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HomeMy WebLinkAbout20180635 Ver 1_Certification of Completion_20201230 Carpenter,Kristi From:Herndon, T. Mason Sent:Wednesday, December 30, 2020 1:56 PM To:Steenhuis, Joanne Subject:20180635 Brunswick 71 Preservation 401 CF Attachments:Brunswick 71 Preservation_20180635_401 CF.pdf See attached completion form for subject project. No 404 AI# was assigned to this project. Thanks! Mason Herndon Environmental Program Supervisor Division 3 NCDOT- Division of Highways 910-341-2036 office 910-604-0050 mobile tmherndon@ncdot.gov 5501 Barbados Blvd Castle Hayne, NC 28429 Email correspondence to and from this address is subject to the North Carolina Public Records Law and may be disclosed to third parties Email correspondence to and from this sender is subject to the N.C. Public Records Law and may be disclosed to third parties. 1 PAT MCCRORY Governor N DONALD R. VAN DER VAART " secretary Water Resources S. JAY ZIMMERMAN ENVIRONMENTAL QUALITY lhreclor NCDWR Project No.: 20180635 County: _Brunswick Applicant: NCDOT - Division 3 Project Name: NCDOT - Bridge 71 on NC 130 Date of Issuance of 401 Water Quality Certification: 05/02/2018 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 Resources, 1617 Mail Service Center,Raleigh,NC,27699-1617. This form may be returned to NCDWR 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: Date: Agent's Certification 1, Mason Herndon ,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. Digitally signed by Mason Herndon Signature: Date:Date:2020.12.30 13:50:14-05'00' Date: 12/30/2020 Engineer's Certification Partial Final I, ,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. Signature Registration No. Date State of North Carolina Environmental Quality I Water Resources 1617 Mail Service Center,Raleigh,North Carolina 27699-1617 Phone:919-807-6300