20191046 Ver 1_Certification of Completion_20200326

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
NORTH CAROLINA
Environmental Quality
WR Project No.: P'W� 19'id%County: WCL"
Applicant: Vlct-tk '7 k o> r �' �u S' ^C-
n�@R 0 �'I11(1
MAR 2 6 2020 wJ
DENR - WATER RESOURCES
TRAwSPORTATIow PERMrrnwG UNIT
Project Name: I8 f-br ^ate (G` t 1Ncti�jo. > Ake. �� a'"C�_
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
0 3/1`I
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.
Applicant's Certification
1, :!!T J' ).-..t o.,� W64;.e , 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 substantiANompliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plan an specifications, and other supporting materials.
Signature: 1VqtrtLi Date: i0.1-26
Agent's i
I, 4=�J �L , 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 a pecifi atii S, an other supporting msaatep,als
Signature: L�`�C�r� 0� Date: /l l �%
If this p oject as desi,J ed w a Certified Professional
I, ��'FiLcil as a duly registered Professional r0ellmCei.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 ar^ffer RuI ,approved plans and specifications, and other supporting materials.
Signature: Registration No. A - `T 1 ?-'09
Date ?�
North Carolina Department of Environmental Quality i Division of Water Resources
Asheville Regional Office ( 2090 U.S. Highway 70 j Swannanoa, North Carolina 28778
828.296.4500