HomeMy WebLinkAbout20160897 Ver 1_Certification of Completion_20171128� ii. .., , ..
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lpplicanl: tis:;�:� <�nV..e.\�„c. �{F.i� �i�, :eCc_.*�
Projec�Name: lr.+�}�r�i..-� ��/{ly I.�r,�J#�.�i17i-�'�"I
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jR�W$PORTATIGh �Crii�il I'TIN6 UN(�
Certific�te o(Completion
l I�n complelion of all work appmved within the 401 Water Qualiry Ceniiieaiion or appiicahla Ru�ler Rulec. and
any subseyuem modificaiions, Ihe applicam is rcquired to rctum Ihis certiticate to the 401 Tr;.nspurtatiun Permining
Unit. North Cerolina Dirision o( Wa�er Resources. 1617 Mail Service Ccnter. Raleigh, .'JC. 27699-1617. This Fortn
may be relumed Io NCDN'0. by the applicant. Ihe dp0licanl's authorized agem. or Ihe prvjecl tngineer II is not
necessary ro send ceniGwtes Gom all of ihcsc.
,Ipp/�ir7anl's Cerl!/lcadan
1, !�✓`✓ �% �� � , hercAy sra�e �ha�, [o the hest ol'm� abilities, due care and diligrnce
was uxJ in the observa�ion of ihe cunstruction such thai the conshvuion was obxned to be built within substanual
comphance and imm�t ol'�he 401 �}�sier Qualiry Cenifica�ion and tluf(er Rulzs. ihe appro�ed plans and
�penficalions, and � er opp��rti�lgriaterinls.
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,larnt'i Cer:lfJraMon �
1, G �:�S F,n�`1 hereby ciate �ha�. to ihe bes� of my ahili�ies, due care and diligence
we5 used in t0e observnlwn ul ihe construaion such that the construcuon was oDsmed m be Duih Nnhm suhslanUal
compliance anJ inreni of lhe �UI Waiar Ou�lil} CeniGee�ion anJ Buffrr Kule�. ihr appie�eJ pla�s and
cpccficationc. a tha mppon�ng ma�eria6.
Signamm /�„"` I�alc �� /I(a' I �'
EnRiweer's CexlfcaMnn
Partial X Final
I, _,� Grnc�S �%l�/� �;.� � f� , a5 � dUl} regislcred Pmfe�sional Engineu in thc Sulr of Vorth
Carolina, ha�mg been aulhoritcJ 10 ubxrve fp�riodieall�, wttkly, full lime) Ihe conswnion o(�hr pm�ect for the
Pnmintt hereby state Nai. m the besi ot my abihiics. due wre and diligmce wae used +n ihe oburvaiion of �hc
conurucuon �uch �hal �he cun.Iruc�ion we� �65eneJ to be buih witltin subelanbal compliance an.l mlenl of d�t J01
Watcr Qualin Ccnifica�ion and ButTer Rules. ihz approved plans and specificaiions. and oiher supponing m�ierial>.
till'��OWrc `'����/ Ittgitilydliun ��o �U J 7V
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