20011689 Ver 1_Certification of Completion_20080331

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DWQ Project No.: C9 116 6 q
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
3A a NL7
County: l-J ay_e
Applicant: VC-DoT
rvQ?S uS6?{ ?ypaSs o Knrcy h oe r,.•. - O to eK?s in.? U56y ?1ea./ Sktoo?,2 YSb
Project Name: Zraz. D?Q?.' $ov eF us69 +i Qoofa Q04'- on9. u IUreJ" ?a1?•weS? £?Pw.7 ?v?• er? $ ?/?1
U54q to c ra a uS6y $yPwys TO: X-Z 47 a,%- Q-Z6y t
Date of Issuance of 401 Water ( u lity Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
.-i?ow.? g?? 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: W -? Date: 712-107
Agent's Certification
I, 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
(l; i, JJ(1
MAK 3
1 'OC8
?Wrwaaj U . wq rF
/-V SrQf,,RQk L/ry
Transco a5cn Pa,^ ;rir g Unit
16:A tit, i! Se'rce CE-,'er, Re!erh, North Caroona 27699-1660
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O?OF \41•1 AT, R Michael F. Easley, Governor
16 William G. Ross Jr., Secretary
North Carolina Department of Environment and Na'urat Resources
?,j ::....... :.. ..?. ..:? :?i
?\ t
-q Division of Water Quality
F? ONL,"-f
DNVQ Project No.: 6 U 9 County: cc F_2
Applicant: VClD off'
n(`1r0705e.us 64 e3ylrpk5s C. Kn?9 oZeal e ro.. (?v to eK?s rn? uS6y ?lea? 52t?3,2 K1b % Project Nan1C: 4 Ae 0oa u; S. A- eT us Cq +, Qoot[ Gn7 lorh de J- ??'St• W eSf EKP'J`7 L ru •, er 15 4-l,la?-
L) 56CF to At rago5e u56y $,tpC4ys TIP: R-2 4? a,9. 0-Z6 y f O
Date of Issuance of 401 Water ?ulity Certification: -..
-7/9104
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
-? 1, S W -30w,A V.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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date: 71/2.0
Agent's Certification
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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
NoiihCarolina
Transpo: a5cr, Unit vilaturallf
1x,01!37! S_-cc> C--'=r, Rz'ech, tJ^r h Carorrna 27699.16-50
r ?ti,i,tl: :._?i;,:i? I ?ro / r?„t y. __ia.:-;,cd?! I;dvraei; nti0:/rnL0.Et11.5!alC.nC.uS/nCwetlandS
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DNVQ Project No.: (9 I 16 U 1
Applicant: VC-bol-
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
,g/4 -a- CC oNtr l
County: LJ cc-e-
ro.. ?o$6 us 6'{I?ypDaSs ?f Kni9k+- p e (?o to ex?s in.b... U56V ?IeC.,- 54 100 ? T- E015
Project Naine: cda M', 50o eT US 64 +? goo1e L5 O 9. e. I rt'd/- a ?c.5t wPS? £KP``'`7 L ?p r• E',r
us 4q to a ro u5e u5 6y 8ypu-JS TO.1 1Z•2 cf7 449, Z6 1Y I U-
Date of Issuance of 401 Water QuAlity Certification:
t Z? 05-
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
1, ?- L--+ . 110 w ti a "S , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date: Zo1a7
Agent's Certification
I. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
1. , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
o-?
N&r Karolina
Transco, a5cn Pa.,`ing Unit Alalfrrallry
1a 0 h1 i! Serece C=-'er, Pa'ech, N^rlh CaroSa; M99.1650
r ??:?•e: : ,? /:..i? I i co / rr.\ y ? ?-? a:•oc.? 1 IGlcrlOi: lriifJ:/[e-mail]>,nc. US(nCv/ctlflnUS
An =_S ?I O'por:uni?,/AYUmz .+n Action Emp'oyer-50',b Rec/ded/101,o Post Consumer Paper
c'CF?v,I A? 7-FR11
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DNVQ Project No.: _ (7 6 U c
Applicant: ,VC-boT
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
a?, a 5, r C C 0 .41 L-`1
County: W ctv_2
Ir?] ro?o5e3 u% r-4 ?j ippaSS o}- r ni9kr-dole Fro.. 1- 14 q 0 to a x; s .4A - U56 y ?l eo"- S2 (OO.T$Z-` ffb
Project 1?`a111C: tCn?n Drg u: Sev nT VS 6Y +? Qoolt ?oa o?9 a lort=d? v? ??S! c rPS?I-£rrPw•r 1 rp, , e? >?S {jylq
v5 614 to t ru 05e v5 6y Fjyp,,5s TIP : (t•Z 4 7 a,9. Q-26 if I O-
Date of Issuance of 401 Water (?u?lity Certification:
13?Iblo ?
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
1, ?. ?? • &,0 04,a.-\ 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: ?_?• ` a:?e.. Date: 71ac
agent's Certification
I. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Da
I. , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Sizna cure Registration No.
Date
one
IrorthCarolina
7r3nspo:25Cn ?a.^:;`.i^v Unit ?1'nlurlT((!f
1a;v 1t i! S:rcce Ce-'er, F.z:F'rh, ti,dh C?rerin;, 276ao.toSO
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An Eq,:al 0p;or,uni;y1A`.ra aw'ie Action Emp4yer-501,b RecydeJlO°o Post Consumer Paper
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DWQ Project No.: 116 Ud c
Applicant: ,VcD oT
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
-2 ?v? g PI, C S C-
?(- K- 2 6 l
County: L J a fle-
ro?o5e-3 IS 1,4 ?-t puss o{ Kni90-dale +(,- t-
- o to eK;s us6y?lec,- 52roo3?T Yfb
Project Name: Lt- Of'am*5OU A? U569 +,.Qool Z0.111. CIAL c?l 11+0°j'. J???)f-wPSf?,rPw.r L(p., t??1?$ I/?rf
v5 6'1 to a ro ase u5 6y IF,,p4ys Ti? c R-2 47 u,9 Q-Z6 y 1
Date of Issuance of 401 Water ( u?lity Certification:
Y/10107-
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
--? 1, ?• ?'-''go`^'?`^°?^ 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Q .?J . 1 7, we....- - - Date: 717-o107
Agent's Certification
1. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Enc-ineer in the State of North
Carolina, havins been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Vater Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date
One
NorthCarolina
Tnnsro; 25or, Pz.-:"icy t,?:,i; ?1'ali?ra?l?
la 0 ?!_ i! $=ri're C% ?r P?`F'rh, N^r h CGroti,.a 27E99.1650
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An ?Sael Ofror:uni.),/A'Umatae Action Emp'oysr - 50',b Reg/deJ10 Post Consumer Paper
5_ 1-001
--I
DNVQ Project No.: (7 1 16 U
Applicant: ,VCDOT
Michael F. Eas;ey, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
? -254? cc
County: W cLv_e_
rogo50/ US 64 `?tpu?s of rA;90- oe o f-, ears ink US6y ``?le?.? Sktoo3 T•Yfb
Project Name: ?CfDM.1 Sod41 A; Us 64 +. Qoolt Qon3, o.,Si, c, ) rr?r? J??aS! WPS? ZrP''`r ?ra,• ex IS
U56q to a roppu5e US 6y gypays Ti? r 9,2 4S 7 u?9 i?-7-6y I
Date of Issuance of 401 Water 6u3lity Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
hereby state that, to the best of my abilities, due care and diligence
%vas 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: a - L J . Date: 71Zo(o7
Q
Agent's Certification
I, , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Sionature:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engoineer in the State of North
Carolina, ha-in- been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Sionature
Date
Registration No.
one
NorthCarolina
?j'allfr,711Y
la 0 \?2i! S?rrCe CE^'?r, RzIF'r,h, N^rlh Cererin, 27699.1650
-:Z•IiCO/;r,l bi7-IJ,;:,C:J1nfti)J, nLo. enr.statB.nC. us/ncwetlandS
An ECUaI Opportuni;y/A'Umia.4n Action Emp4-y?r-50% Reolded/101. Post Consurrer Paper
oho/', A?r,!?9?
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DNVQ Project No.: C9 116 60 cl
Applicant: VC-bol-
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
[L- Z S"z{ -l CC. D N L Ll
Count(„i c,k 2
ro?oSe-y 'is r-4 K4pu5s o¢ l`nigAr-dole +(0- (?X-4140 to ex%sfin?.. U56y flea,- 5kloo3,I-C(fb
Project Name: ran.- CAM', 50.J4, a L US 64 +? Qoolt eon ? C-SL G, 1 rt-cJe y4 5raSt LJPS?-£KP``'`r ra •• eel ?%
5 Ej+'jo?
us 6q to At ro a5e u5 6y $yQa?s rip (t.z 47 u,9-Z6 y 1 U-
Date of Issuance of 401 Water (?uAlity Certification:
X21 (D 3 (f?? zl/Yl03
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
4 I, w •?jOW MOwI , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: a_I Date: -7/e,/o7
Agent's Certification
I. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
Date:
as n duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
con_truction such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
NOne
Tia,spo;z,, r, P2.-.?iny U :..it J'11almrally
la 0 -\I=i! S--i;ce C-^'ar, F.?'Frh, p:^Gh Cero ir,3 2i"c99 to?0
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An Equet C?por unit/A`.ratctve Action Emp'oyer-50',b RecjdeJ10°16 Post Consurrar?aper
O?O? `4^1 A T ?RQG
D«'Q Project No.: C9 116 U
Applicant: ;VC-boT
titichael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
9-nct-l
County: (.1 c, V-e-
r?C1? rogo5e-y ?s64 ??pkSs of K?igl,ti 46, (o,- X- u T-0 ex;s ink U56i/ ?lec"- 5R-(003
I-YSb
Project Name: c,19 .: 5.0 . Us`Y +,N Pool( eoa-'? C .A Iart-rJ,` 0 5J--wP5 - £t4t-p Lro et 4'?S?j?jq
u5 6q t) At rapPa5e u5 6q 8yp4ss TO r 9-7Z 47 a,9 ?-7-6y r U-
Date of Issuance of 401 Water Quality Certification:
ti(la 0y
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
1, - w 4%3 ow M -%.^ , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: O.?A? •'t-> Date: 7? o/07
Agent's Certification
I. 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date:
Engineer's Certification
Partial Final
I, as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
or<
NorthCarolina
Transro 4 '.,i, 111'a!l Il y..z5cr? ?a.•-.?i?, t,
la 0 ?!Bi; $- cce Ce"?r, r?'ech, P1^rth CarcNin; 276,99.1650
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An E?.aI Oppor'un:y/A1.1ma4'de Action Empoyer-50% Reor.led/10°16 Post Consumer Paper
?0F \i 1 AjF9o Michael F. Easley, Governor
William G. Ross Jr., Secretary
.? / \ i? North Carolina Department of Environment and Natural Resources
Division of Water Quality
O '? f
D«'Q Project No.: (9 116 U i Count}: aF_e_
Applicant: ,VC-DOT-
roQo5e U%64 9,,paSs o KA;9 f we ro- X- o to eA;$ in- U56y ?tec,? 52tDOT?T-t0b
1
Project Name. k ,, f., DrB M: So?t? e'F U5 6Y +, ho (,r QOa,? C.A. e. ?v rh:?Jn 3•t w
Qc-I-J?rPw ; ( ?/5 -{.
us 4C4 ta .0%e ro a5e,. u5 6y '7417-15S TIP ?r4 7 u,,9. Q-
Date of Issuance of 401 Water 6uAlity Certification:

Certificate of Completion /Z7 / D
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
I, T %--, 3 Dw r', a,. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: D.?• ??. Date: 7Ad--,7
Agent's Certification
1. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's Certification
Partial Final
as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
con_trucnon such that the construction was observed to be built within substantial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Siena Lure
Date
Registration No.
NoiihCarolina
Trans;o; a5-n Pa.-r.`.^c Unit Mal 1711Y
1a 0 M1!a S=rcce N^rlh Carcrina 27699.1650
rrti?.e: a.=-i,;,i•iicoir?ny?:-ra;-r,cdolLlcr(':ei:niiDJ?nLO.enr.5?at?.nc.us/nCw2t12nUs
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An Fq::al O'por;uni;y/A`.r:ne;ae Action Emp'oyer-50',b RerydeJlO°e Post Co..^sum=-r Paper
\TJATF9 Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Division of Water Quality
r
?2.2sy? 3?
(m l `7
DNVQ Project No.: (9 116 60--t County: W cck-2
Applicant: ,VCDoq`
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Project Name: }r M Dog a.' Sep e;- us 6y +. pooh Q045? oAX 1 ?r}=y^ J ?c 5t WPS* £?P L 0,•• e IS
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Date of Issuance of 401 Water ?u3lity Certification:
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
L J ' o''"^ °kel , hereby state that, to the best of my abilities, due care and diligence
,vas 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Q W Date: 720%7
Agent's Certification
I. , 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 and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Date:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for 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 intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
o?c
NorthCarolina
Transro,125cr, Pa.-°,`ing Unit 11'alltrally
1a 0 M i! S?tree Ce-,'?r, Rz!F'ch, t.^r h CarcIna 27E99. 16-51
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