20061016 Ver 1_Staff Comments_20080429

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DWQ Project No.: Zoo(, l o 1 Lv
Applicant: NcDoT
Project Name: 52 2121
County: W a
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Date of Issuance of 401 Water Quality Certification: oto
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E birector
Division of Wafer Quality
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Certificate of Completion
Upon completion of all work approved within the 401 Water Quality C tification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this ertificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service enter, Raleigh, NC, 27699-1650. This form
may be returned to DWQ by the applicant, the applicant's author' ed agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certification
I, /ication e that, to the best of my abilities, due care and diligence
was used in the observation of the construction suconstruction was observed to be built within substantial
compliance and intent of the 401 Water Quality Cand Buffer Rules, the a pproved plans and
specifications, and other supporting materials.
Signature:
Agent's Certification
1.
was used in the observation of the
compliance and intent of the 401
specifications, and other supports
Signature:
Engineer's Cert
Partial
I,
Date:
hereby state that, to the best of my abilities, due care and diligence
struction such that the construction was observed to be built within substantial
ater Quality Certification and Buffer Rules, the approved plans and
materials.
Final
, as a duly registered Professional Engineer in the State of North
Carolina, having b en authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee hereb state that, to the best of my abilities, due care and diligence was used in the observation of the
construction s h that the construction was observed to be built within substantial compliance and intent of the 401
Water Quali Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
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Date

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Registration No.
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NorthCarolina
Transportation Permitting Unit Aawraity
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http:/lh2o.enr.state.nc.us/ncwetlands
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