20151334 Ver 1_Certification of Completion_20190108

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£nvironmental
Quality
NCDWR Project No.
Applicanh _�
Project Name:
ROY COOPER
Governor
MICHAEL S. REGAN
Sen�etnrY
S. JAY ZIMMERMAN
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Caunty: I/( l�'%�'�e�^•Yei"c�
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Date of Issuance of 401 Water Quality Ce�ifica[ion: �/ 7�0 /�
Certi�cate 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 Transportation Permitting
Unit, North Carolina Division of Water Resources, 16U Mail Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR by the applicant, the applicanYs authorized agent, or the project engineec It is not
necessary to se�d certificates from all of these.
Applicruet's Certrficnliou
1, �ooPr � U.� �i�'ry , hereby state that, to the best of my abilities, due care and diligence
was a in the o�n of the construction such that the consVuction 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.
Signawre: Q ��, Date: � �
Agen!'s Cerlifrcn�ion
I, , 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 [o 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: Date:
Engiueer's Certifiention
Partial Final
I, , as a duly registered Professional Engineer in the State of Nor[h
Carolina, having been authorized to observe (periodically, weekly, full time) the constraction 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 plans and specifications, and other supporting materials.
Signature
Date
Registration No.
'" �'Nothing Cnmpares"- �
S[ate of Nonh Carolina I Environmental Quality
1617 Mail Service Center � Raleigh, Nonh Carolina 27699-1617