20140110 Ver 1_401_Certificate of Completion_152_20171017

Pal McCrory
Governor
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NCDENR
North Carolina Department of Environment and Natural Resources
Donaid van der Vaart
Secretary
NCDWR Projecl Nn.: %(b/�-��( C�_ ✓2 Count)': �i4M�NC�
nppu�.��,r. lUc�o-r DIVZ -Id_I2. F'!!([�LlLLS — ---
Project Name: la2- t� 1� Z o��l SYL L30 -7 � rAL�� 7U��„�
DflIC 0� ISSIIi111CC 0�':OI WflfCl' QIITIIf,y Cerlific�tion: �f I'01 ��
Certificate of Completion
Upon completion oFall �vorl: appinved wilhin �he d01 Water Qu,dity Certification or ��pplic;ible 13uffer Rules, and
any subsequent moditications, the applicant is required ro return this cenificate to ihe d01 7Yansporiztion Permittiug
Unit, Nmth C�rolina Division ol Watcr Resources, I(SO Mail Service Center, Raleigh, NC, 27699-IG50. This tbrnt
mny be returned lo NCDW R by (he nppiicnnt, the applican�`s authm'ized agenl, or lhe projec� enginecr. li is nnt
necessa�y to senA certitic�tes from all of (hesc.
il pplicruil's Cerlifirulr�a
1, �, y+'/ •`�! /��S , hereby slate ihat, fo the besl ol'my abilities, due care and diligenee
was used in the observation of the construction such �hat the construciion �vas observed to be built within substnntiai
complitmce and intent oftlie 401 Water QuAlity Cer[itieation and Ruffer Rules, the approved plans and
speci6ca(ions, �nd olher suppm��ing materials.
Signa�ure: .Ci(yi Daic: �O �,..3 —�/ 7
flgenNs `� e' .�crrliou
I, , hereby stnte Ih�i, to the best of my abilities, due c�re end diligencc
was used in the observatiun of lhe conslrucfion such Ih�d Ihe cunsuvclion was observed fo be buill �vi(hin substantial
compliance and iuten[ of [he 401 W�ter Qualily Certitica�ion nnd 13uffer Rules, the approved plans and
specitic�tions, and other supportiug materials.
Signatw'e:
Engi�reer'.r CerliTcri7in�i
Par[ial Pinnl
I, , as �i duly registered Professional En�ineer iu Ihz State ofNartli
Carolina, having been �uthm�ized lo observe (periodicnlly, weekly, Full lime) Ihe construc[ion of the pro,jecf (or the
Periniltee hereby sl�re ihai, ro the best of iny ebilitics, duc c�rc end diligence was used in the observtition of the
constivetion such that the construction �v�s observed to 6e built within substanti�l compliance and intent oFthe 401
Water Qunlity Certiticntion nnd 13utfcr Rides, thc approved plans and specific�tions, nnd other supporting malerials.
Sign�lwc
Unte
Regislrnfion No.
1617 Mail Service Center, Raleigh, Nodh Carolina 276�J9-1617
Phone� 919-�07-63001 Inlernel: www.ncdenr.gov
M Equal Opporiunily 1 Alfrmalivo Aclion Gmployer