20140784 Ver 2_Certification of Completion_20160401

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Water Resources
ENV IRON M ENTAI OUAIITY
NCDWR Project No.:
Applicant: �
PA'1' MCCRORY
cimrm�+r
DONALU R. VAN ULR VAAR7'
Srrn•rnry
S. JAY ZIMMERMAN
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p2 County: �i��(oKe�
ProjectName: � 73g� '� ��'iSTol/��—w'�������
Date of Issuance of 401 Wa[er Quality Certification: �' %� ��/�'
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certificetion or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to retum this certificate to [he 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This fortn
may be reiumed to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. [t is not
necessary to send certificates from all of these.
App(icmu's Ce�lificntion
�/�l�%j�k �, (/��//S , hereby state that, to the best of my abi(ities, 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 40l Water Quality Certification and Buffer Rules, the approved plans and
specifications, and oth suppo ting �terials
Signature: sr�/ Date: � �i '�����0
Agen!'s Cerlrficr•lio.-r
� , 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 [he 401 Wa[er Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signamre:
Engineer's Certifienliai
Partial Final
I as a duly registered Professional Engineer in the Sta[e of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the
Permittee hereby state t6at, 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 BufCer Rules, the app�oved plans and specifications, and other supporting materials.
Signature Registration No.
Date
Sta�e ofNanh Camlina IFnvimnmental Qualily � WalerResowccs
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APR - 1 2016
DENR•WAiERRESOURCES
TRANSPORTATION PERMITfING UNIT