20200798 Ver 2_SAW-2020-01055 (signed NWP)_20200806

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT

Action Id. SAW-2020-01055 County: Mecklenburg U.S.G.S. Quad: NC-Charlotte East

GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION

Permittee: Charlotte Water
Stephen Scott
Address: 5100 Brookshire Boulevard
Charlotte, NC 28216
Telephone Number: 980-219-9488
E-mail: [e-mail]

Size (acres) 6 Nearest Town Charlotte
Nearest Waterway Little Sugar Creek River Basin Santee
USGS HUC 03050103 Coordinates Latitude: 35.159579
Longitude: -80.853406
Location description: The review area is located along Little Hope Creek; on the north side of Tyvola Road. Reference review
area description shown in Pre-Construction Notification package entitled “Figure 1, Vicinity Map” and Dated 05/19/2020.

Description of projects area and activity: This verification authorizes the permanent stream impacts of 40 linear feet and wetland
impacts of 0.02 acres of wetlands along with the temporary stream and wetland impacts of 94 linear feet and 0.02 acres of
wetlands, respectively, to facilitate the construction of a new sewer linear. Temporary stream and wetland impacts will be
restored to pre-existing conditions after the completion of construction. See Table 1 for specific permanent and temporary
stream and wetland impacts.

Table 1. Proposed Impacts
Aquatic Feature Duration of Impact Amount of Impact Reason for Impact
Wetland AA Permanent 0.02 acre Conversion of forested
wetland
Wetland AA Temporary 0.02 acre Construction access
Stream G Temporary 30 linear feet Construction access
Stream G Permanent 10 linear feet Bank stabilization
Stream A Temporary 30 linear feet Construction access
Stream A Permanent 10 linear feet Bank stabilization
Stream C Temporary 34 linear feet Construction access
Stream C Permanent 20 linear feet Crossing

Applicable Law(s): ܈Section 404 (Clean Water Act, 33 USC 1344)
܆Section 10 (Rivers and Harbors Act, 33 USC 403)

Authorization: NWP 12. Utility Line Activities

SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS

Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated 6/17/2020, and the enclosed plans Little Hope Creek Basin Sanitary Sewer
Improvements Phase 1 dated June 2020. Any violation of the attached conditions or deviation from your submitted plans may
subject the permittee to a stop work order, a restoration order, a Class I administrative penalty, and/or appropriate legal action.

This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended
or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this
verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified
nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would
no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction)
or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide permit’s expiration, modification or revocation, unless discretionary authority has
been exercised on a case-by-case basis to modify, suspend or revoke the authorization.

Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.

For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management Morehead City, NC, at [phone].

This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits.

If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program,
please contact Bryan Roden-Reynolds at 704-510-1440or [e-mail].

Corps Regulatory Official: _____________________________________________________Date: 6/22/2020
Expiration Date of Verification: 03/18/2022

The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cm_apex/f?p=136:4:0

Copy furnished:

Agent: Carolina Wetland Services, Inc.
Megan Bollero
Address: 550 E. Westinghouse Boulevard
Charlotte, NC 28273
Telephone Number: 757-576-6433
E-mail: [e-mail]

RODEN REYNOLDS.BRYAN.KENNETH.1263385574 Digitally signed by RODEN REYNOLDS.BRYAN.KENNETH.1263385574
Date: 2020.06.22 15:31:14 -04'00'
SAW-2020-01055
SPECIAL CONDITIONS

a. In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance
with the provisions outlined on the most recent version of the attached Compensatory Mitigation Responsibility
Transfer Form. The requirements of this form, including any special conditions listed on this form, are hereby
incorporated as special conditions of this permit authorization.

Action ID Number: SAW-2020-01055 County: Mecklenburg

Permittee: Charlotte Water, Stephen Scott

Project Name: Little Hope Creek Sewer Improvements

Date Verification Issued: 6/22/2020

Project Manager: Bryan Roden-Reynolds

Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:

US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Bryan Roden-Reynolds
Charlotte Regulatory Office
U.S Army Corps of Engineers
8430 University Executive Park Drive, Suite 615
Charlotte, North Carolina 28262
or
[e-mail]

Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.

I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.

_______________________________________ ______________________
Signature of Permittee Date

MEMORANDUM FOR RECORD

SUBJECT: Department of the Army Memorandum Documenting General Permit
Verification

1.0 Introduction and overview: Information about the proposal subject to one or more of
the Corps regulatory authorities is provided in Section 1, detailed evaluation of the
activity is found in Sections 2 through 4 and findings are documented in Section 5 of this
memorandum. Further, summary information about the activity including administrative
history of actions taken during project evaluation is attached (ORM2 summary).

1.1 Applicant name: Charlotte Water, Stephen Scott

1.2 Activity location:Latitude: 35.159579 Longitude: -80.853406 Location description: The
review area is located along Little Hope Creek; on the north side of Tyvola Road.
Reference review area description shown in Pre-Construction Notification
package entitled “Figure 1, Vicinity Map” and Dated 05/19/2020.

1.3 Description of activity requiring verification:This verification would authorize the
permanent stream impacts of 40 linear feet and wetland impacts of 0.02 acres of
wetlands along with the temporary stream and wetland impacts of 94 linear feet
and 0.02 acres of wetlands, respectively, to facilitate the construction of a new
sewer linear. Temporary stream and wetland impacts will be restored to pre-
existing conditions after the completion of construction. See Table 1 for specific
permanent and temporary stream and wetland impacts.
Aquatic Feature Duration of Impact Amount of Impact Reason for Impact
Wetland AA Permanent 0.02 acre Conversion of forested
wetland
Wetland AA Temporary 0.02 acre Construction access
Stream G Temporary 30 linear feet Construction access
Stream G Permanent 10 linear feet Bank stabilization
Stream A Temporary 30 linear feet Construction access
Stream A Permanent 10 linear feet Bank stabilization
Stream C Temporary 34 linear feet Construction access
Stream C Permanent 20 linear feet Crossing

1.4 Is this an After-the-Fact verification? No.

1.5 Date PCN determined complete for processing: 6/19/2020

1.6 Jurisdiction Determination completed? No JD has been completed.

1.7 Permit authority: Section 404 of the Clean Water Act (33 USC 1344)

1.8 Applicable Permit: NWP 12. Utility Line Activities

1.9 Activity requires written waiver of NWP limits? No.

1.10 Activity requires a waiver from the requirements of a regional condition(s)? No.

2.0 Evaluation of the Pre-Construction Notification

2.1 Direct and indirect effects caused by the GP activity: The direct effects of the
proposed activity in waters would include the loss of jurisdictional waters (as
specified in Section 1.3) and their associated aquatic resource functions. The
proposed activity also has the potential to result in indirect effects to waters
including excess sedimentation in downstream waters, disruption and/or killing
of aquatic life in the direct vicinity of the project area, increase of downstream
flows, and blocking/restricting aquatic life passage transiting in and through the
project area. These indirect effects are expected to be minimal due to design
criteria and Best Management Practices (BMPs) required by Nationwide Permit
General and Regional Conditions. Additionally, indirect effects would be further
reduced through the implementation of BMPs required by state, local, and
Federal ordinances and regulations.

2.2 Site specific factors: The review area consists of 3,600-foot long corridor beginning
just north of Tyvola Road and extending northward along the floodplain of Little
Hope Creek to Seneca Place. The review area consists of undeveloped forested
areas and a sewer easement.

2.3 Coordination

2.3.1 Was the PCN coordinated with other agencies? No.

Agency coordination with the USFWS is required for the Northern Long Eared
Bat. However, the Corps is not required to wait for a response from the USFWS
Asheville Office in accordance with local procedures.

2.3.2 Was the PCN coordinated with other Corps offices? No.

2.4 Mitigation

2.4.1 Provide brief description of how the activity has been designed on-site to avoid and
minimize adverse effects, both temporary and permanent, to waters of the United States
to the maximum extent practicable at the project site:The applicant provided a
detailed statement describing their efforts to avoid and minimized impacts to
waters of the United States on the project site in the preconstruction notification.
Based on this information, the Corps believes the applicant has avoid and
minimized impacts to waters of the United State to the maximum extent
practicable.

2.4.2 Is compensatory mitigation required for unavoidable impacts to jurisdictional aquatic
resources to reduce the individual and cumulative adverse environmental effects to a
minimal level?
Yes.

Provide rationale: Compensatory mitigation is required to ensure minimal adverse
environmental effects.

2.4.3 Type and location of compensatory mitigation

Is the impact in the service area of an approved mitigation bank? Yes.

If yes, does the mitigation bank have appropriate number and resource type of credits
available? Yes.

Is the impact in the service area of an approved in-lieu fee program? Yes.

If yes, does the in-lieu fee program have the appropriate number and resource type of
credits available? Yes.

Selected compensatory mitigation type/location(s): See Table 2

Table 2: Mitigation Type and Location
Mitigation bank credits x
In-lieu fee program credits
Permittee-responsible mitigation under a watershed approach
Permittee-responsible mitigation, on-site and in-kind
Permittee-responsible mitigation, off-site and/or out of kind

Does the selected compensatory mitigation option deviate from the order of the options
presented in §332.3(b)(2)-(6)? N/A.

If yes, provide the rationale for the deviation, including the likelihood for ecological
success and sustainability, location of the compensation site relative to the impact site
and their significance within the watershed, and/or the costs of the compensatory
mitigation project (see 33 CFR §332.3(a)(1)):

2.4.4 Amount of compensatory mitigation: 40 linear feet of stream credits and 0.02 acre of
wetland credits.

Rationale for required compensatory mitigation amount: This amount of
compensatory mitigation is necessary to replace the permanent loss of WOUS
and temporal loss at the mitigation site. The applicant failed to provide a quality
assessment (i.e., North Carolina Stream Assessment Methodology) which is
reviewed and used to determine if a reduction in the compensatory mitigation
ratio is warranted. Therefore, without this quality assessment, the Corps assumes
the impacted stream as higher quality and requires a 2:1 ratio. The project
proposes to permanently impact 40 linear feet of stream channel; however only
20 linear feet result in the loss of waters and require mitigation. In addition, the
applicant proposed to permanently convert a forested wetland to an herbaceous
wetland. Wetland conversions are considered at a reduced ratio. Therefore, the
Corps is requiring a 1:1 compensatory mitigation ratio of 0.02 of permanent
wetland impacts

3.0 Compliance with Other Laws, Policies and Requirements

3.1 Section 7(a)(2) of the Endangered Species Act (ESA)

3.1.1 ESA action area: The action area includes the waters of the United States that will
be directly affected by the proposed work or structures and uplands directly
affected as a result of authorizing the work or structures.

3.1.2 Has another federal agency taken steps to document compliance with Section 7 of the
ESA and completed consultation(s) as required? No.

3.1.3 Known species/critical habitat present? No. The Corps has determined that it
has fulfilled its responsibilities under Section 7(a)(2) of the ESA.
IPAC Species in Mecklenburg County:
NAME: Northern Long-eared Bat (Myotis septentrionalis) STATUS: Threatened
NAME: Carolina heelsplitter (Lasmigona decorata) STATUS: Endangered
NAME: Rusty-patched bumble bee (Bombus affinis) STATUS: Endangered
NAME: Michaux’s sumac (Rhus michauxii) STATUS: Endangered
NAME: Smooth coneflower (Echinacea laevigata) STATUS: Endangered

Effect determination(s), including no effect, for all known species/habitat, and basis for
determination(s): Based on the latest version of the Natural Heritage Program’s
NHEO data, there are no protected species located within or in the vicinity of the
action area.

3.1.4 Consultation with either the National Marine Fisheries Service and/or the U.S. Fish and
Wildlife Service was initiated and completed as required, for any determinations other
than “no effect” (see the attached “Summary” sheet for begin date, end date and closure
method of the consultation).
The USACE reviewed this project in accordance with (IAW) the NLEB Standard
Local Operating Procedures for Endangered Species (SLOPES) between the
USACE, Wilmington District, and the Asheville and Raleigh U.S. Fish and Wildlife
Service (Service) Offices, and determined that the action area for this project is
located outside of the highlighted areas/red 12-digit HUCs and activities in the
action area do not require prohibited incidental take; as such, this project meets
the criteria for the 4(d) rule and any associated take is exempted/excepted. IAW
the NLEB SLOPES, the USACE sent a Situation 1 email to the Service on June 19,
2020, informing them about this project.

Service Concurrence: as established in the NLEB SLOPES, this project does not
require prohibited intentional take of the NLEB and it meets the criteria for the
4(d) rule; therefore any associated take is exempt and it is not necessary for the
USACE to wait 30 days for the Service to object or concur.

Based on a review of the information above, the Corps has determined that it has
fulfilled its responsibilities under Section 7(a)(2) of the ESA.

3.2 Magnuson-Stevens Fishery Conservation and Management Act, Essential Fish
Habitat (EFH) The NWPs/RGPs were coordinated with the NMFS during the permit
renewal process. NMFS coordination/EFH consultation is required if the activity
affects SAV. This activity does not affect SAV. Therefore, NMFS coordination/EFH
consultation has been completed.

3.2.1 Has another federal agency taken steps to comply with EFH provisions of Magnuson-
Stevens Act? No.

3.2.2 Did the proposed project require review under the Magnuson-Stevens Act? No.

3.3 Section 106 of the National Historic Preservation Act (Section 106)

3.3.1 Section 106 permit area:The permit area includes those areas comprising waters of the
United States that will be directly affected by the proposed work or structures, as well
as activities outside of waters of the U.S. because all three tests identified in 33
CFR 325, Appendix C(g)(1) have been met.

Final description of the permit area: All three test have been met and portions of the
larger project undertaken outside of waters of the U.S. are in the permit area.
Activities undertaken outside WOUS are included in the permit area because
those activities are directly associated and integrally related with the authorized
work and those activities would not occur but for the authorization of the work
within the WOUS.

3.3.2 Has another federal agency taken steps to comply with Section 106 of the National
Historic Preservation Act and completed consultation(s) as required? No.

3.3.3 Known cultural resource sites present and/or survey or other additional
information needed? No. Based on the NCDCR “HPOWEB” service and aerial
photographs, there are no known historic properties located in the permit area or
in close proximity to the permit area.

Effect determination and basis for that determination: The Corps has determined the
proposed activity has no potential to cause effects to properties listed or eligible
for listing in the National Register of Historic Places, because the project is
located in areas that have been extensively modified. In a letter to the applicant,
dated January 6, 2020, NCSHPO stated “we have conducted a review of the
project and are aware of no historic resources which would be affected by the
project. Therefore, we have no comment on the project as proposed.”

3.3.4 Consultation was initiated and completed as required with the appropriate agencies,
tribes and/or other parties for any determinations other than “no potential to cause
effects” (see the attached “Summary” sheet for consultation type, begin date, end date
and closure method of the consultation). The Corps has determined that it has fulfilled
its responsibilities under Section 106 of the NHPA.

3.4 Tribal Trust Responsibilities

3.4.1 Was government-to-government consultation conducted with Federally-recognized
Tribe(s)? No. There are no known tribal interests in the project area.

Provide a description of any consultation(s) conducted including results and how
concerns about significant effects to protected tribal resources, tribal rights and/or

Indian lands were addressed. The Corps has determined that it has fulfilled its tribal
trust responsibilities.

3.4.2 Other Tribal including any discussion of Tribal Treaty rights? Select Yes or No.

3.5 Section 401 of the Clean Water Act – Water Quality Certification (WQC)

3.5.1 Is a Section 401 WQC required, and if so, has the certification been issued or waived?
A general WQC has been issued for this permit.

3.6 Coastal Zone Management Act (CZMA)

3.6.1 Is a CZMA consistency concurrence required, and if so, has the concurrence been
issued, waived or presumed? N/A, a CZMA consistency concurrence is not
required.

3.7 Wild and Scenic Rivers Act

3.7.1 Is the projectlocated in a component of the National Wild and Scenic River System, or in
a river officially designated by Congress as a “study river” for possible inclusion in the
system? No. According to http://www.rivers.gov, the proposed project area is not
within a designated or study river.

3.8 Effects on Corps Civil Works Projects (33 USC 408)

3.8.1 Does the applicant also require permission under Section 14 of the Rivers and Harbors
Act (33 USC 408) because the activity, in whole or in part, would alter, occupy, or use a
Corps Civil Works project? No, there are no Corps Civil Works project(s) in or near
the vicinity of the proposal.

4.0 Special Conditions

4.1 Are special conditions required to ensure minimal effects, protect the public interest
and/or ensure compliance of the activity with any of the laws above? Yes.

4.2 Required special condition(s)

Special condition:

a. In order to compensate for impacts associated with this permit, mitigation shall be
provided in accordance with the provisions outlined on the most recent version of the
attached Compensatory Mitigation Responsibility Transfer Form. The requirements of
this form, including any special conditions listed on this form, are hereby incorporated
as special conditions of this permit authorization.

Rationale:See Section 2.4.2.

5.0 Determination

5.1 Waiver request conclusion, if required or select N/A: N/A.

5.2 The activity, with the required mitigation, will result in no more than minimal
individual and cumulative adverse effects on the aquatic environment and will not be
contrary to the public interest, provided the permittee complies with the special
conditions identified above.

5.3 This activity, as described, complies with all terms and conditions of the permit identified
in Section 1.5.

PREPARED BY:

________________________ Date: 6/22/2020
Bryan Roden-Reynolds











RODEN
REYNOLDS.BRYAN.KENNETH.12
63385574
Digitally signed by RODEN
REYNOLDS.BRYAN.KENNETH.1263385574
Date: 2020.06.22 15:31:53 -04'00'

CompensatoryMitigationResponsibilityTransferForm

Permittee:CharlotteWater,StephenScott ActionID:SAWͲ2020Ͳ01055
ProjectName:LittleHopeCreekSewerImprovementsCounty:Mecklenburg


InstructionstoPermittee:ThePermitteemustprovideacopyofthisformtotheMitigationSponsor,eitheranapproved
MitigationBankortheNorthCarolinaDivisionofMitigationServices(NCDMS),whowillthensigntheformtoverifythe
transferofthemitigationresponsibility.OncetheSponsorhassignedthisform,itisthePermittee’sresponsibilitytoensure
thattotheU.S.ArmyCorpsofEngineers(USACE)ProjectManageridentifiedonpagetwoisinreceiptofasignedcopyofthis
formbeforeconductingauthorizedimpacts,unlessotherwisespecifiedbelow.IfmorethanonemitigationSponsorwillbe
usedtoprovidethemitigationassociatedwiththepermit,oriftheimpactsand/orthemitigationwilloccurinmorethanone
8ͲdigitHydrologicUnitCode(HUC),multipleformswillbeattachedtothepermit,andtheseparateformsforeachSponsor
and/orHUCmustbeprovidedtotheappropriatemitigationSponsors.

InstructionstoSponsor:TheSponsormustverifythatthemitigationrequirements(credits)shownbelowareavailableatthe
identifiedsite.Bysigningbelow,theSponsorisacceptingfullresponsibilityfortheidentifiedmitigation,regardlessof
whetherornottheyhavereceivedpaymentfromthePermittee.Oncetheformissigned,theSponsormustupdatethebank
ledgerandprovideacopyofthesignedformandtheupdatedbankledgertothePermittee,theUSACEProjectManager,and
theWilmingtonDistrictMitigationOffice(seecontactinformationonpage2).TheSponsormustalsocomplywithall
reportingrequirementsestablishedintheirauthorizinginstrument.

PermittedImpactsandCompensatoryMitigationRequirements:
PermittedImpactsRequiringMitigation*8ͲdigitHUCandBasin:03050103,CatawbaRiverBasin
StreamImpacts(linearfeet)WetlandImpacts(acres)
WarmCoolColdRiparianRiverineRiparianNonͲRiverineNonͲRiparianCoastal
20 0.02
*Ifmorethanonemitigationsponsorwillbeusedforthepermit,onlyincludeimpactstobemitigatedbythissponsor.

CompensatoryMitigationRequirements:8ͲdigitHUCandBasin:03050103,CatawbaRiverBasin
StreamMitigation(credits)WetlandMitigation(credits)
WarmCoolColdRiparianRiverineRiparianNonͲRiverineNonͲRiparianCoastal
400.02 

MitigationSiteDebited:CityofCharlotteUmbrellaStreamandWetlandMitigationBank(MuddyCreek)
(Listthenameofthebanktobedebited.Forumbrellabanks,alsolistthespecificsite.ForNCDMS,listNCDMS.IftheNCDMS
acceptanceletteridentifiesaspecificsite,alsolistthespecificsitetobedebited).

SectiontobecompletedbytheMitigationSponsor

StatementofMitigationLiabilityAcceptance:I,theundersigned,verifythatIamauthorizedtoapprovemitigation
transactionsfortheMitigationSponsorshownbelow,andIcertifythattheSponsoragreestoacceptfullresponsibilityfor
providingthemitigationidentifiedinthisdocument(seethetableabove),associatedwiththeUSACEPermitteeandAction
IDnumbershown.Ialsoverifythatreleasedcredits(and/oradvancecreditsforNCDMS),asapprovedbytheUSACE,are
currentlyavailableatthemitigationsiteidentifiedabove.Further,IunderstandthatiftheSponsorfailstoprovidethe
requiredcompensatorymitigation,theUSACEWilmingtonDistrictEngineermaypursuemeasuresagainsttheSponsorto
ensurecomplianceassociatedwiththemitigationrequirements.

MitigationSponsorName:

NameofSponsor’sAuthorizedRepresentative:


SignatureofSponsor’sAuthorizedRepresentativeDateofSignature


ConditionsforTransferofCompensatoryMitigationCredit:
x OncethisdocumenthasbeensignedbytheMitigationSponsorandtheUSACEisinreceiptofthesignedform,the
Permitteeisnolongerresponsibleforprovidingthemitigationidentifiedinthisform,thoughthePermitteeremains
responsibleforanyothermitigationrequirementsstatedinthepermitconditions.
x Constructionwithinjurisdictionalareasauthorizedbythepermitidentifiedonpageoneofthisformcanbeginonlyafter
theUSACEisinreceiptofacopyofthisdocumentsignedbytheSponsor,confirmingthattheSponsorhasaccepted
responsibilityforprovidingthemitigationrequirementslistedherein.ForauthorizedimpactsconductedbytheNorth
CarolinaDepartmentofTransportation(NCDOT),constructionwithinjurisdictionalareasmayproceeduponpermit
issuance;however,acopyofthisformsignedbytheSponsormustbeprovidedtotheUSACEwithin30daysofpermit
issuance.NCDOTremainsfullyresponsibleforthemitigationuntiltheUSACEhasreceivedthisform,confirmingthatthe
Sponsorhasacceptedresponsibilityforprovidingthemitigationrequirementslistedherein.
x SignedcopiesofthisdocumentmustberetainedbythePermittee,MitigationSponsor,andintheUSACEadministrative
recordsforboththepermitandtheBank/ILFInstrument.ItisthePermittee’sresponsibilitytoensurethattheUSACE
ProjectManager(addressbelow)isprovidedwithasignedcopyofthisform.
x Ifchangesareproposedtothetype,amount,orlocationofmitigationafterthisformhasbeensignedandreturnedto
theUSACE,theSponsormustobtaincaseͲbyͲcaseapprovalfromtheUSACEProjectManagerand/orNorthCarolina
InteragencyReviewTeam(NCIRT).Ifapproved,highermitigationratiosmaybeapplied,aspercurrentDistrictguidance
andanewversionofthisformmustbecompletedandincludedintheUSACEadministrativerecordsforboththepermit
andtheBank/ILFInstrument.

Comments/AdditionalConditions:AletterfromCityofCharlotteUmbrellaStreamandWetlandMitigationBank,
confirmingtheyarewillingandabletoaccepttheapplicant’scompensatorymitigationresponsibility,dated6/16/2020was
includedwiththepreconstructionnotification.

ThisformisnotvalidunlesssignedbelowbytheUSACEProjectManagerandbytheMitigationSponsoronPage1.Once
signed,theSponsorshouldprovidecopiesofthisformalongwithanupdatedbankledgerto:1)thePermittee,2)theUSACE
ProjectManagerattheaddressbelow,and3)theWilmingtonDistrictMitigationOffice,Attn:ToddTugwell,11405Falls
ofNeuseRoad,WakeForest,NC27587(email:[e-mail]).Questionsregardingthisformoranyofthe
permitconditionsmaybedirectedtotheUSACEProjectManagerbelow.

USACEProjectManager:BryanRodenͲReynolds
USACEFieldOffice:CharlotteRegulatoryOffice
USArmyCorpsofEngineers
8430UniversityExecutiveParkDrive,Suite615
Charlotte,NorthCarolina28262
Email:bryan.rodenͲ[e-mail]



6/22/2020
USACEProjectManagerSignatureDateofSignature

CurrentWilmingtonDistrictmitigationguidance,includinginformationonmitigationratios,functionalassessments,and
mitigationbanklocationandavailability,andcreditclassifications(includingstreamtemperatureandwetlandgroupings)is
availableathttp://ribits.usace.army.mil
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