20201084 Ver 1_Certificate of Completion_20210928

ROY COOPER
Governor
MICHAEL S. REGAN
secretary
S. DANIEL SMITH
Director
WR Project No.:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality
Certificate of Completion
NORTH
Upon completion of all work approved within the 40
Rules, and any subsequent modifications, the applice
Buffer Permitting Unit, North Carolina Division of
NC, 27699-1650. This form may be returned to DW
the project engineer. It is not necessary to send certi
App an's rlticain
1, tV� i f i hi
diligence was used in the obsery ton of the cousin
within substantia compliance an intent of the 401
approved pAnsU sAeciflAtions, and other suppo:
Signature:
Agent's Certification
I, , hi
diligence was used in the observation of the cousin
within substantial compliance and intent of the 401
approved plans and specifications, and other suppo
Signature:
If this project was designed by a Certified
I, , as
Engineer, Landscape Architect, Surveyor, etc.) in t
observe (periodically, weekly, full time) the constn
the best of my abilities, due care and diligence was
construction was observed to be built within substa
Certification and Buffer Rules, the approved plans
Signature:
Date
North Carolina Del
Asheville Regional
wm,+ca�arva
om�mmmowm.,mao+nr 828.2 fi.4500
RECEIVED
SEP 2 8 202,
40E$ BUFFER PEERM�HQ
Coo
Water Quality Certification or applicable Buffer
t is required to return this certificate to the 401 and
3ter Resources, 1650 Mail Service Center, Raleigh,
by the applicant, the applicant's authorized agent, or
sates from all of these.
state that, to the best of my abilities, due care and
such that the construction was observed to be built
r Quality Certification and Buffer Rules, the
state that, to the best of my abilities, due care and
i such that the construction was observed to be built
-r Quality Certification and Buffer Rules, the
materials.
luly registered Professional (i.e.,
State of North Carolina, having been authorized to
ion of the project, for the Permitee hereby state that, to
ed in the observation of the construction such that the
al compliance and intent of the 401 Water Quality
d specifications, and other supporting materials.
Registration No.
I Division of Water Resources
12090 U.S. Highway 70 1 Swannanoa. North Carolina 28778