Buffer MRT form 20231690_Western Sewer System

DocuSign Envelope ID: EECA1 FE7-7C66-4B52-9310-77FBB4A23260
ROY COOPER
Governor
ELIZABETH S. BISER
Secretary
RICHARD E. ROGERS, JR.
Director
NORTH CAROLINA
Environmental Quality
COMPENSATORY MITIGATION RESPONSIBILITY TRANSFER FORM
April 11, 2024
Permittee: Brooks Lockhart & The City of Roxboro DWR Project #20231690
Project Name: Western Sewer System - Gravity Sewer, Force Main & County: Person
Southside Pump Station — Roxboro, NC
The Division has received an acceptance letter from the NC Division of Mitigation Services (DMS) to
satisfy the mitigation requirements set forth in the Buffer Authorization Certificate issued to Brooks
Lockhart & The City of Roxboro, dated February 15, 2024, as provided in the table below.
Compensatory Mitigation Required
River and Sub -basin Number
Neuse Buffer
15,936 square feet (credits)
Neuse River Basin
03020201
(Outside Falls Watershed)
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. (15A NCAC 02B .0295).
Signature Authority Name (print)
Signature:
NORTH CAROL NA ��v
n.q..m�..e Me ....� bl n..'\ /�
Kelly Williams for NCDMS
Date: 16 May 2024
North Carolina Department of Environmental Quality I Division of Water Resources
Raleigh Regional Office I 3800 Barrett Drive I Raleigh, North Carolina 27609
919.791.4200