79845_Robet Blulm_20210719

• CAMAIEDREDGE & FUL
—ID it q, 5 I N9 79845 0) C D
GENERAL PERMIT '1 b Previous permit# /Vier
>' 1New ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued fr'f
As authorized by the State of North Carolina,Department of Environmental Quality
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC Ilif )280 .
'I 4 jj lI Rules attached.
Applicant Name 's r- 8/...</yy1 Project Location: County
3
Address (9 /+ ID ez- /{, et01 f d�4 Street
Address/State Road/Lot#(s) ' '
City / ®X'` State/VC. ZIP '2-el:15 O z7 to_l1 le
Phone# (% f � 9/0/ E-Mail y�� Subdivision .. .
r
Authorized Agent 7 rce-Se_2› City -N -'' ', zip L®g.7
❑CW �1.'EW LZI.PTA ❑ES ❑PTS Phone# (M 373'16/ River Basin st.J.e..-,-- _
Affected
❑OEA ❑HHF ❑IH ❑UBA O N/A rr�
AEC(s): Adj.Wtr. Body 4iO4• e.- C',re�.fl 4/man /unkn)
❑PWS: •--''
no ORW: yes / PNA yes / o) Closest Maj.Wtr. Body /"g4-4-1-"1-d-c- 4 '
Type of Project/Activity 4i'ii c z_J 7_ -b ,3 � /.,4- 99' i�'a 3�Z© '1 i,:4
4 �/
-N ©---f, / 1,\ ` 'c% ': Gfc v A,"\ , �,"X . .,f Z AL' (Scale: (' ,' 6 )
Pier(dock)length 9(7/ ■ _
Fixed Platforms)�(s�! 2-- t r-, *l j ������ y L.:_ .,
Floating Platform(s) r • CI E i. i
Finger pier(s) ' tr 1_. .. : - —' I
1
Groin length
VIMIIII .d�►.,1/ I
number 1 --1--- - 014—` h ►' a i ! -..
Bulkhead/Riprap length I ‘fir. 19 I ! r; 1 c,0113e,r r•
= -
avgdistance offshore I T I LIM ' I ,-.-
max distance offshore
• Basin,channel _ I I 'II L.�• 1 ���
/ �
MII
cubic yards / • � C ��� r {
Boat ramp j 1 1111111FAMINIMMEPRIMMENS
Boathouse/Boatlift 13K Alp _i I ;.. .. - - ..... - - - ............ -
i
Beach Bulldozing Il
{ IR■. ■ -1-;
- 1 -
Other IIVAIEINIIPIIIIINIIIIMIOIIIIPIIIIIIIIIIIIMIIHIIIIOIIPBIIMIIIIIIIIIIIIIIIIIIIIIIIIIIII
1 IIIIIIMMINIIIIIIIMMII i
f I `� � 1
i I
Shoreline Length r 1 ;~ lK ■IIIIIIIIINI E . _.:ram _
SAV: t6 sure` yes no i. I _. - I ____ ; 1 - ``c. f
Moratorium: n/a yes no l_ _ -
Photos: yes no , -..:5- _ --- ....e..... 1_j L. I ig/. 5 �_ , .. ! ..._...... e,„ <,e' , ! _i--- --
J I I � i
Waiver Attached: yes o !!
•
A building permit may be required by V'.4% C.& (._ 't See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) //j� V -
Notes/Special Conditions 4 31 4
0 ' ` `' 19 PLiC- X'` e et-- 1 e- 'P41(`fi ,---• /3/zC
.(1o"-,c,PelG3e
7-rtil 4.- pr-r_66-31- --)-- 4,,,Ai ai-Atc--:_______„,/
Agent or Applicant�P_F nted Name rrQ2er77Name/ /
Signature .// -------'\ ,-...------- ( ' ,-... -‘‘.i -1/1 ".7iL _
na y�'`,fl Please rea c mo pliance statement on back of�pfermit* Sig a ure �%! r > �y
( P� 1/1r, �°"'� / Dk,I �ae1t.., 19 ,.7)2.( • _ Ai) f/, n, )-z)2-
Application Fee(s) Check# j suing Date Expiration Date

Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action;and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
•
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front of permit,your project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-6481) or the
Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves:Beaufort,Bertie,Hertford,Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
40I S. Griffin St. 127 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390I Fax: [phone]
Fax: [phone] (Serves:Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

•àdCAMA,/ ❑DREDGE & FILL D p, 5-1 N9 79845 Al 0' C D
ENERALPERMIT ! • Previous permit# 4J , ;
> tNew ❑Modification ❑Complete Reissue ❑Partial Reissue Date previous permit issued /4/1L.
As authorized by the State of North Carolina,,Department of Environmental Quality -
and the Coastal Resources Commission in an area of environmental concern pursuant to I 5A NCAC -7,' i )2 P-
/= ,i [ Rules attached.
Applicant Name ?.0"'''''` ' 7.. /Lc f 1 p') . Project Location: County '',!c_,n
// / • ,/ - J f fi ... 1
Address (.,7 / `r'' Cl.i'.c...e /t sJ'-0 1r!` j'`,,e.. Street Address/State Road/Lot#(s) �' ! ' ,
City %. •✓61-''r•,: j State / C ZIP 1-Y-Z 0 t_i'reP-.? �,_- zee,, ,
Phone#(%' '�>?`?. Ji f-) E-Mail ---'__
Subdivision -- .
Authorized Agent "T t t'd -'-..--1` c e- ,./ City fti' ' _ C Pl.- . - ZIP 1 S'( )
Affected ❑CW 'SEW b PTA ❑ES ❑PTS Phone# i J(�'� �� *6/ River Basin ,•.--s,-Q__
❑OEA .::❑HEW ❑IH ❑UBA El N/A
AEC(s): Adj.Wtr. Body cam'-�6,-i"=",' (-./" _,, r'nat /man /unkn)
❑ PWS: �✓
ORW: yes /no PNA yes / o,r Closest Maj.Wtr. Body �� / '`'�
Type of Project/Activity . /j 'c ' /'4 4 ice) /Jr� .`C ` t'-7 f /1/e, ,-,.).f Y 77,,,r, 1 c s,
z-� ,, !t ,.h C� ' ✓:;rf,-',�'4".t..r1: , i /-"?X 7 h-,-,,, j/' t'-z- r Scale: p ac
Pier(dock)length 9 )/ �� ( )re
Fixed Platforms)JL.(i-, //-fix ' "" f EffiralliallIMMINIIIMMIMMOSIIIWI
Floating Platform(s) r III '`/ !�, •'� . I _�j
Finger pier(s) / `1 — _y
Groin length
i
number } r_� ...- r I` - j i ----- ; .
Bulkhead/Riprap length f ■/
&�._41 �—+ - a f n i 1 a.;z.
avg distance offshore ' • i ! ,-.J-4,; ,
max distance offshore 1 I �,E INas • —• ••
Basin,channel I MINIM I I
'� 1111111111111111
1 I ' � t IM�
cubic yards7 i rr
MEIrlillfillUllillill.1)
Boat ramp
Boathouse/Boatlift fax a —I—I._..- — — ;— _.. .- --t
!
{f
;
Beach Bulldozing / ' i 1-I ' -1 'i__...M--�- -- —— —
111111111.11011011
Other 1 " ! I ��m���
1 ���a. o � M Q1__1111101111
- 1 ' 0a, ����� ®.IMMO
Shoreline Length-� ?���' ! .6NIIIIMMINIIII
--' r} I L�.
SAV: of sure yes no �--.--- ; -- � ai�i,._�
Moratorium: n/a yes (✓no - a I _ r j _ ! S`"` . { r t - s'`.. 1
Y
Photos: yes nod <�,, �.c�/ �•F�! f✓1, I _!__— - f 1 1 ( 'N''1'ti I__ ..
I �` ., i—i isi" i 1 i I
Waiver Attached: yes no ,, _ -I/� _
A building permit may be required by ,,,I, c.,.& ( ._ . Tt See note on back regarding River Basin rules.
(Note Local Planning Jurisdiction) �, ± ✓ �''- r , 1
Notes/Special Conditions ' 310 / .-bra;/�... �"-�'-fa.-1.ji, t"'r met„,. `' /2 .7"'r '" ,,`"
-1 '! 7,1") • S - i .-",r) L' ' / ,-, „I/ af...: ,.............„,......,...,. ,
,,
Agent or Applicant Printed Name ____.._-•------•"" `.�� ,.sue' PeronitOfficer's Pi-inte ,Name. f
— i r �l ( -.-- (rsf4'1' t
Signature **Please read. mo pliancestatementonbackofpermit** -Sig an ure / , '
Application Fee(s) ?'.•;` .;r.,"• Check# • �Issuing�ate ' • Expiration Date

•
Statement of Compliance and Consistency
This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any
violation of these terms may subject the permittee to a fine or criminal or civil action;and may cause the permit to become
null and void.
This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The
applicant certifies by signing this permit that I)prior to undertaking any activities authorized by this permit,the applicant will
confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local
ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian
landowner(s).
The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available
information and belief,certify that this project is consistent with the North Carolina Coastal Management Program.
River Basin Rules Applicable To Your Project:
Tar-Pamlico River Basin Buffer Rules Other:
Neuse River Basin Buffer Rules
If indicated on front.of permit,your--project is subject to the Environmental Management Commission's Buffer Rules for the
River Basin checked above.due to its location within that River Basin. These buffer rules are enforced by the NC Division of
Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the
Wilmington Regional Office(9 I 0-796-72 15)for more information on how to comply with these buffer rules.
Division of Coastal Management Offices -
Morehead City Headquarters Washington District
400 Commerce Ave 943 Washington Square Mall
Morehead City, NC 28557 Washington, NC 27889
252-808-2808/ I-888-4RCOAST 252-946-648 I
Fax: [phone] Fax: [phone]
(Serves:Carteret,Craven,Onslow- (Serves:Beaufort,Bertie,Hertford,Hyde,
North of New River Inlet-and Pamlico Tyrrell and Washington Counties)
Counties)
Elizabeth City District Wilmington District
40I S. Griffin St. I27 Cardinal Drive Ext.
Ste. 300 Wilmington, NC 28405-3845
Elizabeth City, NC 27909 910-796-7215
252-264-390I Fax: [phone]
Fax: [phone] (Serves:Brunswick,New Hanover,
(Serves:Camden,Chowan,Currituck, Onslow-South of New River Inlet-
Dare,Gates,Pasquotank and Perquimans and Pender Counties)
Counties)
http://portal.ncdenr.org/web/cm/dcm-home
Revised 7/06/17

MA�•
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Beverly Eaves Perdue,-Governor James N.Gregson,Director -Dee Freeman,Secretary
•
Date
Name of Property Owner Applying for Permit
RO b6ri- -SoltointrvN
Mailing Address:
3< Co C ree K ? i'-\-e
Yk)C 2�',5'C 0
I certify that I have authorized(agent) Y1 '4 J to act on my
behalf,for the purpose of applying for and obtaining all OAMA Permits necessary to
install or construct(activity) D CG t'
at{my property located-at) C 1 (gyp C r ei
1 fern) C. Z55`o0
This certification is valid glru{date)
joAC
Property Owner Signature Date
Commerce Avenue.Morehead City. North Carolina 28557
Phone: [phone] a FAX: [phone]\Intemet: www.nccoastalmanagernertnet
An Equal QppartunityaA rmative Action-Employer—50%Recycled\18%-Post Consumer-Paper

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
I hereby certify that I own property adjacent to p 6 EcQL#9h r 1 i•a if
(Name of Property Owner)
property located at f a 31,6 [r E k_ {�c -6 Rd. gEucee 2m,N C, -asp sic,o ,
(Lot,Block,Road,etc.)on ('gyp bat C k- ,in IPA' i i c.o et ,N.C.
(Waterbody) (Town and/or County)
Applicant's phone#: 757- 37.3-g'1p1 Mailing Address: f031to C c K-.TiI3 P-c.
1') ` F I)f l�f� c�OStoe.7
He has described to me,as shown below,the development he is proposing at that location,and,I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
•
(Information for Property Owner.Applying (Riparian Property Owner Information)
for Permit)
Amami,
Lo�llo��}'kE1=t1- �l�L� �A
M''Niailing Address Signature
ak) ,1 J' 2 SGCo V RI kat,- Fls REA. 1-k7LD)N[ LLC-
City/State/Zip Print or Type Name
373 cup ! IIO- 299-53°
Telephone Number Telephone Number
Signature Date Date
4- Kt seg obamt_
cc,444.-. '/01.12► ..( 4444ecre-

.A 1 ATIMtr-r_r �., w 7.-- Adjacent Property Owner
4••• Search All or Choose Lei a. Kingfisher Holdings,LLC
� � a �,.�„ �. - ri4, r�,i '• 6277 Creek Pointe Road
e ft F z;' • '; ,r Ym. ,+r' New Bern, NC
Gir
y , ' f • ,` ,r a.' a4'4 4 .4 ' ' Dock Dimensions:
• '1 _ . _- ,10° Total Length from bulkhead
`� including steps:100 feet
.rw gi n.- . „ti �,�y r
r
Mt ?y} , • .�,1 .. fi r. , . . wk '"'' Walkway: 87 feet
z
1.
„z�4 r� .- 0z t - - ,, I, 4 .fi :°.A , ; Canoe Platform: 5'x 10'
1 ���� � �2 •mot �„dY`,�`,�`�'F�' '�.q � �� �'. F'•i. "al". 4 .t d
' " x f; '1„. « . .: ."4i k- Boat lift area:30'x 13' Cover
f ` 4 ; .�. '"« A _ J , „�_ . not proposed—pilings
- r30. r. a -: t' t ` -m.lt ' " .,,- , Covered area end of dock:
. - 04;4 k 4,x +1. ,x« 20'x 13'—Roof:Height from
'�0 t ,. " �t'; ,, 'y 4 0 ` � Ott-ft '� � a ., top of dock to bottom of roof
' �Iv'
1a ref, 440$4 ,$"'' r '' x ,- ,..4. ,<rt' t" � s'8
_. *,/ •^�,. A- 1. W¢t t,f , `fie 8-9'—bottom of roof�to
k' t#{ s"�'Y�fA`6 ?Y4 ��yy,� Y Sv+''S }'k ' '
ti- �^--°13 '6 •, s a•« '$T�,Lc'3�`.. d .A.,..^•,t,r�t i p y '� �; pitch-3-5'
r.. 't. t r A* � - , *', '.' • .#'mod,
,
v' `.-.:..,, ..., r. _ ,x,. '-:.. ''''*',..,P .ce
" The Riparian Properly Owner,
Kingfisher Holdings, LLC
.` (Nancy Barker Hill).statement
4. w ' S, was signed based on the
t •. drawing and dimensions
r, . provided by Robert and Sherri
4� Blohm. I have signed the
L 4
4 • •. . • •` statement indicating that I am
0 a % ok with the construction"as
•
described to me in
• conjunction with the
a, diagram"by the builder.
,' - . , . 0� I-ta.204,f
Kingfisher Holdings,LLC
t}
_ .a.,,.°., _ ,. . 4>. .t,... ... . ..�.. . ., ., - '.' ' A Nancy Barker Hill

,.
•
•
•
, Y

ADJACENT RIPARIAN PROPERTYOWNER STATEMENT
I hereby certify that I own property adjacent to I\C4O 4 F ± SIi 13 ;;(Ihi'ki
(Name of Property Owner)
property located at 631 C� 1,�. Po' 7 fG ��j C/V 4/b(MT/i4 56
(Lot,Block,Road,etc.)
C00e- € (ecK PGA/ /
(e ,N.C.,
,(Waterbody) (Town and/or County)
Applicant's phone#: 737_ �73 4t'o' Mailing Address:. 616 G 1(`L 'ik-P6' 120
/!/e w 64,1 /UL zis% D
He has described to me, as shown below, the development he is proposing at that location,and.I
have no objections to his proposal.
DESCRIPTION AND/OR DRAWING OF PROPOSED DEVELOPMENT:
(To be filled in by property owner proposing development)
(Information for Property Owner Applying (Riparian Property Owner Information)
fur Permit)
C31‘ C21- it f )i1 R' t
Mailing Address Signature
/1/1 W 13 Egil/ Z�66 0
City/State/Zip Print or Type Name
157—7thephone Number Telephone Number
C7e—Jea--r`
Signature Date Date

•
ROY COOPER
_y;.. Governor
MICHAEL S. REGAN
Secretary
Coastal Management BRAXTON DAVIS
ENVIRONMENTAL QUALITY
Director
BUFFER AUTHORIZATION CERTIFICATE
FOR PIER AND DOCKING FACILITIES ACCESS WAY
A riparian buffer authorization is required for pier and docking facilities access ways through the Tar-Pamlico &
Neuse River Riparian buffer per Division of Water Resources (DWR) regulations 15A NCAC 026.0233 &.0259.The
Division of Coastal Management (DCM),through a Memorandum of Understanding with the Division of Water
Resources-(DWR) has reviewed your project proposal and has determined that the project as proposed complies
with the aforementioned regulations.
Those activities covered by your Coastal Area Management Act(CAMA) permit hay.e received Buffer Authorization
provided the project is constructed in a manner that continues to meet all of the conditions listed below. Failure to
comply with this Buffer Authorization may subject the property owner and the party (contractor) performing the
construction and/or land clearing to a civil penalty by DWR of up to $25,000 per day per violation.
i. Crossing is Perpendicular: Pier and docking facility access way must cross the 50 ft. riparian buffer
perpendicularly(which is defined as between 75 and 105 degrees) unless otherwise approved by DCM. The
alignment shall minimize the removal of woody vegetation to the greatest extent practicable.
2. Pervious,Materials:All reasonable measures shall be taken to ensure the access way is made of pervious
materials like open-slatted wood or composite, mulch, or grass to meet the intent of the rules to the
maximum extent practicable.
3. Access Width:The width of the pier or docking facility access way shall be limited to six (6) feet.
4. Project Drawing: The drawing on the CAMA General Permit is considered the project drawing of your
property indicating the relative location of the pier or docking facility and any requested access way.This
drawing will be used to aid in compliance and monitoring efforts.
• Pre-project site conditions: l�
By your signature below you agree to be held responsible for meeting all of the conditions listed above a erify
that all information provided is complete and accurate.
•
Agent or A plicant Printed Name Pe mit Of r' ignature
Agen r pplicant Signature Issue tel
` •
CAMA GENERAL PERMIT#:
State of North Carolina I Environmental Quality[Coastal Management
• Washington Office 1943 Washington Square Mall Washington.NC 27889I 252-946-6481
• Wilmington Office 1127 Cardinal Drive Ext.Wilmington,NC 28405-3845 910-796-7215
Morehead City Office 1400 Commerce Avenue Morehead City,NC 28557 1252-808-2808

77 SEN OM DER;:C .,LETE THIS S ECTION ICOiV1PLETE:THIC SECTIONQNDEL!VERY '
RI
Complete items 1,2,and 3. ,Signaturev� •
■ Print your name and address on the reverse .... � ❑Agent
so that we can return the card to you. - .-... 0 Addressee
• Attach this card to the back of the mailp'e P`"` , `D�"'` ei ed nted Name) C. Date of Delivery
or on the front if space permits. �5t► N ?'
1. Article Addressed to: �� 7 D. Is deliyerj<ac� ress different from item 1? ❑Yes
0®� � ���t� If YES\entefdelivery address below: ❑No
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0 Registered MapM
0 Adult Signature Restricted Delivery 0 Registered Mail Restrict;
9590 940 59;30 9189 6710 32 0 Certified Mail® Delivery• 0 Certified Mall Restricted Delivery Al Return Receipt for
0 Collect on Delivery Merchandise
_.9- Article N4mber(Traosfer•.from service lapel'. r_. , ❑.Collect on Delivery Restricted Delivery A Signature Confirmation'°
r ❑=lrisured Mlait �� • 1�Signature Confirmation
7 017 14 5 d ti It 1 '�8 611` 14`17 = over Ma f,restricted belivery' 1 1 Restricted Delivery

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•ENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY
• Complete items 1,2,and 3. ' . , A. Signature
• Print your name and address on the reverse X f ❑Agent
so that we can return the card to you. ❑Addresse
■ Attach this card to the back of the mailpiece, B. Rece .by(Printed Name) ,.:,.:C. Date of Deliver
or on the front if space permits. 7.,": ..
1. Article Addressed to: D. Is delivery address different from''i rril?❑°Y.es \
giA✓!r-F/S . /40i/iveS-S C.- If YES,enter delivery addre r Blow: l No
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Be_Pof 'GIs, /1/y 20
3.
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Mail Express®
III IIIIII III 1111111 III IIIIII II I I I I II I II IIII ❑dultlSignature t Restricted Delivery 0 Registered Mail Restrtol
❑Certified Mail® Delivery
9590 9402 5430 9189 6710 25 0 Certified Mail Restricted Delivery 0 Return Receipt for
❑Collect on Delivery Merchandise
2. Article Number(Transfer from service label) 0 Collect on Delivery Restricted Delivery 0 Signature Confirmation'
❑Insured Mail 0 Signature Confirmation
;❑Insured Mail Restricted Delivery Restricted Delivery
,. _ . - , (over$500)

USPS TRACKING IA
I II II I First-Class Mail
11111 1111111111111 111 111 Postage'84 Fees Paid
LISPS
Permit No.G-10
9590 9402 5430 9189' 6710 25
. .
United States •Sender:Please print your name,address,and ZIP-PP in this box°
Postal Service
• 77- P/I—tcit Mi412/9Alf_
4:490,ler"
Ai 6-- (9-Fs f,„ •
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