20110731 Ver 1_Certification of Completion_20140123

Beverly Eaves Perdue
Governor
DWQ Project
Applicant: �
A&74
Q
NODENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Coteen N. Sullins
Director
County:
J
Project Name: Pe rLtL5\32r-1 6EI: WA-Vr—r
Date of Issuance of 401 Water Quality Certification: IS
Certificate of Completion
Dee Freeman
Secretary
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401/Wetlands Unit, North Carolina Division
of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to DWQ by the applicant,
the applicant's authorized agent, or the project engineer, It is not necessary to send certificates from all of these,
Apple I'sCerfifica . on hereby state that, to the best of my a . bilities, 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: Date:
Agent's Cert Icallon ce was used
I, ' hereby state that, to the best of my abilities, due care and dilig en
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:
Date:
es b 4 e fed 0 ess, 'o""'
04 �
as a duly registered
c
rot na, having
s r'! ' Pr f
If titre pro ' ' �a Professional A 1��(ix., Engineer, Landscape
Arch! te t' Surveyor, tc) ill State of North been authorized to ob erve (periodically, weekly, full time)
11 y st_
the co nstructi oil o C the project, for Per"l-tee hereby ate that, to the best of my abilities, due care and diligence was used
11 the observation or the construction Such that the construction was observed to be built within substantial compliance and
intent of the 401 Water Quality Certificati i and Buffer Rules, the approved plans and specifications, and other supporting
materials, -7 41q
Signature: Registration No. 0
Date
1650 Mail Service Center, Raleigh. North Carolina 276991650
Location: 512 N Sdsbury St Floor Raleigh North Carolina 27604-1170 One
Phone: [phone] FAX: 91"07-6494 Nati thCarolina
Internet: wwN.nmalorquality.0fg mal ly
An Equal Opporlunity l Armative Adion Employe(