20140829 Ver 1_Certification of Completion_20160401

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DONALD R. VAN DL'It VAART
Wate�Resources
ENVIRONMENTAL DUALITY
NCDWR Project No.: %— g% County:
Applicant:
Project Name:
Date of Issnance of 40I Water Quality CertiSication: i� '/�' /�
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S. JAY ZIMMERMAN
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Certificate of Completion
Upon completion of all work approved within the 40I Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to retum this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR by the applicant, the applicanYs authorized agent, or the project engineer. It is not
necessary to send ceRificates from all of these.
ApplicmiPs GerJificntion �
��z//C �.�1�� ✓!S , 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
specificatinns, and other supporting mate�
Signature: �N��y� �/'�� Date: �� � ��'��
AgenPs Cerlifrcr•1ia;:
� , 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 suppoRing materials.
Signature:
Engir+eer's Cer/ifrcnfiar
Partial Final
I as a duly regis[ered Professional Engineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the
Permittee hereby state that, to the best af 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 of il�e 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Registration No.
Date ---------- -- ��J� � �V' � � V � D
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APR — 1 2016
OENR-WG.7FRRESOURCES
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