20200850 Ver 2_Receipt_20231101

RECEIPT
November 1, 2023

Jeffrey McClanahan
Charlotte-Mecklenburg Utilities
5100 Brookshire Blvd
Charlotte, NC 28216

Project: Goose Creek Easement Extension
County: Mecklenburg
401 permit#: 2020-0850
404 permit#: 2022-01120
DMS ID#: MR-08113
Amount Paid: $436,779.42
Check Number: 01036526 & 01042542

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 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.
Mitigation Location Mitigation Type Credits
Yadkin 03040105 Riparian Wetland 0.37
Yadkin - Goose Creek Riparian Buffer 99,417

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. If you have any questions or need additional
information, please contact [e-mail].

Sincerely,

Kelly Williams
ILF Program Coordinator

cc: Todd Tugwell, USACE - Raleigh; Crystal Amschler, USACE
Sheri Montalvo, NCDWR
AJ Varick, agent

U.S.ARMYCORPSOFENGINEERS
WilmingtonDistrict
Page1of2FormUpdated14September,2017
CompensatoryMitigationResponsibilityTransferForm

Permittee:Charlotte WaterActionID:SAW-2022-01120 
ProjectName:The Goose Creek Utility Line Extension ProjectCounty: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:03040105,YadkinRiverBasin
StreamImpacts(linearfeet)WetlandImpacts(acres)
WarmCoolColdRiparianRiverineRiparianNonͲRiverineNonͲRiparianCoastal
 0.37
*Ifmorethanonemitigationsponsorwillbeusedforthepermit,onlyincludeimpactstobemitigatedbythissponsor.

CompensatoryMitigationRequirements:8ͲdigitHUCandBasin:03040105,YadkinRiverBasin
StreamMitigation(credits)WetlandMitigation(credits)
WarmCoolColdRiparianRiverineRiparianNonͲRiverineNonͲRiparianCoastal
0.37

MitigationSiteDebited:NCDMS
(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
NCDMS
Kelly Williams
1 November 2023
USACEWilmingtonDistrict
CompensatoryMitigationResponsibilityTransferForm,Page2

Page2of2

TheWilmingtonDistrictiscommittedtoprovidingthehighestlevelofsupporttothepublic.Tohelpusensurewecontinuetodoso,pleasecompletethe
CustomerSatisfactionSurveylocatedatourwebsiteathttp://regulatory.usacesurvey.com/tocompletethesurveyonline.

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:







ThisformisnotvalidunlesssignedbelowbytheUSACEProjectManagerandbytheMitigationSponsoronPage1.Once
signed,theSponsorshouldprovidecopiesofthisformalongwithanupdatedbankledgerto:1)thePermittee,2)theUSACE
ProjectManagerattheaddressbelow,and3)theWilmingtonDistrictMitigationOffice,Attn:ToddTugwell,3331Heritage
TradeDrive,Suite105,WakeForest,NC27587(email:[e-mail]).Questionsregardingthisformor
anyofthepermitconditionsmaybedirectedtotheUSACEProjectManagerbelow.

USACEProjectManager:CrystalAmschler
USACEFieldOffice:AshevilleRegulatoryFieldOffice
USArmyCorpsofEngineers
151PattonAvenue,Room208
Asheville,NC28801Ͳ5006
Email:



Clickheretoenteradate.
USACEProjectManagerSignatureDateofSignature

CurrentWilmingtonDistrictmitigationguidance,includinginformationonmitigationratios,functionalassessments,and
mitigationbanklocationandavailability,andcreditclassifications(includingstreamtemperatureandwetlandgroupings)is
availableathttp://ribits.usace.army.mil.
Crystal Amschler Digitally signed by Crystal Amschler
Date: 2023.06.22 09:56:38 -04'00'