20180267 Ver 1_Certification of Completion_20180402

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NCDWR Project No.: 20180267
Applicant: �own of Clarkton
Project Name: Woods S�reet Canal Repairs
Date of Issuance of 401 Water Quality Certification:
County: R1 aden
ROY COOPER
Gorernor
MICHAEL S. REGAN
Secrc�nrr
LINDA CULPEPPER
lnlerini Uireclor
Certi�cate of Completion
Upon completion of all work approved within the 441 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR Uy the applicant, the applicant's authorized agent, or tlle project engineer. It is not
necessary to send certificates from all of these.
Applicrnrt's Certifrcatio�r
1, Ci'�� 5 �%�i , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of tlie 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 su porting m terials.
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Signature: Date: 2 g' % �
Age�r1's Ceriifrcafion
l, , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of tl�e 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 supportin� materials.
Si�nature: Date:
Eirgi�reer's Certifrcatio�r
Partial Final
I, , as a duly re;istered Professional En�ineer in the State of North
Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project for the
Permittee hereby state that, to the best of my abilities, due care and dili�ence 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.
Si�nature
Date
Registration No.
State of North Carolin� � Gnvironmental Quality
1617 Mail Service Center � Raleigh, North Carolina 27699-1617