Attachment 3 PROGRAMMATIC SAFE HARBOR AGREEMENT FOR VOLUNTARY ENHANCEMENT/RESTORATION ACTIVITIES BENEFITTING WHITE RIVER SPRINGFISH, PAHRANAGAT ROUNDTAIL CHUB AND SOUTHWESTERN WILLOW FLYCATCHER WITHIN PAHRANAGAT VALLEY, LINCOLN COUNTY, NEVADA LANDOWNER CERTIFICATE OF INCLUSION TEMPLATE
This certifies that the property described as follows [description of portion of property covered by the Safe Harbor Permit] owned by [Cooperator’s name], is included within the scope of the Section 10(a)(1)(A) permit issued by the U.S. Fish and Wildlife Service expiring on [date] under the authority of Section 10(a)(1)(A) of the Endangered Species Act of 1973, as amended [reference number] and the incidental take authorization issued by the Nevada Department of Wildlife (NDOW) on [date] expiring on [date] under the authority of NAC §503.093. The Permits authorize certain activities by [Cooperator] as part of the Programmatic Safe Harbor Agreement for Voluntary Enhancement/ Restoration Activities Benefiting White River Springfish, Pahranagat Roundtail Chub and Southwestern Willow Flycatcher within Pahranagat Valley, Lincoln County, Nevada. The holder of this Certificate is authorized to engage in any otherwise lawful activity on the above described property that may result in the incidental taking of [insert included species] or their habitat above baseline subject to the terms and conditions of the permit and authorization. This Certificate is only valid as long as the Cooperator fulfills their responsibilities as described in the Cooperative Agreement [reference number] entered into by NDOW and [Cooperator’s name] on [date].
_____________________________ Director Nevada Department of Wildlife