20070489 Ver 1_Certification of Completion_20100917

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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
DWQProjectNo.: Zoo-7 O4801 County: lljckIS4
Applicant: cDOT- )
ProjectName:gr 63 ouar M dd t L`retJc o vSyol fi9'34/6
Date of Issuance of 401 Water Quality Certification: /tsar h Z 3r 7m o ;?
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, _T W r a o-J ? and Q E , 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 lans and specifications, and other supRfjorttppg materials.
Signature: Q.I j - Date: 5/2t/r°
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.
If this project was designed by a Certified Professional
I, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee 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.
II Date
1 ?cr
vIO
1 CJersighl3Express Review Permitting Unit V pgjlb?,R 7??One 1., 1
50 Mail service Center, Ralegh, North Carolina 27699-1650 -"^Ql n' 1 ? Ort 1CarOll lld
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atim 2321 Crabtree Blvd., Ralegh, North Carolina 27604 &4NCp /y+ll
one: 919-733-1786 1 FAX: [phone] Natll`a
arnet had //h2o.enr.state.ncus/nmetlandsl
Equal OpporunltyVAFfmiative.4otion Employer
K.n
l/ '1, NCDENR
`<]L North Carolina Department of Environment and Natural Resources
Division of Water Quality
Beverly Eaves Perdue Coleen H. Sullins Dee Freeman
Governor Director Secretary
DWQ Project No.: Zou-7 o4 S q ve,, County: wake
Applicant: -A) f fA h-r-
ProjectName: tt6g over rtidAlf Ciaek on 5?R-U5 4o(
(g 3416
Date of Issuance of 401 Water Quality Certification: S,Ij 2 9t Zo D B
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
11 -'T- (I) , so u r .n 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 a oved1 tans andspecifications, and other supporting materials.
Signature: )- Date: ?5121 o
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.
If this project was designed by a Certified Professional
1, , as a duly registered Professional (i.e.,
Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized
to observe (periodically, weekly, full time) the construction of the project, for the Permitee 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
arsightlExpress Review Permitting Unit
ail Service Center, Raleigh, North Carolina 27699-1650
r 2321 Crabtree Blvd„ Raleigh, North Carolina 27604
919-733-17861 FAX: [phone]
: httpilh2o.encstatemc.usrnaveflandsl
#?lc9?O?r
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R cy North Carolina
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Opportunity 1 Affirmative Action Employer