20140149 Ver 1_Certification of Completion_20141103

t �
. � '� 1°a
�-. �. ��.e�^ew+� � ,
�,:�.� ��� � �
North Carolina Deparfineni of Environment and Nafural Resources
Oivision ofi.Water'Resources
1Nater Quality Programs
Pat McCrory ThomasA. Reeder . John E, Skvarla, llt
Governor Directar Secretary
NCDWR Project No.: _� ... t✓. �.� � County: � r
Applicant: � �
Project Name:
�" �l;Ii�`��`t � �
�{�
Date of issuance of 401't?Yater Quality Certification: r����;;��\�__,_ _� . ��J:/� �- .
`���—
Certifcate of Completion
Upon completion of all work approved within the 4Q 1 Watc;r Qualiry C.ertification or applicable f3uffez Rules, and
any subsequent modifications, the applicant is required to return this certiftcate fo;the 40I �'ransportation Permitting
Unit, Naith, Garolina,DiviSion af Water Resources, 1650 Nfail Service Center, Raleigh;;NC, 27694-.16�0. This`form
may be returned to:NCDWR'by tfie applicant; the applicant's authorized agent, pr'the project engineer: It is:not
necessazy to send ;certifi,cates fro.m ati of these:
Applicarrt's Ceri�'fica ' �
:,
i, 1 ".: tiereby state that; to the 6esf of myabilities; due care,and dilrgence.
was-used in t obs o the construction such that`the construction was observed.to be built within sutistantiat
compliance a d intentof.the 401 Water Qualiry Gertification arid Buffer�Rules, fhe approved plaiis' and
specifications, !:other upporting:materials.
' �. ; - '
Signature: .. _ Date::
AgenYs. Certiftcation
, hereby state thaf; to the best of my abilities, due: care and diligence.
was used.in tlie observatzon of th"e constructian such that the:construction was observed fo be built wittiin substantial �
compliance and intenf of the 401 Water Quali.ty Certification aiid $uffer Rules; the approved plans and
specifications; and other:supporking materials. �
Signatizre:
Engi�ieer's Gerl�ficatiof:
Partial 'Finai
Date:
I,- , as a duly registered ProfessianaI Engineer in the State ofNorth.
Carolina, having been authorize,d to: observe (periodically,. weekly; fuil time) the consmiction.of:the project for the
Perrriittee hereby state that, to the best of my abiiities, due care and diligence was used in.the observarion.of tlie
consCruction sueh that the construction was?observed; to be built within substaatial eompliance and intent of.the 407.
Water Qoality Gertification and Buft'er Rules, the a�proved pIans and specifications; and other supporting rriaterials:
Signature
Date
Transporta6on and Permitting:Unif
1650 Mail Service Center Ralegh, Nortti Carolina 2I699-1650
LocaGo�:,512 N::Salisbury SC Raleigh,North Carolina 27604
P6orie: 919�07�i3401 FAX; 919733-1290.
Intemeh www.ncwater�ualiN.o�t
An Equal Opportunity i Afirtnative Action Empiayer
Registration No.
One
NorthCaralina
���������

Action Ill 1!luinbex:SAW 20'14 00328
_
l�cz•��ittee: NC��DO,T;��a#�tn: �A�rriv�Euliss Br 79�S�R:1231
llzte Veri�cation Issuet�: �'ebruary 20L2014
�
Pr�;ject Manager: 7flhri`Thamas
C,ounty:Davii�son
Upon. completion of the activifiy au,thori`Le�l by this permit and any-mitigation.reqttzred by'the permit;
s'igin fhis certification and return it to ihe foilow:ing addressi
US A�2MI' C'.ORI'S OF F,N�INEERS
. V4�TLlYIINGTON DTSTI2ICT
12aleigh RIF,GIJLATORY FIElGl3 C�FFiCE
3331 i-iei�itage Trade Drive, Sizite;105
Wake Forest, NOi2TH CAR�LI'NA; 27587
Please note that your perrriitted acti�ity issubject tn a:compiianice inspection by a U. S, Army Corps of`
Engineers, representative. If you fail to comply wiEh :this:pe"r.mit you are su6ject to germit=suspension,
.
niodi�cati�n, or reyocation.
i hereby certify that the work authorized by the abovc refcrenced permit: has been completed in
accardance wii�'tlie terriis, and cozi�3itioin of the said permit, a�nci required mitiga#ion �ivas connpleted in
accordance with the permit;cUnditions::
i� �� � .
� l� �
_ ate '