20120509 Ver 1_401 Application_20120512

May 18, 2012
TO Mr Chad Coburn
NCDENR Division of Water Quality
127 Cardinal Drive Extension
Wilmington NC 28405
RE Non 404 Jurisdictional General Permit Application � 4 AF
Lot 32 St James Plantation St James, NC
Action ID# SAW 2011 02402 r
Dear Chad
Enclosed is a Non 404 Jurisdictional General Permit application for your review This
application is submitted on behalf of Ms Claudia Robinette for the construction of a house
located off of Wmgfoot Drive in the St James Plantation subdivision (Brunswick County)
Because of the location and amount of isolated wetlands within the lot wetland impacts could
not be avoided Approximately 0 157 acre of isolated wetland impacts are needed
The Pre Construction Notification form, associated maps and site plan are enclosed for
your review The $240 application fee has been submitted to your Raleigh office Please contact
me if you have any questions Thank you for your assistance with this project
Sincerely
'��Ut r
Kim Williams
Environmental Scientist
Encl
C Ms Claudia Robinette
Mr Ian McMillan, NC DWQ
MAY 2 2 2012
www Imgroup net info @Imgroup net Phone [phone] Fax [phone]
3805 Wrightsville Ave Suite 15 Wilmington NC 28403 P 0 Box 2522 Wilmington NC 28402

20 9 2050 9
Office Use Only
Corps action ID no
DWQ project no
Form Version 1 3 Dec 10 2008
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version
Pre - Construction Notification (PCN) Form
A
Applicant Information
1
Processing
la
Type(s) of approval sought from the
Corps NIA
❑Section 404 Permit ❑Section 10 Permit
lb Specify Nationwide Permit (NWP) number or General Permit (GP) number
1c
Has the NWP or GP number been verified by the Corps?
❑ Yes
❑ No
1 d
Type(s) of approval sought from the DWQ (check all that apply)
❑ 401 Water Quality Certification — Regular ® Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Ripanan Buffer Authonzation
le
Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification
❑ Yes ® No
For the record only for Corps Permit
❑ Yes ❑ No
1f
Is payment into a mitigation bank or in lieu fee program proposed for mitigation
of impacts? If so attach the acceptance letter from mitigation bank or in lieu
fee program
❑ Yes
® No
1g
Is the project located in any of NC s twenty coastal counties If yes answer 1h
below
® Yes
❑ No
1h
Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2
Project Information
2a
Name of project
Lot 32 St James Plantation
2b
County
Brunswick County
2c
Nearest municipality / town
Town of St James
St James Plantation AAAV
Jul
2d Subdivision name
2e
3
NCDOT only TIP or state N/A
project no
Owner Information Wet18 QUA
3a
Name(s) on Recorded Deed
Claudia S Robinette
3b
Deed Book and Page No
Book 3240 Page 0724
3c
Responsible Party (for LLC if
applicable)
3d
Street address
349 Cognac Drive
3e
City state zip
Marston NC 28363
3f
Telephone no
3g
Fax no
3h
Email address
Page 1 of 10
PCN Form — Version 1 3 December 10 2008 Version

4
Applicant Information (if different from owner)
4a
Applicant is
❑ Agent ❑ Other specify
4b
Name
4c
Business name
(if applicable)
4d
Street address
4e
City state zip
4f
Telephone no
4g
Fax no
4h
Email address
5
Agent/Consultant Information (if applicable)
5a
Name
Kim Williams
5b
Business name
(if applicable)
Land Management Group Inc
5c
Street address
3805 Wrightsville Avenue Suite 15
5d
City state zip
Wilmington NC 28403
5e
Telephone no
[phone]
5f
Fax no
[phone]
5g
Email address
kwilliams @lmgroup net
Page 2 of 10

B Project Information and Prior Project History
1 Property Identification
1 a Property identification no (tax PIN or parcel ID)
219FB032
Latitude 33 9450 Longitude 78 1260
1 b Site coordinates (in decimal degrees)
(DD DDDDDD) ( DD DDDDDD)
1 c Property size
0 368 ac
2 Surface Waters
2a Name of nearest body of water (stream river etc ) to
Polly Gulley Creek
proposed project
2b Water Quality Classification of nearest receiving water
SC Sw HQW
2c River basin
Cape Fear
3 Project Description
3a Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application
The site is currently undeveloped Adjacent land use is residential or undeveloped
3b List the total estimated acreage of all existing wetlands on the property
0 223 acre
3c List the total estimated linear feet of all existing streams (intermittent and perennial) on the property
N/A
3d Explain the purpose of the proposed project
The purpose of the proposed project is to provide adequate uplands on which to construct a house
3e Describe the overall project in detail including the type of equipment to be used
The area of construction will be marked and this area will be cleared of vegetation Fill will be added to the lot Utilities will
be installed and the home will be built
4 Jurisdictional Determinations
4a Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
® Yes ❑ No ❑ Unknown
project (including all prior phases) in the past?
Comments SAW 2011 02402
4b If the Corps made the jurisdictional determination what type
❑ preliminary ® Final
of determination was made?
4c If yes who delineated the jurisdictional areas?
Agency /Consultant Company
Name (if known) Paul Farley
Other Land Management Group Inc
4d If yes list the dates of the Corps jurisdictional determinations or State determinations and attach documentation
The jurisdictional determination was signed by Emily Hughes of the USACE on 4/23/2012 Wetlands were classified as
isolated
5 Project History
5a Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b If yes explain in detail according to help file instructions
N/A
6 Future Project Plans
6a Is this a phased project?
❑ Yes ® No
6b If yes explain
N/A
Page 3 of 10
PCN Form — Version 1 3 December 10 2008 Version

C Proposed Impacts Inventory
1 Impacts Summary
la Which sections were completed below for your project (check all that apply)
® Wetlands ❑ Streams tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2 Wetland Impacts
If there are wetland impacts proposed on the site then complete this question for each wetland area impacted
2a
2b
2c
2d
2e
2f
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps 404 10
Area of impact
Permanent (P) or
(if known)
DWQ — non 404 other)
(acres)
Temporary T
W1 ®P ❑ T
Fill for a house
Isolated
® Yes
❑ No
❑ Corps
® DWQ
0 157
W2 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W3 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W4 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W5 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
W6 ❑ P ❑ T
❑ Yes
❑ Corps
❑ No
❑ DWQ
2g Total wetland impacts
0 157
2h Comments
3 Stream Impacts N/A
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site then complete this
question for all stream sites impacted
3a
3b
3c
3d
3e
3f
3g
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
number
(PER) or
(Corps 404 10
stream
length
Permanent (P) or
intermittent
DWQ — non -404
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
S1 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S2 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S3 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S4 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S5 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
S6 ❑ P ❑ T
❑ PER
❑ Corps
❑ INT
❑ DWQ
3h Total stream and tributary impacts
31 Comments
Page 4 of 10
PCN Form — Version 1 3 December 10 2008 Version

4 Open Water Impacts NIA
If there are proposed impacts to lakes ponds estuaries tributaries sounds the Atlantic Ocean or any other open water of
the U S then indiv ually list all open water impacts below
4a
4b
4c
4d
4e
Open water
Name of waterbody
impact number—
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P ❑T
02 ❑P ❑T
03 ❑P ❑T
04 ❑P ❑T
4f Total open water impacts
4g Comments
5 Pond or Lake Construction N/A
If pond or lake construction proposed then complete the chart below
5a
5b
5c
5d
5e
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
of pond
P1
P2
5f Total
5g Comments
5h Is a dam high hazard permit required
❑ Yes ❑ No If yes permit ID no
51 Expected pond surface area (acres)
5j Size of pond watershed (acres)
5k Method of construction
6 Buffer Impacts (for DWQ) N/A
If project will impact a protected riparian buffer then complete the chart below If yes then individually list all buffer impacts
below If any impacts require mitigation then you MUST fill out Section D of this form
6a
❑ Neuse ❑Tar Pamlico El Other
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b
6c
6d
6e
6f
6g
Buffer impact
number—
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
El Yes
B1 ❑P ❑T
❑ No
El Yes
B2 ❑ PEI T
❑ No
El Yes
B3 ❑P ❑T
❑ No
6h Total buffer impacts
61 Comments
Page 5 of 10

D
Impact Justification and Mitigation
1
Avoidance and Minimization
la
Specifically describe measures taken to avoid or minimize the proposed impacts in designing project
Because of the amount and location of isolated wetlands within the lot wetland impacts are unavoidable Impacts have
been minimized as much as possible by positioning the home in an area where upland use is maximized and by reducing
side slopes
1 b
Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques
Silt fencing will be installed to prevent erosion into adjacent isolated wetland areas
2
Compensatory Mitigation for Impacts to Waters of the U S or Waters of the State
2a
Does the project require Compensatory Mitigation for
impacts to Waters of the U S or Waters of the State?
❑ Yes ® No
2b
If yes mitigation is required by (check all that apply)
❑ DWQ ❑ Corps
2c
If yes which mitigation option will be used for this
project?
❑ Mitigation bank
❑ payment to in lieu fee program
❑ Permittee Responsible Mitigation
3
Complete if Using a Mitigation Bank N/A
3a
Name of Mitigation Bank
3b Credits Purchased (attach receipt and letter)
Type
Quantity
3c Comments
4
Complete if Making a Payment to In lieu Fee Program N/A
4a Approval letter from in lieu fee program is attached
❑ Yes
4b
Stream mitigation requested
N/A
4c
If using stream mitigation stream temperature
❑ warm ❑ cool ❑cold
4d
Buffer mitigation requested (DWQ only)
N/A square feet
4e
Riparian wetland mitigation requested
N/A acres
4f
Non riparian wetland mitigation requested
N/A acres
4g
Coastal (tidal) wetland mitigation requested
N/A acres
4h
Comments
5
Complete if Using a Permittee Responsible Mitigation Plan N/A
5a
If using a permittee responsible mitigation plan provide a description of the proposed mitigation plan
Page 6 of 10
PCN Form — Version 1 3 December 10 2008 Version

6 Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b If yes then identify the square feet of impact to each zone of the riparian buffer that requires mitigation Calculate the
amount of mitigation required NIA
6c
6d
6e
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone 2
1 5
6f Total buffer mitigation required
6g If buffer mitigation is required discuss what type of mitigation is proposed (e g payment to private mitigation bank
permittee responsible riparian buffer restoration payment into an approved in lieu fee fund)
N/A
6h Comments N/A
Page 7 of 10

E
Stormwater Management and Diffuse Flow Plan (required by DWQ)
1
Diffuse Flow Plan
la
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
lb
If yes then is a diffuse flow plan included? If no explain why
❑ Yes ❑ No
Comments N/A
2
Stormwater Management Plan
2a
What is the overall percent imperviousness of this project?
34%
2b
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c
If this project DOES NOT require a Stormwater Management Plan explain why
Proposed project will tie into existing stormwater plan for subdivision
2d
If this project DOES require a Stormwater Management Plan then provide a brief narrative description of the plan
❑ Certified Local Government
2e
Who will be responsible for the review of the Stormwater Management Plan?
❑ DWQ Stormwater Program
❑ DWQ 401 Unit
3
Certified Local Government Stormwater Review NIA
3a
In which local government s jurisdiction is this project?
❑ Phase II
❑ NSW
3b
Which of the following locally implemented stormwater management programs
❑ USMP
apply (check all that apply)
❑ Water Supply Watershed
❑ Other
3c Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ❑ No
attached?
4
DWQ Stormwater Program Review N/A
❑ Coastal counties
❑ HQW
4a
Which of the following state implemented stormwater management programs apply
❑ ORW
(check all that apply)
❑ Session Law 2006 246
❑ Other
4b
Has the approved Stormwater Management Plan with proof of approval been
❑ Yes El No
attached?
5
DWQ 401 Unit Stormwater Review NIA
5a
Does the Stormwater Management Plan meet the appropriate requirements?
❑ Yes ❑ No
5b
Have all of the 401 Unit submittal requirements been met?
❑ Yes ❑ No
Page 8 of 10
PCN Form — Version 1 3 December 10 2008 Version

F
Supplementary Information
1
Environmental Documentation (DWQ Requirement)
la
Does the project involve an expenditure of public (federal /state /local) funds or the
❑ Yes
® No
use of public (federal /state) land?
1 b
If you answered yes to the above does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
❑ No
(North Carolina) Environmental Policy Act (NEPA /SEPA)?
1 c
If you answered yes to the above has the document review been finalized by the
State Clearing House? (If so attach a copy of the NEPA or SEPA final approval
❑ Yes
E:1 No
letter )
Comments
2
Violations (DWQ Requirement)
2a
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H 0500) Isolated
Wetland Rules (15A NCAC 2H 1300) DWQ Surface Water or Wetland Standards
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B 0200)?
2b
Is this an after the fact permit application?
❑ Yes
® No
2c
If you answered yes to one or both of the above questions provide an explanation of the violation(s)
3
Cumulative Impacts (DWQ Requirement)
3a
Will this project (based on past and reasonably anticipated future impacts) result in
❑ Yes
® No
additional development which could impact nearby downstream water quality?
3b
If you answered yes to the above submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy If you answered no provide a short narrative description
The proposed project will not provide utilities or access to any other tracts
4
Sewage Disposal (DWQ Requirement)
4a
Clearly detail the ultimate treatment methods and disposition (non discharge or discharge) of wastewater generated from
the proposed project or available capacity of the subject facility
The project will tie in to local sewer system
Page 9 of 10
PCN Form — Version 1 3 December 10 2008 Version

5 Endangered Species and Designated Critical Habitat (Corps Requirement)
5a Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b Have you checked with the USFWS concerning Endangered Species Act
❑ Yes ® No
impacts?
❑ Raleigh
5c If yes indicate the USFWS Field Office you have contacted
❑ Asheville
5d What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
The NC Natural Heritage Program GIS layer was used to determine the presence of federally listed species No rare
species have been observed within the lot Several red cockaded woodpecker abandoned cavities and starter holes have
been observed approximately 1 to 2 miles west and southwest of the site These cavities are considered historic
6 Essential Fish Habitat (Corps Requirement)
6a Will this project occur in or near an area designated as essential fish habitats
❑ Yes ® No
6b What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The NOAA Fisheries Essential Fish Habitat Mapper GIS program was used to determine the presence of Essential Fish
Habitat No EFH is located on or near this site Therefore this project will not affect EFH
7 Historic or Prehistoric Cultural Resources (Corps Requirement)
7a Will this project occur in or near an area that the state federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e g National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b What data sources did you use to determine whether your site would impact historic or archeological resources?
The NC State Historic Preservation Office HPOWEB GIS mapping resource was used to determine the presence of
cultural or historic resources No cultural or historic resources have been identified in this area
8 Flood Zone Designation (Corps Requirement)
8a Will this project occur in a FEMA designated 100 year floodplain?
❑ Yes ® No
8b If yes explain how project meets FEMA requirements
8c What source(s) did you use to make the floodplain determination? Based on information from the surveyor the project site
is not located within the 100 year floodplain
Kim Williams
.�-
5/1812012
Applicant/Agent s Printed Name
Date
Applicant/Agent s Signature
(Agents signature is valid only if an authorization letter from the applicant
is provided
Page 10 of 10

AGENT AUTHORIZATION FORM
TO WHOM IT MAY CONCERN
Uwe the undersigned hereby authorize Land Management Group Inc to act as our agent in the
preparation and representation of information related to the Section 404/401 permit application
for Section 39 Lot 32 at St James Plantation All questions in regards to this project should be
directed to Land Management Group Inc
Sincerely
Owner /Applicant
.S 'W06 lhc--(`�
Print Name
3cr, 0 brc lZ x
WLP- zF3&j
Owner /Applicant Address
Date

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Fax: [phone]
02 -12 -005 P.O. Box 2522, Wilmington, NC 28402

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U S ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id SAW 2011 02402 County Brunswick U S G S Quad Lockwoods Folly
NOTIFICATION OF JURISDICTIONAL DETERMINATION
Property Owner /Agent Ms Claudia S Robinette
Address 349 Cognac Road
Marston, NC 28363
Telephone No
Property description
Size (acres) 0 368 Nearest Town St James
Nearest Waterway Dutchman Creek River Basin Cave Fear River
USGS HUC 03030005 Coordinates N 33 945 W 78126
Location description The property is lot 32, section 39 St James Plantation, located on Wingfoot Drive Brunswick
County, North Carolina
Indicate Which of the Following Apply
A Preliminary Determination
_ Based on preliminary information there may be wetlands on the above described property We strongly suggest you have
this property inspected to determine the extent of Department of the Army (DA) jurisdiction To be considered final a
jurisdictional determination must be venfied by the Corps This preliminary determination is not an appealable action
under the Regulatory Program Administrative Appeal Process ( Reference 33 CFR Part 33 1)
B Approved Determination
There are Navigable Waters of the United States within the above described property subject to the permit requirements of
Section 10 of the Rivers and Harbors Act and Section 404 of the Clean Water Act Unless there is a change in the law or
our published regulations this determination may be relied upon for a period not to exceed five years from the date of this
notification
There are waters of the U S including wetlands on the above described property subject to the permit requirements of
Section 404 of the Clean Water Act (CWA)(33 USC § 1344) Unless there is a change in the law or our published
regulations this determination may be relied upon for a period not to exceed five years from the date of this notification
We strongly suggest you have the wetlands on your property delineated Due to the size of your property and/or our
present workload the Corps may not be able to accomplish this wetland delineation in a timely manner For a more timely
delineation you may wish to obtain a consultant To be considered final any delineation must be verified by the Corps
_ The waters of the U S including wetland on your property have been delineated and the delineation has been verified
by the Corps We strongly suggest you have this delineation surveyed Upon completion this survey should be reviewed
and verified by the Corps Once verified this survey will provide an accurate depiction of all areas subject to CWA
jurisdiction on your property which provided there is no change in the law or our published regulations may be relied
upon for a period not to exceed five years
_ The waters of the U S including wetlands have been delineated and surveyed and are accurately depicted on the plat
signed by the Corps Regulatory Official identified below on Unless there is a change in the law or our published
regulations this determination may be relied upon for a period not to exceed five years from the date of this notification
There are no waters of the U S to include wetlands present on the above described property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1.)44) Unless there is a change in the law or our
published regulations this determination may be relied upon for a period not to exceed five years from the date of this
notification

X The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management
Act (CAMA) You should contact the Division of Coastal Management in Wilmington, NC at [phone] to
determine their requirements
Placement of dredged or fill material within waters of the US and/or wetlands without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311) If you have any questions regarding this
determination and/or the Corps regulatory program please contact Emily Hushes at (910) 2514635
C Basis For Determination
This site exhibits wetland criteria as described in the 1987 Corps of Engineers Wetland Delineation Manual however, it
is not adjacent to a Traditionally Navigable Water of the U S This determination is based on information submitted by
the Land Management Group and a site visit by Emily Hughes on December 15, 2011
D Remarks
Please be aware that this property contains non wrisdictional, isolated wetlands Please contact the North Carolina
Division of Water Ouality at [phone] to discuss the State's regulations and requirements for these waters It was
determined that these wetlands are not bordering, neighboring or contiguous with any jurisdictional waters
E Attention USDA Program Participants
This delineation/determination has been conducted to identify the limits of Corps Clean Water Act jurisdiction for the
particular site identified in this request The delineation/determination may not be valid for the wetland conservation
provisions of the Food Security Act of 1985 If you or your tenant are USDA Program participants or anticipate participation
in USDA programs you should request a certified wetland determination from the local office of the Natural Resources
Conservation Service prior to starting work
F Appeals Information (This information applies only to approved ,jurisdictional determinations as indicated in
B above)
This correspondence constitutes an approved jurisdictional determination for the above described site If you object to this
determination you may request an administrative appeal under Corps regulations at 33 CFR part 331 Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form If you request to appeal this
determination you must submit a completed RFA form to the following address
District Engineer Wilmington Regulatory Division
Attn Emily Hughes Project Manager
Wilmington Regulatory Field Office
69 Darlington Ave
Wilmington North Carolina 28403
In order for an RFA to be accepted by the Corps the Corps must determine that it is complete that it meets the criteria for
appeal under 33 CFR part 331 5 and that it has been received by the District Office within 60 days of the date of the NAP
Should you decide to submit an RFA form it must be received at the above address by 6/23/2012
* *It is not necessary to sul
correspondence ** C
Corps Regulatory Official
Date 4/23/2012
Copy furnished
RFA form to the Iistrict Office if you do not object to the determination in this
N
Expiration Date 4/23/2017
Corey Novak, Land Management Group, Inc, 3805 Wrightsville Ave, Suite 15, Wilmington, NC 28403

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