20071597 Ver 1_Certification of Completion_20070924

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Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
DWQ Project No 20o715Q'1 County
Applicant NCPoT Pid 5
Protect Name S1- 1
Date of Issuance of 401
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Water Quality Certification
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V%&" ct
Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certif
Rules and any subsequent modifications the applicant is required to return
401/Wetlands Unit North Carolina Division of Water Quality 1650 Mail S
27699 1650 This form may be returned to DWQ by the applicant the 76st fSl
the protect engineer It is not necessary to send certificates from all of
Applicants Certification
I hereby state
and diligence was used in the observation of the construction
be built within substantial compliance and intent of the 401
Rules the approved plans and specifications and other su o.
Signature Date
Agents Certification
and diligence was used in the observation of
be built within substantial compliance and in
Rules the approved plans and specificattov
Signature
Coleen H Sullins I
Division of Water
��fv
Ai or applicable Buffer
certificate to the
:e Center Raleigh NC
: s authorized agent or
th,V to the best of my abilities due care
ch that the construction was observed to
ater Quality Certification and Buffer
tinR materials
_ ere by state that to the best of my abilities due care
h construction such that the construction was observed to
nt of the 401 Water Quality Certification and Buffer
and other supporting materials
If this project was designed by a Cy6rtified Professional
I as a duly registered Professional (i e
Engineer Landscape Architect urveyor etc ) in the State of North Carolina having been authorized
to observe (penodically wee full time) the construction of the protect for the Permitee hereby state
that to the best of my abiht s due care and diligence was used in the observation of the construction
such that the constructio as observed to be built within substantial compliance and intent of the 401
Water Quality Certific on and Buffer Rules the approved plans and specifications and other
supporting materials
Signature
Date
No
PD
wfrlq�y��
North Carolina Division of Water Quality 401 Wetlands Certification Unit
1650 Mail Service Center Raleigh NC 27699 1650 (Mailing Address)
2321 Crabtree Blvd Raleigh NC 27604 2260 (Location)
919 733 1786 (phone) 919 733 -6893 (fax) http / /h2o enr state nc us /ncwetlands/