MRT form signed for 401

ROY COOPER
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ELUABETH S. B]SER
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RI HARD E. ROGERS, JR,
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NCMT-i CAROLINA
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COMPENSATORY MITIGATION RESPONSIBILITY TRANSFER FORM
February 22, 2024
Permittee: Triangle Land Partners/Andrew Ross DWR Project # 2024D113
Project Name: Cambridge Reserve Subdivision
County: Harnett
The Division has received an acceptance letterfrom the NC Division of Mitigation Services {DMS}to
satisfy the mitigation requirements set forth in 401 Individual Certification No.WQC006646 issued to
Trianigle Land Partners and Andrew Ross, dated February 22, 2024 as provided in the table below,
Compensatory Mitigation
River and 8-digit HUC Number
Riparian Wetland
1 0.17 acres (credits)
Cape Fear`-33030004
The Permittee must provide a copy of this form to DMS who will then sign the form to verify receipt of
payment and the transfer of the mitigation responsibility. Once Dh+1S has signed this form, it is the
Permitteefs responsibility to ensure that signed copy of this form is submitted to the Division before
conducting any of the authorized impacts.
The Division of Mitigation Services verifies that the mitigation requirements {credits} shown above will
be debited using approved released or advance credits, and far all stream or wetland credits is in
accordance with the signed/approved In -Lieu Fee Instrument dated July 28, 2010. By signing below,
Di IIS is accepting full responsibility for the identified mitigation. Asa reminder to the Mitigation
Provider, no more than 25 percentof the total mitigation required by Division can be met NoUgh
reservation, unless requested and approved by the Division Director Directc.r (15A NCAC. 02'-1,
Signature Authority Name (print): Kelly Williams for NCDMS
Signature: /�� Date: 22 April 2024