20150288 Ver 1_Certification of Completion_20160608

Action ID Number: SAW-20ll-02131 County: Rowan
Permittee: NC DOT Div 9
Amv Euliss
Project Name: NCDOT SR 2538 Br 281 Div 9 Rowan Co.
Date Verification Issued: 03/23/2015
Project Manager: John Thomas
Upon completion of the activity authorized by this permit and any mitigation required by the permit,
sign this certification and return it to the following address:
US ARMY CORPS OF ENGINEERS
WILMINGTON DISTRICT
Attn: John Thomas
Raleigh Regulatory Field Office
3331 Heritage Trade Drive, Suite 105
Wake Forest, NC 27587
Please note that your permitted activity is subject to a compliance inspection by a U. S. Army Corps of
Engineers representative. Failure to comply with any terms or conditions of this authorization may
result in the Corps suspending, modif'ying or revoking the authorization and/or issuing a Class I
administrative penalty, or initiating other appropriate legal action.
I hereby certify that the work authorized by the above referenced permit has been completed in
accordance with the terms and condition of the said permit, and required mitigation was completed in
accordance with the permit conditions.
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ate

Pat McCrory
Governor
[►CN�1 ':l:i
Applicant
_ ��
NCDENR
North Carolina Department of Environment and Natural Resources
Donald R. van der Vaart
Secretary
ProjectName: .�v� 2�'1 uyt ✓�'� 2.�'J3� ��eP-�,p�i' ►'lpcq,�bUQ,�' �6UJ1r1 �it'Q£�
Date of Issuance of 401 Water Quality Certi£ication: �� � 13 , 2� lGJ
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 form
may be returned to NCDWR by the applicant, the applicanYs authorized agent, or the project engineer. It is not
necessary to send certificates from all of these.
Applicant's Certiftcation
I, �`2. V�k'�1� ,��' U{.'t , hereby state that, to the best of my abilities, due care and diligence
was use in the observation of the wnstruction such that the construction was observed to be built within substantial
compliance an� int n�t f the 401�Water Quality Certification and Buffer Rules, the approved plans and
Date: ��g���1�
Agent's
I, , 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 Certiflcation and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Engineer's CertiJication
Partial Final
I, , as a duly registered Professional Engineer in the State of North
Cazolina, having been authorized 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 the observatio� of the
conshuction 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
Regishation No.
1617 Mail Service Center, Raleigh, Nodh Carolina 27699-1617
Phone: [phone] Internet: www.ncdenr.gov
An Equal Opportuniry 1 ARrmalive Acfion Employer