SC_13-14_ Siefker (2)

Issued by WiRO SC13-14
Surf City (Amended) Permit Number
CAMA
MINOR DEVELOPMENT411111
PERMIT
as authorized by the State of North Carolina, Department of Environment,
and Natural Resources and the Coastal Resources Commission for development
in an area of environment concern pursuant to Section 113A-118 of the
General Statutes,"Coastal Area Management"
Issued to Robert Siefker authorizing development in both the Estuarine Shoreline Area of Environmental Concern
(AEC) and Ocean Hazard AEC at 2020 N. Shore Drive and 105 Jennifer Lane, in Surf City, Onslow County as
requested in the permittee's application package, dated June 22, 2013 and received by DCM on June 24, 2013. This
permit, issued on July 17, 2013, is subject to compliance with the application and site drawing (where consistent with
the permit), all applicable regulations and special conditions and notes set forth below. Any violation of these terms may
subject permittee to a fine, imprisonment or civil action, or may cause the permit to be null and void.
This permit authorizes: Relocation of an existing single family dwelling. The dwelling would be re-located from 2020 N.
Shore Drive, Surf City, NC,to 105 Jennifer Lane, Surf City, NC.Additionally,this permit authorizes renovation of the lot
located at 2020 N. Shore Drive,to include: removal of the concrete slab/house foundation, removal of pilings and other
debris. Lastly,this permit authorizes dune re-establishment.
(1) All proposed development and associated construction must be done in accordance with the permitted work plat
drawings(s)and application packet dated received by the Division of Coastal Management on June 24, 2013.
(2) All construction must conform to the N.C. Building Code requirements and all other local, State and Federal regulations,
applicable local ordinances and FEMA Flood Regulations.
(3) Any change or changes in the plans for development, construction, or land use activities will require a re-evaluation and
modification of this permit.
(4) A copy of this permit shall be posted or available on site. Contact this office at [phone] for a final inspection at
completion of work.
(Additional Permit Conditions on Page 2)
This permit action may be appealed by the permittee or other qualified persons /`
within twenty (20) days of the issuing date. From the date of an appeal, any
work conducted under this permit must cease until the appeal is resolved. This
permit must be on the project site and accessible to the permit officer when the
project is inspected for compliance. Any maintenance work or project Jason ail
modification not covered under this permit, require further written permit C A LOCAL PERMIT OFFICIAL
approval.All work must cease when this permit expires on:
127 Cardinal Driv- • : sion
December 31,2016 Wilmington, ► ' 28, 05-3845
In issuing this permit it is agreed that this project is consistent with the local Land .�
Use Plan and all applicable ordinances. This permit may not be transferred to '_��

Name: Robert Siefker
Minor Permit#SC13-14 (amended)
Date: July 17, 2013
Page 2
(5) All unconsolidated material resulting from associated grading, demolition and landscaping (on both lots) shall be
retained on site by effective sedimentation and erosion control measures. Disturbed areas shall be vegetated and
stabilized (planted and mulched)within 14 days of construction completion.
(6) The oceanard side of the lot must be restored to its predevelopment condition to such an extent that is possible after
the removal of the structure including: complete removal of all pilings, debris and sandbags, if applicable; removal of
all septic system, plumbing and electrical components' removal of all impervious surfaces; site most be stabilized
with suitable vegetation as soon as possible. All associated demolition debris must be properly disposed of and the
site returned to pre-development conditions.
(7) Any fill material brought on-site at 2020 N. Shore Drive, Surf City, NC, shall be compatible with native sand(s). The
Division of Coastal Management shall inspect and approve any fill material prior to deposition.
(8) Unless specifically allowed in 15A NCAC 07H. 0209(d)(10), and shown on the permitted plan drawing, all
development/construction shall be located a distance of 30 feet landward of Normal High Water.
(9) This permit does not authorize the excavation or filling of ANY WETLANDS or open water areas,even temporarily.
(10) This permit does not authorize the excavation of any dune(s) nor does this permit authorize the removal of sand
from the dune system or beach (both dry and wet sand beach).
(11) Pursuant to 15A NCAC, Subchapter 7J.0406(b), this permit may not be assigned, transferred, sold or otherwise
disposed of to a third-party.
_„.,0111111 .41111110A
SIGNAT DATE:

# 5C -/
Name - k—-e�Sie,Ck e-
Site Sh / d e„n
FR sks
t "3sli
Deposit Check? /0 v 1
PUBLISH
Site Card 1,1
Add Info ,� SL

A.S
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory Braxton C. Davis John E. Skvarla, III
Governor Director Secretary
July 18, 2013
Mr. Robert L. Siefker
182 N. 525 West
Columbus, IN 47201
Dear Mr. Siefker:
Attached is CAMA Minor Development Permit# SC 13-14 for work to be done for at 2020 N. Shore
Drive and 105 Jennifer Lane, in Surf City, Onslow County.
In order to validate this permit, please sign both copies of the permit as indicated for our records.
Please retain the gold copy for your files and sign front and back of the white copy then return to us within
20 days of receipt, in the enclosed, self-addressed envelope.
This is not a valid permit until it is signed and returned to our office.
Thank you for your prompt attention to this matter.
Sincerely,
Shaun K. Simpson
Permit Support Technician
Enclosures
cc: WiRO files
127 Cardinal Drive Ext.,Wilmington,NC 28405
Phone:[phone] FAX:[phone] Internet:www.nccoastalmanagement.net

c5itke'r
AFFIDAVIT OF PUBLICATION
STATE OF NORTH CAROLINA
COUNTY OF NEW HANOVER
CAMA MINOR PERMIT NOTICE Before the undersigned,a Notary Public of Said County and State,
Pursuant to NCGS 113A-119(b),the
North Carolina Division of Coastal
Management,an agency authorized Anita Thomas
to issue CAMA permits in areas of
environmental concern, hereby
pled orrivesTICE CAMA permitsthat theolin inwO s low Who,being duly sworn or affirmed,according to the law,says that he/she is
County: On June 18, 2013, Dan
Thomason proposed to construct a
retaining wall, deck, & grade drive- Publisher's Assistant
way at 7517 9th Ave., adjacent to
Stump Sound, in North Topsail
Beach; And on June 24,Robert Siefker proposed to relocate of THE STAR-NEWS, a corporation organized and doing business under the Laws of the State of
the existing lot residence 2020eNand.
rehabili-
tate Dr, North Carolina,and publishinga newspaper known as STAR-NEWS in the Cityof Wilmington
tate the at 2020 Shore Dr., g
•
ent to the Atlantic Ocean, in
Surf City. The applications may be CAMA MINOR PERMIT NOTICE Pursuant to NCGS 113A-119b,the North Carolina Division
inspected atthe address below. oastaagencyauthorizedo issuepermitsin areas
Public comments of received by July Coastal Management,an t CAMAo f
16, 2013 will be considered. Later environmental concern, hereby gives NOTICE that the following applied for CAMA permits in
comments will be accepted and
considered up to the time of permit Onslow
decision. Project modifications may
occur based on further review and
comments. Notice of the permit
decision in this matter will be pro-
vided upon written request.
Jason Dail Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington,NC 28405-3845 was inserted in the aforesaid newspaper in space,and on dates as follows:
Phone:[phone]
7/1 lx
• And at the time of such publication Star-News was a newspaper meeting all the requirements and
qualifications prescribed by Sec.No. 1-597 G.S.of N.C.
dA4,1;itx. ,11,evaii Title:Publisher's Assistant
S rn or affirmed to,and subscribed before me this /s� day of
,A.D., C 13
In sti fly Whereof,I have hereunto set my hand and affixed my ofrite,
dyg,
year aforesaid. Fdtt
eA 24, -= RYublic
�! h a G
My commission expires (T day of f ,20 I pU g�\ ,
Upon reading the aforegoing affidavit with the advertisement thereto annexed it is adjudged by the Court that the saie
publication was duly and properly made and that the summons has been duly and legally served on the defendant(s).
This day of ,
Cl1zkV,of Superior Court
MAIL TO: R E C U
DCM WILMINGTON. NC
JUL 0 9 2013

CAMA MINOR PERMIT NOTICE
Pursuant to NCGS 113A-119(b), the North Carolina Division of Coastal Management, an
agency authorized to issue CAMA permits in areas of environmental concern, hereby gives NOTICE
that the following applied for CAMA permits in Onslow County: On June 18, 2013, Dan Thomason
proposed to construct a retaining wall, deck, & grade driveway at 7517 9th Ave., adjacent to Stump
Sound, in North Topsail Beach; And on June 24, 2013, Robert Siefker proposed to relocate the
existing residence and rehabilitate the lot at 2020 N. Shore Dr., adjacent to the Atlantic Ocean, in Surf
City. The applications may be inspected at the address below. Public comments received by July 16,
2013 will be considered. Later comments will be accepted and considered up to the time of permit
decision. Project modifications may occur based on further review and comments. Notice of the
permit decision in this matter will be provided upon written request.
Jason Dail
Field Representative
Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405-3845
Phone: [phone]

ArA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Coastal Management
Pat McCrory, Braxton C. Davis John E.Skvarla, III
Governor Director Secretary
June 27, 2013
[e-mail]
2 Pages
Star News
Legal Advertisement Section
Post Office Box 840
Wilmington, North Carolina 28402
Re: Minor Public Notice Combo in Onslow County:
• Dan Thomason
• Robert Siefker
Kyle/Heather: Please publish the attached Notice in the Monday, July 1, 2013 issue.
The State Office of Budget and Management requires an original Affidavit of Publication prior to
payment for newspaper advertising.
Please send the original invoice and a copy of the affidavit for payment to Shaun Simpson at Division of
Coastal Management, 127 Cardinal Drive Extension, Wilmington, NC 28405, 910-796-7226.
Paying by Credit Card (number on file with Elsa Lawrence, Ref acct # 796-7215). Please send a fax of the
credit card receipt to me.
Thank you for your assistance in this matter. If you should have any questions, please contact me at our
Wilmington office.
Sincerely,
-
Shaun Simpson
Permit Support Technician''
Enclosure
cc: File Copy
Michele Walker - DCM
127 Cardinal Drive Ext.,Wilmington,NC 28405
o nin Inc 701C 1 CAV•nin Inc Dncn Ldn.nnt•,.,,.,.,nnnnnctnImonono, nt not

N() T
CAMA PERMIT
APPLIED FOR
PROJECT: A • • - l • • • • 4h • •
existing residence and rehabilitate the lot at
Ocean, in Surf City, Onslow County.
COMMENTS ACCEPTED THROUGH __ July 16, 2013
APPLICANT FOR MORE DETAILS CONTACT
Naiiib°aIE6 1-
Hiram Williams 127 Cardinal Dr. Ext.
PO Box 4270 Wilmington, NC 28405
Surf City, NC 28445
910-796-7215
For: Robert L. Siefker

C
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Locality (.,,--,,, a, Permit Number 56 /3-1
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GENERAL INFORMATION
LAND 0
Name X /S,‘44-0-
Address / %/ s—..2-.S 3-e4-.
co7
City State 644, Zip Lit 7.20 Phone . )- ,3 9{ -3
AUTHORIZED AGENT
Name
a
'
Address . cis /-�, L"o�-2 0
/�
City /..vtU 61 State 27C Zip rti LfJ Phone ,0Z0— 06 /QS
LOCATION OF PROJECT:(Address,street name and/or directions to site.If not oceanfront,what is the name of
the a ',,ceni,waterbody.) ;43 �v yiA ,,,,,,, p/i . Q ,,, st.,
9 ' , /isz.0:::_g_,-, d )v, v-e��.►-,���o (/,� /1.S,k.,-�e.
/ ,%►� o}� rl. Sic '
DESCRIPTION OF P'OJECT: (Lis all proposed construction and lan disturbance.) ,_,,9g'. t 4 �
, _f ,
SIZE OF LOT/PARCEL: 70 2-3 square feet (9. /( / acres
/-149ckS - to h e Kernav "e
d
PROPOSED USE: Residential (Single-family Multi-family ) Commerical/Industrial Other
TOTAL ENCLOSED FLOOR AREA OF A BUILDING IN THE OCEAN HAZARD AREA OF
ENVIRONMENTAL CONCERN(AEC): /Y 0 square feet(includes all floors and roof covered decks)
SIZE OF BUILDING FOOTPRINT AND OTHER IMPERVIOUS OR BUILT-UPON SURFACES IN THE
COASTAL SHORELINE AREA OF ENVIRONMENTAL CONCERN(AEC): square feet
(Calculations includes the area of the roof/drip line of all buildings, driveways,covered decks,concrete or masonry
patios,etc.that are within the applicable AEC.)(Attach your calculations with the project drawing.)
Choose the AEC area that applies to your property:
(1)within 75 feet of Normal High Water for the Estuarine Shoreline AEC
(2)within 575 feet of Normal High Water for the Estuarine Shoreline AEC,adjacent to Outstanding Resource
Waters
(3)within 30 feet of the Public Trust Shoreline AEC
(Contact your Local Permit Officer if you are not sure which AEC applies to your property.)
STATE STORMWATER MANAGEMENT PERMIT: Is the project located in an area subject to a State
Stormwater Management Permit issued by the NC Division of Water Quality? YES NO -----
If yes, list the total built upon area/impervious surface allowed for your lot or parcel. square feet.
_C El-NED
DCM WILMINGTON, NC
7 .I11N 24 2013

OTHER PERMITS MAY BE REQUIRED: The activity you are planning may require permits other than the
CAMA minor development permit.As a service we have compiled a listing of the kinds of permits that might be
required. We suggest you check over the list with your LPO to determine if any of these apply to your project.
Zoning, Drinking Water Well, Septic Tank (or other sanitary waste treatment system), Building, Electrical,
Plumbing, Heating and Air Conditioning, Insulation and Energy Conservation, FIA Certification, Sand Dune,
Sediment Control, Subdivision Approval,Mobile Home Park Approval,Highway Connection,and others.
STATEMENT OF OWNERSHIP:
I,the undersigned,an applicant for a CAMA minor development permit,being either the owner of property in an
AEC or a person authorized to act as an agent for purposes of applying for a CAMA minor development permit,
certify that the person listed as landowner on this application has a significant interest in the real property described
• therein.This interest can be described as: (check s)_ .�
one
an owner or record title,Title is vested in 4o &. x• �4',see Deed Book 3 C
page ,2a2 7 in the (:)ira-ea-,r— County Registry of Deeds.
an owner by virtue of inheritance.Applicant is an heir to the estate of ;
probate was in County.
if other interest,such as written contract or lease,explain below or use a separate sheet and attach to this
application.
NOTIFICATION OF ADJACENT PROPERTY OWNERS:
I furthermore certify that the following persons are owners of properties adjoining this property.I affirm that I have
given ACTUAL NOTICE to each of them concerning my intent to develop this property and to apply for a CAMA
permit.
(Name) , �A'
�" (Address)
(1) k R.�. 2. / 31�f �� oz // 7
(2)
(3) M. io,s-/4vl- 0-ta. /7 . 7S 2 7
(4)
FOR DEVELOPERS IN OCEAN HAZARD AND ESTUARINE HAZARD AREAS:
I acknowledge that the land owner is aware that the proposed development is planned for an area which may be
susceptible to erosion and/or flooding.I acknowledge that the local permit officer has explained to me the particular
hazard problems associated with this Iot.This explanation was accompanied by recommendations concerning
stabilization and floodproofing techniques.
PERMISSION TO ENTER ON LAND:
I furthermore certify that I am authorized to grant and do in fact grant permission to the local permit officer and his
agents to enter on the aforementioned lands in connection with evaluating information related to this permit
'application.
This application includes: general information(this form),a site drawing as described on the back of this
application,the ownership statement,the AEC hazard notice where necessary,a check for$100.00 made payable to
the locality,and any information as may be provided orally by the applicant.The details of the application as
- described by these sources are incorporated without reference in any permit which may be issued.Deviation from
these details will constitute a violation of any permit. Any person developing in an AEC without permit is subject to
civil,criminal and administrative action.
This the 2.2—da of --G ,20 /3
4*: ci*k:ter §00E xMxt rt.t act s 1 ;. g t:
foz�F oses,of I a c ,.p
R E C E I V E l�
DCM WILMINGTON, NC
8 A ^,f111

Receipts for
Certified Mail
(Staple Here)
b /3
Adjacent Property Owns4e
�l 31 � .T
M " A r
1vO'/
City, State,Zip Code
Dear Adjacent Property: . - L .Wig 0 k'
This letter is to inform you that I, A11f �. �=r�-�� have applied for a CAMA Minor
Property Owner
Permit on my property at _1, "p T / ,/l C‘ , in gadsslOnslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 'TO— 6a-G-06�� _ ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Officer,you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
(4,-/-46--P--, cis /41,vw),, lett‘t-*Y•41-
Property Owner d--
/°,6, 08&X /11V—
Mailing Address
City, State,Zip C de
RECEIVED
DCM WILMINGTON, NC
JUN 2 4 2013

I I • rr.1
CERTIFIED MAIL, RECEIPT
(• Domestic Mail Only;No Insurance Coverage Provided)
• For delivery information visit our website at www.usps.com
SErl
U Postage MEM
Certified Fee
Postmark
0 Return Receipt Fee $2.55 Here
(Endorsement Required)
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Restricted Delivery Fee ,
• (Endorsement Required)
$6,31 06/21/2013
r Total Postage&Fees $
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Sent pb."-•
Ofrri /IS AA-A 7
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Street,Apt.No.;
or PO Box No. 1 31g" 10-)4441-(14'
CieteZairwut pot .2 / / 7

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nportant Reminders:
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valuables,please consider Insured or Registered Mail.
For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service,please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
I For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
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cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
MPORTANT:Save this receipt and present it when making an inquiry.
S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to 4f-- N 's
(Name of Prope ty Owner)
property located at 2—/' c-0 in , ,/(6--1—e al •
f� Address, Lot, Block, Road, etc.)
on a r� -� , in sC� , N.C.
(Waterbody) (Surf C y I Pe er or Onslow County)
He has described to me as shown in the attached application and project drawing(s),the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Signature
Print or Type Name
Telephone Number
Date
RECEIVED
DCM WILMINGTON, NC
II INI 9 d 5f11'1

ADJACENT RIPARIAN PROPERTY OWNER STATEMENT
FOR CAMA MINOR PERMITS
I hereby certify that I own property adjacent to, e &' _ Z . L-#0-A 's
(Name of Property Owner)
property located at .2° AD A A0-"--€ i9_ .
Address, Lot, Block, Road, etc.)
on �^ , in 2.f�n,���. q J �j , N.C.
(Waterbody) (S City ender or Onslow County)
He has described to me as shown in the attached application and project drawing(s), the development he is
proposing at that location, and, I have no objections to his proposal.
(APPLICATION AND DRAWING OF PROPOSED DEVELOPMENT ATTACHED)
Si ature yryJ
M rofrnik, J ie r. 5t1C�h ham, Ile Mier
Print or Type Name Mrrnbe.r
119 - `i3$ '3$20
Telephone Number
6c�7 ' 13
Date
RECEIVED
DCM WILMINGTON, NC
JUL 0 3 2013

Receipts for
Certified Mail
1 (Staple Here)
d-�r /�
0 ,�h.G.
Adj7 e)ope co 4
Mailinit res ( yJ C 04 7SA 7
City, State, p Code
Dear Adjacent Property: ,�g / Qv fr
This letter is to inform you that I, 1. g7 have applied for a CAMA Minor
Property Ow e�( r
rn (� P Y
Permit on my property at .20 7). .b A /)AAy' ,6:5 A , in t /Onslow
Property Address
County. As required by CAMA regulations, I have enclosed a copy of my permit application and project
drawing(s)as notification of my proposed project. No action is required from you or you may sign and return
the enclosed no objection form. If you have any questions or comments about my proposed project, please
contact me at 9/e 6?0 - 06 9s ,or by mail at the address listed below. If you wish to
Applicant's Telephone
file written comments or objections with the Surf City CAMA Minor Permit Officer,you may submit
them to:
Jason Dail, Field Representative
NC Division of Coastal Management
127 Cardinal Drive Extension
Wilmington, NC 28405
Sincerely,
g,40A;f2.. 14-4,‘ 471/ 0,,I. ti),),41 -J,
Property Owner 4.- a
0 ,6 rt /4,120
M •ing Address
i C eliqr
City, State, ip Code
RECEIVED
DCM WILMINGTON, NC
.IUN 2 4 2013

U. . -os a -
CERTIFIED MAIL., RECEIPT
11 (Domestic Mail Only;No lnsuran a Coverage Provided)
a For delivA.'t inforrts'iom visit our website at www.usps.com
n
U Postage lI
cimi
Certified Fee
Postmark
Return Receipt Fee Here
(Endorsement Required) Mid
J
Restricted Delivery Fee
7 (Endorsement Required)
n 1)6/21/2013
t Total Postage 8 Fees
n
s mob ; 1►�
-a
Street,Apt.No.;orl T.-
or PO Box No.
City,State,ZIP+4 C 7 g g'7

ertified Mail Provides:
A mailing receipt
I A unique identifier for your mai piece
I A record of delivery kept by the Postal Service for two years
nportant Reminders:
I Certified Mail may ONLY be combined with First-Class Mail®or Priority Mails
I Certified Mail is not available for any class of international mail.
i NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For
valuables,please consider Insured or Registered Mail.
I For an additional fee,a Return Receipt may be requested to provide proof of
delivery.To obtain Return Receipt service.please complete and attach a Return
Receipt(PS Form 3811)to the article and add applicable postage to cover the
fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for
a duplicate return receipt,a USPS®postmark on your Certified Mail receipt is
required.
I For an additional fee, delivery may be restricted to the addressee or
addressee's authorized agent.Advise the clerk or mark the mailpiece with the
endorsement"Restricted Delivery".
If a postmark on the Certified Mail receipt is desired,please present the arti-
cle at the post office for postmarking. If a postmark on the Certified Mail
receipt is not needed,detach and affix label with postage and mail.
NPORTANT: Save this receipt and present it when making an inquiry.
S Form 3800,August 2006(Reverse)PSN 7530-02-000-9047

j 11/10/2011 14: 10 8123420559 PAGE 01/01
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