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Home My WebLink About20060060 Ver 1_Certification of Completion_20150218AM v1I NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A Reeder John E Skvada, III Governor Director Secretary 0 0 (s2 " ({) C; (,fl DWR Project No: County: C X2.4 raj VA �Ce Applicant: Project Name: 401 Water Quality Certification Issued Date: 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 401 & Buffer Permitting Unit, 1650 Mail Service Center, Raleigh, NC, 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. Ap /p icaDt's Certification I, 4 -Zt-I-\. 61 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 pl specifications, and other supporting materials Signature, rT ` Date- Z — Z j 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 If this project was designed by a Certified Professional 1, as a duly registered Professional 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. Signature: Date: 401 & Buffer Permitting Unit 1650 Mail Service Center, Raleigh, North Carolina 27699 -1650 Location 512 N Salisbury St Ralegh, North Carolina 27604 Phone 919-807-63001 FAX 919-807£494 Internetw ntwateroualm, ono An Equal Opportunity 1 Affinmahm Acton Employer `�� 7yr s� �,� I 4b q O N P vO Rm 4 12 � o z 1 A F E Y o��N n D S ,ggei B a , � a p 0 µ F �gg m _ 0 Z x � qqmjj $€ aR • (��( Cp V� +� J R E :nYE•Py9 X�a�Y E 71 p a a » Pa$:x�SR soi� yy R:� R 5 „y l C ° '-;x'Y� �8$ EY � €€ �9yL -ko�a:�� ,' ':”- v �m %Nre. ";:-:i �I , e x y;•EgC9eCe•rZ M c ,�k(N vYS.4"uH C,°xi,si�k• , = '-�SGu] � e8 7.x,x a;Cy M6$9. » sBxi°a:9 v88 Lt _ E�. °yY 8::: ".�GI.°de :;a5 ,: v::CRc`- ,8 `am e g 6"8o', iC:- S:b a »; E � G"9x g:. _ ~esmy":.»-- -q� kGt'ssv`u8B.s:= , g9 �e'�„ R:.a:kaca°_kq�°8.naa' 3jG- � eE::a,C 8YSe: s 4 9Yk=k„xe e�°=2O � (A ; 1 o�Ya:E :xcaG- � , �6 ,xY a8 g mea„Z6 B n a e= a x ik:=cv � rN v N o =.§ka °Eeal i:: a C x;°. 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