20080014 Ver 1_Certification of Completion_20080818

O? NN ATFR Michael F Easley, Governor
William G Ross Jr, Secretary
\O\ QG North Carolina Department of Environment and Natural Resources
Coleen H Sullins Director
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Division of Water Quality
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DWQ Project No.: 2.00"o00 (4 County: WASH1m(f rot.! AUG ,? ZQ??
Applicant: NCZDT ..1)/(/ I
Project Name Nc- y c - - r , ??lS-WAll`dO
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 to return this certificate to the 401/Wetlands Unit, North
Carolma Division of Water Quality, 1621 Mail Service Center, Raleigh, NC, 27699-1621 This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engmeer It is not necessary to
send certificates from all of these
Date of Issuance of 401 Water Quality Certification: T.r 2?( 2008
specifications, and other supporting matenals
Signature Date
Applicant's Certification
1, S A$c-t_ 1e ,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 401 Water Quality Certification and Buffer Rules, the approved plans and
Agent's Certification
I, 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 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting matenals
Signature
Date
Engineer's Certification
Partial F mnl
I, , as a duly registered Professional Engineer in the State of North
Carolina, having been authorized to observe (penodwally, weekly, fell time) the construction of the project, for the
Permittee hereby state that, to the best cf my abilities, due care and diligence was used in the observation of the
construction Such that the construction way observed to be built within substantial compliance an i intent of the 101
Water Quality Certification an .l Buffer Rules, the approved plans and specifications, and other supporting materials
Si y aiire _

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Registration No
No?CaroLna
Transportation Permitting Unit turQlly
1650 Mail Service Center, Raleigh, North Carolina 27699-1650
2321 Crabtree Boulevard Suite 250 Ralegh North Carolina 27604
Phone [phone] FAX [phone]Internet ht?Oh2u ?,u_?t_3tC nc_u?%n?-vjetian,IS
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