20201710 Ver 1_Certification of Completion_20210426

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
S. DANIEL SMITH
Director
NORTH CAROLINA
Environmental Quality
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WR Project No.: + ll i County: u�Go�
Applicant: teats Q,4"e! Cr ohAk44 Poi/Cv'otu o
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Project Name:
Date of Issuance of 401 Water Quality Certification:
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 and
Buffer Permitting Unit, North Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh,
NC, 27699-1650. This form may be returned to DWR by the applicant, the applicant's authorized agent, or
the project engineer. It is not necessary to send certificates from all of these.
Applican
I,
dilige
within substantial c
approved plans a
Signature:
was used in
I
, hereby state that, to the best of my abilities, due care and
observation of the construction such that the construction was observed to be built
nd intent of the 401 Water Quality Certification and Buffer Rules, the
ions, and other supporting materials.
Date: A PRU a 6 d
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and
diligence was used in the observation of the construction Ouch 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 pr ect s desig d b. Certified Professional
I, v`6VLt( t tfti , as a duly registered Professional /1{tee fi.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 ar}d�uffer Rs, tapproved plans and specifications, and other supporting materials.
Signature:
Date `Zg./�
Registration No. Z Zq
NORi
apartment at Environmental Caleb
North Carolina Department of Environmental Quality I Division of Water Resources
Asheville Regional Office 12090 U.S. Highway 70 I Swannanoa, North Carolina 28778
828.296.4500