20160195 Ver 1_Certification of Completion_20180111

Water Resourr'es
ENVINONMENIAL OU�LIIY
NCUWRProjectNo.: �-��%6 "�
n��r�a�,r. _ _Nc P� i -
Project Name:
PAT MCCRORY
�mwnma
DONALD R. VAN DGR VAART
Countv: (lSu,icnrnUe
Date of Issuance of d01 Water Qu:ilitV Certification: �� ��b ��
,�� �, �„�,
S. JAY 'LIMMERMAN
��
Certificate of Complefion
Upon completion of all work approved within the d01 Water Quality Certificalion or applicable BuCfer Rulzs, and
any subsequent modifications, [he applic�ut is required to return this certificate ro Ihu 40L Transportation Pennittin�
Unit, North Caivlina Uivision of Water Resources, 1617 Mail Scrvice Cen[er, Raleigh, NC, 27699-1617. This lorm
may be relw'ned to NCD W R by the applicant, the applicanYs autliorized �aent, m• ihe project engineer. It is not
necessary to send certificates fiom all ofthese.
Applicnnl's Cenifrcnlien
I, � P" i� �� C , hereby state Ihat, to the best of my abilities, due care a»d diligence
was use in the observatio i of the consreuction such that the consu uction was observed tc� be built within substantial
canpliance and intent of the 401 Water Quality Certification and 6id�fer Rules, [he approved plans and
specifications, and olher supporting materials.
Signature: . � Date: � �� �6 /S
�gen!'s Certi�culion
I, , hereby s�ate that, to the besl of my abili[ies, due care �nd diligence
was used in the observation of die construction such that the construction was observed to be buil[ within substantial
compliance and intent of [he 401 Water Quality Cerliflcalion and L3uffer Rules, Ihe approved pinns �nd
specifications, and otlicr supporting ma[erials.
Signature: _
Engineer's Cer/ificalioii
Partial Final
I, , as a duly registered Professional Enaineer in Ihe State of North
Carolina, having been authorizeA �o observe (periudically, weekly, full time) the consu'uction of [he project for the
Pennitlee hcreby state th�t, to the besl of my abilities, due care and diligence was used in the observation of the
coiutruction such that Ihe conslruction was observed to be buill within subst�ntial compliance and intent of the 401
Water Quality Certification and Buffer Rules, the approved pl�ns and specific�tions, and olher supporting materials.
Signa[w'e
Dare
Registr2tion No.
SlalzofNorihCawlfna�6rvirmunrn�alQunlil)� bValerResources
1617 Mail Service Centcr, Ralei9h, Notlh Carolina 27699-1G17
Phane'. 919-8�7-E300