20160215 Ver 1_Certification of Completion_20180111

PAT MCCRORY
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DONALD R. VAN DGR VAART
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WnrerResource� S. JAY "LIMM6RMAN
ENYIRONHtliI�L Ol1AL�lY
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NCDWR Project Nu.: �QI �- U-2IS Comdy: �U�ic_cus�/7C --
np�uc:���c __ Lv�- p.r�T �.�%t�rQ�Lf-� _ - -- —
Project Namc: _�/' ��c�? JQ �.�J � 5 ���, 5� r' 3 Y:3 ��%%�,r ./.j. _rJ
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Da[e of Issuance of 401 Water Qualily Certification: �r__-2 .L v i�____ _
Cer[ificate of Completion
Upon complelion of all work approved a�ilhin the 401 Waier Quality Certilication or applicahle E3uffcr Rules, and
any subsequent modifications, the applicant is required to re�um ihis cenilicale lo the d01 'fransporta�iun Permitting
Unit, Norlh C�rolina Division of Wa�er Resourtts, IG17 Mail Service Center, Raleigh, NC, 27699-1617. 1'his fonn
may be retumed lo NCDWR by the applicanl, the applicant's authorized agent, or the projecl engineer. h is nol
necessary to send certificates fi�om all of these.
Applicnnt's CerliJlcafiou
I, � �� P/ _�C�/11� , hereby sln�e ihm, �o �he best of my abiiities, due care and diligence
�vas use m the observa�ion 6f Ihe construc[ion such tha� ihc constructiai wns obscrved to be built �riihin substanlial
complinnce and intem of tlie 401 Watcr Quality CertificTtion and l3ulfer Rules, tlie approved plans and
speci�ications, and odicr supporting materials.
Signawre: 22��, 0.���— _---- . D�ie: _ 1 1/ �Ul�
Ageu1'.c Certifiralinn
�, _ , hereby slale Ihat, to Uie best of my a6ilities, due care and diligence
was used in We observation uf the conslruction such that Ihc construction was observed to be built wi�hin substantial
compliance and inlent of the 401 Water Qualiry Certification and Buffer Rules, the approved plans and
specifications, anA olhcr supporting inatcrials.
Signature: _ __ __
F.n�,�ineer's CerdJicnlion
Pariial Final
�, . as a duly registered Professional fingineer in ihe State of Norih
Carolim, having been authorized to observe (perioJically, weekly, fidl time) the construction of the project for the
Pennillee hereby state that, lo Ihc best of my abilities, due care and diligence was used in Ihe observalion of the
conslruction such that the construction was observed to be buil� wiihin substantial coinpliance and intent ofthe 40I
W'ater Quality Certification and Iluffer Rules, the approved plans and specifications, and oiher supporting materials.
Signature
Dace
Registration No.
Sl;nt n(NnnL Cnmlina :b:nuroninemal (lualny i��'alcr ftcsoumc
t6t7 Mai Serv¢e Cemer, Raieigh, NONi Ca�ouna i7699-�fin