SW8910502_HISTORICAL FILE_20130502

STORMWATER DIVISION CODING SHEET
POST -CONSTRUCTION PERMITS
PERMIT NO.
SW8 LIIOS02
DOC TYPE
❑ CURRENT PERMIT
❑ APPROVED PLANS
HISTORICAL FILE
❑ COMPLIANCE EVALUATION INSPECTION
DOC DATE
2o13o502
YYYYMMDD

.K
Pat McCrory
Governor
May 2, 2013
NC®ENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Charles Wakild, P. E.
Director
Richard Dailey, Director of Environmental Health and Safety
Wal-Mart Stores, Inc.
508 SW 8 Street
Bentonville, AR 72716-0505
Subject: Stormwater Permit No. SW8 910502
Permit Renewal
Wal-Mart Store #1767 - Shallotte
High Density Commercial Project
Brunswick County
Dear Mr. Dailey:
John Skvarla
Secretary
On April 12, 2013, the Division of Water Quality (DWQ) received a permit Renewal application from
Wal-Mart Stores, Inc. The Division is hereby notifying you that ppermit SW8 910502 has been
renewed on May 2, 2013, and shall be effective until June 7, 2021. For your records, please find
enclosed a copy of the addendum to the previously issued permit and a copy of the renewal. Please
attach this cover letter and permit addendum to your permit originally issued on July 16, 1991 and as
modified thereafter.
This permit is subject to the conditions and limitations as specified in the addendum and previously,
issued permit. Please pay special attention to the conditions listed in this permit regarding the
Operation and Maintenance of the BMP(s), recordation of deed restrictions, procedures for changes
of ownership, transferring the permit, and renewing the permit. Failure to establish an adequate
system for operation and maintenance of the stormwater management system, to record deed
restrictions, to transfer the permit, or to renew the permit, will result in future compliance problems.
If any parts, requirements, or limitations contained in this permit are unacceptable, you have the right
to request an adiudicatory hearing by filing a written petition with the Office of Administrative
Hearings (OAH). The written petition must conform to Chapter 150B of the North Carolina General
Statutes, and must be filed with the OAH within thirty (30) days of receipt of this permit. You should
contact the OAH with all questions regarding the filing fee (if a filing fee is required) and/or the
details of the filing process at 6714 Mail Service Center, Raleigh, NC 27699-6714, or via telephone
at 919-431-3000, or visit their website at www.NCOAH.com. Unless such demands are made this
permit shall be final and binding.
If you have any questions, need additional copies of the permit or approved plans, please contact
Chris Baker with the Division of Water Quality in the Wilmington Regional Office at [phone].
Sincerely,
� a•,/, -�.,�c/.:�,�-C��: )�-ice
for Charles W 3kild, P.E., Director
Division of Water Quality
GDS/csb: S:IWQS1StormwalerlPermits & Projects119911910502 HD12013 02 permit renewal 910502
cc: Mary C. Murry, Apex Companies, LLC
Wilmington Regional Office Stormwater File
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Ralegh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: w .ncwatemuality.oro
Not thCarojina
Naturally
An Equal Opportunity l Affirmative Action Employer

STATE OF NORTH CAROLINA
DEPARTMENT OF ENVIRONMENT AND NATURAL RESOURCES
DIVISION OF WATER QUALITY
STATE STORMWATER MANAGEMENT PERMIT
HIGH DENSITY COMMERCIAL DEVELOPMENT
In accordance with the provisions of Article 21 of Chapter 143, General Statutes of
North Carolina as amended, and other applicable Laws, Rules, and Regulations
PERMISSION IS HEREBY GRANTED TO
Wal-Mart Stores, Inc.
Wal-Mart Store #1767-Shallotte
Brunswick County
FOR THE
construction, operation and maintenance of 2 wet detention ponds in compliance with
the provisions of 15A NCAC 2H .1000 (hereafter referred to as the "stormwater rules')
and the approved stormwater management plans and specifications and other
supporting data as attached and on file with and approved by the Division of Water
Quality and considered a part of this permit.
The permit is hereby renewed subject to the following addendums, clarifications,
conditions and limitations:
1. The original permit conditions contained in the permit issued on July 16, 1991
and as modified thereafter remain in full force and effect, except as amended
herein. (An additional copy of this original permit can be obtained from the
Division of Water Quality, Wilmington Regional Office.)
2. This permit shall be effective from the date of issuance until June 7, 2021.
3. The permittee shall submit a permit renewal application request at least 180
days prior to the expiration date of this permit. The renewal request must
include the applicable documentation and the processing fee.
4. Decorative spray fountains are allowed in a wet detention pond subject to the
following criteria:
a. The fountain must draw its water from less than 2' below the permanent
pool surface.
b. Separated units, where the nozzle, pump and intake are connected by
tubing, may be used only if they draw water from the surface in the
deepest part of the pond.
c. The falling water from the fountain must be centered in the pond, away
from the shoreline.
d. The maximum horsepower for these fountains in this pond is 1/8
horsepower.

- DWQ USE ONLY
Date Received
Fee Paid
I Permit Number
-/z -/-5
sos �zS5.3JS
S 0171,
State of North Carolina
Department of Environment and Natural Resources
Division of Water Quality
(NCDENR DWQ)
STORMWATER MANAGEMENT PERMIT RENEWAL APPLICATION FORM
This form may be photocopied for use as an original
This form is to be completed by the current permit holder pursuant to Title 15A NCAC 2H.1003 (h) (2). This states
that stormwater management permits, issued for.projects that require the construction of engineered stormwater
control measures (High Density Permits), shall be required to submit an application to renew the permit 180 days
prior to expiration of the permit. Renewed permits are valid for a period of 8 years per Session Law 2011-398 (SB
781) Section 60. (c).
I. SUBMITTAL REQUIREMENTS
Only complete application packages will be accepted and reviewed by the North Carolina Department of
Environment and Natural Resources (NCDENR) Division of Water Quality (DWQ). A complete package
includes all of the items listed below. The complete application package should be submitted to the
appropriate DWQ Regional Office. (The appropriate office may be found by clicking on the interactive online map
at http://portal.ncdenr.orJweb/req/home/ro. Copies of the original permit can be obtained from the Regional Office
of the Division of Water Quality.)
This Renewal is for STORMWATER PERMIT #: SW 8-9 -2 9iD5D Z
Please check which of the following permit renewal scenarios apply. Initial in the spaces provided that you have
provided the required information-
® A. Renewal Only:
-$SOS fee X
-Renewal Form -Sign and complete all sections (send original & 1 copy) ,t
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DWQ). Copies are
acceptable.
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.) t
-I Have a Copy of the Current Operation and Maintenance Agreement (O&M): Please Keep this on File
with your permit.
-1 Do Not Have a Copy of the Current O&M: Initial This Line to Request a copy. (If NCDENR DWQ does
not have a copy on file, then you will be notified to submit a new O & M form.)
❑ B. Renewal and Modification:
-$505 Fee and Pages 1 & 2 of this Renewal Form
-SWU-101 Application Form (http://portal.nalenr.org/web/w+ihos/su/statesro/Forms does )
-Recorded Documents Required By Permit: Deed restrictions, covenants, condominium/planned
community declaration & easements (if not already submitted to NCDENR DWQ). Copies are
acceptable.
- Under #11. 1. on SWU-101 Application Form -- Check Box for Modification w/Renewal
-Designer's Certification (if required by permit and not already received by NCDENR DWQ) (See the last
page of your permit for a copy of the certification form.)
- O&M Agreement (P+1(p llaortal.ncdenr orvlzvehharflzo'lsnlbu+p-rnnnuaD r= ff %= ny, q=
Form SWU-102 (Renewal Form) Rev 15Aug2012
Page I of APR 12 2013
BV:

D C. Renewal and Either: 1) Permit Transfer to a New Permittee or 2) Project Name Change:
Please submit all items in I.A. and,
Request a NCDENR DWQ site inspection if transferring permit to new property owner.
Submit One of the Two Following Forms below (forms available at:
Itttp://portal ncdenr ora/cveb/wghvg/<u/stitesw/forms docsatab 31:
1. HOA Name/Ownership Change Form: For planned communities (per Chapter 47C or
Chapter 47F of the General Statutes)
2. Name/Ownership Change Form: For all other transfers
Please make sure all required information is submitted with the Name/Ownership Change form (as
stated in each of the available forms) and that all required signatures and initials are filled in properly.
Otherwise the name change or transfer can not be processed and the original owner will remain as the
permit holder.
❑ D. Renewal. Modification and Transfer (or Name Change), Please submit pages 1 and 2 of this
Renewal form along with all items listed in I B. and C above (check this box and initial items in B.
& C. that you are submitting to NCDENR DWO)
II. APPLICANT'S CERTIFICATION
Note: The legally responsible party is the current permittee and/or the legally responsible representative until such time that the permit is
officially transferred through a request to DWQ by the permittee.
1, (print or type name ofpermittee or person legally responsible far the permit ) Richard Dailey
certify that I have a copy of the DWQ Approved Permit and O&M Agreement on -site (OR I have obtained a copy
from DWQ and it will be kept on site), that I am responsible for the performance of the maintenance procedures
and the site has been, and will be, maintained according to the O & M Agreement. I agree to notify DWQ of any
problems with the system and prior to any changes to the system or changes in ownership I will (or have through
this renewal application) notify NCDENR DWQ and submit the proper forms to modify or transfer the permit. All
information provided on this permit renewal application is, to the best of my knowledge, correct and complete.
Permittee Title:Director of Environmental Health, and Safetv
Address:508 SW 811' Street, Bentonville AR 72716-0505
NOTARIZATION:
I, _�n i in P_ i e-r rn a n f1 a Notary Public f r�the State of /r
Countyof Ik e n4-o rl do hereby certify that �zc r of ll'j l c t I =-Nj
personally appeared before me this day of LkI 4 1 I � , and acknowledge the due execution of the
forgoing stormwater BMP maintenance requirements. Witness my hand and official seal,
My commission expires: 712 1 11
Notary Si t. 11YILV.1rth� Date:
Form S W U-102 (Renewal Form) Rev 15Aug2012 Page 2 of 4
SEAL
P•12 2013
� N

III. GENERAL INFORMATION
1. Stormwater Management Permit Number: SW8-970502
2. Permit Holder's name (specify the name of the corporation, individual, etc.):
Walmart Stores Inc.
3. Print Owner/Signing Official's name and title (person legally responsible for permit):
Richard Dailey, Senior Director of Environmental Health and Safety
4. Mailing Address for person listed in item 2 above:
City:Bentonville State:AR Zip:72716-0505
Phone: (479 ) 204-9914
Email:[e-mail]
5. Project Name: Walmart Store #1767
6. Location of Project (street address):
Fax: (479 ) 204-9675
City:Shallote County:Brunswick Zip:28470
7. Directions to project (from nearest major intersection):
Heading North on Highway 17 (Main Street) from intersection of Main Street and Smith Avenue continue
approximately 500 feet and the store is on the left
Etl EIVE
Form SWU-102 (Renewal Form) Rev 15Aug2012 Page 3 of APR 12 2013

IV. PERMIT INFORMATION:
I. Specify the type of stormwater treatment: ❑Constructed Wetland ❑Bioretention ®Wet Detention Pond
❑Dry Detention Basin ❑Infiltration Basin ❑Infiltration Trench ❑Sand Filter ❑Other:
2. If any changes were made to the original DWQ approved project list them in the space below (attach additional
pages if needed and provide "As -Built" drawings with this application). If major changes have been made to your
project please request a plan revision or modification of the permit and submit "As Built' drawings along with a
final or updated stormwater system engineer certification (if not already provided to NCDENR). DWQ Engineer
and Designer Certification Forms are available from each NCDENR DWQ Regional Office.
Form SWU-102 (Renewal Form) Rev t5Aug20l2 Page 4 of APR 12 2013
Nd:

Letter of Transmittal
APEX
To:
Ms. Georgette Scott
NCDENR
Wilmington Regional Office
127 Cardinal Drive Extension
Wilmington, NC 28405
910-796-7215 FAX [phone]
Date: April 11, 2013
From:
Mary C. Murray
Apex Companies, LLC
136 Fairview Road, Suite 125
Mooresville, NC 28117
[phone], ext. 26
[e-mail]
-------------------------------------------------------------- - --
Enclosed, please find the Storm Water Permit Renewal Application, O&M Verification
eya�n&$-505enewal Fee for the Walmart Store #1767, Shallotte, NC (Permit #SW8-
ease be advised that Walmart has scheduled minor routine maintenance for
be completed prior to the renewal date. Please contact me with questions.
,
Mary C. Mu /
050 0�So�
V4 �� 0
iv
EICEUVE
APR 12 2013
BY:

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WAL*MART
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W. �7
ECEIVE
APR 12 2013

r
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins
Governor Director
March 15, 2011
Mr. Robert M. Bedard, Assistant Vice President
Wal-Mart Stores, Inc.
702 Southwest 8th Street
Bentonville, AR 72716
Subject: Permit Extension, Session Laws 2009-406 and 2010-177
Stormwater Permit #SW8 910502
High Density —Wal-Mart Store #1767-Shallotte
Brunswick County
Dear Mr. Bedard:
Dee Freeman
Secretary
On August 5, 2009, the Governor signed Session Law 2009-406. This law impacts any
development approval issued by the Division of Water Quality under Article 21 of
Chapter 143 of the General Statutes, which is current and valid at any point between
January 1, 2008, and December 31, 2010. The law extends the effective period of any
stormwater permit that is set to expire during this time frame to three (3) years from its
current expiration date. On August 2, 2010, the Governor signed Session Law 2010-
177 which grants an extra year for a total of four (4) years extension.
Accordingly, Stormwater Permit # SW8 910502 which has already expired on June 7,
2009, is now in effect until June 7, 2013. Please resubmit the renewal application and
fee at least 180 days prior to June 7, 2013, which would be December 7, 2012. A copy
of the Renewal Application can be obtained from the following website: .
http://portal,ncdenr.org/web/wq/ws/su/statesw/f6rms—docs.
If you have any questions, please contact the Division of Water Quality in the
Wilmington Regional Office at 910-796-7215.
Sincerely,
Georgette Scott
Stormwater Supervisor
Division of Water Quality
S:\WQS\STORMWATER\RENEWAL\SL2009-406 2010-177\910502.mar11
cc: Wilmington Regional Office
Wilmington Regional Office
127 Cardinal Drive Extension, Wilmington, North Carolina 28405 One
Phone: [phone] FAX: [phone] Customer service:1-877-623-6748 North Carotin 1
Internet: www.ncwaterquality.org Naturally
l//�
An Equal Oppormnily, l Affirmative Action Employer (/ y(t r

NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Pat McCrory Charles Wakild, P. E.
Governor Director
March 6, 2013
Mr. Robert M. Bedard, Assistant Vice President
Wal-Mart, Inc.
702 Southwest 8TH Street
Bentonville, AR 72716
Subject: PERMIT RENEWAL REQUEST
Stormwater Permit No. SW8910502
Wal-Mart Store # 1767 -Shallotte
Brunswick County
Dear Mr. Bedard:
John E. Skvarla, III
Secretary
The Division of Water Quality issued a Coastal Stormwater Management Permit, Number SW8 910502 to Wal-Mart
Stores, Inc. for a High Density project on June 7,1999. This permit expires on June 7, 2013. Per 15A NCAC
2H.1003(h) (the stormwater rules), applications for permit renewals shall be submitted 180 days prior to the
expiration of a permit and must be accompanied by a processing fee, which is currently set at $505.00. If this is still
an active project please complete and submit the enclosed renewal application within 30 days of receipt of this
notice. If this project has not been constructed and a permit is no longer needed, please submit a request to have the
permit rescinded. If you have sold the project please provide the name, mailing address and phone number of the
person or entity that is now responsible for this permit. Enclosed is a form for change of ownership, which should be
completed and submitted if the property has changed hands.
Your permit requires that upon completion of construction and prior to operation of the permitted stormwater
treatment system, a certification of completion be submitted to the Division from an appropriate designer for the type
of system installed. This is to certify that the permitted facility has been installed in accordance with the permit, the
approved plans, specifications and supporting documentation. If you have not already provided a Designers
Certification to our office, please include a copy with your permit renewal request and processing fee. A copy of the
certification form is enclosed for your convenience.
You should be aware that failure to provide the Designers Certification and the operation of a stormwater treatment
facility without a valid permit, are violations of NC General Statute 143-215.1 and may result in appropriate
enforcement action including the assessment of civil penalties of up to $10,000 per day.
If you have any questions, please feel free to contact David Cox at [phone].
Since , IT
r
e6orgette Scott
Stormwater Supervisor
GDS/dwc S:1WQ&StormwatehPermits & Projects119911910502HD12013 03 req_ren 910502
cc: Wilmington Regional Office File
Wilmington Regional Office
127 Cardinal Ddve Extension, Wilmington, North Carolina 28405 One
Phone: [phone] FAX: [phone] DENR Assistance: 1-877-523-6748 NorthCarotina
Internet: w .ncwalerquality.org a'�atmay
An Equal OppodunitylAtlinahve Action Employer �/{' �L{ `(

WalMart Gas #1767
Subject: WalMart Gas #1767
From: Paul Bartlett <[e-mail]>
,Date: Tue, 24 Jan 2006 14:19:05 -0500
To: linda Lewis <[e-mail]>, Cameron Weaver <Cameron. [e-mail]>
CC: [e-mail]
I called Vince Bredickas (770-242-9550) and discussed the subject site. He doesn't
want us to do a Plan Review for SW8 910502 (mod issued 11/22/04). New Town
requirements may impact the pond design, and the SW permit will then be modified.
Vince will contact us to schedule a review for the modification. In the meantime,
stop work on the Plan Revision application. I told Vince to keep the PR check.
Paul T. Bartlett, P.E.
Stormwater Express Permitting
Wilmington Regional Office
[phone] (direct)
[phone] (FAX)
email: paul.bartlett®ncmail.net
1 of 1 1/24/2006 2:21 PM

[C'a
R� - 1 . S
E N:;:,G I, N E,. R f ;N G
4191 Pleasant Hill Road, Suite 400
Duluth, GA 30096
770.242. 9550
fax 770.2,12.9560
i 11111A I
Project:
TO:
FROM:
RE:
Date:
Wal*Mart Gas #1767
4510 Main Street
Shallotte, NC 28470
North Carolina Department of Environment and Natural Resources
(NCDENR)
Vincent Bredickas, Core States Engineering
Wal*Mart #1767 permit number SW8-910502
December 27, 2005
For submission to the Express Permit Program along with a request for a plan revision, Core
States Engineering has prepared a narrative for a proposed site development project at the
existing Wal'Mart Store #1767. Previous to this submittal, Freeland & Kauffman Engineers
submitted a parking lot expansion project for Wal'Mart store #1767 to NCDENR (drawings from
Freeland & Kauffman dated May 13, 2004). NCDENR granted approval to Wal'Mart for this
expansion under storm water permit # SW8-910502. Since that approval, the parking lot
expansion was never built. This current submission includes the same parking lot expansion for
Wal'Mart (revised according to the Town of Shallotte's latest zoning ordinance for parking lot
design) with the addition of a fueling station to be owned and operated by Wal*Mart Stores.
The location of the site will be the North West corner of the existing store development complex
at the location of the former First Baptist Church of Shallotte. Compared to the previous
submission for the parking lot expansion only, the current submission's total area to be disturbed
and the area to be impervious remain the same. The total area of site to be disturbed is 1.35
acres with 1.04 acres of this area to be impervious. The impervious area includes both heavy and
light duty pavement. The site will be comprised of the following and will be accessed by two
drives leading from the most western Wal*Mart entrance from US HWY 17:
• 120' x 29' concrete slab fuel island with 4 fuel dispensers
• 120' x 29' canopy
194 sf kiosk for attendant. �•—' ••^
Paved parking lot with 55 customer parking spaces for Wal*Mart Store'
Landscaped buffer
8' wide concrete sidewalk along US HWY 17
Prior to this latest submission to include parking and fuel station development; Core States was
told by Linda Lewis of NCDENR that since the site layout is the only change fliom the previously
approved built -upon area (BUA) by NCDENR, that NCDENR would reguire.pnly Jwp s 1s.;of„plans-..-
and the above description of the site for approval under the existing Wal'fvlarfi storm water permit.
Georgia New Jersey Virginia Massachusetts Missouri Florida North Carolina New Brunswidk,CAN

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(FC_V1 � a IAMA
v t e[LD- fNCDENR
North Carolina Department of Environment and Natural Resources
127 CaI V Ili
l rdinal Drive, Wilmington NC 28405 [phone] FAX [phone]
Request for Express Permit Review
FILL-IN all information below and CHECK required Permit(s).
FAX or email to Cameron. [e-mail] along with a narrative and vicinity map of the project location.
Projects must be submitted by 9:00 A.M. of the review date, unless prior arrangements are made.
APPLICANT Name Sean Canoy
Company Wal*Mart Real Estate Business Trust
Address 702 S.W. 8th Street City/State Bentonville, AR Zip 72711 County Benton
Phone [phone]S00 Fax [phone] Finail sean.canoy®wal-mart.com
PROJECT Name Wal`Mart Gas g1767
PROJECT SYSTEM(S) TRIBUTARY TO Woodward Branch (STREAM NAME) shallotte River RIVER BASIN
ENGINEER/CONSULTANT Vincent Bredickas
Company Core states Engineering
Address 4191 Pleasant Hill Road City/State Duluth, GA Zip 30096 County Gwinnett
770 242 9550 FaX [phone] Email [e-mail]
State or National Environmental Policy Act (SEPA, NEPA) — EA or EIS Required ❑ Yes D No
❑ STREAM ORIGIN Determination; _# of stream Calls; Stream N
E STORMWA TER ❑ Low Density 0 High Density -Detention Pond ❑ High Density -Other
Wetlands MUST be addressed below ❑ Low Density -Curb & Gutter ❑ High Density- Infiltration ❑ Off Site
❑ COASTAL ❑ Excavation & Fill ❑ Bridges & Culverts ❑ Structures Information
MANAGEMENT ❑ Upland Development ❑ Marina Development ❑>Urban Waterfront
-----------------------------------------------------------------------------------------------------------------------------------------------------
0 LAND QUALITY Z Erosion and Sedimentation Control Plan with 1.35 acres to be disturbed.
WETLANDS (401) Wetlands on Property ❑ Yes ❑ No Isolated Wetlands on Property ❑ yes ❑ No
Check all that apply Wetlands Will Be Impacted ❑ Yes 0 No Wetland Impacts: Acre(s)
Wetlands Delineation has been completed ❑ Yes ❑ No ❑ Buffers Impacted: Acre(s)
USA COE Approval of Delineation completed ❑ Yes ❑ No
404 Application in process w/USACOE []Yes ❑No I Permit received from USACE ❑Yes ❑No
401 Application required ❑Yes ❑ No If Yes, ❑ Regular ❑ Express
------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Additional fees, not to exceed 50% of the original Express Review permit application fee, may be charged for
subsequent reviews due to the insufficiency of the permit applications.
SUBMITTAL DATES
SW
For DENR use only
Fee Split for multiple permits:
CAMA $ .
LOS $
401 S
Total Fee Amount $

�ce'ife
MAR 19 2013
9SP POSTg4'
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02 I R $ 01.320
0002007159 MAR07 2013
MAILED FROM ZIPCODE 28405
I North Carolina Department of Environment 8 Natural Resources •�
Division of Water Quality -Surface Water Protection Section
127 Cardinal Drive Extension
Wilminoton. NC 28405 -
Mr. Robert M. Bedard, Assistant Vice President.
Wal-Mart, Inc. RETURN TO SENDER
702Southwest 8rhSLreet Nolonger with company
i3entonvil]e,AR 72716 ❑ Notlistedindlreetoty
❑ Not atthls address
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