20040943 Ver 1_Staff Comments_20080410

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Michael F. Easley, Governor
William G. Ross Jr., Secretary
North Carolina Department of Environment and Natural ResoArces
Alan W. Klimek, P.

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DWQ Project No.: 0110 1!/3 -?-
-Applicant: /VCVoT PW W
Project Name:
" Date of Issuance of 401 Water Quality Certification:
County: 6?''M
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Certificate of Completion
Upon completion of all work approved within the 401 Wate/,ent, fication or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to ricate to the 401/Wetlands Unit, North
Carolina Division of Water Quality, 1621 Mail Service CenC, 27699-1621. This form maybe
returned to DWQ by the applicant, the applicant's authorizeproject engineer. It is not necessary to
sendcertificates from all of these.
Applicant's Certification .
I, , he y state that, to the best of my abilities, due care and diligence
was used in the observation of the construction su that the construction was observed to be built within substantial
compliance and intent of the 401 Water Quality ertification and Buffer Rules, the approved plans and
specifications, and other supporting material
Signature:
Agent's Certification
I,
was used in the observation of
compliance and intent of the
specifications, and others pc
Signature:
Engineer's
Date:
Partial Final
I, as a duly registered Professional Engineer in the State of North
Carolina, h ing been authorized to observe (periodically, weekly, full time) the construction of the project, for the
Permittee ereby state that, to the best of my abilities, due care and diligence was used in the observation of the
constru ion such that the construction was observed to be built within substantial compliance and intent of the 401
Water uality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Date:
hereby state that, to the best of my abilities, due care and diligence
e construction such that the construction was observed to be built within substantial
1 Water Quality Certification and Buffer Rules, the approved plans and
tins materials.
Registration No.
ATLA
NCDENR
North Carolina Department of Environment and Natural Resources
Division of Water Quality
Michael F. Easley, Governor William G. ss, Jr., Secretary
Alan W limek, P.E., Director
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DWQ Project No.: 040943 MOD County: Granville ?-Feckj
Applicant: NC Department of Transportation N, ` v a ? 0 O
Project Name: Road improvements to SR 1154 (Bowling Road)
Date of Issuance of 401 Water Quality Certification: July 30, 2004
Certificate of Completion
Upon completion of all work approved within the 401 Water Vnt,or fication or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to reticate to the 401/Wetlands Unit, North
Carolina Division of Water Quality, 1621 Mail Service CenteC, 27699-1621. This form may be
returned to DWQ by the applicant, the applicant's authorized project engineer. It is not necessa ry to
send certificates from all of these.
Applicant's Certification
I, ,
was used in the observation of the construction st
compliance and intent of the 401 Water Quality
specifications, and other supporting materials. /
Signature:
Agent's Certification
I,
was used in the observation of the
compliance and intent of the 40V
specifications, and other supp tir
Signature:
Engineer's Cer
Partial
Date:
?, hereby state that, to the best of my abilities, due care and diligence
onstructton such that the construction was observed to be built within substantial
ater Quality Certification and Buffer Rules, the approved plans and
materials.
Final
Date:
I, , as a duly registered Professional Engineer in the State of North
Carolina, havi ebv been authorized to observe (periodically, weekly, full time) the construction of the project,for the
Permittee he state that, to the best of my abilities, due care and diligence was used in the observation of the
constructio such that the construction was observed to be built within substantial compliance and intent of the 401
Water Q lity Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Registration No.
Transportation Permitting Unit
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard, Suite 250, Raleigh, North Carolina 27604
Phone: [phone] / FAX [phone] / Internet: http://h2o.enr.state.nc.us/ncwetlands
An Equal Opportunity/Affirmative Action Employer - 50% Recycled/10% Post Consumer Paper
state that, to the best of my abilities, due care and diligence
the construction was observed to be built within substantial
tion and Buffer Rules, the approved•plans and
NorthCarolina
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