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Home My WebLink About20130925 Ver 1_DWR Completion Forms 2013_201611281aa .� r P�o��l� �;.;��,ii�� I�cpa�i��ienf of f_rivironmeni and f��t�n�al Rr,>ourr.cs [il�aGiull ui �v"a'die-I fteii�u7CB5 INaier C�uahty Pi�ograms Pa; f�cCro�y Tlionia� A RFede� John E Skverla III Go��eiurx UirF�ioi Secretary NCDWR Project No.: Z��3 Q92j County: �CJ aive �� Applicant: /V C yl Q � �`vislo<i �� Project Name: �� ,. Date of Issuance of 40] Water Quality Certification: � �� 20 / Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent inodifications, the applicant is required to relurn this certifieate to the 401 Trai�spoitation PermitCing Uni[, North Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to NCDWR by the applicant, the applicanYs au[horized agent, or the projec[ engineec It is not necessary to send certificates from all of these. APp[icarzl's Cerlifrcntio�: I, ✓j oq Py� �. �� ,n �v , hereby sta[e that, to the best of my abilities, due care and diligence was used ' i the observation o the construction such that the construction was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Boffer Rules, the approved plans and specifications, and other supporting materials. Signature: �,� J7�Gc1�-- Date: �� 2$ 26 �� Agen!'s Certification I, , hereby state that, [o the best of my abilities, due care and diligence was used in the observation of the consh'uction 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 suppor[ing materials. Signatm�e: Eugineei's Cerlifrcnlion Partial Final I, , as a duly registered Professional Engineer in tlie State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the Penni[tee hereby state that, to the best of my abilities, due care and diligence was used in Ihe observation of the construction such that the construction was observed to be built within substa�tial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Registration No. Da[e i rs�nnnr � i II in�r•�� iii , �ria�!�� Fi� � :� , � tln� �i I� iis ��' le I ill <�� iui�e y�=_ ri � i ��., � ir��eriiet www_ncwaterqualitv.ora .,�. . ,� ,. , . Otte NorthCarolina ��`�i"ltl�f,� e�� r NCDENR North Carolina Department of Environment and Natural Resources Division of Water Resources Water 4uality Programs Pat McCrory Thomas A. Reeder Governor Director NCDWR Project No.: 20�,j� y�2 nnni��a�r. �lG I/ �l � �l V �S� U�� I_� Project Name: County: ,�{"�/L+�r'1'dY� Date of Issuance of 401 Water Quality Certification: ��U/ � John E. Skvarla, III Secretary Certificate of Completion Upon completion of ail work approved within the 401 Water Quality Ceitification or applicable Buffer Rides, and any subsequen[ modifications, the applicant is required to return this certificate to the 401 Transpoitation Permitting Unit, North Carolina Division of Water Resources, 1650 Mail Seivice Center, Raleigh, NC, 27699-1650. This Form may be returned to NCDWR by the applicant, the applicant's authorized zgen[, or the project engineer. It is not necessary to send certificates fi om all of these. App(icmtYs Cer[rficatioa I, �ac i'/ �1/ �� , hereby state that, to tlie best of my abilities, due care and diligence was us d in the observat on of the construction such that the construction was observed to be built within substantial compliance and in[ent of the 401 Water Quality Cer[ification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: 7,Q, �� Date: �� 2� 2Q1� AgenPs CertifJcntion 1, , hereby state tlia[, m the best of my abilities, due care and diligence was used in the observation of the consh'uction sueh that the construction was obseived to be built within substantial compliance and inten[ of tl�e 401 Wa[er Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: Engineer's Cerlifrention Partial Final I, , as a duly registered Professional Engineer in tl�e State of North Carolina, having been aothorized to observe (periodically, weekly, full time) the consuvction of the project for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the obseivation of the conshuction such tha[ the construc[ion was observed to be built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, [he approved plans and specifications, and other supporting materials. Signature _ Registration No. Date Transportation and Permitling Unit 1650 Maii Service Center, Raleigh, North Carolina 276994650 Location: 512 N. Salisbury St. Ralegh, Norih Carolina 27604 Phone:919-807-63001FAX:919$07-6492 Internet: wwu�.ncwateraualiN.om An Equal Oppotlunity 1 Affrmalive Action Employer NorthCarolina �atura!!� ,� � . N�,��tl� (:�r�;�lu� � I;�,p�, t��„i� of Lnvirorrnerif and IVaiu�ai �t�,o�tces Pal h1�.Crui y �o�iu� ii��r NCDWRProjectNo.:.2tl�j 0�%� � �,��,: � ��:�r�� .cs VVater Quahty Frograros i�h,mas.4 Reeder iohn E�H;varla III ! us::i.i: Scciz!dfj; �o�,��y: �1 � D �we l l Applicant: IVC �OT �%V�s/oii � � Project Name: ✓ Date of [ssuance of 401 Water Quality Certification: � J ZU l 3 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 Pernii[ting Unit, Nor[h Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to NCDWR by [he applican[, the applicanPs authorized agent, or [he projec[ engineec [t is not necessary to send certificates from all of these. ApplicnnYs Certlficnllon [, �(d q(�� (�} ,� �,q/V _, hereby state that, to the best of my abilities, due care and diligence was used n the observatio of the construction such that the construction was observed to be built within substantial eompliance and inte�t of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: ��. ,(� � t�C:,,,— Da[e: ( � � .20/ 6 V Agen1's Cerlifrcnlio�i 1, , hereby state [hat, [o the best ofmy abilities, due care and diligence was used in the observation of the construction such that the construction was observed to be built within substanCiaf compliance and intent of the 401 Water Quality Ceitification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signamre: E�igi�reer's Cerlificntion Partial Final I, , as a duty registered Professional I:ngineer in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the Pennittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of die construction such that the construction was observed to be built within substantial compliance and intent of the A01 Water Quality Certification and Buffer Rules, tlie approved plans and specifications, and other supporting materials. Signature _ RegisLation No. Da[e , ,�,� � ,�� ao � _ ,_ i.._ i i , . . - .. . L eatlon E1�I! �alisbu��.� G � ,�ri . re,�� i� w�F,s � . Interri9! wwwnCWater uali Dfg ...;�„i ,i .. � .. Noirth Carolina �7�"��t'1�� ;.•r;z�;�� . ._. �i " IVllil�l ��Gi�r)�II1� �lil(i r�d�iil�i� �\ l�tl'(�:r. L ��,�;�o;-� ,'rdie� :irs� �u�.-, INaier ��u�hty Programs Pal Ii4cCror�- Th�mas A- Re�=der !oon E Skvarla III �;o�;a;rn�r C'�u:-:r,w� Seerelary NCDWRProjectNo.: 2O%3OeTtS'j Counfy: /��L�OU1e�� Applicant /� L /��% �% UiS/�o�7 / � Project Name: �i-f(d q (' -2 .� Date of Issuance of 401 Water Quality Certification: �I 2� Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequen[ modifications, the applicant is required to relum this certificate to the 401 Transportation Permitting Unit, NotYh Carolina Division of Water Resources, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to NCDWR by the applican[, [he applicattt's au[horized agent, or the projec[ engineer. [[ is not ❑ecessary to send ce�tificates from all of these. Appllcnnt's CertiJlcntio�i I, Qf d c� P� ��vlrl/ , hereby state that, to the best of my abilities, due care and diligence was use in the observa[io of the construction such that the constmction was observed to be boilt within substantial compliance and in[ent of the 40I Wa[er Quality Certification and Buffer Rules, Ihe approved plans and specifications, and other supporting materials. Signature: � �/ � Date: �� 2g ��1� Agenf's Certificntioi� 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 Certification and Buffer Rules, ihe approved plans and specifications, and other supporting materials. Signa[ure: Date: Engineer's Certifientioir Partial Final I, , as a duly registered Professional Engineer in the State of North Carolioa, having been authorized [o observe (periodically, weekly, full [ime) the construction of the project for the Perniittee hereby state that, to [he best of my abilities, due care and diligence was used in the observation of [he construction such that the construction was observed to bc built within substantial compliance and intent of the 401 Water Quality Ce�tification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Registration No. Date � ��.,n- F �;,;� � 1h51 I'�'oll f i i r. 1 . .. �. �•. LnaiiOn cl i� i - I .�i � Po,�� 4t� �,, � Inieru2� wwwncwa[erqualilvorg , F.:,-u � . . ..,. . One I�Torth Carolit�a �,��La61�� '�� w � NCDENR North Carolina Department of Environment antl Natural Resources Division of Water Resources Water Quality Programs Pat McCrory Thomas A. Reeder John E. Skvarla, III Governor Director Secretary NCDWR Project No.: �6 IJ U�I�IO County: /'' � �/ G� e�� Applicant: !V C �� d��✓irr�a�� _� Project Name: p) f� G1 q f' "� �� /3/ Date of lssuance of 401 Water Quality Certification: �� S�O 13 Certificate of Completion Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and any subsequent modifica[ions, the applicant is required ro return [his certificate to the 401 Transportation Perniitting Unit, North Carolina Division of Water Resources, 1650 Mail Se�vice Center, Raleigh, NC, 27699-1650. This form may be retm'ned to NCDWR by the applicant, the applicanYs authorized agent, or the project engineer. 1[ is not ❑ecessary to send ce�tificates from all of these. Applrcairt's Cerlif]cnliou �, /C d�I C'v� � f/3 i^vCl/V , hereby state that, to the best of my abilities, due care and diligence was ttse in the observati n of the construction such that the construction was observed to be built within substantial compliance and inten[ of the 401 Water Quality Certification and Buffer Rules, the approved plans and � specifications, and other supporting materials. Signature: ,� /% J3�f.q�Cc�..- Date: � r �-� �(U/ Age�7Ys Certifirnlion 1, , hereby state that, to the best of my abilities, due care and diligence was used in the observation of the cons[ruc[ion such that the construction was observed to be built within sttbstantial compliance and intent of tlie 401 Water Quality Certification and Buffer Rules, the approved plans and specifica[ions, and other suppoiiing materials. Signature: Engineer's Certifrention 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 construc[ion of the project for the Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the construc[ion such [hat the construc[ion was observed [o be built within substantial eompliance and intent of the 401 Water Quality Certification and Buffer Rules, tl�e approved plans and specifications, and other supporting materials. Signature Registration No. Date TranspoAa�ion and Permitting Unit 1650 Mail Service Center, Raleigh, Nodh Carolina 27699-1650 Location: 512 N. Salisbury SL Ralegh, Notlh Carolina 27604 Phone:919807-63001FAX:919$07-6492 InterneC www.ncwatemualiN.orq An Equal Opporlunity I ARumative Action Employer NorthCarolina �aturallr�