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HomeMy WebLinkAbout20040509 Ver 1_Certification of Completion_20100217w A 7F9 Qr all v I'm s Y IUGI DWQ Project No.: _p_y-QSOq Applicant: Project Name: Michael F. Easley, Governor William G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources Coleen H. Sullins, Director Division of Water Quality County: pUen^V Date of Issuance of 401 Water Quality Certification: ATeri l 2(D1 ?-001 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 Transportation Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. 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 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. Signature: Agent's Certification Date: 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 substanti2l compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date Engineer's Certification / Partial ? Final 1, MaAael L ;9e?- , as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the Pemuttee 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. 30010 Date IMMZO/O . Ice, `oio 0 Transportation Perr itling Unit 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 - 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-1786 /FAX 919-733-6893 /Internet: http.7//h2o.enr.state.nc.us/ncwetlands An Equal Opponunity/Ailirmalive Action Employer - 50% Recycled/10% Post Consumer Paper