20150394 Ver 1_401_Certificate of Completion_253_20171017

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NCDENR
North Carolina Department of Environment and Natural Resources
Pat McCrory
Governor
NCDWR Project No.: ) O� 5 D��� . Caun[y: �LA �,4/�((�
Applicanh n(L �p-�- �Iv 7— M�- N11KF MILLS
Project Name: �2 Gt- %`�?� n�.l 52 Ll � R C RUN �Ey f21��
W�� i'I13P �. �.[n.3
Da[e of Issuance oP401 Watcr Quality CertiPcalion: l{�`'l I u �%,CfJ I S�
Donald R. van der Vaart
Secrelary
Cer[ifica[e of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applic�ble Buffer Rules, and
any subsequent modifications, lhe applican[ is required [o retum this certifica[e to the 401 Transportation Permitting
Uni[, North Carolina Division of W�ter Resources, 1617 Mail Service Cenler, Raleigh, NC, 27699-1617. This form
may be returned [o NCDWR by tlie applican[, the applicant's authorized agenl, or the project engineer. It is not
necessary to send certificates from all of these.
App/lcant's Certifrcntlwi
I, i�. ��"% •/r //��� , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the conshvc[ion such [hat the construc[ion 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: �(�% �� —s=/� �
Age�rt's Ce ificatioir
I, , hereby state Ihot, to the best of my abili[ies, due care and diligence
was used in the observation of [he construction such [hat ihe construc[ion was observed to be built within s�bslantial
compliance and intent of the 401 Water Quality Certification and Buffer ftules, the approved plans and
specifications, and other suppor[ing materials.
Signature: Date:
E�igi�ieer's Cerlificnlron
Partial Final
I, , as a duly regisfered Professional Engineer in the 5[�te of North
Carolina; having been authorized to observe (periodically, weekly, full time) the construclion of the project for the
Permittee hereby sfate Ihat, to the best of my abilities, due care and diligence was used in the obsarvation ofthe
construction such that the construction was observed to be built within substan[ial compliance and intent ufthe 401
Water Quality Certification and Buffer Rules, [he approvecl plans and specificalions, and other suppoiting materials.
Signature
Date
Registration No.
1617 Mail Service Cenfer, Raleigh, Nodh Carolina 27699-1617
Phone: [phone]ntemet: www.ncdenr.gov
An Equal Oppodunily 1 Alfirmalive Action Employer