20191505 Ver 1_Certificate of Completion_20200311

CERTIFICATE OF COMPLETION
NCDWR Project No.: - 15105
Applicant:
Project
Date of Issuance of 401 Water Quality
LL
Certificate of Completion
Upon completion of aft work approved within the 401 Water Quality Certification or applicable Buffer
Rules, andany subsequent modifications, the applicant is required to return this certificate to the 401
Wetland=& Buffer Permitting Ur it, North.Caroiina Division -of Water Resources,1617-Mail Service Center,
Raleigh, NC, 27699-1617. This form may be returned to NCDWR 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 Certiftcadon
I,. tTOeL/ (S-• Yq M brig hereby state that, to the best of my abilities,. due care
anddifigence cores-usedin the observation ofthe construction such that -the -construction wasobserved
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: J + ?Odv
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:—, ..
Engineer's Certification
Partial Final
I, a _,m,, as a duly registered Professional Engineer in the State
of.North,;Carolina havin
g been authorized to observe {periodically, weekly, full time.)the .constroction.of
the project for 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.
Registration No. Date

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