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HomeMy WebLinkAbout20110638 Ver 1_Certification of Completion_20140326_ r NCD N_ R North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, RE Governor Director NCDWQ Project No.: County: Applicant; _IVC r 1ayiI' /%r4V1t,c/ An^�GSLs Project Name: �te�lece l3ri��� >#7y't__/u� i`�►^'! __ 7�'N`���° Date of Issuance of 401 Water Quality Certification: 3"�/y a . c>ll Dee Freeman Secretary Certificate of Completion, Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifications, the.appiicant is required to return this certificate to the 401 "transportation Permitting Unit, North Carolina Division of Water Quality, 1650, ivlail Service Center, Raleigh, NC, 27699 -1650. This form may be-,returned to NCDWQ by,the,appIicant, the,appIican(s.authorized agent, or the, project engineer. It is not necessary-to send certificates from all of these. Applicant,'.'; Certification 1, , hereby state that, to the best of my abilities, due,carc and diligence was used in the observation of the construction such that the eonstniction 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 Certification 1, 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: Date: Cagineer's Certification Partial �, _Final j r Partial _ X as a duly registered.Professional Engineer in the State of North Caro ma, having been authorized to obserne (periodically, weekly,'full tinie ) 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 1 %� Registration No. �.321t�Z Date" Transportation and Permitting Unit 1650 Mal Servlce Center, Raleigh, North Carolina 27699.1617 Location: 512 N. Salisbury St. Raleigh, North Carolina 27604 Phone:9IM07 -63010 FAX- 919-807-6492 " Internet: www.ncwatem—uarh.org .or An Equal Opportunity 1Affrmalive Action Employer 1 Ik " 4 ;� of d iCaralina Aatmrally NCDENR North Carolina Department of Environment and Natural Resources Division of Water Quality Beverly Eaves Perdue Charles Wakild, RE Governor Director NCDWQ Project No.: 2O1AO?& 3q County: 3_06/UY`61 Applicant: NC DoT Project Name: ��;r W— lo,?, M SA /33 / — TIP /1/0 /3 Date of Issuance of 401 Water Quality Certification: Dee Reeman Secretary Certificate of Completion 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 Transportation Permitting Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699 - 1,650. 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 of these. Applicant's Certification I, , 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: Date: Agent's Certification 1, , 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: ,Engineer's Certification v Partial Final I re 'D j►'`C( q� as a duly registered Professional Engineer in the State of North Carolina, having been authorized to observe (periodically, weekly, full t' e the construction of the project,for the Permiee hereby state that, to the best of my abilities, due carb,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 t�m�, _J Registration No. 032114 Date 3 Izt' 114 Transportation and Permltting•Unit 1650 Mail Service "Center, Raleigh, North Carolina 27699 -1617 Location: 512 N. Salisbury St.,Raleigh, North Carolina 27604 Phone: 919 - 807 -63001 FAX, 919 -807 -6492 Internet www.nmaterauality,org An Equal Opportunity 4 Affirmative Acion Employer FV r'Iri, NdrthCarolina Aa mrall �1L64