20140068 Ver 1_Certification of Completion_20190718

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1
-Certificate of Completion
DWR Project No.
Applicant:
Project Name: ?f eel2 cfea, Pkv •�
County: 1144kl<,;i�GI T
i
Date of Issuance of 401 Water Quality Certification:?
DWR#: 14-0068
Upon completion of all work approved within the 401 Water Quality Certification and Buffer Rules, and any subsequent
modifications, the applicant is required to return this certificate to the 401IMetlands Unit, North Carolina Division of Water
Resources, 1650 Mail Service Center, Raleigh, NC, 27699-1650. This form may be returned to DWR by the applicant, the
applicants authorized agent, or the project engineer. It is not necessary to send certificates from all of these.
Applicant's Certification
I, M V V fi01` / , hereby state that, to the best of my abilities, due care and diligence was used in the
observatiorl of the construction such that the construction was observed to 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: 6110tlx�-/ �ZDate:
Agent's Certification
I, JOVIA rttfMuor— , 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 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: l%'' Date:l
If this project was designed by a Certified Professional
I, Jec.,, �(M.tr , as a duly registered Professional Gtr -1«r'
(i.e., Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe
(periodically, weekly, full time) theconstruction 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 built within substantial compliance and intent of the 401 Water Quality Certification and Buffer Rules, the approved
plans and specifi tions, nd ther supporting materials.
Signature: Registration No.: O Z7 451 Date: ��