20131197 Ver 1_Certification of Completion_20150311

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P�t�ject �I�rr�e:
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.��1✓ �C)i1G15i7�1 � I�C
G�unty: �ea�af�rrt
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Br�dge #16�. c�ver �rc�ad ��ee� �nr/ alu�rninurn box tulver� or� �R 161Ea
��� '�'11��er +�uality Ceetifucati�n ls��aed Date; I�e�cerrAnber 6, 2i��3
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Up�►n cbr�pl�tion af �II w�r6c �ppraved wit'�in the 4��.1N�ter Quali,ty C�rtefica�i�n �� applicalb�e �a�ffer
Rt�les, and anay su�sequer�t rnc�d'uficatiorrs, �he appNicar�t is req,uired to ret�rn thas certifi�al�e ta tt�e �iW�
�a� &�t�ffer �'ernnii�ing Unit, 1�5�7 M�id Servn�� Cemter, R�leigh, NC, 27�99-1E,�CJ. This f�e�ru rta��y be
o�eturne� to DWR lay �he a�p6ic�a��, �he �q�,�li�can�"s au�har�z�d �ge�t, or th� p�r�aject er�g%rueer. It is nrrt
nec�ssary� to s�nd certif6cat�s frc�ra� a�l m� these.
A�plrcant`s Cert�fic�rt�ora
N, ,�e�eby state that, t� th� best a�� rt�y abnlGt�e�, d�e �aa�� and
dwli����nce was used in th� cabserv�ticac� r�f t�ae c�nstructiora s�tck� thafi the constructican was �abS�rved ta be
ia�i,lt withwn substan�ial compqiance ara�d imten�t of tP�� 4t�� 'UV�ter C�uality �ertrbfi�a�tian� au�d B�FFer IRules, �he
approved plarus �rrd specif%cat��ns, and cather suappc��tar�� n�ateri�ls.
Si�,nature:
,�gr,�nt's Cer�ta�+catinrr
[���e:
I, , F��reby s��te that, t� the k�est �fi my ab!C�iti�es, due care and
did��en�e w�s us�d ir� th� obsemva�i�n of the eanstruct4ar� s�ch� th�t t�e c�anstruc�i�ara was �I�secved tr� be
b�iB� withi� s�b�tar�tial c�mplsar�ce ar�d 6nten� of ��e �(�1 UV�t�r Q,u�a�ity Certificati�� ar�d Bu�er Rules, the
approved �lans and sp�cifi��ti��ns, �md nth�r ��p���tn�ng �n�ttrials.
�ignature: aat�:
!f thrs �arr�ject w�x desig,�ed 6y a Ce�rtif�e� �"r��ess�c�nQ�
1, r�c.�.�w �nJ� i[�-„r�✓ o.� as � d�ly �egist�r��' Professic��al �n!'� ��t�'�' {�.e.,
Eng��eer, Landscape Architect, Surveyc�r, e�c.) in the State of Nc�rt�n CaroNi�a�, havnng �beec� a�thorize�' t�
�bser�re (peri�dically, we�kly, full time� the constru�ction caf thQ pra���t, for the P�r�it�e �a�r'eby stat� tha�,
^to ti�e �est af my a�bili�i��s, due �care and �ilig�nc� was �sed in, t�e observa�ic�n �f td�e cc��strr�ctic�n suc�
�hat the �oa�str�ciion was �bserved tca !be bt�ilt wfthin substac�kiap corrMpfeance ar�d int�n# of th�e �t�1 Water
Qu�lrty �ew�tificat�t�r� and Buffe�r Ruales, �I�e approved �lans �r�d specificat�on�� �nd othe�- �u��c�rting.
mate�-ials. ,.
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Sigr�ature: �" �,- � �.-, .-� �- a���: � / i � ,� � �
C7iwr6sian ab V�J�t�r Resnurc.�s — 4Q� �, �uf6er Perrraat�irwg IJnatl
��i�7 �laiq �ervue� C;enter� R�qeigih, N�arti� �;�,r�lina 27���J-1fa17
L�a�aki�r�:.5111 I� Sa1;rs�ury �i, R�;I�ir�97, Na�fif7 �'�r�lin� 27�i'�M4
Ptt�as��: �19-$(ll-63�Oa 4 �AX: 91�-8�N7-649�
Irrt�rn�f:: �c^��t�rq�a9w4y.r�rg
An �tp}y�l �l7ppautlu�.�notyk Mtfarr��a�lnve ��o-avi Enaplo�^�r — Ml�ele in p�a�i' 6y r��cycY�e�} p�l�ar