DWR MRT 20240037_Primrose School Fuquay Varina

DocuSign Envelope ID: 3FA234A2-82B4-4F5C-B278-17D812F65C66
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
COMPENSATORY MITIGATION RESPONSIBILITY TRANSFER FORM
March 15, 2024
Permittee: Ted Tillman and Primrose Schools DWR Project #20240037
Project Name: Primrose Schools
County: Wake
The Division has received an acceptance letter from the NC Division of Mitigation Services (DMS) to
satisfy the mitigation requirements set forth in 401 Individual Certification No. WQC006702 issued to
Ted Tillman and Primrose Schools, dated December 22, 2023, as provided in the table below.
Compensatory Mitigation
River and 8-digit HUC Number
Riparian Wetland
0.460 acres (credits)
Cape Fear River Basin
03030004
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 DMS 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 Division of Mitigation Services verifies that the mitigation requirements (credits) shown above will
be debited using approved released or advance credits, and for all stream or wetland credits is in
accordance with the signed/approved In -Lieu Fee Instrument dated July 28, 2010. By signing below,
DMS 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:
Kelly Williams for NCDMS
Date: 26 April 2024
p North Carolina Department of Environmental Quality I Division of Water Resources
D�J) Raleigh Regional Office I 3800 Barrett Drive I Raleigh, North Carolina 27609
NOR1H CARouNa �/ 919.791.4200