HomeMy WebLinkAbout20160010 Ver 2_Certification of Completion_20170119,.
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Woter Resources
EHVIRONMENT�L G(1t,LITY
NCIS1�iA'•Prdject Na:
Ap�ilie�lit: _ .(,�D
ProJecfNrme:
F�
PAT MCCRORY
Gnrem�r
DONAI,D R. VAN pER VAART
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S. 1AY 7.TMM5RMAN
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Coanry: ���y
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Date dt lasnance of 401 Weter Qnality Certificatkn: 07�Z 6//(a
CertlQ2atc ot Completion
Upbn cbmpleNon'efall work approved wJth�n the 401 K+auer Qua�ity Certificallon or eppliceble 8uffer Rules, and
aey sulisdquenY mbditi�allons, the npplicaM ?'s tequired to iewro this cet{{ficete to We qpl T
Uni; North Carolina Y�ivieion of V✓aterRe�ourcea, ] 617 Mail Servica Center, Raleigh, NC, 27�69-�1 g 7. 'I'p�� �
mey bb temrned ro NCDV✓R by the appliegnt, the apPlicant's authoriaed agen; or the project engineer. lt is not
eeeessary ro send cert(Rcates irom al� of these.
Appllcdnt's Cerf{Jtcatlon
�, T���,( �� S ~• � , heroby stete the� to the �t of my ebiliNes, due care and ditigence
was-used m the observet�on of e cansttuction such ehat the constnlction waa obaerved to be bulh withi'n substqmiel
compl%nee and "tent of the 401 Weter Qualtry CertificaHon snd ButTer Rules, the epqroved plens and
specificallons nd ther�up n materials.
Signature: L � 2Te�.1) �
Date:
AgenPs CerlfJlrnd n
I� � herebY stnte diat. to the best of my abiliHea, due cero eod diligence
wes used In tlk observallon of the construafon suEn Waf the conshuctlon wey oy�,�,po ys b�it with{n substanHal
comptiance afid ietent of the 40t Water Q�eliry Certi6ceNon and But%r Rules, the approved plans and
speciflcarions, and oth�r supporting matMB�s.
Signature:
Eng/nttr's CeM�/lcaHon
Partiel Final
_-.•••...g .,o..n��uncn au[nMIZBtl l0 ObstfVe�(��Rl
PermiM�e RCreby, atete thM, to the best of n�ya69L
conshuaEian suuh iWat ttie coesWc�on was-otiser
VVeter Quality Certificstion and Buffor Rules, the
Signature
m
[:T;�
��Bm� in the Stete of Notth
sauction of tde proJeU for the
� in the observaHon of the
mpliance and intent ofiAe 401
end other sup�ortlnq materiais.
ItbBistration No.
lu/C�C�LS�ML�n
W JAN i 9 �ia1/ ��
TRANS NPORTATION PERbHUTT{NG UNff
S�ah of Nmth CerolMn �Envkpnm�mei Qoellry I Wemr Rpweon
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