HomeMy WebLinkAbout20161130 Ver 1_Certification of Completion_20180111Wnfer Resources
LNVIRONMEN IAL OUALi I Y
NCUWR Project No.: 2 � I�" ��J �
Applicant: �
Project Name:
PAT MCCRORY
��l
DONALD R. VAN DCR VAART
,����•,���,
S. JAY ZIMM�RMAN
��I ( l)II1Yln1'
Coun�3'� �� tLt�c c�m0 e
Z �.
Dafe of Issuance oT401 Wa[er Quali[y Certification: I Z/�/O/ �
Certifica[e oFCampletion
Upon completion of all work approved within ihe 401 Wa[cr Quality Certiflcation or npplicablc 8uffer Rules, and
any subsequent moditications, thc applicant is required [o re[urn ihis certitica[e to the 401 Transpor[a[ion Permitting
Unit, Nordi C�rolina Division oF Water Resources, 1617 Mail Service Cen�er, Ralei�h, NC, 27699-1617. l�his form
may be returned to NCDWR by Ihe applicant, [he applic�nYs �uthorized agent, or Ihe project engineer. It is no[
necessaiy to send certificates fiom all of these.
�I pplicrui!'s Cerlificnlio�r
I. p v Y. �y.lyt/ , hcreby s[a�c lhai, to [he bes[ of my abilities, due care and diligence
was us in [he observatio(� of the construction such lhal the constniction was observed ro l�e buill within substantial
compliance and intent of the d01 Wnter Quality Certillcation znd 6uffer Rules, the approved plans and
specificalions, and o[her supporting marerials.
Signalure: �� ...`— Date: � //� �J/
�
Agen!'s Cerlificntion
I, , hereby slate [hal, to lhe besl of my abilities, due care and diligence
was used in the observation of the conslruction sucl� tha� the construction was observed to be buil[ wilhin subs[an[ial
compliancc and in[en[ of the 401 Water Quality Ce�tification and f3ufler Rules, the approved pinns niid
specilications, and o[her supporling materials.
Si�nature:
/argineer's Cerrificnlio��
Partial Pin21
I, , ns a duly reoistcred Pinfession�l Enginecr in the Sta�e of North
C�rolina, h�ving bcen authorized ro observe (periodically, weekly, tull time) the construction of lhe prolzct for the
Permit[ee hereby st�te that, to �he best of my abilities, due care and diligence was used in the observa�ion of the
consn�uction such that �hc constroction was observed to be buih �vithin substantial coinpli�nce and intent of the 401
W�[er Quality Certificetion anA Buffer Rules, die approved plrns and spccificalions, and other suppor[ing materials.
Signa[ure
Date
Regish'ation No.
Slalro( Nonh Carolinn IF n�ironmenlal Qualiq' i Wolcr Roronrcas
1617 Mail Service Center. Raleiah. Norlh Camlina 276994617