20140628 Ver 2_Certification of Completion_20150922

Action ID Number: SAW-2014-01180 County: Alamance
Permittee: NCDOT (attn: Jerrv Parkerl
Project Name: NCDOT / SR 2356 / Bridee 135 / Division 7
Date Verification Issued: 12/5/2014
Project Manager: David Bailev
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
attn: David Bailey
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, North Carolina 27587
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modifying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legat action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
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Sign. ure of Permittee Date

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
NCDWRProject No.: 2014 �(p28 vEtt Z
County: i{IAMANCF_ .
John E. Skvarla, ill
Secretary
Applicant: AICDO'"r
Project Name: �Q,t D L� � � 3� D N �IZ Z 3SZD � F}O�,fdr4{l� Nt 1 L(, n-l� 1
Dateoflssuanceof401 WaterQualityCertitication: �EL. I(� � d01�
CertiPcate 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 40I Transportation Permitting
Unit, North Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This fonn
may be returned to NCDWR by the applicant, the applicanYs authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
ApplicanYs Certlfrcatioi:
I, J. rv(. M�..�3 , 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
compiiance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans a�d
specifications, and other supporting materials.
Signature: \/•-- 1-°'�«�/'ro�e. .1 M•M �s Date: 8� 2� . J�
�
Age�u's Certification
�, , hereby state that, to the best of myabilities, 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. .
Si�nature:
E�tgineer's Cert�rntio�r
Partial Final
I� � as a duly registered Professional En�ineer in the State of North
Carolina, having been authorized to obswve (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
conshuction such that the construction was observed to be built within substantial compliance and intent ofthe 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Date
Registration No.
1817 Mail Service Cen[er, Raleigh, Nodh Carolina 276994617
Phane: 919�07-630011ntemet: wvrw.ncdenr.gov
An Equal Opportunity \�rmaGve Aclion Emplayer