20071599 Ver 1_Certification of Completion_20080603

DWQ Project No: 071599
Applicant: NCDOT Division 3
Project Name: SR 1971 (Old Field Rd)
County: Duplin
Date of Issuance of 401 Water Quality Certification: September 22, 2007
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 401Transportation 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 all of these.
Applicant's Certification
I, H. Allen Pope , 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 Certifi on an Buffer Rules, the approved plans and specifications, and o er supporting materials.
Signature: _ Date: f/ ° f
Agent's Certification
I, Mason Herndon 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: .`-Z 7- O a'
Engineer's Certification
Partial Final
1, . 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 Permtttee 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: Registration No.
J...
Date:
WETLANU:S?°,p? AVA1tR QUALITY
;7f1RE,;?veTEApRANCH