20061138 Ver 1_Certification of Completion_20080331

O~_ o~ WAT~RQG
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DWQ Project No.: Z o b 6 ~ ~'3 0
tiAichaet F. Easley, Governor
WiAiam G. Ross Jr., Secretary
North Carding Department of Environment and Natural Resources
Alan W. ICBmek, P.E. Director
Division of Water Quality
County: ~ V / ~~ M
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ProjeetName: ,~".~,~Pnr~e,~,.~i-.y -~o S1i~ct~..reS c~xv¢-,,~4- yT 7~ C';~+(c t_i`c(c Clc ~~ S~-
Date of I[ssaance of 401 Water Quality Certification: ~ ~ 7 ~ ~ 6 19 ~ 7 '
Certificate of Caaipletion
Upon completion of all work approved within the 40l Water Quality Certification or applicable Buffer Rotes, and
any subsequeait n~ fire applicant is requu+ed to rrdrrn this certificatie m the 401 Transportation Permitting
Umt, North Carolina Division of Watra Qaality,1650 Marl Service.Ceater,Rgleigh, NC, 27699-1650. This form
maybe rehirned m DWQ by the applicant, the agplicairt's authorized agent, or the project engineer. It is not .
necessary to send certificates from all of tire.
Appficant's Certification
d.. i, J ..r , (~ o w M ~~ hereby state that, to the best of mry abilities, due care and diligence
was used in lire observation of the construction such that the construction was observed to be built within substantial
compliance and inisnt of 91~ 401 Water Quality Certification and Buffer Rules, the approved plaffi and
specifications, ~ other supporting mat+cerials.
Signature: Q _ ~ ~ •-. -- Date: 2-l J ,~>c9 $
Agent's Certification
I, hereby state that, >b 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 iatentt of the 401 Wa1~ Qgality Ceatification and Hoffer Rules, the approved plans and
specifications, a~ other supporting materials.
Signature:
Lngimeex's Certification
Partial Final
Dale:
i, as a duly registers Frofessior~l Engineer in the Stave of North
Carolina, having been authorized m observe (periodically, weekly, fall bare) the construction of the projectfor the
Permittee hereby state that, ~ the best of my abrlr'ties, due care and diligence was used is the observation of the
conshuction such that die c~stliiction was observed to be built within substa~al compliance a>td intent of the 401
Water Quality Certification and Buffer Rules, the approved glans and specifications, and otiicr supporting materials.
Signature Registration No.
Date
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1tib0 t~ Service Center, Ra~gir, North Caro&ra 27fi99-9650
2321 Crabtree Boulevard. Suite 250, Raleigh, NorBr Carot6ra 27604 '
t 919-733-1786 / FAX 919-73;i~61~3 J h0emet tttloJ/h2oerushite.nc.us/ncvveds
~ ~ CPPA A~ - 5076 Recyderyt(>96 ~ Consumer i'eper