HomeMy WebLinkAbout20231658 Ver 1 - certificate of completion 20240315CERTIFICATE O�F r_QfVlPLffIOPY
NCDVWR Pn4act No.; akz I (F st
Applicant., ki>UR-04
Court;
L-114
f tojitt Marne, i 4
Date M I ssuanre of 401 water Quality Certlficatlon: f `
#Ifiicate -of Comp) etlon
UPI)n CGMpletlon of al I work approved wit#I In the 401 Water Qual sty CArtification o r avolkabfie SufFer
Rules, a nd any, subsequent mn&fiettlons, the applicant is required to return t h is certificate to the 41)1
Wetla nd & Buffer Permlttl ng Unk No rtfi Ca roliRa DivlslCn of Water Re$oQrces, 1617 Mall Service Center,
Raleigh, NC, 27f6g-11517. This form may, be retu rued to N CDWR by the aPPlicant, the applicant's
autltorizacl aZent, of the project eminmr_ it is not necessary to s&rxd certificates from all of threw,
AppficanC's C�!rtif'ot;on
Ir hereby state that, to the best e f my abilities, due rare
and diligence was used in the ohs&ntatbon of the cofIskruction such that the construction was Q#served
to be InAlit Within substantial cornpHanlc.e and I ntent of t ho 401 Water dual ityr Cen flcation and Buffer
Rules, the approved plans and specifications, and other suppo rtirkg materials_
5ignatufe- Date;
A r+tr5 Ce rcvrhbn
I, LoLef f K-r 7- 9,L 4- . hereby state that, to the best of my a bilit ies, due a re
and d lilgence was used In the observation of thre con$truetion sLmh that the cortstructlon was obserMed
to be built within wb-stantial compiiance arkd intent of the 401 Water Quallty Certification and Buffer
Au leer th& a pproved plans and specifications, a nd other supportl ng materials,
Signature; � _ Date: Jla L�
ErgirmwKs Cert#kadcm
Partlal Final
I, , as a duly registered ArafasslunaI EngInPL%r irk the State
of North Ca rol ina, having been iwthorized to observe I; periodically, weekly, Fu II time) t-he carrstruction of
toe project for the Permittee hereby, state that to the best of my a bliMies, d ue care and dI Ilgence was
used in the obwrviaOun of the wrlstrm im $uch that the cwistruction was o t served to be bul It wlthln
soubaantial campliance and interkt of the 401 Water Cauafty Certification and Buffer Rules, the approved
plans and spec locations, and other supporting rnata rla Is.
Signatu re
Registration No. Date
fNor& Cawhm L)q*rtoml Jr Eow6nmenLai t)wIiIY DiYnim of %Aa Rhukocl4
.ti�Wr "kEbJ LWZf rNF1 Y-.mq1 Ocrbm a.ltmLa Y4i1c A41 M L=*tgYd1k,'%K' 2V31
'I.{4 t ID94
URTI FICATE )F0 M PLETIN
NCOWit Pirojeet Np.. a ) ,?,) 0
Appliant: -
Project Dame:
Date of I ssuerioe of 40.1 water QuaJ ity Certificatlon: r
Certificm of Cam p"On
Upon completion of al I work approved w-Lh in the 401 Water Qual Ityr (�ertificatjun o r a ppl;cabJ& Puffer
Rules, and any 5ubseq uent modlficatia ns, the appl icent I s mqu Ired to return this certifi Cate to the 4�11
Wetlar-A & Buffer Rermltt+n,g Unk Nor kh Ca rol ina Division of Wat-er Resources, 3617 Mai I -5ervire Center,
Ra Ieigh, NC, 275 9-1617, This form may be returned to NC DW F1 by the applicant, the appl ica n#'s
authorized agent, or the p roject eM► ri" r- It is not necessa ry to sertid eertlficat-ts frorn al I n- th ese,
App9mne`s Certl ftalfm
I, -- _ _ , hereb+,r &tat* th9t, to the b-ast of my abilit les, due rare
and d it igence was used in the ot-servat ibn of the construction such that the constructlon was observed
ti? W hrui It with in Substantial compllance arrd irrtth-n t of the 402 WaftET Ctuaf ity Certification and Buffer
Ru Iesr the approved plans and spec if Icatiorrs, and other su pplorting rnateiria Is,
5i�u re-
Agem's CertiOw#ion
Date=
I, 2' & Air r ^ hereby state thetr to the ben of my abil ities, due pare
and drl igence was used i n the observatfoD of the co nstruct ion such that the constructior, was ohserwed
to be built within substantial compl i;arKe and I ntent of t he 401 Water CNal ityr Certification and Ruffer
Rules. the approved plans ands ilica#^ ^r r and othe r 5v pporting rnateria45_
Signatu re: Date-
Ennaer's rt a
Partial Wirral
I, , a5 a duIV registered Peole&Aiana I Engineer in the Mate
of No rth Ca ro lirwa, hawing begin a utho r laed to ab&&ram (periodlcal IV, was-kly, full ti rrre) the conAtruction of
the project for the Permittee here by state that;, to the best of my ab ltitiesr due -care and d it igence was
used In th* obsarvatlo n of the construction such that the construction was observed to be bul It wlthrrk
substantial compliance and - errt of the 4D1 Water Quality Certification and Buffer R-r Ie�, the a pprcwcl
Plans and specificati�un nd other su pp-Drting materials.
Slgnatu e�T�> R �glstra D�te�.
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