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HomeMy WebLinkAbout20010235 Ver 1_Complete File_20010215O?O?WAT?9QG Co (ML )LIJUI r Michael F. Easley - Governor William G. Ross, Jr., Secretary Department of Environment and Natural Resources Kerr T. Stevens Division of Water Quality May 17, 2001 Alexander County Bridge No. 64, SR 1460 DWQ Project No. 010235 APPROVAL of 401 Water Quality Certification with Additional Conditions Ms. Trish Simon, Environmental Officer NCDOT Division 12 P.O. Box 47 Shelby, NC 28151-0047 Dear Ms. Simon: You have our approval, in accordance with the attached conditions and those listed below, to impact 80 linear feet of an unnamed tributary to South Yadkin River for the purpose of replacing Bridge No. 64 on SR 1460 in Alexander County. The project should be constructed in accordance with your application dated 5 February 2001 (and clarifications dated 27 March 2001). After reviewing your application, we have decided that this fill is covered by General Water Quality Certification No. 3289 corresponding to the U.S. Army Corps of Engineers Nationwide Permit Number 14. In addition, you should acquire any other federal, state or local permits before you proceed with your project including (but not limited to) Sediment and Erosion Control, Non-Discharge and Water Supply Watershed regulations. This approval will expire with the accompanying 404 permit unless otherwise specified in the Water Quality Certification. This approval is valid solely for the purpose and design described in your application (unless modified below). Should your project change, you must notify the DWQ and submit a new application. If the property is sold, the new owner must be given a copy of this Certification and approval letter, and is thereby responsible for complying with all the conditions. If total wetland fills for this project (now or in the future) exceed one acre, or of total impacts to streams (now or in the future) exceed 150 linear feet, compensatory mitigation may be required as described in 15A NCAC 2H .0506 (h) (6) and (7). For this approval to be valid, you must follow the conditions listed in the attached certification and any additional conditions listed below. 1. Any trout conditions as determined by the North Carolina Wildlife Resources Commission, to protect the egg and fry stages of trout from sedimentation during construction. 2. Stormwater should be directed to buffer areas or retention basins and should not be routed directly .into streams. 3. Sedimentation and Erosion Control Guidelines for Sensitive Watersheds (15a NCAC 4B .0024) must be implemented prior to any ground-disturbing activities to minimize impacts to downstream aquatic resources. Temporary or permanent herbaceous vegetation should be planted on all bare soil within 5 days of ground-disturbing activities to provide long term erosion control. 4. The culverts required for this project shall be installed in such a manner that the original stream profile is not altered (i.e. the depth of the channel should not be reduced by a widening of the streambed). The pipes should be placed such that one is in line with the stream and below the stream bed for low flow conditions, and the second one is placed offline and at a bankfull elevation for flood flows. Existing stream dimensions are to be maintained above and below locations of culvert extensions. North Carolina Division of Water Quality, 401 Wetlands Certification Unit, 1650 Mail Service Center, Raleigh, NC 27699-1650 (Mailing Address) 2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location) 919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetiands/ Page 2 of 2 5. All work shall be performed during low flow conditions. 6. All mechanized equipment operated near surface waters should be regularly inspected and maintained to prevent contamination of stream waters from fuels, lubricants, hydraulic fluids, or other toxic materials. 7. The presence of equipment in the channels must be minimized. Under no circumstances should rock, sand or other materials be dredged from the wetted stream channel under authorization of this permit, except in the immediate vicinity of the culverts. 8. Mowing of existing vegetated buffers is strongly discouraged, so that they may be utilized for storm water sheet flow. 9. Use of rip-rap for bank stabilization is to be minimized; rather, native vegetation is to be planted when practical. If necessary, rip-rap should be limited to the stream bank below the high water mark, and vegetation should be used for stabilization above high water. 10. Rock silt screens at culvert outlets should be removed at project completion. If you do not accept any of the conditions of this certification, you may ask for an adjudicatory hearing. You must act within 60 days of the date that you receive this letter. To ask for a hearing, send a written petition which conforms to Chapter 150B of the North Carolina General Statutes to the Office of Administrative Hearings, 6714 Mail Service Center, Raleigh, N.C. 27699-6714. This certification and its conditions are final and binding unless you ask for a hearing. This letter completes the review of the Division of Water Quality under Section 401 of the Clean Water Act. If you have any questions, please telephone John Domey at 919.733.1786. Sincerely, e . Stev Attachment cc: Wilmington District Corps of Engineers Corps of Engineers Asheville Field Office DWQ Mooresville Regional Office Central Files File Copy MEMORANDUM TO: John Dorney Regional Contact: Pete Colwell Non-Discharge Branch WO Supervisor: Rex Gleason Date: SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS Facility Name NCDOT - Bridle 164 on SR 1460 Project Number 01 0235 Recvd From DOT Received Date 2/15/01 Recvd By Region Project Type bridge replacement County Alexander County2 Region Mooresville Certificates Stream Stream Impacts (ft.) Permit Wetland Wetland Wetland Stream Class Acres Feet Type Type Impact Score Index Prim. Supp. Basin Req. Req. ME 14 ? PT O N F_ 12-108-(5.3 WStt HQW 30,706. ?- F_ 50.00 ?- JOY 0 CA Mitigation Wetland MitigationType Type Acres Feet (?J 1-11 OC) 1-11 Is Wetland Rating Sheet Attached? O Y (ON Did you request more Info? Q Y ON Have Project Changes/Conditions Been Discussed With Applicant? O Y O N I/?aUe- 1? c Is Mitigation required? O Y 6 N Recommendation: O Issue 0 Issue/Cond O Deny Provided by Region: Latitude (ddmmss) 355616 Longitude (ddmmss) 810317 Comments: NCDOT is proposing to replace an existing timber bridge over an unnamed tributary (W II) to the South Yadkin River with two 84 inch pipes. The stream runs through adjacent wooded uplands above and below the bridge. The stream is 4 to 5 feet wide with a rocky bed above the bridge and more sand below the bridge. There is no bog turtle habitat within the p?ject area. The road serves agricultural area of Alexander County. The pines are proposed to be set 12 inches below the streambed with 18 inch high rip rap placed paced at the upstream end of one nine to concentrate the low flow through the other pope. cc: Regional Office Central Office Page Number 1 MEMORANDUM TO: John Dorney Regional Contact: Non-Discharge Branch WO Supervisor: Date: SUBJECT: WETLAND STAFF REPORT AND RECOMMENDATIONS Facility Name NCDOT - Bridge 164 on SR 1460 County Alexander Project Number 01 0235 County2 Recvd From DOT Region Mooresville Received Date 2/15/01 Recvd By Region Project Type bridge re placement Certificates Stream Stream Impacts (ft.) Permit Wetland Wetland Wetland Stream Class Acres Feet ME Type Type Impact Score Index Prim. Supp. Basin Req. Req. 14 F- O ?' OO IV F- 12-108-(5.3 WStt HQW 30,706. F-F- 50.00 ?- OY N -?? F_F_ 107 Mitigation Wetland MitigationType Type Acres Feet Is Wetland Rating Sheet Attached? 0 Y Q N Did you request more Info? 10 Y 0 N Have Project Changes/Conditions Been Discussed With Applicant? 0 Is Mitigation required? 0 Y4 N Recommendation: 0 Issue ISSue/Cond 0 Deny Provided by Region: Latitude (ddmmss) 355616 Longitude (ddmmss) 810317 Comments: cc: Regional Office Central Office Page Number 1 Facility Name NCDOT - Bridge 164 on SR 1460 County Alexander Project Number 01 0235 Regional Contact: Pete Colwell Date: 5/14/2001 Comments (continued from page 1): cc: Regional Office Central Office Page Number 2 N 010235 r? STATE of NORTH CAROLINA DEPARTMENT OF TRANSPORTATION JAMES B. HUNT JR. P.O. Box 25201, RALEIGH, N.C. 27611-5201 DAVID McCOY GOVERNOR SECRETARY P.O. BOX 47, 1710 East Marion Street Shelby, N. C. 28151-0047 February 5, 2001 Mr. Steve Lund, Project Manager - NCDOT Projects US Army Corp of Engineers Asheville Regulatory Field Office 151 Patton Avenue, Room 143 Asheville, N. C. 28891-5006 Dear Mr. Lund: The North Carolina Department of Transportation, Division of Highways, proposes the following project for your issuance of a Section 404 Permit. We believe this project can be accomplished under NWP #14, Linear Transportation Crossings. COUNTY: Alexander LOCATION: Bridge # 164, SR 1460 STREAM: Unnamed tributary to South Yadkin River PROJECT DESCRIPTION: Replace existing 17' long x 20' wide timber bridge with a double line 84 " CMP, 50 'long. No wetlands are involved. Less than 1/8 acre will be affected. The installment of the CMP will impact 50 linear feet of the stream. The stream is classified "WS-II" waters which automatically carries with it a supplemental classification of "High Quality Waters" (HQW). Sedimentation and erosion control measures will be those for HQW area. SR 1460 has an average daily traffic (ADT) of 120 and a future ADT of 156 for 2010. The road does not function as an arterial for this area. The proposed project site is approximately 3 miles (straight-line miles) upstream of a water supply intake. Due to the road's low potential for hazard relative to traffic use and volume and the distance from the water supply area, the Department of Transportation feels that hazardous spill basins are not warranted for the proposed work at Bridge # 164. PAYMENT RECEIVED I have conducted a survey for the threatened species (due to similarity of appearance) listed for Alexander County- the bog turtle (Clemmys muhlenbergii)- in the project area on January 3, 2001. None were observed. The stream at the project area is entrenched and the surrounding area is wooded. It was determined that neither the bog turtle nor suitable habitat was located in the proposed project area. No significant effect on this species or its habitat is anticipated. By copy of this letter, we are asking Edward L. Ingle, Area Roadside Environmental Engineer to comment on the above project. By copy of this letter, we are also requesting a concurrence letter from the Wildlife Resources Commission, US Fish & Wildlife Service, and State Historic Preservation Office. By copy of this letter, I am forwarding seven (7) copies of the application package to John Dorney, NCDENR, Division of Water Quality, 401/Wetland Unit for review. A $200.00 check is enclosed for application processing. A site location map and a sketch of planned activities are attached. An erosion and sedimentation control program will be implemented during the project construction, and every effort will be made to complete the work in a timely manner. Your earliest consideration for this request would be greatly appreciated. Our personnel are available to assist with your evaluation of this project, if necessary. Should you have any questions, please call me at 704-480-5400. Sincerely, Trish Simon Division 12 Environmental Officer Enclosures cc: Mr. Michael L. Holder, P.E., Division Engineer Mr. Dan Holderman, P.E. , Division Bridge Engineer Mr. Richard Silverman, Historic Architecture Mr. Ed Ingle, Area Roadside Environmental Engineer Mr. Ron Linville, WRC Mr. Brian Cole, USF & WS Ms. Renee Gledhill-Earley, SHPO Mr. John Dorney, NCDENR-DWQ File 0102 d 5 DWQ ID: CORPS ACTION ID: NATIONWIDE PERMIT REQUESTED (PROVIDE NATIONWIDE PERMIT #) 14 PRE-CONSTRUCTION NOTIFICATION APPLICATION FOR NATIONWIDE PERMITS THAT REQUIRE: 1. NOTIFICATION TO THE CORPS OF ENGINEERS 2. APPLICATION FOR SECTION 401 CERTIFICATION 3. COORDINATION WITH THE NC DIVISION OF COASTAL MANAGEMENT SEND THE ORIGINAL AND (1) COPY OF THIS COMPLETED FORM TO THE APPROPRIATE FIELD OFFICE OF THE CORPS OF ENGINEERS (SEE AGENCY ADDRESSES SHEET). SEVEN (7) COPIES MUST BE SENT TO THE NC DIVISION OF WATER QUALITY, ATTN: JOHN DORNEY, 4401 REEDY CREEK ROAD, RALEIGH, NC 27607. PLEASE PRINT OR TYPE. 1. OWNER'S NAME: N.C. Department of Transportation 2. MAILING ADDRESS: P.O. Box 47 SUBDIVISION NAME CITY: Shelby STATE: NC ZIP CODE: 28151 PROJECT LOCATION ADDRESS, INCLUDING SUBDIVISION NAME (IF DIFFERENT FROM MAILING ADDRESS ABOVE): Bridge #164, SR 1460 3. TELEPHONE NUMBER: (HOME) (WORK) (704) 480-5400 4. IF APPLICABLE: AGENTS NAME OR RESPONSIBLE CORPORATE OFFICIAL, ADDRESS, PHONE NUMBER: Trish Simon, P.O. Box 47, Shelby, NC 28151: 704-480-5400 5. LOCATION OF WORK (PROVIDE A MAP. PREFERABLY A COPY OF USGS TOPOGRAPHIC MAP OR AERIAL PHOTOGRAPHY WITH SCALE): COUNTY: Alexander - NEAREST TOWN: Hiddenite SPECIFIC LOCATION (INCLUDE ROAD NUMBERS, LANDMARKS, ETC.) Take Hwy. 90 East from Hiddenite, turn left onto SR 1456 and proceed approximately 4.0 miles to Bridge # 164. 6. IMPACTED OR NEAREST STREAM/RIVER: Unnamed tributary to South Yadkin River RIVER BASIN: Yadkin 7. (a) IS PROJECT LOCATED NEAR WATER CLASSIFIED AS TROUT, TIDAL SALTWATER, (SA), HIGH QUALITY WATERS (HQW), OUTSTANDING RESOURCE WATERS (ORW), WATER SUPPLY (WS-I OR WS-II)? YES X NO E] IF YES, EXPLAIN: WS-II Waters; therefore, carrying the supplemental classification of High Quality Waters (b) IS THE PROJECT LOCATED WITHIN A NORTH CAROLINA DIVISION OF COASTAL MANAGEMENT AREA OF ENVIRONMENTAL CONCERN (AEC)? YES ? NO X (c) IF THE PROJECT IS LOCATED WITHIN A COASTAL COUNTY (SEE PAGE 7 FOR LIST OF COASTAL COUNTIES), WHAT IS THE LAND USE PLAN (LUP) DESIGNATION? 8. (a) HAVE ANY SECTION 404 PERMITS BEEN PREVIOUSLY REQUESTED FOR USE ON THIS PROJECT? YES ? NO X IF YES. PROVIDE ACTION I.D. NUMBER OF PREVIOUS PERMIT AND ANY ADDITIONAL INFORMATION (INCLUDE PHOTOCOPY OF 401 CERTIFICATION): (b) ARE ADDITIONAL PERMIT REQUESTS EXPECTED FOR THIS PROPERTY IN THE FUTURE? YES E] NO X IF YES, DESCRIBE ANTICIPATED WORK: 9. (a) ESTIMATED TOTAL NUMBERS OF ACRES IN TRACT OF LAND: 1/8 acre- NCDOT Right of Way (b) ESTIMATED TOTAL NUMBER OF ACRES OF WETLANDS LOCATED ON PROJECT SITE: 0.0 10. (a) NUMBER OF ACRES OF WETLANDS IMPACTED BY THE PROPOSED PROJECT BY: FILLING: EXCAVATION: FLOODING: OTHER : DRAINAGE : TOTAL ACRES TO BE IMPACTED: 0.0 (b) (1) STREAM CHANNEL TO BE IMPACTED BY THE PROPOSED PROJECT (IF RELOCATED, PROVIDE DISTANCE BOTH BEFORE AND AFTER RELOCATION: CULVERT REPLACEMENTS/ADDITIONS 50 FT STREAM RELOCATION - LENGTH BEFORE: FT AFTER: _ FT WIDTH BEFORE (based on normal high water contours): 5 FT AVERAGE DEPTH BEFORE: 0.2 FT AFTER: 0.2 FT (b) (2) STREAM CHANNEL IMPACTS WILL RESULT FROM: (CHECK ALL THAT APPLY) OPEN CHANNEL RELOCATION: PLACEMENT OF PIPE IN CHANNEL: X CHANNEL EXCAVATION: CONSTRUCTION OF A DAM/FLOODING: OTHER: 11. IF CONSTRUCTION OF A POND IS PROPOSED, WHAT IS THE SIZE OF THE WATERSHED DRAINING TO THE POND? N/A WHAT IS THE EXPECTED POND SURFACE AREA? 12. DESCRIPTION OF PROPOSED WORK INCLUDING DISCUSSION OF TYPE OF MECHANICAL EQUIPMENT TO BE USED? (ATTACH PLANS; 81/2 BY 11 DRAWINGS ONLY) Replace existing 17 ` long x 20 ` wide timber bridge with double line 84 " CMP, 50 ` long using a trackhoe for excavating and riprap work. The stream will be temporarily diverted to install the CMP using concrete barricades and sandbags. 13. PURPOSE OF PROPOSED WORK: To replace deteriorated and structurally deficient bridge and to provide safe passage for the traveling public. 14. STATE REASONS WHY IT IS BELIEVED THAT THIS ACTIVITY MUST BE CARRIED OUT IN WETLANDS (INCLUDE ANY MEASURES TAKEN TO MINIMIZE WETLAND IN[PACTS) N/A 15. YOU ARE REQUIRED TO CONTACT THE US FISH AND WILDLIFE SERVICE AND/OR NATIONAL MARINE FISHERIES SERVICE REGARDING THE PRESENCE OF ANY FEDERALLY LISTED OR PROPOSED FOR LISTING ENDANGERED OR THREATENED SPECIES OR CRITICAL HABITAT IN THE PERMIT AREA THAT MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: Copy sent 2/6/01. 16. YOU ARE REQUIRED TO CONTACT THE STATE HISTORIC PRESERVATION OFFICE (SHPO) REGARDING THE PRESENCE OF HISTORIC PROPERTIES IN THE PERMIT AREA WHICH MAY BE AFFECTED BY THE PROPOSED PROJECT. DATE CONTACTED: Copy sent 2/6/01. 17. DOES THE PROJECT INVOLVE AN EXPENDITURE OF PUBLIC FUNDS OR THE USE OF PUBLIC (STATE) LAND? YES X NO ? (IF NO, GO TO 16) (a) IF YES, DOES THE PROJECT REQUIRE PREPARATION OF AN ENVIRONMENTAL DOCUMENT PURSUANT TO THE REQUIREMENTS OF THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT? YES ? NO X (b) IF YES, HAS THE DOCUMENT BEEN REVIEWED THROUGH THE NORTH CAROLINA DEPARTMENT OF ADMINISTRATION STATE CLEARINGHOUSE YES ? NO ? IF ANSWER 17b IS YES, THEN SUBMIT APPROPRIATE DOCUMENTATION FROM THE STATE CLEARINGHOUSE WITH THE NORTH CAROLINA ENVIRONMENTAL POLICY ACT. QUESTIONS REGARDING THE STATE CLEARINGHOUSE REVIEW PROCESS SHOULD BE DIRECTED TO MS. CHRYS BAGGETT, DIRECTOR STATE CLEARINGHOUSE, NORTH CAROLINA DEPARTMENT OF ADMINISTRATION, 116 WEST JONES STREET, RALEIGH, NORTH CAROLINA 27603-8003, TELEPHONE (919) 733-6369. 18. THE FOLLOWING ITEMS SHOULD BE INCLUDED WITH THIS APPLICATION IF PROPOSED ACTIVITY INVOLVES THE DISCHARGE OF EXCAVATED OR FILL MATERIAL INTO WETLANDS: N/A (a) WETLAND DELINEATION MAP SHOWING ALL WETLANDS, STREAMS, LAKES, AND PONDS ON THE PROPERTY (FOR NATIONWIDE PERMIT NUMBERS 14, 18, 21, 26, 29, AND 38). ALL STREAM (INTERMITTENT AND PERMANENT) ON THE PROPERTY MUST BE SHOWN ON THE MAP. MAP SCALES SHOULD BE I INCH EQUALS 50 FEET OF 1 INCH EQUALS 100 FEET OF THEIR EQUIVALENT. (b) IF AVAILABLE, REPRESENTATIVE PHOTOGRAPH OF WETLANDS TO BE IMPACTED BY PRODUCT. (c) IF DELINEATION WAS PERFORMED BY A CONSULTANT, INCLUDE ALL DATA SHEETS RELEVANT TO THE PLACEMENT OF THE DELINEATION LINE. (d) ATTACH A COPY OF THE STORMWATER MANAGEMENT PLAN IF REQUIRED. (e) WHAT IS LAND USE OF SURROUNDING PROPERTY? 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C. 28151 March 27, 2001 North Carolina Department of Environment and Natural Resources \ Division of Water Quality/Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1621 Re: DWQ # 010235- Permit Application for Bridge #164, SR 1460 Dear Mr. Dorney: I am in receipt of your letter dated March 16, 2001 requesting additional information concerning DOT's proposed plan to replace an existing 17' x 20' wide timber bridge (Bridge # 164) with a 50 foot long, double line 84" CMP on SR 1460 in Alexander County. The stream impacts for the proposed activity will result from the placement of the new pipe in the stream and the placement of rip-rap on the inlet and outlet ends of the new pipe to stabilize the structure. An 18" high rip-rap berm at the inlet end is also proposed to direct flow to only one line of the double line pipe during periods of low flow. The proposed placement of riprap on the inlet and outlet ends of the new pipe will result in an additional 30 feet of stream impacts. Therefore, the total linear footage of stream impact for the proposed project is 80 feet. If you have any questions or require further information, please contact me at 704-480-9020. Thank you for your time and consideration. Sincerely Trish Simon Department of Transportation Division 12 Environmental Officer cc: Mr. Steve Lund, Asheville Regulatory Office Corp of Engineers Mr. Dan Holderman, P.E., Division Bridge Engineer File State of North Carolina Department of Environment AIVIA and Natural Resources Division of Water Quality A Michael F. Easley, Governor NCDENR William G. Ross, Jr., Secretary Kerr T. Stevens, Director March 16, 2001 Ms. Trish Simon, NCDOT Division Environmental Officer P.O. Box 47 Shelby, North Carolina, 2 8 1 5 1-0047 Re: Permit Application for Bridge # 164, SR 1460 DWQ No. 010235 Dear Ms. Simon: The Division of Water Quality has reviewed your submittal for a 401 Water Quality Certification for the aforementioned project. Review of your application revealed it lacking necessary information required for making an informed permit decision. The permit application was deficient in the following area: The stream impacts for the proposed activity should be describe as linear feet (rip-rap to rip-rap) as per question 10b on the PCN form. Therefore, pursuant to 15A NCAC 2h .0507(a)(5), we will have to place the permit application on hold until we are supplied the necessary information. Furthermore, until the information is received by the NC Division of Water Quality, we request (by copy of this letter) that the US Army Corps of Engineers place the permit application on hold. Hopefully, we can work together to expedite the processing of your permit application. If you have any questions or require additional information, please contact Cynthia Van der Wiele at (919) 733-5715. ly, R. orney ater Quality Certificati n Program cc: Mooresville DWQ Regional Office Asheville Field Office, USACE Central Files Wetlands/401 Unit 1621 Mail Service Center Raleigh, North Carolina 27699-1 62 1 Telephone 919-733-1786 FAX 733-9959 An Equal Opportunity Affirmative Action Employer 50% recycled/ 10% post consumer paper °"? 10 2 J 5 STATE OF NORTH CAROLINA DEPARTMENT OF TRANSPORTATION MIC L F. EASLEY LYNDO TIPPETT GOVERNOR SECRETARY MEMO TO: John Dorney, NCDENR/DWQ/Wetlands/401 Unit FROM: Trish Simon, Division 12 Environmental Officer _r DATE: February 6, 2001 SUBJECT: Pre-construction Notification Enclosed are seven copies of a pre-construction notification nationwide permit application for a DOT bridge project in Alexander County for your review and comments. is EC. Post Office Box 47 Shelby, North Carolina 28151-0047 3L o?0? N NA rF9p C. CO > . 0 Niiio?wwlrir Michael F. Easley Governor William G. Ross,-Jr., Secretary ` Department of Environment and Natural Resources `C Gregory J. Thorpe, Ph.D. Acting Director Division of Water Quality DWQ Project No.: County: A Applicant: Sipo,_1 /Z Project Name: Gar cam' r3 Date of Issuance of 401 Water Quality Certification: i 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/Wetlands Unit, North Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621.This form may be returned to DWQ 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, , 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: ent's Certif tion 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 substan ' compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved pl d sp the`sygpQrting in erials. Signature: ?e11 I al?-D ! If this project was designed by a Certified Professional 1, ' as a duly registered Professional (i.e., Engineer, Landscape Architect, Surveyor, ect.) in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction 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 Registration No. Date NGD N Division of Water Quality 1650 Mail Service Center Raleigh, NC 27699-1650 Wetlands/401 Unit: (919) 733-1786 Fax: (919) 733-6893