20080336 Ver 1_Certification of Completion_20081009

DWQ Protect No.: 0 OOQ? 33 (? County: R OnK`CW-1
Applicant: C DC> 7 `DVv:g,p11 ??rna?'1?.? $otinSOn
Project Name: SCE 11'i5 PQrSorNS I-QKe. \6 (P:pe RtelaCtme,cii')
Date of Issuance of 401 Water Quality Certification: ?aroN? \% 8tOC>%
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 Transportation Permitting Unit,
North Carolina Division of Water Quality, 1650 Mail Service Center, Raleigh, NC. 27699-1650 This form may be
returned to DWQ by the applicant, the applicant's authorized agent, or the project engineer It is not necessary to send
certificates from all of these
Applicant's Certification
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
Date -"2- e--T- 00
.? Agent's Certification
I, l . F C L G E'( , 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 materials
Signature Date
Partial Final
Engineer's Certification
I, , as a duly registered Professional Engineer 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 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 materials
Signature
Date
ProJcc? c?MP?z?
Registration No
0' T 0 l0
G / ?1g4FtrR . ?8
O 1'1 D Z 10?- 91,to sT?gRQU,
?to NWO,8

MICHAEL F EASLEY
GOVERNOR
October 7, 2008
STATE OF NORTH CAROLINA
DEPARTMENT OF TRANSPORTAno
DIVISION OF HIGHWAYS
401/Wetlands Unit
North Carolina Division of Water Quality
1650 Mail Service Center
Raleigh, NC 27699-1650
To Whom It May Concern
a?
00 t
8
T `+7
LYNDO TIPPETT
SECRETARY
Attached is a Certtficate of Completion for the following project in Richmond County, NCDOT
District 3, Division 8-
DWQ Project No. Applicant Project Name Date of Issuance
20080336 Tim Johnson SR 1145 3/14/08
Please advise if you need additional information
in ly, e- Z -a?
Tuno Johnson, PE
Division Engineer
cc Art King, DEO
T F Welch, PE, Division Bridge Maintenance Engineer
K R Hedrick, PE, District Engineer
P O BOX 1067, ABERDEEN, NORTH CAROLINA 28315
PHONE [phone] FAX [phone]