20110668 Ver 1_Certification of Completion_20120206

DWQ Project No a4(rD(�G�b
Applicant /i!_ C l )T-
Project Name 11 t' ( 5 0,
Date of Issuance of 401 Water Quality Cei
Page 4 of 4
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201
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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 a requ red to return this certificate to the 401 Tamsportahon Permtttmg
Unit, North Carolina Division of Water Quality 1650 Marl 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
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
comphance and intent of the 401 Water Quality Certification and Buffer Rules the approved plans and
specifications and other supporting matenals.
Signature
Agent's Certification
F&
i hereby state that, to the best of my sbihties, due care and diligence
was used in the observation of the construction such that the conduction was observed to be built wiEbm Substantial.
compliance and intent of the 401 Water Quality Certification and Buffer Rules the atppmved vlans and
specifications, and other supporting materials
Signature
Date
Engineer's Certification
Partial_ Final
I _ ����N yi �i as a duty registered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically weekly frill tune) the construction of tha pmject,for the
Permittee tte�reby that, to the best of my abilities, due care and diligence was used m the observation of the
eonstruction�ti�ts i�at the construction was observed to be built w thm substantial compliance and intent of the 401
Water Quality Certification aUd Buffer es, the approved plans and specifications, and other supporting materials
%gnatuure Registmuou No 289"
Date