20240312 Ver 1_Receipt_20240318 (2)

ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
COMPENSATORY MITIGATION RESPONSIBILITY ACCEPTANCE FORM
March 5, 2024
Permittee: David Combs
Project Name: 3217 Abbey Road
DWR Project #20240312
County: Nash
The Division has received a Statement of Availability (SOA) from the NCDEQ Division of Mitigation
Services (DMS) (Mitigation Provider), to satisfy the mitigation requirements set forth in the Buffer
Authorization, issued to David Combs, dated March 5, 2024, as provided in the table below.
Compensatory Mitigation
River and 8-digit HUC Number
Riparian Buffer
1 753 square feet 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 for all buffer mitigation 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, will be
performed in accordance with the In -Lieu Fee Program instrument dated July 28, 2010. By signing
below, the Mitigation Provider is accepting full responsibility for the identified mitigation.
Signature Authority Name (print):
Kelly Williams for NCDMS
Signature: _" Ld* A"
Date: 18 March 2024
D E Q�J/ North Carolina Department of Environmental Quality I Division of Water Resources
!� Raleigh Regional Office 3800 Barrett Drive I Raleigh, North Carolina 27609
NORrH CAROLINA 919.791.4200
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