20001040 Ver 1_Certification of Completion_20080815

o f«Ni A TF Michael F. Easley, Governor
U~„^'- 9oG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
r~ Alan W. Klimek, P.E. Director
Division of Water Quality

DWQ Project No.: D O y 0 County: 1)JiV\G\,
Applicant: C,DOT r 1n
Project Name: ~N:~e•• -$S `~ru•~ ~~lSi d~ ~fu~~S1• -tu w-eSf-of ar,~Y. 1?~~- «-30 6 fig)

Date of Issuance of Water Quality Certification: (Z°I 0 0

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 Certification
1, 1- W , iJ Ow ^ 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 constriction 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.
Sicynature: Date: A)310 $
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

Sicynature: Date:

Engineer's Certification
Partial Final
1, 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
Pen-luttee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
constnrction such that the construction was observed to be built within substantial compliance and intent of the 401
NVater QUality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date

r 5 -t. r i

s ;u

ft Onc
Fa; o hCarolina
LJL I ulo o Di)UlCVdn:, LJJ, rtaidlgil, NOfdi UaNlllla Lluu;
Phone: [phone] / FAX [phone] J Internet http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity!Affirma5ve Action Employer - 50% Recycled/10% Post Consumer Paper

OF VIA Michael F. Easley, Governor
f,P" '9QG William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
C? t r Alan W. Klimek, P.E. Director
/ > Division of Water Quality

DWQ Project No.: 00(040 County: y/~ A
Applicant: M 0 OT p r
Project Name: Wldb` T-t3S ~o.. we) ~ off" acv L,~eyt 04 ` c,,Scn hue- X-3064

Date of Issuance of «'ater Quality Certification: y q I0

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 DNVQ 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
\d- I, I w - R Jwr" o.-- , 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: a Date: .4 3) 6 $
Agent's Certification
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

Signature: Date:

Engineer's Certification
Partial Final
1, , 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
constriction such that the constriction was observed to be built within substantial compliance and intent of the 401
«'ater Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
St°_nat-ure Registration No.
Date
\

j kr .h i 1 ~r

One h No hCarolina

LJL I Vldui1d~ 000lc diU, JJ.IU LJU, r(d,dgr7, J iUldl I,BrUi,hj &W-
Phone: [phone] / FAY 919-733-6893 / Internet: http://h2o.encstate.nc.us!ncwetlands
An Equal Opportuni`/;A~IrmaGve Action Employer-50% Recycled/10% Post Consumer Paper

OF ~~J q TF Michael F. Easley, Governor
P^ ~Q William G. Ross Jr., Secretary
• \d~ ao North Carolina Department of Environment and Natural Resources
co r ' Alan W. Klimek, P.E. Director
> Division of Water Quality
>r

DWQ Project No.: 2(D DO1 O y O V-3 County: U
Applicant: lit DoT' AA
Project Name: 1,q. `3S ve5r~ O~ fos~ ~fi• fi~ ~eSa` J~ e~M~U /7~~• ~1-3G5(~

Date of Issuance of Water Qualih Certification: 8(3 0(D 6

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 Certification
I, Y, w kG0wN. 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.
Signature: I- Date: 3)O$
Agent's Certification
1, , 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

Signature: Date:

Engineer's Certification
Partial Final
I, as a duly registered Professional Engineer in the State of North
Carolina, havln° been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Pertuttee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
constriction 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

4

r 's'4,
"ff/yf d N -hCarolina

[.iC I ~~o~Gdc o:iulcYd.:, na~gri, i ~uriu ~aW„r,a C; cu-,
Phone: [phone] FAX [phone] Internet: http:/ih2o enr.state.nc.us/ncwetlands
An Equal Opportunity'Atfirmative Action Emp~oy=_r - 50% Recycledi10% Post Consumer Paper