20120239 Ver 1_Certification of Completion_20131219

NCDWQ Project No.: �2 ° 023�
Applicant: �C _ �D %
Project Name: �j'��n
Date of Issuance of 401 Wate�lit�
County: _�/� S t t? W
,� f / t � r
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rutes, and
any subsequent modifications, the applicant is required to return this certifcate to the 401 Transpo2tation Permitting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27649-1650. This form
may be returned to NCDWQ by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates from all ofthese.
Applica�:t's Certificatiorz
I> , her•eby 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
eompliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: Date:
Ageftt'�s _C'"ertific�ttion
I� tTr� ri�t l�eS=2 11�%�5�� � , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of t e construction such that the construction was observed to be built within substantial
compliance and intent of the 40 ] Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other• supporting materials.
Signature: �,� //1��,�"�,�„�% Date: j 2�J �' /� p l 3
Etagirzeer's Certifi'cation
Pat�tial Final
I, , as a duly registered Professional Engineer in the State of North
Ca►�olina, 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 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 Regisiration No.
Date