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HomeMy WebLinkAbout20120752 Ver 1_Certification of Completion_20150904\�' . ' ...� � � D . � � :. ��� NCDWQ Project No.: ZO/Z47S2 County: 6�/1d���e Applicant: /��"UflT OIV 5 Project Name: $F- �9�sC (/✓� S(o qcca.idra.% �✓D�IGf� � �Date of Issuance of 401 Water Quality Certification: O$ /�Co/I 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 -" - -""Uriit� Nortli 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 certificates from all of these. Applicant's Certi rcation /1 I, �. IQ. o.�vi1 S I:�• , hereby state that, to the best of my abilities, due care and diligence was used in the o servation of the construction such that the consfruction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, an r sup rtin terials. IJ Signature: Date: �� A� 6 � 5 Agent's Certification � I, , hereby state that, to the best of my abilities, due care and diligence was used in the. observ.ation 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.