20070490 Ver 1_Certification of Completion_20071119

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D�VQ Project No.: a 7 G�f <�(�
Applicant: / b% %�0 �
Project Name: ,5 � ( q
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Naturai Resources
Count�•: �u✓'!1'e
Date of Issuance of 40Y ��'ater Quality Certification: �/2 �7/2�r0
Alan W. Klimek, P.E. Director
Division of Water Quality
Certificate of Completion
Upon completion of all work approved within the 401 VVater Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to tl�e 401 Transportation Pernuttina
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-16�0. This form y
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.
��gli�nt's Cert' atio�% � h
,`Y '�,�_, �`��— , ereby state that, to the best of my abilities, due care and dilitrence
�vas used in the observation of the construction such that the construction was observed to be built within substantial
compliance and intent of the �O1 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signatur .���(r — Date: � �I '7�d �
Agent's Certi6cation
I, , hereby state that, to the best of my abilities, due care and diligence
�vas used in the observation of the consriuction 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 I�Torth
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 «�as observed to be built within substantial compliance and intent of the 401
Vl%ater Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Re�istration No.
Date
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Transportation Permitting Unit �llf!lCll��l,
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 CrabVee Boulevard, Suite 250, Raleigh, North Carolina 27604 ,
Phone: [phone] / FAX [phone] ! Intemet: htto://h2o.enr.state.nc.us/ncwetlands '
An Equal OpportunitylA�rmative Action Employer — 50% Recycledll0% Post Consumer Paper