WI0400602_UIC NOI 7-11-2023_20230711

NC Department of Environmental Quality — Division of Water Resources (DWR)
NOTIFICATION OF INTENT (NOI) TO CONSTRUCT OR OPERATE INJECTION WELLS
The following are "permitted by rule" and do not require an individualpermit when constructed in accordance
with the rules of'I5A NCAC 02C.0200 (NOTE: This form must be received at least 14 DAYS prior to iniection)
AQUIFER TEST WELLS (15A NCAC 02C .02201
These wells are used to inject uncontaminated fluid into an aquifer to determine aquifer hydraulic characteristics.
IN SITU REMEDIATION (15A NCAC 02C .02251 or TRACER WELLS (15A NCAC 02C .02291:
1) Passive Injection Systems - In -well delivery systems to diffuse injectants into the subsurface. Examples include
ORC socks, iSOC systems, and other gas infusion methods (Note: Injection Event Records (IER) do not need to be
submitted for replacement of each sock used in ORC systems).
2) Small -Scale Injection Operations — Injection wells located within a land surface area not to exceed 10,000
square feet for the purpose of soil or groundwater remediation or tracer tests. An individual permit shall be required
for test or treatment areas exceeding 10,000 square feet.
3) Pilot Tests - Preliminary studies conducted for the purpose of evaluating the technical feasibility of a
remediation strategy in order to develop a full scale remediation plan for future implementation, and where the
surface area of the injection zone wells is located within an area that does not exceed five percent of the land surface
above the known extent of groundwater contamination. An individual permit shall be required to conduct more
than one pilot test on any separate groundwater contaminant plume.
4) Air Injection Wells - Used to inject ambient air to enhance in -situ treatment of soil or groundwater.
5) In -Situ Thermal Wells (IST) — Used to `heat' contaminated groundwater to enhance remediation.
Print Clearly or Type Information. Illegible Suhmittals Will Be Returned as Incomplete.
DATE: Julv 11, 2023
PERMIT NO. W10400602
(to be filled in by DWR)
NOTE- If this NOI is being submitted as notification of a modification of a previously issued NOI for this site (e.g.,
different injection wells, plume, additives, etc.) and still meets the deemed permitted by rule criteria, provide the
previously assigned permit tracking number and any needed relevant information to assess and approve injection:
Permit No. WI W10400602 Issued Date: 07/11/2023
A. WELL TYPE TO BE CONSTRUCTED OR OPERATED
(1) X Air Injection Well ....................................... Complete sections B through F, J, M
(2) Aquifer Test Well ....................................... Complete sections B through F, J, M
(3) Passive Injection System ............................... Complete sections B through F, H-M
(4) Small -Scale Injection Operation ...................... Complete sections B through M
(5) Pilot Test ................................................. Complete sections B through M
(6) Tracer Injection Well ................................... Complete sections B through M
(7) In -Situ Thermal (IST) Well ........................... Complete sections B through M
B. STATUS OF WELL OWNER: State Government
Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 1

C. WELL OWNER(S) — State name of Business/Agency, and Name and Title of person delegated authority to
sign on behalf of the business or agency:
Name(s): NCDEQ Division of Waste Management, UST Section, State Lead Program
Mailing Address: 1636 Mail Service Center
City: Raleis4h State: NC Zip Code:27699_
Day Tele No.: 919-707-8263 Cell No.:
EMAIL Address: Thomas. ChaymanLddeg.nc.gov Fax No.:
D. PROPERTY OWNER(S) (if different than well owner/applicant)
Name and Title:
Company Name
Mailing Address: 3205 NC Hwv 801 South
County: Wake
City: Advance State: NC Zip Code: 27006 County: Davie
Day Tele No.: Cell No.: 336-784-3565
EMAIL Address: Fax No.:
E. PROJECT CONTACT (Typically Environmental Consulting/Engineering Firm)
Name and Title: Ashleigh Thrash, Senior Project Manager
Company Name ATC Associates of North Carolina, PC
Mailing Address: 7606 Whitehall Executive Center Drive, Suite 800
City: Charlotte State: NC Zip Code: 28273 County: Mecklenburg
Day Tele No.: 704-529-3200 Cell No.: 980-369-0425
EMAIL Address: Ashleigh.Thrashkoneatlas.com Fax No.:
F. PHYSICAL LOCATION OF WELL SITE
(1) Facility Name & Address: TF#22633, Fork Exxon
3341 US Hwv 64 E
City: Advance County: Davie Zip Code: 27006
(2) Geographic Coordinates: Latitude": 0" or 35.874944'
Longitude": 0" or-80.440678'
Reference Datum: UST Basin Accuracy:
Method of Collection: Google Earth
"FOR AIR INJECTION AND AQUIFER TEST WELLS ONLY: A FAC1L1'I'Y SI'IE MAP WITH PROPEKTY
BOUNDARIES MAY BE SUBMITTED IN LIEU OF GEOGRAPHIC COORDINATES.
G. TREATMENT AREA
Land surface area of contaminant plume: —10,600 square feet
Land surface area of inj. well network: —2,000 square feet (< 10,000 ft' for small-scale injections)
Percent of contaminant plume area to be treated: —20% (must be < 5% of plume for pilot test injections)
Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 2

H. INJECTION ZONE MAPS — Attach the following to the notification.
(1) Contaminant plume map(s) with isoconcentration lines that show the horizontal extent of the
contaminant plume in soil and groundwater, existing and proposed monitoring wells, and existing and
proposed injection wells; and
(2) Cross-section(s) to the known or projected depth of contamination that show the horizontal and vertical
extent of the contaminant plume in soil and groundwater, changes in lithology, existing and proposed
monitoring wells, and existing and proposed injection wells.
(3) Potentiometric surface map(s) indicating the rate and direction of groundwater movement, plus existing
and proposed wells.
L DESCRIPTION OF PROPOSED INJECTION ACTIVITIES AT THE SITE — Provide a brief narrative
regarding the cause of the contamination, and purpose, scope, goals of the proposed injection activity:
Release of aasoline from UST system. Hiah Risk. coal to reduce gasoline -related volatile organic combounds
(ethylene dibromide and 1,2-dichloroethanee) to below the Gross Contamination Levels by air sparging in well
DMW-2. To be conducted during the 96-hour Mobile -Multiphase Extraction Event (MMPE) using wells MW-
2 as a total fluid extraction well. The injection will be performed at approximately 3 to 5 cfin for DMW-2. Radius
of influence anticipated to be 25 feet. The five-day injection event is scheduled to begin the week of Mqy 1
2023.
J. WELL CONSTRUCTION DATA
(1) No. of injection wells: 1 Proposed 1 Existing (provide NC Well
Construction Record (GW-1) for each well)
(2) Appx. injection depths (BLS): 63-70 feet
(3) For Proposed wells or Existing wells not having GW-Is, provide well construction details for each
injection well in a diagram or table format A single diagram or line in a table can be used for
multiple wells with the same construction details. Well construction details shall include the
following (indicate if construction is proposed or as -built):
(a) Well type as permanent, Geoprobe/DPT, or subsurface distribution infiltration gallery
(b) Depth below land surface of casing, each grout type and depth, screen, and sand pack
(c) Well contractor name and certification number
K. INJECTION SUMMARY
NOTE: Onlv iniectants annroved by the enidemiologv section of the NC Division ofPublic Health. Department
of Health and Human Services can be injected. Approved iniectants can be found online at
http://deg.nc. s4ov/about/divisions/water-resources/water-resources-permits/wastewater-branch/s4round-water-
protection/s4round-water-approved-iniectants. All other substances must be reviewed by the DHHS prior to use.
Contact the UIC Program for more into if'you wish to get approval for a different additive. However, please
note it may take 3 months or longer. If no iniectants arc to be used use N/A.
Injectant Air Total Amt. to be injected (gal)/event: —25,000 cubic feet air
Total Amt. to be injected (gal)/event: —25,000 cubic feet air
No. of separate injection events: 1 Total Amt. to be injected (gal): —25,000 cubic feet air
Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 3

Source of Water (if applicable): Not applicable
L. MONITORING PLAN — Describe below or in separate attachment a monitoring plan to be used to determine
if violations of groundwater quality standards specified in Subchapter 02L result from the injection activity.
ATC will sample selected monitoring wells, approximately two to three weeks after the Air Sparge event. The
water samples will be analyzedy SM 6200B.
M. SIGNATURE OF APPLICANT AND PROPERTY OWNER
Well Owner/Applicant: "I hereby certify, under penalty of law, that I am familiar with the information
submitted in this document and all attachments thereto and that, based on my inquiry of those individuals
immediately responsible for obtaining said information, I believe that the information is true, accurate and
complete. I am aware that there are significant penalties, including the possibility of fines and imprisonment,
for submitting false information. I agree to construct, operate, maintain, repair, and if applicable, abandon the
injection well and all related appurtenances in accordance with the I5A NCAC 02C 0200 Rules. "
1 V V Manager
Signature of Applicant Print or Type Full Name and Title
Property Owner (if the property is not owned by the Well Owner/Applicant):
"As owner of the property on which the injection well(s) are to be constructed and operated, I hereby consent to
allow the applicant to construct each injection well as outlined in this application and agree that it shall be the
responsibility of the applicant to ensure that the injection wells) conform to the Well Construction Standards
(15,4 NCAC 02C . 0200). "
"Owner" means any person who holds the fee or other property rights in the well being constructed. A well
is real property and its construction on land shall be deemed to vest ownership in the land owner, in the
absence of contrary agreement in writing.
See signed access agreement Don Bailey
Signature* of Property Owner (if different from applicant) Print or Type Full Name and Title
*An access agreement between the applicant and property owner may be submitted in lieu of a signature on this form.
Please send 1 (one) hard color copy of this NOI along with a copy on an attached CD or Flash Drive at least
two (2) weeks prior to injection to:
DWR — UIC Program
1636 Mail Service Center
Raleigh, NC 27699-1636
Telephone: [phone]
Deemed Permitted GW Remediation NOI Rev. 2-17-2020 Page 4

UNDERGROUND STORAGE TANK SECTION
October 21, 2020
Mr. Thomas Chapman
Hydrogeologist
y
DWM/UST Section
as
1646 Mail Service Center
Raleigh, NC 27699-1646
,�
s
Dear Mr. Chapman
o,rA
•
,, .-,
r
RE: Access Agreement
.v
Fork Exxon
3341 US Hwy 64 East
Advance, Davie County, NC
Incident#22633
I am/We are the owner(s) of a parcel of property, located at or near the incident in question, and
hereby permit the Department of Environmental Quality (Department) or its contractor to enter upon said
property for the purpose of conducting an assessment and/or remediation of the groundwater and/or soils
under the authority of G.S. 143-215.94G.
I am/We are granting permission to the lands we own or control with the understanding that:
1. The investigation shall be conducted by the UST Section of the Department's Division of Waste
Management or its contractor.
2. The costs of construction and maintenance of the site and access shall be borne by the Department or
its contractor. The Department or its contractor shall protect and prevent damage to the surrounding
lands. Any damages will be restored by the Department or its contractor to as close to the pre -work
condition as practicably possible.
3. Unless otherwise agreed, the Department or its contractor shall have access to the site by the shortest
feasible route to the nearest public road. The Department or its contractor will notify the landowners
48 hours prior to entry and may enter upon the land at reasonable times and have full right of access
during the period of the investigation.
4. Any claims which may arise against the Department or its contractor shall be governed by Article 31
of Chapter 143 of the North Carolina General Statutes, Tort Claims Against State Departments and
Agencies, and as otherwise provided by law.
5. The information derived from the investigation shall be made available to the owner upon request and

is a public record, in accordance with G.S. 132-1.
6. The activities to be carried out by the Department or its contractor are for the primary benefit of the
Department and of the State of North Carolina. Any benefits accruing to the owner are incidental.
The Department or its contractor is not and shall not be construed to be an agent, employee, or
contractor of the landowner. No representations or warranties, either expressed or implied, have been
made to me/by the Department, the State ofNorth Carolina, or its/their contractor(s) regarding the
results that may be obtained or the quality of work to be performed.
1/We agree not to interfere with, remove or any ways damage the Department's well(s) or its
contractor's well(s) and equipment during the investigation.
Sincerely,
Signature
�B rc !'e
� ii
Type/Print Name of er or Agent
E 3 / -- T8V 3 s &-I-
Phone Number
3A6s *-61 *se .tt,
Address
04,tlz�. �-,. & C, ,� ? D 6 6
City/State/Zip Code
/-f.c�
Date
RE: Access Agreement
Fork Exxon
3341 US Hwy 64 East
Advance, Davie County, NC
Incident#22633

WELL CONSTRUCTION RECORD (GW-1)
1. Well Contractor Information:
4 ©ft!n M SO LAa"
Well Contractor Name
330 ?
NC Well Contractor Certification Number
Company Name
2. Well Construction Permit#:
List all applicable well construction permits (i.e. UDC, Coun(, State. Variance, etc.)
3. Well Use (check well use):
Water Supply
(Heating/Cooling Supply)
igation
-Water Supply Well:
Recharge
Storage and Recovery
Test
rental Technology
mal (Closed Loop)
bMunicipal/Public
Residential Water Supply (single)
bResidential Water Supply (shared)
Groundwater Remediation
Salinity Barrier
bStormwater Drainage
Subsidence Control
Tracer
bother (explain tinder #21 f
4. Date wen(s) completed: y)Zy-4} -n
Sa_ Well Location: ZO23
_Fo' k Exxo In
Facility/Owtxr Name
Well ID# oMW "?.
Facility ID# (if applicable)
33 41 VS 4wH U9 East ftAyance) tic,
Physical Address, City, and Zipot
'- 0"11 e
County
Parcel Identification No (PIN)
5b. Latitude and longitude in degrees/minutes/seconds or decimal degrees:
(if well field one lat/long is sufficient)
_ N
6. Ir4are) the wells) Permanent
or bTemporary
W
7. Is this a repair to an existing well: byes or �No
Lf this is a repair, fill out known well construction information and explain the nature of the
repair under :21 remarks section or on the back of this form.
8. For Geoprobe/DPT or Closed -Loop Geothermal Wells having the same
construction, only 1 GW-1 is needed. Indicate TOTAL NUN(IBER of wells
drilled: 19IN E -
9. Total well depth below land surface: } 0 00
For multiple wells list all depths if different (example- 3@200' and 2@100�
1(L Static water level below top of casing:
If water level is above casing, use
11. Borehole diameter' (Q (in.)
12. Well construction method: Ali' 464"
0 e. auger, rotary, cable, direct push, etc.)
It WATER ZONES
FROM
TO
DESCRIPTION '
fL
fL
ft
fL
I& (Rim COGN�DAmRad w
FROM
HiIACKNESS
MATERIAL
15 ft
O ft
!Q m Scin.yo
Put,
16. Il�INEit CASxNG t)R "i'BSi4iiG
FROM
TO
D14ACE R
THICE9M%
MATERIAL
4AS It
ft
Z is
� gyp
(c�G
ft
ft
in.
17. SCREEN
FROM
TO
DIAME1TiR
SLOT SrLE
THIC4iNiS.S
MATEBUfI.
Taft
!a5 ft
Z..
tL
fL
is
IL GROUT
FROM
TO
MATERIAL
EMPI ACKMENTML+THOD & AMOUNT
ft
ft
19. SAND/GRAVEL PACK (if appReaW
FROM
TO
MATERIAL.
I1NPI.tiC%MEN'I' METHOD
?oft
(a 3 ft
At Z ,tiea.t+ri
ft
ft
2L DR1i l ING LOG at uetai Lail
FROM
TO
DFSCR.II'TION Wem; harimm" m Ynek . as ere.
fL
ft
ft
ft.
ft
ft
fL
M
,
ft
ft
ft
ft
fL
fL
21. REMARKS77777
22. Certification:
5 Z1z3
Si ofC find o . Date
signi Is form, hereby certify the welts) was (were) constructed in accordance
A, NG 4C 02C .. NCAC 02C .0200 Well Construction Standards and that a
copv of this record•has been provided to the well owner.
23. Site diagram or additional well details:
You may use the back of this page to provide additional well site details or well
construction details. You may also attach additional pages if necessary.
SUBMITTAL INSTRUCTIONS
24a. For All Wells: Submit this form within 30 days of completion of well
construction to the following:
{fL) Division of Water Resources, Information Processing Unit,
t 1617 Mail Service Center, Raleigh, NC 27699-1617
24b. For Iniection Wells: In addition to sending the form to the address in 24a
above, also submit one copy of this form within 30 days of completion of well
construction to the following:
FOR WATER SUPPLY WELIS ONLY: Division of Water Resources, Underground Injection Control Program,
1636 Mail Service Center, Raleigh, NC 2769946M
13a. Yield (gpin) Method of test: 24c. For Water Supply & Injection Wells: In addition to sending the form to
the addresses) above, also submit one copy of this form within 30 days of
131L Disinfection type: Amount: completion of well construction to the county health department of the county
where constructed.
Form GW-1 North Carolina Department of Environmental Quality - Division of Water Resources Revised 2-22-2016

- MONITORING WELL: DMW-2
jrA
' **T w (Page 1 of 1)
Fork Exxon Date(s) Drilled : 04/24/2023 - 04/25/2023 Boring Diameter : Inner Diameter = 8.25"
3341 U.S. Highway 64 East Drilling Contractor : EDPS : Outer Diameter = 11"
Advance, Davie County, North Carolina
Incident #: 22633 Drilling Method : Air Rotary Logged By : Kyle Harris
ATC Project #: SLC2263303
in
C�
m
a�
a�
u-
U_
.S
=
co
U
o
Q
DESCRIPTION
U
0
Gravel
Clayey silt, light brown
5
ML
10
Silty sand, beige, brown mix at —35 ft bgs, very low plasticity
15
20
25
30
SM
35
40
45
50
Sandy silt, brown, low plasticity
ML
55
Silty sand, brown, moist, some plasticity
SM
60
Fine grain sand, moist, no plasticity
65
SM
70
End of Boring
NM = Not Measured.
ft bgs = Feet Below Ground Surface
Well: DMW-2
Elev: 101.73
0
Casing
cite
;and
creen

TABLE 2
MONITORING WELL CONSTRUCTION AND GROUNDWATER ELEVATION DATA
Former Fork Exxon
3341 US Highway 64 East
Advance, Davie County, North Carolina
NCDEQ Incident #22633
Well ID
Date
Measured
Well Depth
(ft-TOC)
Screen
Interval
(ft-TOC)
TOC
Elevation
(ft)*
Depth to
Water
(ft-TOC)
Groundwater
Elevation
(ft)
MW-1
11 /30/05
55
44-55
102.44
44.78
57.66
03/10/15
44.77
57.67
10/19/15
45.41
57.03
02/02/16
44.10
58.34
11/30/18
44.03
58.41
10/17/19
41.86
60.58
12/01 /20
41.02
61.42
02/03/22
41.90
60.54
MW-2
11 /30/05
50
40-50
101.78
45.41
56.37
03/10/15
45.40
56.38
10/19/15
46.18
55.60
02/02/16
45.08
56.70
11/30/18
44.92
56.86
10/17/19
42.40
59.38
12/01 /20
41.66
60.12
02/03/22
42.68
59.10
M W-3
11 /30/05
51
41-51
103.94
46.52
57.42
03/10/15
46.11
57.83
10/19/15
47.24
56.70
02/02/16
45.80
58.14
11/30/18
45.51
58.43
10/17/19
43.68
60.26
12/01 /20
42.28
61.66
02/03/22
43.89
60.05
MW-4
02/02/16
50
30-50
101.56
44.35
57.21
11/30/18
44.14
57.42
10/17/19
41.69
59.87
12/01 /20
40.90
60.66
02/03/22
41.83
59.73
Page 1 of 2

TABLE 2
MONITORING WELL CONSTRUCTION AND GROUNDWATER ELEVATION DATA
Former Fork Exxon
3341 US Highway 64 East
Advance, Davie County, North Carolina
NCDEQ Incident #22633
Well ID
Date
Measured
Well Depth
(ft-TOC)
Screen
Interval
(ft-TOC)
TOC
Elevation
(ft)*
Depth to
Water
(ft-TOC)
Groundwater
Elevation
(ft)
MW-5
02/02/16
50
30-50
102.06
44.01
58.05
11/30/18
43.89
58.17
10/17/19
40.37
61.69
12/01 /20
42.70
59.36
02/03/22
Not Located
M W-6
10/17/19
50
40-50
102.76
42.32
60.44
12/01 /20
41.50
61.26
02/03/22
42.45
60.31
MW-7
12/01 /20
52.5
37.5-52.5
100.48
39.93
60.55
02/03/22
40.81
59.67
Notes:
*Datum set at arbitrary elevation of 100'
ft = feet
ft-TOC = feet below top of casing
Elevations for monitoring wells MW-1 - MW-6 measured by prior consultants.
Page 2 of 2

1111111111111
1111111111111
loll
1111
loll
milliiiiiiiiliiiliiiiillillillillI
=11111111
11111111
MIIIIIIII
11111111
_���������\�������������\����\����\��\��
IIII
IS
11
01

10229ZZ0ZS IZOVIL /ZO NMOHS Sd 03 81
ON iO3rON1 31Va 3Wos Aa A3N Aa -N2 3�O aVa
ZLZ£SZS(bOL) XVj OOZ£SZS(bOL) £LZSZ —1-1-0 yll0N`arrol-g0 HNIXOXI'd0 H1HON XlNn00 TAVO HONVAOV
'0 d`VNll0dV0 HIdON j0 S31VIOOSSV LSV] 09 O'VMHOIH
X K9 # .uul 0100N `NOXX3 AdOX dlAdOX
DALNAArr ddW Nol���� is —ii
� . •� f 7 4 a �.� :'S
*'u1■
S310N
4
Y �? ■ C � I
lj

20��9aaSJS 2aOV2V90 NMOHS Sd
ON l33POd 31Va 3WOS
ZS (bOL) XVj OOZ£-6Z9 (bOL) £LZ8Z —10re0 WON'a»OI1eyO
'O'd'VNIIOdVO HIdON j0 S31VIOOSSV DINWAr
01 �
C —
r C 'E Z)
'E O O O
U
0 O _ O
— J
Z O J N —
W Q O- N
LLLI
J
Em
HA 8
Aa A3a �a d3ad 3,O avo
VNnoavo HAON `;,iNnoo Hlnva `HONdnad
1S I t79 /�dMHSIH lt99
HK9 # uul 0103N `NoxxH NHOH HIMOH
dvw Hils
z ionnlu -iii

10999SSSl5 ISOS/Il/SO NMOHS Sd 01 8l
ON 1J3rONd 31v0 3Wos n9 n3a n9 dSad
VNnOHvo HiKN `,�iNnoo HInvO 'HONvnOV
1S I t,9 VMH01H ItH
909H# 3111 0303N `NOXX3 NKJ H]V HKJ
d'VH N01iV301 XXHM Xddns bHldM
�: iXin01H -iii
S310N
0
DO
a
0
0
� w
(bOL) XVj OOZ£-6Z9 (bOL) £LZSZ —1-1-0 WON'a»OI1eyO
'0'd'VNIIOdVO HIdON j0 S31VIOOSSV 31"WWAV
J
>J
r
a
a
LU
U)
ry
w

aO999aaols aaOaVtI/ao NMOHs sd
ON IO3POd 31Va 3WOS
ZS (bOL) XVj OOZ£-6Z9 (b0/) £LZSZ —10re0 WON'a»OI1eyO
'0'd'VNIIOdVO HIdON j0 S31VIOOSSV 31"WWAV
N
� N
O O O
w —
'C) .B
o m m- com w
� o -00 .4 o -00 .B m a �
—� O
— U
W CL O> 6 p> N
w H> UW Z C�WJ -0
J J
1 coo Z
#Y� �
AN 8
Aa A3a �a d3ad 3,O avo
VNnoHVO HiHON `,iNnoo IIAVO 'HONVAOV
1S I t,9 VMH91H ItH
90900# Sul 0309N `NOXX3 NKJ H]V HKJ
dvA Hn01NOO NOLVAIIO HO1dMONnoHo
O idinoId -iii
ZZ0Z/S0/Z0 03HnSV3W S13A31 H31VM L
S310N
O
r�
a
0
a
a
O
W

ZO999ZZols ZZOZ/OL/Zo NMOHs Sd AN 8�
ON lO3POd 31Va 3Wos Aa A3N Aa d321d 3,O aVa
Z/Z£SZS (bOL) 'XV'OOZ£-6ZS 0/) £ZSZ —1o0 WONa011e40 VNOO HiKN1NnoHO HNO
0
0S 0330X3 S3mvA G31HSIIHSIHd'VNIlO?VO Hl?ON j0 S31VI00SSV 1SdI og dMHO H odONVISs1lZS1N3fllINOO £
H9H# Sul 0303N NOXX3 nKJ ZIAKJ (t/6H)H31ll
H3dSWV2S020IINNIMOHSSNOI1V21N30N00 Z
dvn i\llidno b31VMaNnodo ZZ0Z/£0/Z0N3XV1S3ld1lJVSH31VAA l31"Wq iOnoiu
-111 :S310N
O
J
�ZJL
/
n n
w w
-
z
~ a
Q
0
U < O
O
p
U
a
O
O O
�
z z
&
J (n
a
z z
O