20131191 Ver 1_EEP Receipt_20160318

Montalvo, Sheri A
From: Williams, Kelly
Sent: Friday, March 18, 2016 10:36 AM
To: Rebekah Reid; Kendall, Preston
Cc: '[e-mail]'; todd tugwell ([e-mail]);
Montalvo, Sheri A
Subject: Ingles Hendersonville receipt for stream mitigation
Attachments: 20543 Ingles Hendersonville.pdf, MRTF 2013-02251 Ingles Hendersonville.pdf
Follow Up Flag: Follow up
Flag Status: Flagged
Good Morning,
Attached please find a payment receipt and COE Mitigation Responsibility Form for mitigation requirements satisfied
through the DEQ Division of Mitigation Services.
Please take a moment to review it and let me know if I may have overlooked something.
The permittee will receive the original receipt and form by mail. We appreciate the opportunity to assist with your
mitigation needs.
Please let me know if you have any questions or need further assistance.
Sincerely,
Kelly
Kelly Williams
Division of Mitigation Services
In -Lieu Fee Program Coordinator
Department of Environmental Quality
direct: 919.707.8915
[e-mail]
US Postal Service Address:
1652 Mail Service Center
Raleigh, NC 27699-1652
Nothing Compares
Email correspondence to and from this address is subject to the
North Carolina Public Records Law and may be disclosed to third parties.
Our Raleigh office is located at 217 West Jones St., Suite 3000A, Raleigh, N.C. 27603.
Parkine and visitor access information is available on the DMS website.
E-mail correspondence to and fi-om this address may be subject to the North Carolina Public Records Law and may be disclosed to third parties.

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: Ingles Markets/Randy Jameson
Project Name: Ingles Hendersonville
Action ID: SAW -2013-02251
County: Henderson
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, either an approved
Mitigation Bank or the Forth Carolina Ecosystem Enhancement Program (NCEEP), who will then sign the form to verify the
transfer of the mitigation responsibility; Oncethe Sponsor has signed this form, it is the Permittee's responsibility to
ensure that to the U.S. Army Corps of Engineers (USACE) Project Manager identified on page two is in receipt of a signed
copy of this form before conducting authorized impacts; unless otherwise specified below. If more than one mitigation
Sponsor will be used to provide the mitigation associated with the permit; or if the impacts and/or the mitigation will occur
in more than one 8 -digit Hydrologic Unit Code f HUC), multiple forms will be attached to the permit, and the separate forms
for each sponsor and/or HUC must be provided to the appropriate mitigation Sponsors.
Instructions to Sponsor:. The Sponsor must verify that the mitigation requirements (credits) shown below are available at
the identified site. By signing below, the Sponsor is accepting full responsibility for the identified' mitigation, regardless of
whether or not they have received payment from the Permittee. Once the form is signed, the Sponsor must update the
bank ledger and provide a copy of the signed form and the updated bank ledger to the Permittee, the USACE Project
Manager, and the Wilmington District Mitigation Office (see contact information on page 2). The Sponsor must also comply
with all reporting requirements established in their authorizing instrument.
Permitted Impacts and Compensatory Mitigation Requirements:.
Permitted impacts Requiring Mitigation* 8 -digit HUC and Basin: 06010105, French Broad River Basin.
Stream Impacts (linear feet) Wetland Impacts (acres)
Warm Cool
Cold Riparian Riverine Riparian Non-Riverine
Non -Riparian Coastal
300
*if more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8 -digit HUC and Basin: 06010105, French Broad River Basin
Stream Mitigation (credits) Wetland Mitigation (credits)
Warne Cool
Cold Riparian Riverine
Riparian Non-Riverine N.on-Riparian Coastal
300
Mitigation Site Debited: NCEEP
(List the name of the bank to be debited. For umbrella banks, also list the specific site. For NCEEP, list NCEEP.. If the NCEEP
acceptance letter identifies a specific site, also list the specific site to be debited).
Section to be completed by the Mitigation Sponsor
Statement of Mitigation Liability Acceptance: 1, the undersigned, verify that I am authorized to approve mitigation
transactions for the Mitigation Sponsor shown below, and l certify that the Sponsor agrees to accept full responsibility for
providing the mitigation identified in this document (seethe table above), associated with the USACE Permittee and Action
ID ,number shown. i also verify that released credits (and/or advance credits for NCEEP), as approved by the USACE, are
currently available at the mitigation site identified above. Further, I understand that if the Sponsor fails to provide the
required compensatory mitigation; the USACE Wilmington District Engineer may pursue measures against the Sponsor to
ensure compliance associated with the mitigation requirements.
`
Mitigation Sponsor Name: 1 C D IAS
Nance of Sponsor's Authorize Re esentative �Q.LL V IJIA KYt C
Signatu a of s -p nso s Authorized Representative Date of Signature
Page 1 of 2 Form Updated 23 October, 2013

USACE Wilmington District
Compensatory Mitigation Responsibility Transfer Form, Page 2
Conditions for Transfer of Compensatory Mitigation Credit:
• once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed form, the
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee remains
responsible for any other mitigation requirements stated in the permit conditions.
• Construction within jurisdictional areas authorized by the permit identified on page one of this form can begin only
aider the USACE Is in receipt of a copy of this document signed by the Sponsor, confirmingthat the Sponsor has
accepted responsibility for providing the mitigation requirements listed. herein. For authorized impacts conducted by
the North Carolina Department of Transportation {NCDOT), construction, within jurisdictional areas may proceed upon
permit issuance; however, a .copy of this form signed by the Sponsor must be provided to the USACE within 30 days of
permit issuance. NCDOT remains fully responsible for the mitigation until the USACE has received this form, confirming
that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
• Signed copies of this document must be retained by the Permittee, Mitigation Sponsor, and in the USACE
administrative records for both the permit and the Bank/ILF instrument. It is the Permittee's responsibility to ensure
that the USACE Project; Manager (address below) is provided with a signed copy of this form.
• If charges are proposed to the type, amount, or location of mitigation after this form has been signed and returned to
the USACE, the Sponsor mustobtaincase-by-case approval from the USACE Project Manager and/or North Carolina
Interagency Review Team (NCIRT). If approved, higher mitigation ratios ,nay be applied, as per current District
guidance and a new version of this form must be completed and included in the USACE administrative records for both
the permit and the Bank/ILF Instrument.
Comments/Additional Conditions:
This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on. Page 1. Once
signed, the Sponsor should provide, copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the
USACE Project Manager at the address below, and 3] the Wilmington District Mitigation Office, Attn: Todd Tugweil,
11405 Foals of Neuse Road, Wake Forest, NC 27587 femail. Codd tug [e-mail]. Questions regarding this form
or any of the permit conditions may be directed to the USACE Project Manager below.
USACE Project Manager: WiRiam Elliott
USACE Field Office: Ashevi?le Regulatory Field Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28841-5006
Email:
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USACE Project Manager Signature Crate of Signature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank location and availability, and credit classifications (including stream temperature and wetland groupings) is
available at http://ribits.usace arMy.mil,
Page 2 of 2
The Wilmington District is committed to providing the highest Ievel of support to the public. To help us ensure vee continue to do so, please cornplete the
Customer Satisfaction Survey 10 ated at our website at h"tp'//regulatoryusacesurvev.coml to:complete :the survey online.

Environmental
Quality
RECEIPT
March 18, 2016
Randy Jameson
Ingles Markets
PO Box 6676
Asheville, NC 28816
Project: Ingles Hendersonville
County: Henderson
WO permit #: 13-1191
COE#: 2013-02251
DMS#: 20543
Amount Paid: $117,000.00
Check Number: 427710
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secretary
The NCDEQ Division of Mitigation Services (DMS) has received a check as indicated above as payment for the
compensatory mitigation requirements of the 401 Water Quality Certification/Section 404/CAMA Permit(s) issued for the
above- referenced project. This receipt serves as notification that your compensatory mitigation requirements assigned to
DMS associated with the authorized activity as specified below have been satisfied. You must also comply with all other
conditions of this certification and any other state, federal or local government permits or authorization associated with this
activity including G.S. § 143-214.11.
The DMS, by acceptance of this payment, acknowledges that the Division is responsible for the compensatory mitigation
requirements indicated below associated with the project permit and agrees to provide the compensatory mitigation as
specified in the permit. Mitigation responsibility assigned to the DMS is nontransferable. The mitigation will be performed
in accordance with the In -Lieu Fee Program instrument dated July 28, 2010.
River Basin
Stream Credits
Wetland Credits
Buffer 1& II
HUC
(linear feet)
(acres)
(Sq. Ft.)
Cold Cool
Warm
Riparian
Non -Riparian
Coastal Marsh
French Broad
0 300
0
0
0
0
0
06010105
Refunds of payments made to NCDMS are only approved under certain conditions. All refund requests must be
submitted in accordance with the Division's refund policy at www.neeep.net. If you have any questions or need additional
information, please contact Kelly Williams at [phone].
Sincerely, ' -
eI Ilison
F�2� Director
cc: William Elliott, USACE-Asheville; Todd Tugwell, USACE-Raleigh
Rebekah Newton, agent
Sheri Montalvo, NCDWR Raleigh
�Nothiing Compares
State of North Carolina I Environmental Quality
1601 Mail Service Center I Raleigh, North Carolina 27699-1601
919-707-8600