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HomeMy WebLinkAbout20140380 Ver 1_Certification of Completion_20150904, ,� C ��� ��DENR ' Norih Carolina Department of Environment and Natural Resources Pat McCrory Governor NCDWR Project No.: 20(� �3g� ----- ------pPplicant:---- I�i�.-'--1��'r--"D-1�1—� Project Name: w , .. 55�1 / I,�lt County: �raKF��''1 Date of Issuance of 401 Water Quality Certification: �`f/L�j//�f John E. Skvarla, III Secretary 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 Transportation Permitting Unit, North Carolina Division of Water Resources, 1650 Mail Service Center, Ralei�h, NC, 27699-1650. T.his 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, . T� �o�i� i�t _ 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, er su port materials. Si nature: � V�- Date: �� %1 �'� �� g Agent's Certification 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: Engineer's Certification Partial Final I, , 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 project for the Permittee 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 Transporf.ation and Permitting Uni! 1%i50 PAail Sen�ice Cen�er: P.aieiy'r�, North Carolina 2789y-165G Locauon: 512 N. Salisowy Sl P.alzigh �iorth Carolina 2760d Phone y1G-8u7-6300 : �A.; . 91G-'33-'I%yC; Incerne[ wNnN.ncwaterquali�v.orq .-,n �quai �ipr,o^uni[y �. r.����:n.:iv� .-c�:r,r: rir�+oy�r Registration No. o���ad� D SEP - 4 2015 DENR - WATER RESOURCES 7RANSPORTATION PERMITTING UNIT North�arolina ���t�������