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HomeMy WebLinkAbout20180737 Ver 1_Certification of Completion_20190718Water Resources Environmental Quality DWR Project No.: County: Applicant: Project Name: �Q Date of Issuance of 401 Water Quality Certification: k- /13 Certificate of Completion ROY COOPER Governor MICHAEL S. REGAN .4ecretar LINDA CULPEPPER Interim Director 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 the DWR Central Office — Wetlands and Buffers Permitting Unit at 1650 Mail Service Center, Raleigh, NC 27699-1650. This form may be returned to DWR by the applicant, the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from all of these. Appli e(t .'s Certific n I, hereby state that, to the best of my abilities, due care and diligence was used in a observation of the construction such that the construction was observed to be built within substantial c liance d intent of the 401 Water Quality Certification and Buffer Rules, the approved plans and specific i d er sup o materials. Signature: Date: Agent's Certification 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: Date: If this project was designed by a Certified Professional I, , as a duly registered Professional (i.e., Engineer, Landscape Architect, Surveyor, etc.) in the State of North Carolina, having been authorized to observe (periodically, weekly, full time) the construction of the project, for the Permitee 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. -�.-�:�hing Compares:. -k, State of North Carolina I Environmental Quality 1611 Mail Service Center I Raleigh, North Carolina 27699-1611 919-707-9000