20230533 Ver 1_DWR Mitigation Form_20230808

DocuSign Envelope ID: 986B6A38-5150-434B-A6B4-30E4CBAFBAE7
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARI) E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
COMPENSATORY MITIGATION RESPONSIBILITY ACCEPTANCE FORM
August 8, 2023
Permittee: Brent Wood and FSC II, LLC
Project Name: Goldrock Asphalt Plant
DWR Project # 20230533
County: Nash
The Division has received a Statement of Availability (SOA) from NCDEQ Division of Mitigation
Services (DMS) to satisfy the mitigation requirements set forth in 401 Individual Certification No.
WQC006006 issued to Brent Wood and FSC II, LLC, dated August 8, 2023, as provided in the table
below.
Compensatory Mitigation
River and 8-digit HUC
Number
Wetland
0.342 acres (credits)
Tar -Pamlico - 03020101
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 and the mitigation transfer certificate 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:
D � ��� North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office I 3800 Barrett Drive I Raleigh, North Carolina 27609
NOR1H cAROLNa 919.791.4200