20150266 Ver 1_Approval Letter_20150408

OUR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
April 8, 2015
Mountain Electric Coop
Attn: Richard Grubb
604 South Church Street
Mountain City, TN 37683
Village of Sugar Mountain
Attn: David Lane
251 Dick Trundy Lane
Sugar Mountain, NC 28604
Donald R. van der Vasa
Secretary
D W R # 15 -0266
Avery County
Subject: APPROVAL OF'401 WATER QUALITY CERTIFICATION WITH ADDITIONAL
CONDITIONS
Sugar Mountain Substation
Dear Mr. Grubb and Mr. Lane:
You have our approval for the impacts listed below for the purpose described in your
application dated March 4, 2015, received by the Division of Water Resources (Division) March
12, 2015, with subsequent information on April 1, 2015. These impacts are covered by the
attached Water Quality General Certification Number 3884 and the conditions listed below.
This certification is associated with the use of Nationwide Permit Number 12 once it is issued to
you by the U.S. Army Corps of Engineers. Please note that you should get any other federal,
state or local permits before proceeding with your project, including those required by (but not
limited to) Sediment and Erosion Control, Non - Discharge, and Water Supply Watershed
regulations.
This approval requires you to follow the conditions listed in the enclosed certification (s) or
general permit and the following additional conditions:
1. The following impacts are hereby approved provided that all of the other specific and
general conditions of the Certification are met. No other impacts are approved,
including incidental impacts. [15A NCAC 02H .0506(b) and /or (c)]
Division of Water Resources —ARO
2090 US Hwy 70, Swannanoa, North Carolina 28778
Phone: 828 - 29645001 FAX: [phone]
Internet. wwwnowaterquality.org
An Equal ODpoNmlry l Afilrmellve Action Employer —Mal In pert by moyele0 paper

Mountain Electric Coop
D W R# 15 -0226
401APPROVAL
Page 2 of 3
Type of Impact
Amount Approved
Amount Approved
(units)
(units)
Permanent
Temporary
404/401 Wetlands
W1
0.01 (acres)
(acres)
W2
0.01 (acres)
2. This approval is for the purpose and design described in your application. The plans and
specifications for this project are incorporated by reference as part of the Certification.
If you change your project, you must notify the Division and you may be required to
submit a new application package with the appropriate fee. If the property is sold, the
new owner must be given a copy of this approval letter and General
Certification (s) /Permit /Authorization and is responsible for complying with all
conditions. [15A NCAC 02H .0507(d)(2)]
3. All wetlands, streams, surface waters, and riparian buffers located within 50 feet of the
construction area on the project site shall be clearly marked (example- orange fabric
fencing) prior to any land disturbing activities and must be maintained on the property
until the project phase is completed. [15A NCAC 02H .0506 (b)(2) and (c)(2) and 15A
NCAC 02H .0507 (c)]
This approval and its conditions are final and binding unless contested. [G.S. 143 - 215.5]
This Certification can be contested as provided in Articles 3 and 4 of General Statute 1500 by
filing a written petition for an administrative hearing to the Office of Administrative Hearings
(hereby known as OAH) within sixty (60) calendar days.
A petition form may be obtained from the OAH at http: /Iwww.ncoah.com/ or by calling the
OAH Clerk's Office at (919) 431 -3000 for information. A petition is considered filed when the
original and one (1) copy along with any applicable OAH filing fee is received in the OAH during
normal office hours (Monday through Friday between 8:OOam and 5:OOpm, excluding official
state holidays).
The petition may be faxed to the OAH at (919) 431 -3100, provided the original and one copy of
the petition along with any applicable OAH filing fee is received bythe OAH within five (5)
business days following the faxed transmission.

Mailing address for the OAH:
If sending via US Postal Service:
Office of Administrative Hearings
6714 Mail Service Center
Raleigh, NC 27699 -6714
Mountain Electric Coop
DW RN 15 -0226
401 APPROVAL
Page 3 of 3
If sending via delivery service (UPS, FedEx, etc):
Office of Administrative Hearings
1711 New Hope Church Road
Raleigh, NC 27609 -6285
One (1) copy of the petition must also be served to DENR:
John Evans, General Counsel
Department of Environment and Natural Resources
1601 Mail Service Center
Raleigh, NC 27699 -1601
This letter completes the review of the Division under section 401 of the Clean Water Act.
Please contact Andrew Moore at 828 - 296 -4500 or [e-mail] if you have
any questions or concerns.
Sincerely,
G. Landon Davidson, P.G.
Regional Supervisor
Water Quality Regional Operations
Asheville Regional Office
Enclosures: GC 3884
Certificate of Completion
cc: Lynne E. Mathis — UC Synergetic LLC (via email)
Tasha Alexander— USACE Asheville Regulatory Field Office (via email)
Laura Herbert — Division of Energy, Mining, and Land Resources (via email)
Andrea Leslie — NCWRC (via email)
DWR ARO 401 file
DWR 401 & Buffer Permitting Unit file
G: \WR \WQ \Avery \401s \Non -DOT \Sugar Mountain Substation\ APRVL.SugarMountain5ubstation .4- 8- 15.docx

Water Quality Certification No. 3884
GENERAL CERTIFICATION FOR .PROJECTS ELIGIBLE
FOR.U.S. ARMYCORPS OF ENGINEERS ATIONWIDEPERMIT
NUMBERS 12. (UTILITY LINE ACTIVITIESI AND 47 (PIPELINE SAFETY PROGRAM
DESIGNATED TIME SENSITIVEINSPECTI NSAND REPAIRSL
AND RIPARIAN AREA PROTECTION RULES (BUFFER RULES)
Water Quality Certification Number 3884 is issued In conformity with the requirements of Section
401, Public Laws 92 -500 and 96.217 of the United States and subject to the North Carolina
Division of Water quality (DWQ) Regulations In 15A NCAC 02H.0600 and 15A NCAC 026:0200
for the discharge of fill material to waters and wetland areas as described in 33 CFR 3.30
Appendix A (B) (12 and 47) of the Corps of Engineers regulations including any fill activity for
utility linehackfill and bedding, and for the Riparian Area Protection Rules (Buffer Rules) In 15A
NCAC 028 .0200.
The State of North Carolina certifies that the specified category of activity will not violate
applicable: portions. of Sections 301, 302 303, 306 and 307 of the Public Laws 92 -500 and 95 -217
if conducted in accordance with the conditions hereinafter set forth,
Activities meeting any one (1) of the following thresholds or circumstances require written
approval for a 401 Water Quality Certification from the Division of Water Quality (the
"Dfvision'T
a) Permanent impacts to any wetlands . and /or waters, Including streams; or
b) Any stream relocation; or
c) Impacts to any wetlands and /or waters if the maintenance corridor in a wetland or at a
stream crossing is greater than 15 feet wide (except activities located in areas with
Riparian Area Protection Rules when the maintenance corridor at stream crossing must
be 10 feet wide or less). Gas pipelines may have a maintenance corridor wider than
fifteen feet if mitigation is provided for these additional wetland fills.
o) Any impact associated with a Notice of Violation or an enforcement action for violation(s)
of DWQ Wetland Rules (15A NCAC 02H .0500), Isolated Wetland Rules (15A NCAC 02H
.1300), DWQ Surface. Water or Wetland Standards, or Riparian Buffer Rules (I 6A NCAC
02B .0200); or
Basins or in the Randleman, Jordan or Goose Creek Watersheds (or any other basin or
watershed with Riparian Area Protection. Rules [Buffer Rules] in effect at the time of _
application) unless the activities are listed as EXEMPT" from these rules or a Buffer
Authorization Certificate Is issued through N.C. Division of Coastal Management (DCM)
delegation for "ALLOWABLE" activities.
In accordance with North Carolina General Statute 143- 215.3D(e), written approval for a 401
Water Quality General Certification must include the appropriate fee. If a project also requires a
LAMA Permit, then one payment to both agencies shall be submitted and will be the higher of the
two fees.
Activities Included in this General Certification that do not meet one of the thresholds
listed above do not require written approval from the Division as long . as they comply with
the Conditions of Certification listed below, If any of these Conditions cannot be met, then
written approval from the Division Is required.
Water Quality Certification No. 3884

Water Quality Certification No. 3884
Conditions of Certification;
1. No Impacts Beyond those Authorized in the Written Approval or Beyond the Threshold of Use
of this Certification
No waste, spoil, solids, or fill of any kind shall occur In wetlands, waters, or riparian areas
beyond the footprint of the Impacts depicted in the Pre - Construction Notification, as
authorized In the written approval from the Division or beyond the thresholds. established for
use of this Certification . without written authorization including Incidental impacts.. All
Construction activities, including the design, Installation, operation, and maintenance of
sediment and erosion control Best Management Practices shall be performed so that no
violations of state water quality standards, statutes or rule's occur, Approved plans and
specifications for this project are incorporated by reference and are enforceable parts of this
permit.
2. Standard. Erosion and Sediment Control Practices
Erosion and sediment control practices must be in full compliance with all specifications
governing the proper design, installation and operation and maintenance of such Best
Management Practices and If applicable, comply with the specific conditions and
requirements of the NPDES Construction Stormwater Permit issued to the site:
a. Design, installation, operation, and maintenance of the sediment and erosion control
measures must be such that they equal or exceed the requirements specified in the most
recent version of the North Carolina Sediment and Erosion Control Manual. The devices
shall be maintained on all construction sites borrow sites,, and waste pile (spoil) projects,
including contractor- owned or leased borrow pits associated with the project.
b. For borrow pit sites, the erosion and sediment control measures must be designed,
installed, operated, and maintained in accordance with the most recent version of the
North Carolina Surface Mining Manual:
c. Reclamation measures and implementation must comply with the reclamation in
d. Sufficient materials required for stabilization and /or repair of erosion control measures
and stormwater routing and treatment shall be on site at all times.
e. If the project occurs in waters or watersheds classified as Primary Nursery Areas (PNAS),
SA WS -I, WS -II High Quality (HQW), or Outstanding Resource (ORW),waters, theft the
sedimentation and erosion control designs must comply with the requirements set forth
in 15A NCAC 04B .0124, Design Standards in Sensitive Watersheds.
3. No Sediment and Erosion Control Measures in Wetlands or Waters.
Sediment and erosion control measures shall not be placed in wetlands or waters.
Exceptions to this condition require application submittal to and written approval by the
Division, If placement of sediment and erosion control devices in wetlands and waters is
unavoidable, then design and placement of temporary erosion control measures shall not be
conducted in a manner that may result in dls- equilibrium of wetlands, stream beds, or banks,
adjacent tour upstream and downstream of the above structures All sediment and erosion
control devices shall be removed and the natural grade restored within two (2) months of the
date that the Division of Land Resources (DLR) or locally delegated program has released
the specific area within the project.
Water Quality Certification No. 3884

Water Quality Certification No. 3884
4. Construction Stormwater Permit NCG010000
An NPDES Construction. Stormwater Permit is required for construction: projects that disturb
one (1) or more acres of land. This Permit allows stormwater to be discharged during land
disturbing construction activities as stipulated in the conditions of the permit. If your project
Is covered by this permit, full compliance with permit conditions Including the erosion &
sedimentation control plan, inspections and maintenance self monitoring, record keeping
and reporting requirements is required, A copy of the genera) permit(NCG610000),
inspection log sheets, and other information: may be found at
hfto:l/portal.ncdenr.orfi/webiwo/ws/su/npdessw#tab.w.
The North Carolina Department of Transportation (NCDOT)shall be required to be in full
compliance with the conditions related to construction activities within the most recent version:
of their individual NPDES (NCS000250) stormwaterpermit..
5. Construction Moratoriums and Coordination
If activities must occur during . periods of high biological activity (i.e.. sea turtle nesting, fish
spawning, or bird nesting), then biological monitoring may be required at the request of other
state or federal agencies and coordinated with these activities.
All moratoriums on construction activities established by the NG Wildlife Resources
Commission (WRC), US Fish and Wildlife Service (USFWS), NC Division of Marine. Fisheries
(DMF), or National Marine. Fisheries Service (NMFS) to lessen 'impacts on trout, anadromous
fish, larval /post - larval fishes and crustaceans -, or other aquatic species of concern shall be
implemented. Exceptions to this condition require written approval by the resource agency
responsible for the given moratorium.
Work within the twenty -five (25). designated trout counties or identified state or federal
endangered or threatened species habitat shall be coordinated with the appropriate WRC,
USFWS,. NMFS, and /or DMF personnel.
6. Work In the Dry
_-
At work in or adjacent to stream waters shall be conducted so that the flowing stream doesI -
not come in contact with the disturbed area. Approved best' management practices from the
most current version of the NC. Sediment and Erosion Control Manual, or the NC DOT
Construction and Maintenance Activities Manual, such as sandbags, rock berms, cofferdams,
and other diversion structures shall be used to minimize excavation in flowing water.
Exceptions to this condition require application submittal . to and written approval by the
Division.
7. Riparian Area Protection (Buffer) Rule
Activities located in the protected riparian areas (whether jurisdictional wetlands or not),
within the Nauss, Tar - Pamlico, or Catawba River Basins or in the Randleman, Jordan, or
Goose Creek Watersheds (or any other basin or watershed with buffer rules) shall be limited
to "uses" identified within and constructed in accordance with 15A NCAC 02B .0233, .0258,
.0243, ,0250, .0267 and .0605, and shall be located, designed, constructed, and maintained
to have minimal disturbance to protect water quality to the maximum extent practicable
through the use of best management practices, All buffer rule requirements, including diffuse
flow requirements, must be met
Water Quality Certification No. 3884

Water Quality Certification No. 3884
8. Compensatory Mitigation
In accordance with 15A NCAC 02H.0506 (h), compensatory mitigation may be required for
losses of equal to or greater than 150 linear feet of streams (intermittent and perennial)
and /or equal to or greater than one (1) acre of wetlands. For linear public transportation
projects, impacts equal to or exceeding 150 linear feet per stream shall require mitigation.
Buffer mitigation may be required for any project with Butter Rules in effect at the time of
application for activities classified as "Allowable with Mitigation' or `Prohibited" within the
Table of Uses.
A determination of buffer, wetland, and stream mitigation requirements shall be made for any
General Water Quality Certification for this Nationwide and/or Regional General Permit.
Design and monitoring protocols shall follow the US- Army Corps of Engineers Wilmington
District Stream Mitigation Guidelines (April 2003) or its subsequent updates. Compensatory
.mitigation plans shall be submitted to the Division for written approval as required In those
protocols. The mitigation plan must be implemented and/or constructed before any impacts .
occur on site. Alternatively, the Division will accept payment into an in -lieu fee program or
mitigation bank.. In these cases, proof of payment shall be provided to the Division before
any impacts occur on site.
9. Relocated stream designs should include the same dimensions, patterns, and profiles as the
existing channel (or astable reference reach if the existing channel is unstable), to the
maximum extent practical. The new channel should be constructed in the dry and water shall
not be turned into the new channel until the banks are stabilized. Vegetation used for bank
stabilization shall be limited to native woody species and should include establishment of a
30 -foot wide wooded and an adjacent 20 -foot wide vegetated buffer on both sides of the
relocated channel to the maximum extent practical. A transitional phase incorporating
appropriate erosion control matting materials and seedling establishment is allowable,
however matting that incorporates plastic mesh and /or plastic twine shall . not be used in
wetlands, . riparian buffers or floodplanns as.. recommended by the North Carolina Sediment
and Erosion Control Manual. Rip -rap A- Jacks, concrete, gabions or other hard structures
may be allowed if it is necessary to maintain the physical integrity of the stream; however, the
- - -- -
applicant
pc ap coverage provide note that f the stream relocation is- conductedas determine stream extent
restoration as defined in the US Army Corps of Engineers Wilmington District, April 2003
Stream Mitigation Guidelines (or its subsequent . updates), the restored length may be used
as compensatory mitigation for the impacts resulting from the relocation
10. For sewer lines, when the construction corridor Is parallel to stream, then the edge of the
construction corridor shall . not be closer than 10 feet from top of bank. For streams classified
as WS (except WS -IV or WS -V), B, SA, ORW, HQW, or SB from normal high water (or tide
elevation) and wetlands the edge of the Construction corridor shall not be closer than 50 feet
to a stream; or 100 feet to private or public water supply sources or waters classified as WS -I
waters or Class I or Class Il impounded reservoirs used as source of drinking water In
accordance with 15A NCAC 02T .0305(f).
Utility lines within the Riparian Buffers shall be installed in accordance with the Table of uses
in the most recent version of the appropriate buffer rules.
Utility lines shall not cross a stream channel at other than a near - perpendicular direction (i.e.,
stream channel crossings shall not be at an angle of less than 75 degrees or more than 105
degrees to the stream bank).
11. Any wastewater tine that crosses any stream shall be installed in accordance with the most
recent version of the Gravity Sewer minimum Design Criteria or the most recent version of
Water Quality Certification No. 3884.

Water Quality Certification No. 3884
the Minimum Design Criteria for the Fast -Track Permitting of Pump Stations and Force Main
published on the Division of Water Quality's website Exceptions to this condition require .
application submittal to, and written approval by, the Division.
12.. If concrete is used during the construction, then all necessary measures shall be taken to
prevent direct contact between uncured or curing concrete and waters of the state. Water
that inadvertently contacts uncured concrete shall not be discharged to waters of the state
due to the potential for elevated pH and possible aquatic life/ fish kills.
13. Any rip -rap required for proper culvert placement, stream stabilization, or restoration of
temporarily disturbed . areas shall be restricted to the the area directly impacted by approved
construction activity. All rip -rap shall be buried and /or "keyed in" such that the original stream
elevation and streambank contours are restored and maintained. Placement of rip -rap or
other approved materials shall not result in de- stabilization of the stream bed or banks
upstream or downstream of the area
14. Annual native species suitable for wet locations shall be planted and established within
Jurisdictional wetlands for soil and erosion control Non - native perennials such as fescue are
prohibited.
15. A one-time application of fertilizer to re- establish vegetation 1s allowed in disturbed areas
including riparian buffers, but is restricted to no closer than 10 feet from top of bank of
streams. Any fertilizer application must comply with all other Federal State and Local
regulations..
16. The construction corridor (including access roads, sediment and erosion control measures
and stockpiling of materials) is limited to 40 feet (12.2 meters) in width in wetlands and across
stream channels and must be minimized to the maximum extent practicable.
17. Permanent, maintained access corridors shall be restricted to the minimum width practicable
and shall not exceed 15 feet in width except at manhole locations. A 15 -foot by 15 -foot
perpendicular vehicle turnaround must be spaced at least 500 feet (152.4 meters). apart.
18. An anti -seep collar shall be placed at the downstream (utility line gradient) wetland boundary
. 11
utility lines. Anti -seep collars may be constructed with class B concrete, compacted clay,
PVC pipe, or metal collars. Wetland crossings that are directionally drilled, and perpendicular
wetland crossings that are open out and less than 150 feet (45.7 meters) long do not require
anti -seep collars. The compacted clay shall: have a specific infiltration of 1 X 10- 5 cm/sec or
less. A section and plan view diagram is attached for the anti -seep collars.
The following specifications shall apply to class B concrete:
a) Minimum cement content, sacks per cubic yard with rounded course aggregate 5,0
b) Minimum cement content, sacks per cubic yard with angular course aggregate 5.5
c) Maximum water- cement ratio gallons per sack 6.8
d) Slump range. 2" to 4"
e) Minimum strength - 28 day psi 2,500
19. The applicant shall have a specific plan for restoring wetland contours. Any excess material
will be removed to a high ground disposal area.
The mixing of topsoil and subsoils within the wetlands along utility corridors shall be
minimized to the greatest extent practical. During excavation, the soils shall be placed on
fabric to minimize impacts whenever possible. Topsoil excavated from utility trenches will be
I
Water Quality Certification No. 3884 5

Water Quality Certification No. 3884
piled separately from subsoils and will be backfilled into the trench only after the subsoils
have been placed and compacted.
Along utility corridors within wetlands, grub stumps only as needed to install the utility and out
remaining stumps off at grade level The general stripping of topsoil within wetlands along
the utility corridor is not permitted.
20, If an environmental document is required under the National or Slate Environmental Policy
Act (NEPA or SEPA) then this General Certification is not valid until a Finding of No
Significant Impact (FONSI) or Record of Decision (ROD) is issued by the :State
Clearinghouse,
21. In the twenty (20) coastal counties, the appropriate DWQ Regional Office must be contacted
to determine If Coastal Stormwater Regulations will be required.
22. This General Certification does not relieve the applicant of the responsibility to obtain all other
required Federal, State, or Local approvals.
23. The applicant/permittee and their authorized agents shall conduct all activities in a manner
consistent with State water quality standards (including any requirements resulting from
compliance with §303(d) of the Clean Water Act), and any other appropriate requirements of
State and Federal Law. If the Division determines that such standards or laws are not being
met, including failure to sustain a designated or achieved use, or that State or Federal law Is
being violated, or that further conditions are necessary to assure compliance, then. the
Division may reevaluate and modify this General Water Quality Certification.
24. When written authorization is required for use of this certification, upon completion, of all
permitted impacts included within the approval and any subsequent modifications, the
applicant shall be required . to return the certificate of completion attached to the approval.
One copy of the certificate shall be sent to the DWQ Central Office in Raleigh at 1650 Mall
Service Center, Raleigh, NO, 27699-1650.
25. Additional site- specific conditions, including monitoring and /or modeling requirements, may
be added to the written approval letter for projects proposed under this Water Quality
26. This certification grants permission to the director, an authorized representative of the
Director, or DENR staff, upon the presentation of proper credentials, to enter the property
during normal business hours.
This General Certification shall expire an the same day as the expiration date of the
corresponding Nationwide and /or Regional General Permit. The conditions in effect on the date
of issuance of Certification for a specific project shall remain in effect for the life of the project,
regardless of the expiration date of this Certification.
Non - compliance with or violation of the conditions herein set forth by a specific project may result
in revocation of this General Certification for the project and may also result in criminal and /or civil';
penalties,
The Director of the North Carol! no Division of Water Quality may require submission of a formal
application for Individual Certification for any project in this category of activity if it is determined
that the project is likely to have a significant adverse effect upon water quality, including state or
federally listed endangered or threatened aquatic species, or degrade the waters so that existing
uses of the wetland or downstream waters are precluded.
Water Quality Certification No. 3884 6

Water Quality Certification No. 3884
Public hearings may be held for specific applications or group of applications prior to a
Certification decision if deemed In the public's best interest by the Director of the North Carolina
Division of Water Quality. _
Effective date: March 19, 2012
DIVISION OF WATER QUALITY
By
772 A4 P-, `%'Y% " /
Charles Wakild; P.E.
Director
History Note: Water Quality Certification (WQC) Number 3684 issued March 19, 2012 replaces
WQC Number 3819 issued March 19, 2010; WQC Number 3699 issued November 1, 2007; WQC
Number 3625 issued March 19, 2007, WQC Number 3374 issued March 18,.2002; WQC Number
3288 issued June 1, 2000 WQC Number 3101 issued February T1, 1991; WQC Number 3022
issued September 6,, 1995; WQC. Number 2664 issued January 21, 1992 This General
Certification is rescinded when the Corps of Engineers reauthorizes any of the corresponding
Nationwide and /or Regional General Permits or When deemed appropriate by the Director of the
Division of Water Quality.
Water Quality Certification No, 3884 7

Water Quality Certification No. 3884
ANTI -SEEP COLLAR
f 16 —
I
I Inches I Utility Line CA '7-
I (Diameter Varies)
I
1 foot I I Class 8 Concrete
I — or Compacted Clay
l_
t
6 inches) rendh W_i �h Inches
Not to exceed 40 feet
SECTION
PLAN
Water duality Certification No. 3884 8
ly

A M
North Carolina Department of Environment and Natural Resources
Pat McCrory Donald R. van der Vaart
Governor Secretary
DWRProject Nq.: County:
Applicant:
Project Name:
Date of Issuance of 401 Water Quality Certification:
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 term this certificate to the 401 and Buffer Permitting Unit, North
Carolina Division of Water Resources, 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.
Applicant's Ceriya ation
L , 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:_
Agent's Certiyicalion
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 CertlyledProfessional
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.
Registration No.
Date
401& Buffer Pamliitg tlnit
1650 Mall 9eNce Center, Fi lebh, Noah Carollna2]6991650
Phone, 91990863001 FAX: [phone]
Internet: htlp91po4el.na]emor01wo1 hvs
An Equal Opportunity l Almumive Acton Employer