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HomeMy WebLinkAbout20031506 Ver 1_Certification of Completion_20040310 Certificate of Completion DWQ Project No.: ~3'~ 5~~~ Applicant: Project Name: county: `tea ~.~. s o r` Date of Issuance of 401 Water Quality Certification: Tom. ~~~~~ z ~, Z ~a~ Upon completion of all work approved v~hin the 401 Water Quality Certification and Buffer Rules, and any subsequent modifications, the applicant i~'equired to return this certificate to the 401/Wetlands Unit, North Carolina Division of Water Quality,162~IvIai1 Service Center, Raleigh, NC, 27699-1621. This form maybe returned to DWQ by the applicant,. the applicant's authorized agent, or the project engineer. It is not necessary to send certificates from°all of these. Applicant's Certification I,~~t-K, i ~ ~ a Y, C~ S ~ ,hereby state tf~at, 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 pl sand specifications, and other supporting materials., . Signature: ~ ~ Date: ' Agent~ertifi 'on I, "/ ~ r~-55 h ,hereby state that, to the best of my abilities, due care and diligence was used in the obse ation 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 ~ cific ns, and other supporting materials. Signature: / ~- Date: 3 CJ v 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 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 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: Registration No.: Date: