20171341 Ver 1_Certification of Completion_20171207

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ROY COOPER
C5""ta, DCC 2 D 2017 ( MICHAEL S REGAN
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Water Rcaoumes j LINDA CULPEPPER
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Hn� =mul punliq I hverim Dfreclnr
WR Project No.: ( County:
Applicant17(1-1
Project Name: %� f'(a,Jk/1(I 1�S I`s`L'"V' ��-/PfLN(iY�✓w. ��lx�l�IL(ti%'\..
Date of Issuance of 401 Water Quality Certification:
Certificate of Completion
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 retum this certificate to the 401 and
Buffer Permitting Unit, North Carolina Division of Water Resources, 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.
Ap l�ican/t's Cerbffca6o
I, 1 WYf .R - n SJ a - , hereby state that, to the best of my abilities, due cue and
JOnce was used in the observation of the construction such that the construction was observed to be built
in substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the
approved plans and specifications, and other supporting materials.
Signaturej,0OUI
Agent's Certification
1,
I, , 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 specifications, and other supporting materials.
Signature: Date
Pf thu/}�roject was designed by a Certified Professional
1P�, �ra5 ,as a duly registered Professional i�KuQt%
Engineer, Eandscape Architect, Surveyor, etc.) in the State of North Carolina, having lacen 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 bKbuilt within substantial compliance and intent of the 401 Water Quality
Certification and Bu$ lulu, c approlved plans and specifications, and other supporting materials.
re:
Signatu,/(/ Registration No. Li of i f
Date ZZ_4T4'�?"
-✓`Nothing Compares.' -a.,:...
State of novh Carolina I Cnvlmmrcmal Quality I wear Resonrnex
2090 Us. Unitwoy 70. Swannmma, Noah Ca ulit a 28978
828-2964500