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HomeMy WebLinkAbout20110442 Ver 1_Certification of Completion_20120705A � NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild P E Govemor Director NCDWQ Project No Z01 1044?. r ADDllcant "JM07- Project Name County I-C) 4-on c 30 0rl St� 1`113 - -ftP ►Jo 5D - Slog E Date of Issuance of 401 Water Quality Certification Dee Freeman Secretary 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 Quality 1650 Mail Service Center Raleigh NC 27699 1650 This form may be returned to NCDWQ 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 Agent s Cernficatton Date 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 Engineer s Certification Partial Final I Co net) -D Wina x�n as a duly registered Professional Engineer in the State of North Carolina having been authorized to observe (periodically weekly 1 ful� time) the construction of the protect for the Permiee 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 matenals Signature �CJ Registration No Date 12— \\ \1111111/ / /t��' �r Transportation and Permitting Unit 1650 Mad Service Center Raleigh North Carolina 27699 1617 Location 512 N Salisbury St Raleigh North Carolina 27604 Phone 919. 807 -63001 FAX 919 - 807 -6492 Internet www ncwaterouality orq An Equal Opportunity \ Affirmative Action Employer C A Roof / // -�rpQ'o�ESs /o --f a SEAL 032142 = .0 Y D 2012 f �gnPR �VCH N8orthCarohna l `ll1f1,m,71111