20140468 Ver 1_Certification of Completion_20160401

PA'I' MCCRORY
Gnnmor
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DONALU R. VAN D1iR VAART
.. .1bcn'!mT
WaterResources S. JAY ZIMMGRMAN
ENVIRONMENiAL OUALITY r)���[l���
NCDWR Project No.: ��`�" D�%�fj County: C'yrz^� a�"'1
Applicanh _���/Z�
Project Name: �7 — v''va �C3 � /� bN i �+ �
Date af Issuance of 4D1 Water Quality Certification: 7� 0�3 l��
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 retum this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This fortn
may be retumed to NCDWR by the applicant, the applicanYs authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
App/icmiYs Certrficnliax
1, /�,�/� `j ,�?�//.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 40l Weter Quality Certification and Buffer Rules, the approved plans and
specifications,��porti �a en Is.
�
Signature: �T n�n�/ Date: � � ��'�
Agen('s Certifrcr.lioa
� , 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 substatltial
compliance and intent of the 401 Water Qualiry Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Eugineer's Cer(ificntion
p��a� Final
I as a duly registered Professional Engineer in the State of North
Carolina, having been au[horized to observe (periodically, 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 lhe observation of the
construaion such that the construction was observed m be built within substantial compliance and intent of the 401
Water Quality CeRification and Buffer Rules, the app�aved plans and specifications, and other supporting materials.
Signature Registration No.
Date ---------- -- n��� 0 V� D
�uu APR - 1 2016
�ENR • WA�R RESOURCES
TRANSPOFiTATION PERMIT7ING UNR
State of Nonh Cuolina �Fnvimnmcmal Quality � Wolcr Resourccs