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HomeMy WebLinkAbout20150966 Ver 1_Certification of Completion_20170119North Carolina �'��'� w NCDEIVR Department of Environment and Natural Resources Pat McCrory Donald R. van der Vaart Governor Secrelary NCDWR Project No.: �/S� %�o(o County: (Na rr,o� ApplicanC _ ��,`DDT Ti/✓ S Project Name: /Vi� 4�2.�� Koa.Q� Date of Issuance of 401 Water Quality Certification: 09 //$�,� 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 ro return this certificate to the 40I Transportation Permitting Unit, North Carolfna Division of Water Resources, 16U Mafl Service Center, Raleigh, NC, 27699-1617. This form may be returned to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these. Applfcanl's Certificalion I, �/P /�o �c.i7s /'• E. , hereby sta[e that, to the best of my abilities, due care and diligence was used in the observation of t e construction such that the construction was observed to be built within substantial compliance and intent of thc 401 Water Quality Certification and Buffer Rules, the approved plans and specifications an other su rting materials. Signature: I` � Da[e: �Z�ONf'� Agenl's Cerlifrca[ n �� , 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 40] Water Quality Cenification and Buffer Rules, the approved plans and specifications, and other supporting materials. Signature: Date: Engineer's Cenljcallon Partial Final �. , as a duly registered Professional Engineer in [he State of North Carolina, having been authorized ro observe (periodically, weekly, full time) the construction of the project for the Pertnittee hereby �sta[e [hat, to the best of my abili[ies, due care and diligence was used in the observa[ion of the construction such that the construc[ion was observed to be built within substan[ial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specifica[ions, and other supporting materials. Signa[ure Registration No. Date 1617 Mail Service Center, Raleigh, Nodh Carolina 27699-1617 Phone� 919-807-63001 Intemet: vnvw.ncdenr.gav Pn Equal Opportunity 1 AffirtnaGve Action Empoyer �����1/�n uu �►►► JAN 1 9 /Oil � DENR - WATER RESOURCES 1RANSPoRTA710N PERMRTING UNR