20120118 Ver 1_EEP Receipt_20120611

Dwight Moore
Triad Baptist Church
1175 South Main St
Kernersville NC 27284
Project
Triad Baptist Church Expansion
County
Forsyth
DWQ#
12 0118
COE#
201101736
EEP #
20688
Amount Paid
$78 936 00
Check Number
5004579091
invoice expires June 18 2012
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 mitigation 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 I& 1I
HUC
(linear feet)
(acres)
(Sq Ft )
Cold
Cool
Warm
Ri arian
on Riparian
I Coastal Marsh
Yadkin
0
299
0
0
0
0
03040101
1
F
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]
Sincerely
Michael Ellison
Deputy Director
cc Karen Higgins NCDWQ Wetlands /401 Unit
John Thomas USACE Raleigh Todd Tugwell USACE Raleigh
Sue Homewood NCDWQ Winston Salem
Bradley Luckey agent
File
kutorug fftluutcatg Prot-&" O" Stag
SCUM
North Carolina Ecosystem Enhancement Program 1652 Mad Service Center Raleigh NC 27699 1652 / 919 715 0476 / www nceep net