19980623 Ver 2_Certification of Completion_20150130

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NCDENR
North Carolina Department of Environment and
Division of Water Quality
Beverly Eaves Perdue coleen H Sullins
JAN 3 0 2015
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Natural Resources
Dee Freeman
Governor Director Secretary
DWQ Project No: y 9A - 0 Lo 4,3 County
Applicant: Martin Marietta Hickory Quarry
Project Name- Martin Marietta Hickory Quarry Clark Creek Crossing
Date of Issuance of 401 Water Quality Certification: 1 - S - 1 2 R jl n r n f P I ±a.Q a t > l7 *t
Certificate of Completion R- a a - q%
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/Wetlands 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 Certykation
1 Jay Nivens ' 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. %
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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:
/f this project was designed by a Certified Professional
1, , as a duly registered Professional (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 Pennitee 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.
1650 RA SemrP Center, lalegh North Crrolna 27f 19.165f
.Wair. 512 N Sakvbury Lt FW 1 Ralelgh North Ca. r41a 2 Sa4-1170 One
Phase 319- V- 0011FAX 915 E 17-6494 N rdiCarolina
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