20040171 Ver 1_Certification of Completion_20040823

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STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTATION
MICHAEL F. EASLEY P.O. BOX 25201, RALEIGH, N.C. 27611-5201
GOVERNOR
August 16, 2004
North Carolina Division of Water Quality
401/Wetlands Unit
1621Mail Service Center
Raleigh, NC 27699-1621
Reference: DWQ Project No. 040171
NCDOT/SR 1802 Richmond County
Dear Sir or Madam:
WETLANDS/ 401 GROUP
1IUG 2 J 2001
WATER QUAL I Ty SEC TION
LYNDO TIPPETT
SECRETARY
Attached is certification of completion for the work performed under the above
referenced pen-nit. The certification is signed by our field agent. If additional
information is required please advise.
Sincerely,
Timothy J 1 M son P.E.
Division Engineer
Attachment
cc: Tim Welch, PE
Art King
File
DIVISION 8, P. O. BOX 1067, ABERDEEN, NC 28315
Telcphonc: [phone] Fax: [phone]
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DWQ Project No.: O y0\1 \ County: 1K ` (N-N MOr.C)
Applicant: COOT IV.4,.'CIM JORttSoN P8 01VISIo" ENC,ttJEER
Project Name: PfPE KEP1hoEtMF.NT ON SR 1802.
Date of Issuance of 401 Water Quality Certification: eb,e v,c r y ate, aoo?
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
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 Certification
11 , hereby state that, to the best of my abilities, due car-,
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:
Agent's Certification
I, -T. F. WELD N , 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: f2 ?J Date: q ^ 5 - U4
If this project was designed by a Certified Professional
I, , 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 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 Registration No. _ -Date
Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural Resources
Alan W. Klimek, P.E. Director
Division of Water Quality A T-c-
T;F NA
North Carolina Division of Water Quality, 401 Wetlands Certification Unit,
1650 Mail Service Center, Raleigh, NC 27699.1650 (Mailing Address)
2321 Crabtree Blvd., Raleigh, NC 27604-2260 (Location)
919-733-1786 (phone), 919-733-6893 (fax), http://h2o.enr.state.nc.us/ncwetlands/