HomeMy WebLinkAbout20160149 Ver 2_Certification of Completion_20170223;� ':,. 4
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Environmen ta(
Quatity
ROY COOPER
Govemor
MICHAEL S. REGAN
Secrefarr
S. JAY ZIMMERMAN
D��ecrur
NCDWR Project No.:2�� �D��C�L County: '�''y �
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Applicant: �Ll�C7� Ft:-�n� �,�,5��.,� --`—"��`—`�_-1����-------.
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Project Name: _J�v� �'Cr�--- `�'i r��Sl��l... --%t�:n_�Cru���,, �!C ���
Date of Issuance of �101 Water Qualit� Certification: ��� � ��) �
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Certificate of Completion
Upon completion of all �tiork approved within the 401 Water Quality Certitication or applicable E3uffer Rules, and
any subseyuent moditications, the applicant is required to return this certificate to ihe 401 Transportation Permittin��
Unit, North Carolina Uivision of Vb'ater Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This forn�
may be returned to NCDWR by the applicant, the applicant's authorized agent. or the project engineer. It is not
necessarv to send certiticates from all of these.
:-a��r�•�,,,r's ('eitificulinn
I, _����nr��, ��'� ��. _ , hereb}� state that. ta the best of my abilities, due care and diligence
�i�as used in the observation of the construction such that the construction ��as observed to be built ti ithin substantial
compliance and intent of'the �l�l Water Qualit� Certitication and E3ufter Rules, the approved plans and
specitications d t er supporting terials.
' ��Z � Z i� r�
Signature: � .,� � Date: _..._�.__.__
,9�eiu's Certrficutin�r
I, __ , hereb� 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 Certitication and Buffer Rules, the approved plans and
specitications. and other supportin� materials.
Signature:
F.ngbreer's Certificu�ron
Partial Final
Date:
(. , as a dul� re��istered Professional En��ineer in the State of North
Carolina, havin� been authorized to observe (periodicallv, weehly, full time) the construction of the project for the
Permittee herebv state that, to the best of m� abilities, due care and dili��ence �+as used in the observation of the
construction such that the construction was observed to be built �iithin suhstantial compliance and intent of the 401
Water Quality Certitication and I3ut�ter Rules, the approved plans and specitications, and other supporting materials.
Signature
Date
Ke��istration No.
'�"Nnt}�ing Cc�napare�
titare of Nnrth Carolina ; Em ironmental tlualrt�
i',I' Slail �eniic Ccnt�r hal�i,_h- V�,rth ('urolina �?r,�x,_;i,i,