20061764 Ver 1_Certification of Completion_20080331

OF '~~~ A rF9 Michael F. Easley, Governor
~'°`` Q William G. Ross Jr., Secretary
Date
\~ ` G North Carolina Department of Environment and Natural Resources
'i Alan W.'rClimek, P.E. Director
> ~ L.r~~~ ~ Division of Water Quality

D~~'Q Project No.: Zoo 6 ~~ 6 ~ Count}•: ~~~k ~~
Applicant: n1 Cpa~
Project Name: ~2p(kcf~+~eti~- aj cv~Jt~~- w ~~ y ~rerSQ~ dr;~~~~ 5R-~Z1~ oa~r-
Date of Issuance of «'ater Quality Certification: 11 ~ 1}~ p 6 '~ J,~r~o Ck
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 Transportation Pernutting
Unit, North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form
maybe returned to DWQ 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
I, J . ~+ , ~ e w ~ a~ ,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 obset<•ed 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: ~ ,~ t~,- ? o, Date: 211 rj1o4
f\bent's ~:crtitication
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 «~ithin substantial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
Signature: Date:
Engineer's Certification
Partial Final
I, , as a duly registered 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 of my abilities, due care and diligence vas used in the observation of the
construction such drat 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 Registration ATO.
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North Carolina
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2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] /FAX [phone]ntemet: http://h2o.enr.state.nc us~ncwetlands
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