Loading...
HomeMy WebLinkAboutWQ0042371_Application (FTSE)_202103080C�oFai�i�e��o� " �0u �0��U ������ n�u8K�U����/��U ���U UU » ` NCDEOWinston-Salem Regional Office ' �/�c�uo'�z|-Dl Water Quality Regional Operations Section 45OWest Hanes Mill Road, Suite 30O YNnoton'Sa|eno.NC271O5 8E�Forest Lake RVPark ~Sewer Main Extension The requested permitting action for this application is to extend the sewer main at Forest Lake RV Park in Advance, Davie County, NC. An approximate 89 RV sites are proposed to be constructed with each site having its own sewer service. Transmitted tuyou ksthe following: ° $488Application Fee w Fl7\D4-10Application w FTGE-1U'10Flow Tracking Acceptance Form * NCSecretary ofState Business Registration Documentation w Site Maps o UGGSMap o Aerial Map w Most Recently Issued Existing Permit ° Power Reliability Letter w Thumb Drive Please donot heoitate0ocontact noeet(819)07O'4170or should you uryour staff have any questions. Sincerely J.Austin Jackson K0nleyc/focnand Associates State of North Carolina DWR Department of Environmental Quality Division of Water Resources 15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION Application Number: (to be completed by DWR) All items must be completed or the application will be returned I. APPLICANT INFORMATION: 1. Applicant's name: MHC IT, L.P. (company, municipality, HOA, utility, etc.) 2. Applicant type: ❑ Individual ® Corporation ❑ General Partnership ❑ Privately -Owned Public Utility ❑ Federal ❑ State/County ❑ Municipal ❑ Other 3. Signature authority's name: George Gudgeon per 15A NCAC 02T .0106(b) Title: Senior Vice President 4. Applicant's mailing address: Two N. Riverside Plaza City: Chicago State: IL Zip: 60606- 5. Applicant's contact information: Phone number: (312 279-1880 Email Address: eg_orge audgeon(o),eauitylifestyle.com 11. PROJECT INFORMATION: 1. Project name: Forest Lake RV Park Expansion 2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project If a modification, provide the existing permit number: W000 and issued date: If new construction but part of a master plan, provide the existing permit number: WQ0004972 3. County where project is located: Davie County 4. Approximate Coordinates (Decimal Degrees): Latitude: 35.513896' Longitude:-80.234340' 5. Parcel ID (if applicable): 5787721571 (or Parcel ID to closest downstream sewer) III. CONSULTANT INFORMATION: 1. Professional Engineer: W. Jordan Brewer License Number: 039196 Firm: Kimlev-Horn and Associates Mailing address: 421 Fayetteville Street, Suite 600 City: Raleigh State: NC Zip: 27601-_ Phone number: (919 653-6654 Email Address: jordan.breweraa kimlev-hom.com IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION: 1. Facility Name: Forest Lake Preserve Wastewater Irrigation System Permit Number: W00004972 Owner Name: MHC, LLC V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF): 1. Permit Number(s): W00004972 Downstream (Receiving) Sewer Size: inch System Wide Collection System Permit Number(s) (if applicable): WQCS_ Owner Name(s): MHC TT, LLC FORM: FTA 04-16 Page 1 of 5 VI. GENERAL REQUIREMENTS 1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached? ❑ Yes ❑No ®N/A 2. If the Applicant is a Developer of lots to be sold, has a Developer's Operational Agreement (FORM: DEV) been attached? ❑ Yes ❑No ®N/A 3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreement (FORM: BOA) been attached? ❑ Yes [--]No ®N/A 4. Origin of wastewater: (check all that apply): ❑ Residential Owned ❑ Retail (stores, centers, malls) ❑ Car Wash ® Residential Leased ❑ Retail with food preparation/service ® Hotel and/or Motels ❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse ❑ Food and drink facilities ❑ Church ❑ Swimming Pool/Filter Backwash ❑ Businesses / offices / factories ❑ Nursing Home ❑ Other (Explain in Attachment) 5. Nature of wastewater: 100 % Domestic/Commercial % Commercial _ % Industrial (See 15A NCAC 02T .0103(20)) 9,Is there a Pretreatment Program in effect? ❑ Yes ® No 6. Hasa flow reduction been approved under 15A NCAC 02T .0114(f)? ❑ Yes ® No ➢ If yes, provide a copy of flow reduction approval letter 7. Summarize wastewater generated by project: Establishment Type (see 021.0114ffl) Daily Design Flow',' No. of Units Flow Recreational Vehicle Sites 100 gal/campsite 89 8,900 GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD gal/ GPD Total 8,900 GPD a See 15A NCAC 02T .0114(b), (d), (e)(1) and (e)(2) for caveats to wastewater design flow rates (i.e., minimum flow per dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined in G.S. 42A-4). b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T.01141 shall be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data. 8. Wastewater generated by project: 9 500 GPD (per 15A NCAC 02T .0114) ➢ Do not include future flows or previously permitted allocations If permitted flow is zero, indicate why: ❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line ❑ Flow has already been allocated in Permit Number: ❑ Rehabilitation or replacement of existing sewer with no new flow expected ❑ Other (Explain): _ FORM: FTA 04-16 Page 2 of 5 VH. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T .0305 & MDC (Gravity Sewers): 1. Summarize gravity sewer to be permitted: Size (inches) Length (feet) Material 8 4994 PVC ➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria ➢ Section III contains information related to minimum slopes for gravity sewer(s) ➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC VIU. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .0305 & MDC (Pump Stations/Force Mains): COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT 1. Pump station number or name: SEE ATTACHED 2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - ° 3. Design flow of the pump station: millions gallons per day (firm capacity) 4. Operational point(s) of the pump(s): _ gallons per minute at _ feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size (inches) Length (feet) Material 6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1): ® Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B)_ ➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day ➢ Must be permanent to facility Or if the pump station has an average daily flow less than 15,000 gallons per day: ❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T .0305(h)(1)(C) or ❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C): ➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement) and is compatible with the station. ➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage capacities and the rotation schedule of the portable power source or pump, including travel timefizmes, shall be provided in the case of a multiple station power outage. FORM: FTA 04-16 Page 3 of 5 IX. SETBACKS & SEPARATIONS - (02B .0200 & 15A NCAC 02T .0305(f)): 1. Does the project comply with all separations found in 15A NCAC 02T .0305(f) & (e) ® Yes ❑ No ➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer systems: Setback Parameter* Separation Required Storm sewers and other utilities not listed below vertical 24 inches Water mains vertical -water over sewer including in benched trenches 18 inches Water mains horizontal 10 feet Reclaimed water lines vertical - reclaimed over sewer 18 inches Reclaimed water lines horizontal - reclaimed over sewer 2 feet **Any private or public water supply source, including any wells, WS-I waters of Class I or Class H impounded reservoirs used as a source of drinking water 100 feet **Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal high water or tide elevation and wetlands see item IX.2 50 feet **Any other stream, lake, impoundment, or ground water lowering and surface drainage ditches 10 feet Any building foundation 5 feet Any basement 10 feet Top slope of embankment or cuts of 2 feet or more vertical height 10 feet Drainage systems and interceptor drains 5 feet Any swimming pools 10 feet Final earth grade vertical 36 inches ➢ 15A NCAC 02T.0305(e) contains alternatives where separations in 02T.0305(fl cannot be achieved. ➢ **Stream classifications can be identified using the Division's NC Surface Water Classifications webpage ➢ If noncompliance with 02T.0305(tl or (e), see Section X of this application 2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [-]No ❑ N/A ➢ Seethe Division's draft separation requirements for situations where separation cannot be meet ➢ No variance is required if the alternative design criteria specified is utilized in design and construction ➢ As built documents should reference the location of areas effected 3. Does the project comply with setbacks found in the river basin rules per 15A NCAC 02B .0200? ® Yes ❑ No ❑ N/A ➢ This would include Trout Buffered Streams per 15A NCAC 213.0202 4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No individual permits or 401 Water Quality Certifications? ➢ Information can be obtained from the 401 & Buffer PermittingBranch ranch 5. Does project comply with 15A NCAC 02T.0105(c)(6) (additional permits/certifications)? ® Yes [-]No Per 15A NCAC 02T.0105(c)(6), directly related environmental permits or certification applications are being prepared, have been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and sedimentation control plans, stormwater management plans, etc.). 6. Does this project include any sewer collection lines that are deemed "high -priority?" Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer. ❑ Yes ®No ❑ N/A ➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location). High priority lines shall be inspected by the permittee or its representative at least once every sic -months and inspections documented per 15A NCAC 02T.0403(a)(5) or the perna tee's individual System -Wide Collection permit. FORM: FTA 04-16 Page 4 of 5 X. 1. Does the submitted system comply with 15A. NCAC 02T, the Minimum Design Criteria for the Permitting of Pumo Stations and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable? ® Yes ❑ No If No, complete and submit the Variance/Altemative Design Request application (VADC 10-14) and supporting documents for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting documents 2. Professional Engineer's Certification: �V\ 0 rt-sr P-, attest that this application for 's name from Application Item III.1.) has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications, engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria forthe Fast-TrackPelmitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this material and havejudged it to he consistent with the proposed design. NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include afine notto exceed$ 10,000,as well as civil penalties up to $25,OOO per violation. 2iereaaauer„. North Carolina Professional Engineer's seal, signature, and date: 3. Applicant's Certification per 15ANCAC 02T.0106(b): application for has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of this application are not completed and that if all required supporting documentation and attachments are not included, this application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non - discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penaltie s, injunctive relief, and/or eriminalprosecution. Iwill make no claim against the Division ofWater Resources should acondition of this permit be violated. I also understand that if all required parts of this application package are not completed and that if all required supporting information and attachments are not included, this application package will be returned to me as incomplete. NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may include a fine notto exceed $10,000 as well as civil penalties up to $25,000 per violation. L-11 Signatur Date: 3 ✓ Zc) 2-1 FORM: ETA 04-16 Page 5 of 5 1. Pump station number or name: Pump Station 2 2. Approximate Coordinates (Decimal Degrees): Latitude: 35.85914 Longitude:-80.39679 3. Design flow of the pump station: 0.110 millions gallons per day (firm capacity) 4. Operational point(s) of the pump(s): 77 gallons per minute at 146 feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size inches Length ft Material 3.0 2,800 PVC 6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1): 1. Pump station number or name: Pump Station 3 2. Approximate Coordinates (Decimal Degrees): Latitude: 35.86156 Longitude:-80.3997 3. Design flow of the pump station: 0.049 millions gallons per day (firm capacity) 4. Operational point(s) of the pump(s): 34 gallons per minute at 112 feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size inches I Len ft Material 2.0 200 PVC 6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1): Portable power source with manual activation quick -connection receptacle and telemetry - 15A NCAC 02T .0305(h)(1)(C) 1. Pump station number or name: Pump Station 4 2. Approximate Coordinates (Decimal Degrees): Latitude: 35.863989 Longitude:-80.369520 3. Design flow of the pump station: 0.294 millions gallons per day (fum capacity) 4. Operational point(s) of the pump(s): 204 gallons per minute at 67 feet total dynamic head (TDH) 5. Summarize the force main to be permitted (for this Pump Station): Size inches Len ft Material 6.0 967 PVC 6. Power reliability in accordance with 15A NCAC 02T .0305(h)(1): Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B) State of North Carolina Department of Environmental Quality Division of Water Resources 1:. :„. V%Iau, Flow Tracking for Sewer Extension Applications (FTSE 10-18) Entity Requesting Allocation: MHC TT, LLC Project Name for which flow is being requested: Forest Lake RV Park Expansion More than one FTSE may be required far a single project if the owner of the WWTP is not responsible for all pump stations along the route of the proposed wastewater flow. I. Complete this section only if you are the owner of the wastewater treatment plant. a. WWTP Facility Name: Forest Lake Preserve Wastewater Irrigation System b. WWTP Facility Permit #: WQ0004972 All flows are in MGD c. WWTP facility's permitted flow 24,400 GPD d. Estimated obligated flow not yet tributary to the WWTP 8,900 GPD e. WWTP facility's actual avg. flow 10,000 GPD f Total flow for this specific request 8,900 GPD g. Total actual and obligated flows to the facility 18,900 GPD h. Percent of permitted flow used 77.5% II. Complete this section for each pump station you are responsible for along the route of this proposed wastewater flow. List pump stations located between the project connection point and the WWTP: (A) (B) (C) (D)=(B+C) (E)=(A-D) Design Obligated, Pump Pump Average Approx. Not Yet Total Current Station Station Firm Daily Flow** Current Tributary Flow Plus (Name or Permit Capacity, * (Firm / pf), Avg. Daily Daily Flow, Obligated Available Number) No. MGD MGD Flow, MGD MGD Flow Capacity*** 1 N/A 2 3 4 * The Firm Capacity (design flow) of any pump station is defined as the maximum pumped flow that can be achieved with the largest pump taken out of service. ** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking factor (pf) not less than 2.5, per Section 2.02(A)(4)(c) of the Minimum Design Criteria. *** A Planning Assessment Addendum shall be attached for each pump station located between the project connection point and the WWTP where the Available Capacity is < 0. Downstream Facility Name (Sewer): Downstream Permit Number: Page I of 6 III. Certification Statement: I W. Jordan Brewer certify to the best of my knowledge that the addition of the volume of wastewater to be permitted in this project has been evaluated along the route to the receiving wastewater treatment facility and that the flow from this project is not anticipated to cause any capacity related sanitary sewer overflows or overburden any downstream pump station en route to the receiving treatment plant under normal circumstances, given the implementation of the planned improvements identified in the planning assessment where applicable. This analysis has been performed in accordance with local established policies and procedures using the best available data. This certification applies to those items listed above in Sections I and II plus all attached planning assessment addendums for which I am the responsible parry. Signature of this form certifies that the receiving collection system or treatment works has adequate capacity to transport and treat the proposed new wastewater. Signing Official Signature Design Engineer Title of Signing Official 3/5/2021 Date Page 2 of 6 FTSE 10-18 Brewer, Jordan From: Marisa Kolman <marisa_kolman@equitylifestyle.com> Sent: Friday, March 5, 2021 3:08 PM To: Brewer, Jordan Subject: Forest Lake TT Project Categories: External Jordan, Regarding the Forest Lake TT RV expansion project, the portable power generation unit or portable, independently - powered pumping units, associated appurtenances, and personnel are available for distribution and operation of these proposed pump stations. Thanks, Marisa Kolman Land & Site Development Manager Equity Lifestyle Properties ma risa_kolman@equitylifestyle.com p (312) 279-1414 els c (708) 705-3980 Chicago Office • Two N. Riverside Plaza Chicago, IL 60606 equitylifestyleproperties.com 1 =99-195U-433U 9832-G32Uh2U1 UG88 SOSID: 2016964 Date Filed: 7/27/2020 11:17:00 AM Elaine F. Marshall North Carolina Secretary of State State of North Carolina C2020 206 00984 Department of the Secretary of State APPLICATION FOR REGISTRATION AS A FOREIGN LIMITED PARTNERSHIP Pursuant to §59-902 of the General Statutes of North Carolina, the undersigned hereby submits this application for Registration as a Foreign Limited Partnership for the purpose of obtaining a Certificate of Authority to transact business in this State. 1. The name of the foreign limited partnership is: MHC TT, L.P. 2. If the name of the foreign limited partnership is unavailable for use in the State of North Carolina, the name the limited partnership wishes to use is: (The name must contain the words "Limited Partnership," or the abbreviation "L.P." or "LP," or the combination "Ltd. Partnership".) 3. The jurisdiction in which the limited partnership was formed is Delaware and the date of formation was 10/1/1996 The limited partnership's period of duration is perpetual 4. The street address of the principal office is: Number and Street: Two N. Riverside Plaza, Suite 800 Chicago IL 60606 Cook City: State: Zip Code: County: The mailing address, if different from the street address, of the principal office: Telephone: (312)279-1670 Number and Street: City: State: Zip Code: County: 5. Name of Registered Agent: C T Corporation System 6. Address of Registered Agent's Office: Number and Street: 160 Mine Lake Ct, Ste. 200 Raleigh 27615-6417 Wake City: State: NC Zip Code: County: The mailing address, if different from the street address, of the registered office: Number and City: State: NC Zip Code: County: NOTES: Filing fee is $50. This document must be filed with the Secretary of State. BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Page 1 Form LP-04 91 91 10. 11 12. In consideration of the issuance of a Certificate of Authority to transact business in North Carolina, the limited partnership appoints the Secretary of State of North Carolina as the agent to receive service of process, notice or demand, whenever the foreign limited partnership fails to appoint or maintain a registered agent in this State, or whenever such registered agent cannot with reasonable diligence be found at the registered office. (Optional): Please provide a business e-mail address: Privacy Redaction The Secretary of State's Office will e-mail the business automatically at the address provided at no charge when a document is filed. The e-mail provided will not be viewable on the website. For more information on why this service is being offered, please see the instructions for this document. Enter the name and address of each general partner: (attach additional sheets if necessary) MHC Trails GP, L.L.C. ot/No Two N. Riverside Plaza, Suite 800 Stre Chicago City IL / 60606 Limited Partners (select 1 or 2, as appropriate) ❑ Attached is a list of the names and addresses of all limited partners (include full name/street address/city/state/zip code/county); or ❑x The location of the office where list of the names and addresses of the limited partners and their capital contributions will be kept as long as the limited partnership transacts business in North Carolina is: Number and Street: Two N. Riverside Plaza, Suite 800 City: Chicago State: IL Zip Code: 60606 County: Cook (Select one) ❑ The foreign limited partnership is a foreign limited liability limited partnership. ❑X The foreign limited partnership is not a foreign limited liability limited partnership. This registration will be effective upon filing, unless a future date and/or time is specified: Walter B. Jaccard Typed or printed name �ZcuSTgned by. _ r,"tn c Slgnatur C55444DOAAEC45A... Vice President of MHC Trails GP, L.L.C., general partner Title NOTES: Filing fee is $50. This document must be rded with the Secretary of State. BUSINESS REGISTRATION DIVISION P.O.BOX 29622 RALEIGH, NC 27626-06222 (Revised August, 2017) Page 2 Form LP-04 Delaware Pagel The First State I, JEFFREY W. BULLOCK, SECRETARY OF STATE OF THE STATE OF DELAWARE, DO HEREBY CERTIFY "MHC TT, L.P." IS DULY FORMED UNDER THE LAWS OF THE STATE OF DELAWARE AND IS IN GOOD STANDING AND HAS A LEGAL EXISTENCE SO FAR AS THE RECORDS OF THIS OFFICE SHOW, AS OF THE SIXTEENTH DAY OF JULY, A.D. 2020. AND I DO HEREBY FURTHER CERTIFY THAT THE ANNUAL TAXES HAVE BEEN PAID TO DATE. 2669212 8300 SR#20206262050 You may verify this certificate online at corp.delaware.gov/authver.shtml �mnr w. erm��_s«,.�.rr a sui. Authentication:203294133 Date:07-16-20 els Equity LifeStyle Properties March 3, 2021 RE: Letter of Authorization To Whom It May Concern: Equity LifeStyle Properties, Inc. Two North Riverside Plaza Chicago, Illinois 60606 (312) 279-1400 (312) 279-1710 Fax I, David Eldersveld, as Executive Vice President, Chief Legal Officer and Corporate Secretary of MHC Trails GP, L.L.C., the general partner of MHC TT, L.P., who owns Forest Lake, 192 Thousand Trails Drive, Advance, NC 27006 (the "Property"), hereby certify that George Gudgeon, Senior Vice President — Property Management, is authorized to act as an agent and to be an authorized signer on behalf of the Property. This authorization is signed by an office duly allowed to represent the Property. MHC TT, L.P., a Delaware limited partnership By: MHC Trails GP, L.L.C., a Delaware limited liability company, its general partner By: A'All-11 Name: David Eldersveld Title: Executive Vice President, Chief Legal Officer and Corporate Secretary STATE OF ILLINOIS COUNTY OF 4WI4 BEFORE ME, THE UNDERSIGNED AUTHORITY, ON THIS DAY PERSONALLY APPEARED hVls e-Lii1wesS IFtaJ2 KNOWN TO ME TO BE THE PERSON WHOSE NAME IS SUBSCRIBED ABOVE, AND ACKNOWLEDGED TO ME THAT SHE EXECUTED THE NAME FOR THE PURPOSE THEREIN EXPRESSED. SWORN U SCRIBED BEFORE ME THIS S rd DAY OF bA.AA CA , 2021. I LTiCM"` SEAL) NOTARY'S SIGNATURE OFFICIAL SEAL JO A. FIGUEROA NOTARY PUBLIC, STATE OF ILLINOIS My Commission Expires June 7, 2022 USGS U.S. GEU S EFOLONd t5U0. fl INTERIOR N HURCX U�NOGQU.AU0. NLLE ..USTopa wR �. , �ouN�M.nw SIR ... , �.�......e C3.— O �..d. .... Nam.. e_...d,. �^ -.. wild; cxuxc3LexSEE o. xc N G) I .7oogle Earth c 2021 Google _ _ 1000 ft