20170370 Ver 1_Certification of Completion_20190104

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Environmental
Quality
NCDWR Project, NIo.:
Applicant: Jv C
Project Name:
7-0370
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ROY COOPER
Governor
MICHAEL S. REGAN
Secretnry
S. JAY ZIMMERMAN
Director
County: �q n �eY
2
Da[e of Issuance of 401 Water Quality Certification: �'�0/O/ 7
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subseque�t modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, NoRh Carolina Division of Water Resources, 1617 Mail Service Center, Raleigh, NC, 27699-1617. This form
may be returned to NCDWR by the applicant, the applicant's authorized agent, or the project engineec It is not
necessary to send certificates from all of these.
Applicant's Certificnlion
I, U�l f� N� rY4N , hereby state that, to the best of my abilities, due care and diligence
was use in the observation of the construction such that the conshuction 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: �� Q7,u�r1.� Date: / �/' 'd/ %
Agen['s Certifrcntion
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 oFthe 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
E'ngineer's Certifrcntion
Partia] Final
I, , as a duty 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.
-� "Nathing Compares'=- �
Sta[e of North Carolina � Emironmental Quality
16U Meil Service Center � Raleigh, North Cerolina 27699-1617