20230527 Ver 1_Pilot Project 5911.3_Old Salisbury Road_PCN Application_4.13.23_20230414

Preliminary ORM Data Entry Fields for New Actions
5/24/34
3131.12253
ACTION ID #: SAW- Begin Date (Date Received):
Prepare file folderAssign Action ID Number in ORM
NjeemfupoQibtf3)PmeTbmjtcvszSe*
1.Project Name \[PCN Form A2a\]:
2.Work Type: Private Institutional Government Commercial
3.Project Description / Purpose \[PCN Form B3d and B3e\]:
UiftjufjtQibtf3pguifNjeemfupoTvcejwjtjpo/Uiftjufdpoubjotvoefwfmpqfemboe/Uiftjufjtqspqptfegpssftjefoujbm
efwfmpqnfou/
4.Property Owner / Applicant \[PCN Form A3 or A4\]:
FsjoXiffmfs0STQbslfsIpnft
5.Agent / Consultant \[PNC Form A5 – or ORM Consultant ID Number\]:
Qjmpu!Fowjsponfoubm-!Jod/
6.Related Action ID Number(s) \[PCN Form B5b\]:
7.Project Location – Coordinates, Street Address, and/or Location Description \[PCN Form B1b\]:
Pme!Tbmjtcvsz!Spbe
46/89217®0.91/44649®
8.Project Location –Tax Parcel ID \[PCN Form B1a\]:
7815.14.42.6585
9.Project Location – County \[PCN Form A2b\]:
Ebwjetpo
10.Project Location – Nearest Municipality or Town \[PCN Form A2c\]:
Mfyjohupo
11.Project Information –Nearest Waterbody \[PCN Form B2a\]:
OpsuiQpuutDsffl
12.Watershed / 8-Digit Hydrologic Unit Code \[PCN Form B2c\]:
14151214
5
Authorization: Section 10 Section 404 Section 10 and 404
Regulatory Action Type:
Standard PermitPre-Application Request
5
Nationwide Permit # Unauthorized Activity
Regional General Permit # Compliance
Jurisdictional Determination RequestNo Permit Required
Revised 20150602

Office Use Only
Form Version 1.5, September 2020
(Ver. 1.5, September 2020)
(Publicly funded municipal, state, or federal road, rail,
or airport project)

Ejhjubmmz!tjhofe!cz!Njdibfm!Csbnf!
Njdibfm!
EO;!do>Njdibfm!Csbnf-!p>Qjmpu!
Fowjsponfoubm-!Jod/-!pv-!
fnbjm>ncsbnfAqjmpufowjsp/dpn-!d>VT!
Csbnf Ebuf;!3134/15/24!23;46;56!.15(11(

EXHIBIT
DRY WORK AREA
(NTS)
AROUND DETAIL
APPROVED DEWATERING DEVICE
PUMP EXCESS WATER TO
TEMPORARY CREEK CROSSING PUMP
NOT TO SCALE
NOT FOR CONSTRUCTION
1" = 30'
04/11/2023
APPROVED PERMITS.TOTAL: 84 LF/(0.0077 AC)TEMPORARY STREAM IMPACTS:
NOTES:PERMANENT STREAM IMPACT:59 LF/AVERAGE WIDTH = 4' 236 SF (.0054 AC)RIP RAP APRON IMPACTS: 25 LF/AVERAGE WIDTH 4' 100 SF(.0023 AC)
1. UTILITY INSTALLATION AND IMPACTS SHALL FOLLOW ALL19 LF (AVG WIDTH 4') = 76 SF (.0017 AC)
FOR BYPASS PUMP AROUND
DRAWN BY: CAHCHECKED BY: RBDATE:PROJECT NO.: 18310.001REF. NO.: - SCALE:
6 MIL. PLASTIC
SAND OR GRAVEL BAG COFFERDAM
6
1
STREAM
3
SANDBAG
1 7
7
22
L
D
11
77
L
D
D
S
L
D
0
80
0
7
REVISION NOTE
L
D
P
M
7
0
7
U
22
P

L
D
11
F
DATE
88
E
77
STREAM TOP OF BANK
S
AP
17 D CENTERLINEOF STREAM
6.5
00 E:\\Drawings_&_Projects\\PROJ\\18310.008 Middleton Phase 2\\Drawings\\Sheets

C
4
N IMPACT
77
4
E
3
245
F16
TEMPORARY
STREAMIMPACTNO.
66
L
T
D
00
L
I
44
77
S
00
TEMPORARY STREAM
E
77
40
50' STREAM BUFFER
C
EX. WOODLINE (TYP.)N
L
D
E
6
L
D
F

0
T
8 L
D
L
I
7
DES
RT 0
#PA
7
S
PERMANENTSTREAM/CULVERT
IMPACT
44
7 L
L
D
D
2200
SCALE: 1" = 20'
20
117766
88
88
7700
00
00
40
00 7
77
6
77
77
11 0
L
7 D
77
7 10
80
88
TEMPORARYBUFFER
IMPACT
00
77
66
S0
S
00
S
S
77 SS
SS
SS
SS
SS
OWNER INFORMATION:RONNIE PARKERRS PARKER HOMES502 HICKORY RIDGE DRIVEGREENSBORO, NC 27409
PERMANENTBUFFERIMPACT
M
DI
D 0
L
E
T
O
N
D
R
0
20
7
W
W
W
W
W
W
8
W
W
W
W
%
W
W
9
W
W 0
W
W
W 0
W
.
W
6
W
W
W 3

@

P
2
9 M
6
C
4
D
L
E
NI
L

E
L C
D
N L
8
A
D
B
R
U
T
S
I
D
6
DL
2
1
L
D 7
2
L
D
1
7
L
D
TOWNSHIP: LEXINGTONSTATE: NORTH CAROLINA
PROJECT LOCATION:COUNTY: DAVIDSON
24'X9'X24"
SIZE CLASS 1
2
L
PERMANENT STREAM
D
IMPACT: 96 SF (.002AC)
8
6
50' STREAM BUFFER
RIP RAP APRON IMPACTS
RIP-RAP TO BE KEYED IN/
EMBEDDED INTO STREAM
L
D
LINEAR IMPACT = 25' (.005 AC)
88
L
D
00
77
120
OUT 690.50
IN 690.50
RIM 708.00
HW 202
l
a
t
e
0+50 M

d
e
t
a
g
u
r
r
o
C
PROP. GRADE

60
OUT 685.27
24'X9'X24"
IN 703.19 GI 203
RIP RAP APRON
IN 685.27 HW 202
RIP-RAP TO BE KEYED IN/
EMBEDDED INTO STREAM
RIM 708.89
OUT 684.97
JB 201
IN 684.97 JB 201
RIM 708.00
30
SCALE: 1" = 30'
HW 200
Metal
10 LF
15
@ 3.00%
36" Corrugated
0
EX. GRADE
-0+50
720710700690680
30

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT

Action Id. SAW-2020-01142 County: Davidson U.S.G.S. Quad: NC- Lexington West

NOTIFICATION OF JURISDICTIONAL DETERMINATION

Requestor: RS Parker, LLC
Greg Garrett
Address: 6420 Hampton Knoll Road
Clemmons, NC 27012
Telephone Number: 336-399-7191
E-mail: [e-mail]

Size (acres) ~58 Nearest Town Lexington
Nearest Waterway North Potts Creek River Basin Lower Yadkin
USGS HUC 03040103 Coordinates Latitude: 35.78106
Longitude: -80.33538
Location description: The review area is located on the north side of Old Salisbury Road; approximately 0.4 miles northeast of
the intersection of Old Salisbury Road and Michael Road. PIN: 6704-03-31-8848. Reference review area description shown in
Jurisdictional Determination Request package entitled ÐDrawing 1Ñ.

Indicate Which of the Following Apply:
A ȁ0±¤«¨¬¨­ ±¸$¤³¤±¬¨­ ³¨®­
There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403). The
waters, including wetlands have been delineated, and the delineation has been verified by the Corps to be sufficiently accurate
and reliable. The approximate boundaries of these waters are shown on the enclosed delineation map dated 6/29/2020. Therefore
this preliminary jurisdiction determination may be used in the permit evaluation process, including determining compensatory
mitigation. For purposes of computation of impacts, compensatory mitigation requirements, and other resource protection
measures, a permit decision made on the basis of a preliminary JD will treat all waters and wetlands that would be affected in any
way by the permitted activity on the site as if they are jurisdictional waters of the U.S. This preliminary determination is not an
appealable action under the Regulatory Program Administrative Appeal Process (Reference 33 CFR Part 331). However, you may
request an approved JD, which is an appealable action, by contacting the Corps district for further instruction.
There appear to be waters, including wetlands on the above described project area/property, that may be subject to Section 404
of the Clean Water Act (CWA)(33 USC § 1344) and/or Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403).
However, since the waters, including wetlands have not been properly delineated, this preliminary jurisdiction determination
may not be used in the permit evaluation process. Without a verified wetland delineation, this preliminary determination is
merely an effective presumption of CWA/RHA jurisdiction over all of the waters, including wetlands at the project area, which
is not sufficiently accurate and reliable to support an enforceable permit decision. We recommend that you have the waters,
including wetlands on your project area/property delineated. As the Corps may not be able to accomplish this wetland
delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that can be verified by the Corps.
B. Approved Determination

There are Navigable Waters of the United States within the above described project area/property subject to the permit
requirements of Section 10 of the Rivers and Harbors Act (RHA) (33 USC § 403) and Section 404 of the Clean Water Act
(CWA)(33 USC § 1344). Unless there is a change in law or our published regulations, this determination may be relied upon for
a period not to exceed five years from the date of this notification.
There are waters, including wetlands on the above described project area/property subject to the permit requirements of Section
404 of the Clean Water Act (CWA) (33 USC § 1344). Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
We recommend you have the waters, including wetlands on your project area/property delineated. As the Corps may not be
able to accomplish this wetland delineation in a timely manner, you may wish to obtain a consultant to conduct a delineation that
can be verified by the Corps.
The waters, including wetlands on your project area/property have been delineated and the delineation has been verified by
the Corps. The approximate boundaries of these waters are shown on the enclosed delineation map dated DATE. We strongly

SAW-2020-01142
suggest you have this delineation surveyed. Upon completion, this survey should be reviewed and verified by the Corps. Once
verified, this survey will provide an accurate depiction of all areas subject to CWA jurisdiction on your property which, provided
there is no change in the law or our published regulations, may be relied upon for a period not to exceed five years.
The waters, including wetlands have been delineated and surveyed and are accurately depicted on the plat signed by the
Corps Regulatory Official identified below on DATE. Unless there is a change in the law or our published regulations, this
determination may be relied upon for a period not to exceed five years from the date of this notification.
There are no waters of the U.S., to include wetlands, present on the above described project area/property which are subject to the
permit requirements of Section 404 of the Clean Water Act (33 USC 1344). Unless there is a change in the law or our published
regulations, this determination may be relied upon for a period not to exceed five years from the date of this notification.
The property is located in one of the 20 Coastal Counties subject to regulation under the Coastal Area Management Act (CAMA).
You should contact the Division of Coastal Management in Morehead City, NC, at [phone] to determine their
requirements.

Placement of dredged or fill material within waters of the US, including wetlands, without a Department of the Army permit may
constitute a violation of Section 301 of the Clean Water Act (33 USC § 1311). Placement of dredged or fill material, construction or
placement of structures, or work within navigable waters of the United States without a Department of the Army permit may
constitute a violation of Sections 9 and/or 10 of the Rivers and Harbors Act (33 USC § 401 and/or 403). If you have any questions
regarding this determination and/or the Corps regulatory program, please contact Bryan Roden-Reynolds at 704-510-1440 or
[e-mail].

C. Basis For Determination: Basis For Determination: See the preliminary jurisdictional determination
form dated 9/16/2020.
D. Remarks: None.

E. Attention USDA Program Participants

This delineation/determination has been conducted to identify the limits of CorpsÓ Clean Water Act jurisdiction for the particular site
identified in this request. The delineation/determination may not be valid for the wetland conservation provisions of the Food Security
Act of 1985. If you or your tenant are USDA Program participants, or anticipate participation in USDA programs, you should request
a certified wetland determination from the local office of the Natural Resources Conservation Service, prior to starting work.

F. Appeals Information (This information applies only to approved jurisdictional determinations as indicated in B.
above)

This correspondence constitutes an approved jurisdictional determination for the above described site. If you object to this
determination, you may request an administrative appeal under Corps regulations at 33 CFR Part 331. Enclosed you will find a
Notification of Appeal Process (NAP) fact sheet and request for appeal (RFA) form. If you request to appeal this determination you
must submit a completed RFA form to the following address:

US Army Corps of Engineers
South Atlantic Division
Attn: Phillip Shannin, Review Officer
60 Forsyth Street SW, Room 10M15
Atlanta, Georgia 30303-8801

In order for an RFA to be accepted by the Corps, the Corps must determine that it is complete, that it meets the criteria for appeal
under 33 CFR part 331.5, and that it has been received by the Division Office within 60 days of the date of the NAP. Should you
decide to submit an RFA form, it must be received at the above address by Not applicable.
**It is not necessary to submit an RFA form to the Division Office if you do not object to the determination in this correspondence.**
Ejhjubmmz!tjhofe!cz!SPEFO!
SPEFO!

SFZOPMET/CSZBO/LFOOFUI/2374496685!
SFZOPMET/CSZBO/LFOOFUI/2374496685
Ebuf;!3131/1:/27!1:;32;51!.15(11(
Corps Regulatory Official: ______________________________________________________

Date of JD: 9/16/2020 Expiration Date of JD: Not applicable

SAW-2020-01142
The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0

Copy furnished:

Agent: Pilot Environmental, Inc.
Catherine Carston
Address: P.O. Box 128
Kernersville, NC 27285
Telephone Number: 336-310-4527
E-mail: [e-mail]

NOTIFICATION OF ADMINISTRATIVE APPEAL OPTIONS AND PROCESS AND
REQUEST FOR APPEAL

Applicant: RS Parker, LLC, Greg Garrett File Number: SAW-2020-01142 Date: 9/16/2020
Attached is: See Section below
INITIAL PROFFERED PERMIT (Standard Permit or Letter of permission) A

PROFFERED PERMIT (Standard Permit or Letter of permission) B

PERMIT DENIAL C

APPROVED JURISDICTIONAL DETERMINATION D

PRELIMINARY JURISDICTIONAL DETERMINATION E

SECTION I - The following identifies your rights and options regarding an administrative appeal of the above decision.
Additional information may be found at or http://www.usace.army.mil/Missions/CivilWorks/RegulatoryProgramandPermits.aspx
or the Corps regulations at 33 CFR Part 331.
A: INITIAL PROFFERED PERMIT: You may accept or object to the permit.

ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.

OBJECT: If you object to the permit (Standard or LOP) because of certain terms and conditions therein, you may request
that the permit be modified accordingly. You must complete Section II of this form and return the form to the district
engineer. Your objections must be received by the district engineer within 60 days of the date of this notice, or you will
forfeit your right to appeal the permit in the future. Upon receipt of your letter, the district engineer will evaluate your
objections and may: (a) modify the permit to address all of your concerns, (b) modify the permit to address some of your
objections, or (c) not modify the permit having determined that the permit should be issued as previously written. After
evaluating your objections, the district engineer will send you a proffered permit for your reconsideration, as indicated in
Section B below.

B: PROFFERED PERMIT: You may accept or appeal the permit

ACCEPT: If you received a Standard Permit, you may sign the permit document and return it to the district engineer for final
authorization. If you received a Letter of Permission (LOP), you may accept the LOP and your work is authorized. Your
signature on the Standard Permit or acceptance of the LOP means that you accept the permit in its entirety, and waive all
rights to appeal the permit, including its terms and conditions, and approved jurisdictional determinations associated with the
permit.

APPEAL: If you choose to decline the proffered permit (Standard or LOP) because of certain terms and conditions therein,
you may appeal the declined permit under the Corps of Engineers Administrative Appeal Process by completing Section II of
this form and sending the form to the division engineer. This form must be received by the division engineer within 60 days
of the date of this notice.

C: PERMIT DENIAL: You may appeal the denial of a permit under the Corps of Engineers Administrative Appeal Process by
completing Section II of this form and sending the form to the division engineer. This form must be received by the division
engineer within 60 days of the date of this notice.

D: APPROVED JURISDICTIONAL DETERMINATION: You may accept or appeal the approved JD or provide new
information.

ACCEPT: You do not need to notify the Corps to accept an approved JD. Failure to notify the Corps within 60 days of the
date of this notice, means that you accept the approved JD in its entirety, and waive all rights to appeal the approved JD.
APPEAL: If you disagree with the approved JD, you may appeal the approved JD under the Corps of Engineers
Administrative Appeal Process by completing Section II of this form and sending the form to the district engineer. This form
must be received by the division engineer within 60 days of the date of this notice.

E: PRELIMINARY JURISDICTIONAL DETERMINATION: You do not need to respond to the Corps regarding the
preliminary JD. The Preliminary JD is not appealable. If you wish, you may request an approved JD (which may be appealed),
by contacting the Corps district for further instruction. Also you may provide new information for further consideration by the
Corps to reevaluate the JD.

SECTION II - REQUEST FOR APPEAL or OBJECTIONS TO AN INITIAL PROFFERED PERMIT
REASONS FOR APPEAL OR OBJECTIONS: (Describe your reasons for appealing the decision or your objections to an initial
proffered permit in clear concise statements. You may attach additional information to this form to clarify where your reasons or
objections are addressed in the administrative record.)

ADDITIONAL INFORMATION: The appeal is limited to a review of the administrative record, the Corps memorandum for the
record of the appeal conference or meeting, and any supplemental information that the review officer has determined is needed to
clarify the administrative record. Neither the appellant nor the Corps may add new information or analyses to the record.
However, you may provide additional information to clarify the location of information that is already in the administrative
record.
POINT OF CONTACT FOR QUESTIONS OR INFORMATION:
If you have questions regarding this decision and/or the If you only have questions regarding the appeal process you may
appeal process you may contact: also contact:
District Engineer, Wilmington Regulatory Division
Mr. Phillip Shannin, Administrative Appeal Review Officer
Attn: Bryan Roden-Reynolds
CESAD-PDO
Charlotte Regulatory Office
U.S. Army Corps of Engineers, South Atlantic Division
U.S Army Corps of Engineers
60 Forsyth Street, Room 10M15
8430 University Executive Park Drive, Suite 615
Atlanta, Georgia 30303-8801
Charlotte, North Carolina 28262
Phone: [phone]

RIGHT OF ENTRY: Your signature below grants the right of entry to Corps of Engineers personnel, and any government
consultants, to conduct investigations of the project site during the course of the appeal process. You will be provided a 15-day
notice of any site investigation, and will have the opportunity to participate in all site investigations.
Date: Telephone number:
________________________________________
Signature of appellant or agent.

For appeals on Initial Proffered Permits send this form to:

District Engineer, Wilmington Regulatory Division, Attn: Bryan Roden-Reynolds, 69 Darlington Avenue, Wilmington, North
Carolina 28403

For Permit denials, Proffered Permits and Approved Jurisdictional Determinations send this form to:

Division Engineer, Commander, U.S. Army Engineer Division, South Atlantic, Attn: Mr. Phillip Shannin, Administrative
Appeal Officer, CESAD-PDO, 60 Forsyth Street, Room 10M15, Atlanta, Georgia 30303-8801
Phone: [phone]

PRELIMINARY JURISDICTIONAL DETERMINATION (PJD) FORM
BACKGROUND INFORMATION
A. REPORT COMPLETION DATE FOR PJD: 9/16/2020
B. NAME AND ADDRESS OF PERSON REQUESTING PJD: RS Parker, LLC, Greg Garrett, 6420
Hampton Knoll Road, Clemmons, NC 27012
C. DISTRICT OFFICE, FILE NAME, AND NUMBER: Wilmington District, Old Salisbury Road, SAW-
2020-01142
D. PROJECT LOCATION(S) AND BACKGROUND INFORMATION: The review area is located on the
north side of Old Salisbury Road; approximately 0.4 miles northeast of the intersection of Old Salisbury Road
and Michael Road. PIN: 6704-03-31-8848. Reference review area description shown in Jurisdictional
Determination Request package entitled ÐDrawing 1Ñ.
(USE THE TABLE BELOW TO DOCUMENT MULTIPLE AQUATIC RESOURCES
AND/OR AQUATIC RESOURCES AT DIFFERENT SITES)
State: NC County: Davidson City: Lexington
Center coordinates of site (lat/long in degree decimal format): Latitude: 35.78106 Longitude: -80.33538
Universal Transverse Mercator:
Name of nearest waterbody: North Potts Creek
E. REVIEW PERFORMED FOR SITE EVALUATION (CHECK ALL THAT APPLY):

Office (Desk) Determination. Date: 07/06/2020
Field Determination. Date(s):
TABLE OF AQUATIC RESOURCES IN REVIEW AREA WHICH "MAY BE" SUBJECT TO
REGULATORY JURISDICTION

Feature Latitude Longitude Estimated Type of aquatic Geographic authority to
(decimal (decimal amount of resources (i.e., which the aquatic
degrees) degrees) aquatic wetland vs. non-resource Ðmay beÑ
resources in wetland waters) subject (i.e., Section 404
review area or Section 10/404)
(acreage and
linear feet, if
applicable
Stream SA1 35.78188000 -80.33496000 2108 linear feet Non-wetland 404
Stream SA2 35.78274000 -80.33224000 220 linear feet Non-wetland 404
Stream SB 35.78087000 -80.33619000 535 linear feet Non-wetland 404
Stream SC 35.78179000 -80.33378000 350 linear feet Non-wetland 404
Wetland WB 1-Wetland 404
8 35.78034000 -80.33588000 0.021 acre
Wetland WC 1-Wetland 404
15 35.78001000 -80.33568000 0.19 acre
Wetland WD 1-Wetland 404
4 35.78204000 -80.33406000 0.031 acre

1. The Corps of Engineers believes that there may be jurisdictional aquatic resources in the
review area, and the requestor of this PJD is hereby advised of his or her option to request
and obtain an approved JD (AJD) for that review area based on an informed decision after
having discussed the various types of JDs and their characteristics and circumstances when
they may be appropriate.

2. In any circumstance where a permit applicant obtains an individual permit, or a Nationwide
General Permit (NWP) or other general permit verification requiring "pre- construction
notification" (PCN), or requests verification for a non-reporting NWP or other general
permit, and the permit applicant has not requested an AJD for the activity, the permit
applicant is hereby made aware that: (1) the permit applicant has elected to seek a permit
authorization based on a PJD, which does not make an official determination of
jurisdictional aquatic resources; (2) the applicant has the option to request an AJD before
accepting the terms and conditions of the permit authorization, and that basing a permit
authorization on an AJD could possibly result in less compensatory mitigation being
required or different special conditions; (3) the applicant has the right to request an
individual permit rather than accepting the terms and conditions of the NWP or other
general permit authorization; (4) the applicant can accept a permit authorization and
thereby agree to comply with all the terms and conditions of that permit, including
whatever mitigation requirements the Corps has determined to be necessary; (5)
undertaking any activity in reliance upon the subject permit authorization without
requesting an AJD constitutes the applicant's acceptance of the use of the PJD; (6)
accepting a permit authorization (e.g., signing a proffered individual permit) or undertaking
any activity in reliance on any form of Corps permit authorization based on a PJD
constitutes agreement that all aquatic resources in the review area affected in any way by
that activity will be treated as jurisdictional, and waives any challenge to such jurisdiction
in any administrative or judicial compliance or enforcement action, or in any administrative
appeal or in any Federal court; and (7) whether the applicant elects to use either an AJD or
a PJD, the JD will be processed as soon as practicable. Further, an AJD, a proffered
individual permit (and all terms and conditions contained therein), or individual permit
denial can be administratively appealed pursuant to 33 C.F.R. Part 331. If, during an
administrative appeal, it becomes appropriate to make an official determination whether
geographic jurisdiction exists over aquatic resources in the review area, or to provide an
official delineation of jurisdictional aquatic resources in the review area, the Corps will
provide an AJD to accomplish that result, as soon as is practicable. This PJD finds that
there "may be" waters of the U.S. and/or that there "may be" navigable waters of the U.S.
on the subject review area, and identifies all aquatic features in the review area that could
be affected by the proposed activity, based on the following information:

SUPPORTING DATA. Data reviewed for PJD (check all that apply) C hecked items are included in the administrative
record and are appropriately cited:
Maps, plans, plots or plat submitted by or on behalf of the PJD requestor:
Map: Drawings 1-5
Data sheets prepared/submitted by or on behalf of the PJD requestor. Datasheets:
Office concurs with data sheets/delineation report.
Office does not concur with data sheets/delineation report. Rationale:
Data sheets prepared by the Corps:
Corps navigable waters' study:
U.S. Geological Survey Hydrologic Atlas:
USGS NHD data:
USGS 8 and 12 digit HUC maps:
U.S. Geological Survey map(s). Cite scale & quad name: Drawing 1, USGS Topographic Map (1:24,000
Lexington West, NC)
Natural Resources Conservation Service Soil Survey. Citation: Drawing 2, Web Soil Map (Web Soil Survey of
Davidson County) and Drawing 2A, Published Soil Map (Soil Survey of Davidson County, Sheet 5, Dated 1994)
National wetlands inventory map(s). Cite name: Drawing 3, NWI Map (USFWS NWI Mapper)
State/local wetland inventory map(s):
FEMA/FIRM maps: Drawing 4, FEMA FIRM (National Flood Hazard Layer)
100-year Floodplain Elevation is: (National Geodetic Vertical Datum of 1929)
Photographs: Aerial (Name & Date): Drawing 5, Wetland Map (Dated 06/29/2020)
or Other (Name & Date):
Previous determination(s). File no. and date of response letter:
Other information (please specify):

IMPORTANT NOTE: The information recorded on this form has not necessarily been verified by the Corps
and should not be relied upon for later jurisdictional determinations.
SPEFO!

Ejhjubmmz!tjhofe!cz!SPEFO!
SFZOPMET/CSZBO/LFOOFUI/2374496685!
SFZOPMET/CSZBO/LFOOFUI/237

Ebuf;!3131/1:/27!1:;32;23!.15(11(
4496685

Signature and date of Regulatory Signature and date of person requesting PJD
staff member completing PJD (REQUIRED, unless obtaining the signature is
1
9/16/2020
impracticable)

1
Districts may establish timeframes for requester to return signed PJD forms. If the requester does not respond within the established
time frame, the district may presume concurrence and no additional follow up is necessary prior to finalizing an action.

Vojufe!Tubuft!Efqbsunfou!pg!uif!Joufsjps
GJTI!BOE!XJMEMJGF!TFSWJDF
Btifwjmmf!Fdpmphjdbm!Tfswjdft!Gjfme!Pggjdf
271!\[jmmjdpb!Tusffu
Btifwjmmf-!OD!39912.2193
Qipof;!)939*!369.4:4:!Gby;!)939*!369.6441
Jo!Sfqmz!Sfgfs!Up;Nbsdi!14-!3134
Qspkfdu!Dpef;!3134.1162964
Qspkfdu!Obnf;!Njeemfupo!Qibtf!3
Tvckfdu;Mjtu!pg!uisfbufofe!boe!foebohfsfe!tqfdjft!uibu!nbz!pddvs!jo!zpvs!qspqptfe!qspkfdu!
mpdbujpo!ps!nbz!cf!bggfdufe!cz!zpvs!qspqptfe!qspkfdu
Up!Xipn!Ju!Nbz!Dpodfso;
Uif!fodmptfe!tqfdjft!mjtu!jefoujgjft!uisfbufofe-!foebohfsfe-!qspqptfe!boe!dboejebuf!tqfdjft-!bt!
xfmm!bt!qspqptfe!boe!eftjhobufe!dsjujdbm!ibcjubu-!uibu!nbz!pddvs!xjuijo!uif!cpvoebsz!pg!zpvs!
qspqptfe!qspkfdu!boe0ps!nbz!cf!bggfdufe!cz!zpvs!qspqptfe!qspkfdu/!Uif!fodmptfe!tqfdjft!mjtu!
gvmgjmmt!uif!sfrvjsfnfout!pg!uif!V/T/!Gjti!boe!Xjmemjgf!Tfswjdf!)Tfswjdf*!voefs!tfdujpo!8)d*!pg!uif!
Foebohfsfe!Tqfdjft!Bdu!)Bdu*!pg!2:84-!bt!bnfoefe!)27!V/T/D/!2642!fu!tfr/*/
Qmfbtf!opuf!uibu!ofx!tqfdjft!jogpsnbujpo!dbo!dibohf!zpvs!pggjdjbm!tqfdjft!mjtu/!Voefs!61!DGS!
513/23)f*!pg!uif!sfhvmbujpot!jnqmfnfoujoh!tfdujpo!8!pg!uif!Bdu-!uif!bddvsbdz!pg!uijt!tqfdjft!mjtu!
tipvme!cf!wfsjgjfe!bgufs!:1!ebzt/!Uif!Tfswjdf!sfdpnnfoet!zpv!wjtju!uif!FDPT.JQbD!xfctjuf!bu!
sfhvmbs!joufswbmt!evsjoh!qspkfdu!qmboojoh!boe!jnqmfnfoubujpo!up!fotvsf!zpvs!tqfdjft!mjtu!jt!
bddvsbuf!ps!pcubjo!bo!vqebufe!tqfdjft!mjtu/
Uif!qvsqptf!pg!uif!Bdu!jt!up!qspwjef!b!nfbot!xifsfcz!uisfbufofe!boe!foebohfsfe!tqfdjft!boe!uif!
fdptztufnt!vqpo!xijdi!uifz!efqfoe!nbz!cf!dpotfswfe/!Voefs!tfdujpot!8)b*)2*!boe!8)b*)3*!pg!uif!
Bdu!boe!jut!jnqmfnfoujoh!sfhvmbujpot!)61!DGS!513!fu!tfr/*-!Gfefsbm!bhfodjft!bsf!sfrvjsfe!up!
vujmj{f!uifjs!bvuipsjujft!up!dbssz!pvu!qsphsbnt!gps!uif!dpotfswbujpo!pg!uisfbufofe!boe!foebohfsfe!
tqfdjft!boe!up!efufsnjof!xifuifs!qspkfdut!nbz!bggfdu!uisfbufofe!boe!foebohfsfe!tqfdjft!boe0ps!
eftjhobufe!dsjujdbm!ibcjubu/
B!cjpmphjdbm!bttfttnfou!)CB*!ps!cjpmphjdbm!fwbmvbujpo!)CF*!tipvme!cf!dpnqmfufe!gps!zpvs!
qspkfdu/!B!CB!jt!sfrvjsfe!gps!nbkps!dpotusvdujpo!bdujwjujft!)ps!puifs!voefsubljoht!ibwjoh!tjnjmbs!
qiztjdbm!jnqbdut*!dpotjefsfe!up!cf!Gfefsbm!bdujpot!tjhojgjdboumz!bggfdujoh!uif!rvbmjuz!pg!uif!
ivnbo!fowjsponfou!bt!efgjofe!jo!uif!Obujpobm!Fowjsponfoubm!Qpmjdz!Bdu!)53!V/T/D/!5443)3*!)d**
)OFQB*/!Gps!qspkfdut!puifs!uibo!nbkps!dpotusvdujpo!bdujwjujft-!uif!Tfswjdf!tvhhftut!uibu!b!CF!cf!
qsfqbsfe!up!efufsnjof!fggfdut!pg!uif!bdujpo!boe!xifuifs!uiptf!fggfdut!nbz!bggfdu!mjtufe!tqfdjft!
boe0ps!eftjhobufe!dsjujdbm!ibcjubu/!F@fdut!pg!uif!bdujpo!bsf!bmm!dpotfrvfodft!up!mjtufe!tqfdjft!ps!
dsjujdbm!ibcjubu!uibu!bsf!dbvtfe!cz!uif!qspqptfe!bdujpo-!jodmvejoh!uif!dpotfrvfodft!pg!puifs!

14014031343
bdujwjujft!uibu!bsf!dbvtfe!cz!uif!qspqptfe!bdujpo/!B!dpotfrvfodf!jt!dbvtfe!cz!uif!qspqptfe!bdujpo!
Sfdpnnfoefe!dpoufout!pg!b!CB0CF!bsf!eftdsjcfe!bu!61!DGS!513/23/!Npsf!jogpsnbujpo!boe!
sftpvsdft!bcpvu!qspkfdu!sfwjfx!boe!qsfqbsjoh!b!CB0CF!dbo!cf!gpvoe!bu!uif!gpmmpxjoh!xfc!mjol;!
iuuqt;00xxx/gxt/hpw0pggjdf0btifwjmmf.fdpmphjdbm.tfswjdft0btifwjmmf.gjfme.pggjdf.pomjof.sfwjfx.!
qspdftt.pwfswjfx/!
Jg!b!Gfefsbm!bhfodz!efufsnjoft!mjtufe!tqfdjft!boe0ps!eftjhobufe!dsjujdbm!ibcjubu!nbz!cf!bggfdufe!
cz!uif!qspqptfe!qspkfdu-!uif!bhfodz!jt!sfrvjsfe!up!dpotvmu!xjui!uif!Tfswjdf!qvstvbou!up!61!DGS!
513/!Uif!Tfswjdf!jt!opu!sfrvjsfe!up!dpodvs!xjui!#op!fggfdu#!efufsnjobujpot!gspn!Gfefsbm!bdujpo!
bhfodjft/!Jg!dpotvmubujpo!jt!sfrvjsfe-!uif!Tfswjdf!sfdpnnfoet!uibu!dboejebuf!tqfdjft-!qspqptfe!
tqfdjft-!qspqptfe!dsjujdbm!ibcjubu-!boe!bu.sjtl!tqfdjft!cf!beesfttfe!xjuijo!uif!dpotvmubujpo/!Npsf!
jogpsnbujpo!po!uif!sfhvmbujpot!boe!qspdfevsft!gps!tfdujpo!8!dpotvmubujpo-!jodmvejoh!uif!spmf!pg!
qfsnju!ps!mjdfotfe!bqqmjdbout-!dbo!cf!gpvoe!jo!uif!#Foebohfsfe!Tqfdjft!Dpotvmubujpo!Iboecppl#!
iuuqt;00xxx/gxt/hpw0nfejb0foebohfsfe.tqfdjft.dpotvmubujpo.!
iboecppl/!
Njhsbupsz!Cjset;!Jo!beejujpo!up!sftqpotjcjmjujft!up!qspufdu!uisfbufofe!boe!foebohfsfe!tqfdjft!
voefs!uif!Bdu-!uifsf!bsf!beejujpobm!sftqpotjcjmjujft!voefs!uif!Njhsbupsz!Cjse!Usfbuz!Bdu!)NCUB*!
boe!uif!Cbme!boe!Hpmefo!Fbhmf!Qspufdujpo!Bdu!)CHFQB*!up!qspufdu!obujwf!cjset!gspn!qspkfdu.!
sfmbufe!jnqbdut/!Boz!bdujwjuz-!joufoujpobm!ps!vojoufoujpobm-!sftvmujoh!jo!ublf!pg!njhsbupsz!cjset-!
jodmvejoh!fbhmft-!jt!qspijcjufe!vomftt!puifsxjtf!qfsnjuufe!cz!uif!Tfswjdf!)61!D/G/S/!Tfd/!21/23!
boe!27!V/T/D/!Tfd/!779)b**/!Npsf!jogpsnbujpo!bcpvu!NCUB!boe!CHFQB!dbo!cf!gpvoe!bu!uif!
gpmmpxjoh!xfc!mjol;!iuuqt;00xxx/gxt/hpw0qsphsbn0njhsbupsz.cjset/!
Xf!bqqsfdjbuf!zpvs!dpotjefsbujpo!pg!Gfefsbmmz!mjtufe!tqfdjft/!Uif!Tfswjdf!fodpvsbhft!Gfefsbm!
bhfodjft!up!jodmvef!dpotfswbujpo!pg!uisfbufofe!boe!foebohfsfe!tqfdjft!jo!uifjs!qspkfdu!qmboojoh!
up!gvsuifs!uif!qvsqptft!pg!uif!Bdu/!Qmfbtf!dpoubdu!pvs!tubgg!bu!939.369.4:4:-!jg!zpv!ibwf!boz!
rvftujpot/!Jo!boz!gvuvsf!dpssftqpoefodf!dpodfsojoh!uijt!qspkfdu-!qmfbtf!sfgfsfodf!uif!
Dpotvmubujpo!Dpef!xijdi!dbo!cf!gpvoe!jo!uif!ifbefs!pg!uijt!mfuufs/!
Buubdinfou)t*;
Pggjdjbm!Tqfdjft!Mjtu
VTGXT!Obujpobm!Xjmemjgf!Sfgvhft!boe!Gjti!Ibudifsjft
Njhsbupsz!Cjset
Xfumboet

14014031342
PGGJDJBM!TQFDJFT!MJTU
Uijt!mjtu!jt!qspwjefe!qvstvbou!up!Tfdujpo!8!pg!uif!Foebohfsfe!Tqfdjft!Bdu-!boe!gvmgjmmt!uif!
sfrvjsfnfou!gps!Gfefsbm!bhfodjft!up!#sfrvftu!pg!uif!Tfdsfubsz!pg!uif!Joufsjps!jogpsnbujpo!xifuifs!
boz!tqfdjft!xijdi!jt!mjtufe!ps!qspqptfe!up!cf!mjtufe!nbz!cf!qsftfou!jo!uif!bsfb!pg!b!qspqptfe!
bdujpo#/
Uijt!tqfdjft!mjtu!jt!qspwjefe!cz;
Btifwjmmf!Fdpmphjdbm!Tfswjdft!Gjfme!Pggjdf
271!\[jmmjdpb!Tusffu
Btifwjmmf-!OD!39912.2193
)939*!369.4:4:

14014031343
QSPKFDU!TVNNBSZ
Qspkfdu!Dpef;3134.1162964
Qspkfdu!Obnf;Njeemfupo!Qibtf!3
Qspkfdu!Uzqf;Sftjefoujbm!Dpotusvdujpo
Qspkfdu!Eftdsjqujpo;Uif!tjuf!jt!qspqptfe!gps!sftjefoujbm!efwfmpqnfou/
Qspkfdu!Mpdbujpo;
Uif!bqqspyjnbuf!mpdbujpo!pg!uif!qspkfdu!dbo!cf!wjfxfe!jo!Hpphmf!Nbqt;!iuuqt;00!
xxx/hpphmf/dpn0nbqt0A46/89331786-.91/4456795432:858-25{
Dpvoujft;Ebwjetpo!Dpvouz-!Opsui!Dbspmjob

14014031344
FOEBOHFSFE!TQFDJFT!BDU!TQFDJFT
Uifsf!jt!b!upubm!pg!4!uisfbufofe-!foebohfsfe-!ps!dboejebuf!tqfdjft!po!uijt!tqfdjft!mjtu/
Tqfdjft!po!uijt!mjtu!tipvme!cf!dpotjefsfe!jo!bo!fggfdut!bobmztjt!gps!zpvs!qspkfdu!boe!dpvme!jodmvef!
tqfdjft!uibu!fyjtu!jo!bopuifs!hfphsbqijd!bsfb/!Gps!fybnqmf-!dfsubjo!gjti!nbz!bqqfbs!po!uif!tqfdjft!
mjtu!cfdbvtf!b!qspkfdu!dpvme!bggfdu!epxotusfbn!tqfdjft/
JQbD!epft!opu!ejtqmbz!mjtufe!tqfdjft!ps!dsjujdbm!ibcjubut!voefs!uif!tpmf!kvsjtejdujpo!pg!OPBB!
2
Gjtifsjft-!bt!VTGXT!epft!opu!ibwf!uif!bvuipsjuz!up!tqfbl!po!cfibmg!pg!OPBB!boe!uif!
Efqbsunfou!pg!Dpnnfsdf/
Tff!uif!#Dsjujdbm!ibcjubut#!tfdujpo!cfmpx!gps!uiptf!dsjujdbm!ibcjubut!uibu!mjf!xipmmz!ps!qbsujbmmz!
xjuijo!zpvs!qspkfdu!bsfb!voefs!uijt!pggjdf(t!kvsjtejdujpo/!Qmfbtf!dpoubdu!uif!eftjhobufe!GXT!pggjdf!
jg!zpv!ibwf!rvftujpot/
2/OPBB!Gjtifsjft-!bmtp!lopxo!bt!uif!Obujpobm!Nbsjof!Gjtifsjft!Tfswjdf!)ONGT*-!jt!bo!
pggjdf!pg!uif!Obujpobm!Pdfbojd!boe!Bunptqifsjd!Benjojtusbujpo!xjuijo!uif!Efqbsunfou!pg!
Dpnnfsdf/
NBNNBMT
OBNFTUBUVT
Usjdpmpsfe!Cbu!Qfsjnzpujt!tvcgmbwvt Qspqptfe!
Op!dsjujdbm!ibcjubu!ibt!cffo!eftjhobufe!gps!uijt!tqfdjft/
Foebohfsfe
Tqfdjft!qspgjmf;!iuuqt;00fdpt/gxt/hpw0fdq0tqfdjft021626
JOTFDUT
OBNFTUBUVT
Npobsdi!Cvuufsgmz!Ebobvt!qmfyjqqvt Dboejebuf
Op!dsjujdbm!ibcjubu!ibt!cffo!eftjhobufe!gps!uijt!tqfdjft/
Tqfdjft!qspgjmf;!iuuqt;00fdpt/gxt/hpw0fdq0tqfdjft0:854
GMPXFSJOH!QMBOUT
OBNFTUBUVT
Tdixfjoju{(t!Tvogmpxfs!Ifmjbouivt!tdixfjoju{jj Foebohfsfe
Op!dsjujdbm!ibcjubu!ibt!cffo!eftjhobufe!gps!uijt!tqfdjft/
Tqfdjft!qspgjmf;!iuuqt;00fdpt/gxt/hpw0fdq0tqfdjft0495:
DSJUJDBM!IBCJUBUT
UIFSF!BSF!OP!DSJUJDBM!IBCJUBUT!XJUIJO!ZPVS!QSPKFDU!BSFB!VOEFS!UIJT!PGGJDF(T!
KVSJTEJDUJPO/

14014031342
VTGXT!OBUJPOBM!XJMEMJGF!SFGVHF!MBOET!
BOE!GJTI!IBUDIFSJFT
Boz!bdujwjuz!qspqptfe!po!mboet!nbobhfe!cz!uif!Obujpobm!Xjmemjgf!Sfgvhf!tztufn!nvtu!voefshp!b!
(Dpnqbujcjmjuz!Efufsnjobujpo(!dpoevdufe!cz!uif!Sfgvhf/!Qmfbtf!dpoubdu!uif!joejwjevbm!Sfgvhft!up!
ejtdvtt!boz!rvftujpot!ps!dpodfsot/
UIFSF!BSF!OP!SFGVHF!MBOET!PS!GJTI!IBUDIFSJFT!XJUIJO!ZPVS!QSPKFDU!BSFB/

14014031342
NJHSBUPSZ!CJSET
2
Dfsubjo!cjset!bsf!qspufdufe!voefs!uif!Njhsbupsz!Cjse!Usfbuz!Bdu!boe!uif!Cbme!boe!Hpmefo!Fbhmf!
3
Qspufdujpo!Bdu/
Boz!qfstpo!ps!pshboj{bujpo!xip!qmbot!ps!dpoevdut!bdujwjujft!uibu!nbz!sftvmu!jo!jnqbdut!up!
njhsbupsz!cjset-!fbhmft-!boe!uifjs!ibcjubut!tipvme!gpmmpx!bqqspqsjbuf!sfhvmbujpot!boe!dpotjefs!
jnqmfnfoujoh!bqqspqsjbuf!dpotfswbujpo!nfbtvsft-!bt!eftdsjcfe!cfmpx/
2/Uif!Njhsbupsz!Cjset!Usfbuz!Bdu!pg!2:29/
3/Uif!Cbme!boe!Hpmefo!Fbhmf!Qspufdujpo!Bdu!pg!2:51/
4/61!D/G/S/!Tfd/!21/23!boe!27!V/T/D/!Tfd/!779)b*
Uif!cjset!mjtufe!cfmpx!bsf!cjset!pg!qbsujdvmbs!dpodfso!fjuifs!cfdbvtf!uifz!pddvs!po!uif!
VTGXT!Cjset!pg!Dpotfswbujpo!Dpodfso!)CDD*!mjtu!ps!xbssbou!tqfdjbm!buufoujpo!jo!zpvs!
qspkfdu!mpdbujpo/!Up!mfbso!npsf!bcpvu!uif!mfwfmt!pg!dpodfso!gps!cjset!po!zpvs!mjtu!boe!ipx!uijt!
mjtu!jt!hfofsbufe-!tff!uif!GBR!cfmpx/!Uijt!jt!opu!b!mjtu!pg!fwfsz!cjse!zpv!nbz!gjoe!jo!uijt!mpdbujpo-!
ops!b!hvbsbouff!uibu!fwfsz!cjse!po!uijt!mjtu!xjmm!cf!gpvoe!jo!zpvs!qspkfdu!bsfb/!Up!tff!fybdu!
mpdbujpot!pg!xifsf!cjsefst!boe!uif!hfofsbm!qvcmjd!ibwf!tjhiufe!cjset!jo!boe!bspvoe!zpvs!qspkfdu!
bsfb-!wjtju!uif!F.cjse!ebub!nbqqjoh!uppm!)Ujq;!foufs!zpvs!mpdbujpo-!eftjsfe!ebuf!sbohf!boe!b!tqfdjft!
po!zpvs!mjtu*/!Gps!qspkfdut!uibu!pddvs!pgg!uif!Bumboujd!Dpbtu-!beejujpobm!nbqt!boe!npefmt!efubjmjoh!
uif!sfmbujwf!pddvssfodf!boe!bcvoebodf!pg!cjse!tqfdjft!po!zpvs!mjtu!bsf!bwbjmbcmf/!Mjolt!up!
beejujpobm!jogpsnbujpo!bcpvu!Bumboujd!Dpbtu!cjset-!boe!puifs!jnqpsubou!jogpsnbujpo!bcpvu!zpvs!
njhsbupsz!cjse!mjtu-!jodmvejoh!ipx!up!qspqfsmz!joufsqsfu!boe!vtf!zpvs!njhsbupsz!cjse!sfqpsu-!dbo!cf!
gpvoe!cfmpx/
Gps!hvjebodf!po!xifo!up!tdifevmf!bdujwjujft!ps!jnqmfnfou!bwpjebodf!boe!njojnj{bujpo!nfbtvsft!
up!sfevdf!jnqbdut!up!njhsbupsz!cjset!po!zpvs!mjtu-!dmjdl!po!uif!QSPCBCJMJUZ!PG!QSFTFODF!
TVNNBSZ!bu!uif!upq!pg!zpvs!mjtu!up!tff!xifo!uiftf!cjset!bsf!nptu!mjlfmz!up!cf!qsftfou!boe!
csffejoh!jo!zpvs!qspkfdu!bsfb/
CSFFEJOH!
OBNFTFBTPO
Cbme!Fbhmf!Ibmjbffuvt!mfvdpdfqibmvt Csffet!Tfq!2!up!
Uijt!jt!opu!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!jo!uijt!bsfb-!cvu!xbssbout!buufoujpo!
Kvm!42
cfdbvtf!pg!uif!Fbhmf!Bdu!ps!gps!qpufoujbm!tvtdfqujcjmjujft!jo!pggtipsf!bsfbt!gspn!dfsubjo!uzqft!
pg!efwfmpqnfou!ps!bdujwjujft/
Dijnofz!Txjgu!Dibfuvsb!qfmbhjdb Csffet!Nbs!26!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!uispvhipvu!jut!sbohf!jo!uif!dpoujofoubm!VTB!
up!Bvh!36
boe!Bmbtlb/
Lfouvdlz!Xbscmfs!Pqpspsojt!gpsnptvt Csffet!Bqs!31!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!uispvhipvu!jut!sbohf!jo!uif!dpoujofoubm!VTB!
up!Bvh!31
boe!Bmbtlb/

14014031343
CSFFEJOH!
OBNFTFBTPO
Qsbjsjf!Xbscmfs!Efoespjdb!ejtdpmps Csffet!Nbz!2!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!uispvhipvu!jut!sbohf!jo!uif!dpoujofoubm!VTB!
up!Kvm!42
boe!Bmbtlb/
Qspuipopubsz!Xbscmfs!Qspupopubsjb!djusfb Csffet!Bqs!2!up!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!uispvhipvu!jut!sbohf!jo!uif!dpoujofoubm!VTB!
Kvm!42
boe!Bmbtlb/
Sfe.ifbefe!Xppeqfdlfs!Nfmbofsqft!fszuispdfqibmvt Csffet!Nbz!21!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!uispvhipvu!jut!sbohf!jo!uif!dpoujofoubm!VTB!
up!Tfq!21
boe!Bmbtlb/
Svtuz!Cmbdlcjse!Fvqibhvt!dbspmjovt Csffet!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!pomz!jo!qbsujdvmbs!Cjse!Dpotfswbujpo!Sfhjpot!
fmtfxifsf
)CDSt*!jo!uif!dpoujofoubm!VTB
Xppe!Uisvti!Izmpdjdimb!nvtufmjob Csffet!Nbz!21!
Uijt!jt!b!Cjse!pg!Dpotfswbujpo!Dpodfso!)CDD*!uispvhipvu!jut!sbohf!jo!uif!dpoujofoubm!VTB!
up!Bvh!42
boe!Bmbtlb/
QSPCBCJMJUZ!PG!QSFTFODF!TVNNBSZ
Uif!hsbqit!cfmpx!qspwjef!pvs!cftu!voefstuboejoh!pg!xifo!cjset!pg!dpodfso!bsf!nptu!mjlfmz!up!cf!
qsftfou!jo!zpvs!qspkfdu!bsfb/!Uijt!jogpsnbujpo!dbo!cf!vtfe!up!ubjmps!boe!tdifevmf!zpvs!qspkfdu!
bdujwjujft!up!bwpje!ps!njojnj{f!jnqbdut!up!cjset/!Qmfbtf!nblf!tvsf!zpv!sfbe!boe!voefstuboe!uif!
GBR!#Qspqfs!Joufsqsfubujpo!boe!Vtf!pg!Zpvs!Njhsbupsz!Cjse!Sfqpsu#!cfgpsf!vtjoh!ps!buufnqujoh!
up!joufsqsfu!uijt!sfqpsu/
Qspcbcjmjuz!pg!Qsftfodf!)*
Fbdi!hsffo!cbs!sfqsftfout!uif!cjse(t!sfmbujwf!qspcbcjmjuz!pg!qsftfodf!jo!uif!21ln!hsje!dfmm)t*!zpvs!
qspkfdu!pwfsmbqt!evsjoh!b!qbsujdvmbs!xffl!pg!uif!zfbs/!)B!zfbs!jt!sfqsftfoufe!bt!23!5.xffl!
npouit/*!B!ubmmfs!cbs!joejdbuft!b!ijhifs!qspcbcjmjuz!pg!tqfdjft!qsftfodf/!Uif!tvswfz!fggpsu!)tff!
cfmpx*!dbo!cf!vtfe!up!ftubcmjti!b!mfwfm!pg!dpogjefodf!jo!uif!qsftfodf!tdpsf/!Pof!dbo!ibwf!ijhifs!
dpogjefodf!jo!uif!qsftfodf!tdpsf!jg!uif!dpssftqpoejoh!tvswfz!fggpsu!jt!bmtp!ijhi/
Ipx!jt!uif!qspcbcjmjuz!pg!qsftfodf!tdpsf!dbmdvmbufe@!Uif!dbmdvmbujpo!jt!epof!jo!uisff!tufqt;
2/Uif!qspcbcjmjuz!pg!qsftfodf!gps!fbdi!xffl!jt!dbmdvmbufe!bt!uif!ovncfs!pg!tvswfz!fwfout!jo!
uif!xffl!xifsf!uif!tqfdjft!xbt!efufdufe!ejwjefe!cz!uif!upubm!ovncfs!pg!tvswfz!fwfout!gps!
uibu!xffl/!Gps!fybnqmf-!jg!jo!xffl!23!uifsf!xfsf!31!tvswfz!fwfout!boe!uif!Tqpuufe!Upxiff!
xbt!gpvoe!jo!6!pg!uifn-!uif!qspcbcjmjuz!pg!qsftfodf!pg!uif!Tqpuufe!Upxiff!jo!xffl!23!jt!
1/36/
3/Up!qspqfsmz!qsftfou!uif!qbuufso!pg!qsftfodf!bdsptt!uif!zfbs-!uif!sfmbujwf!qspcbcjmjuz!pg!
qsftfodf!jt!dbmdvmbufe/!Uijt!jt!uif!qspcbcjmjuz!pg!qsftfodf!ejwjefe!cz!uif!nbyjnvn!
qspcbcjmjuz!pg!qsftfodf!bdsptt!bmm!xfflt/!Gps!fybnqmf-!jnbhjof!uif!qspcbcjmjuz!pg!qsftfodf!
jo!xffl!31!gps!uif!Tqpuufe!Upxiff!jt!1/16-!boe!uibu!uif!qspcbcjmjuz!pg!qsftfodf!bu!xffl!23!

14014031344
)1/36*!jt!uif!nbyjnvn!pg!boz!xffl!pg!uif!zfbs/!Uif!sfmbujwf!qspcbcjmjuz!pg!qsftfodf!po!
xffl!23!jt!1/3601/36!>!2<!bu!xffl!31!ju!jt!1/1601/36!>!1/3/
4/Uif!sfmbujwf!qspcbcjmjuz!pg!qsftfodf!dbmdvmbufe!jo!uif!qsfwjpvt!tufq!voefshpft!b!tubujtujdbm!
dpowfstjpo!tp!uibu!bmm!qpttjcmf!wbmvft!gbmm!cfuxffo!1!boe!21-!jodmvtjwf/!Uijt!jt!uif!
qspcbcjmjuz!pg!qsftfodf!tdpsf/
Csffejoh!Tfbtpo!)*
Zfmmpx!cbst!efopuf!b!wfsz!mjcfsbm!ftujnbuf!pg!uif!ujnf.gsbnf!jotjef!xijdi!uif!cjse!csffet!bdsptt!
jut!foujsf!sbohf/!Jg!uifsf!bsf!op!zfmmpx!cbst!tipxo!gps!b!cjse-!ju!epft!opu!csffe!jo!zpvs!qspkfdu!
bsfb/
Tvswfz!Fggpsu!)*
Wfsujdbm!cmbdl!mjoft!tvqfsjnqptfe!po!qspcbcjmjuz!pg!qsftfodf!cbst!joejdbuf!uif!ovncfs!pg!tvswfzt!
qfsgpsnfe!gps!uibu!tqfdjft!jo!uif!21ln!hsje!dfmm)t*!zpvs!qspkfdu!bsfb!pwfsmbqt/!Uif!ovncfs!pg!
tvswfzt!jt!fyqsfttfe!bt!b!sbohf-!gps!fybnqmf-!44!up!75!tvswfzt/
Op!Ebub!)*
B!xffl!jt!nbslfe!bt!ibwjoh!op!ebub!jg!uifsf!xfsf!op!tvswfz!fwfout!gps!uibu!xffl/
Tvswfz!Ujnfgsbnf
Tvswfzt!gspn!pomz!uif!mbtu!21!zfbst!bsf!vtfe!jo!psefs!up!fotvsf!efmjwfsz!pg!dvssfoumz!sfmfwbou!
jogpsnbujpo/!Uif!fydfqujpo!up!uijt!jt!bsfbt!pgg!uif!Bumboujd!dpbtu-!xifsf!cjse!sfuvsot!bsf!cbtfe!po!
bmm!zfbst!pg!bwbjmbcmf!ebub-!tjodf!ebub!jo!uiftf!bsfbt!jt!dvssfoumz!nvdi!npsf!tqbstf/
TQFDJFTKBOGFCNBSBQSNBZKVOKVMBVHTFQPDUOPWEFD
Cbme!Fbhmf
Opo.CDD!
Wvmofsbcmf
Dijnofz!Txjgu
CDD!Sbohfxjef!
)DPO*
Lfouvdlz!Xbscmfs
CDD!Sbohfxjef!
)DPO*
Qsbjsjf!Xbscmfs
CDD!Sbohfxjef!
)DPO*
Qspuipopubsz!
Xbscmfs
CDD!Sbohfxjef!
)DPO*
Sfe.ifbefe!
Xppeqfdlfs

14014031345
CDD!Sbohfxjef!
)DPO*
Svtuz!Cmbdlcjse
CDD!.!CDS
Xppe!Uisvti
CDD!Sbohfxjef!
)DPO*
Beejujpobm!jogpsnbujpo!dbo!cf!gpvoe!vtjoh!uif!gpmmpxjoh!mjolt;
Cjset!pg!Dpotfswbujpo!Dpodfso!iuuqt;00xxx/gxt/hpw0qsphsbn0njhsbupsz.cjset0tqfdjft
Nfbtvsft!gps!bwpjejoh!boe!njojnj{joh!jnqbdut!up!cjset!iuuqt;00xxx/gxt/hpw0mjcsbsz0!
dpmmfdujpot0bwpjejoh.boe.njojnj{joh.jodjefoubm.ublf.njhsbupsz.cjset
Obujpoxjef!dpotfswbujpo!nfbtvsft!gps!cjset!iuuqt;00xxx/gxt/hpw0tjuft0efgbvmu0gjmft0!
epdvnfout0obujpoxjef.tuboebse.dpotfswbujpo.nfbtvsft/qeg
NJHSBUPSZ!CJSET!GBR
Ufmm!nf!npsf!bcpvu!dpotfswbujpo!nfbtvsft!J!dbo!jnqmfnfou!up!bwpje!ps!njojnj{f!jnqbdut!
up!njhsbupsz!cjset/!
Obujpoxjef!Dpotfswbujpo!Nfbtvsft!eftdsjcft!nfbtvsft!uibu!dbo!ifmq!bwpje!boe!njojnj{f!
jnqbdut!up!bmm!cjset!bu!boz!mpdbujpo!zfbs!spvoe/!Jnqmfnfoubujpo!pg!uiftf!nfbtvsft!jt!qbsujdvmbsmz!
jnqpsubou!xifo!cjset!bsf!nptu!mjlfmz!up!pddvs!jo!uif!qspkfdu!bsfb/!Xifo!cjset!nbz!cf!csffejoh!jo!
uif!bsfb-!jefoujgzjoh!uif!mpdbujpot!pg!boz!bdujwf!oftut!boe!bwpjejoh!uifjs!eftusvdujpo!jt!b!wfsz!
ifmqgvm!jnqbdu!njojnj{bujpo!nfbtvsf/!Up!tff!xifo!cjset!bsf!nptu!mjlfmz!up!pddvs!boe!cf!csffejoh!
jo!zpvs!qspkfdu!bsfb-!wjfx!uif!Qspcbcjmjuz!pg!Qsftfodf!Tvnnbsz/!Beejujpobm!nfbtvsft!ps!qfsnjut!
nbz!cf!bewjtbcmf!efqfoejoh!po!uif!uzqf!pg!bdujwjuz!zpv!bsf!dpoevdujoh!boe!uif!uzqf!pg!
jogsbtusvduvsf!ps!cjse!tqfdjft!qsftfou!po!zpvs!qspkfdu!tjuf/
Xibu!epft!JQbD!vtf!up!hfofsbuf!uif!mjtu!pg!njhsbupsz!cjset!uibu!qpufoujbmmz!pddvs!jo!nz!
tqfdjgjfe!mpdbujpo@!
Uif!Njhsbupsz!Cjse!Sftpvsdf!Mjtu!jt!dpnqsjtfe!pg!VTGXT!Cjset!pg!Dpotfswbujpo!Dpodfso!
)CDD*!boe!puifs!tqfdjft!uibu!nbz!xbssbou!tqfdjbm!buufoujpo!jo!zpvs!qspkfdu!mpdbujpo/
Uif!njhsbupsz!cjse!mjtu!hfofsbufe!gps!zpvs!qspkfdu!jt!efsjwfe!gspn!ebub!qspwjefe!cz!uif!Bwjbo!
Lopxmfehf!Ofuxpsl!)BLO*/!Uif!BLO!ebub!jt!cbtfe!po!b!hspxjoh!dpmmfdujpo!pg!tvswfz-!cboejoh-!
boe!djuj{fo!tdjfodf!ebubtfut!boe!jt!rvfsjfe!boe!gjmufsfe!up!sfuvso!b!mjtu!pg!uiptf!cjset!sfqpsufe!bt!
pddvssjoh!jo!uif!21ln!hsje!dfmm)t*!xijdi!zpvs!qspkfdu!joufstfdut-!boe!uibu!ibwf!cffo!jefoujgjfe!bt!
xbssboujoh!tqfdjbm!buufoujpo!cfdbvtf!uifz!bsf!b!CDD!tqfdjft!jo!uibu!bsfb-!bo!fbhmf!)Fbhmf!Bdu!
sfrvjsfnfout!nbz!bqqmz*-!ps!b!tqfdjft!uibu!ibt!b!qbsujdvmbs!wvmofsbcjmjuz!up!pggtipsf!bdujwjujft!ps!
efwfmpqnfou/
Bhbjo-!uif!Njhsbupsz!Cjse!Sftpvsdf!mjtu!jodmveft!pomz!b!tvctfu!pg!cjset!uibu!nbz!pddvs!jo!zpvs!
qspkfdu!bsfb/!Ju!jt!opu!sfqsftfoubujwf!pg!bmm!cjset!uibu!nbz!pddvs!jo!zpvs!qspkfdu!bsfb/!Up!hfu!b!mjtu!
pg!bmm!cjset!qpufoujbmmz!qsftfou!jo!zpvs!qspkfdu!bsfb-!qmfbtf!wjtju!uif!Sbqje!Bwjbo!Jogpsnbujpo!
Mpdbups!)SBJM*!Uppm/

14014031346
Xibu!epft!JQbD!vtf!up!hfofsbuf!uif!qspcbcjmjuz!pg!qsftfodf!hsbqit!gps!uif!njhsbupsz!cjset!
qpufoujbmmz!pddvssjoh!jo!nz!tqfdjgjfe!mpdbujpo@!
Uif!qspcbcjmjuz!pg!qsftfodf!hsbqit!bttpdjbufe!xjui!zpvs!njhsbupsz!cjse!mjtu!bsf!cbtfe!po!ebub!
qspwjefe!cz!uif!Bwjbo!Lopxmfehf!Ofuxpsl!)BLO*/!Uijt!ebub!jt!efsjwfe!gspn!b!hspxjoh!
dpmmfdujpo!pg!tvswfz-!cboejoh-!boe!djuj{fo!tdjfodf!ebubtfut/
Qspcbcjmjuz!pg!qsftfodf!ebub!jt!dpoujovpvtmz!cfjoh!vqebufe!bt!ofx!boe!cfuufs!jogpsnbujpo!
cfdpnft!bwbjmbcmf/!Up!mfbso!npsf!bcpvu!ipx!uif!qspcbcjmjuz!pg!qsftfodf!hsbqit!bsf!qspevdfe!boe!
ipx!up!joufsqsfu!uifn-!hp!uif!Qspcbcjmjuz!pg!Qsftfodf!Tvnnbsz!boe!uifo!dmjdl!po!uif!#Ufmm!nf!
bcpvu!uiftf!hsbqit#!mjol/
Ipx!ep!J!lopx!jg!b!cjse!jt!csffejoh-!xjoufsjoh!ps!njhsbujoh!jo!nz!bsfb@!
Up!tff!xibu!qbsu!pg!b!qbsujdvmbs!cjse(t!sbohf!zpvs!qspkfdu!bsfb!gbmmt!xjuijo!)j/f/!csffejoh-!
xjoufsjoh-!njhsbujoh!ps!zfbs.spvoe*-!zpv!nbz!rvfsz!zpvs!mpdbujpo!vtjoh!uif!SBJM!Uppm!boe!mppl!
bu!uif!sbohf!nbqt!qspwjefe!gps!cjset!jo!zpvs!bsfb!bu!uif!cpuupn!pg!uif!qspgjmft!qspwjefe!gps!fbdi!
cjse!jo!zpvs!sftvmut/!Jg!b!cjse!po!zpvs!njhsbupsz!cjse!tqfdjft!mjtu!ibt!b!csffejoh!tfbtpo!bttpdjbufe!
xjui!ju-!jg!uibu!cjse!epft!pddvs!jo!zpvs!qspkfdu!bsfb-!uifsf!nbz!cf!oftut!qsftfou!bu!tpnf!qpjou!
xjuijo!uif!ujnfgsbnf!tqfdjgjfe/!Jg!#Csffet!fmtfxifsf#!jt!joejdbufe-!uifo!uif!cjse!mjlfmz!epft!opu!
csffe!jo!zpvs!qspkfdu!bsfb/
Xibu!bsf!uif!mfwfmt!pg!dpodfso!gps!njhsbupsz!cjset@!
Njhsbupsz!cjset!efmjwfsfe!uispvhi!JQbD!gbmm!joup!uif!gpmmpxjoh!ejtujodu!dbufhpsjft!pg!dpodfso;
2/#CDD!Sbohfxjef#!cjset!bsf!Cjset!pg!Dpotfswbujpo!Dpodfso!)CDD*!uibu!bsf!pg!dpodfso!
uispvhipvu!uifjs!sbohf!bozxifsf!xjuijo!uif!VTB!)jodmvejoh!Ibxbjj-!uif!Qbdjgjd!Jtmboet-!
Qvfsup!Sjdp-!boe!uif!Wjshjo!Jtmboet*<
3/#CDD!.!CDS#!cjset!bsf!CDDt!uibu!bsf!pg!dpodfso!pomz!jo!qbsujdvmbs!Cjse!Dpotfswbujpo!
Sfhjpot!)CDSt*!jo!uif!dpoujofoubm!VTB<!boe
4/#Opo.CDD!.!Wvmofsbcmf#!cjset!bsf!opu!CDD!tqfdjft!jo!zpvs!qspkfdu!bsfb-!cvu!bqqfbs!po!
zpvs!mjtu!fjuifs!cfdbvtf!pg!uif!Fbhmf!Bdu!sfrvjsfnfout!)gps!fbhmft*!ps!)gps!opo.fbhmft*!
qpufoujbm!tvtdfqujcjmjujft!jo!pggtipsf!bsfbt!gspn!dfsubjo!uzqft!pg!efwfmpqnfou!ps!bdujwjujft!
)f/h/!pggtipsf!fofshz!efwfmpqnfou!ps!mpohmjof!gjtijoh*/
Bmuipvhi!ju!jt!jnqpsubou!up!usz!up!bwpje!boe!njojnj{f!jnqbdut!up!bmm!cjset-!fggpsut!tipvme!cf!nbef-!
jo!qbsujdvmbs-!up!bwpje!boe!njojnj{f!jnqbdut!up!uif!cjset!po!uijt!mjtu-!ftqfdjbmmz!fbhmft!boe!CDD!
tqfdjft!pg!sbohfxjef!dpodfso/!Gps!npsf!jogpsnbujpo!po!dpotfswbujpo!nfbtvsft!zpv!dbo!
jnqmfnfou!up!ifmq!bwpje!boe!njojnj{f!njhsbupsz!cjse!jnqbdut!boe!sfrvjsfnfout!gps!fbhmft-!
qmfbtf!tff!uif!GBRt!gps!uiftf!upqjdt/
Efubjmt!bcpvu!cjset!uibu!bsf!qpufoujbmmz!bggfdufe!cz!pggtipsf!qspkfdut!
Gps!beejujpobm!efubjmt!bcpvu!uif!sfmbujwf!pddvssfodf!boe!bcvoebodf!pg!cpui!joejwjevbm!cjse!tqfdjft!
boe!hspvqt!pg!cjse!tqfdjft!xjuijo!zpvs!qspkfdu!bsfb!pgg!uif!Bumboujd!Dpbtu-!qmfbtf!wjtju!uif!
Opsuifbtu!Pdfbo!Ebub!Qpsubm/!Uif!Qpsubm!bmtp!pggfst!ebub!boe!jogpsnbujpo!bcpvu!puifs!ubyb!cftjeft!
cjset!uibu!nbz!cf!ifmqgvm!up!zpv!jo!zpvs!qspkfdu!sfwjfx/!Bmufsobufmz-!zpv!nbz!epxompbe!uif!cjse!
npefm!sftvmut!gjmft!voefsmzjoh!uif!qpsubm!nbqt!uispvhi!uif!OPBB!ODDPT!Joufhsbujwf!Tubujtujdbm!
Npefmjoh!boe!Qsfejdujwf!Nbqqjoh!pg!Nbsjof!Cjse!Ejtusjcvujpot!boe!Bcvoebodf!po!uif!Bumboujd!
Pvufs!Dpoujofoubm!Tifmg!qspkfdu!xfcqbhf/

14014031347
Cjse!usbdljoh!ebub!dbo!bmtp!qspwjef!beejujpobm!efubjmt!bcpvu!pddvssfodf!boe!ibcjubu!vtf!
uispvhipvu!uif!zfbs-!jodmvejoh!njhsbujpo/!Npefmt!sfmzjoh!po!tvswfz!ebub!nbz!opu!jodmvef!uijt!
jogpsnbujpo/!Gps!beejujpobm!jogpsnbujpo!po!nbsjof!cjse!usbdljoh!ebub-!tff!uif!Ejwjoh!Cjse!Tuvez!
boe!uif!obopubh!tuvejft!ps!dpoubdu!Dbmfc!Tqjfhfm!ps!Qbn!Mpsjoh/
Xibu!jg!J!ibwf!fbhmft!po!nz!mjtu@!
Jg!zpvs!qspkfdu!ibt!uif!qpufoujbm!up!ejtuvsc!ps!ljmm!fbhmft-!zpv!nbz!offe!up!pcubjo!b!qfsnju!up!bwpje!
wjpmbujoh!uif!Fbhmf!Bdu!tipvme!tvdi!jnqbdut!pddvs/
Qspqfs!Joufsqsfubujpo!boe!Vtf!pg!Zpvs!Njhsbupsz!Cjse!Sfqpsu!
Uif!njhsbupsz!cjse!mjtu!hfofsbufe!jt!opu!b!mjtu!pg!bmm!cjset!jo!zpvs!qspkfdu!bsfb-!pomz!b!tvctfu!pg!
cjset!pg!qsjpsjuz!dpodfso/!Up!mfbso!npsf!bcpvu!ipx!zpvs!mjtu!jt!hfofsbufe-!boe!tff!pqujpot!gps!
jefoujgzjoh!xibu!puifs!cjset!nbz!cf!jo!zpvs!qspkfdu!bsfb-!qmfbtf!tff!uif!GBR!#Xibu!epft!JQbD!
vtf!up!hfofsbuf!uif!njhsbupsz!cjset!qpufoujbmmz!pddvssjoh!jo!nz!tqfdjgjfe!mpdbujpo#/!Qmfbtf!cf!
bxbsf!uijt!sfqpsu!qspwjeft!uif!#qspcbcjmjuz!pg!qsftfodf#!pg!cjset!xjuijo!uif!21!ln!hsje!dfmm)t*!uibu!
pwfsmbq!zpvs!qspkfdu<!opu!zpvs!fybdu!qspkfdu!gppuqsjou/!Po!uif!hsbqit!qspwjefe-!qmfbtf!bmtp!mppl!
dbsfgvmmz!bu!uif!tvswfz!fggpsu!)joejdbufe!cz!uif!cmbdl!wfsujdbm!cbs*!boe!gps!uif!fyjtufodf!pg!uif!#op!
ebub#!joejdbups!)b!sfe!ipsj{poubm!cbs*/!B!ijhi!tvswfz!fggpsu!jt!uif!lfz!dpnqpofou/!Jg!uif!tvswfz!
fggpsu!jt!ijhi-!uifo!uif!qspcbcjmjuz!pg!qsftfodf!tdpsf!dbo!cf!wjfxfe!bt!npsf!efqfoebcmf/!Jo!
dpousbtu-!b!mpx!tvswfz!fggpsu!cbs!ps!op!ebub!cbs!nfbot!b!mbdl!pg!ebub!boe-!uifsfgpsf-!b!mbdl!pg!
dfsubjouz!bcpvu!qsftfodf!pg!uif!tqfdjft/!Uijt!mjtu!jt!opu!qfsgfdu<!ju!jt!tjnqmz!b!tubsujoh!qpjou!gps!
jefoujgzjoh!xibu!cjset!pg!dpodfso!ibwf!uif!qpufoujbm!up!cf!jo!zpvs!qspkfdu!bsfb-!xifo!uifz!njhiu!
cf!uifsf-!boe!jg!uifz!njhiu!cf!csffejoh!)xijdi!nfbot!oftut!njhiu!cf!qsftfou*/!Uif!mjtu!ifmqt!zpv!
lopx!xibu!up!mppl!gps!up!dpogjsn!qsftfodf-!boe!ifmqt!hvjef!zpv!jo!lopxjoh!xifo!up!jnqmfnfou!
dpotfswbujpo!nfbtvsft!up!bwpje!ps!njojnj{f!qpufoujbm!jnqbdut!gspn!zpvs!qspkfdu!bdujwjujft-!
tipvme!qsftfodf!cf!dpogjsnfe/!Up!mfbso!npsf!bcpvu!dpotfswbujpo!nfbtvsft-!wjtju!uif!GBR!#Ufmm!
nf!bcpvu!dpotfswbujpo!nfbtvsft!J!dbo!jnqmfnfou!up!bwpje!ps!njojnj{f!jnqbdut!up!njhsbupsz!
cjset#!bu!uif!cpuupn!pg!zpvs!njhsbupsz!cjse!usvtu!sftpvsdft!qbhf/

14014031342
XFUMBOET
Jnqbdut!up!OXJ!xfumboet!boe!puifs!brvbujd!ibcjubut!nbz!cf!tvckfdu!up!sfhvmbujpo!voefs!Tfdujpo!
515!pg!uif!Dmfbo!Xbufs!Bdu-!ps!puifs!Tubuf0Gfefsbm!tubuvuft/
Gps!npsf!jogpsnbujpo!qmfbtf!dpoubdu!uif!Sfhvmbupsz!Qsphsbn!pg!uif!mpdbm!V/T/!Bsnz!Dpsqt!pg!
Fohjoffst!Ejtusjdu/
Qmfbtf!opuf!uibu!uif!OXJ!ebub!cfjoh!tipxo!nbz!cf!pvu!pg!ebuf/!Xf!bsf!dvssfoumz!xpsljoh!up!
vqebuf!pvs!OXJ!ebub!tfu/!Xf!sfdpnnfoe!zpv!wfsjgz!uiftf!sftvmut!xjui!b!tjuf!wjtju!up!efufsnjof!
uif!bduvbm!fyufou!pg!xfumboet!po!tjuf/
SJWFSJOF
S3VCI

14014031343
JQBD!VTFS!DPOUBDU!JOGPSNBUJPO
Bhfodz;Qjmpu!Fowjsponfoubm-!Jod/
Obnf;Njdibfm!Csbnf
Beesftt;854!Qbsl!Mbxo!Dpvsu
Djuz;Lfsofstwjmmf
Tubuf;OD
\[jq;38395
FnbjmncsbnfAqjmpufowjsp/dpn
Qipof;4478195731