20171172 Ver 1_Certification of Completion_20180619 (2)

En vironmen tal
Qualiry
NCD W R
Applicant
ROY COOPF.R
�,,,,�.�.,�o,�
MICHAEL S. REGAN
Sr�rerarr
S. JAY ZIMMERMAN
1)irrrrur
Project Name: �I�l��('�C- ���- C1l S K� Z�i'�['�C`'
Date of [ssuance of 401 Water Quality Certificatioo: Sti p(�.ti1 lV�'l� y� Z� � ��
-�_
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certiflcation or applicable [3uffer Riiles, and
any subsequent modifications, the applicant is required to retum this certificate to the 4D1 Transportation Permitting
Unit, North Carolina Division of Water Resources, ]617 Ylail Service Center, Raleigh, NC,?7699-1617. This form
may be remrned to NC�WR by the applicant, the applicant's authorized agent, or the project engineer. it is not
necessary to send ceitificates Crom all of [hese.
ApplicmrYs Certiftcation
�, �1� 1'vY�l.Vl1�- ��)1�A:1i.l P. � . hereb}� state that, to die bes[ of my abilities, due cu�e and dili�ence
was use in the observation f the construction such that the construction was obseived to be built within substantial
compliance and ' tent f the 401 Water Quality Certification and 6uffer Rules, fhe approved plans and
specifications, a� ottfer supportingmaterials. ,
Si�nature: L�L��(i--�{•��v1 Date: �''��r ����"
Age�t!'s
l. . hereby state chat, to [he best of my abilities. due care and diligence
was used i� the observation of the construction such that the construction was observed ro be built within su6stantial
compliance and intent of the 401 Watzr Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting inaterials.
Signature:
Engineer's Certtfrcalion
Partial rinal
1, , as a duly registered Professional Engineer in the Statz of North
Carolina, having been authorized to observe (periodically, weekly, fWl time) the construction of the project for the
Permittee hereby state that, to the best of my abilities, due care and diligence was used in the observa[ion of the
mnstruction such that the construction was observed ro be buil[ within substantial compliance and intent ofthe 401
Water Quality Certification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signa[ure
Date
Registration No.
Sm�e oi' Nonh Carnh� �. Em'ironmenral Quahp
I(,17 �Aail Scrvicc Crntar I R�Izreh. Nnrth Carolina 27699-1617