20090820 Ver 1_Application_20090730

F
a
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
BEVERLY EAVES PERDUE
GOVERNOR
Mr. Brian Wrenn
Division of Water Quality
401/Transportation Permitting Unit
1650 Mail Service Center
Raleigh, NC 27699-1650
July 24, 2009
tier-lam ? `009 U
EUGENE A. WIT 1, JR.
SECRETARY
090820
SUBJECT: Pipe Replacement on SR 1134 (Carson Road), Gaston County
Dear Mr. Wrenn:
The North Carolina Department of Transportation proposes to replace an existing 40-foot long,
72" CMP with a 50-foot long, 128" x 83" CMP with inlet/outlet headwalls on SR 1134 (Carson
Road) in Gaston County. The upstream channel meanders sharply at the existing pipe inlet and
is eroding the adjacent left bank; therefore, -30 feet of stream channel will be filled in to create
a "bankfull" bench and the stream channel reconstructed at a better alignment with the proposed
pipe. The right bank in this area will be excavated to bankfull elevation which will extend to the
edge of the 128" pipe and then slope to existing contours. Five feet of Class 11 riprap will be used
at the pipe inlet and outlet for structural stabilization. Approximately 40 feet of existing riprap,
which appears to have been placed during utility line construction, is located on the downstream
banks and bed. Temporary cofferdams/pumping will be used to divert the stream around the
construction site as needed. Area affected by temporary cofferdam system will be restored back
to pre-project conditions. The scope of the work will result in a total of 40 feet of permanent
impacts to an unnamed tributary to Crowders Creek, which is classified as Class C Waters by the
Division of Water Quality.
The project area is not located within 'h mile of any critical watershed area nor is SR 1134 a rural
or urban arterial; therefore, hazardous spill basins are not required. Enclosed is the hazardous
spill basin checklist. This office has conducted a GIS and field survey for the project for
historical sites and threatened/endangered species sites. No sites listed on the National Register
of Historic Places are located in the vicinity of the project nor did there appear to be any eligible
structures. The federally listed species for Gaston County (USFSW listed date January 31, 2008)
include Schweinitz's sunflower (Helhmthus schweinitzii) .- Endangered (E) and the Bog turtle
(Clemmys muhlenbergii)- Threatened due to Similarity of Appearance (T S/A). National Heritage
Program records document the nearest Schweinitz's Sunflower location approximately 9.5 miles
northeast of the proposed project area. The sunflower is usually found in upland open areas
protected from shade or excessive competition. There is no potential habitat within the proposed
Post Office Box 47 Shelby, North Carolina 28151-0047
SR 1134, Carson Road
Page 2
July 24, 2009
project area; however, no species were observed during the site visit. No impact on the species is
anticipated. National Heritage Program records document the nearest bog turtle location
approximately 6.5 miles northwest of the proposed project area. Bog turtles are usually found in
bogs, marshes, and wet pastures. There is no suitable habitat located within the project area and
no species were observed. No impact on the species is anticipated.
1 have enclosed a pre-construction notification for a NW#14, sketches of planned activities and
location maps relative to the project.
Project information for the 401 Automated Payment Procedure is as follows:
• Work order number: 150456-55120005-12B.203611-3126
• TIM NA..
• Project Category: $240.00,Fee
If you have any questions or concerns please feel free to contact me at [phone]. Thank you for
your time and consideration on this matter.
Respectfully yours,
M.L. Holder, P.E.
Division Engineer
Twelfth Division
BY:
Trish Simon
Division 12 Environmental Supervisor
Enclosures
TFgOG
O?Oq- I NA
> y
O T
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
la. Type(s) of approval sought from the
Corps:
®Section 404 Permit ? Section 10 Permit
1b. Specify Nationwide Permit (NWP) number:. 14. or General Permit (GP) number:
1c. Has the NWP or GP number been verified by the Corps? ? Yes N No
1d. 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
le. 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
1f. 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
1g. Is the project located in any of NC's twenty coastal counties. If yes, answer 1h
below. ? Yes ® No
1h. Is the project located within a NC DCM Area of Environmental Concern (AEC)? ? Yes ® No
2. Project Information
2a Name of project: SR 1134 (Carson Road)
21b. County: Gaston
2c. Nearest municipality / town: Gastonia
2d. Subdivision name: NA
2e. NCDOT only, T.I.P. or state
project no '12B.203611
3. Owner Information
3a. Name(s) on Recorded Deed: NCDOT Right of Way
3b. Deed Book and Page No.
3c. Responsible Party (for LLC if
applicable):
3d. Street address:
3e. City, state, zip:
3f. Telephone no.:
3g. Fax no.:
3h. Email address:
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:
41b. Name: Mike Holder
4c. Business name
(if applicable): N.C. Department of Transportation, Division 12
4d. Street address: 1710 East Marion Street
4e. City, state, zip: Shelby, NC 28151
4f. Telephone no.: 704-480-9020
4g. Fax no.: 704-480-5401
4h. Email address: [e-mail]
5. Agent/ConsultantInformation (if applicable)
5a. Name: Trish Simon
5b. Business name
(if applicable):. N.C. Department of Transportation, Division 12
5c. Street address: 1710 East Marion Street
5d. City, state, zip: Shelby, NC 28151
5e. Telephone no.: 704-480-9044
5f. Fax no.: 704-480-5401
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): NA
Latitude: 35.2407899 Longitude: -
1 b. Site coordinates (in decimal degrees): 81.2419593
(DD.DDDDDD) (-DD.DDDDDD)
1 c. Property size: <.10 acres
2. Surface Waters
2a. Name of nearest body of water (stream, river, etc.) to UT to Crowders Creek
proposed project:
2b. Water Quality Classification of nearest receiving water: C
2c. River basin: Catawba
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:
Existing 40-foot, 72" CMP. Landuse is residental. Pipes are on paved secondary road.
3b. List the total estimated acreage of all existing wetlands on the property: '
0
3c. List the total estimated linear feet of all existing streams (intermittent and perennial) on the property:
160
3d. Explain the purpose of the proposed project:
The purpose of the proposed work is to replace a deteriorating pipe for the safety of the travelling public.
3e. Describe the overall project in detail, including the type of equipment to be used:
NCDOT proposes to replace a deteriorating 40-foot long, 72" CMP with a 50-foot long, 128" x 83" CMP with inlet/outlet
headwalls. The upstream channel meanders sharply at the existing pipe inlet and is eroding the adjacent left bank;
therefore, -30 feet of stream channel will be filled in to create a "bankfull" bench and reconstructed at a better alignment
with the proposed pipe. The right bank in this area will be excavated to bankfull elevation and to the edge of the 128"
pipe and then sloped to existing contours. Five feet of Class II riprap will be used at the pipe inlet and outlet for structural
stabilization. Approximately 40 feet of riprap is located on the downstream banks and bed apparently from prior utility line
construction.
Temporary cofferdams/pumping will be used to divert the stream around the construction site as needed. Area affected
by temporary cofferdam system will be restored back to pre-project conditions. The Project will be constructed using
typical heavy equipment (trackhoe, backhoe, etc.).
4. Jurisdictional Determinations
4a. Have jurisdictional wetland or stream determinations by the
Corps or State been requested or obtained for this property /
project (including all prior phases) in the past? ? Yes ® No ? Unknown
Comments: Jurisdictional stream determination made by
Division 12 DEO.
41b. If the Corps made the jurisdictional determination, what type
? Preliminary ? Final
of determination was made?
4c. If yes, who delineated the jurisdictional areas? Agency/Consultant Company:
Name (if known): Other:
4d. If yes, list the dates of the Corps jurisdictional determinations or State determinations and attach documentation.
Page 3 of 11
PCN Form - Version 1.3 December 10, 2008 Version
5. Project History
5a. Have permits or certifications been requested or obtained for
this project (including all prior phases) in the past? ? Yes ® No ? Unknown
5b. If yes, explain in detail according to "help file" instructions.
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 ? Yes ? Corps
? No ? DWQ
W2 ? P ? T ? Yes ? Corps
? No ? DWQ
W3 ? P ? T ? Yes ? Corps
? No ? DWQ
W4 ? P ? T ? Yes ? Corps
? No ? DWQ
W5 ? P ? T ? Yes ? Corps
? No ? DWQ
W6 ? P ? T ? Yes ? Corps
? No ? DWQ
2g. Total wetland impacts
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
number - (PER) or (Corps - 404, 10 stream length
Permanent (P) or intermittent DWQ - non-404, width (linear
Temporary (T) (INT)? other) (feet) feet)

S1 ®P ? T Fill in stream
(increase in pipe Ut to Crowders ® PER ® Corps
-
3
10
length) Creek ?INT ®DWQ
Stream
S2 ®P ? T relocation/Rock- Ut to Crowders ® PER ® Corps 3 30
faced bench Creek ? INT ® DWQ
construction
S3 ? P ®T Cofferdam/ Ut to Crowders ® PER ® Corps 3 15
bypass pumping Creek ? INT ® DWQ
S4 ? P ? T ? PER ? Corps
? INT ? DWQ
S5 ? P ? T ? PER ? Corps
? INT ? DWQ
S6 ? P ? T ? PER ? Corps
? INT ? DWQ
3h. Total stream and tributary impacts 55
3i. Comments: Ten feet of riprap impacts from structure stabilization is contained within the impacts of the rock faced bench
construction on the upstream side and the existing riprap impacts on the downstream side.
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 Name of waterbody
impact number - (if applicable) Type of impact Waterbody type Area of impact (acres)
Permanent (P) or
Temporary T
01 ?P?T
02 ?P?T
03 ?P?T
04 ?P?T
4f. Total open water impacts
4g. Comments:
5. Pond or Lake Construction
If and or lake construction proposed, then complete the chart below.
5a. 5b. 5c. 5d. 5e.
Wetland Impacts (acres) Stream Impacts (feet) Upland
Pond ID Proposed use or purpose (acres)
number of pond
Flooded Filled Excavated Flooded Filled Excavated Flooded
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):
51k. 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 an impacts require mitigation, then you MUST fill out Section D of this form.
6a.
? Neuse ?Tor-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?
?Yes
B1 ?P?T ? No
B2 ?P?T ?Yes
? No
B3 ?P?T ?Yes
? 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
la. Specifically describe measures taken to avoid or minimize the proposed impacts in designing project.
The relocation of the upstream channel will prevent continued erosion and bank sloughing into the stream. The stream
channel will be reconstructed to "normal" stream dimensions based upon upstream and downstream cross-sections.
1b. Specifically describe measures taken to avoid or minimize the proposed impacts through construction techniques.
Minimization of impacts by installing appropriate erosion control measures.
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
? Payment to in-lieu fee program

? Permittee Responsible Mitigation
3. Complete if Using a Mitigation Bank
3a. Name of Mitigation Bank:
3b. Credits Purchased (attach receipt and letter) Type Quantity
3c. Comments:
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
5a. 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
buffer mitigation? ? Yes ®No
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.

Zone 6c.
Reason for impact 6d.
Total impact
(square feet)
Multiplier 6e.
Required mitigation
(square feet)
Zone 1 3 (2 for Catawba)
Zone 2 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
1a . 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.
E3 Yes No
?
Comments:
2. Stormwater Management Plan
2a . What is the overall percent imperviousness of this project? 0%
2b . Does this project require a Stormwater Management Plan? ? Yes ® No
2c. If this project DOES NOT require a Stormwater Management Plan, explain why: Com plies with NCDOT's individual
NPDES permit NCS000250. (Implementation, management, and inspection of erosion control devices and control of
discharge sources (ie. construction equipment).
2d. If this project DOES require a Stormwater Management Plan, then provide a brief, na rrative 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? NA
? Phase II
3b. Which of the following locally-implemented stormwater management programs ? NSW
? USMP
apply (check all that apply): ? Water Supply Watershed
? Other:
3c. Has the approved Stormwater Management Plan with proof of approval been ? Yes ? No
attached?
4. DWQ Stormwater Program Review
? Coastal counties
HOW
?
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
attached? ? Yes ? No
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)
1a. Does the project involve an expenditure of public (federal/state/local) funds or the ® Yes ? No
use of public (federal/state) land?
1b. 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)?
1c. 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
letter.) ? Yes ? No
Comments: NA
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.
The project is a minimum criteria project which has low potential for cumulative/indirect impacts and wil l not result in
additional development which could impact water quality.
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.
Page 10 of 11
PCN Form -Version 1.3 December 10, 2008 Version
S. 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. ? Ashe
ille
v
5d. What data sources did you use to determine whether your site would impact Endangered Species or Designated Critical
Habitat?
NC Natural Heritage Program database.
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?
No salt marshes, oyster reefs, or seagrass beds in the vicinity of the project.
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?
The State Historic Preservation office resources and the National Register of Historic Places were reviewed for historic
sites in the vicinity of the project, however, the pipe replacement project occurs within a previously impacted area
(NCDOT Right of Way).
8. Flood Zone Designation (Corps Requirement)
8a. Will this project occur in a FEMA-designated 100-year floodplain? ? Yes ® No
81b. If yes, explain how project meets FEMA requirements:
8c. What source(s) did you use to make the floodplain determination? FEMA FIRM panal number: 3710353400E
7/24/09
Applicant/Agent's Printed Name Applicant/Agent's Signature Date
(Agent's signature is valid only if an authorization letter from the applicant
is provided.)
Page 11 of 11
PCN Form - Version 1.3 December 10, 2008 Version

i
Hatched area to be excavated down
from the proposed stream location
to back R approx. a 2 to 1 slope and
to be have col, fiber matting placed
on the sloped bank
Proposed stream
realignment w/
approx. linear T
V
distance of 24' M
J Drainage C Proposed 128' x 83' x 50'CMP
Ditch e Q with headwalls on both ends
°
20
V)
tfe ,0 L Existing 72' CMP with
4
`
ro Headwalls to be Removed
r
?1
Existing Edge of n
Stream to be
realigned w/ an Marked Gas Line
approx. center- . \ Marked Communication Line
line linear
\ \ Marked Waterline
'
distance of 32
I p ?a
\ ¢ Proposed Class 11 RIP Rap or
\ Shot Rock O all four corners
Existing Rlprep locac ed
10retnage
\
Ditch approx. 40'elong the
stream from the ero of
the outlet and of the
Rock face the edge of the proposed exist ing pipe
channel, embedding rock into the
streambed after placing colr fiber f
matt Ing on the flood bench to key 0 t^
1
1, the matting. ( Rock along the
(S)
?
,?
chenne 1 to be approx. 25' • - J
?
R

Not es
1) Pumping system to be used to
divert the stream around the
construction site as needed. Existing Riprap located
sporadic In the stream
21 Ary contaminated water within
the construction site Is to be
pumped into a slit beg
Lonc Block O waterline blow off
3) Silt fence is to be placed around with rebar in the top Assume
stock pile and project as It allows Elev. 100.0
4) Upon completion of the project all
slit fences are to be placed as
needed. Also seeding and mulching
of disturbed areas.
5) Proposed Pipe to be shifted 1.6' Sheet I of 3
from the centerline of the existing
pipe to the centerline of the Proposed 12th Div NCDOT
Pipe
Bridge Maintenance
6) Existing Streambed material to be pipe Replacement and
excavated and stored and to be reused Stream Adjustment
along the Proposed Channel
Larson Road SR 1134
7) Class B Riprap to be embeddedln the Gaston Co
ditch on both sides of the stream
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NCDOT
HAZARDOUS SPILL BASIN CHECKLIST
Division: 12 County: C;nctnn Project ID: 1213.203611
River Basin: Catawba Bridge No: NA
Route: SR 1134, Carson Road
Water Quality Criteria:
Stream: Ut to Crowders Creek
Yes No
Stream Crossing Blue Line On USGS R- G
ORW r r
WS1 ? R
WS IIJI1 OR N, Crossing Within 0.5mi of W.S. Critical Area r r
Roadway Criteria:
Route Designation-
Additional Site Information:
Arterial Urban
Arterial Rural
Yes No
Is a Hazardous Spill Basin Required?
Yes No
J
r r
r r
Criteria Based Upon NCDOT "Best Management Practices for the
Protection of Surface Waters" (March, 1997).
Pipe Replacement
SR 1134, Carson Road
Gaston County

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Outlet

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Downstream
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