20080881 Ver 1_Certification of Completion_20080801

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY. DIVISION OF HIGHWAYS LYND nPPETT
GOVERNOR SECRETARY

July 30, 2008

401 /Wetlands Unit
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
To Whom It May Concern:

Attached is a Certificate of Completion for the following project in Lee County, NCDOT District 2,
Division 8:

DWQ Project No. Applicant Project Name Date of Issuance
20080881 Tim Johnson NC 42 6/2/08

Please advise if you need additional information.

Sincerel

T othy Johnson, E
Division Engineer

cc: Art King, DEO
T.F. Welch, PE, Division Bridge Maintenance Engineer
C.E. Dumas, PE, District Engineer

P.O. BOX 1067, ABERDEEN, NORTH CAROLINA 28315
PHONE [phone] FAX [phone]

I M

I)WQ Project No.: Z008 0 M County:
Applicant: N C- NJ' ~D l V 00 O'Chl Y J G H N sD fJ

Project Name: NG 42 (-y1-u4F-AT KCe1. CC M l~ N -F
Date of Issuance of 401 Water Quality Certification: Ju N E Z~ 2 008

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.
Applicant's Cert fication
a-3-, 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 suppo in materials.

Signat Date: 22

Agent's Certification
I, t r yJ L.C (A , 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.
d
Signature: Date: :7/1
Engineer's Certification
Partial Final
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 Registration No.

Date