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20151331 Ver 1_Application_20151218
�.� y � � � � � � ! '- f � 1 ; � � i � � : 1 •�.. � _ � � � � � . � � � '� � � � s ; � .. ,. � � �, � � i � ` • . '.:�' .��• �� ��� �. �. S�.bj ���: �Ta������d� ��r����t # 13 �� 121 � �'��d ��.�� �i�.��l��at��n .�.sh� ���nt�, �o�h ��:r�ll��. l�roj��� I���b��°o 1��200521 �i�� I��� ����ii R��uir�d) . - _ � ` `, �' , i: ! � s i � � � � � ` s ' � ` ` • , � s � � � � �' ' �' � `' , , , i _ � I �' ! f � � � i i ' � i I 7! � ` � . , !. . a- - , � � - . �n =i �! , ,, ,. ; � a. � � �_. . ` • • ' ` 'i� � ` � i �' i � � `` � #' � �� '�� �.. - � �. _ .� � . .. ��� �.� �. .��� `. � . � .. .� � � •.. �. .. , . -� � � i i � � � � � � � � � I ! ` � � � ` i � � ♦ ., • i D�T I��aintenance proposes to stab�11�e1rack ar�nc�r th�s one section of pond ban% t� correct the prabl�m noted above. Tatal di�tance of ar�nor plating �v�ll be approximately 60 linear feet, This w�ll allow us to reestablish our shoulder and stop the ongoing erosion problem. �Ve are not proposing �o de�va�er the pand due to potential flsh mortality. Th�s proj ect was reviewed for �he presence of threatened and endangered species. The proj ect has a�ery l�mited scope and will have na effect on any federally listed endangered plant or animal species. No tree cu�ting is needed to rnake the repa�rs. I�istoric campliance vvcTork is unnecessary due to the s�ope of ihe repair. The project lmpac�s are nat significant in nature and should improve water qual�ty by ellmina�Ing the ongoing erosion �ssue. I�ov��nstream water quality standards will be protected by utilizing appropriate BI��IP� du�ing constructlon. Attached is a Preconst�u.c�ion Notification Fo�n, plan sheets, a marked count� map, a marked topog�a�h� map and photographs. ����h��g +���pares 5.�...�.._ State of North Carolina j Department of Transportation j Divisian Eleven 801 Statesviile Road ( PO Box 2S0 � North Wilkesboro, NC 28659-0250 336 667 9I 1 I T . _ � � s : :� �_ � ` _ � � � ,, ° � � ,. � � � � ..� �U � � � s � n e � � ' s # ' s t ' � ` ! `" � ' , � ', � '' : # `_ � � # , ` s - � �� � �. � �: # S � j= " � ., � ' ♦ :� �' . .._ _ � � f � � f . : � ! �: , � � �' ; . � � � � � `/ ' t - # � % � � l � � 'I - # � � ` � � ` � / � 1 j' � a3 . ; i � � �` � � � �' I � � ' �; � � � � ' � � ': i ( �� `�,. � ` f ' ` ` � �, ` f ` • � �' � �; ! � �'� f � � � �' � �' � ������ � � � �' �` .�� � ���.�� Sl��ght�r I�i��s��n ����r��.���.�al �}f�'i��r � ■ '1 ! . _ �� e ��a.rl�. �hambers,l�T���� 1�r�y �ha��a�, �iv�sio� �f �ater ��.al�ty {2 ���i��} ���k� �'ettyj ohn, PE, Divlslon �ngin��r I3avid Wayne, P�, Bridge ��aintenanc� �ngin�er �e�.th �laughte�, I��v�sion E�v�ran.m.e�ta1 Of�icer Zack S�ut���°, IZt��.dslde �n��ror�mental ��eld �perations T"��h�i�i�.r� �� ��� � �`�� � �"`' �C� �� ����: ....��%"�j � f "`° �� �� �_ �- �r�� �����r� �� ��a � � �� ��� � {�, ���,,,��f1� ��f�f, ��-. f!�' F � � � � ,f :� :� ����f �� f �r�]��i �t�. � l:.f�,f, ��i.f�� � f..� � � i;���fj .L.�!k:;. . � ,Ijf,t"�''iffij'^f•�f'��'9. �r� �e�si�r� � .� �� � � 2�C�� � � � , �� 1g �rc�������g 1 �. �`yp���� �� �pp����� ���a h� �r� ��� ��r s: � ���ti�� ��4 �err��t ����ic�r� � � F'�rm�� � � . ����f� ��i�r� id� �r��t { } �� b�r: � 3 �r �n�r�l �rr�i� � F�} r��r���r: 1 �. �� �h� �r �� �r ��� ��r��i� y �h� ��rp�� � �� � . �"�pe�s} o� �ppro��� ���gh� fr�r� �h� ��he�k al� �h�� �pp��}: � ��� �ter ��li�� �r�ifi�����r� — eg�l�r � �r�-�0 J�ri�dic�i���l �r�eral �r �� ❑ 4fl1 ater uaiity �er�ifca�i�r� � Expr��s ��ipari�r� 8u�f�r Au�l��ri��#i�� 1 e. Is ��is r�otifica�ion ��I�ly f�r the rec�rd F�r �he rec�rd t�r�ly for �01 F�r �he r���rd ��ly ��r ��rp� �rr°�i�: becaus� �ri�ten �pproval is �ot required� Cer#ifca�ion: � �es � �� ❑ Yes � o 1 f. 1� pay�nen� in�a a rnitigatio� bank or in-4ie� fee program prop�s�d f�r mifiig�tio� ��e� �� of impacts? if s�, attach th� acceptance letter frc�m rnitigation bar�k or in-lieu fee pragram, 1�: Is fihe pr�je�t loc�ted ir� any of ��'s tvventy coastai caunties. If �es, answer 1 h ❑ Yes � No belov�r. 1 h, 1s �he project loca�ed wi�hin a�C D�M Area of Environm�nt�l Cor�cern {AEC)a [� Yes � No 2. Praject lnformation Za. Name of project: SF� 1210 Bank Stabiliza�ion 2b. Gounty: Ash� 2c. Nearest municipali�y 1 town: Flee�w�od 2d. Subdivision name: 2e. NCQQT only, T.1.P. �r s�ate 11.200521 praject nc�: 3. Owner Information 3a. Name{s) on Recorded Deed: NCDC}T 3b. Deed Book and Page Na. 3c. Responsible Par�y {for LLC i f applicable}: 3d. Street address: 8C�1 Statesville R�ad 3e. City, state, zip: North Wilkesboro, NC 28659 3f. Telephane no, : 33G-903-9202 3g. Fax no.: 33�-��7-4549 3h. Em�il address: hslaughter��ncdat.gov Page 1 of 1 Q P�N Farm -- V�rsion 1.3 December 10, 2008 Version Page 2 af 10 PCN Form — Version 1.3 December 10, 200� Versior� � . � . a � � � a . � � s � � � � �� � .. � . r y i ����� �i�� a �� � � � �� � � �e ���ifi���: 3 .32 � � � i��ad�: � 1. � � � . �#� � �r �� ��� ��� ��i � r ���: {aC�.DDD�C�C�} {-�D.���Di��� � �. ��'���i�� ����'; �. � �C�'�� . � 2 . ar�e �f r���r��� b�d� �f �a�er {s�re��, riv�r, e��.} �� -� �� �d ��eld� r��k propo�ed pra��ct: 2. a��r �a�i�y I���ifica�ic�� �� r���re�t r�cei�ir� a��r: �; Trc��t + 2�. i��r b�si�: ��v . r�j��� ���r� ti 3�. C�escrib� �he ��i�ti� c�ndi�i�r�� or� �he ���e ar�d �he ger�era� I�r�d �se in �h� �i�i�it� �f the pr�j�ct �� �h� tim� �f �hi� �pplicati�r�: �irt raad �nrith ir� a r�ral �etting. f�esider��ial and farming are�. 3b. Li�i #he tfltal e��imated acreage of all existing �etlands on t�e property: 0 acres 3c. Lis� the total estimated I���ar feet of all existing s�reams {intermitte�� �r�d perer�nial) on �he proper�y: 100 3d. Explain the purpose of the proposed pr�jec�: ��abii��e �h�uld�r 3e. Describe the overall project ir� detail, including the type of equipmen� to be us�d: See attach�d cover letter. A�. Juri�dictia�al De#ermina#��ns 4a. Have jurisdictianal we�land or stream d�fierminaiions by #he Corps or Sta�e been requested or ob�ained for this property I � Y�� � N� ��nknown project {including all prior phases) in the past? Comments: 4b. If the Corps made the jurisdictianal determination, what type of determinat�on was ma de? ❑ Preliminary ❑ Final 4c. If yes, who delinea�ed the jurisdictianal areas? Ager�cy/Consuitant Company: Name {if known): Other: 4�d. If yes, list the dates of the Corps jurisdictional determinations or Sta�e determinatians and attach documenta�ion. 5. Projec# His�ory �a. Have permits or certificatior�s been reques�ed or Qbtained for 0�es � No C] Unknown � his projec t {inc lu ding a l l prior p h a s e s} i n t h e p a s t? 5b. If yes, expiain in detail according to "help file" instruc�ions. 6. Future Pro�ect Plans 6a. Is this a phased praject? �i Yes � No �b. If yes, explain. Page 3 of 1 � P�N Form — Version 1.3 December 1�, 2008 Version g �� � � �� � � �� � . �� ���� �� � �. �i�� � ��i��� �r �� ����� ��� ��r y��� ������ ������ �� �� � �Y�� ���� � �� � tri �� ��� � �� pe� a��r� �d ���tr������ 2. e����d �r�����s If �h�re �re �vetlar�d ir�p�c�� pr�p�sed o� ��e �ite, t��� c4r�p�e�� #�i� q�es�ion f�r e�c� �e�lar�d �r�a i�p���ed. 2�. 2b. 2�. 2d. 2e. 2f. e��and ��p��� �fY�� �� j�ri�dic�i�� ���b�r �- iy � �f � pa�� i"yp� c�f ��ti�r� F��e��e {��rp� � �0�, � Q r�� �f i p��� er�a�e�� {�} �r �i� k���rr�} [� C� — �Qr�-4��4$ �t�er� ���r��) Ter� or� T � �es � �orp� � � � � N� ❑ DWQ � ��� ❑ C�rps 2 ���� ❑i�o ❑C�WC� � �e� ❑ ��rps � ❑��� ❑fi�o ��WQ � Ye� �] �orp� W4 C] �❑ T ��� ❑ oV1iQ ❑ Yes CJ Corps � ❑�❑� ❑�� ��w� ❑ Yes ❑ �orps W6 ❑P❑T ❑No ❑DWQ Zg. Tatal wetland impacts 2h. Comments: 3. S#ream lmpacts lf there are perennial �r interrnittent s�r�ar� impacts {including tempfl�ary impac�s) proposed on �he �ite, fihen comple�e this question for all stream sites impacted. 3a. 3b. 3c, 3d. 3e. 3f. 3g� �tream impact Type of impact Stream name Perennial Type of jurisdic�ion Average Impact number - {PER) or {Corps - 404, 10 stream leng�h Permanent {P) or intermit�ent DVi/t� — non-4Q4, width {linear Temporary {T� C1�7)? Qther} {fee#) feet) ❑ PER ❑ Gorps S1 ❑P❑T [�INT ❑DWC� ❑ PER ❑ Corps S2 ❑ P❑ T ❑ I NT [] DiNQ [� PER � Corps S3 ❑ P❑� 0 INT ❑ DWQ � PER 0 Corps S4 ❑ P� T 0 1 NT ❑ aWQ ❑ PER ❑ Corps S5 ❑ P❑ T � 1NT ❑ DWQ � P�F� � ��rp� S6 0 P❑ T ❑ I NT ❑ DWQ 3h. Total stream and tributary impacts 3ie Commen�s: Page 4 of 1 � P�N Form — Versior� 1.3 December 1Q, 2008 Version � � � �� �� � �� � ��/��� ��� �r�c� � ����o�� i 1 �y ��i.��1 3�e�� ��i �� �[�a�� ��$ � �� �� 1 ��8�8 9.d� �g ! � ���� � � � � � ��� . � �d b�{ I �� i B �` d � ��� ���� �� � � ���I � �ie:;� ��� 6 . 9 �6 �$ � , � � � � ��� i ��� ��� �� — {if ���� ��� �� f � ��� ��r �d� �� � r �� � �� { �r � �rr����r�� { � � �"�r� �ra � � � � � �r�d �r� �T �� ��d �pr�� �il� f'��d �,��7 ���ds �reek � � �� 3 a � i� � � � a ��al � � �t��° � ���� 0.4�7 . ��men��: �. 07 �re� �f r�pr�p �r ��r���r ���� �I�r�g �h� ��ad ��. . r � tr �ti If ond �r lake ��n��ructioc� rc� ��ed, ther� cor� f��� th� ��ar� b�l��. 5aa 5b. 5c. 5d. 5e. We�land Impa��s �acres} ��rearn Imp�c�s {fe��} �lpl�nd Pond I� �r�po��d �se or purpose {acres) number of pond Fl�oded Filled Ex��v�ted Flo�ded Filled Exca�ated Flooded �1 �� 5f. T�t�� 5g. Comments: N/1� 5h. Is a dam high hazard permit requir�d? Q Yes ��1� If yes, permit ID no. 5i. Expected p�nd surface area {acr�s): 5j. Size of pond watershed {acres): 5k. Method of canstr�ctian: Page 5 of 10 PCN Form — Versi�n 1.3 December 10a 2008 Version � � � �� ������ I�� � �� � ��C�� �'� �'� � � ��, �� �1 �� pH�� ��� ���� ��� . �� � �� ����1 I�i I�� � ��� �I � �� � � � �� ��� , �� ��i � ���� �"� i.�l�� �l[�� ��I��l, ��°1��1 t�� ��� ��� �C��Q� �� ��1� ���'�9 �> � ��� � �— ��� ��1 �`a �' � ��� I � � � � � �� � � �'� � � #� � � �1 �. �. � , ��. �. 1����' I�i���� r���b�r � �a��� t��'�r ���� � �r�p��� �o�� � imp��� �����er�� { � r ��r ���� ���� r���ig����� ��q��r� �'�et� {�q���� �e��} er� ��a �" �� a�� �e �ired'? � �e� � � D � �� � � ��� � ���� �� � ❑ ��� � Q�a� �c� � ��. �t�l �ff��- � a��s 6i. �amment�; . 1 pacfi Jt��tif���tic�r� ar�d itigati�r� 7. A��idance �nd �llinimi��tior� 1 a. Specifically describe r�easures taken �a avoid �r r�inir�ize the prop�sed ir�pac#s i� designing pr�}ect. riprap length is the minimum needed. 1 b. Specifically describe measures taken to avoid or minimize �he propased ir�pac�� �hrough construction techniques. A11 appropriate SMPs will be used during construction 2. �or�per�sa#ory �Vlitigati�r� fc�r Impacts #c� Wat+�rs of #he CJe�. c�r Waters �f the Stat� 2�. Does the project require Compensatory Mitigation far 0 Yes � No impacts �01�/aters of the 11.S. or Waters �f the S#a�e? 2b. If yes, mii�gation �s requ�red by (check all that apply). ❑ DVVQ ❑ Go�`ps � Mi�igation bank 2c. If yes, which mi�igat ion op�ion will be used f�r this (� payment to ir�-lieu fee program pro�ect? ❑ Permittee Responsible Mitiga#ion 3. Comple#e if Using a Mitigation Bank 3a. Rlame of Mitigation Bank: 3b. Gredits Purchased (attach receipt and 1e#ier) Type Quantity Page 6 of 10 P�N Form � Versi�n 1.3 December 10, 20Q8 Version 3�. �r������: 4 � � � �� � 4�. �ppr���� ��tt�r f�c�r� i������ f�� �r����� �� �����h�d. � ��� 4�. ��r��r� ���ig����� r��q�����d: �����r ���� L,t. �� ��.7�8 3� L7���� ��� GI�EiJi 9y �6E ii� 8����ii GA�tA! T�✓. � �i� � t.sil�� t.aLi� 4�d. ���fer r�itig�tior� reques�ed {�U�� a��y�e s��are feet 4�. �ip�r��r� �e�l�r�d ���iga���r� r�q�e���d; a��es ��. o�-ri�ari�n ��tl��d r��tiga���� r�q�e���d: �cre� 4g. ��as��� {�idai� ���la�d nrti�ig��i�n req�es�ed. �cre� 4he �m�����: . pl�t� i s� �r ifi��� e� �r�si le itigati r� �� 5a. If using � p�rm�t�ee resp�nsibl� mi�iga�i�n plan, provid� a de�crip#i�n of the prop��ed mit�gafiior� pla�, . �ff�r �tig�tio { t�t� egula��d ipariar� uffer �I�s} — requir�d by D Ga.1/��il #he pr�ject result �n ar� impac� �ithir� � p�otected ripari�n b�ffer �ha� requires � Yes � iVo bufi�er r�itigation? �b. 1f yes, �hen �den�ify the square fee� �f impact ta each �one of the riparian buffer tha� req�ire� mi�iga#ion. Calculate �he amoun� of mitigation required. 6c. Gd. 6e. �o�� Reasor� for impact Total impact �ultipli�r Required r�itigation {square feet) {square �ee�} Z�n� 1 3{2 for Catawba� Zone 2 1.� �f. Tota1 buffer mitigation required� Gg. if buffer mitigation is required, discuss what �ype af mitigation is propased {e.g., payment to private mitigation bank, permittee responsible riparian buffer restoration, payment into an approved in-lieu fee fund). 6h. Comments: Page 7 of 10 PCN Form — Version 1.3 December 10, 200� Version . r � I � �n � ��� �� i�t� � �. ��e� ��� �r�j��� �����d� �r �� �� �d���e�� �� prc������� ��p��-i�r� ���f�r� ������fi�d � ��� � � �i��i� �r�� �f t�� �l� �ip�ri�r� �t�f��r ��������c�� �Zt����� 1 b. �f ye�, ���� �� � d�ff�se fl�� p��� �r��l�ded? �� ��, �xplair� ���, ❑ ��� � �� ����r�t�: . #r � � 2�e V���� i� ��� ���r��I per���t ��p�r��c��s���� �f �i��� pr�j�c�� % 2ba C���� ih�� pro�e�� r�q�i�� ���c�rr��r��er ��r�ag�r��r�� IPI�r�� ❑��� ��� 2c. I€ �hi� prajec� i�C�E� �C�i req�ire ���orr��ra�er �anag�ment �'�an, �xpiai� vvhy: L��� �han 1��r�. 2d. �� �h�s pr�je�� ��E� r�q�ir� a�tor��a#�r �anager�er�� F'lar�, �h�n pr�vide a bri�f, narr��iv� descr�p�ion �f the pl�n: ❑ �er�ified Local ��vernment 2e. UVh� �rill be r��pons�ble for the �eview �f-the Storm�ater i�anager��r�t I'lan� ❑ C�WQ Starr�water �r�grarn ❑ DWQ 401 �1nit 3s ��rtified L.o�ai �overr�rr,en� Stormwater Review 3a. in which I�cal government's jurisdiction is this praject? ❑ Pha�e II - 1�n�n�ed stormwafier mana ement ro rarn� � N�� 3b. Wh�ch of the follovving I�cally �mp e g p g ��5�� apply (check alf tha� apply): ❑ Water Supply Watershed � C)ther: 3c. Has the appraved Starmwater Management Plan with proof of appro�oal been ❑ Yes ❑ No at�ached? 4. DWQ Stormwater Pro ram Review ❑ Coastal counties ❑ HQW 4a. Which of the following state-implemented s�armwater management programs apply � p�W {check afl that apply): ❑ Sessian �aw 200�-246 ❑ C�ther: 4b. Has the approved Stormwater Management Plan vvith proof of appr�val been atiached? 0 Yes ❑ No 5. DWQ 401 Unit Stormwater Review 5a. Does �he Starmwater Management Plan meet the appropriate requirements? ❑ y�s ❑ No 5b. Have all of �he 401 Unit submi�tal requirements been met? � Yes ❑ No Page 8 of 10 PCN Form — Version 1.3 December �0, 2008 Versi�n � � � � ����� � ��� �� � ����� � � ���� ���� 1 �, ���� ��� ������� ������� �� �����di���� �� ������ ���d����I�����1������ ���d� �r �h� � ��� � � ��� �� p���i� {f�d�r��/������ ���d� � �. �f ��� �r��enr�r�d "ye�" �� ��e �b�ve, dc�e� ��e p���e�� req�ire pr�p�r��ic�� �� an er�viror�r�e��al doc�mer�t p�rs�ant �o �he �eq��remer��s �f �h� �ia�ic�na� �r ��ai� � ��s � i�c� { �r�h �ar�lir��} ���iror�r�ner��a� �c�li�y �c� {���AI��PA��� 1�. l� y�� n� er�d "ye�" t� �h� �b��e, ha� �h� d�c�r�e�� re���� beer� �i��li�ed b� �he �a�e 1�arir�g ����? {If ��, �tta�h � ��p� �f the ��F�� �r ��F�� fir��� �ppro��l �����t�.} Y�� � o��t��f�: . ���ati ir ���} 2�. �s �h� �it� i� �i�lati�r� �f � � e�l��d F�ule� {151-� C�� 2 .�500}, �s�la�ed �tland R�I�� {'I 5A ��A� 2H . � 30�}, DVVQ �urf�ce afier �r �/Vetlar�d Stand�rd�, ❑ e� � or Ripari�n Buffer Rule� {1 �� NCA� 2B .0200)? 2b. �s thi� �r� a�ter-�he-fact perrnit �ppiica�i�n? ���s � o 2c. If y�u answered "�e�" t� one or both af the abave ques�ions, pr�vi�e an expla�ati�n of the �iolation(s); . um�lat�v� Impact� { WC� Requ�rement} 3a. ill this pro�ec� �based �n past and reasonably anticip��ed future impacts} resul� in ❑��S ��� addi�ional development, which could impact nearby downstre�m water quality'? 3b. If you �nswered "yes" �o �he above, submit a qualitative or quantita�ive cumuiative �mpact analysis ir� acc�rdance with th� most recent DWQ policy. If you answered "no," provide a si�or� narrative description. 4. Sewage Disposai (DWQ Requirement) 4a. Clearly detail the ultimate trea#ment methads and dispositian �non-discharge or� discharge� of wastewater generated from the proposed project, or available capacity of the subject facility. RI/A Page 9 of 10 PCN Form — Version 1.3 Qecember 10, 2008 Version . � � � � � �r � ��n ����� ��i� ���j��� ����� �r� �r ���� �� ���� ��t� f���r���� �r����t�� ������� �� ��� � � �������� � . s � � � �k ��� �h ��������� � �� �r� ����� �� �� � � r� p�c��� ❑ ���igh 5�, If y��, i� i� t� � i�l ��fi� y�� ���� �������� , �j �he�ill� 5d. ��� d�� � �r� � � ��� ��� �� dete� �ne h����r ���r �ite ��Id i p��� �r�d�r� er�d p����� �r e�ig��t�d �i�i��l abi�a�� 1� �r�d v��u�l �b��r�ra�i��. �a� c��rdina�i�n s�ouid ��� be r�q�ired due �� pr�jec� ���pe. ��r�e cu�tir�g. � � ti 1�� a it t� r i�� �n�} ��. i�l ��i� proje�� �c��r ir� �r ne�r �n area design�ted �� �s��r�ti�i fish habita�? ❑ �es � � 6b. 1�/ha� d�ta s�urces did y�u use to de�ermine v�rhether yo�r site �rould impac� Essential Fish H�bitafi� �� vvi11 c�mment � ��toric r r� i�t ri� 1t�r�1 �es��r�e� � t�rp� F�eqt��r�m�n�} 7a. VV�I� t��s pr�je�t ����� i� �� ���r a� a��� �ha� �h� �����, ��d���l Q� ��ib�� g�vernments have designated as having historic �r cultural preservation ���� ��� status {e.g., Na�ional Hisfioric Trust designation or properties significant in North �arolina history and archaeology}? 7b. VUhat dat� sour�es did you use to de�ermine whe�her y�ur site v�rould impact histor�c or archeologic�! res�urces? �rojec� scope. 8. Ft+�od Zone Designation {Corps Requirement) 8a. Will this praject occur in a FEMA-designated '100-year floadplain? [� Yes � No 8b. 1f yes, explain how project meets FEMA requirements: 8c. VVhat source(s} did you use to make the floodplain determination� ncfloodmaps Jo �Ieath �laugh�er � � 12/18115 � � ,� �,, A� licantlA en�'s Printed Name Ap�pl�ican�lAgen�t's S'�� at�re ���� p� � (Agent's s�gnature is valid only if an autha'i tion letter from the applicant � is pravided.) Page 10 of 10 PCN Farm — Versi�n 1.3 December 14, 2008 Version