20170463 Ver 1_Certification of Completion_20170922

Water nesources
1_r1Y -N V!- .16=l Qualify
Dwu Project Ido.:
Al,plicant:
2911-14OY(e3
nOxCOOPER
MICHAEL S. REGruv
-ecretary
S. JAY ZiMMERMAN
Director
County: wcc`�R t,,,,
ProjetT Name: IC Z C G Z:VV • }t orm
Date of Issuance of Wetland Permit:_- / C"c
Upon comP;iedon of all worn arproveb wltnin Ene z;ui water Quality CefRitfoativn .0/or Barrc.- Kale- z, J3 any
subsequent modifications, the applicant is required to return this certificate to the 401 & Buffer Permitting Unit,
North Carolina Division of Water Resources, A17 Mail Service Center, Raleigh, RC, 41E7u-A.L f. i his form may be
returneQ to DvvR by tRe applicant_ the applicants autRorizela agent, or the proje t engineer. It is not necessary to
sena cFtMcgtc. tram. All at tfii-x.
Appllv....ia T.crt1PJff1v..
I, t>°a C f�� �� 11 hereby state that, to the best of my abilities, Rue care ane eirngence
was uses in rRe observation or rRe construction sucR rRat tRe construction was observen to oe Built YitRin
substantial compliance and intent of the 401 water QuAty Certification and/or Buffer Rules, the approved plans
and specifications, and other supwrting materials.
algnature: Date:
Ayenes Certification
I_ Rereny state Oat, to tRe nest or my abilides_ bue care ana Diligence
..aa a..ca in Inc vbac..c.tlon or Inc con.truCriv.. awcR LRct ttic vonaractiwn ..a. oo.c..ca to Be Built within
substantial compliance and intent of the 401 Water Quality Certification and /or Buffer Rules, the approved plans
and specifications, and other supporting materials.
Slbriaturc: Datc:
T tnrs projects was aeslgnen ay a Certgreti rrolessronar
I, - as a duly registered Professional (i.e., Enaineer,
landscape mrchitect, surveyor, etc.) in the Mate of North Carolina, having been authorized to observe (periodically,
weekly_ Tull time) rRe consrruRlon OT Me projeR-Tor rRe Permluee Rereby state Mat, to rRe best of my aoilities, Due
care ama alllee.-Cc ..aa a.wa in the oB.c.kation of tRe vonatracton aaaFi Mat the cont. anion ..as observed to be
built within substantial compliance and intent of the 401 Water Quality Certification and/or Buffer Rules, the
approved plans and specifications, and other supporting materials.
bisnatur`:
Registration No.
uate
S.. «. of Nor& C wl w I En::. nrtal Quality I Water Reso za-W«ter Quality Regional Operatic�a ao.-.-W. �tie��mon Reg -'Mal CUrc
Y43 Wasaingmn square Mail, rrasnmguwn, [YOM +. ana 27889
252-946-6481