20140430 Ver 1_Certification of Completion_20150923

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NCD�NR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Gouernor
NCDWRProjectNo.: �O1�0�{�
Applicant: ).(C aOT _ ___
County; �LAµANS�
Donald van der Vaarl
Secretary
Project Name: (�(,1 P CrE �llo . Z 7_.___o_�SI $�Z. �00 �_ M�4N.�_�K� �_j�,
llate of Issuance of 401 Water Quality Certification: MAV 20 � a0 �V�
Certificate oP Compietion
Upon completion of aII work approved within the 401 Water Quality Certification or applicable I3uffer Ritles, and
any subsequent modifications, the applicant is required to return Ihis certificate to the 401 'llansportation Pennitting
Unit, North Carolina Division of Water Resources, I650 Mail Service Center, Rnleigh, NC, 27C99-I65Q. This�form
may be returned to NCDWR by lhe applic�nt, the applicanYs nuthorized agent, or the project engineer. It is not
necessa�y to send cei2iticates from alI of these.
App7icnnNs Cerlificntim�
[, J• rYl. M�e.as , hereby state that, ro the best of my abilities, due cnre nnd diligence
was used in tRe observation of the construction such that the constivction was observed to be built �vitliin substantial
compliance and intent of the 401 Water Qu2lity Cei7ification and Buffer Rules, the approved plans and
specifieations, and other siq>porting mHterials.
Signature: `/• /J�% /}% �/� Date: �%• yZ • /S
Agetil's Cert�cntlon
1, , herebystata tftat, ro the best of my abilities, due care and diligence
was used in the observalion of the consti�uctirni sucli that the construction was obsei'ved to be built witliin substantial
compliance and intent of the 401 Water Quality Certiticntion �i�d k3uffer Rules, the npproved plans and
specifications, and o81er suppoirting materials.
Signatine:
Engineer's Certifirnlio�r
Plitiai Fii�al
I, , as a duly ngistercd Professionnl Engi��eer in the Stnte of Nm1h
Carolina, having been autl�orized to observe (periodically, weekly, ful I time) tf�e construction of the project foi� the
Permittee hereby state that, to the best of my abilities, due care ancl diligence wns used in the observ�tion of the
constructiou such that d�e construction was observed to be built within substantial compliance and intent of the A01
Water Quality Certitication and Buffer Rnles, the approved plans and specificatiqns, and other suppo�ting materials,
Siguatw•e
Date
Regishatiou No,
1617 Mail Service Center, Raleigh, North Carolina 27699-1617
Phona: 919 807-63001 Inlernel: v,�nv.ncdenr.gov
An Equai Opporlun(ty I AtfrmaGve Aclion Empioyer