20090849 Ver 1_Certification of Completion_20110118

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`6(Certificate of Completion
'11 Upon cortpletion 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 40l/Wetlands Unit, North
Carolina Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621. 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.Cgrtification • - '
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 Quali ty Certification and Buffer Rules, the approved plans and -
specifications, and other supporting materials. , -
Signature:. ' . Date:
OF WATE9 , Michael F. Easley, Governor
-William G. Ross Jr., Secretary
'
`0 G North Carolina Department of Environment and Natural Resources
r ?,.-- Coition H. Sullins Director
-i 148 Division of Water Quality
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DWQProject No.:Z00YO$c{9k 2 County: yJG-GU Orr
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Applicant: -/V COOT /OD,6 aX/5-8'1 rreehv://e /V C
Project Name: 13 '/ 512 8 Qr '[?ae l ?0 6v 2v ?1 / S/? /G Z 6
/T?6C'?rriur e ? yh I
Date of Issuance of 401 Water. Quali(!(Certification:.: L R r (2 ZG D - f
Engineer's Certification -
Partial. 1 /Final,
E. Eo / r+?0 h? 7yi as a duly iegistered 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 obscrved t be built within substantial compliance and intent of the 401 t
Water Quality Cg(Ctifi/ca?tion and Buffer Rules; the a roved plaris and specifications,?and other supporting materials.
- Signature' '? ? ?C, r L- Registration No. 112 7 ?_
Date ?ZZaG/O
?-C/v'o e e
' DO l LleT 1fsNdf 0y,l_?" IV Qi
le,
? 6n 2 f a;l Se),V"4 C.?h lea JAN 1 8 7011 'JAN 1 211
,_ ./C4 ?.C /G lr r l?r ?i Z ?G99'- /.62/ NtCT1FNR
Transportation PennHOng Unit' - "-
1650 Mail Service Center, Raleigh, North Carolina 27699-1656 -
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 -
Phone: [phone] FAX 919-733{69311ntemet trop://h2o.enr.staie.nc.us/ncwetlands
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