20070173 Ver 5_Certification of Completion_20200819

Staff Review
DWR Project #:* 20070173
Reviewer List*
Version:
Stephanie Goss: eads\szgoss
CERTIFICATION SUBMITTED ON 8/19/2020
5
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 submit it to the DWR 401 & Buffer Permitting Branch. 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.
Is this a Public Transportation Project? r Yes
W No
USACE Permit# SAW-2015-02127
DWR Project #: 70173
County: Johnston
401 Water Quality Certification Issued Date:
3/3/2016
Version: 5
Applicant: Novo Nordisk Pharmaceutical Industries/NCDOT Division 4
Project Name: Novo Nordisk-Bright Sky Project Facility Expansion and NCDOT
Gordon Road Access
Supplemental Attachments: aickthe upload button ordrag and drop fileshere toattach docurnent
401 WQC.pdf
2.95MB
401 mod.pdf
7.23MB
NCDWR Isolated Wetland Permit.pdf
4.26MB
Final 404_Novo permit Review.pdf
1.19MB
Novo Nordisk 404 Modification 20160...
824.91 KB
FDF only
Who will be submitting the Certification of Completion?
Applicant
Agent
Certified Professional
Agent's Certification
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 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.

W By checking the box and signing box below, I certify that:
o I have given true, accurate, and complete information on this form;
o I agree that submission of the "Certificate of Completion" form is a "transaction" subject to Chapter 66, Article 40 of the
NC General Statutes (the "Uniform Electronic Transactions Act')
0 1 agree to conduct this transaction by electronic means pursuant to Chapter 66, Article 40 of the NC General Statutes
(the "Uniform Electronic Transactions Act');
o I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written
signature; AND
o I intend to electronically sign and submit the "Certificate of Completion" form."
Printed Name: Beth Reed
Signature