HomeMy WebLinkAbout20160311 Ver 1_Certification of Completion_20160802Pat McCrory
Governor
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NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Resources
S Jay Zimmerman Donald R van der Vaart
Director
NCDWR Pro�ect No 2016-0311 County: Haywood
Apphcant NC Department of Transportation
Pro�ect Name Bridge No. 310 on SR 1348
Date of Issuance of 401 Water Qualrty Certification. Mav 2, 2016
Cert�ficate of Completion
Secretary
Upon completion of all work approved wrthm the 401 Water Quality Certificahon or apphcable Buffer Rules, and any
subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Plannmg Umt, North
Carolma Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617 This form may be returned to
NCDWR by the apphcant, the applicant's authorized agent, or the pro�ect engmeer It is not necessary to send cerhficates
from all of these
ApplicanYs Certificat�on
I, Mark S. Davis, Division 14 Environmental Program Sunervisor, hereby state that, to the best of my abilihes, due care
and diligence was used m the observation of the construction such that the construction was observed to be built wrthm
substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supportmg mate s
Signature: , ��� Date � ����/�
,
Agent's Certification
I, , hereby state that, to the best of my abilities, due care and diligence was used
in the observahon of the construction such that the construction was observed to be built within substantial compliance and
mtent of the 401 Water Quality Certificatton and Buffer Rules, the approved plans and specifications, and other supporting
materials
Signature Date
Engineer's Certificatlon Partial Fanal
I, , as a duly registered Professtonal Engineer m the State of North Carolma,
havmg been authonzed to observe (periodically, weekly, full hme) the construction of the pro�ect, for the Permittee hereby
state that, to the best of my abilrttes, due care and diligence was used m the observahon of the construction such that the
construction was observed to be built wrthm substantial compliance and intent of the 401 Water Qualrty Certification and
Buffer Rules, the approved plans and specifications, and other supportmg matenals
Signature
Date
Registrahon No
Transportation PermitGng Unit
1617 Mail Service Center Ralegh North Carolina 27699-1617
Loca6on 512 N Salisbury St. Raleigh, North Carolina 27604
Phone 919�07-6300
Intemet. wwwncdenrgov
An Equal Opportunity 1 Affirma6ve Action Employer
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