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HomeMy WebLinkAbout20120277 Ver 1_Certification of Completion_20150515Beverly Eaves Perdue Governor . , ����� � � ����� NCDENR Nw�rth Carolina Department of Environment and Natural Resources . Division of Water Quality Coleen N. Sullins Director DWQ Project No.: � �Z O 2 i 7 Applicant: __�tQ o'f� County: �-.,k�c Q Dee Freeman Secretary � ProjectName: Q..2��ac�e,r�.�,�1- o�- a�,� Z3c� oJel' ��Q�c.� C�eek �n S(Z 2Si1 (Gr�SS��Q�J�i R�� Date of Issuance of 401 Water Quality Certification: ��� 6 I � Z �j- �t � 3 Z 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 ail of these. Applicant's Certification I, T 2•�Dpl��� , 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 C' cation and B ffer Rules, the approved plans and specifications, and other supporting materials. Si nature: � G3 Uv g y Date: T � / Agent's Certification I, , hereby state that, to the best of my abilities, due care and diligence was used in the observarion of the construcrion such that the conshuction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specificarions, and other supporting materials. Signature Engineer's Certification Partial Final Date: I, , 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 specificarions, and other supporting materials. Signature Date Transportation Permitiing Unit 1650 f�4aii Service Center; Raleigh, North Carolina 27699-1050 Locatinn: 232 i Crabtree Blvd.; Raleigh: North Caro!ira 27504 Phone: 919-�33-1?8o t FAX: 919-133-689? Internet: httF irh2aenr.stat2.nc.us�ncwetiands' �n�ec�€'. criun:ty'.A!�ir.nativ� �c_�.. =!n�•;;ye Registration No. p �� �a:��� D (� I�Y �. �i � 015 ` DE�JR - WATEK RESCiJ�CES 7RANSPORTATtON PERivtITTING UNIT One NorthCarolina ��ttur�tllJ