20110495 Ver 1_Certification of Completion_20120912

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Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
Alan W Klimek P E Director
Division of Water Quality
DWQ Project No 20110495 County Cherokee
Applicant NCDOT
Project Name SR 1145 — Shoal Creek Road Secondary Road Improvement Proiect
Date of Issuance of 401 Water Quality Certification June 8, 2011
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 /Wetlands Unit North Carolina Division of Water Quality 1650 Mail 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 Joel B Setzer, P E , 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
Agents 9 Irtification
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
If this project was designed by a Certified Professional
I as a duly registered Professional (i e
Engineer Landscape Architect Surveyor etc ) in the State of North Carolina having been authorized to
observe (periodically weekly full time) the construction of the project for the Permitee 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
North Carolina Division of Water Quality 401 Wetlands Certification Unit
1650 Mail Service Center Raleigh NC 27699 1650 (Mailing Address)
2321 Crabtree Blvd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 6893 (fax) http / /h2o enr state nc us /ncwetlands/
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