20180656 Ver 1_StreamlinedConsultationForm_20180514

Northern Lon -Eared Bat 4 d Re�le Stre�mlined Consultation Farm
Federal agencies shou�d use this form for the optional streamlined consultation framework for the northexn long-
eared bat (NLEB). This framework allows federal agencies to rely upon the U.S. Fish and Wildlife Service's
(USFW S) January 5, 2016, intra-Service Programmatic Biological Opinian (BO) on the fina14(d) rule for the
NLEB for section 7(a)(2) compliance by: (1) notifying the USFWS that ax� action agency wiil use the streamlined
framework; (2) describing the project with sufficient detail to support the required detenmination; and (3) enabling
the USFWS to track effects and determine if reinitiation of consultation is required per 50 CFR 402.16.
This form is not necessary if an agency determines that a proposed action will have no effect to the NLEB or if
the USFWS has concurred in writing with an agency's determination that a proposed action may affect, but is not
like�y to adversely affect the NI.EB (i.e., the standard informal consulta�ion process). Actions that may cause
prohibited incidenta� take require separate formal consultation. Providing this information does not address
section 7{a){2) campliance for any other listed species.
Information to Determine 4 d Rule Com liance: YES NO
1. Does the project occur wholly outside of the WN5 Zone'? ❑ �
2. Have you contacted the appropriate agency2 to determine if your praject is neaz � ❑
known hibernacula or materni roost trees?
3. Could the project disturb hibernating NLEBs in a known hibernaculum? ❑ �
4. CouZd the praject a�ter the entrance or interior environment of a known ❑ �
hibernaculum?
5. Does the praject remove any trees within 0.25 miles of a known hibernaculum at ❑ �
an time of ear?
6. Would the project cut oz destroy known occupied maternity roost trees, or any ❑ �
other trees within a 150-foat radius from the maternity roost trce from June 1
through July 31.
You are eligible to use this form if you have a�swered yes to question #1 or yes to question #2 and no to
questions 3, 4, 5 and 6. The remaind� of the form will be used by the USFWS to track our assumptions in the
BO.
Agency and Applicaat� (Name, Ernail, Phone No.): NCDOT, Division 12, Trish Beam,
pdbeam(a�ncd�, 980-552-4218
Project Name: Pipe replacement, SR 1547 (Wards Gap Road}, Cleveland County
Project Locatian (inc�ude coordinates if known): 35.565239, -81.598505
B�sic Projec� Description (provide narrative below or attach additional information): Replacement of
CMP with HDPE in same location.
1 http://www.fws.govlmidwesdendangered/mammalslnleblpdflWNSZone.pdf
Z See http;/Iwww.fws.gov/znidwesdendangered/mammalslnleb/nhisites.html
° If applicable - only needed for federal actions with applicants (e.g., for a permit, etc.) who are pariy to the consultation.

A enc Determination:
By signing this fortn, the action agency determines that this pro�ect may affect tYie NLEB, but that any
resulting incidental take of the NLEB is not prohibited by the fina14(d) rule.
If the USFWS does not respond within 30 days from submittal of this form, the action agency may
presume that its determination is informed by the best available information and that its project
responsibilities under 7(a)(2} with respect to �he NLEB are fulfilied through the USFWS January 5,
2Q16, Programrnatic BO. The actian agency wi11 update this determination annually for multi-year
activities.
The action agency understands that the USFWS presumes that all ac�ivities are implemented as
described herein. The action agency will prompdy repart any depariures from the described activities to
the appropriate USFWS Field Office. The action agency will provide the appropriate USFWS Field
Office with ihe results of any surveys conducted for the NLEB. Ynvolved parties will promptly notify th�
appropriate USFWS Field Office upon finding a dead, injured, or sick NLEB.
Signature: Date Submitted: � �a �
4 Any activity t.�at temporarily or permanently removes suitable £orested habitat, including, but not limited to, tree removal
from development, energy production and tramsmission, mining, agriculture, etc. (see page 48 of t1�e BO).
5 If the project removes less than 10 t�-ees and the acreage is unlaiown, repart the acreage as less than 0.1 acre.
6 If the activity includes tree cteari.ng in 7une and July, also include those acreage in April to October.