20180955 Ver 2_Certification of Completion_20231106

CERTIFICATE OF COMPLETION
NCDWR Project No.: ;,{)ff{ oq5:,: County: ___ k~4:..::i'VoLJPoN~----
Applicant: S1t /i2'2rtry EL/t_<f Lad<,: e..-kz qq
Project Name: ·710 l-l>#e ./-11,i J I finceb ~e. G/-aA[/;z,t/2~.v I t/~I, /1.o c~ tA--f.c ....
Date of Issuance of 401 Water Quality Certification: {)c T 1i 2. O ;J. ,3
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
Wetland & Buffer Permitting Unit, North Carolina Division of Water Resources, 1617 Mail Service Center,
Raleigh, NC, 27699-1617. This form may be returned to NCDWR 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
I, /,(eti1Neih JIJA;R.+/~ , 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: //~ tflko-i;;_
Agent's Certification
Date: II -,?. ·"' J /J 2 3
I, _______________ _,J 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:. __________ _
Engineer's Certification
___ Partial ___ Final
I, -----------------J as a duly registered Professional Engineer in the State
of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of
the p~oject for the Permittee hereby state that, to the b~st of my abilities, due care and diligence was
used ,n the observation of the construction such that the construction was observed to be built within
substantial co~plia~ce and intent of the 401 Water Quality Certification and Buffer Rules, the ~150ved
plans and spec1ficat1ons, and other supporting materials. .... m s.,,,9
S. t ~I Igna ure ______________ Registration No. _____ Date__ =H ~
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North Carolina Departrrent of Envi ronm.mtal Quality I Division of Water Resources S:: C
Mooresville Regional Offire I 601 E11,t Ceni!r Avenue, Suite 301 I Mooresville, NC 28115 ~ ~ zm
704 .663.1699 Ci) CD
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