20090452 Ver 1_Certification of Completion_20100615

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STATE OF NORTH CAROLINA .44 I `S '?01
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DEPARTMENT OF TRANSPORTATION *840'4r?cJ)?'
BEVERLY EAVES PERDUE EUGENE A. JR.
GOVERNOR SECRETARY
June 10, 2010
CONTRACT NO.
TIP No.:
F. A. PROJECT:
STATE PROJECT
COUNTY:
DESCRIPTION:
DA00007
B-5183
STM-0045(4)
WBS 45081.3.ST1
Washington
Replace Bridge #1 on NC 45/99 over A Canal with an
Aluminum Structural Plate Pipe Arch
/MEMORANDUM TO: Sonia Gregory
401/Wetlands Unit
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
FROM: Shawn Mebane, P.E.
Resident Engineer
SUBJECT: Project Completion
Please see the attached form.
Please feel free to contact me at 252-792-0347 should you have any questions.
CC: Clay Willis
19210 U. S. Hwy. 64 East, Williamston, NC 27892 [phone] Fax: [phone]
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warF9 Beverly Eaves Perdue, Governor
Dee Freeman., Secretary
991, North Carolina Department of Environment and Natural Resources
r _ Coleen H. Sullins Director
-.i Division of Water Quality
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DWQ Project No.: 20c>9o4-5'Z
Applicant: N
Project Name:
Date of Issuance of 401 Water Quality
Mrn„ 2'P 2oo°t
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, 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
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:
Agent'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:
Engineer's Certification
Partial _) Final
1, Sb. a?oa Ole-hr, e ; 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
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.
Date ( i t li l% O
i.
' 1fi5 Transportation Permitting Unit
Mail Service Center Ralegh North Carolina 27699-1650
6 232. trc: Boulevard S de 250, R;1-0.. North Carolina 27604
e PhOn.:: '.-!J-733 1766 1 . AY" o i df" Internet: ht,'oa/h2o.enr.state. nc.us/newetiands
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Signature %T? ra, t VI,ACU-,,,?- Registration No. pZ3q{o (?