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HomeMy WebLinkAbout20061015 Ver 1_Staff Comments_20080429a � . o�pF `NATF,qQG . ` � � > � o -c DWQ Project No.: Z��O 1�1 5 Applicant: NCDoT ��J S Project Name: 52 139 0� o,P�"�''`'�'S�' FA�� Q��'� - � Date of Issuance of 401 Water Quality Certi�cation: Ol� � (o PQPo.i�f CertiCcate of Completion Upon completion of all work approved within the 401 Wat Quality Certification or applicable Buffer Rules, and any subsequent modifications, the applicant is required t return this certificate to the 401 Transportation Permitting Unit, North Carolina Division of Water Quality, 1650 ail Service Center, Raleigh, NC, 27699-1650. This form may be returned to DWQ by the applicant, the appl' ant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these. Applicant's Certification I. was used in the observation of the c compliance and intent of the 401 W specifications, and other supportin� Signature: Agent's Certification I, was used in the obsery compliance and inte specifications, an th S i gnature: Engineer' Certificat artial Fina( I� , as a duly registered Professional Engineer in the State of North Caro ' a, having been authorized to observe (periodically, weekly, full time) the construction of the project,for the Per ittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the c struction such that the construction was observed to be built within substantial compliance and intent of the 401 ater Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature Registration No. �e ��l. c� — no�- 6� l-� �.s a � ��i � /�� _ S�n�dlc.. a�Y c�v.. ,� � ` � ✓'Qf� � �-( � d� � / � �'J � I� � D V � — ,�� dy . �,�-�. � �.� , �,� s ��� -�r-{.�,C. Transportation Permitting Unit 1650 Mail Service Center, Raleigh, North Carolina 27699-1650 2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604 Phone: 919-733-1786 / FAX 919-733-6893 / Internet: http://h2o.enr.state.nc.us/ncwetlands Michael F. Easley, Governor William G. Ross Jr., ecretary North Carolina Department of Environment and Natur esources Alan W. Kli , P.E. Director Divis' n of Water Quality � i h� � �-� County: li a on► G. Nanc.� � hereby state that, to the best of my abilities, due care and diligence ction such that the construction was observed to be built within substantial Quality Certification and Buffer Rules, the approved plans and erials. Date: , hereby state that, to the best of my abilities, due care and diligence tion of the construction such that the construction was observed to be built within substantial of the 401 Water Quality Certification and Buffer Rules, the approved ptans and er supporting materials. An Equal Opportunity/Affirmative Action Employer-50% Recycled/10% Post Consumer Paper