HomeMy WebLinkAbout20100757 Ver 1_Certification of Completion_20120125NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H Sullins
Governor Director
DWQ Projet.t ,N0 20100757 County RL%71hej^ or
Applicant _'jqy %If'IDnvn� d� r['rnylgpL,)r�n� -,�Q ICI
Project Name NCSR 1156 (Madig Hd
Date of Issuance of 401 Water Quality Certification ZZ i 2 O 10
Dee Freeman
Secretary
Certificate of Completion
Upon completion of all work approved within the 401 Watei 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 Caiohna Division of Water Quality 1650 Mail Service Centet Raleigh NC 27699 1650 This form
may be returned to D%Q by the applicant the applicant s authorized agent or the project engineer It is not
necessary to send certificates from all of these
Applican C ti
I x. hereby state that to the best of my abilities due care and diligence
was used in the observaD rt of the construction such that the construction was observed to he built within substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules the approved plans and
specifications and other supporting erials
Signature Date j._ lZ
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
I as a duly registered Professional Engineer in the State of North
Carolina having been authorized to observe (periodically weekly full trine) the construction ofthe 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
Ddte
1617 Mail Service Center Raleigh North Carolina 27699 1617
Location 512 N Salisbury S Raleigh North Carolina 27604
Phone 919 807 6300 FAX 919 80r 64921 Customer Senn a 18r 7-o23 o748
Intemet www ncwaterqualily org
An Eqi 31 Oopoitun ly Airrmat re Acl o E pieycr
Registration No
NorthCaf ollna
Natlhrallil