HomeMy WebLinkAboutWQ0029351_Regional Office Historical File Pre 2018Mr. Mark Maynard, Member
Magnolia Station Apartments,' LLC
PO Box 1229
Wilmington, North Carolina 28402
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Man W. Klimek, P.E. Director
Division of Water Quality
September 28, 2005
Subject: .Permit'No. WQ0029351
Magnolia Station. Apartments
Magnolia Station Apartments, LLC
C-MU TRACKING #600-05-511
Mecklenburg County, North Carolina
Dear Mr. Maynard:
In accordance with your application received on September 7, 2005, we are forwarding herewith
,Permit No. WQ0029351, dated September 28, 2005, to Magnolia Station Apartments, LLC for the
construction and operation of thesubject wastewater collection system extension. This permit shall be
effective from the date of issuance until rescinded, and shall be subject to the•conditions and limitations
as specified therein. This .cover letter shall 'be considered a part of this permit and is .therefore
incorporated therein by reference.
Please pay particular attention to Permit Condition 3 which requires that the wastewater
collection facilities be properly operated and maintained in accordance with 15A NCAC 2H .0227 or any
individual system -wide collection system permit issued to the Permittee.
Permitting of this project does not constitute an acceptance of any part of the project that does
not meet 1.) 15A NCAC 2H .0200; 2) the Division of Water Quality's (Division) Gravity Sewer Minimum
Design Criteria adopted February 12, 1996, as applicable; .3) -and the Division's 'Minimum Design
Criteria for the Fast -Track .Permitting of Pump Stations and Force Mains adopted June 1, 2000, as
applicable, unless specifically mentioned herein. Division approval is based on acceptance of .the
certification provided by a North Carolina -licensed Professional Engineer in the application. It shall be
the Permittee's responsibility to ensure that the as -constructed project meets the appropriate design
criteria and rules. Failure to comply may result in penalties in accordance with North Carolina General
Statute §143-215:6A through •§143-215.6C, construction of additional or replacement wastewater
collection facilities, and/or referral of the North Carolina -licensed Professional Engineer to the licensing
board.
No Carolina
Vturally
Mooresville Regional Office 610 East Center Ave., Suite 301 Mooresville, NC 28115 Phone: (704) 663-1699 Fax: (704) 663-6040
Internet h2o.enr.state.nc.us Customer Service: 1-877-623-6748
An Equal Opportunity/Affirmative Action Employer —50°% Recyced110°% Post Consumer Paper
Mr. Maynard
Page 2
Seplember.28, 2005
In accordance with the provisions of Article 21 of Chapter '143,'General Statutes of North
Carolina as amended, and other..applicable'Laws, Rules, and Regulations„permission is hereby
granted to'Magnolia Station. Apartments, LLC for the construction and operation of approximately 2,625
linearfeet of 8-inch gravity sewer -as part of the -Magnolia Station Apartments project, and the discharge
of 61,560;gallons:per day -of collected domestic wastewater into the Charlotte -Mecklenburg Utilities
existing :sewerage system, pursuant to -the application -received September 7, 2005, and in .conformity
with I5A'NCAC2H .0200;the "Division's Gravity Sewer MinimumDesign Criteria adopted February 12,
1996, •as applicable; the Division's 'Minimum Design Criteria forthe Fast -Track 'Permitting ,of Pump
=Stations:andhforce'Mains;adopted. June 1.,2000,.as-applicable;.and other 'supporting data subsequently
--fled:andapproved bytheDepartment--o_fEnvironment and:Natural Resourcesand considered a part of
this;permit.
Thesewage and wastewater collected Eby this -system shall be treated in The Charlotte-
TMecklenburg wUtilities'WWTP'(MCAlpine .CreekINPDES No. -NC0024970) prior to -being -discharged into
the receiving stream.
•if anyparts, requirements, or limitations contained in this permit are unacceptable, 'you have the
:right to request an adjudicato y-hearing upon written request within 30 days following receipt of this
permit. This request mustbe in the -form Of a written petition, conforming lo Chapter 150B. of North
Carolina 'General Statutes, and filed with the Office of Administrative ,Hearings, 6714 Mail Service
Center,Raleigh, NC'27699-6714..,Unless such demands are_made,.this permit shall.be final and
binding.
:If you :need -additional information concerriing this matter, please contact 'Dee .Browder .at .(704)
'663-1699.
.Sincerely,
for Alan W. 'Klimek,.P:E.
cc: Mecklenburg County Health Department
Mooresville Regional Office, Surface Water Protection (WWTP,Permit'No.:NC0024970)
Bryan `E.:Smith, *Design Resources .Group,.PA
:Surface'WaterProtectionCentral Files
'Marie Doklovic, PERCS
NORTH CAROLINA
ENVIRONMENTAL MANAGEMENT COMMISSION
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
'RALEIGH
'WASTEWATER COLLECTION SYSTEM EXTENSION;PERMIT
This permit shall be effective from the date of issuance until rescinded andShall be subject to the
following specified conditions and limitations:
1.. This ;permit .shall become voidable ,unless the .wastewater Acollection facilities are constructed in
..accordance',withthe:conditions -of this ;permit; 15A.:NCAC :2H 0200; the Division ofWater Quality's
(Division) =Gravity Sewer Minimum `Design Criteria adopted February 12, 1996, as applicable; the
Division's Minimum Design- Criteria for the fast -Track Permitting .of :Pump Stations and 'Force
:Mains :adopted June 1., '2000, -as :applicable; and -other 'supporting materials runless specifically
mentioned'herein.
2. This permit shall be effective only with respect to the nature and volume of wastes described in the
application and other supporting data.
3. The wastewater collection facilities 'shall be properly maintained and operated at all times. The
.Pemnittee shall maintain compliance with an individual system -wide collection system permit for the
operation 'and maintenance of ..these facilities .as .required by 15A .NCAC .2H .0227. If an individual
permit is notxeqiJired, the following performance °criteria shall 'be ,met as provided in 15A NCAC 2H
.0227:
.a. The sewer system shall be effectively .maintained :and ,operated :at .all times to prevent
discharge to land or surface •waters, and any contravention of the groundwater standards in
15A'NCAC 2L.:0200 or the surface water standards in 15ANCAC 211.0200.
b. A map of the.sewersystemshall ,.be developed and shallbe actively maintained.
,c. An operation and maintenance plan shall be developed and implemented.
d. Pump stations that are not connected to a telemetry system shall be inspected every day (i.e.
365 days .per year). Pump stations that ,are connected .to a telemetry system shall be
;inspected at `least once :per week.
.e. .'High -priority sewer lines shall:be inspected at least once .per :every•six-month period of time.
'f. A general observation ofthe entire sewer system shall be conducted at least-once:per_year.
g. Inspection and maintenance records shall be maintained for a period of at least three years.
h. Overflows ,and bypasses shall be reported to the appropriate Division .regional office in
accordance with 15A NCAC 2B .0506(a), .and public notice shall be .provided as required by
'North Carolina General Statute §143-215.1C.
1
4. This permit shall notbe transferable. In .the eventthere is a desire ,forthewastewater .collection
facilities to change -ownership, or there is a name change of the Permittee, a formal permit request
shall .be .submitted to the .Division accompanied by documentation from the parties .involved, and
other supporting 'materials :as -may be appropriate. The approval of this request shall be
considered omits merits_and•may or.may not be approved.
.5. :Construction of the gravity sewers, pump stations, and force mains shall be scheduled so as not to
interrupt°service_by the:existing utilities nor result'iman overflow-or:bypass discharge of wastewater
to the surface waters of the"State.
-6. Per,15A :NCAC 2H _:0220, 'upon completion of construction and prior to operation of .these
permitted :facilities, the .completed Engineering :Certification form _attached :to this .permit shall be
submitted with;the :required supporting. documents to the.address;provided on: theform. .A:complete
certification is gone Where the form iis,fully:executed and the supporting' documents ,are :provided as
applicable. -
.7.. .A copy of the 'construction :record drawings shall :-be maintained .on ".file by the =Permittee for the life
of the wastewater collection facilities.
8. .Failure to' abide. by the. conditions and limitations contained in this permit; 15A'NCAC .2H .0200; the
:Divisiori'-s 'Gravity Sewer Design Criteria adopted .February 12, 1996 as -applicable; the ;Division's
.Minimum :Design :Criteria for the :Fast -Track Permitting of Pump -Station and -Force Mains adopted
June 1, 2000 as ,applicable; and other supporting materials may subject the ,Permittee to an
enforcement action by .the Division, in accordance with .North Carolina General Statutes :§143-
. 215.6A .through --§ 143-215.6 C.
-9. 'In the .event that the .*wastewater collection facilities fail to perform satisfactorily, including .the
creation :of .nuisance lconditions, the fPermittee shall take immediate :corrective action, including
thoseas may .be :required by this Div isio_ n, -such :as the construction 4of .additional ortrepiacement
;facilities.
10. The :issuance .of .this ;permit :shall :not exempt the Permittee from complying with any and all
statutes, :rules, regulations, or ordinances that may be imposed by other government agencies
(local, 'state .and federal) which have jurisdiction, .including but not limited to applicable river buffer
rules in 15A 'NCAC 2B .0200, erosion and sedimentation control requirements in 15A NCAC Ch. 4
and under.the,Division's General Permit 'NCG0.10000, and any requirements pertaining to wetlands
;under 15A :NCAC 2B..0200.and 15ANCAC 2H .0500.
11. Noncompliance Notification:
The Permittee shall verbally .report to a Division of 'Water Quality employee -at the .Mooresville
Regional Office,telephone.number (704) 663-1699, as soon as possible, but in no case more .than
24 hourscr on the next -working day, fioliowing the 'occurrence or firstknowledge of the occurrence
of either of the following:
a. Any process unit failure, due to known or unknown reasons, that renders the facility incapable
of adequate wastewater transport, such as mechanical or electrical failures of pumps, line
blockage or breakage, :etc.; or
b. Any failureof a pumping station orsewer line resulting in a by-pass directly to receiving waters
without treatment of all or any portion of the influent to such station or facility.
2
Voice mail messages or faxed information is permissible, but shall not be considered as the
initial verbal report. Overflows and spills occurring outside normal business hours may also 'be
reported .to the Division .of Emergency Management at telephone :number (800) 858-0368 or
(919) 733-3300. Persons reporting any .of the .above -occurrences shall file a spill report by
completing Part] of Form CS-SSO .(or the most.current Division .approved form), within five days
following first knowledge of the occurrence. This 'report shall outline the actions taken or
;proposed to ensure that the 'problem does not recur. +Part 11 of Form CS-SSO (or the most
current Division approved form) can also be completed to show that the SSO was beyond
control.
1Perrnit:issued this the '28th .day.of September,.'2005.
;NORTHCAROLINA:ENVIRONMENTAL MANAGEMENT COMMISSION
,
for Alan W.=Klime , E., Director
:Division of Water Quality
By Authority of the Environmental Management Commission
:Permit Number WQ0029351
3
Fast Track Engineering Certification
,Permit No. WQ0029351
September 28, 2005
-Complete and submit this form to the permit issuing regional office with the following:
• One copy of the project record drawings (plan & profile views of sewer lines) of the wastewater collection
system extension
• Supporting design calculations (selected pumps, .system curve,.operating point, available storage if portable
generator(s) or storage.greaterthan'Iongest past three year outage: reliability option selected) for any pump
stations permitted aspart of this project
'Changes tothe;project should be clearly identified on the record drawings or in written summary form. Permit
_ modifications are:required`for any changes resulting in•non-compliance with this -permit. regulations or
minimum design:criteria. '
This project -shall notbe considered:complete nor allowed to operate until this Engineer'sCertification and all
required supporting documentation'havebeenTeceived by:the'Division. Therefore,'it.is highly lecommended
that this certification, be sentiin a.manner#hat provides :proof of.receiptbythe Division.
'ENGINEER'S 'CERTIFICATION
❑ :Partial ❑ Final
1, , as -a duly registered Professional Engineerin the State of North Carolina, having
been authorized.to observe ([1 periodically, ❑ weekly, ❑ full.time) the construction of the'Magnolia Stations
Apartments,' Mecklenburg'County project for the Permittee'hereby state that, 'tothe best of my abilities, due care
and diligence was used in -the observation of the construction such thatthe construction was observed to be built
within substantial compliance -of this,permit;15A-NCAC2H .0200; the Division of Water Quality's (Division)
Gravity:SewerMinimum:Design Criteria adopted February 12,1996 as applicable; the Division's Minimum Design
•Criteriaforthe Fast -Track Permitting of Pump Stations and Force'Mains adopted June 1,2000 as applicable; and
other supporting materials.
North Carolina Professional Engineer's
seal, signature, and date:
SEND THIS:FORM •8, SUPPORTING DOCUMENTATION
.WITH•REQUIRED,ATTACHMENTS TO THE FOLLOWING. ADDRESS
MOORESVILLE REGIONAL OFFICE
SURFACE WATER PROTECTION
610 EAST CENTER AVENUE, SUITE 301
MOORESVILLE NC 28115
The Permittee is responsible for tracking all partial certifications up until a final certification is received_ Any
wastewater flow made tributary to the wastewater collection -system extension prior to completion of this
Engineer's Certification shall -be considered a violation of the permit and shall subject the Permittee to appropriate
enforcement actions.
CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MANS
PAGE 3
USE THE TAB KEY TO MOVE FROM FIELD TO FIELD! Application Number: ff ``
(to be completed by DWQ) L.A.� QQ�Z ia aj�
!1. Owner:
;la. Magnolia Station Apartments, LLC
Full Legal Name (company, municipality, HOA, utility, etc.)
Z 1 b. Mr. Mark Maynard
0 Signing Official Name and Title (Please review 15A NCAC 2H .0206(b) for authorized signing officials!)
Qlc.
ce
The legal entity
❑ Individual
Id. P.O. Box 1229
■_Federal
who will
own
■
this system
Municipality
is:
■ State/Coup
■ Private Partnership
11e. Wilmington
Z Corporation
■ Other (speciN):
0
LL
Street Address
City
Z
1f. North Carolina
lg. 28402
z
State
Zip Code
0•
lh. 910-251-5030 li. 910-251-9188
1 j.
~ a Telephone Facsimile
V 2. Project (Facility) Information:
a2a. Magnolia Station Apartments
E-mail1.
12b. Mecklenburg
IZ Brief Project Name (permit will refer to this name)
I County Where Project is Located
Q 3. Contact Person:
Q 3a. Bryan E. Smith, PE Design Resource Group, PA
Name and Affiliation of Someone Who Can Answer Questions About
this Application
3b. 704-343-0608
113c. bryan@drgrp.com
Phone Number
1 E-mail
1. Project is ® New ❑ Modification (of an existing permit)
If Modification, Permit No.:
1 For modifications, attach a separate sheet clearly explaining the
1 phase, changing line size/length, etc.). Only include the modified
1 duplicate project information in B(7) and B(14-11) that has already
reason for the modification (i.e. adding another
information in this permit application - do not
been included in the original permit.
2. Owner is
■
Public (skip to Item B(3))
►� Private (go
to Item 2(a))
2a. If private, applicant will be:
2b. If sold, facilities owned by a (must choose one)
Z
0
H
0 Retaining Ownership (i.e. store, church, single office, etc.) or
• Leasing units (lots, townhomes, etc. - skip to Item 8(3))
❑ Selling units (lots, townhomes, etc. - go to Item B(26))
0
•
Public Utility (Instruction Ill)
Homeowner Assoc./Developer (Instruction IV)
< 3. Charlotte -Mecklenburg Utilities
2 ` Owner of Wastewater Treatment Facility (WWTF) Treating Wastewater From This Project
0 4a. McAlpine Creek `,4b. NC0024970
Name of WWTF WWTF Permit No.
Z 5a. Charlotte -Mecklenburg Utilities
5b. 8-inch
5c. unknown
i_ i Owner of Downstream Sewer
Receiving Sewer Size
Permit Number of Downstream Sewer (if known)
n 6. The origin of this wastewater is (check all that apply):
W•
0_
• m '
l i
•
0
Residential Subdivision
Apartments/Condominiums
Mobile Home Park
School
•
•
•
•
Car Wash
Institution
Hospital
Church
100 % Domestic/Commercial
% Industrial
❑ Restaurant
0 Office
0
•
Nursing Home
Other (specify):
%Other (specify):
7.
Volume of wastewater to be permitted in this project: 61,560 gallons per day
t
18.
if the permitted flow is zero, indicate why:
■ Interceptor Line - Flow will be permitted is subsequent permits that connect to this line
■ Flow has already been allocated in Permit No.
■ Rehabilitation or replacement of existing sewer with no new flow expected
PTA 02/03 - Rev. 1 06/03
CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS
PAGE 4
9. Provide the wastewater flow calculations used
.0219(1) for Item B(7) or the design flow for line
that in 15A NCAC 2H .0219(I)(1-2) must be
the Division of Water Quality, Non -Discharge
accordance with 15A NCAC 2H .0219(1)(3).
456 apartment units x 135 gpd/unit
10. Summary of Sewer Lines to be Permitted (attach
Size (inches)
8
in determining the permitted flow in
or pump station sizing if zero flow in
approved prior to submittal of this application.
Permitting Unit, 1617 Mail Service Center,
additional sheets if necessary)
Length (feet)
2625
accordance with 15A NCAC 2H
the space below. Values other than
Submit a separate request to
Raleigh, NC 27699-1617 in
Gravity or Force Main
(use the pull down menu)
Gravity
Cl
Z
H
Z
o;
Z
O ENTER TOTAL LINE LENGTH
Q11. Summary of Pump Stations
Location ID
c s (self chosen - as shown on
0 plans for cross-reference)
IN MILES
to be Permitted
j
Design Flow; Operational
(MGD) I
.50
(attach additional sheets as necessary)
Power
Point (1- dual line feed;
GPM @ TDH portable generator
Not Applicable
Reliability Option
2- permanent generator w1ATS; 3-
wltelemetry; 4-wet well storage)
LL
F-
re
W
12. Does the sewer system comply
co Mains (latest version), the
11 Yes • No If no, please
variance
ISUBMIT TWO COPIES OF PLANS,
with the Minimum Design Criteria for the Fast Track Permitting of Pump Stations and Force
Gravity Sewer Minimum Design Criteria (latest version) and 15A NCAC 2H .0200 as applicable?
reference the pertinent minimum design criteria or regulation and indicate why a
is requested:
SPECIFICATIONS OR CALCULATIONS PERTINENT TO THE VARIANCE WITH YOUR APPLICATION
€13. Have the following permits/certifications been submitted for approval?
i
Wetland/Stream Crossings - General Permit or 401 Certification?
Sedimentation and Erosion Control Plan?
Stormwater?
1
0
►1
Yes ❑ No
Yes ❑ No
Yes • No
® N/A
• N/A
❑ N/A
FTA 02/03 - Rev. 1 06/03
CK APPLICATION for GRAVITY SEWERS, PUMP STATIONS, AND FORCE MAINS PAGE 5
1. Use the Division's guidance document entitled, "DETERMINING STREAM CLASSIFICATIONS FOR FORM FTA 02/03
(FAST -TRACK SEWER SYSTEMS)" to collect and record the stream classification data below (attach additional sheets as
necessary). This document is available from our web site or by contacting the appropriate Division of Water Quality
Z regional office (see instructions for addresses) OR indicate the following
❑ A Stream Classification is not needed because all parts of the project are at least 100 feet away from any down slope
waterbody; AND,
Cat IS A Stream Classification is not needed because the design does not depend on wet well storage as a power reliability
LL option for any pump station near a Class C down slope waterbody.
Location ID on Map
w f (self chosen - as shown on
map for crass -reference-_
() 1
Name of
Waterbody_
U Tao cl_uC R.
County
' jN l� G k ,
Waterbody Stream
River Basin Index
Catawba • I i - i 37 - ! a - 1
Waterbody
Classification
C
2
i
1—
•
Submit
the 8.5" x 11" COLOR topographic map
regardless of whether a classification
•
as required in Instruction VI
is provided!
1. Applicant's Certification: ,
1, , attest that this application for Magnolia Station
has been reviewed by me and is accurate and complete to the best of my knowledge. 1 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. Note: in accordance with North Carolina
General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false statement, representation, or
certification in any application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000
_-_ as well as civil penalties up to $25,000 per violation. —__-
la. js o.
Signing Official Signature Date
Z
a `
0 !
LL •
H
111
0
Q
2. Professional Engineer's Certifica n. --- _-__ ----_-___--___--._-_--..... ._---_--_
/ attest that this application for Magnolia Station has been reviewed by me and is accurate, complete and consistent with
the information in the engineering plans, calculations, and all other supporting documentation to the best of my knowledge.
1 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 adopted February 12, 1996, and the Minimum
Design Criteria for the Fast -Track Permitting of Pump Stations and Force Mains adopted June 1, 2000 and the watershed
classification in accordance with Division guidance. Although certain portions of this submittal package may have been
developed by other professionals, inclusion of these materials under my signature and seal signifies that 1 have reviewed
this material and have judged it to be consistent with the proposed design. Note: in accordance with NC General Statutes
143-215. 6A and 143-215.6B, any person who knowingly makes any false statement, representation, or certification in any
application shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed $10,000 as well as civil
penalties up to $25,000 per violation.
2a. Bryan E. Smith %°A1° CAR 00°00
Professional Engineer Name J�J o0o°en.� OHO
2b. Design Resource Group, PA Y C
Engineering Firm
2c. 1230 West Morehead Street, Suite 214
g o r 3 5:
% 91 D
Address
2d Charlotte 2e. NC 2f. 28208
p ;`
°?, s/(6��c°`° 6 a�Q
City State Zip
2g. 704-343-0608 I2h. 704-358-3093 2i. bryan@drgrp.com
a°4o°r,` hf E. 9 SO
Telephone I Facsimile E-mail
Seal, Signature & Date
FTA 02/03 - Rev. 106/03
Permit Number WQ0029351
Central Files: APS� SWP_
09(26105
Permit Tracking Slip
Program Category
Non -discharge
Status Project Type
In review New Project
Permit Type Version
Gravity Sewer Extension, Pump Stations, & Pressure Sewer A
Extensions
Primary Reviewer
dee.browder
Permitted Flow
61560
Facility
Facility Name
Magnolia Station Apartments
Location Address
Owner
Permit Classification
Individual
Permit Contact Affiliation
Major/Minor Region
Minor Mooresville
County
Mecklenburg
Facility Contact Affiliation
Owner Name Owner Type
Magnolia Station Apartments LLC Non-Govemment
Owner Affiliation
Mark Maynard
rlatps!Fvents
Scheduled
Orig Issue App Received Draft Initiated Issuance
09/07/05
Regulated Activities
Apartment complex
Wastewater collection
Outfall NULL
PO Box 1229
Wilmington NC .28402
Public Notice Issue
Effective Expiration
Reauested/Received Events
Additional information requested
Additional information received
Waterbody Name Stream Index Number Current Class Subbasin
1230 West M tehead Street, Suite 214
Charlotle,„ NC 28208
704.343,0608 • tax 704.355 3093
www (Ircirp cam
September 6, 2005
Ms. Dee Browder
North Carolina Department of Environment, and Natural Resources
Divison of Water Quality
Surface Water Protection
610 East Center Avenue, Suite 301
1\looresville, North Carolina 28115
I 4114mi
Reference: Magnolia Station Apartments
Dear 'Ms. Browder:
Enclosed you ‘vill find the following information for review:
1. One original and one copy of the completed application form
2. $400 Application fee
3., Flow acceptance letter
4. 8.5-inch by 11-inch Color topo map
Should you have any questions, do not hcsita
.act our office.
. Sep.23. 2005 4:16PM
No.4316 P. 2/2
SCHEDULE I
MAGNOLIA STATION APARTMENTS LLC
CAPITAL ACCOUNTS AND PERCENTAGE INTERESTS
IvMeini ,,lia) Capital _ Percentage Inta est
Mark L. Maynard •
Anna *U. Maynard
(430226• 1 OC/ST W$T811 a7 89.Ce33 81 0
-23-
50%
50%
b7./b7.
,trinn NNCW 11TR
RFtT.RIC7SITA 9R:7t GRGi7./F7/
Page 1 of 1
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