20140551 Ver 1_Certification of Completion_20151217

DVVR Pro���t No.: 20140551 County. Pasquotank
Ap�►tica�t: I'�C De artment af Trans ortatian
Praaect Na�ne: Pas uatank Brid e#92 Re lacement Pra'ect
Date oilssuance af 401 "W�fer Quality Certif�c�tf�rr�: ju1�11, 2014
C��tif�eat� cr�" �o�rp%et�an
Upon carnplet�c�n crfall work approved v✓�thin tk�� 4Q1 Water t�r�ality Certi�c�tion csr a�rplicahle �u#�er Rulesy and �y subsequent
modi�caticans, the applic�nt is requiced ta retum this �e�ti�eat� to t�e 4p 1 T�ansperrtation Permittcn� LTnit, �dc�rth Carvlzna i7a"vision c►f
Water R.�sources, i6SU Mait ae�vic� Cen��r„ �i�i�h, I�1C, 276�19-165t�. Tl�is farm tzsay be r�tu�ned to T7Vi�I� by he a}�plicant, the
applicant's authorized agent, or the pruject en�ine�r. It zs no� necessary t� send certificates fram alI afthese�
Ap�t�c�nt's Certt�ic�tio�a
�� , k�ereby state t,hat, ta khe best crPmy �bitities, due care a�d dilr"�ence was used in the
observation crfxhe e��structian such that th� construction w�s �bserv�d to lae kruilt wit�in subs�antial c�mpti�nce and intent afthe 401
Water C�uttlity i�erti��atic�n artd �iufi`�° Rules�, the appr�rved plans anci �peci�caticrns, a�►d a�ther supperrting .materials.
Si�na�ure; i�ate:
Agent's Certi�catfon
�� — hereby state t1�at, tc+ fhe best of my abilities, due care and dili�ence was used in ihe
observaticrn c�f the constructio� suc�i that the cc�nstruuctian w�s observ�d ta b� built withart subst�acrti�i ce�r�nnplianc� and int�r►� afthe 4C►1
Watcr Qctality Certi�cation and �uff�r Rules, th� apprc�v�d �rlans and spec��catians, and c�th�r supp�rtin� �naterials.
Si�;nature: �,a��:
Engi�eer's Certi�ication
�artza � �"ina�i
�: , as a d�y re�s�ered �x•�fessio�a�1 En�in�er ir� th� Sr�te o� TVorkh Caroiina� t�aving
been authc�r�ed ta �b�rve (periadieally, we�kiy, tam t1�e canstructio� o�"the �roj�ct,fcrr th� Permittee hereb state th�t to the
hest c�fm� abiiiti�s, due care and dili�ence was us�d ir� the c�bservatian c�fh� c�arastructian s�a�h �hat the c�nsttruuctivn w�s c�bserved ta
�ae buitt with.in subsiant�al co��l�ance �ei int.�nt �sfth� 401 Water Qua�ity �er�i�ca�ion and Buffer l�ules, th� apprc�v�d plans and
sp�ci�eatic�ns, anci eath�r s� portin ateria�s.
� ,�
Si�natc�re ___-_ � !'m ��� �t��istratiar� N�r. �����"C�.�
I�ate � � °'" �' � �