. Will the proposed culvert affect existing water flow?
[]Yes ®No
If yes, explain:
3. EXCAVATION and FILL El This section not applicable
a. (i) Will the placement of the proposed bridge or culvert require any
excavation below the NHW or NWL? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 15% 15'
(iii) Avg. width of area to be excavated: 3y3'
(iv) Avg. depth of area to be excavated: 1'
(v) Amount of material to be excavated in cubic yards: 4
c. (i) Will the placement of the proposed bridge or culvert require any
high -ground excavation? ®Yes ❑No
If yes,
(ii) Avg. length of area to be excavated: 45'
(iii) Avg. width of area to be excavated: 35'
(iv) Avg. depth of area to be excavated: 7'
(v) Amount of material to be excavated in cubic yards: 410
b. (i) Will the placement of the proposed bridge or culvert require any
excavation within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
®CW 170 ❑SAV ❑SB
❑WL ❑None
(ii) Describe the purpose of the excavation in these areas:
Pipe replacement and headwall installation
252-808-2808 :: 1-888-4RCOAST :: www.nccoastalmanagement.net revised: 10/26/06
Form DCM MP-5 (Bridges and Culverts, Page 3 of 4)
d. If the placement of the bridge or culvert involves any excavation, please complete the following:
(i) Location of the spoil disposal area: Excavated material will be reused on site, any leftover will be taken back to maintenance
area.
(ii) Dimensions of the spoil disposal area: N/A
(iii) Do you claim title to the disposal area? ®Yes ❑No (If no, attach a letter granting permission from the owner.)
(iv) Will the disposal area be available for future maintenance? ❑Yes ®No
(v) Does the disposal area include any coastal wetlands/marsh (CW), submerged aquatic vegetation (SAVs), other wetlands (WL), or shell
bottom (SB)?
❑CW ❑SAV OWL ❑SB ®None
If any boxes are checked, give dimensions if different from (ii) above.
(vi) Does the disposal area include any area below the NHW or NWL? ? ❑Yes ONO
If yes, give dimensions if different from (ii) above.
e. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed below NHW or NWL? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
(i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed within coastal wetlands/marsh (CW), submerged
aquatic vegetation (SAV), shell bottom (SB), or other wetlands
(WL)? If any boxes are checked, provide the number of square
feet affected.
❑Cw ❑SAV ❑SB
OWL ®None
(ii) Describe the purpose of the excavation in these areas:
g. (i) Will the placement of the proposed bridge or culvert result in any
fill (other than excavated material described in Item d above) to
be placed on high -ground? ❑Yes ®No
If yes,
(ii) Avg. length of area to be filled:
(iii) Avg. width of area to be filled:
(iv) Purpose of fill:
a. Will the proposed project require the relocation of any existing b. Will the proposed project require the construction of any temporary
utility lines? ❑Yes ®No detour structures? ❑Yes ®No
If yes, explain: If yes, explain:
If this portion of the proposed project has already received
approval from local authorities, please attach a copy of the
approval or certification.
< Form continues on back> RECEIVED
AUG 16 2018
252-808-2808 :: 1-888-4RCOAST :: www.necoastaimanagement.net 0CM_Mr;6s�0J28/06
Form ®CM MP-5 (Bridges and Culverts, Page 4 of 4)
C. Will the proposed project require any work channels?
OYes ®No
If yes, complete Form DCM-MP-2.
e What type of construction equipment will be used (for example
dragline, backhoe, or hydraulic dredge)?
Typical roadway construction equipment will be used,
including but not limited to tracked excavators, dump
trucks, flat bed trucks, back hoes and boom trucks.
g Will the placement of the proposed bridge or culvert require any
shoreline stabilization? ®Yes ❑No
If yes, complete form MP-2, Section 3 for Shoreline
Stabilization only.
July 25, 2018
Date
SR 1155 Pipe Replacement WBS#: 26.201611
Project Name
Jay B Johnson
Applicant Name
Applican ign ure
d. How will excavated or fill material be kept on site and erosion
controlled?
Use BMP's
f. Will wetlands be crossed in transporting equipment to project site?
❑Yes ®No
If yes, explain steps that will be taken to avoid or minimize
environmental impacts.
252-808-2808 :: 1-88"RCOAST :: www.nccoastalmanagement.net revised: 10/26106
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AN 16 2018
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