20080542 Ver 1_Certification of Completion_20120305

Michael F Easley Governor
William G Ross Jr Secretary
North Carolina Department of Environment and Natural Resources
DWQ Project No 200905LIZ County GJarreA
Applicant Ni Wi pl✓
Project Name SR / 30 8,(Prxkr emst S —'Fee 74i s
Date of Issuance of 401 Water Quality Certification or Buffer Authorization
o�/oz /os
Alan W Klimek P E Director
Division of Water Quality
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Certificate of Completion
Upon completion of all work approved within the 401 Water Quality Certificatic or applicable Buffer
Rules and any subsequent modifications the applicant is required to return this emficate to the
401 /Wetlands Unit North Carolina Division of Water Quality 1650 Mail Se ice Center Raleigh NC
27699 1650 This form may be returned to DWQ by the applicant the app cant s authorized agent or
the project engineer It is not necessary to send certificates from all of th e
Applicant s Certification
hereby state
and diligence was used in the observation of the construction s
be built within substantial compliance and intent of the 401 W/J
Rules the approved plans and specifications and other suppdr
Signature Date
Agent s Certification
and diligence was used in the observation of the
be built within substantial compliance and rote
Rules the approved plans and specifications n
Signature
/o the best of my abilities due care
that the construction was observed to
Quality Certification and Buffer
materials
h feby state that to the best of my abilities due care
;6nstruction such that the construction was observed to
of the 401 Water Quality Certification and Buffer
other supporting materials
Date
If this project was designed by a Ceyf►f►ed Professional
I as a duly registered Professional (i e
Engineer Landscape /Architect eyor etc ) in the State of North Carolina having been authorized
to observe (periodicaull time) the construction of the project for the Permitee hereby state
that to the best of m care and diligence was used in the observation of the construction
such that the construrved to be built within substantial compliance and intent of the 401
Water Quality Certififfer Rules the approved plans and specifications and other
supporting materials
Signature Registration No
Date
44 If
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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/