20100109 Ver 1_Certification of Completion_20120222

(� WA7'4 Michael F Easley Governor
9QG William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
rAlan W Klimek P E Director
Division of Water Quality
o �
DWQ Project No 20100109 County Macon
Applicant NCDOT
Project Name B 4574 Replace Bridge No 58 on SR 1551 over Mirror Lake
Date of Issuance of 401 Water Quality Certification March 5, 2010
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 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
Apphcant s Certification
I Joel B Setzer, P E , 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 obseived 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
Agents Ce ification
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 specifications and other supporting materials
Signature
If this project was designed by a Certified Professional
I 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 foi the Permitee heieby 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 nn Izz.
Af
FEB 2 2 2012
tiElSANS , 4pOD O f?M:A R
NCDEf'
North Carolina Division of Water Quality 401 Wetlands Certification Unit
1650 Mail Service Center Raleigh NC 27699 1650 (Mailing Address)
2321 Crabtree Blvd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 6893 (fax) http //h2o enr state nc us /ncwetlands/