20031285 Ver 1_Certification of Completion_20040625

DWQ Project No.: 0301285 County: Montgomery
Ap~pplicant:
federal Highway_ Administration, Eastern Federal Lands Highway Div_isior
Pro'ect Name:
N~ PFH 49-1(2
Date of Issuance of 401 Water Quality Certification: JUN ti 5 2004
October 22, 2003
CertiFicate of Completion WATER QUALITY SECTIOf~
Upon completion of all work approved within the 401 Water Quality Certification or applicable Butter
Rides, and any subsequent modifications, the applicant is required to return this certificate to the
401fWetlands l7nit, North Carolina Division of Water Quality, 16501V1ail Service Center, Raleigh, NC,
27699-1650. This form may be returned to DWQ by the applicant, the applicant's authorized agent, or
the projec[ engineer. IC is not necessary to send certificates from all of these.
Apptecant's Certa; ficatiort
I, ,hereby state that, [o the best of my abilities, due clre
and diligence was used in the observation of the consttuction such that the construction was observed to
be built tN•ithin substantial compliance and intent of the 401 Water Quali[y Certification, the approved
plans and specifications, and other supporting materials.
Signature: Date•
Agent's Certtfzcatio-c
I, Char 1 e s E . Me 1 t o n ,hereby state that, to the best of my abilities, due care
and diligence was used in the observation of the construction such that the construction 'was observed to
be built within substantial compliance and intent of the 401 Water Quality Certification, the approved
plans and specifications, and other supporting materials.
Signature: ~' ~~ Date: ~ ~~ ~¢
EngBneer's Gert:ftcation
Partial _ Final
1, , as a duly registered Professional Engineer in the Stun
of North Carolina, having been authorized to observe (periodically, weekly, full Cime) the construction of
the project, far the Permittee hereby state that, to the best of my abilities, due care and diligence was used
in the observation of the construction such that the construction was observed to be built within
substantial compliance and itltent of the 4()1 Water Quality Certification, the approved plans and
specifications, and other supporting materials.
Signature Registration No. _
Date
',~ `_
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