HomeMy WebLinkAbout20110461 Ver 1_Certification of Completion_20111212O�O� W AT �9QG
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� ���� � � , Michael F Easley Governor
s,.. ��' �,, Wdham G Ross Jr Secretary
Q� et' '��^� �jN/orth Carolma Department of Environment and Natural Resources
a�9 ��C/� Alan W Khmek P E Director
�Q �� Division of Water Qualit
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DWQ Pro�ect No 20110461 County Jackson
Applicant NCDOT
Pro�ect Name SR 1111 — Zeb Allev Road
Date of Issuance of 401 Water Quality Certification Mav 20, 2011
Certificate of Completion
Upon complet�on of all work approved withm the 401 Water Quality Cert�ficatton or appl�cable Buffer
Rules and any subsequent modtficat�ons the applicant �s required to return this certificate to the
401/Wetlands Unrt North Carolina Div�s�on of Water Quality 1650 Mail Serv�ce Center Raleigh NC
27699 1650 This form may be returned to DWQ by the applicant the applicant s authorized agent or the
pro�ect engmeer It ts not necessary to send certificates from all of these
Appl�cant s Certificat�on
I Joel B Setzer, P E, hereby state that to the best of my ab�ltties due care and dil�gence was used in the
observation of the construct�on such that the construction was observed to be built wrthm substanttal
compl�ance and tntent of the 401 Water Qual�ty Certification and Buffer Rules the approved plans and
spec�fications and other supportmg mater�als
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Signature Date �,..� � ���
Agent s C �ficat�on
I hereby state that to the best of my abilrties due care and
diligence was used �n the observat�on of the construction such that the construction was observed to be
bu�lt wrthm substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules the
approved plans and specificat�ons and other supportmg materials
Signature Date
lf th�s pro�ect was des�gned by a Cert�fied Profess�onal
I as a duly registered Professtonal (i e
Engtneer Landscape Architect Surveyor etc )�n the State of North Carolina having been authorized to
observe (period�cally weekly full hme) the construct�on of the pro�ect for the Permrtee hereby state that
to the best of my abilrt�es due care and dil�gence was used in the observation of the construction such that
the construction was observed to be butlt within substant�al compliance and ►ntent of the 401 Water
Quality Certification and Buffer Rules the approved plans and specifications and other supportmg
matertals
Stgnature Reg�stration No Date
North Carolina Division of Water Quality 401 Wetlands Certification Urnt
1650 Mad Service Center Raleigh NC 27699 1650 (Mading Address)
2321 Crabtree Bivd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 6893 (fax) http //h2o enr state nc us/ncwetlands/
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