19970175 Ver 3_Certification of Completion_20170714

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
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DWR Project No: 2012-01767 j,� %i L Ole
County: Cleveland
Donald R. van der Vaart
Secretary
Applicant: Duke Energy Carolinas, LLC ff [E 0W E
Project Name: Cliffside Steam Station Kr
401 Water Quality Certification Issued Date: October 29. 2012 1-1
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 DWR
401 & Buffer Permitting Unit, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be
returned to DWR 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, Dave Barnhardt 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 co I' nce and intent of the 401 Water Quality Certification and
Buffer Rules, thea roved pl and sp Sfi tions, and other supporting ter' Is.
Signature: Date:
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 specifications, and other supporting materials.
Signature: Date:
If this project was designed by a Certified Professional
1, as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permitee 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: Date:
Drosion o1 Nater o+:r
Resces — 401 & Buffer Perrnitn l.+nit
!617 Mail Service Center, Raleigh, North Carolina 27699.16"
i.ocabcn: 512 N Sal sturf St. Rath, North Carouna 2760
Phone:9i4£Oi br9elFAX: 519607.6492
ir:terner: www nc ate pa&ty.cro
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