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HomeMy WebLinkAbout20150330 Ver 1_Certification of Completion_20150904: ��� ���� NCDENR North Carolina Department of Environment and Natural Resources Pat McCrory Governor NCDWR Project No.: 20/503 30 Applicant: /VC�D%� �!d Jr co�nty: �ran,�l.h ProjectName: S� l�PLSIS�✓►�on �o����e �2d) � Date of Issuance of 401 Water Quality Certification: �//..f� Donald van der Vaart 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, Raleigh, NC, 27699-1650. 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. Applieant's Certification l, T/e. %'�o �.:�5 /`: � , hereby state that, to the best of my abilities, due care and diligence was used in the ob ervation 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, a ther supp i materials. Signature: � ' Date: ` � ��'�'' �✓ Agent's Certificatio l, , 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. Sibnature: Date: Engineer's Certifieation Partial Final 1, , 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 Registration No. Date 1617 Mail Service Center, Raleigh, North Carolina 27699-1617 Phone: 919-807-63001 Internet: www.ncdenr.gov D ����d� SEP - 4 2015 An Equal Opportuniry 1 Affrmative Action Employer DENR -WATER RESOURCES TRANSPORTATION PERMITTIN� UNIT