Brooke Adams-Kayak Dock

ROY COOPER
Govena'
ELIZABETH S. BISER
secretary
RICHARD E. ROGERS. JP -
Director
NORTH CAROLINA
Environmental Quality
RECEIVED
JUL 2 5 2023
DECK -WATER RESOURCES
401 & BUFFER PERMITTING
WR Project No.: '0w R #%3-0V ( County: l a+fit e rro re)
Applicant: Brooke. AJdrvlS
Project Name: Brooke Adams Q*Q& Ea4Ze Caret` G0775
Date of Issuance of 401 Water Quality Certification: EIG 8 /4, "23
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 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 Certification
.4hereby 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 an sp�cification—sTother supporting materials.
Signature:
Agent's Certification
IZ a L P r, } w � -' 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:
If t i roj t as signed by a Certified Professional Ast-W"�
1 IV4 a Fi �( y, iaLt�` as a duly registered Professional �.'A1��C1� (i.e,
Engineer Landscape t, Surveyor, etc.) in the State of North Carolina, having been huthorized 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 t6s observed to be built within substantial compliance and intent of the 401 Water Quality
Certification and Buffer les, the approved plans and specifications, and other supporting materials.
Signature: Gi Registration No. Nc/ [2h
Date 0 (o ► °I 3
o�vasw®+amw�
North Carolina l)Vt ment ofEmimnmeorel Quahty I Divi.ion of Water Reaurce'
Aahe ill, Regional Office 12M US. Highway 10I Swumianoa Nodb C=U. 28779
S28-396.4500