20080890 Ver 1_Certification of Completion_20081229

ot0F W ATF9pG Michael F Easley, Governor
William G Ross Jr, Secretary
North Carolina Department of Environment and Natural Resources
?9= r Coleen H Sullins Director
> -1 Division of Water Quality
O - C
DWQ Project No • 20680B3?Q
Applicant: _ 111- CD UT
Project Name: 57R1119 ' ?,,6ur? Lai
Date of Issuance of 401 Water Quality Certification:
County .&??QAl

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/Wetlands Unit, North
Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1621 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, Aensz/al .5 / , 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 ' 10 Date 1.2-1d f 1w
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
Engineer's Certification
Part al ? Final
as a duly registered Professional Engineer in the State of North
Carolina, having been autho ed to observe (pen y, weekly, full tune) 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
.9
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-PrthCarolma
Transportation Permitting Unit aturally
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250 Raleigh North Carolina 27604
Phone [phone] FAX [phone] Internet htto Hh2o enr state tic usmc,vetlands
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