20131227 Ver 1_Certification of Completion_20150504

Pat McCrory
Governor
e*N
� �
Narth Caralina Department af Environment and Natural Resaurces
Division of Water Quality
Charles Wakiltl, P.E '
Director
NCDWQ Project No.: �Zc�/,3/,2,2% County: �'"ca`i�7s'�+,�7
Applicant: /%(', "%�i/'� L. i�f/e; P. E.,�L�7iw�'ls%a�t Er� c-irz�e�
Project Name: /3ri��r�. �Zg,�, c,,� ,S,/', �,
Date of Issuance pf 401 Water Quality Certi�cation:
John E. Skvarla, III.
Secretary
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certifcation or applicable Buffer Rules, and
any subsequent modificatiians, the applicant is requixed ta return this eertificate to t�e 4Q 1 Transportation Permittin�;
Unit, North Carolina Division of Water Quality, 1650 Mai1 Service Center, Raleigh;, NC, 2'7699-1650. This form
nlay be returned fo NCDWQ by the applicant, the applicant's authorized agent, or �h� �r�7ject engineer. It is not
necessary to send certificates frorn all of these.
Applicant's Certifeatian '
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 ta be built within substantial
campliance and intent af the 401 Water Quality Certi�catian and Buffer Rules, the',appraved pians and
specifications, and other supporting materials.
Signature:
Date:
Agent's Certifzcation
I, , hereby state that, to the best of my abilities, due eare and diligence
was used in the observation of the construction such that the canstruction was observed ta be built within substantial
compliance and intent of the 401 Water Quality Certificatiaz� and Buffer Ruies, the approved plans and
specifications, and ather suppatiing materials.
Signature: Date:
Engi�xeer's Certificatiora
Partial __�% Final
I, BR,�qntao�l L. H�RR2'MG , as a duly registered Professio�
Carolina, having been autharized to observe (periodically, weekly, fu tim the c
Permittee hereby state thai, to the best of my abilities, due care and diligence was
construction such that the construction was observed to be built within substantial
Water Quality Certification and Buffer Rules, the approved plans and specificatio:
l Engineer in the State of North
istructian of the project, for the
ed in the observation of the
ampliance and intent of the 401
, and other supporting matei�ials.
Signature ��,�,.wIG«.,r._. � = U��. _�___ Registration Na. ���'4'��
Date �/'4`�f � �
Transportafion and Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1617
Location: 512 N. Salisbury St. Raleigh, North Carolina 27604
Phone: [phone] FAX: [phone]
Internet: www.ncwaterquality.orq
An Equal Opportunity 1 Affrmative Actian Employer
()ne
I�c���i� ��'���i��