20160134 Ver 1_Certification of Completion_20180111

PAT MCCRORY
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DONALD R. VAN D8R VAART
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WaterResources S. JAY ZIMMERMAN
[HVIRONMENIAL OUALifY
DIl'ielul'
NCDWR Projecl No.: ZUI p�- ��I3�F" Counly: _�U�iwuip C'_
Applicanh t. � )T �� '�S�'��� I�
Projec[ Name: ,Vi'i�G(qC� I � 7 O�� S�2
Da[e of Issuance of J01 W�ter Quality Certification: ✓ �
Certifical'e of Completion
Upon completion of all work �pproved witl�in the 401 Water Quality Cer[ification or applicable Buffer Rules, and
any subscqueu[ modificalions, the applicaN is required to relw'n lhis certilicale to ihe=}01 Transpor[alion Permitlin�
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-I617. This form
may be retw'ned to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary lo send certificates from all of �hese.
rl pplicnnt's Cer�iJicn�io�i
I, C P��� y_��Ii , hereby statc th�t, to the best of my �bilities, due care and diligence
was use in the observalich� of the consutiction such tl�1t the construction wns observad to be built witliin substan[ial
compliance and intent of ihc 401 Wa[er Qualiry Certitica[ion and 6uffer Rules, the approved plans and
specitications, and oiher supporting materi�ls.
Signature: _���Jj�,t,cl�lLc� llate: � �� Z� /.
�
Age�rt's Cerlificn�inn
I, , hereby sta[e Ihat, lo the best of my abili�ics, due c�re and dili�ence
was used in the observation of tlie construction such that the consh'uclion was observed to be built within subslantial
compliance and intent of the 401 Water Quality Ccrtificatimi and I3uFfer Rules, the approved plans and
specificalions, and other supportin� materials.
Signature: D2te:
Engiueer's Cerlifien(ion
Pai4ial Final
�, , as a duly registered Pirofessional Engineer in the S[ate of North
Carolina, having been authorizud to observe (periodically, weekly, full lime) lhe construclion oftl�e projecl for [he
Permiftee hereby st�te that, to Ihe best of nry nbilities, due care and diligence was used in [he observation of the
construction such thsjt the consiruc[ion was observed to be biiilt within subsLantial compliance and intent of the 401
Water Quality Certification an� Buffer Rules, the approved plans and speci'ficaYions, and c�l'her supporting inaterials.
Signature Registration No.
Date
Smle ol Norlh Caroliva iLmimnincnlal Qu:dily I W��er 2erounes
i6ll Mail Service Cen�ec Raleigh, Norlh Camlina 276994617
Phone:919-807-fi300