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HomeMy WebLinkAbout20150795 Ver 1_SR 1222 - Bridge 20 - Division 11 - STR - WT 03 - Watauga_20151130U.S. ARMY CflRPS OF ENGINEERS Wilmington Distric# Compensatory Miti�ation ResponsibilityTransfer Form Permittee: PICDO7/Attn: Heath Slaughter Action ID: SAW-2015-02248 Projed Mame: NCDOT/Bridge20/SR1222/Div County: Watauga lnstructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sp�nsor, either an approved Mitigation Bank or the North Carolina Ecosystem Enhancement Program (NCEEP), who will then sign the farm 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 6e attached to the permit, and the separate forms for each Sponsor and/or HUC must be provided to the appropriate mitigation Sponsors. Ins#ructions to Sponsor: The Sponsor must verify that the mitigatian 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 Impatts Requiring Mitigation* S-digit HUC and Basin: 060101D3, Watau�a River Basin Stream Impacts (linear feet} Warm Cool Cold b0 Wetland I rian Riverine � Riparian 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. ipensatory Mitigation I Stream Mitigation Warm Cool nts: 8-digit HUC and Basin: 06010103, Watauga River Wetland Mitigation (credits) Cold Riparian Riverine Riparian Non-Riverine Non-Rip 120 Coastal Mitigation Site Debited: NCDMS (List the name of the bank #o 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 io be completed by the Mitigotion Sponsor Statement of Mitigation Liability Acceptance: I, the undersigned, verify that I am authorized to approve mitigation transactions for the Mitigation Sponsor shown below, and t 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. ! 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 Wilrningtfln District Engineer may pursue measures against the Sponsor to ensure compliance associated with the mitigation requirements. Mitigation Sponsor Name:, Name Sponsor's Authorized Representative: ��-{�i� `f"��'(,� � � S nature of 5pansor's Authorized Representative Page 1 of 2 Form Updated 12 September, 2014 USACE Wilmington District Compensatory Mitigation Responsibility Transfer �orm, Page 2 Conditions for Transfer of Compensatory Mi.tigation Credit: • Once this document has been signed by the Mitigation Sponsor and the USACE is in receipt of the signed farm, the Permittee is no longer respansible for providing the mitigation identified in this form, though the Permittee remains responsible for any other mi#igation 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 Sponsor, 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 fuily responsible for the mitigation until the USACE has received this form, con�rming that the Spansor tras accepted responsibility for providing the mitigation requirements iisted 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-6y-case approval from the USACE Project Manager and/or North Carolina Interagenry Review Team {NCIRT). If approved, 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. O»ce signed, the Spvnso� should provide copies of this form along with an updated bank ledger [o: 1J the Permittee, 2J the USACE Project Manager ot the address below, and 3J the Wilmington District Mitigotion O�ce, Attn: Fodd Tugwell, 11405 Falls of Neuse Roard, Wake Forest, NC 27387 (email: todd.tugwell@usoce.arrny.mi!). Questions regarding this form or any of the perrr►it conditions may be directed to the USACE Project Manager below. USACE Projeci Manager_ Steve Kichefski USACE Field OfFice: Asheville Regulatory Fieid O�ce US Army Corps of Engineers 151 Patton Avenue, Room 208 Asheville, North Carolina 28801-5006 Email: steven.l.kichefski@usace.arrrsy.mil USACE Project Manager Sign�ture October 16. 2015 Date of 5ignature Current Wifmington 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 http://ribits.usace.armv.mil. Page 2 of 2 ' The Wilmington District is committed to providing the h"sghest level of support to the public. To help us ensure we continue to do so, please complete the Customer Satisfadion Survey located at our wehsite at http://re�ulatorv.usar.esurvev.com/ to complete the survey online.