HomeMy WebLinkAboutSW8961201_CURRENT PERMIT_20210809"I
STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 %01201
DOC TYPE
CURRENT PERMIT
❑ APPROVED PLANS
❑ HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2_02� ogOq
YYYYMMDD
r
THE UNIVERSITY
If NORTH CA ROLI NA
al CHAPEL HILL
JANET CLARKE
Smrmwaav Sprriafi.rt
ENVIKONMENT, HEALTH, A SAFETY
1120 EST16 UIUVE' I:XTEN'SIUN 1' yly.Mp3,o4%$
CAMPUS 11I)X 1630
CHAPEL HILL. NC sJ599-16 o F 919 NN3, 7163
jldarkc@.h..unc.edu S 919 96z.oz2J
ROY COOPER
Governor
ELIZABETH S. BISER
secretary
BRIAN WRENN
Director
August 9, 2021
NORTH CAROLINA
Environmental Quality
The University of North Carolina at Chapel Hill
Attu: George E. Battle, III, Vice Chancellor for Institutional Integrity and Risk Management
CB 1005
Chapel Hill, NC 27599
Subject Permit Renewal
State Stormwater Management Permit No. SW8 %1201
NSF Coastal Processes & Environmental Health Building
Carteret County
Dear Mr. Battle:
Effective August 1, 2013 the State Stormwater program has been transferred from the Division of Water Quality
(DWQ) to the Division of Energy, Mineral and Land Resources (DEMLR). All previous references to DWQ will
remain in older stormwater permits issued prior to August 1, 2013 until they are modified. Please note that this permit
will now reference DEMLR as the Division responsible for issuance of the permit.
The Wilmington Regional Office received a complete 8 year Stormwater Management Permit Renewal Application for
the subject project on August 4, 2021. The Division is hereby notifying you that permit SW8 961201 has been renewed
on August 9, 2021 and shall be effective until March 25, 2030. For your records, please find enclosed a renewed,
updated, and re -issued permit and a copy of the renewal application. Please keep this permit on file at all times. Please
note that the renewed, updated, and re -issued permit does not impose new or different terms; it merely restates some of
the previous terms to provide you with a better understanding of your obligations under the permit.
The renewal and reissuance of this stormwater permit does not imply that the site is currently in compliance with the
terms and conditions of this state stormwater permit The plans originally approved on April 23, 1997 and most
recently renewed on December 14, 2011, will remain in full force and effect in accordance with the regulations set
forth in Title 15A NCAC 2H.1000.
This permit is subject to the conditions and limitations as specified therein. Please pay special attention to the
conditions listed in this permit regarding the Operation and Maintenance of the BMP(s), recordation of deed
restrictions, procedures for changes of ownership, transferring the permit, and renewing the permit. Failure to establish
an adequate system for operation and maintenance of the stormwater management system, to record deed restrictions,
to transfer the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right to request an
adjudicatory hearing by filing a written petition with the Office of Administrative Hearings (OAH). The written
petition must conform to Chapter 150B of the North Carolina General Statutes and must be filed with the OAH within
thirty (30) days of receipt of this permit. You should contact the OAH with all questions regarding the filing fee (if a
filing fee is required) and/or the details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or
via telephone at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this permit
shall be final and binding.
If you have any questions, need additional copies of the permit or approved plans, please contact Ashley Smith in the
Wilmington Regional Office, at (910) 796-7215 or ashleym.smith@ncdenr.gov.
Sincerely, Q
3�; Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
North Carolina Department of Environmental Quality I Division of Energy. Mneral and Land Resources
_ Wilmington Regional Office 1 127 Cardinal Drive Extension I Wilmington, North Carolina 28405
910.7%.7215
State Stormwater Permit No. SW8 961201
Page 2 of 2
Enclosures: Attachment C — Permitting History
Renewal Application Documents
DES/arcs: \\\Stormwater\Petmits & Projects\ 1 996\961201 HD\2021 08 permit 961201
cc: NCDEQ-DEMLR Wilmington Regional Office
®wu �'. North Carolina Department of Environmental Quality I Division of Energy, Mineral and Land Resources
Wilmington Regional Office 1127 Cardinal Drive Extension I Wilmington.North Carolina 28405
State Stormwater Management Systems
Permit No. SW8 961201
STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENTAL QUALITY
DIVISION OF ENERGY, MINERAL AND LAND RESOURCES
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY DEVELOPMENT
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
The University of North Carolina at Chapel Hill
NSF Coastal Processes and Environmental Health Building
Carteret County
FOR THE
construction, operation and maintenance of an infiltration basin in compliance with the provisions of 15A
NCAC 2H .1000 (hereafter referred to as the "stormwater rules') and the approved stormwater
management plans and specifications and other supporting data as attached and on file with and
approved by the Division of Energy, Mineral and Land Resources (the "Division" or "DEMLR") and
considered an enforceable part of this permit.
This permit shall be effective from the date of issuance until March 25, 2030, and shall be subject to the
following specified conditions and limitations:
M9 eR ,W_Vb7_\;Jm:R
1. This permit is effective only with respect to the nature and volume of stormwater described in
the application and other supporting data.
2. The original permit conditions contained in the permit issued on March 25, 1998 remain in full
force and effect, except as amended herein. (An additional copy of this original permit can be
obtained from DEMLR, Wilmington Regional Office.)
3. This stormwater system has been approved for the management of stormwater runoff as
described on page 2 of this permit, the Project Data Sheet. The stormwater control has been
designed to handle the runoff from 43,323 square feet of impervious area.
4. Due to the SA classification of Bogue Sound, this infiltration basin must be operated with a 50'
vegetated filter.
5. Approved plans and specifications for this project are incorporated by reference and are
enforceable parts of the permit.
6. The permittee is responsible for verifying that the proposed built -upon area does not exceed
the allowable built -upon area.
7. The tract will be limited to the amount of built -upon area indicated on page 2 of this permit, and
per approved plans.
Page 1 of 5
State Stormwater Management Systems
Permit No. SW8 961201
PROJECT DATA SHEET
Project Name:
Building
Permit Number:
Location:
Applicant:
Mailing Address:
Application Date:
Water Body Receiving Stormwater Runoff:
Classification of Water Body:
Infiltration Basin Depth, feet:
Bottom Elevation, FMSL:
Total Impervious Surfaces, ftl:
Offsite Area entering Pond, ftl:
Provided Bottom Surface Area, ftl:
Required Storage Volume, ft':
Provided Storage Volume, ft':
Temporary Storage Elevation, FMSL:
Seasonal High Water Table, FMSL
Type of Soil:
Expected Infiltration Rate:
Time to Drawdown:
IL SCHEDULE OF COMPLIANCE
NSF Coastal Processes and Environmental Health
SW8 961201
Carteret County
Mr. George E. Battle, III, Vice Chancellor for
Institutional Integrity and Risk Management
CB 1005
123 West Franklin Street, Suite 600E
Chapel Hill, NC 27516
August 4, 2021
Bogue Sound
"SA"
1.25
12
43,323
n/a
3,768 @12
5,233
5,320
13.25
8.67
Sand
15" / hour
1.1 hours
The permittee will comply with the following schedule for construction and maintenance of the
stormwater management system:
a. The stormwater management system shall be constructed in it's entirety, vegetated
and operational for its intended use prior to the construction of any built -upon surface
except roads.
b. During construction, erosion shall be kept to a minimum and any eroded areas of the
system will be repaired immediately.
The permittee shall at all times provide the operation and maintenance necessary to assure
the permitted stormwater system functions at the design condition. The approved Operation
and Maintenance Plan must be followed in its entirety and maintenance must occur at the
scheduled intervals including, but not limited to:
Semiannual scheduled inspections (every 6 months).
b. Sediment removal.
C. Mowing and revegetation of side slopes.
d. Immediate repair of eroded areas.
Maintenance of side slopes in accordance with approved plans and specifications.
Debris removal and unclogging of bypass structure,catch basins and piping.
Access to the bypass structure must be available at all times.
The vegetated filter will be kept grassed with no erosion. The spreader mechanism will
be kept clear.
Records of maintenance activities must be kept and made available upon request to
authorized personnel of DEMLR. The records will indicate the date, activity, name of person
performing the work and what actions were taken.
Page 2 of 5
State Stormwater Management Systems
Permit No. SW8 961201
4. The facilities shall be constructed, operated and maintained in accordance with the provisions
of this permit, the approved plans and specifications, and the supporting documents attached
to this permit and on file with the Division.
5. Upon completion of construction, prior to issuance of a Certificate of Occupancy, and prior to
operation of this permitted facility, a certification must be received from an appropriate
designer for the system installed certifying that the permitted facility has been installed in
accordance with this permit, the approved plans and specifications, and other supporting
documentation. Any deviations from the approved plans and specifications must be noted on
the Certification. A modification may be required for those deviations.
6. Prior to the sale of any portion of the property, an access/maintenance easement to the
stormwater facilities shall be granted in favor of the permittee if access to the stormwater
facilities will be restricted by the sale of any portion of the property.
7. The Director may notify the permittee when the permitted site does not meet one or more of
the minimum requirements of the permit. Within the time frame specified in the notice, the
permittee shall submit a written time schedule to the Director for modifying the site to meet
minimum requirements. The permittee shall provide copies of revised plans and certification in
writing to the Director that the changes have been made.
8. No person or entity, including the permittee, shall alter any component shown in the approved
plans and specifications. Prior to the construction of any modification to the approved plans,
the permittee shall submit to the Director, and shall have received approval for modified plans,
specifications, and calculations including, but not limited to, those listed below. For changes to
the project or SCM that impact the certifications, a new or updated certification(s), as
applicable, will be required and a copy must be submitted to the appropriate DEQ regional
office upon completion of the modification.
a. Any modification to the approved plans and specifications, regardless of size including
the SCM(s), BUA, details, etc.
b. Redesign or addition to the approved amount of BUA or to the drainage area.
C. Further development, subdivision, acquisition, lease or sale of any, all or part of the
project and/or property area as reported in the approved plans and specifications.
d. Altering, modifying, removing, relocating, redirecting, regrading, or resizing of any
component of the approved SCM(s), the stormwater collection system and/or
vegetative conveyance shown on the approved plan.
e. The construction of any allocated future BUA.
f. The construction of any permeable pavement, #57 stone area, public trails, or
landscaping material to be considered a permeable surface that were not included in
the approved plans and specifications.
g. Other modifications as determined by the Director.
9. Prior to transfer of the permit, a file review and site inspection will be conducted by Division
personnel to ensure the permit conditions have been met and that the project and the on -site
stormwater system complies with the permit conditions. Any items not in compliance must be
repaired, replaced restored, or resolved prior to the transfer. Records of maintenance activities
performed to date may be requested.
III. GENERAL CONDITIONS
Any individual or entity found to be in noncompliance with the provisions of a stormwater
management permit or the requirements of the stormwater rules is subject to enforcement
procedures as set forth in NCGS 143 Article 21.
Page 3 of 5
State Stormwater Management Systems
Permit No. SW8 961201
2. The issuance of this permit does not preclude the permittee from complying with and obtaining
any other permits or approvals that are required for this development to take place, as
required by any statutes, rules, regulations, or ordinances, which may be imposed by any
other Local, State or Federal government agency having jurisdiction. Any activities undertaken
at this site that cause a water quality violation or undertaken prior to receipt of the necessary
permits or approvals to do so are considered violations of NCGS 143-215.1, and subject to
enforcement procedures pursuant to NCGS 143-215.6.
3. If the facilities fail to perform satisfactorily, the permittee shall take immediate corrective
actions. This includes actions required by this Division and the stormwater rules such as the
construction of additional or replacement on -site stormwater systems. These additional or
replacement measures shall receive a permit from the Division prior to construction.
4. Permit Transfer: This permit is not transferable to any person or entity except after notice to
and approval by the Director. The permittee shall submit a completed and signed "Permit
Transfer Application Form" (available on the Division website) accompanied by the required
fee and supporting documentation as listed on the form, to the Division at least 60 days prior
to any one or more of the following events:
a. The sale or conveyance of the project area in whole or in part, except in the case of an
individual lot sale that is made subject to the recorded deed restrictions and protective
covenants;
b. Dissolution of the partnership, corporate, or LLC entity, subject to NCGS 55-14-05 or
NCGS 57D-6-07 and 08;
C. Bankruptcy;
d. Foreclosure, subject to the requirements of Session Law 2013-121;
Current Permittee Name or Address Changes: The permittee shall submit a completed
"Permit Information Update Application Form" (available on the Division website) to the
Division within 30 days to making any one or more of the following changes:
a. A name change of the current permittee;
b. A name change of the project;
C. A mailing address change of the permittee;
6. The permittee is responsible for compliance with all terms and conditions of this permit until
the Division approves the transfer request. Neither the sale of the project, in whole or in part,
nor the conveyance of common area to a third party constitutes an approved transfer of the
permit.
7. The permittee grants Division Staff permission to enter the property during normal business
hours to inspect all components of the permitted project.
8. The permit issued shall continue in force and effect until the permittee files a request with the
Division for a permit modification, transfer, renewal, or rescission, however, these actions do
not stay any permit conditions.
9. Approved plans, application documents, supplements, calculations, operation and
maintenance agreement, and specifications for this project are incorporated by reference and
are enforceable parts of the permit. A copy of this permit, application, supplements, operation
and maintenance agreement, and approved plans and specifications shall be maintained on
file by the permittee.
10. Unless specified elsewhere, permanent seeding requirements for the on -site stormwater
system must follow the guidelines established in the North Carolina Erosion and Sediment
Control Planning and Design Manual.
it. The issuance of this permit does not prohibit the Director from reopening and modifying the
permit, revoking and reissuing the permit, or terminating the permit for cause as allowed by the
laws, rules, and regulations contained in Title 15A NCAC 2H.1000 and NCGS 143-215.1 et.al.
12. A permit renewal request must be submitted at least 180 days prior to the expiration date of
this permit. The renewal request must include the appropriate application, documentation and
the processing fee as outlined in Title 15A NCAC 02H.1045(3).
Page 4 of 5
State Stormwater Management Systems
Permit No. SW8 961201
Permit renewed, updated and reissued this the 9th day of August 2021.
NORTH CAROLINA ENVIRONMENTAL MANAGEMENT COMMISSION
�o
�x-. Brian Wrenn, Director
Division of Energy, Mineral and Land Resources
By Authority of the Environmental Management Commission
Page 5 of 5
Attachment C - Permitting History
NSF Coastal Processes & Environmental Health Building
Permit No. SW8 961201
Approval Date
Permit Action
Version BI o n
Description of the Changes
4/23/1997
Original
Approval
1.0
3/25/1998
Modification
LI
12/14/2011
Renewal
2.0
8/9/2021
Renewal
3.0
Operations and Maintenance Verification
I acknowledge and agree by my signature below that I am responsible for the performance of the
maintenance procedures listed in the original Operations and Maintenance Agreement. I agree to notify
DWQ of any problems with the system or prior to any changes to the system or responsible parry.
Print name: &kl c: u. / Jx a c Cr c VIl
Phone:
Dater
Note: The legally responsible parry should not be a homeowners association unless more than 50% of the lots have been sold
and a resident of the subdivision has been named the president.
TN a Notary Public for the State of mc- c,,•112c�
County of" 4y�—,}ten do hereby certify that rcA
personally appeared before me this day off,. 1Q , , and acknowledge the due
execution of the forgoing stormwater BMP maintenance requirements. Witness my hand and official
seal,
Notary Signature:
SEAL
5* H SaA
My commission expires. N,, )fl t? �'�
QcT 2 9 201
Form SWU-102 (Renewal Form) Rev 06May2010 Page 3 of 3
INFILTRATION POND MAINTENANCE
Project Name: NSF/Coastal Processes and Environmental Health Building
Responsible Party: Wayne R. Jones Treaurer UNC-CH
The University of North Carolina at Chapel Hill
Address: CB# 1000 Chapel Hill, N.C. 27599-1000 Phonc No.(919) 962-3795
After every runoff producing rainfall event, or at lease monthly, whichever comes first:
1. Inspect the infiltration pond(s) for erosion, trash accumulation, grass coverage, and general
condition of the facility.
2. Repair eroded areas immediately, re -seed as necessary, keep side slopes and bottom
mowed, and remove trash.
3. Check any inlet piping, swales and catch basins. Repair broken piping, reseed swales, and
remove trash.
4. Inspect the bypass/overflow structure for blockage and deterioration. Remove blockage and
repair structure to originally approved design specifications.
5. Check the depth of the pond(s) every six months. If siltation has occurred to the point that
only 75% of the original design depth is provided, remove the excess silt to the original
depth. Do not over -excavate, as this may cause the required water table separationtobe
reduced, and may affect the ability of the system to perform as designed. Q25i ndoh
SPECIAL REQUIREMENTS
ect ho 'ng tanks a ually for sc rent buildup. Pump out a. ceded to lean. \
2. nspect mps eve six coon : Rcpairh'ep c as require D
�% Ce E�
1, Wayne R. Jones, Treasurer agree to be responsible for performing the
maintenance items as listed above for this project. 1 agree to notify NCDEM of any problems with the
system, or changesinthe name of the pro
ject
, name_ of the responsible party, or address.
Signature C��e c �� '�. (���T C,�" Date �� 12 %
E C E I V E
STORMWATER MAR 3.11997 D
0
PROJ # ZOI
DEMLR USE ONLY
Date Rec ive
Fee Paid
Permit Number
I
00 1,25 $
o
NC DEQ Division of Energy, Mineral and Land Resources
STATE STORMWATER:
PERMIT RENEWAL APPLICATION FORM
In accordance with 15A NCAC 2H.1045(3), the current permit holder shall renew their high density permit 180 days
prior to its expiration. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB 781)
Section 60.(c). This application form is for permit renewals only.
A. PROJECT INFORMATION
1. State Stormwater Permit Number: SW8961201
2. Project name: UNC-CH Institute of Marine Sciences NSF Coastal Processes & Environmental Health Building
3. Project street address: 3431 Arendell Street
City: Morehead City County: Carteret —ZIP: 28557
4. What, if any, changes have been made to the project as permitted? none
If the project has changed from the original approved plans, please complete SWU7101 for a Major
Modification or Minor Modification Application form available at: https://deg.nc.gov/about/divisions/energv-
mi neral-land-resources/energy-mi nera I-land-rules/stormwater-program/post-construction.
B. PERMITTEE INFORMATION
If changes to the permittee or project name have been made, please complete either the Permit Update form
or the Permit Transfer form available at: https://deg.nc.gov/about/divisions/energv-mineral-land-
resources/energv-mineral-land-rules/stormwater-program/past-construction. State Stormwater Permits do not
automatically transfer with the sale of the property.
1. Current Permit Holder's Company Name/Organization: The University of North Carolina at Chapel Hill
2. Signing Official's Name: George E. Battle III
3. Signing Official's Title: Vice Chancellor for Institutional Integrity and Risk Management
4. Mailing Address: CB 1005
City: Chapel Hill State: NC ZIP : 27599-1005
5. Street Address: 123 West Franklin Street, Suite 600E
City: Chapel Hill State: NC ZIP: 27516
6. Phone: ( 919) 445-1248 Email: gbattle3(o)ad.unc.edu
AUG 0 4 2021
Stormwater Permit Renewal Form Page 1 of 3 May 11, 2018
C. SUBMITTAL REQUIREMENTS
Submit the application package to the appropriate DEMLR Regional Office (Coastal, SA Waters) or DEMLR
Central Office (Urbanizing Areas Ph 2, USMP, Non -Coastal HQW/ORW). Only applications packages that
include all required items listed below will be accepted and reviewed.
Initial e fh item below to indicate that the required information is provided in the application package:
A permit application processing fee of $505.00 payable to NCDEQ.
2. One original signed hard copy and one electronic copy of this completed form. The signing official
named on this application to represent the current permittee must meet one of the following:
a. Corporation — a principle executive officer of at least the level of vice-president;
b. Limited Liability Company (LLC) — a manager or company official as those terms are defined
in G.S. 57D "North Carolina Limited Liability Company Act;"
c. Public Entity — a principal executive officer, ranking official, or other duly authorized employee,
d. Partnership or limited partnership — the general partner;
e. Sole proprietor; or
f. Letter of authorization signed by one of the signatories noted in a — e above authorizing the
signature of another entity.
NA 3. One hard copy and one electronic copy of recorded documents required by the original permit that
have not yet been received by DEMLR, including: deed restrictions, protective covenants,
condominium/planned community declaration and easements. If the project has been built, include
documentation that the maximum BUA per lot or maximum total BUA has not been exceeded. If
the project has not been built, include a signed agreement that the final recorded deed restrictions
and protective covenants will be submitted at a later date.
4 O&M Agreements, Please select one.
® I have a copy of the current recorded O&M Agreement for all SCMs, and I will continue to
keep this on file with the permit, or
❑ I do not have a copy of the current recorded O&M Agreement for all SCMs and am
requesting a copy be sent to me. I agree to keep this on file with the permit.
5. Designer Certifications, Please select one:
® A copy of the certification(s) confirming that the project was built in accordance with the
approved plans have been previously provided to the Division, or
❑ A copy of the certification(s) confirming that the project was built in accordance with the
approved plans are enclosed; or
❑ The project has not yet been built.
6. [IF APPLICABLE] If the project has been built, one original hard copy and one electronic copy of a
signed, sealed, and dated letter from a licensed professional stating that the SCMs have been
inspected, and that they have been built and maintained in accordance with the permit.
NA 7. [IF APPLICABLE] When the permittee is a corporation or a limited liability corporation (LLC):
Provide one hard copy and one electronic copy of documentation from the NC Secretary of State,
or other official documentation, which supports the titles and positions held by the persons listed in
Section C.2 per 15A NCAC 2H. 1043(3)(b).
https://www.sosnc.gov/online services/search/by title/ Business Registration
AUG 042021
4
BY:_
Stormwater Permit Renewal Application Form Page 2 of 3 May 11, 2018
D. PERMITTEE'S CERTIFICATION
I, George E. Battle, III , the person legally responsible for the permit, certify that I have a copy
of the Permit and O&M Agreement on site (or I will obtain a copy and it will be kept on site), that I am responsible
for the performance of the maintenance procedures, and the site has been and will be maintained according to the
O&M Agreement and approved plans. I agree to notify DEMLR of any problems with the SCMs or built -upon area
and to submit the proper forms to modify or transfer the permit prior to any changes to the project, SCMs, or
ownership. All information provided on this pe mit renewal application is, to the best of my knowledge, correct and
complete.
Signature: �- —� Date:
NOTARIZATION:
County of
that
a Notary Public for the State of
do hereby certify
personally appeared before me
this the 2 O v day of TLA I l^ , 20 21 and acknowledge the due
execution of the forgoing instrument. Witness my hand and official seal,
(Notary Seal)
A�Notary Signature: p / I -�
My commission expires o �2_Lf
AUG 0 4 2021
Stormwater Permit Renewal Application Form Page 3 of 3 May 11, 2018
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NSF Coastal Processes and Eriivironmental Health Building
Stormwater Permit No. SW8 961201 Modification
Carteret County
Engineer's Certification
State Sturmwater Management Systems
Permit No SWS 9(1201 Modification
t P
1, �n v t) , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to obsery periodical) weekly/full time) the construction of the project,
SGteM�
for I j Zn 4,ll 42—C'r� dcYl iiC(Prcject Owner) hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the project construction such that the construction was observed to be built within
substantial compliance and intent of the approved plans and specifications.
Noted deviations from approved plans and specification:
Non1r. N�e�. P�.tr�ex.-1.'inl,Os Car/�wLlr1�.10 som�lm�. lf� 19�)9 •
H UF)'OM-T. �b,Z CEi.71FIQg7)UAJ wpS P-EC6)UW t 12 f
OwrJcn ory C)I22,11. A Yeu11eL.J of
ui-
Signature �CIrG 2CQ l t �Nt
Registration Number 133+3 - -
Date �* 4 1)
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13343
02 GINE.�r
SEAL
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OCT 2 7 2011
BY: