20171067 Ver 1_Certification of Completion_20181001

ROY COOPER
i„n��nnu�
MICH.AEL S. REGAN
\:.v�.�au,�
Envlronmental S. JAY ZIMMERMAN
Qua/i ty f,,, � � ,�,�
IYCDWR Pro•je,�c_t,N.{�o�.: �Z4%�71DIo��7� y}y,,, ��-��. ,,,���--- County: �bU%U�l-
Applicant: NUI �v� l.L��D�tlt'�(� U� tT� �VL1NL5�"�Q,�_ .
--�
ProjectName: 1W1 ZC�'D 61n 5�_1535 WQyI,�)PX �-6�)
�- --
Date of Issuance of 401 Water Quali[y Certification: —�p�6P-�� l¢� ����
I
Certificate of' Completion
Upon completio� of all worA approved within the 40I Water Quality Certification or applicable Buffer Rules, and
any subs2quent modificafions, [he applican[ is reyuired to return this certilicate [o the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Center. Ralei�h, NC 27699-1617. This form
may be returned ro NCDWR by thz applicant, the applicant's authorized agent, or the project engineer. I[ is not
nzcessarv [o send certiticates from all of these.
.App(icnnl's Certificalion
�, �2pU�l � k�rO�lAE�I , hereby s�ate that, ro the best of my abilities, due care and diligence
was used n the observation of the construction such that Ihe construction was observed to be built within substantial
compliance and 'ntent the d01 Water Qualig� Cenification and Buffer RWes, the approved plans and
specifications, aiid othe upportfp�mater'i�ls.,
Signature:
Agen�'s
Date: �����r�
I, � , hereby state that, to the besi of my abilities, due care and dilieence
was used in the observation of�the�construction such that the ronstruction was observed to be built within substantial
compliance and intent of the 401 Water Qualip� Certification and Buffer Rules, die approved plans and
specifications. and other supporting materials.
Sienature: Dare:
Engineer's Cer�ificalion
Partial 'E'inal
I, , as a duly registered Professional Engineer in the State of North
Carolina, havin� been authorized to observe (periodically, weekly, full time) the consvuction of the project for the
Penniitee hereby state that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the coiuh-uction was observed ro be built within substantial compliance and inrent of the 401
Water Quality Cer[ification and Buffer Rules, the approved plans and specifications, and other supporting materials.
Signature
Dare
Re�istra[ion No.
Slate o� .\onh C'amhna i Emimnmental Quaht�
1617 Mail Strvmr Crnicr I Raleigh. Nonh ('arolina 27699-16U