20121067 Ver 1_Certification of Completion_20130610

STATE OF NORTH CAROLINA' .off
DEPARTNMNT OF TRANSPORTA�W'
PAT MCCRORY ', -' ANTHONY J. TATA
GOVERNOR SECRETARY
June 3, 2013
CONTRACT NO.: C202921
STATE PROJECT: WBS 17BP.1.R.44
COUNTY: Martin
DESCRIPTION: Replacement of Six (6) Bridges in Martin County
°MEMORANDUM TO: Charles Wakild, P.E., Director
401 Transportation Permitting Unit
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699 -1650
FROM: Shawn Mebane, P.E. r
Resident Engineer
SUBJECT: Project Completion
Please find attached the project completion certification.
Please call me at 252- 789 -6159 should you need more information.
CC: Garcy .Ward, DWQ
Clay Willis
File
19210 U.S. Hwy. 64 East, Williamston, NC 27892, Phone [phone]; Fax [phone]

Page 4 of 4
DWQ Project No.: 2.o I Z I o (c -7
Applicant: IJ
Project Name:
Date of Issuance of 401 Water Quality Certification:
County: M c-.. r V� O
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 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 compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature:
Date:
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 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
c.-w e i M r _In «. , as a duly registered Professional Engineer in the State of North Carolina, having
been authorized to observe (periodically, weekly, full time) the construction of the projectfor the Permittee 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 Chi., \o n ,. ` Yl Registration No. 0Z•� ¢(, (-
Date (o �Oi-
`` j,IIItilit / I//'
tiyq
�0 1 ozsa`ss Viz,
GINS
''���t1i111LLLLL
PDr���`
JUN 1 2013 L
D�DENR - irk•`•• AEITY
TER BRANCH