20231388 Shopton Road Properties - Mecklenburg - MRT PERMIT TRANSFER.docx

North Carolina Department of Environmental Quality Division of Water Resources
512 North Salisbury Street 1611 Mail Service Center Raleigh, North Carolina 27699-1611
919.707.9000

COMPENSATORY MITIGATION RESPONSIBILITY TRANSFER FORM
March 22, 2024

Permittee: Mark S. Combs, Sara Combs, Michael S.
Carpenter, and Gloria P. Carpenter

DWR Project #20231388
Project Name: Shopton Road Properties County: Mecklenburg
The Division has received a Statement of Availability (SOA) from Wildlands Holdings VI, LLC for the
Wildlands Catawba 01 Umbrella Mitigation Bank: Firestone Mitigation Site and Double Rock
Mitigation site (Mitigation Provider) to satisfy the mitigation requirements set forth in 401 Individual
Certification No. WQC006514 issued to Mark S. Combs, Sara Combs, Michael S. Carpenter, and
Gloria P. Carpenter, dated March 22, 2024, as provided in the table below.

Compensatory Mitigation River and 8-digit HUC Number
Perennial Stream 405 linear feet (credits) Catawba / 03050101

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: ________________________
DocuSign Envelope ID: 3F867E88-FA7D-41F0-A62F-0B28F2E10203