20061232 Ver 1_Certification of Completion_20141014

DWQ Project No.: 2p0(e / 2 3 Z
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
County: Gfa 4e_
Alan W. Klimek, P.E. Director
Division of Water Quality
Applicant: AAC 170 T2(V yr r
Project Name: Qez ivy W ,t A i l.PY /l C& Z 5 7q !18S 11019 1
Date of Issuance 0401 Water Quality Certification: /4" U4 /to, 20060
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 -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.
Applicant's Cer ification
I, fi b✓ 80.,vZ 7 , A L• '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:`..'w i Date: 9 Z 3
Agent'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:
Engineer's Certification
Partial Final
Date:
I, as a duly registered Professional Engineer in the State of North
Carolina, 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
Date
Registration No.
TRANSpo - WATE �4
ORTAT10ER OJRCFS
MATTING 1jNIT
NorthCarolina
Transportation Permitting Unit r%�lQfllCll�llf
1650 Mail Service Center, Raleigh, North Carolina 27699 -1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: 919 - 733.1786 / FAX [phone] / Internet: httr):/ /h2o.enr.state.nc.us /ncwetlands
An Equal Opportunity /Affirmative Action Employer— 50 0o Recycled /10% Post Consumer Paper

NCDWQ Project No.: Z00tP 1 232 VeA. Z County: Wa�
Applicant: KOOOT "71 \f S
Project Name: (25 1574 ) w65 g0(g Qarw -.l( i2J(
Date of Issuance of 401 Water Quality Certification: 0.5( or 1(-Z,
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 4.01 Transportation Permitting
Unit, North Carolin&Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699 -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 of these.
Applic s Certification
I, ip. Qwpot
an P- E , 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.
ti.l m- :.__, -,._.. _
Signature: as "s ' •� Date:
Agent'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:
Engineer's Certification
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Carolina, 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 Registration No.
Date
OCT 1 4 1014
TRANS PO - VVAT N RESOURCES
PERMITTING UNIT

NCDENR
North Carolina Department of Environment and Natural Resources
.Pat McCrory John E. Skvarla, III
Governor Via r_ Secretary
NCDWR Project No..: �• 1 2.3Lda.9 County: e,
Applicant: tN/Mor 'Diu 5
Project Name: Rs Z /� %✓Qs ot'g� Aoak QVa tn� r`c�C f �� Ind
Date of Issuance of 401 Water Quality Certification: F%9 /05���
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 Resources, 1617 Mail Service Center, Raleigh, NC, 27699 -1617. This form •
may be returned to NCDWR 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, ./• IN • ��`r�%, �' • , 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:��
,x
Agent'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:
Engineer's Certification
Partial Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, 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
Transportation and Permitting Unit
1617 Mail Service Center, Raleigh, North Carolina 27699 -1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: 919 - 733 -1290
Internet: www.ncwaterguality.org
An Equal Opportunity 1 Affirmative Action Employer
Registration No.
b�
00i14.2014 D
DENR
TR4NSPpRTg7 pN PERM, URC UNI
T
Date
NorthCarolina
Naturalltf