20190770 Ver 1_Certificate of Completion_20210713

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary
LINDA CULPEPPER
Director
DWR Project No.:
Applicant:
Project Name:
0-0770
NORTH. CAROLINA 1/7VL A
Environmental Quality r0
County: (_HOWA tJ /'I,
t
Date of Issuance of Wetland Permit: Z Q7 2611
Upon completion of all work approved within the 401 Water Quality Certification and/or Buffer Rules, and any subsequent
modifications, the applicant is required to return this certificate to the 401 & Buffer Permitting Unit, North Carolina division of
Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. 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. q
Applicant's Certification
410.5 Tan! )or— . hereby state that, to the best of my abilities, due care and diligence was used in
t e obsery n of the constructioT tthe construction was observed to be built within substantial compliance and intent
of the 401 Water Quality Certification and/or Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature:
Date: 07 OZ 62I
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 /or Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature: Date:
if this project was designed by a Certified Professional
1, 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 Permittee hereby state that, to the best of my abilities, due care and diligence was usedin
the observation of the construction such that the construction was observed to be built within substantial cojjjnnnpliance and intent
of the 401 Water Quality Certification and/or' Buffer Rules, the approved plans and specifications, and other supporting
materials.
Signature:
Registration No. 0 Date
North Carolina Department of Environmental Quality I Division of Water Resources
Washington Regional Office 1 943 Washington Square Mall I Washington. North Carolina 27889
252.94&6481