20021558 Ver 1_Certification of Completion_20080201

F MATE Michael F. Easley, Governor
U R William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
CO 7 Alan W. Klimek, P.E. Director
o -c

DWQ Project No.: ZI 55a County: CND -fFla M
Applicant: -T1," 1 -Jo" ..-J
Project Name: !iL 1131
Date of Issuance of 401 Water Quality Certification: to A ~ D 2

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/Wetlands Unit, North
Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. 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.
Ap lic Certification
I, / /,V DD'n by ~ eft ~~iJ , 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 supporting materials.
Signature: l Date: " -3d

Agent's Certification
1, &-~/V Z/ 6LO4.J 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: (`l • Date: I /111 l P,

Engineer's Certification
Partial Final
I, 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
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 pians and specifications, and other supporting materials.
Signature Registration No.
Date

V q
Five 0~2008

STATE OF NORTH CAROLINA

DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY. DIVISION OF HIGHWAYS LYNDO TIPPETT
GOVERNOR SECRETARY
January 30, 2008

401 /Wetlands Unit
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650

To Whom It May Concern:

Attached are Certificates of Completion for the following projects in Chatham County, NCDOT
District 1, Division 8:

DWQ Project No. Applicant Project Name Date of Issuance
20021558 Tim Johnson SR 1131 10/9/02
20021559 Tim Johnson SR 1367 3/17/06
20030336 Tim Johnson SR 1313 4/7/2003
20041360 Tim Johnson SR 1732 8/27/2004

Please advise if you need additional information.

ely,

1Z ~z-
~ othy Johnson, PE
Division Engineer

cc: Art King, DEO
R.E. Blakley, PE, District Engineer

P.O. BOX 1067, ABERDEEN, NORTH CAROLINA 28315
PHONE [phone] FAX [phone]