20171053 Ver 1_401 Application_20170821

ATLANTIC ENVIRONMENTAL CONSULTANTS, LLC
P.O. Box 3266, Kitty Hawk, NC 27949
[phone] Phone/Fax
August 9, 2017
NC DWR, 401 & Buffer Permitting Unit
512 North Salisbury Street
Raleigh, NC 27604
RE: Lot 115 Baycliff Subdivision — PCN - Nationwide #18
Collington, Dare County
To whom it may Concern:
2 0 1 7 1 05 3
Enclosed is a Preconstruction Notification (PCN) Form for a Nationwide# 18 permit to develop a
lot located at 115 Baycliff Trail in the Baycliff Subdivision, Collington, Dare County, North
Carolina.
The proposed impact includes 1,410 square feet of wetland fill in Section 404 wetlands to
construct a single family residence and driveway. The existing Baycliff subdivision is a PUD that
consists of 35'x 55' building pads. The existing wetland area extends across approximately half
of the building pad area. The wetland area will need to be filled in order to construct the pile
supported building, driveway and parking underneath the proposed building.
We request that you initiate the application process and if have questions or need additional
information please contact me at 252-261-7707 or 252-599-2603.
Sincerely,
4
k-17
oug or an U
Atlantic Environmental Consultants, LLC AUG 2 1 2017
cc: Josh Pelletier, USACOE ___

O�O� W ATF9OG
Office Use Only:
Corps action ID no.
DWQ project no.
Form Version 1.3 Dec 10 2008
Pre -Construction Notification PCN Form
A. Applicant Information
1. Processing
1 a. Type(s) of approval sought from the
Corps:
® Section 404 Permit El Section 10 Permit
1 b. Specify Nationwide Permit (NWP) number: 18 or General Permit (GP) number:
1 c. Has the NWP or GP number been verified by the Corps?
❑Yes
® No
1 d. Type(s) of approval sought from the DWQ (check all that apply):
® 401 Water Quality Certification — Regular ❑ Non -404 Jurisdictional General Permit
❑ 401 Water Quality Certification — Express ❑ Riparian Buffer Authorization
1 e. Is this notification solely for the record
because written approval is not required?
For the record only for DWQ 401
Certification:
❑ Yes ® No
For the record only for Corps Permit:
❑ Yes ® No
1 f. Is payment into a mitigation bank or in -lieu fee program proposed for mitigation
of impacts? If so, attach the acceptance letter from mitigation bank or in -lieu
fee program.
® Yes
❑ No
1 g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1 h
below.
® Yes
❑ No
1 h. Is the project located within a NC DCM Area of Environmental Concern (AEC)?
❑ Yes
® No
2. Project Information
2a. Name of project:
Boyce Property
2b. County:
Dare
2c. Nearest municipality / town:
Kill Devill Hills
2d. Subdivision name:
Baycliff
2e. NCDOT only, T.I.P. or state
project no:
N/A
3. Owner Information
3a. Name(s) on Recorded Deed:
Diane Boyce
3b. Deed Book and Page No.
DB 1019, PG 204
3c. Responsible Party (for LLC if
applicable):
3d. Street address-
20 Croatan Ct
3e. City, state, zip:
Manteo, NC 27954
3f. Telephone no.:
252-202-6922
3g. Fax no.:
N/A
3h. Email address:
[e-mail]
Page 1 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Applicant Information (if different from owner)
4a. Applicant is:
® Agent ❑ Other, specify:
4b. Name:
4c. Business name
(if applicable):
4d. Street address:
4e. City, state, zip:
4f. Telephone no.:
4g. Fax no.:
4h. Email address:
5. Agent/Consultant Information (if applicable)
5a. Name:
Doug Dorman
5b. Business name
(if applicable):
Atlantic Environmental Consultants, LLC
5c. Street address:
PO Box 3266
5d. City, state, zip:
Kitty Hawk, NC 27949
5e. Telephone no.:
252-261-7707
5f. Fax no.:
252-261-7707
5g. Email address:
[e-mail]
Page 2 of 11
PCN Form — Version 1.3 December 10, 2008 Version

B. Project Information and Prior Project History
1. Property Identification
1 a. Property identification no. (tax PIN or parcel ID):
03987310358555
1 b. Site coordinates (in decimal degrees):
Latitude: 36.00143 Longitude: - 75.707104
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size:
0.147 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to
Albemarle Sound
proposed project:
2b. Water Quality Classification of nearest receiving water:
SA
2c. River basin:
Pasquotank
3. Project Description
3a. Describe the existing conditions on the site and the general land use in the vicinity of the project at the time of this
application:
Undeveloped residential lot. Property located in developed planned unit development(PUD) Baycliff subdivision.
3b. List the total estimated acreage of all existing wetlands on the property:
0.036 acres
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
None
3d. Explain the purpose of the proposed project:
The existing Baycliff subdivision is a PUD that constists of 35'x 55' building pads. The existing wetland area extends
across approximately half of the building pad area. The wetland area will need to be filled in order to construct the pile
supported building, driveway and parking underneath the proposed building.
3e. Describe the overall project in detail, including the type of equipment to be used:
The wetland area will be filled to provide a suitable building area and driveway to the existing house pad in the Baycliff
PUD. Three feet of material will be graded into the existing wetland area from upland portion of the property and 1,410
square feet of wetlands will be impacted. Equipment utilized for this project to include an excavator or backhoe. Prior to
construction silt fence will be placed at the wetland interface to prevent intrusion of fill material into wetlands not permitted
for fill.
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
®Yes ®No El Unknown
project (including all prior phases) in the past?
Comments: Requested USACOE verification 8/9/17
4b. If the Corps made the jurisdictional determination, what type
Preliminary El Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas?
Agency/Consultant Company: Atlantic Environmental
Consultants, LLC
Name (if known): Doug Dorman
Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
5. Project History
5a. Have permits or certifications been requested or obtained for
❑ Yes ® No ❑ Unknown
this project (including all prior phases) in the past?
5b. If yes, explain in detail according to "help file" instructions.
Page 3 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Future Project Plans
6a Is this a phased project? ❑ Yes ® No
6b. If yes, explain.
Page 4 of 11
PCN Form — Version 1.3 December 10, 2008 Version

C. Proposed Impacts Inventory
1. Impacts Summary
1 a. Which sections were completed below for your project (check all that apply):
® Wetlands ❑ Streams - tributaries ❑ Buffers
❑ Open Waters ❑ Pond Construction
2. Wetland Impacts
If there are wetland impacts, proposed on the site, then complete this question for each wetland area impacted.
2a.
2b.
2c.
2d.
2e.
2f.
Wetland impact
Type of jurisdiction
number —
Type of impact
Type of wetland
Forested
(Corps - 404, 10
Area of impact
Permanent (P) or
(if known)
DWQ — non -404, other)
(acres)
Temporary T
W1 ®P ❑ T
404 wetland fill
Scrub shrub
❑ Yes
® No
® Corps
® DWQ
0.032
E] Yes Yes
❑
W2 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W3 ❑ P ❑ T
❑ No
❑ DWQ
El Yes
El Corps
W4 ❑ P ❑ T
❑ No
❑ DWQ
❑ Yes
❑ Corps
W5 ❑ P ❑ T
❑ No
❑ DWQ
F] Yes
El Corps
W6 ❑ P ❑ T
❑ No
❑ DWQ
2g. Total wetland impacts
0.032
2h. Comments:
3. Stream Impacts
If there are perennial or intermittent stream impacts (including temporary impacts) proposed on the site, then complete this
question for all stream sites impacted.
3a.
3b.
3c.
3d.
3e.
3f.
3g•
Stream impact
Type of impact
Stream name
Perennial
Type of jurisdiction
Average
Impact
length
number -
Permanent (P) or
(PER) or
intermittent
(Corps - 404, 10
DWQ — non -404,
stream
width
(linear
Temporary (T)
(INT)?
other)
(feet)
feet)
❑ PER
❑ Corps
S1 ❑ P ❑ T
❑ INT
❑ DWQ
E] PER
El Corps
S2 El P F1 T
❑ INT
❑ DWQ
❑ PER
❑ Corps
S3 ❑ P ❑ T
❑ INT
❑ DWQ
[:1 PER
El Corps
S4 ❑ P ❑ T
❑ INT
❑ DWQ
[:1 PER
[:1 Corps
S5 [:1 P ❑ T
[:11 NT
❑ DWQ
❑ PER
❑ Corps
S6 ❑ P ❑ T
❑ INT
❑ DWQ
3h. Total stream and tributary impacts
3i. Comments:
Page 5 of 11
PCN Form — Version 1.3 December 10, 2008 Version

4. Open Water Impacts
If there are proposed impacts to lakes, ponds, estuaries, tributaries, sounds, the Atlantic Ocean, or any other open water of
the U.S. then individually list all open water impacts below.
4a.
4b.
4c.
4d.
4e.
Open water
impact number -
Name of waterbody
(if applicable)
Type of impact
Waterbody type
Area of impact (acres)
Permanent (P) or
Temporary T
01 ❑P❑T
02 ❑P❑T
03 ❑ PEI T
04 ❑ PEI T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If pond or lake construction proposed, the complete the chart below.
5a.
5b.
5c.
5d.
5e.
Wetland Impacts (acres)
Stream Impacts (feet)
Upland
Pond ID
Proposed use or purpose
(acres)
Flooded
Filled
Excavated
Flooded
Filled
Excavated
Flooded
number
of pond
P1
P2
5f. Total
5g. Comments:
5h. Is a dam high hazard permit required?
❑ Yes ❑ No If yes, permit ID no:
5i. Expected pond surface area (acres):
5j. Size of pond watershed (acres):
5k. Method of construction:
6. Buffer Impacts (for DWQ)
If project will impact a protected riparian buffer, then complete the chart below. If yes, then individually list all buffer impacts
below. If any impacts require mitigation, then you MUST fill out Section D of this form.
6a.
❑ Neuse ❑ Tar -Pamlico ❑ Other:
Project is in which protected basin?
❑ Catawba ❑ Randleman
6b.
6c.
6d.
6e.
6f.
6g.
Buffer impact
number -
Reason
Buffer
Zone 1 impact
Zone 2 impact
Permanent (P) or
for
Stream name
mitigation
(square feet)
(square feet)
Temporary T
impact
required?
El Yes
B1 ❑P❑T
❑ No
❑Yes
B2 ❑ PEI T
❑ No
El Yes
B3 ❑ PEI T
❑ No
6h. Total buffer impacts
6i. Comments:
Page 6 of 11
PCN Form - Version 1.3 December 10, 2008 Version

D. Impact Justification and Mitigation
1. Avoidance and Minimization
1 a. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The building pad for lot 115 is 35'x 55' within a limited common area of 6,437 square feet. The building pad area is very small
and the design alternatives are extremely limited therfore avoiding the wetland area is not an option.
1 b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
The house will be a pile supported structure which could minimize the proposed impacts but this would not allow for enough
parking for the residence. In addition, having a wetland area directly under the house would not be a safe or sanitary situation
for the residents.
2. Compensatory Mitigation for Impacts to Waters of the U.S. or Waters of the State
2a. Does the project require Compensatory Mitigation for
impacts to Waters of the U.S. or Waters of the State?
® Yes ❑ No
2b. If yes, mitigation is required by (check all that apply):
® DWQ ® Corps
2c. If yes, which mitigation option will be used for this
project?
® Mitigation bank
El Payment to in-lieu fee program
❑ Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank: Great Dismal Swamp Restoration Bank (GDSRB)
3b. Credits Purchased (attach receipt and letter)
Type Non-Riparian
Quantity 0.65
3c. Comments: Letter of wetland credit availability from GDSRB enclosed with PCN Form.
4. Complete if Making a Payment to In-lieu Fee Program
4a. Approval letter from in-lieu fee program is attached.
❑ Yes
4b. Stream mitigation requested:
linear feet
4c. If using stream mitigation, stream temperature:
❑ warm ❑ cool ❑cold
4d. Buffer mitigation requested (DWQ only):
square feet
4e. Riparian wetland mitigation requested:
acres
4f. Non-riparian wetland mitigation requested:
acres
4g. Coastal (tidal) wetland mitigation requested:
acres
4h. Comments:
5. Complete if Using a Permittee Responsible Mitigation Plan
ra-If using a permittee responsible mitigation plan, provide a description of the proposed mitigation plan.
Page 7 of 11
PCN Form — Version 1.3 December 10, 2008 Version

6. Buffer Mitigation (State Regulated Riparian Buffer Rules) — required by DWQ
6a. Will the project result in an impact within a protected riparian buffer that requires
❑ Yes ® No
buffer mitigation?
6b. If yes, then identify the square feet of impact to each zone of the riparian buffer that requires mitigation. Calculate the
amount of mitigation required.
6c.
6d.
6e.
Zone
Reason for impact
Total impact
Multiplier
Required mitigation
(square feet)
(square feet)
Zone 1
3 (2 for Catawba)
Zone Z
1.5
6f. Total buffer mitigation required:
6g. If buffer mitigation is required, discuss what type of mitigation is proposed (e.g., payment to private mitigation bank,
permittee responsible riparian buffer restoration, payment into an approved in -lieu fee fund).
6h. Comments:
Page 8 of 11
PCN Form — Version 1.3 December 10, 2008 Version

E. Stormwater Management and Diffuse Flow Plan (required by DWQ)
1.
Diffuse Flow Plan
1 a.
Does the project include or is it adjacent to protected riparian buffers identified
❑ Yes ® No
within one of the NC Riparian Buffer Protection Rules?
1 b.
If yes, then is a diffuse flow plan included? If no, explain why.
❑ Yes ❑ No
Comments:
2.
Stormwater Management Plan
2a.
What is the overall percent imperviousness of this project?
18.3%
2b.
Does this project require a Stormwater Management Plan?
❑ Yes ® No
2c.
If this project DOES NOT require a Stormwater Management Plan, explain why: Existing
Planned Unit Development.
Stormwater permit issued by the state when subdivsion was developed and approved by the Town of Kill Devil Hills.
2d.
If this project DOES require a Stormwater Management Plan, then provide a brief, narrative description of the plan:
❑ Certified Local Government
2e.
Who will be responsible for the review of the Stormwater Management Plan?
® DWQ Stormwater Program
❑ DWQ 401 Unit
3.
Certified Local Government Stormwater Review
3a.
In which local government's jurisdiction is this project?
Kill Devil Hills
❑ Phase II
3b.
Which of the following locally -implemented stormwater management programs
El NSW
❑ USMP
apply (check all that apply):
❑ Water Supply Watershed
® Other: County Standards
3c. Has the approved Stormwater Management Plan with proof of approval been
❑ Yes ® No
attached?
4.
DWQ Stormwater Program Review
® Coastal counties
❑ HQW
4a.
Which of the following state -implemented stormwater management programs apply
❑ ORW
(check all that apply):
❑ Session Law 2006-246
❑ Other:
4b.
Has the approved Stormwater Management Plan with proof of approval been
❑Yes No
attached?
5. DWQ 401 Unit Stormwater Review
5a.
Does the Stormwater Management Plan meet the appropriate requirements?
® Yes ❑ No
5b.
Have all of the 401 Unit submittal requirements been met?
® Yes ❑ No
Page 9 of 11
PCN Form — Version 1.3 December 10, 2008 Version

F.
Supplementary Information
1.
Environmental Documentation (DWQ Requirement)
1 a.
Does the project involve an expenditure of public (federal/state/local) funds or the
❑ Yes
® No
use of public (federal/state) land?
1 b.
If you answered `yes" to the above, does the project require preparation of an
environmental document pursuant to the requirements of the National or State
❑ Yes
® No
(North Carolina) Environmental Policy Act (NEPA/SEPA)?
1 c.
If you answered `yes" to the above, has the document review been finalized by the
State Clearing House? (If so, attach a copy of the NEPA or SEPA final approval
El Yes
No
letter.)
Comments:
2.
Violations (DWQ Requirement)
2a.
Is the site in violation of DWQ Wetland Rules (15A NCAC 2H .0500), Isolated
Wetland Rules (15A NCAC 2H .1300), DWQ Surface Water or Wetland Standards,
❑ Yes
® No
or Riparian Buffer Rules (15A NCAC 2B .0200)?
2b.
Is this an after -the -fact permit application?
❑ Yes
® No
2c.
If you answered "yes" to one or both of the above questions, provide an explanation of the violation(s):
3.
Cumulative Impacts (DWQ Requirement)
3a.
Will this project (based on past and reasonably anticipated future impacts) result in
Yes
No
additional development, which could impact nearby downstream water quality?
3b. If you answered `yes" to the above, submit a qualitative or quantitative cumulative impact analysis in accordance with the
most recent DWQ policy. If you answered "no," provide a short narrative description.
4.
Sewage Disposal (DWQ Requirement)
4a.
Clearly detail the ultimate treatment methods and disposition (non -discharge or discharge) of wastewater generated from
the proposed project, or available capacity of the subject facility.
Planned Unit Development (PUD) with central wastewater system.
Page 10 of 11
PCN Form — Version 1.3 December 10, 2008 Version

5. Endangered Species and Designated Critical Habitat (Corps Requirement)
5a. Will this project occur in or near an area with federally protected species or
❑ Yes ® No
habitat?
5b. Have you checked with the USFWS concerning Endangered Species Act
® Yes ❑ No
impacts?
® Raleigh
5c. If yes, indicate the USFWS Field Office you have contacted.
❑ Asheville
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
Contacted Raleigh USFWS office.
6. Essential Fish Habitat (Corps Requirement)
6a. Will this project occur in or near an area designated as essential fish habitat?
❑ Yes ® No
6b. What data sources did you use to determine whether your site would impact Essential Fish Habitat?
The wetland area would not support Essential Fish Habitat.
7. Historic or Prehistoric Cultural Resources (Corps Requirement)
7a. Will this project occur in or near an area that the state, federal or tribal
governments have designated as having historic or cultural preservation
❑ Yes ® No
status (e.g., National Historic Trust designation or properties significant in
North Carolina history and archaeology)?
7b. What data sources did you use to determine whether your site would impact historic or archeological resources?
Contacted State Archeology Department for an Environmental Review determation.
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA -designated 100 -year floodplain?
❑Yes ® No
8b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? Dare County flooplain maps and recent elevation
survey.
Doug Dorman
,�
8/9/17
Applicant/Agent's Printed Name
o Applicant/Agent's Signature
Date
(Agent's signature is valid only if an authorization letter from the applicant
isprovided.)
Page 11 of 11
PCN Form — Version 1.3 December 10, 2008 Version

AUTHORIZATION TO ACT AS REPRESENTATIVE FORM
Property Legal Description:
DEED BOOK: 1019 PAGE NO: 204 PLAT CABINET AND SLIDE: 91D
PARCEL ID: 0398731035855
STREET ADRESS: 115 Baycliff Trail
Please Print:
Property Owner: Dianne Boyce
Property Owner: Diane Boyce
The undersigned property owners of the above noted property, so hereby authorize
Doug Dorman , of Atlantic Environmental Consultants, LLC to,
(Contractor/Agent) (Name of consulting firm)
1. Act on my behalf and take all actions necessary for the processing, issuance and
acceptance of permits and/or certifications and any all standard and special
conditions attached.
2. Enter the property to obtain site information including inspections with regulatory
agencies (Dare County, North Carolina Department of Environmental Quality,
U.S. Army Corps of Engineers, etc.) for the purpose of obtaining permits and/or
certifications.
Property Owners Address (if different than property above):
20 Croatan Ct Manteo NC 27954
Property Owners Telephone Number: 252-202-6922
We hereby certify that the above information submitted in this application is true and
accurate to the best of our knowledge.
zum 16
Authorized SignatureMd Title Authorized Signature and Title
08/07/2017
Date: Date:

The Great Dismal Swamp RestorationBank, LLC
P. O. Box 6186
Chesapeake, VA 23323
August 7, 2017
Mr. Doug Dorman
Atlantic Environmental Consultants
P.O Box 3266
Kitty Hawk, NC 27949
RE: Baycliff Subdivision
Lot 115 Baycliff Trail
Kill Devil Hills, NC
Dear Mr. Dorman:
Phone [phone]
Fax [phone]
The information is submitted in reply to your request for the availability status of 0.10 wetland mitigation credits (HUC
Code 03010205) from The Great Dismal Swamp RestorationBank Timberlake Farm for your project. These credits are
currently available from our Timberlake mitigation bank.
This letter of availability will expire on October 31, 2017. You will need to submit to the USCOE the necessary
application for said mitigation, and receive USCOE permission to furnish said required credits from our Timberlake bank.
To complete this transaction, we will require payment in full. Once payment is received, the credit sale will be reported
to the US Army Corps of Engineers. Please provide and/or confirm the following information:
Corps Project #:
Waterway:
Permittee Name:
Locality of Impact:
Permit action (i.e., IP, NWP-39, enforcement, etc.)
Impacts (acres/linear feet):
Impacts NWI classification:
Impacts Hydrologic Unit Code: 03010205
Mitigation Bank, Permittee, and Consultant agree not to discuss with any other party the details and/or pricing of this
agreement, unless necessary for regulatory matters. Information contained herein shall be held in the strictest
confidence.
Thank you for allowing us to provide services for this project. We look forward to working with you.
Sincerely, /
Beverly M. ite
GDSRB
Manager- Accounting / Sales
CC: File

(208;
KITTY HAVK BAY
CF.
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BAY
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VICINITY MAP NTS
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PG. 601
"LIMITED COMMON AREA"
NOTES:
Address, 115 Baycliff Trail
Sl 0'30'22"E � �
Total of 'Limited Common Area' � 35.00' �ti� � c0
(Including 'Fee Simple Area')= 6,437 Sq.Ft. J 17.7' ,3 N
Fee SImple Area = 1,925 Sq, Ft. OL coil PROP D �
` DWE N rs
( 113 ` r ON PIN _
D.B. 1583, N PART:
\ — / PG. 286 Z �` EN� D 1 ( 117 )
ao
I �
z 1 _
Ln
D.B. 1954,
WETLANDS LINE U' W PG. 423
AS FLAGGED &
LOCATED -�-
PROPSED WETLAND I
AREA (1,410 SF)
PROPSED SILT-
FENCE
ILTFENCE
f-
�i— Sots
:7 0)
inE UNE pNLY) X55.9 7'
LEGEND: °
WETLAND FILL AREA 1,410 SF (0.032 ACRES)
PROPOSED DRIVEWAY LOCATION
— — — — — — — EXISTING 404 WETLAND LINE
PROPERTY BOUNDARY
J
pl.Y� i
.:E EX
:.
`•' REBAR
EDGE OF 6" DEEP
ASPHALT
BAYCLIFF TRAIL
(30' R/W)
SITE PLAN FOR NATIONWIDE #18 PERMIT
DIANE BOYCE
LOT 115 BAYCLIFF SUBDIVISION
KILL DEVIL HILLS - DARE COUNTY - NORTH CAROLINA
15' 0' 30' 60' 90'
ATLANT/C ENI//RO/1/iyENTAL CONSULTANTS, LLC
GRAPHIC SCALE 1"= 30 P.O. 9OX 3266, K/TTY H,4W, N.C. 27949
[phone], a moi/ dougdoec®gmoi/.com
FILE: BOYCE 2017 DATE: 8/9/17 REVISED: