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HomeMy WebLinkAbout20121028 Ver 1_Certification of Completion_20150515� ,C `� (�Q� � �R-� �(�� NrDWQ ProjecfNo.: Z � t�- ( �2-3 Applicant: N C p u i County: ���5 J � Project l�iame: {�r;�� ZI 6 �uv' ,�u�f'I`u e C'Geelc .rn S Date of Issuance of 401 Water Quality Certification: �� � 1`{ � 1'L- ioo 5.,� �`vI l J 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 NCDWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certifcates from all of these. Applicant's Certification I, 7, Q-• �8P1�,� , 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 n her supporting aterials. � Signature: ��- Date: l 3 bGT !� Agent's Certifrcatio 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: Date: Engineer's Certification Partial Final I, , as a duly registered Professional Engineer in the State ofNorth 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 specifications, and other supporting materials. Signature Date Registration No. � �c��ad� D MAY 1 5 2015 DENR-WATER RESOURCES TRANSPORTATION PERMITTIN� UNIT