20071905 Ver 1_Certification of Completion_20100507

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..O?O`F Wl?fF9oG' t 1 - - 3 `Michael F. Easley, Governor ,
-William
G. Ross Jr., Secretary North Carolina Department of Environment and Natural Resources , r `
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1 r Coleen H. Sullins Director r t e ., ,I
Division of Water Duality
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1 _ DWQ Project No.: 2 007105- County: - C4 od
Applicant:: :. N C O
k Project Name: 0 ` 1/020-, . 6,, d? e 9R over Tron Cr7p Cep i n ?t/gf[jiy?•.i-OH ?7
Date of Issuance of 401 Water Quality Certification:. .Ian , '1, 2008
CO 'IV tc'S?lzt;,109
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 maybe -
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 `? a S
specifications, and other supporting materials.
j{ Signature: Date:
t Yy
" Agent's Certification =?
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
atcompliance and intent of the 401 _ Water Quality Certification and Buffer Rules, the approved plans and
1 r F''', " specifications, and other supporting materials; 'Signature: + - ^Date'. ,.
.'Engineer's. Certification - -, '.
-:Partial' -• ?al?
??-, , as a dulyregistered Professional Engineer in the State of North . r
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project, for the
".Perrrlittee 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 buili within substantial compliance and intent of the 401 A y ?.
( Water Quality Certification and Buffer Rules, t approved plans and specifications and other supporting materials
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I Tninsportalion Permitting Unit' », , - :' a 9 /?< +
1650 Mail Service Center Ralegh North Carolina 27699-1650
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2321 Crabtree Boulevard. Suite 250 Ralegh, North Carolina 27604 ??-
Phone- 919-73317861 FAX [phone] Internet htto/Ih2oenrslatencusincwetiands''?'tyhFt p - c " } a' Y a r
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