20170529 Ver 1_Certification of Completion_20170918

KIr._
Water Resources
Fm iromncnCil Qtlaliq
DWR Project No.: / —7' O r2—
Applicant: Z
Applicant:
Project Name:
2017
DEQ-WATE—R—R—E-95URCES
401 8 BUFF R PERMIT7ING
County: /I%AA�ca P/+ -j filer
L E .S,
Date of Issuance of 401 Water Quality Certification:
L,L-
Certificate of Completion
ROY COOPER
Gnrertrur
MICHAEL S. REGAN
Secrewo,
S. JAY ZIMMERMAN
Diraclor
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 DWR Central Office —
Wetlands and Buffers Permitting Unit at 1650 Mail Service Center, Raleigh, NC 27699-1650. This form may be
returned to DWR by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary
to send certificates from all of these.
Applic'.0 ertification
/ / /N f1/1 �j2/G%G 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 speci c ions, and other supporting materials. ` `
Signature: Z� Date: �/ ��
Agent's rtification—�`
hereby state that, to the best of my abilities, due care and
diligence was u in th 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 speci cations, and other supporting materials.
Signature: Dater
If this project wa; designed by a Certified Professional
I J� ��— , as a duly registered Professional (i.e., Engineer,
Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) the construction of the project, for the Permitee 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,a app ved plans and spgcifications, and other supporting materials.
Signature: / t — ?L' Registration No. c/ e�
Date a P� 2 7
- ''Nothing Compares ----
State of North Carolina I Environmental Quality
i 14—th Carolina 1---7699-1611