20201472 Ver 1_Certificate of Completion_20210819

NCDWR Project No.: 20- lulu.
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
Upon completion of all work approved within the 401
Rules, and any subsequent modifications, the applica
Wetland & Buffer Permitting Unit, North Carolina Div
Raleigh, NC, 27699-1617. This form may be returned
authorized agent, or the project engineer. It is not n:
Applicant's Certif cation (fit
CNW5ropvlC Ao,(- /here
and diligence was used in the observation of the con:
to be built within substantial compliance and intent c
Rules, the app ve pldn andcspecifications, and otf
Signature:
Agent's Certification
1, r ., A L x .1 r . her
and diligence was used in the observation of the coi
to be built within substantial compliance and intent
Rules, the approved plans and specifications, and of
Signature:
Engineer's Certification
Partial Final
1, a
of North Carolina, having been authorized to obsery
the project for the Permittee hereby state that, to tl
used in the observation of the construction such thi
substantial compliance and intent of the 401 Water
plans and specifications, and other supporting mate
County: Gr'1n- n
later Quality Certification or applicable Buffer
is required to return this certificate to the 401
on of Water Resources,1617 Mail Service Center,
NCDWR by the applicant, the applicant's
:ssary to send certificates from all of these.
(state that, to the best of my abilities, due care
ruction such that the construction was observed
the 401 Water Quality Certification and Buffer
r supporting materials. ,
Date:
state that, to the best of my abilities, due care
action such that the construction was observed
he 401 Water Quality Certification and Buffer
supporting materials.
Date: 2VI-O
a duly registered Professional Engineer in the State
(periodically, weekly, full time) the construction of
best of my abilities, due care and diligence was
the construction was observed to be built within
wality Certification and Buffer Rules, the approved
Signature Registration No. Date