20170431 Ver 1_Certification of Completion_20190104

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NCDWR Project No.:
Applicant: �J� %O* - I-7�� 13
ProjectName: d�`�`(.L % 6�n. S R /7Z�
Date of Issuance of 401 Water Qualily Certlfication: �
ROY COOPER
Gm�rnror
MICHAEL S. REGAN
S¢CrelnrP
S. JAY ZIMMERMAN
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County:
I7t3P, r3,R. y°
:l lb , 7.0/7
CeHificale of Completion
Upon completion of all work approved within the 401 Wacer Quality Certification or applicable Buffer Rules, and
any subsequent modifications, the applicant is required to return this certificate to the 401 Transportation Permitting
Unit, North Carolina Division of Water Resources, 1617 Mail Service Cenrer, Raleigh, NC, 27699-1617. This form
may be retumed to NCDWR by the applicant, the applicant's authorized agent, or the project engineer. It is not
necessary to send certificates Bom all of Ihese.
App/tcan�'s Cenlfrcalioir
1, �f ��S � ���N , hereby state that, ro 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 Cenification and 6uffer Rules, the approved plans and
specifications, and other supponing materials.
Signa[ure: __�����"`�— Dace: .Taw ��� Z��l
Agent's CerqJ7calfon
1, , hereby slate that, to �he best of my abilities, due care and diligence
was used in the observation of the consiruction such that the construction was observed ro be built within substantial
compliance and intenl of the 401 Water Quality Certification and Buffer Rules, the approved plans and
specifications, and other supporting materials.
Signature:
Englneer's CerNj)ealJon
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 slate that, to the best of my abilities, due care and diligence was used in the observation of the
construction such that the consauction was observed to be built within substantial compliance and inrent of the 401
Waler Qualiry Certification and Buffer Rules, the approved plans and specifications, and other supponing materials.
Signature
Registration No.
Date
%'Nottifng Compares"- .
Staic ol'Nonh Carolina I Environmental Quality
1617 Mail Service Cemer � Raltigh, Nonh CaroGna 27699-1617