20150941 Ver 2_Certification of Completion_20180730

Water Resources ~
Environmental Quality
WR Project No.: ]�Zl�
Applicant: `^
(/ ROY COOPER
�J Governor
MICHAEL S. REGAN
se, Ictun
S. JAY ZLMMERMAN
01re( tm
County:
Project Name: I *WM ��n � >����(��\.R V*i4i
Date of Issuance of 401 Water Quality Certification: Q10r• 1 0ky)
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 and
Buffer Permitting Unit, North Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh,
NC, 27699-1650. This form may be returned to DWR by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
AppAant's Ce,06*atjon
1. , 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 plaans and specifiFations, �1 other supporting materials.
Signature:Ohn, J POC",LJ Date:_ 4 , (T
Agejtt's Certification
gp.,yc F /t/d c A 5_, 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
withinsubs ial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved 1 sand specifications, and other su pflrung materials. / `
Signatur : Date: ! ` / 6 - �,3
!f t prof ct was designed by a Certified Professional
as a duly registered Professional ( (i.e.,
Engineersca Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe riodica , eekly, full time) the construction of the project, for the Permitee hereby state that, to
the best of , due care and diligence was used in the observation of the construction such that the
construct(o� �obbserved to be built within substantial compliance and intent of the 401 Water Quality
Certificat anr Rules, the approved plans and specifications, and other supporting materials.
Signature: UI. -I Registration No. d 13
Date -,
7—Nothing Compares' -
State of North Carolina I Environmental Quality I Water Resource,
2(Mh) U.S. Highway 70, Swannanou. North Carolina 28778
828-296-4500