20180087 Ver 1_USACE Permit_20180320

U.S. ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Action Id. SAW -2018-00459 County: Davie U.S.G.S. Quad: NC-Mocksville
GENERAL PERMIT (REGIONAL AND NATIONWIDE) VERIFICATION
Permittee: Piedmont Natural Gas
Tom Morris
Address: 4720 Piedmont Row Drive
Charlotte, NC 28210
Telephone Number: 704-364-3120
E-mail: tom.morrisApiedmontng.org
Size (acres) 65.0 Nearest Town Mocksville
Nearest Waterway Dutchman Creek River Basin Upper Pee Dee
USGS HUC 03040101 Coordinates Latitude: 35.939184
Longitude: -80.517469
Location description: The review area is approximately 7.2 miles in length within the utility line easement (approximately 50
feet wide). The approximate start and end points of the review area are 35.878994, -80.560372 and 35.959489, -80.509042,
respectively. Reference review area description in Pre -Construction Notification Package entitled "Figure 1, Site Vicinitv
Exhibit" and Printed Date of 12/28/2017.
Description of projects area and activity: This verification authorizes the temporary grading and placement of fill material in
1.509 linear feet of stream and 1.358 acres of wetlands. the loss of 0.08 acre of open water. and permanent conversion impacts
to 1.11 acres of wetlands to facilitate the installation of approximately 7.2 miles of natural gas transmission pipeline.
Permanent wetland impacts would result from the conversion of forested wetlands to herbaceous while the open water would
be drained and filled. Seventeen (17) perennial streams, 6 intermittent streams, 14 wetland areas, and 1 open water area would
be affected. The temporary stream and wetland impacts would result from installation of the gas line and the construction of
road crossings for construction access. In addition, a coffer dam will be constructed and stream flow will be pumped
downstream of the work area. Tenmorary impacts to vegetation in wetlands would occur for construction access and would be
re -vegetated after construction has commenced.
Applicable Law(s): ® Section 404 (Clean Water Act, 33 USC 1344)
❑ Section 10 (Rivers and Harbors Act, 33 USC 403)
Authorization: NWP 12. Utility Line Activities and NWP 18. Minor Discharges
SEE ATTACHED NWP GENERAL, REGIONAL, AND/OR SPECIAL CONDITIONS
Your work is authorized by the above referenced permit provided it is accomplished in strict accordance with the enclosed
Conditions, your application signed and dated 3/7/2018, and the enclosed plans Impact Drawings, Figures 9-46 dated 1/18/2018.
Any violation of the attached conditions or deviation from your submitted plans may subject the permittee to a stop work order,
a restoration order, a Class I administrative penalty, and/or appropriate legal action.
This verification will remain valid until the expiration date identified below unless the nationwide authorization is modified, suspended
or revoked. If, prior to the expiration date identified below, the nationwide permit authorization is reissued and/or modified, this
verification will remain valid until the expiration date identified below, provided it complies with all requirements of the modified
nationwide permit. If the nationwide permit authorization expires or is suspended, revoked, or is modified, such that the activity would
no longer comply with the terms and conditions of the nationwide permit, activities which have commenced (i.e., are under construction)
or are under contract to commence in reliance upon the nationwide permit, will remain authorized provided the activity is completed
within twelve months of the date of the nationwide permit's expiration, modification or revocation, unless discretionary authority has
been exercised on a case-by-case basis to modify, suspend or revoke the authorization.
Activities subject to Section 404 (as indicated above) may also require an individual Section 401 Water Quality Certification. You
should contact the NC Division of Water Resources (telephone [phone]) to determine Section 401 requirements.
For activities occurring within the twenty coastal counties subject to regulation under the Coastal Area Management Act (CAMA), prior
to beginning work you must contact the N.C. Division of Coastal Management Morehead City, NC, at [phone].

This Department of the Army verification does not relieve the permittee of the responsibility to obtain any other required Federal, State
or local approvals/permits.
If there are any questions regarding this verification, any of the conditions of the Permit, or the Corps of Engineers regulatory program,
please contact Bryan Roden -Reynolds at 704-510-1440 or bryan.roden-reynolds(ii)usace.army.mil.
RODEN D9.�„D8�m—EN 8E3ND8D5.88v8N-NNE 1263385574
DN: c=US,o=US.Go ,er ,ntou=D.D,.u=Pp,.u=US&,m=RODEN
Corps Regulatory Official: REYNOLDS.BRYAN.KENNETH.1263385574 Date20o8.03111N.2''6:jl: _.4tlP33855]6 Date: 03/20/2018
Expiration Date of Verification: 03/18/2022

The Wilmington District is committed to providing the highest level of support to the public. To help us ensure we
continue to do so, please complete the Customer Satisfaction Survey located at
http://corpsmapu.usace.army.mil/cm_apex/Pp=136:4:0
Copy furnished:
Agent:
S&ME, Inc.
Walter Cole
Address:
3201 Sprint! Forest Road
Raleigh, NC 27616
Telephone Number:
919-801-3798
E-mail:
wcole(&smeinc.com

SPECIAL CONDITIONS
a. In order to compensate for impacts associated with this permit, mitigation shall be provided in accordance
with the provisions outlined on the most recent version of the attached Compensatory Mitigation Responsibility
Transfer Form. The requirements of this form, including any special conditions listed on this form, are hereby
incorporated as special conditions of this permit authorization.

Action ID Number: SAW -2018-00459 County: Davie
Permittee: Piedmont Natural Gas, Tom Morris
Project Name: Clemmons 443 Line Upgrade
Date Verification Issued: 03/20/2018
Project Manager: Bryan Roden -Reynolds
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: Bryan Roden -Reynolds
Asheville Regulatory Office
U.S Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
Signature of Permittee
Date

CESAW—RD (File Number, SAW -2018-00459)
MEMORANDUM FOR RECORD
SUBJECT: Department of the Army Memorandum Documenting General Permit Verification
1.0 Introduction and overview: Information about the proposal subject to one or more of the
Corps regulatory authorities is provided in Section 1, detailed evaluation of the activity is found
in Sections 2 through 4 and findings are documented in Section 5 of this memorandum.
Further, summary information about the activity including administrative history of actions
taken during project evaluation is attached (ORM2 summary).
1.1 Applicant name: Piedmont Natural Gas, Tom Morris
1.2 Activity location: Latitude: 35.939184 Longitude: -80.517469 Location description: The review
area is approximately 7.2 miles in length within the utility line easement (approximately
50 feet wide). The approximate start and end points of the review area are 35.878994, -
80.560372 and 35.959489, -80.509042, respectively. Reference review area description in
Pre -Construction Notification Package entitled "Figure 1, Site Vicinity Exhibit" and
Printed Date of 12/28/2017.
1.3 Description of activity requiring verification: This verification would authorize the temporary
grading and placement of fill material in 1,509 linear feet of stream and 1.358 acres of
wetlands, the loss of 0.08 acre of open water, and permanent conversion impacts to
1.11 acres of wetlands to facilitate the installation of approximately 7.2 miles of natural
gas transmission pipeline. Permanent wetland impacts would result from the
conversion of forested wetlands to herbaceous while the open water would be drained
and filled. Seventeen (17) perennial streams, 6 intermittent streams, 14 wetland areas,
and 1 open water area would be affected. The temporary stream and wetland impacts
would result from installation of the gas line and the construction of road crossings for
construction access. In addition, a coffer dam will be constructed and stream flow will
be pumped downstream of the work area. Temporary impacts to vegetation in wetlands
would occur for construction access and would be re -vegetated after construction has
commenced.
1.4 Permit authority: Section 404 of the Clean Water Act (33 USC 1344)
1.5 Applicable Permit: NWP 12. Utility Line Activities and NWP 18. Minor Discharges
1.6 Activity requires written waiver? No. A waiver is not required for the applicant to begin
work because the project did not exceed any established thresholds that require a
waiver.
2.0 Evaluation of the Pre -Construction Notification
2.1 Direct and indirect effects caused by the GP activity: The direct effects of the proposed
activity in waters would include the loss of jurisdictional waters (as specified in Section
1.3) and their associated aquatic resource functions. The proposed activity also has the
potential to result in indirect effects to waters including excess sedimentation in
downstream waters, disruption and/or killing of aquatic life in the direct vicinity of the
project area, increase of downstream flows, and blocking/restricting aquatic life
passage transiting in and through the project area. These indirect effects are expected

CESAW—RD (File Number, SAW -2018-00459)
to be minimal due to design criteria and Best Management Practices (BMPs) required by
Nationwide Permit General and Regional Conditions. Additionally, indirect effects would
be further reduced through the implementation of BMPs required by state, local, and
Federal ordinances and regulations.
2.2 Site specific factors: The project area is part of a 10 square mile watershed that is 5.0
percent impervious surfaces. This area has a long history of intensive farming practices
which has resulted in long term degradation to aquatic resources. Given the urban
nature of the watershed, the waters within the project area provide important aquatic
resource functions to downstream waters. The loss of these functions in this setting
and in the proposed quantities necessitates compensatory mitigation to ensure that
cumulative impacts to onsite and downstream aquatic resources are individually and
cumulatively minimal.
2.3 Coordination
2.3.1 Was the PCN coordinated with other agencies? Yes.
Agency coordination with the USFWS is required for the Northern Long Eared Bat.
However, the Corps is not required to wait for a response from the USFWS Asheville
Office in accordance with local procedures.
2.3.2 Was the PCN coordinated with other Corps offices? No.
2.4 Mitigation
2.4.1 Provide brief description of how the activity has been designed on-site to avoid and minimize
adverse effects, both temporary and permanent, to waters of the United States to the
maximum extent practicable at the project site: The applicant provided the following
information regarding their efforts to avoid and minimize adverse effects: "With respect to pipe
installation methodology, crossings have been designed as conventional trenching in wetland
areas and dry isolation at stream crossings. Multiple factors affected selection of traditional
methods rather than the use of trenchless technologies such as horizontal directional drills.
The rolling terrain present within the project area prohibited the safe use of bored crossings for
most streams due to the limited space available between the stream and hillside. At proposed
stream crossings, dam and pumps or flume systems will be used to divert clean water flow
around the work area until the crossing is completed (i.e. conventional isolation methodology)."
2.4.2 Is compensatory mitigation required for unavoidable impacts to jurisdictional aquatic resources
to reduce the individual and cumulative adverse environmental effects to a minimal level?
Yes.
Provide rationale: Compensatory mitigation is required by Regional Condition 4.1.10.
This condition states "A compensatory mitigation plan will be required for all such
impacts associated with the requested activity if the activity requires PCN and the
cumulative total of permanent forested wetland impacts exceeds 1/10 -acre."
2.4.3 Type and location of compensatory mitigation
Is the impact in the service area of an approved mitigation bank? No.

CESAW—RD (File Number, SAW -2018-00459)
If yes, does the mitigation bank have appropriate number and resource type of credits
available? No.
Is the impact in the service area of an approved in -lieu fee program? Yes.
It yes, does the in -lieu tee program nave the appropriate number and resource type of credits
available? Yes.
Selected compensatory mitigation type/location(s): See Table 1
Table 1: Mitigation Type and Location
Mitigation bank credits
In -lieu fee program credits X
Permittee -responsible mitigation under a watershed approach
Permittee -responsible mitigation, on-site and in-kind
Permittee -responsible mitigation, off-site and/or out of kind
Does the selected compensatory mitigation option deviate from the order of the options
presented in §332.3(b)(2)-(6)? No.
if yes, provide the rationale for the deviation, including the likelihood for ecological success
and sustainability, location of the compensation site relative to the impact site and their
significance within the watershed, and/or the costs of the compensatory mitigation project (see
33 CFR §332.3(a)(1)): N/A
2.4.4 Amount of compensatory mitigation: 1.1 acres of wetlands credits
Rationale for required compensatory mitigation amount: Compensatory mitigation for
permanent conversion of 1.11 acres of wetlands would be required at a ratio of 1:1. This
ration is appropriate because the impacts would not result in a complete loss of waters.
3.0 Compliance with Other Laws, Policies and Requirements
3.1 Section 7(a)(2) of the Endangered Species Act (ESA)
3.1.1 ESA action area: The action area includes the waters of the United States that will be
directly affected by the proposed work or structures and uplands directly affected as a
result of authorizing the work or structures.
3.1.2 Has another federal agency taken steps to document compliance with Section 7 of the ESA
and completed consultation(s) as required? No.
3.1.3 Known species/critical habitat present? No. The Corps has determined that it has fulfilled
its responsibilities under Section 7(a)(2) of the ESA.
Listed Species in Davie County:
Northern Long-eared Bat (Myotis septentrionalis) - Threatened
Michaux's Sumac (Rhus michauxii) - Endangered
Effect determination(s), including no effect, for all known species/habitat, and basis for
determination(s):

CESAW—RD (File Number, SAW -2018-00459)
On March 20, 2018, the North Carolina Natural Heritage Program database dated 2018
was consulted for the presence/absence of federally listed threatened or endangered
species. There are no federally threatened or endangered species listed in the Natural
Heritage database within the action and/or project area.
The USACE reviewed this project in accordance with (IAW) the NLEB Standard Local
Operating Procedures for Endangered Species (SLOPES) between the USACE,
Wilmington District, and the Asheville and Raleigh U.S. Fish and Wildlife Service
(Service) Offices, and determined that the action area for this project is located outside
of the highlighted areas/red 12 -digit HUCs and activities in the action area do not
require prohibited incidental take; as such, this project meets the criteria for the 4(d)
rule and any associated take is exempted/excepted. IAW the NLEB SLOPES, the USACE
sent a Situation 1 email to the Service on 03/20/2018, informing them about this project.
Service Concurrence: as established in the NLEB SLOPES, this project does not require
prohibited intentional take of the NLEB and it meets the criteria for the 4(d) rule;
therefore any associated take is exempt and it is not necessary for the USACE to wait
30 days for the Service to object or concur.
Based upon the Natural Heritage Program database and a Threatened and Endangered
Species Assessment prepared by a qualified environmental consultant and included in
the administrative record, the Corps believes the project would have no effect on listed
species.
3.1.4 Consultation with either the National Marine Fisheries Service and/or the U.S. Fish and Wildlife
Service was initiated and completed as required, for any determinations other than "no effect"
(see the attached "Summary" sheet for begin date, end date and closure method of the
consultation). Based on a review of the information above, the Corps has determined that it
has fulfilled its responsibilities under Section 7(a)(2) of the ESA.
3.2 Magnuson -Stevens Fishery Conservation and Management Act, Essential Fish Habitat
(EFH) N/A, there is no essential fish habitat in this district's area of responsibility.
3.2.1 Has another federal agency taken steps to comply with EFH provisions of Magnuson -Stevens
Act? No.
3.2.2 Did the proposed project require review under the Magnuson -Stevens Act? No.
3.3 Section 106 of the National Historic Preservation Act (Section 106)
3.3.1 Section 106 permit area: The permit area includes only those areas comprising waters of the
United States that will be directly affected by the proposed work or structures. Activities
outside of waters of the U.S. are not included because all three tests identified in 33 CFR 325,
Appendix C(g)(1) have not been met.
Final description of the permit area: The permit area for this project includes the waters of
the United States directly impacted and the uplands that would be impacted to
accomplish the work within waters of the United States

CESAW—RD (File Number, SAW -2018-00459)
3.3.2 Has another federal agency taken steps to comply with Section 106 of the National Historic
Preservation Act and completed consultation(s) as required? No.
3.3.3 Known cultural resource sites present and/or survey or other additional information needed?
No. On 03/20/2018, the most recent version (SHPO ArcGIS Mapservice) of the North
Carolina State Historic Preservation Office database was consulted for the presence or
absence of historic properties within the permit area. No properties are listed within the
boundaries of the Corps permit area as described in Section 3.3.1.
Basis for effect determination(s) for all known site(s) and/or site(s) identified by a survey: The
Corps has determined the proposed action has no potential or little likelihood to cause
effect to any historic property listed, or eligible for listing, in the National Register of
Historic Places because there are no known historic properties within or in close
proximity to the Corps permit area.
3.3.4 Consultation was initiated and completed as required with the appropriate agencies, tribes
and/or other parties for any determinations other than "no potential to cause effects" (see the
attached "Summary" sheet for consultation type, begin date, end date and closure method of
the consultation). The Corps has determined that it has fulfilled its responsibilities under
Section 106 of the NHPA.
3.4 Tribal Trust Responsibilities
3.4.1 Was government -to -government consultation conducted with Federally -recognized Tribe(s)?
No. There are no known tribal interests in the project area.
Provide a description of any consultation(s) conducted including results and how concerns
about significant effects to protected tribal resources, tribal rights and/or Indian lands were
addressed. The Corps has determined that it has fulfilled its tribal trust responsibilities.
3.5 Section 401 of the Clean Water Act — Water Quality Certification (WQC)
3.5.1 Is a Section 401 WQC required, and if so, has the certification been issued or waived? An
individual water quality certification is required and has been issued by the certifying
agency.
3.6 Coastal Zone Management Act (CZMA)
3.6.1 Is a CZMA consistency concurrence required, and if so, has the concurrence been issued,
waived or presumed? N/A, a CZMA consistency concurrence is not required.
3.7 Wild and Scenic Rivers Act
3.7.1 Is the project located in a component of the National Wild and Scenic River System, or in a
river officially designated by Congress as a "study river" for possible inclusion in the system?
No. According to http://www.rivers.gov, the proposed project area is not within a
designated or study river.
3.8 Effects on Corps Civil Works Projects (33 USC 408)

CESAW—RD (File Number, SAW -2018-00459)
3.8.1 Does the applicant also require permission under Section 14 of the Rivers and Harbors Act (33
USC 408) because the activity, in whole or in part, would alter, occupy, or use a Corps Civil
Works project? No, there are no Corps Civil Works project(s) in or near the vicinity of the
proposal.
4.0 Special Conditions
4.1 Are special conditions required to ensure minimal effects, protect the public interest and/or
ensure compliance of the activity with any of the laws above? Yes.
If no, provide rationale: N/A
4.2 Required special condition(s)
Special condition:
a. In order to compensate for impacts associated with this permit, mitigation shall be provided
in accordance with the provisions outlined on the most recent version of the attached
Compensatory Mitigation Responsibility Transfer Form. The requirements of this form,
including any special conditions listed on this form, are hereby incorporated as special
conditions of this permit authorization.
Rationale: See Section 4.2 (Mitigation)
5.0 Determination
5.1 Waiver request conclusion, if required or select N/A: N/A.
5.2 The activity, with the required mitigation, will result in no more than minimal individual and
cumulative adverse effects on the aquatic environment and will not be contrary to the public
interest.
5.3 This activity, as described, complies with all terms and conditions of the permits identified in
Section 1.5.
PREPARED BY:
RO D E N Dlgitally signed by RODEN
REYNOLDS.BRYAN.KENNETH.12633855]4
REYNOLDS.BRYAN.KENN
ON. USAS-RODEOVeY""e"`'° °°°'°°-RK''
ETH.1263385574 REYNOLDS.BRYAN.KENNETH.12633R5574
Date: 2018.03.21 16:12:52-0400
Bryan Roden -Reynolds
Date: 03/20/2018

Compensatory Mitigation Responsibility Transfer Form
Permittee: Piedmont Natural Gas, Tom Morris Action ID: SAW -2018-00459
Project Name: Clemmons 443 Line Upgrade County: Davie
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 Division of Mitigation Services (NCDMS), 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 Basin: 03040101, Yadkin River Basin
Stream Impacts (linear feet)
Wetland Impacts (acres)
Warm
Cool
Cold
Riparian Riverine
Riparian Non-Riverine
Non -Riparian
Coastal
1.11
*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: 03040101, Yadkin River Basin
Stream Mitigation (credits)
Wetland Mitigation (credits)
Warm Cool Cold
Riparian Riverine
Riparian Non-Riverine Non -Riparian
Coastal
1.11
Mitigation Site Debited: NCDMS
(List the name of the bank to be debited. For umbrella banks, also list the specific site.
acceptance letter identifies a specific site, also list the specific site to be debited).
For NCDMS, list NCDMS. If the NCDMS
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 NCDMS), 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:
Name of Sponsor's Authorized Representative:
Signature of Sponsor's Authorized Representative Date of Signature

Conditions 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 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 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 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: A letter from NCDMS, confirming their willing and able to accept the applicants
compensatory mitigation responsibility, dated 1/2/2018was included with the preconstruction notification.
This form is not valid unless signed below by the USACE Project Manager and by the Mitigation Sponsor on Page 1. Once
signed, the Sponsor should provide copies of this form along with an updated bank ledger to: 1) the Permittee, 2) the USACE
Project Manager at the address below, and 3) the Wilmington District Mitigation Office, Attn: Todd Tugwell, 11405 Falls
of Neuse Road, Wake Forest, NC27587 (email: todd. tugwell@usace. army. mil). Questions regarding this form or any of the
permit conditions may be directed to the USACE Project Manager below.
USACE Project Manager: Bryan Roden -Reynolds
USACE Field Office: Asheville Regulatory Office
US Army Corps of Engineers
151 Patton Avenue, Room 208
Asheville, North Carolina 28801
Email: [e-mail]
RODEN Digitally signed by RODEN
REYNOLDS.BRYAN.KENNETH.1263385574
REYNOLDS.BRYAN.KENNETH.1263385 ON:c=us, U.S. Government, ou=DoD,oU=PKI,ou=USA,
cn=RODEN REYNOLDS.BRYAN.KENNETH.1263385574
574 Date: 2018.03.21 16:13:12 -04'00' 03/20/2018
USACE Project 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 http://ribits.usace.army.mil

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