20150936 Ver 1_Certification of Completion_20160712

Pat McCrory
Governor
DWR Project No.:
4*1MAA JUL 12 2016
CDENR R O��tCES
North Carolina Department of Environment an ��i@fb1TtNG
Donald R. van der Vaart
Secretary
J5-- ©936 County: 7�JSq[yA�N,(-4
Applicant JAGk AJOL/3
Project Name: %i -M F-2,0 - CkM EM -CACI P 0651t-
Date
%51LDate of Issuance of 401 Water Quality Certification:(? 15-. ?�D�Jr
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 and Buffer Permitting Unit, North
Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to
DWR 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
1, JA- 69 9ALPRl ige , 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.
SignA Date: g 2-046.
Agent's G4kadon
L , 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:
Ifthis project was designed by a Certified Professional
Las a duly registered Professional (i.e., Engineer, Landscape
Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically, weekly, full time)
the construction of the project, for the Permitee 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
401 & Buffer Permitting Unit
1650 Mail Service Center, Ralebh. North Carolina 27699-1650
Phone: [phone] FAX: [phone]
Internet httpJ1portalncdenr.o9lweWwglws
An Equal Oppottmuly 1 A(ffnrrative Action Employer
Registration No.

Water Quality Certification No. 3888
23. When written authorization is required for use of this certification, upon completion of all
permitted impacts included within the approval and any subsequent modifications, the
applicant shall be required to return the certificate of completion attached to the approval.
One copy of the certificate shall be sent to the DWQ Central Office in Raleigh at 1650 Mail
Service Center, Raleigh, NC, 27699-1650.
24. Additional site -speck conditions, including monitoring and/or modeling requirements, may
be added to the written approval letter for projects proposed under this Water Quality
Certificatton in order to ensure compliance with all applicable water quality and effluent
standards.
25. This certification grants permission to the director, an authorized representative of the
Director, or DENR staff, upon the presentation of proper credentials, to enter the property
during normal business hours.
This General Certification shall expire on the same day as the expiration date of the
corresponding Nationwide and/or Regional General Permit. The conditions in effect on the date
of issuance of Certification for a specific project shall remain in effect for the life of the project,
regardless of the expiration date of this Certification.
Non-compliance with dr violation of the conditions herein set forth by a specific project may result
in revocation of this General Certification for the project and may also result in criminal and/or civil
penalties.
The Director of the North Carolina Division of Water Quality may require submission of a formal
application for Individual Certification for any project in this category of activity if it is determined
that the project is likely to have a significant adverse effect upon water quality, including state of
federally listed endangered or threatened aquatic species, or degrade the waters so that existing
uses of the wetland or downstream waters are precluded.
Public hearings may be held for specific applications or group of applications prior to a
Certification decision if deemed in the public's best interest by the Director of the North Carolina
Division of Water Quality.
Effective date March 19, 2012
DIVISION OF WATER QUALITY
By
Charles Waldld, P. E.
Director
History Note: Water Quality Certifrca8on (WQC) Number 3888 issued Manch 19, 2012, replaces
WQC 3700 issued November i, 2007; WQC Number 3629 issued Manch 19, 2007; WQC Number
3363 issued March 18, 2002; WQC Number 3105 issued February 11, 1997, WQC Number 2668
issued January 21, 1992, and WQC Number 1273 issued November 10, 1976. This General
Certification is rescinded when the Corps of Engineers reauthorizes any of the corresponding
Nationwide and/or Regional General Permits or when deemed appropriate by the Director of the
Division of Water Quality.
Water Quality Certification No. 3888