20160905 Ver 1_Certification of Completion_20190104

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Environmental
QUA�IC}�
NCDWR Project No.:
Applicanh _�
Project Name:
-0
PAT MCCRORY
Govemor
DONALD R. VAN DER VAART
Secretary
JAY ZIMMERMAN
DWR Direclor
County: /V�i�tc�(f� �/
s t�i� %2.
Date of Issuance oT401 Water Quality Certification: ( � 2 y"
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Cenification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to remrn 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 by the applicant, the applicanYs authorized agent, or the project engineer. It is not
necessary to send cenificates from all of these.
App(icmit's Certificntiox
�, �oa 8r ��rvani , hereby sCate that, to the best of my abilities, due care and diligence
was us 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.
Signature: �//�� � ��y�,.�. Date: f 3 .�O/
'�/
AgenYs Certificntia�
I, , hereby state that, to the best of my abilities, due care and diligence
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.
Signature:
E»gineer's Certifrrnlion
Partial Final
I, , as a duly registered Professional Engineer 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 diligence 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.
Signature
Date
Registration No.
"Nnthing Compares :- _
State of North Carolina I Environmental Quality
I61 I Mail Service Cenrer � Raleigh, North Carolina 27699-161 I
919J07-9000