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
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of d iCaralina
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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
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r'Iri, NdrthCarolina
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