20160331 Ver 1_Certification of Completion_20180111

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Wuter Resourres
ENVIFONMEN1Al DllAlrtY
PAT MCCRORY
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DONALD R. VAN DER VAART
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S. JAY ZIMMERMAN
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NCDWR Project No.: ZO �p "U3�n� County: Gl c0 i N _
ApplicanL _ �G � T {��' �/ is i'of�i � 3 --
ProjectName: � 2 � � � �iC � ��'���
Date o( Issuance of 401 Water Quality Certification: S / ZU��
Certificate oPComplelion
Upa� cumpletion o(all work epproved within the 401 Water Quality Certification or applicablc Buf'Fer Rules, and
any subsequent modifications, �he applicant is required to re�urn this certificate to �he 401 Transportalion Permitting
Unit, North Carolina Division of Wa[er Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form
may be re[umed to NCDWR by d�e applicant, the applicant's authorized agent, or ihe project engineer. It is no[
necessary to send cerlificates from all of these.
Applican!'s CerJifirnlion
I, QCdf� f'�– Q/_7 t^ ✓! V , hereby state that, to the best of my abili�ies, due care and diligence
was u in lhe observati n of Uie consiruction such that the construclion was observed ro be built within substan[ial
compliance and in[ent of the 40I Water Quality Ceilification and Duffer Rules, �he approved plans and
specifications,/a�nd o[her supporting materials.
Signature: 1M. � �*— Dale: � �� 2U/r
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Agen! .c Certificafiou
�� , hereby state Ihat, to �he best of my abilities, due care and diligence
was used in the observation of the construclion such iha� the construction was observed ro be built within substantial
compliance and intent of ihe 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Englneer's Cer(lJTcniion
Partial Pinal
� , as T duly regisiered Professional Engineer in ihe S[ate of North
Carolina, having been aulhorized ro observe (periodically, weekty, full �ime) the construction of Ihe project for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
cons�ruction such that the construction was observed to be 6uilt within substantial compliance and intent of the 401
Warer Qualiry Certification and [3uffer Rules, fhe approved plans and specifications, and other supporting materials.
Signature
Dare
Registration No.
Strlc n( Nonh Carolina jFnNronmenlal Qanlil7 I��a1er Rewurca
1617 Mail Service Cenler, Raleiph. NOM Carolina 17699�7617