20131127 Ver 1_Certification of Completion_20160802

���
.,... ''yr
�:__. :-,.�
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
Pat McCrory S Jay Zimmerman
Govemor Director
NCDWR Pro�ect No 20131127v1
Donald R. van der Vaart
Secretary
County. Transvlvama
Apphcant NC Department of Transportation
Pro�ect Name Brid�e No. 83 on SR 1107
Date of Issuance of 401 Water Quahty Certification November 4, 2013
Cerhficate of Completion
Upon completion of all work approved wrthm the 401 Water Qualrty Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Plamm�g Umt, North
Carolma Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617 This form may be returned to
NCDWR by the apphcant, the applicant's authorized agent, or the project engineer It is not necessary to send certificates
from all of these
Applicant's Certification
I, Mark S Davis, Division 14 Environmental Program Supervisor, hereby state that, to the best of my abilities, due care
and diligence was used m the observation of the construction such that the construction was observed to be built wrthm
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supportmg materials
Signature Date• �'��'��o
Agent's Certtficatcon
I, , hereby state that, to the best of my abilrties, due care and diligence was used
m the observation of the construction such that the construction was observed to be built wrthm substantial compliance and
intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supportmg
materials.
Signature • Date
Engcneer's Certaficatzon Partial Final
I, , as a duly registered Professional Engineer m the State of North Carolma,
havmg been autharized to observe (periodically, weekly, full hme) the construction of the project, for the Permittee hereby
state that, to the best of my abilrties, due care and diligence was used m the observation of the construchon such that the
construction was observed to be built wrthm substantial comphance and mtent of the 401 Water Qualrty Cerhfication and
Buffer Rules, the approved plans and specifications, and other supportmg matenals
Signature.
Date:
Registration No.:
Transportation Permitting Unit
1617 Mad Service Center Ralegh, North Carolma 27699 1617
Location 512 N Salisbury St Raleigh, North Carolina 27604
Phone [phone]
Intemet www ncdenrgov
An Equal Opportunity 1 Affirmative Action Employer
p ����d�
D
,�,';, - 2, 2��6
; ;�50URCES
TRpt,;;,,r=c)�� Iti� tUiJ ?cHM1TTING UNIT