20230201 Ver 1_Other_20230322 (2)

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
COMPENSATORY MITIGATION RESPONSIBILITY TRANSFER FORM
March 22, 2023
Permittee: Perfection Oil Company DWR Project #20230201
Project Name: Dodge's Convenience Store
County: Henderson
The Division has received a Statement of Availability (SOA) from Environmental Bank & Exchange, LLC
for the RES French Broad 05 Stream Umbrella Mitigation Bank, specifically 0.155 credits from the
Puncheon Fork Site and 0.084 credits from the Shiitake Ridge Site (Mitigation Provider), to partially
satisfy the mitigation requirements set forth in 401 Individual Certification No. WQC005782 issued to
Perfection Oil Company dated March 21, 2023, as provided in the table below.
Compensatory Mitigation
River and 8-digit HUC Number
Riparian Wetland
0.239 acres (credits)
��t
French Broad River Basin
06010105
The Permittee must provide a copy of this form to the Mitigation Provider specified above who will then
sign the form to verify receipt of payment and the transfer of the mitigation responsibility. Once the
Mitigation Provider has signed this form, it is the Permittee's responsibility to ensure that a signed copy
of this form is submitted to the Division before conducting any of the authorized impacts.
The Mitigation Provider verifies that the mitigation requirements (credits) shown above, have been
released and are available at the identified bank site(s). By signing below, the Mitigation Provider is
accepting full responsibility for the identified mitigation. As a reminder to the Mitigation Provider, no
more than 25 percent of the total mitigation required by Division can be met through preservation,
unless requested and approved by the Division Director (15A NCAC 02H. 0506(c)(7)).
Signature Authority Name (print):
Signature:
Date:
North Carolina Department of Environmental Quality I Division of Water Resources
Asheville Regional Office 12090 U.S. Highway 70 1 Swannanoa, North Carolina 28778
NORT GAROUNA 828.296.4500
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