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HomeMy WebLinkAbout20150394 Ver 1_Mitigation acceptance_20150508U.S. ARMY CORPS OF EIVGINEERS Wilrnington District Compensatorv Miti�ation Responsibilitv Transfer Form Permittee: NCDOT Project Name: NCDOT / SR 2178 / Bridge 253 / Division 7 Action ID: SAW-2015-00943 County: Alamance Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation 5ponsor, either an approved Mitigation Bank or the North Carolina Ecosystem Enhancement Program (NCEEP), who will then sign the form to verify the transfer of the mitigation responsibility. Once the 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 (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 easin: 03030002, Cape Fear River Basin Stream Impacts (linear feet) Warm Cool Cold Riparian Riverine 70 �-- Wetland Impacts (acres} ian Non-Riverine � Non-Riparian � Coastal *If more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor. Compensatory Mitigation Requirements: Stream Mitigation (credits) 8-di�it HUC and 8asin: 03030002 Wetland M :ape Fear River Basin on fcreditsl Warm � Cool � Cold � Riparian Riverine � Riparian Non-Riverine � Non-Riparian Coastal �0 1 Mitigation Site Debited: NC Division of Miti�ation Services (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 5ponsor 5tatement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation transactions for the Mitigation Sponsor shown below, and I certify that the Sponsor agrees to accept full responsibility for providing the mitigation identified in this document (see the 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 5ponsor Name: Nam of Sponsor' Authorized Representative:��'j�� � `-'t��� Signature of Sponsor's Au orized Representative ure Page 1 of 2 Form Updated 23 October, 2013 USACE Wilmington District Compensatory Mitigation Responsibility Transfer Form, Page 2 tonditions 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 after the USACE is in receipt of a copy of this document signed by the 5ponsor, confirming that 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 changes are proposed to the type, amount, or location of mitigation after this form has been signed and returned to the USACE, the Sponsor must obtain case-by-case approval from the USACE Project Manager and/or North Carolina Interagency Review Team (NCIRT). If appraved, higher mitigation ratios may 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, [he Sponsor should provide copies of this form along wrth an updated bank ledger to: 1J the Permittee, 2) the USACE Praject Manager at the address below, and 3J the Wilmington District Mitigatian Office, Attn: Todd Tugwe!!, 11405 Falls of Neuse Road, Wake Forest, NC27587 (email: todd.tugwel!@usace.army.milJ. Questions regarding this form or any of the permit conditions may be directed to the USACE Project Manager below. USACE Project Manager: David Bailey USACE Field Office: Raleigh Regulatory Field Office US Army Corps of Engineers 3331 Neritage Trade Drive, Suite 105 Wake Forest, North Carolina 27587 Email: L`'avid.F.6aile�`�t����.':����73»�s�i3s BAILEY.DAVID.E.137�3�837� �oN:�_us,�,.u.s.��ve���„e��,o�..uou.a�-�Ki, 6 ou=llSA, rn=BAII.F.Y.6AVI� E.1 i7978373( Date;2015.05.0811i28:V-O4'00' M7V 8, 2015 USACE Praject Manager Signature Date 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 ��!�� E r� __ �:�. Page 2 of 2 The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we cantinue to do so, please complete the Customer Satisfaction Survey located at our website at .rt,� //r ;__ ' �` �r, ,� �;.,�:, ;: i- .-, i/ to complete the survey online.