20190747 Ver 1_Certification of Completion_20191028

ROY COOPER
Governor
MICHAEL S. REGAN
Serrerary
LINDA CULPEPPER
Director
WR Project No.: 0 "
Applicant:
Project Name: ��t'�' �✓lo�y '�/k,�{�x 1�rL d--GO02c--yev ��-
Date of Issuance of 401 Water Quality Certification: Zr/
NORTH CAROLINA
Environmental Quality
REC8VFL1DENR/DWrZ
OCT 28 2019
"or Resources
County: ofiuowru permitting Section
Certiticate of Completion
S�-, C 64
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, 27699-16-50. 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.
-Xppiicant's C'erti :cation
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 plans and specifications, and other supporting materials.
Signature:
,Agent's Ctrtitication
Date:
11, 1 , hereby state that, to the best of my abilities, due care and
diligence was used to the 6bsei7vation of the construction such that the construction was observed to be built
within substantial compliance d intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans d specifi t' ns, other supporting materi s.
Signature: I Date: t Z / f
If this pro/ct was designed by a Certified Professional
as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to
observe (periodically, weekly, full time) the construction of the project, for the Permitee 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.
North Carolina Department of Environmental Quality I Division of Water Resources
Asheville Regional Office 1 2090 U.S. Kghway 70 1 Swannanoa, North Carolina 28778
828.296.4500