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HomeMy WebLinkAbout20071014 Ver 1_Certification of Completion_20070618W A Michael F. Easley, Governor `O�0 9QG William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources r!J Coleen H. Sullins, Director ] Division of Water Quality D 'C DWQ Project No.: County: UTuTltPrtar'C! Applicant: ' Al e Project Name: J V 1 S /--5 Date of Issuance of 401 Water Quality 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. Applica C 'Elifleation hereby state that, to the best of my abilities, due care and diligence was used in the ob ervation 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: //-7-0-7 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. r J� 19 ti•�� ✓�Sr� O / y f v NonhCarolina Transportation Permitting Unit Naturally 1650 Mail Service Center, Raleigh, North Carolina 27699 -1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919- 733 -1786 / FAX 919 -733 -68931 Internet http: / /h2o.enr state.nc.us /ncwetlands An Equal Opportunity /Affirmative Action Employer — 50% Recycled /10% Post Consumer Paper