20170428 Ver 1_Certification of Completion_20190104

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Ehvlronmental
Qualiry
NCDWR Project No.:
Applicant: AiG �i
ROY COOPER
Governor
MICHAEL S. REGAN
Secremry
S. JAY Z[MMERMAN
Direcroi•
County: �v��
ProjectlYame: [�r:�.c�c 2�Y on $R /737 �� �3r? 13.TZ. `/Z
Date of Issuance of 401 Water Quality Certification: ��r:� Z°i, 2d17
Certifcate of Completion
Upon completion of all work approved within the 401 Water Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to [he 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 applicant's authorized agen[, or the project engineer. It is not
necessary to send certificates from aIl of these.
App(icnnYs Certificnlioii
I, ��C..'�'� �«t�n , hereby state that, to the best of my abilities, due care and diligence
was used in the observation of the wnstruction such that the construction was observed to be built within substan[ial
compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature: ����L(G�'� _ Date: Ta� �l� ZU{7
Agent's Cerllfrrntiou
I, , hereby state that, m the best of my abilities, dae 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:
Eugii�eer's Certificntiaa
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.
" �'Nothi�y Compares :- �.
Stare of North Carolina � Envimnmental Quality
1617 Mail Service Center � Raleigh, Norlh Carolina 27699-1617