20220938 Ver 1_DWR-CertificateOfCompletion_20221213

ROY COOPER
Governor
MICHAEL S. REGAN
Secretary.
LINDA CULPEPPER
Director
DWR Project No.:
2022-0398
NORTH CAROLINA
Enyironmental Quality
County:
Guilford
Applicant: Emma Jablonski, Piedmont Conservation Council
Project Name: Rock Creek Bank Stabilization
Date of Issuance of 401 Water Quality Certification: August 29, 2022
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 DWR Central Office —
Wetlands and Buffers Permitting Unit at 1650 Mail Service Center, Raleigh, INC 27699-1650. This form may be
returned to DWR 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:
Agent's Certification
Date:
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:
If this nroioct was designed by Certified Professional
I, _ Rebecca Stubbs , as a duly registered Professional Engineer (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) the construction of the project, for the Permitee 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.
Digitally signed by Rebecca
Rebecca Stubbs, PE NCPE#49073
Signature: DN: cn=Rebecca Stubbs, PE, Registration No.
Stubbs PE email -
Date 12/12/202 1 Date: 2022.12.1218:2142-05-00-
F oreth Carotina Department of Environmental Quality Division of water Resources
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Q teville Regmrial Office 225 Gre
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en Street, Suite 714 Fayetteville, North Carolina 28301
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