20140026 Ver 1_Certification of Completion_20150922

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I�CDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
NCDWR Rroject No.: c�01'�'C902i0
Applicanh N'L DO i
County: I�VILFO R,1�
ProjectName: (�g��(s�- 1t20�i OA[ 52..�800 ��.U/t1,U�! 2� 1
Date of Issuance of 401 WatcrQuality CertificTtion: FE,g `( � a 0 ��
Donald van der Vaart
Secretary
Certiflcate of Completion
Upon completion of ell work approved within the 401 Wnter Quality CertificAtion or appiicable Buffer Rules, t�nd
any subsequent modifications; die applicant is required to re[urn this certificate to the 401 Transpoitation I'emiittin�
Unit, North Carolina Division of Wate1• Resources, 1650 Mail Service CenteY; Raleigli, NC, 27699•1650. Tliis fonn
may Ue returned to NCDWR by the applicant, the applicant's authorized agent, o�• tlte project engineer. It is not
necess�ry ro send certificates from all of these.
Applienu!'.s CerlPenNon
I, .� • M. M�,.c.� , hei•eby state that, to the best of my abilities; due care and diligence
was used in the observation of the conshucUon such Niat tlie conshuction was observed to be �uilt within su6stantial
compliance and intent of tl�e 401 Water Quatity CertificTtion and Buffer Rules, the approved plans and
specifications; and otfier siq�norting marerials.
Signature: �/. rY%, ✓�L,r.C� ��ai Date: S. Z[, . i�
AgeNl's Cerl�cnlion
I, , hereby state that, to tha besroFmy abilities, due care and diligence
was used in the observation of the constructiorrsuch Utat the constructim� was observedSo 6e built wiHiin suUstantial
compliance and intent of tl�e 401 Water Quality Certific�tion and Buffer Rules, tfie approved plans and
specifications, and other suppm2ing materials.
Signature:
Engtneer'.s Cerlifrcalto�r
Partial Final
Date:
I, , as fl duly registered Professionfll Engineer in the State of North
Carolina, Gavin� been authorized to observe (periodically, weekly, full time) the construction ofthe pcojectfot the
Pentiittee hereUy state tfiat, to the best of my abitities, duea�re and diligence was used in the observation oFthe
construction such titat the constcuction was observed to be built within substantiTl compliance antl intent of the a01
Water Qualiry Certification and Buffer Rnles, tfie approved pians and specitications, nnd other supporting tnaferiais.
Sigitature
Dafe
Registration No.
1617 Mail Service Center, Raleigh; Nodh Carolina 27699-1617
Phone:919-807�630011nternet: maw.ncdenr.gov
M Equal OppoAuniry I Alfirmallve Actioa Employer