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HomeMy WebLinkAbout20210552 Ver 1_BR-0033_Final_MCDC_Package_04-8-2019 Signed_2021091604/08/19 1 MINIMUM CRITERIA DETERMINATION CHECKLIST The following questions provide direction in determining when the Department is required to prepare environmental documents for state-funded construction and maintenance activities. Answer questions for Parts A through C by checking either “Yes” or “No”. Complete Part D of the checklist when Minimum Criteria Rule categories #8, 12(i) or #15 are used. TIP Project No.: BR-0033 State Project No.: 67033.1.1 Project Location: Existing Bridge #580084 on SR 1234 (Parker Padgett Rd) over I-40 in McDowell County, North Carolina. Project Description: The North Carolina Department of Transportation (NCDOT) proposes to replace Bridge #580084 on SR 1234 (Parker Padgett Rd) over I-40 in McDowell County, North Carolina. The total project length is approximately 825 feet, with a variable existing right-of-way width at a minimum of 60 feet. Bridge #580084 is currently 233 feet long. The bridge was built in 1958 and is structurally deficient with a sufficiency rating of 51.39. The replacement bridge will be a steel structure approximately 209 feet long. Additional right-of-way and easement is required. SR 1234 (Parker Padgett Rd) will provide two 12-foot travel lanes. The roadway will be designed as a Local Road using Regional Tier Guidelines with a 25 mph design speed. The bridge will replaced in a new location using the existing bridge as an on-site detour. Anticipated Permit or Consultation Requirements: No permits are anticipated for this project. Special Project Information: Traffic. ADT 2021 = 2,410 VPD. ADT 2041 = 3,140 VPD. STIP BR-0033, as depicted in preliminary plans, will meet 2041 traffic needs. Crash Data. There were 19 crashes reported in the vicinity of Bridge #580084 for the period from 9/1/2008 to 8/31/2018. No fatalities occurred. Three crashes included injuries, and 16 crashes had property damage. Eight of the accidents were related to turning movements. Pedestrian and Bicycle Accommodations. There are no pedestrian or bicycle accommodations associated with this project. DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 04/08/19 2 Detour. This project investigated using both an on-site detour and an off-site detour. The on-site detour was ultimately chosen for the project as the costs were similar between the two options, but the off-site detour option was approximately 6 miles in length for the northern and southern detour and would cause a delay in traffic during construction. Cost. Utility cost estimate: $26,620. Right-of-way cost estimate: $28,101. Construction cost estimate: $3,350,000. Total cost estimate: $3,404,721. DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 04/08/19 3 PART A: MINIMUM CRITERIA Item 1 to be completed by the Engineer. YES NO 1. Is the proposed project listed as a type and class of activity allowed under the Minimum Criteria Rule in which environmental documentation is not required? If the answer to number 1 is “no”, then the project does not qualify as a minimum criteria project. A state environmental assessment is required. If yes, under which category? (9) Reconstruction of existing crossroad or railroad separations and existing stream crossings, including, but not limited to, pipes, culverts, and bridges. If either category #8, #12(i) or #15 is used complete Part D of this checklist. PART B: MINIMUM CRITERIA EXCEPTIONS Items 2 – 4 to be completed by the Engineer. YES NO 2. Could the proposed activity cause significant changes in land use concentrations that would be expected to create adverse air quality impacts? 3. Will the proposed activity have secondary impacts or cumulative impacts that may result in a significant adverse impact to human health or the environment? 4. Is the proposed activity of such an unusual nature or does the proposed activity have such widespread implications, that an uncommon concern for its environmental effects has been expressed to the Department? Item 5-8 to be completed by Division Environmental Officer. 5. Does the proposed activity have a significant adverse effect on wetlands; surface waters such as rivers, streams, and estuaries; parklands; prime or unique agricultural lands; or areas of recognized scenic, recreational, archaeological, or historical value? 6. Will the proposed activity endanger the existence of a species on the Department of Interior's threatened and endangered species list? 7. Could the proposed activity cause significant changes in land use concentrations that would be expected to create adverse water quality or ground water impacts? DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 04/08/19 4 YES NO 8. Is the proposed activity expected to have a significant adverse effect on long-term recreational benefits or shellfish, finfish, wildlife, or their natural habitats If any questions 2 through 8 are answered “yes”, the proposed project may not qualify as a Minimum Criteria project. A state environmental assessment (EA) may be required. For assistance, contact: Manager, Environmental Analysis Unit 1598 Mail Service Center Raleigh, NC 27699-1598 (919) 707 – 6000 Fax: (919) 212-5785 PART C: COMPLIANCE WITH STATE AND FEDERAL REGULATIONS Items 9- 12 to be completed by Division Environmental Officer. YES NO 9. Is a federally protected threatened or endangered species, or its habitat, likely to be impacted by the proposed action? 10. Does the action require the placement of temporary or permanent fill in waters of the United States? 11. Does the project require the placement of a significant amount of fill in high quality or relatively rare wetland ecosystems, such as mountain bogs or pine savannahs? 12. Is the proposed action located in an Area of Environmental Concern, as defined in the coastal Area Management Act? Items 13 – 15 to be completed by the Engineer. 13. Does the project require stream relocation or channel changes? Cultural Resources 14. Will the project have an “effect” on a property or site listed on the National Register of Historic Places? 15. Will the proposed action require acquisition of additional right of way from publicly owned parkland or recreational areas? Questions in Part “C” are designed to assist the Engineer and the Division Environmental Officer in determining whether a permit or consultation with a state or federal resource agency may be required. If any questions in Part “C” are answered “yes”, follow the appropriate permitting procedures prior to beginning project construction. DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 04/08/19 5 PART D:( To be completed when either category #8, 12(i) or #15 of the rules are used.) Items 16- 22 to be completed by Division Environmental Officer. 16. Project length: 17. Right of Way width: 18. Project completion date: 19. Total acres of newly disturbed ground surface: 20. Total acres of wetland impacts: 21. Total linear feet of stream impacts: 22. Project purpose: If Part D of the checklist is completed, send a copy of the entire checklist document to: David B. Harris, PE State Roadside Environmental Engineer Mail Service Center 1557 Raleigh, NC 27699-1557 (919) 707-2920 Fax: (919) 715-2554 Email: davidharris@ncdot.gov Reviewed by: Date: Kevin Fischer3(6tructures Management Unit NCDOT Date: 4/8/2019 Scott Shifflett, Environmental Project Manager, ATCS, PLC DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 4/15/2019 1 Updated 4/25/17 Project Commitments McDowell County Replacement of Bridge #580084 on SR 1234 (Parker Padgett Rd) over I-40 WBS # 67033.1.1 STIP # BR-0033 Catawba River Basin Riparian Buffer Protection Program. The project study area is adjacent to a portion of the Catawba River with streamside riparian zones protected under provisions of the Catawba River Basin Riparian Buffer Protection Program, administered by NCDWR. Construction activities for this project will not take place until a final alignment and design have been determined and potential impacts to protected stream buffers have been identified. DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6  , ,, 2 %2 "22 #"2 2 %"22 2 1  2 (//-*0&/'.-)'',+2 2 2 2 2 2 2 2 2!#$%22 $"2 $," %,, ,,  ,, , , , ,, #,  , !,,  , $,'&(&)+,*,  , DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 Project Tracking No. 17-12-0047 “NO NATIONAL REGISTER ELIGIBLE OR LISTED ARCHAEOLOGICAL SITES PRESENT OR AFFECTED form for Minor Transportation Projects as Qualified in the 2015 Programmatic Agreement. 1 of 1 NO NATIONAL REGISTER OF HISTORIC PLACES ELIGIBLE OR LISTED ARCHAEOLOGICAL SITES PRESENT FORM This form only pertains to ARCHAEOLOGICAL RESOURCES for this project. It is not valid for Historic Architecture and Landscapes. You must consult separately with the Historic Architecture and Landscapes Group. PROJECT INFORMATION Project No: BR-0033 County: McDowell WBS No: 67033 Document: State Minimum Criteria Checklist F.A. No: Funding: State Federal Federal Permit Required? Yes No Permit Type: USACE Project Description: Replace Bridge 84 on SR 1240 (Parker Padgett Rd.) over Interstate 40 in McDowell County. The Area of Potential Effects (A.P.E.) is approximately 1,067 meters (3,500 ft.) long and 305 meters (1,000 ft.) wide. SUMMARY OF ARCHAEOLOGICAL FINDINGS The North Carolina Department of Transportation (NCDOT) Archaeology Group reviewed the subject project and determined: There are no National Register listed ARCHAEOLOGICAL SITES within the project’s area of potential effects. (Attach any notes or documents as needed.) No subsurface archaeological investigations were required for this project. Subsurface investigations did not reveal the presence of any archaeological resources. Subsurface investigations did not reveal the presence of any archaeological resources considered eligible for the National Register. All identified archaeological sites located within the APE have been considered and all compliance for archaeological resources with Section 106 of the National Historic Preservation Act and GS 121-12(a) has been completed for this project. Brief description of review activities, results of review, and conclusions: see attached archaeological survey report SUPPORT DOCUMENTATION See attached: Map(s) Previous Survey Info Photos Correspondence Other: archaeological survey report Signed: CALEB SMITH 1/28/2019 NCDOT ARCHAEOLOGIST Date DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 0F'RZHOO$UFKDHRORJLFDO6XUYH\5HSRUW RI  $UFKDHRORJLFDO6XUYH\IRUWKH3URSRVHG5HSODFHPHQWRI %ULGJH1RRQ65 3DUNHU3DGJHWW5G  2YHU,QWHUVWDWH 0F'RZHOO&RXQW\1RUWK&DUROLQD Programmatic Agreement # 17-12-0047  %\%URRNH%ULOOLDQW$UFKDHRORJLFDO&RQVXOWDQWVRIWKH&DUROLQDV,QF -DQXDU\ ,QWURGXFWLRQ  %ULGJH 1R  LV ORFDWHG RQ 65 LQ VRXWKFHQWUDO0F'RZHOO&RXQW\DSSUR[LPDWHO\ NLORPHWHUV PLOHV QRUWKHDVWRIWKHWRZQRI2OG)RUW )LJXUH 7KHDUFKDHRORJLFDO$UHDRI 3RWHQWLDO(IIHFWV $3( IRUWKLVSURMHFWHQFRPSDVVHVDQDUHDWKDWH[WHQGVRQERWKVLGHVRI,QWHUVWDWH,W LVDSSUR[LPDWHO\PHWHUV IW ORQJDQGPHWHUV IW ZLGHDWLWVZLGHVW   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FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 0F'RZHOO$UFKDHRORJLFDO6XUYH\5HSRUW $   'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 0F'RZHOO$UFKDHRORJLFDO6XUYH\5HSRUW $   'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 0F'RZHOO$UFKDHRORJLFDO6XUYH\5HSRUW $   'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 0F'RZHOO$UFKDHRORJLFDO6XUYH\5HSRUW $   'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ DocuSign Envelope ID: 5E5989C5-A880-4FBD-9357-EA0B5F02B2F6 0F'RZHOO$UFKDHRORJLFDO6XUYH\5HSRUW $   'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ FOD\ORDP *UDVV\SDVWXUH IORRGSODLQ  'LJ FP  LQ  'DUNJUD\LVKEURZQ <5 VDQG\ ORDP FP  LQ  <HOORZLVKEURZQ <5 VDQG\ 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