Mitigation Responsibility Acceptance Form, 604 E Geer - signed.pdf

COMPENSATORY MITIGATION RESPONSI BILITV ACC EPTA NC E FO RM
August 2} 2023
Permittee: Joseph Allen and Kathryn M!cKeen D W R Proiect 420230997
Project Marne: Allen Property (604 E. Geer SQuunt: DLirham
The DIvisIon has received a Statement of AvalIabiIity (SOA) from W1ldIands Holdings Ili, LLB' and
i ld lands Holdings V, L LC (M i t i gat tort Provider). to satisfy the mitigation requirements set forth in the
Buffer Authon-zation, issued to Joseph AHen and Kai hryn McKee dated August 2, 2023, as provided in
the table be low. Cred i is wi I I be ub la i ncd from one o f the fol lowing bats ks; Anderson Farm M i t iga tion
Bark Parcel, Black Dirt Mitigation Bank Parcel, Cox Pond Mitigation Bank Parcel, Falling Creek
M1 tigatiu n Bank Parce I, Grant ha m B rant h M1 t igation Bark Parce I� L it t le R i ver Weaver M!i t i gat i on Bari k
Parcel. Long Puree M i t i gat i un Bank Parcel, Moccasin Creek Mitigation Bank Parcel, O'Bcr ry Road
Mitigation Bank Parcel, Rosewood Mitigation Bank Parcel, Sassarixa Swamp Il Mitigation Bank Parcel,
Thoroughfare Swamp Mitigation Bank Parcel, Catfish Pond Il Mitigation Bark Parcel, Perm Hill Il
1 1 i liga ti n Bank Parce I, and Wol to M it igal ion B ank, al l loca teal ire H UC 03 02020 l.
Corn pens a t(Fry Mite ation R1ver anal 8-digit H U C Number
Riparian BUf er 1 .212 square feet (credits) Meuse - 03020201
TIC Pe rrn it-tee m List prov i de a -copy of t his form to the M i t i gati on Provider spy}c i fled abo ve who Sri I I then
sign the form to verify receipt of payment and the transfer of the mitigation re Npons ib i 1 i ty, Once the
I 1 i tigati n Pro v i der has signed this form, i t i s t he Perrr�ittee's resports ib d it t o ensure that a signed cop}
-oFthis form for a I I buffer miliga[ion acid the mitigation tranifer certificate is submitted to the Division
before c enducti ng any o F the a u thori zed i mpac ts.
The Ill i liga lion Prov ider very fries that the mi tiga lion req u i re menus �c reel i is) shown abo ve, ha ire bi eat
re I eased and arc: avai I able at the ident i fie d ba nk si te(s). By si gni ng be I ova, the M i liga lion Pro v i der i s
accept ing f ti I I re spores 1b.11 lty for the identi f ied mi tlga tion,
Signature Atilliority Name {print): Robert W. Bugg
Aug24, 2023
Signature: Bare:

i

Mitigation Responsibility Acceptance Form , 604
E Geer
Final Audit Report 2023-08-24
Created: 2023-08-24
By: Camden Brunick([e-mail])
Status: Signed
Transaction ID: CBJCHBCAABAACQnD6D_RgipUfFFDoY3pmRzjd2Xpzpmf
"Mitigation Responsibility Acceptance Form, 604 E Geer" History
Document created by Camden Brunick([e-mail])
2023-08-24-6:03:39 PM GMT
Document emailed to Robert Bugg ([e-mail])for signature
2023-08-24-6:04:15 PM GMT
Email viewed by Robert Bugg ([e-mail])
2023-08-24-6:15:45 PM GMT
Document e-signed by Robert Bugg ([e-mail])
Signature Date:2023-08-24-6:16:02 PM GMT-Time Source:server
Agreement completed.
2023-08-24-6:16:02 PM GMT
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