20041801 Ver 1_EEP Receipt_20160524

Burdette, Jennifer a
From: Williams, Kelly
Sent: Tuesday, May 24, 2016 11:18 AM
To: Burdette, Jennifer a
Subject: Ford's Colony receipt
Attachments: 23760 STRWR Ford's Colony Section IV crossing no. 32.pdf, MRTF 2004-21182 Fords
Colony Section 1V.pdf
Jennifer -
Payment was made for this mitigation. I don't have any DWR required mitigation in my records though- only
requirements from the COE.
Kelly
From: Williams, Kelly
Sent: Tuesday, January 20, 2015 4:37 PM
To: Brad Kerr ([e-mail]) <[e-mail]>
Cc: todd tugwell ([e-mail]) <[e-mail]>, 'Gibby, Jean B SAW'
<[e-mail]>, Cindy Corbett ([e-mail]) <[e-mail]>
Subject: FW: receipt
Brad -
Attached please find a payment receipt and COE Mitigation Responsibility Form for mitigation requirements satisfied
through the EEP.
Please take a moment to review it and let me know if I may have overlooked something.
You will receive the original receipt and form by mail. We appreciate the opportunity to assist with your mitigation needs.
Please let me know if you have any questions or need further assistance.
Sincerely,
Kelly
Kelly Williams
NCEEP In -Lieu Fee Program Coordinator
direct: 919.707.8915
US Postal Service Address:
1652 Mail Service Center
Raleigh, NC 27699-1652
EEP's Raleigh office is located in the N.C. Dept. of Environment and Natural Resources Building at 217 West Jones St., Suite 3000A,
Raleigh, N.C. 27603.
Parking and visitor access information is available on the EEP website.
E-mail corr-espondence to andfi-om this ad'd'ress may be subject to the North Carolina Public Record's Laiv and may be disclosed to this' parties.

irs
NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory Ecosystem Enhancement Program Donald R. van der Vaart
Governor Secretary
January 20, 2015
Brad Kerr
City of Rocky Mount
331 S. Franklin St.
Rockv Mount, NC 27804
Project: Ford's Colony Section IV (crossing no. 32)
County: Nash
USACE#: 2004-21182
WQ permit#: 04-1801
EEP #: 23760
Amount Paid: $48,676.00
Check Number: 1100238164
The North Carolina Ecosystem Enhancement Program (NCEEP) has received a check as indicated above as payment for the
compensatory mitigation requirements of the 401 Water Quality Certification/Section 404.%CAMA Permit(s) issued for the above -
referenced project. This receipt serves as notification that your compensatory mitigation requirements assigned to NCEEP 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 SL 2009-
337, An Act to Promote the Use of Compensatory Mitigation Banks, as amended by S.L. 2011-343.
The NCEEP. by acceptance of this payment, acknowledges that the NCEEP is responsible for the compensatory mitigation
requirements indicated below associated with the project permit and agrees to provide the compensatory miti,ration as specified in the
permit. Mitigation responsibility assigned to the NCEEP is nontransferable. The mitigation will be performed in accordance with the
N.C. Department of Environment and Natural Resources' Ecosystem Enhancement Program In -Lieu Fee Instrument dated July 28.
2010.
River Basin
Stream Credits
Wetland Credits Buffer 1& 11
HUC
(linear feet)
(acres) (Sq. Ft.)
Cold
Cool
Warm Riparian
Non -Riparian
Coastal Marsh
Tar -Pamlico
0
0
82 0.22
0
0 0
03020101
Refunds of payments made to NCEEP are only approved under certain conditions. All refund requests must be submitted in
accordance with EEP's refund policy at www.nceep.net. if you have any questions or need additional information, please contact
Kelly Williams at [phone].
Si ce ely,
el - is
Director
cc: Jean Gibby, USACE-Raleigh; Todd Tugwell, USACE-Raleigh
1652 Mail Service Center, Raleigh, North Carolina 27699-1652
Phone: [phone] Internet: www.nceep.net
An Equal Opportunity' Affirmative Action Employer— Made in part from recycled paper

U.S. ARMY CORPS OF ENGINEERS
Wilmington District
Compensatory Mitigation Responsibility Transfer Form
Permittee: City of Rocky Mount -Great Glen Road Action ID: SAW -200421182
Project Name: Ford's Colony at Rocky Mount County: Nash
Instructions to Permittee: The Permittee must provide a copy of this form to the Mitigation Sponsor, 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 gacin• n,4n?n1n1 Tar_Pamiirn River Qncin
Stream Impacts (linear feet) Wetland Impacts (acres)
Warm
Cool
Cold Riparian Riverine TRiparian Non-Riverine Non -Riparian
Coastal
41
0.11
if more than one mitigation sponsor will be used for the permit, only include impacts to be mitigated by this sponsor.
Compensatory Mitigation Requirements: 8 -digit HUC and Basin: 03020101 Tar -Pamlico River Basin
Stream Mitigation (credits) Wetland Mitigation (credits)
Warm
Cool Cold Riparian Riverine Riparian Non-Riverine Non -Riparian Coastal
82
0.22 1- f
Mitigation Site Debited: NCEEP
(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 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 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 Sponsor
Name of
Au
% ZVI J
D to of Signature
Page 1 of 2 Form Updated 12 September, 2014

USACE Wilmington District
Conditions for Tr Transfer of � Mitigation� � U�C � � ��� of signed �m �m
° Once this document has been signed by the Sponsor an e � u= ,
Permittee is no longer responsible for providing the mitigation identified in this form, though the Permittee emm!no
responsible for any other mitigation requirements stated in the permit conditions.
w 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 hes
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. NCD0Tremains fully responsible for the mitigation until the USACEhas received this form, confirming
that the Sponsor has accepted responsibility for providing the mitigation requirements listed herein.
m Signed copies of this document must be retained by the Permittee Mitigation Sponsor, and in the USA[E
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.
* |fchanges are p/oposcdtothe type, amount, or location of mitigation after this form has been signed and returned to
the USA[E, the Sponsor must obtain case-by-case approval from the USA[E Project Manager and/or North Carolina
Interagency Review Team (NC|RT). |f 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 arid the 8wnk/|LFinstrument.
Cmnmmen%s/AdditiondCmnditions:
This form |snot valid unless signed below bythe USA[EProject Manager and hythe Mitigation Sponsor onPage 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to; 1) the Perm1ttee, 2) the
USACE Project Manager at the address below, and 3)the Wilmington District Mitigation office, Attn: Todd Tugwell,
414O5Falls mfNeuse Road, Wake Forest, NC27587 (emw/l.toditugw*0@nmoceammy-wm»1. Questions regarding this form
or any of the permit conditions may be directed to the USACE Project Manager below.
USACE Project Manager. Jean Gibby
WSAC2Field Office: Raleigh Regulatory Field Office
USArmy Corps pfEngineers
3]31Heritage Trade Drive, Suite 105
Wake Forest, North Caro |inaZ7587
Email: [e-mail]
December 10, 2014
Date nySignature
Current Wilmington District mitigation guidance, including information on mitigation ratios, functional assessments, and
mitigation bank locFtion and availability, and credit classifications (including stream temperature and we-dand groupings) is
available at .
Page 2ofZ
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