20160010 Ver 1_Certification of Completion_20170119

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PAT MCCRORY
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•'.�1 . DONAI.D R. VAN DHR VAART
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WaterResources S. JAY "/.IMMERMAN
ENVIRONMENT/t OUI.IITY
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NCDWR Project No.: �l(i�0/D Counry: WQ/G�
ApplicanL• A��OT f7J✓ Jr
ProjectName: __ S� Z%jF7 �Te�r� ry�aw�S ��
Date of Issuance of 401 Weter Qusliry Certification: _��/0 9//!0
Certificate of Completion
Upon completion of all work approved witM1in the 401 Water Quality Certifica[ion or applicable Buffer Rules, and
any subsequent modifications, the applicant is roquired to re[um this certificate to the 401 Trensporption Pe�mitting
Unit, Nonh Carolina Division of Water Resources, 1617 Meil Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR by the applicant, the applicant's authoriud agent, or the projat engineer. lt is not
necessary to send cettificates from all of these.
ApplkaM'a CeniJTcaUoa
�, ./• � f%�O�..i�S /' = E. , hereby state that, to the best of my abilities, due csre and diligence
was used in the ob rvation of the construction such that the conshuction wes observed to be built within substanHal
wmpliance and intent of the 401 Water Quslity Certification and Buffer Rules, the epproved plens and
specifications, a ther su po g� aterials.
Signature: � � Dete: ��—�A1� ��
Agenl's Ced�eaflo
�, , 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 oburved ro be built within substantial
compliance and intent of the 401 Water Queliry CertificaHon and Butt'er Rules, the approved plans and
specifications, and other supporting materials.
Signeture:
Engiaeer's CerNjleatlon
Partial Final
I. , as a duly registered Professional Engincer 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 carc and diligence was used in the observetion of the
construction such that the conshuction wes observed to be built within substantial compliance end intent oFthe 401
Wecer Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature Regishation No.
Date
Staa o( Nwth Cemlina IEnvimnmemel Qualiry 1 Wmr Resa�eees
t611 MeIlSavice Cenlgr, Ralelph. Nplh Cadina 276991617
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