20210168 Ver 1_Certificate of Completion_20210928

ROY COOPER
Governor
MICHAEL S. REGAN
! Serrerary
LINDA CULPEPPER
Interior Director
{ DWQ Project No.:
2021-0168 v1
Applicant: %-1tY Vl n
Project Name: Willows
Date of Issuance of Wetland
2021
Upon completion of all work approved within the 401
modifications, the applicantls,required to return this cei
Water Resources, 1617 Mail Service Center, Raleigh; NC,
applicant's authorized agent, or the project engineer. It is
Applicant's Certlfimtion
Cinty: Lenoir
I,, hereby state t
the observation of the construction such that the construction
of the 401 Water Quality Certification and/or Buffer; Rules, the a
Signature:
Agent's Certification
I, . hereby state
the observation of the construction such that the construction
of the 401 Water Quality Certification and /or Buffer Rules, the
Signature:
If this project was designed by a Certified Professional
RECEIVED
SEP 2 8 202,
4D��R 1F ER PEgI yl7TINp
Quality Certification and/or Buffer Rules, and any subsequent
to the 401 &Buffer Permitting Unit, North Carolina Division of
L617. This form may be returned to DWR by the applicant, the
to the best of:my abilities, due care and diligence was used in
observed to be built within substantial compliance and Intent
wed plans and specifications, and other supporting materials.
Date:
to the best of my, abilities, due care and diligence was used In
observed tobe built within substantial compliance and Intent
oved plans and specifications, and other'supporting materials.
Date:
I, Wesley R. Perry, PE CFM as a duly 'registered Professional En ineer i.e., Engineer, Landscape
Architect, Surveyor, etc.) in the State of North Carolina, having, been authorized to observe(keriodicall eekly, full time) the
construction of the project, for the Permittee hereby state that,to the best 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:
No. 042669 Date 9-07-2021
North Carolina Department of Environmental p Quality lDivisioa of Water Resources -Washington Regional Office
943 Washington Square Mal' , Washington, North Carolina 27889
252-9465481
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