HomeMy WebLinkAbout20110985 Ver 1_Certification of Completion_20140127A�tion IG Numk�er: SAW-2f�1Q�02D44
County: Joht�stvn
Permittee: NCDaT 8-3864; Brid�e 40 crwer Neuse Ri�er in Smithfiefd, Johnstor� Countv, f�C.
Qate Permit Issued: 011af12I]1�
Prc�ject Manager: Tam S'�ef€ens
L�pan campietion af the acti�ity authari�ed by this �ermit ar�d �ny mitigation required by the permit,
sign this certifscatio� and return it tc� the fvilow�ng address:
US ARMY GRPS (]F �NGINEERS
WILMING�C3h� DISTICT
Attn: Thomas 5teffens
Washington Regulatc�ry Field C7ffice
Past Ciffice Bc�x 10QD
Washington, North Carfllina 27889
P}eas� no�e that yaur p�rmitted acti�vity is sub�ect to a eampliance inspection by a U.S. Army Cor�s of
�r�gir�eers re�rresentative, If you fai� to cvmply with this permit you are suE�ject t� perm'st suspension,
rnodification, Qr revt7Cation.
I hereby certify tf�at thre v+rork a�tharized by the abov+e re#erenced permit has been camp��ted in
�ccordance with the terrns and eonditEons of the said permit, and requireri mitigation was completed in
�ccord�nce with the pe�mit canditiarrs.
� I���--� r Z'# � �
5igr�atur� of Permit ee ❑ate
NCDWQ Project No.: 2C11 iQ985 County; Johnstan
Applicant; NCi7OT - - ,
Project iYame: _8rid�;c 40 on U5 70 Business — TlP Nn. B-3854
Date �f Issuance a#' 401 Water �uality Certificatic�n: Nc�Vember 15 2p1 I
Certi�cate of Cnmpletion
U�on cQm�lc:tiQn ofall work appruVe�i within the 44l Water Qraa�izy Certificatian or applicable But�er Rules, and
an}+ subsequent mc�dificatinns, th� appticant is required to returr� this certificate tv the 4fl 1 Trans�o�-tati�n Permitking
U�it, Narth Caro�ina Divisinn af Watcr Quality, 165� Mail Service �enter, f�alei��r, NC, 27699-1654. This torm
rnay� be retw-�ed ta NCQWQ by the applicant, the applicanc's auillQ�i�ed a��nt, or the �rojeet en�ineer, lt is nc�t
necessary to send certiticatcs frc�m all of thesc;,
�#pplicant's Certe�ratio�r
I, , hereby� staic that, tc� th� best af my abilitie�, due care ar�d diligence
was used in th� c�bservati�an c�f t�e �onstruction such that tl�e c�nstruction wras o�served tr� be buiit witt�in suhstar�tial
cornpliar�ce and intent otlhe 4�1 Watcr Quality Certification and Ba�fFer }��les, the apprraved �lans and
speei�cations, and other suppo�ting materials.
Si�nacure. ❑ate:
.4gent's C-ert�'frcatian
I, , her�k�y state that, to th� best �f rny abilities, dixe care and r�il��ence
was used in the �rbservation of the consh-uct�on such that the constnaction was olaserved to be built wii.hin suhstantial
cnmpliance an�f intenl af thG 4U 1 Water Quality Certification �.nd Suffer Rufes, the approved plans and
spe�i�icatinns, �nd ather supportin� rnaterials.
Si�natur�: Date:
�:ngineer's Ce+rtifrcatiorr
Parii�l ?C Final
f, C�re� Il, i�cLarn�s , as a duly registered Arofessional En�ineer in the State of North
Caroiina, having been authcari�ed to obse�ve (periodicall'y, weekly, full time) tl�e cc�nsauctinn of the pr�ject,far the
Pertnfttee hereby� sta[e thaL, io Yh� best of my dt�ilities, ciu€; care; and dili�ence was used 'us th� ok�str�°tir�rr of the
cptistruction such ti�at th� cnnstru�lion was nbserved Eca }�e builk within substantial co�rspliance and ir�tent of ihe 4i�1
Water Quality Certi�raLic�n and C3uffer Rule�, the appro�+ed p3ans and specificatinns, and othe;r suppc�rtin� rnaterza[s.
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5i�natuee _A�1 ^rc �1 ,_ Registratior� No. U32 l42
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i]ate lanuary '��. 2Q l4