HomeMy WebLinkAbout20140406 Ver 1_Certification of Completion_20160308CERTIFICA'T'E OF COMPLETION
NCDWR Project No.: 14-0406
County: 6,411.1�s
Applicant: �:c�c ��d�� " �.�or.l
Project Name: " ��lyvc,%HC Dr;,/e, nih d"Ac I&P44cme4k
Date of Issuance of 401 Water Quality Certification:
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.
Applicant's Certification
I, 10 % A R - P« "� f " , 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 an spcificat' and other supporting materials.
Signature: Date: f �Ur'a Zo z
Agent's Certification
I, st'A 9" 116,id) , 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: Date: -S-1 b
Engineer's Certification
Partial Final
I, S w A et"", CVC I f , as a duhLLegistered Professional Engineer in the State of
North Carolina, having been authorized to observe errodicall , 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 o er supporting materials.
Si nature Registration No. 03517 7
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__12ate 2—S7/b
DENR -WATER RESOURCES
TRANSPORTATION PERMITTING UNIT