20061194 Ver 1_Certification of Completion_20080331

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D\\'Q Project No.: 200 6 1 ~ 9 ~-~
Applicant: N C'~ 0'1~

Project Natne: PfJDoS~ f t O ~ or/~ n n S ~- I OD y ~f` 1~( 27 Z. c,u ~ >~ ~4+- Diu er-
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Date of Issuance of 401 \\'ater Quality Certification: 3 ~ 7 ~ 0 6 S$, Zd 3 Z 11
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, 27699-160. This form
may be returned to D\VQ 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. T• t-•',~30i.,,"~,• ~ ,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 .vas observed to be built within substantial
compliance and intent of the 401 \Yater Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date: 720/07
Agent's Certification
I. ,hereby state that, to the best of my abilities, due care and diligence
~~•as 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: Date:
Engineer's Certification
Partial Final
I~ , as a duly registered Professional Ensineer 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 vas used in the observation of the
construction such that the construction vas observed to be built within substantial compliance and intent of the 401
«'a:er Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
.Slcn(tiUre
Date
Registration No.
NorihCarolina
Tr_=~sro; a5cn Pa.-~'..`i~.g U ;i; i/j~(lfl/Cl7~~lf
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rra,'i. .,~i;,,i~iiCOl rr.l7i-~i,a:•~odJ1L'~t:rr:et: rutp~~nZo.enr.s?at~.nc.us/ncw2Uands
tilichael F. Easley, Governor
~'lilliam G. Ross Jr., Secretary
North Carolina Department o1 Environment and Natural Resources
....:: .rc:_;~i
Division of Water Quality
Aa _S;?I O;:QOGuni;j/A`.r:nct/? ACSOn Emp'oy?r - 50'.o Re: j:'IeJ10!o ?vst CO.^.SOmcr ?2p?r