2021-12-07_REVISION - M2012032 (13)

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Box 10 Proposed Compensatory Mitigation related to fill/excavation and dredge activities. Indicate in acres and linear feet(where appropriate) the total quantity of Waters of the United States proposed to be created, restored, enhanced and/or preserved for purposes of providing compensatory mitigation. Indicate water body type (tidal wetland, non-tidal wetland, riparian wetland, ephemeral stream/river, intermittent stream/river, perennial stream/river, pond/lake, vegetated shallows, bay/harbor, lagoon, ocean, etc.) or non-jurisdictional (uplands'). Indicate mitigation type (permittee-responsible on-site/off-site, mitigation bank, or in-lieu fee program). If the mitigation is purchase of credits from a mitigation bank, indicate the bank to be used, if known: 1 For uplands, please indicate if designed as an upland buffer. Site Water Created Restored Enhanced Preserved Number BodyType Mitigation Type yp Area Length Area Length Area Length Area Length Pond 0.24 permittee- responsible on-site Total: 0.24 If no mitigation is proposed, provide detailed explanation of why no mitigation would be necessary: If permittee-responsible mitigation is proposed, provide justification for not utilizing a Corps- approved mitigation bank or in-lieu fee program: Not applicable. Mitigation bank or in-lieu fee program not available in this area. Has a draft/conceptual mitigation plan been prepared in accordance with the April 10, 2008, Final Mitigation Rule and District Guidelines? zhttp://www.usace.army.miI/Missions/CivilWorks/RegulatoryProgramandPermits/mitig_info.aspx 3Sacramento and San Francisco Districts-http://www.spk.usace.army.mil/organizations/cespk- co/regulatory/pdf/Mitigation_Monitoring_Guidelines.pdf 4Los Angeles District-http://www.spl.usace.army.mil/regulatory/mmg_2004.pdf 5Albuquerque District-http://www.spa.usace.army.mii/reg/mitigation/SPA%2OFina1%20Mitigation%2OGuidelines_OLD.pdf ❑ Yes, Attached (or mail copy separately if applying electronically) ❑ No If no, a mitigation plan must be prepared and submitted, if applicable. Mitigation site(s) Latitude & Longitude (D/M/s, DD, USGS Quadrangle map name(s): or UTM with Zone):37.9751 N, -107.7529 W Telluride, CO Assessor Parcel Number(s): Section(s), Township(s), Range(s): Sec. 21 T43N R8W Other location descriptions, if known: Directions to the mitigation location(s): Approximately 250 feet north of the Revenue Mine. Page 6 of 10 Revised March 21,2012. For the most recent version of this form,visit your Corps District's Regulatory website.